{"id":4731,"date":"2012-10-25T19:31:05","date_gmt":"2012-10-25T19:31:05","guid":{"rendered":"http:\/\/@WEBSITE_1@\/?page_id=4481"},"modified":"2018-06-04T13:45:36","modified_gmt":"2018-06-04T13:45:36","slug":"offerte-gewaarborgd-inkomen","status":"publish","type":"page","link":"https:\/\/www.gbwoluwe.be\/en\/offerte-gewaarborgd-inkomen\/","title":{"rendered":"Quotation  Guaranteed Income"},"content":{"rendered":"<p>\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_27' style='display:none'><div id='gf_27' class='gform_anchor' tabindex='-1'><\/div><form method='post' enctype='multipart\/form-data'  id='gform_27'  action=\"\/en\/wp-json\/wp\/v2\/pages\/4731#gf_27\" data-formid='27' novalidate>\n        <div id='gf_progressbar_wrapper_27' class='gf_progressbar_wrapper' data-start-at-zero=''>\n        \t<h3 class=\"gf_progressbar_title\">Step <span class='gf_step_current_page'>1<\/span> of <span class='gf_step_page_count'>4<\/span><span class='gf_step_page_name'><\/span>\n        \t<\/h3>\n            <div class='gf_progressbar gf_progressbar_blue' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_blue percentbar_25' style='width:25%;'><span>25%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_27_1' class='gform_page ' data-js='page-field-id-0' >\n\t\t\t\t\t<div class='gform_page_fields'><ul id='gform_fields_27' class='gform_fields left_label form_sublabel_above description_below validation_below'><li id=\"field_27_35\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_27_35'>Facebook<\/label><div class='ginput_container'><input name='input_35' id='input_27_35' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_27_35'>This field is for validation purposes and should be left unchanged.<\/div><\/li><li id=\"field_27_2\" class=\"gfield gfield--type-section gsection field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Policyholder<\/h2><\/li><li id=\"field_27_3\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_27_3'>\n                            \n                            <span id='input_27_3_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_27_3_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                    <input type='text' name='input_3.3' id='input_27_3_3' value=''   aria-required='true'     \/>\n                                                <\/span>\n                            \n                            <span id='input_27_3_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                            <label for='input_27_3_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                            <input type='text' name='input_3.6' id='input_27_3_6' value=''   aria-required='true'     \/>\n                                                        <\/span>\n                            \n                        <\/div><\/li><li id=\"field_27_4\" class=\"gfield gfield--type-address gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_street has_city has_zip ginput_container_address gform-grid-row' id='input_27_4' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_27_4_1_container' >\n                                        <label for='input_27_4_1' id='input_27_4_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                        <input type='text' name='input_4.1' id='input_27_4_1' value=''    aria-required='true'    \/>\n                                   <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_27_4_3_container' >\n                                    <label for='input_27_4_3' id='input_27_4_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                    <input type='text' name='input_4.3' id='input_27_4_3' value=''    aria-required='true'    \/>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_4.4' id='input_27_4_4' value=''\/><span class='ginput_right address_zip ginput_address_zip gform-grid-col' id='input_27_4_5_container' >\n                                    <label for='input_27_4_5' id='input_27_4_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP \/ Postal Code<\/label>\n                                    <input type='text' name='input_4.5' id='input_27_4_5' value=''    aria-required='true'    \/>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_4.6' id='input_27_4_6' value='' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_27_5\" class=\"gfield gfield--type-email gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_27_5'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_5' id='input_27_5' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_27_6\" class=\"gfield gfield--type-phone gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_27_6'>Telephone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_6' id='input_27_6' type='tel' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_27_7\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_27_7'>Date of birth<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_7' id='input_27_7' type='text' value='' class='datepicker gform-datepicker dmy datepicker_no_icon gdatepicker-no-icon'   placeholder='dd\/mm\/yyyy' aria-describedby=\"input_27_7_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_27_7_date_format' class='screen-reader-text'>DD slash MM slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_27_7' class='gform_hidden' value='https:\/\/www.gbwoluwe.be\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer left_label'>\n                         <input type='button' id='gform_next_button_27_1' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Volgende'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_27_2' class='gform_page' data-js='page-field-id-1' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_27_2' class='gform_fields left_label form_sublabel_above description_below validation_below'><li id=\"field_27_9\" class=\"gfield gfield--type-section gsection field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Activities of the person to be insured<\/h2><\/li><li id=\"field_27_10\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_27_10'>Start date independent activity<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_10' id='input_27_10' type='text' value='' class='datepicker gform-datepicker dmy datepicker_no_icon gdatepicker-no-icon'   placeholder='dd\/mm\/yyyy' aria-describedby=\"input_27_10_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_27_10_date_format' class='screen-reader-text'>DD slash MM slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_27_10' class='gform_hidden' value='https:\/\/www.gbwoluwe.be\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_27_13\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >The person to be insured performs the independent activity<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_27_13'>\n\t\t\t<li class='gchoice gchoice_27_13_0'>\n\t\t\t\t<input name='input_13' type='radio' value='Main occupation'  id='choice_27_13_0'    \/>\n\t\t\t\t<label for='choice_27_13_0' id='label_27_13_0' class='gform-field-label gform-field-label--type-inline'>Main occupation<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_27_13_1'>\n\t\t\t\t<input name='input_13' type='radio' value='Side occupation'  id='choice_27_13_1'    \/>\n\t\t\t\t<label for='choice_27_13_1' id='label_27_13_1' class='gform-field-label gform-field-label--type-inline'>Side occupation<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_27_12\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >The person to be insured is<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_27_12'>\n\t\t\t<li class='gchoice gchoice_27_12_0'>\n\t\t\t\t<input name='input_12' type='radio' value='Start-up self-employed (self-employed status less than 3 years)'  id='choice_27_12_0'    \/>\n\t\t\t\t<label for='choice_27_12_0' id='label_27_12_0' class='gform-field-label gform-field-label--type-inline'>Start-up self-employed (self-employed status less than 3 years)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_27_12_1'>\n\t\t\t\t<input name='input_12' type='radio' value='Established self-employed person (self-employed status more than 3 years or equivalent work experience as employee)'  id='choice_27_12_1'    \/>\n\t\t\t\t<label for='choice_27_12_1' id='label_27_12_1' class='gform-field-label gform-field-label--type-inline'>Established self-employed person (self-employed status more than 3 years or equivalent work experience as employee)<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_27_14\" class=\"gfield gfield--type-textarea field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_27_14'>Exact description of professional activity<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_14' id='input_27_14' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_27_15\" class=\"gfield gfield--type-textarea field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_27_15'>In case of a self-employed person in a secondary occupation: description of the main occupation<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_15' id='input_27_15' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_27_16\" class=\"gfield gfield--type-html gfield_html gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><\/br><\/br>\n<h3>Please divide your time to spend in the 5 parts below<\/h3>\n<p>Total is 100%<\/p>\n<\/br><\/br><\/li><li id=\"field_27_17\" class=\"gfield gfield--type-number field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_27_17'>Administration and management (%)<\/label><div class='ginput_container ginput_container_number'><input name='input_17' id='input_27_17' type='text' step='any' min='0' max='100' value='' class='small'      aria-invalid=\"false\" aria-describedby=\"gfield_instruction_27_17\" \/><div class='gfield_description instruction ' id='gfield_instruction_27_17'>Please enter a number less than or equal to <strong>100<\/strong>.<\/div><\/div><\/li><li id=\"field_27_18\" class=\"gfield gfield--type-number field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_27_18'>Manual labor (%)<\/label><div class='ginput_container ginput_container_number'><input name='input_18' id='input_27_18' type='text' step='any' min='0' max='100' value='' class='small'      aria-invalid=\"false\" aria-describedby=\"gfield_instruction_27_18\" \/><div class='gfield_description instruction ' id='gfield_instruction_27_18'>Please enter a number less than or equal to <strong>100<\/strong>.<\/div><\/div><\/li><li id=\"field_27_19\" class=\"gfield gfield--type-number field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_27_19'>Transport (%)<\/label><div class='ginput_container ginput_container_number'><input name='input_19' id='input_27_19' type='text' step='any' min='0' max='100' value='' class='small'      aria-invalid=\"false\" aria-describedby=\"gfield_instruction_27_19\" \/><div class='gfield_description instruction ' id='gfield_instruction_27_19'>Please enter a number less than or equal to <strong>100<\/strong>.<\/div><\/div><\/li><li id=\"field_27_20\" class=\"gfield gfield--type-number field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_27_20'>Working at heights (%)<\/label><div class='ginput_container ginput_container_number'><input name='input_20' id='input_27_20' type='text' step='any' min='0' max='100' value='' class='small'      aria-invalid=\"false\" aria-describedby=\"gfield_instruction_27_20\" \/><div class='gfield_description instruction ' id='gfield_instruction_27_20'>Please enter a number less than or equal to <strong>100<\/strong>.<\/div><\/div><\/li><li id=\"field_27_21\" class=\"gfield gfield--type-textarea field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_27_21'>Other (description + %)<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_21' id='input_27_21' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_27_22\" class=\"gfield gfield--type-select field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_27_22'>Are you staying abroad regularly?<\/label><div class='ginput_container ginput_container_select'><select name='input_22' id='input_27_22' class='medium gfield_select'     aria-invalid=\"false\" ><option value='No' >No<\/option><option value='Yes' >Yes<\/option><\/select><\/div><\/li><li id=\"field_27_23\" class=\"gfield gfield--type-select field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_27_23'>Do you practice a sport that requires cover?<\/label><div class='ginput_container ginput_container_select'><select name='input_23' id='input_27_23' class='medium gfield_select'     aria-invalid=\"false\" ><option value='No' >No<\/option><option value='Yes' >Yes<\/option><\/select><\/div><\/li><li id=\"field_27_24\" class=\"gfield gfield--type-textarea field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_27_24'>Specify the sport(s)<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_24' id='input_27_24' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer left_label'>\n                        <input type='button' id='gform_previous_button_27_8' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Vorige'  \/> <input type='button' id='gform_next_button_27_8' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Volgende'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_27_3' class='gform_page' data-js='page-field-id-8' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_27_3' class='gform_fields left_label form_sublabel_above description_below validation_below'><li id=\"field_27_26\" class=\"gfield gfield--type-section gsection field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Coverage of your income<\/h2><\/li><li id=\"field_27_27\" class=\"gfield gfield--type-number field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_27_27'>Your annual net taxable income from your work<\/label><div class='ginput_container ginput_container_number'><input name='input_27' id='input_27_27' type='text' step='any'   value='' class='medium'      aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_27_28\" class=\"gfield gfield--type-number field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_27_28'>What amount of your net taxable income do you want to insure?<\/label><div class='ginput_container ginput_container_number'><input name='input_28' id='input_27_28' type='text' step='any'   value='' class='medium'      aria-invalid=\"false\" aria-describedby=\"gfield_description_27_28\" \/><\/div><div class='gfield_description' id='gfield_description_27_28'>Max. 80% of your net taxable income<\/div><\/li><li id=\"field_27_29\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Against which form(s) of unfitness do you wish to insure yourself?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_27_29'>\n\t\t\t<li class='gchoice gchoice_27_29_0'>\n\t\t\t\t<input name='input_29' type='radio' value='Both economic disability and disability'  id='choice_27_29_0'    \/>\n\t\t\t\t<label for='choice_27_29_0' id='label_27_29_0' class='gform-field-label gform-field-label--type-inline'>Both economic disability and disability<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_27_29_1'>\n\t\t\t\t<input name='input_29' type='radio' value='Only economic disability'  id='choice_27_29_1'    \/>\n\t\t\t\t<label for='choice_27_29_1' id='label_27_29_1' class='gform-field-label gform-field-label--type-inline'>Only economic disability<\/label>\n\t\t\t<\/li><\/ul><\/div><div class='gfield_description' id='gfield_description_27_29'><u><strong>Invalidity:<\/strong><\/u> reduction of physical integrity. (eg amputation finger => regardless of whether this has an influence on the exercise of your profession)\n<\/br>\n<u><strong>Economic unfitness:<\/strong><\/u> the reduction of the work capacity due to the disability. (eg amputation finger influences pianist when exercising profession).<\/div><\/li><li id=\"field_27_30\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Illness and accidents<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_27_30'>\n\t\t\t<li class='gchoice gchoice_27_30_0'>\n\t\t\t\t<input name='input_30' type='radio' value='Of all kinds'  id='choice_27_30_0'    \/>\n\t\t\t\t<label for='choice_27_30_0' id='label_27_30_0' class='gform-field-label gform-field-label--type-inline'>Of all kinds<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_27_30_1'>\n\t\t\t\t<input name='input_30' type='radio' value='Private life'  id='choice_27_30_1'    \/>\n\t\t\t\t<label for='choice_27_30_1' id='label_27_30_1' class='gform-field-label gform-field-label--type-inline'>Private life<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer left_label'>\n                        <input type='button' id='gform_previous_button_27_25' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Vorige'  \/> <input type='button' id='gform_next_button_27_25' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Volgende'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_27_4' class='gform_page' data-js='page-field-id-25' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_27_4' class='gform_fields left_label form_sublabel_above description_below validation_below'><li id=\"field_27_31\" class=\"gfield gfield--type-section gsection field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Additional modalities<\/h2><\/li><li id=\"field_27_32\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Own risk term<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_27_32'>\n\t\t\t<li class='gchoice gchoice_27_32_0'>\n\t\t\t\t<input name='input_32' type='radio' value='1 month'  id='choice_27_32_0'    \/>\n\t\t\t\t<label for='choice_27_32_0' id='label_27_32_0' class='gform-field-label gform-field-label--type-inline'>1 month<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_27_32_1'>\n\t\t\t\t<input name='input_32' type='radio' value='2 months'  id='choice_27_32_1'    \/>\n\t\t\t\t<label for='choice_27_32_1' id='label_27_32_1' class='gform-field-label gform-field-label--type-inline'>2 months<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_27_32_2'>\n\t\t\t\t<input name='input_32' type='radio' value='3 months'  id='choice_27_32_2'    \/>\n\t\t\t\t<label for='choice_27_32_2' id='label_27_32_2' class='gform-field-label gform-field-label--type-inline'>3 months<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_27_32_3'>\n\t\t\t\t<input name='input_32' type='radio' value='6 months'  id='choice_27_32_3'    \/>\n\t\t\t\t<label for='choice_27_32_3' id='label_27_32_3' class='gform-field-label gform-field-label--type-inline'>6 months<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_27_32_4'>\n\t\t\t\t<input name='input_32' type='radio' value='12 months'  id='choice_27_32_4'    \/>\n\t\t\t\t<label for='choice_27_32_4' id='label_27_32_4' class='gform-field-label gform-field-label--type-inline'>12 months<\/label>\n\t\t\t<\/li><\/ul><\/div><div class='gfield_description' id='gfield_description_27_32'>The period after the accident that the insurance does not have to intervene. Obviously: the longer this period, the lower your premium to be paid.<\/div><\/li><li id=\"field_27_33\" class=\"gfield gfield--type-checkbox gfield--type-choice field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_27_33'><li class='gchoice gchoice_27_33_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_33.1' type='checkbox'  value='Bridging Own risk term (only possible if 1 month)'  id='choice_27_33_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_27_33_1' id='label_27_33_1' class='gform-field-label gform-field-label--type-inline'>Bridging Own risk term (only possible if 1 month)<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_27_34\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Duration policy<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_27_34'>\n\t\t\t<li class='gchoice gchoice_27_34_0'>\n\t\t\t\t<input name='input_34' type='radio' value='Until the age of 60'  id='choice_27_34_0'    \/>\n\t\t\t\t<label for='choice_27_34_0' id='label_27_34_0' class='gform-field-label gform-field-label--type-inline'>Until the age of 60<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_27_34_1'>\n\t\t\t\t<input name='input_34' type='radio' value='Until the age of 65'  id='choice_27_34_1'    \/>\n\t\t\t\t<label for='choice_27_34_1' id='label_27_34_1' class='gform-field-label gform-field-label--type-inline'>Until the age of 65<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><\/ul><\/div>\n        <div class='gform-page-footer gform_page_footer left_label'><input type='submit' id='gform_previous_button_27' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Vorige'  \/> <input type='submit' id='gform_submit_button_27' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Send'  \/> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_27' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_27' id='gform_theme_27' value='legacy' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_27' id='gform_style_settings_27' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_27' value='1' \/>\n            <input type='hidden' class='gform_hidden' 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