{"id":1311,"date":"2022-07-30T13:33:34","date_gmt":"2022-07-30T13:33:34","guid":{"rendered":"https:\/\/www.chronoshield.com\/?page_id=1311"},"modified":"2022-07-30T13:33:57","modified_gmt":"2022-07-30T13:33:57","slug":"questionnaire","status":"publish","type":"page","link":"https:\/\/www.chronoshield.com\/fr\/questionnaire\/","title":{"rendered":"Questionnaire pour les nouveaux membres de Chronoshield"},"content":{"rendered":"<p>Ces questions sont destin\u00e9es \u00e0 des fins statistiques et logistiques et ne seront pas communiqu\u00e9es \u00e0 qui que ce soit.<\/p>\n<p>&nbsp;<\/p>\n<div role=\"form\" class=\"wpcf7\" id=\"wpcf7-f1302-o1\" lang=\"fr-CA\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/fr\/wp-json\/wp\/v2\/pages\/1311#wpcf7-f1302-o1\" method=\"post\" class=\"wpcf7-form init\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"1302\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.6.4\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"fr_CA\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f1302-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/div>\n<p><label> Pr\u00e9nom<br \/>\n    <span class=\"wpcf7-form-control-wrap\" data-name=\"first-name\"><input type=\"text\" name=\"first-name\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Dernier nom<br \/>\n    <span class=\"wpcf7-form-control-wrap\" data-name=\"last-name\"><input type=\"text\" name=\"last-name\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> sexe<\/label><br \/>\n   <span class=\"wpcf7-form-control-wrap\" data-name=\"radio-699\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"radio-699\" value=\"M\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">M<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"radio-699\" value=\"F\" \/><span class=\"wpcf7-list-item-label\">F<\/span><\/label><\/span><\/span><\/span> <\/p>\n<p><label> \u00c2ge<br \/>\n    <span class=\"wpcf7-form-control-wrap\" data-name=\"date-854\"><input type=\"date\" name=\"date-854\" value=\"\" class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Nationalit\u00e9<br \/>\n    <span class=\"wpcf7-form-control-wrap\" data-name=\"nationality\"><input type=\"text\" name=\"nationality\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Adresse e-mail<br \/>\n    <span class=\"wpcf7-form-control-wrap\" data-name=\"your-email\"><input type=\"email\" name=\"your-email\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email\" id=\"emailId\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Nom du r\u00e9f\u00e9rent \/ soci\u00e9t\u00e9<br \/>\n    <span class=\"wpcf7-form-control-wrap\" data-name=\"text-394\"><input type=\"text\" name=\"text-394\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Comment avez-vous entendu parler de Chronoshield ?<br \/>\n    <span class=\"wpcf7-form-control-wrap\" data-name=\"hear\"><input type=\"text\" name=\"hear\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Qu'est-ce qui vous motive \u00e0 devenir membre ?<br \/>\n    <span class=\"wpcf7-form-control-wrap\" data-name=\"motivates\"><input type=\"text\" name=\"motivates\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><input type=\"submit\" value=\"Soumettre\" class=\"wpcf7-form-control has-spinner wpcf7-submit\" \/><\/p>\n<div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div><\/form><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Ces questions sont destin\u00e9es \u00e0 des fins statistiques et logistiques et ne seront pas communiqu\u00e9es 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