{"id":81053,"date":"2022-06-03T19:41:38","date_gmt":"2022-06-03T19:41:38","guid":{"rendered":"https:\/\/www.groupeunimage.com\/?page_id=81053"},"modified":"2022-09-14T17:01:23","modified_gmt":"2022-09-14T17:01:23","slug":"sondage","status":"publish","type":"page","link":"https:\/\/www.groupeunimage.com\/?page_id=81053","title":{"rendered":"Sondage"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row row_height_percent=\u00a0\u00bb0&Prime; override_padding=\u00a0\u00bbyes\u00a0\u00bb h_padding=\u00a0\u00bb2&Prime; top_padding=\u00a0\u00bb3&Prime; bottom_padding=\u00a0\u00bb2&Prime; overlay_alpha=\u00a0\u00bb50&Prime; gutter_size=\u00a0\u00bb3&Prime; column_width_percent=\u00a0\u00bb100&Prime; shift_y=\u00a0\u00bb0&Prime; z_index=\u00a0\u00bb0&Prime; uncode_shortcode_id=\u00a0\u00bb170655&Prime; css=\u00a0\u00bb.vc_custom_1654266164739{margin-bottom: 0px !important;border-bottom-width: 0px !important;padding-bottom: 0px !important;}\u00a0\u00bb][vc_column column_width_percent=\u00a0\u00bb100&Prime; position_horizontal=\u00a0\u00bbleft\u00a0\u00bb gutter_size=\u00a0\u00bb2&Prime; override_padding=\u00a0\u00bbyes\u00a0\u00bb column_padding=\u00a0\u00bb0&Prime; style=\u00a0\u00bblight\u00a0\u00bb overlay_alpha=\u00a0\u00bb50&Prime; shift_x=\u00a0\u00bb0&Prime; shift_y=\u00a0\u00bb0&Prime; shift_y_down=\u00a0\u00bb0&Prime; z_index=\u00a0\u00bb0&Prime; medium_width=\u00a0\u00bb0&Prime; mobile_width=\u00a0\u00bb0&Prime; width=\u00a0\u00bb1\/1&Prime; uncode_shortcode_id=\u00a0\u00bb101472&Prime;][vc_separator sep_color=\u00a0\u00bbcolor-wvjs\u00a0\u00bb uncode_shortcode_id=\u00a0\u00bb191348&Prime; sep_color_type=\u00a0\u00bbuncode-palette\u00a0\u00bb el_width=\u00a0\u00bb100%\u00a0\u00bb el_height=\u00a0\u00bb1px\u00a0\u00bb][vc_column_text uncode_shortcode_id=\u00a0\u00bb152366&Prime;]Groupe UnImage s&rsquo;engage \u00e0 offrir des soins s\u00e9curitaires et de grande qualit\u00e9. Nous aimerions que vous acceptiez de partager avec nous votre point de vue sur les services que vous avez re\u00e7us aujourd&rsquo;hui. Vous pouvez aussi r\u00e9fl\u00e9chir \u00e0 vos visites pr\u00e9c\u00e9dentes.[\/vc_column_text][vc_separator sep_color=\u00a0\u00bbcolor-wvjs\u00a0\u00bb uncode_shortcode_id=\u00a0\u00bb167648&Prime; sep_color_type=\u00a0\u00bbuncode-palette\u00a0\u00bb el_width=\u00a0\u00bb100%\u00a0\u00bb el_height=\u00a0\u00bb1px\u00a0\u00bb]\r\n<style type=\"text\/css\">\r\n\r\n\r\n\r\nbody #wpforms-81048 {\r\n\t\t\r\n\t\t\t}\r\n\r\n\t\r\n\r\n\tbody #wpforms-81048 .wpforms-head-container .wpforms-title {\r\n\ttext-align:center ;\t}\r\n\r\n\tbody #wpforms-81048 .wpforms-head-container .wpforms-description {\r\n\t\ttext-align:center ;\t\tdisplay:block;\r\n\t}\r\n\r\n\r\n\tbody #wpforms-81048 .wpforms-submit-container .wpforms-submit, body #wpforms-81048 .wpforms-field-pagebreak button.wpforms-page-button {\r\n\t\theight:50px ;text-align:center ;color:#ffffff ;background-color:#006cff ;font-size:21px;width:30% ;border-width:1px ;\t\t\t}\r\n\r\n\tbody #wpforms-81048 .wpforms-submit-container .wpforms-submit:hover, body #wpforms-81048 .wpforms-field-pagebreak button.wpforms-page-button:hover {\r\n\tbackground-color:#ffffff;\tcolor:#006cff;\t}\r\n\r\n\tbody #wpforms-81048 .wpforms-submit-container,\r\n\tbody #wpforms-81048 .wpforms-field-pagebreak .wpforms-pagebreak-left{\r\n\ttext-align:center;\t}\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n \r\n\tbody #wpforms-81048 .wpforms-form .wpforms-field .wpforms-field-description {\r\n\r\n\t\ttext-align:center ;\t}\r\n\r\n\r\n\r\n\/* Styling for Tablets *\/\r\n@media only screen and (max-width: 800px) and (min-width:481px) {\r\n\t\r\n\r\n\r\n\r\n}\r\n\r\n@media only screen and (max-width: 480px){\r\n\t\r\n\r\n\r\n\r\n}\r\n\/*Option to add custom CSS *\/\r\n\r\n\r\n\r\n\t\t<\/style>\r\n\t\t<div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-81048\"><form id=\"wpforms-form-81048\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"81048\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F81053\" data-token=\"fbf398c6e3cbedadbe2596f253abe05b\" data-token-time=\"1777126425\"><noscript class=\"wpforms-error-noscript\">Veuillez activer JavaScript dans votre navigateur pour remplir ce formulaire.<\/noscript><div class=\"wpforms-page-indicator progress\" data-indicator=\"progress\" data-indicator-color=\"#006cff\" data-scroll=\"1\"><span class=\"wpforms-page-indicator-page-title\" ><\/span><span class=\"wpforms-page-indicator-page-title-sep\" style=\"display:none;\"> - <\/span><span class=\"wpforms-page-indicator-steps\">Step <span class=\"wpforms-page-indicator-steps-current\">1<\/span> of 10<\/span><div class=\"wpforms-page-indicator-page-progress-wrap\"><div class=\"wpforms-page-indicator-page-progress\" style=\"width:10%;background-color:#006cff\"><\/div><\/div><\/div><div class=\"wpforms-field-container\"><div class=\"wpforms-page wpforms-page-1 \" data-page=\"1\"><div id=\"wpforms-81048-field_5-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"5\"><\/div><div id=\"wpforms-81048-field_38-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"38\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-next\" data-action=\"next\" data-page=\"1\" data-formid=\"81048\" disabled>Commencer le sondage<\/button><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-2  \" data-page=\"2\" style=\"display:none;\"><div id=\"wpforms-81048-field_1-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"1\"><label class=\"wpforms-field-label\">1. S\u00e9lectionner la clinique o\u00f9 vous avez pass\u00e9 votre examen? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-81048-field_1\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_1_1\" name=\"wpforms[fields][1][]\" value=\" Radiologie Lasalle \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_1_1\">Radiologie Lasalle<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_1_2\" name=\"wpforms[fields][1][]\" value=\"Radiologie Lachine  \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_1_2\">Radiologie Lachine<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_1_3\" name=\"wpforms[fields][1][]\" value=\"Radiologie Delson  \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_1_3\">Radiologie Delson<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_1_4\" name=\"wpforms[fields][1][]\" value=\"Radiologie M\u00e9tro Monk  \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_1_4\">Radiologie M\u00e9tro Monk<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_1_5\" name=\"wpforms[fields][1][]\" value=\"Radiologie IDS\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_1_5\">Radiologie IDS<\/label><\/li><\/ul><\/div><div id=\"wpforms-81048-field_2-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"2\"><label class=\"wpforms-field-label\">2. S\u00e9lectionner le mode de rendez-vous que vous avez utilis\u00e9? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-81048-field_2\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_2_1\" name=\"wpforms[fields][2][]\" value=\"Par t\u00e9l\u00e9phone  \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_2_1\">Par t\u00e9l\u00e9phone<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_2_2\" name=\"wpforms[fields][2][]\" value=\"Par t\u00e9l\u00e9copieur  \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_2_2\">Par t\u00e9l\u00e9copieur<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_2_3\" name=\"wpforms[fields][2][]\" value=\"Par courriel  \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_2_3\">Par courriel<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_2_4\" name=\"wpforms[fields][2][]\" value=\"En personne  \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_2_4\">En personne<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_2_5\" name=\"wpforms[fields][2][]\" value=\"Sur le site\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_2_5\">Sur le site<\/label><\/li><\/ul><\/div><div id=\"wpforms-81048-field_3-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"3\"><label class=\"wpforms-field-label\">3. Avez-vous appr\u00e9ci\u00e9 globalement le processus de prise de rendez-vous selon le mode que vous avez utilis\u00e9? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-81048-field_3\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_3_1\" name=\"wpforms[fields][3][]\" value=\"Enti\u00e8rement satisfaisant  \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_3_1\">Enti\u00e8rement satisfaisant<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_3_2\" name=\"wpforms[fields][3][]\" value=\"Moyennement satisfaisant  \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_3_2\">Moyennement satisfaisant<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_3_3\" name=\"wpforms[fields][3][]\" value=\"Non satisfaisant  \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_3_3\">Non satisfaisant<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_3_4\" name=\"wpforms[fields][3][]\" value=\"Ne s&#039;applique pas\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_3_4\">Ne s'applique pas<\/label><\/li><\/ul><\/div><div id=\"wpforms-81048-field_4-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"4\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-prev\" data-action=\"prev\" data-page=\"2\" data-formid=\"81048\" disabled>Pr\u00e9c\u00e9dent<\/button><button class=\"wpforms-page-button wpforms-page-next\" data-action=\"next\" data-page=\"2\" data-formid=\"81048\" disabled>Suivant<\/button><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-3  \" data-page=\"3\" style=\"display:none;\"><div id=\"wpforms-81048-field_7-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"7\"><label class=\"wpforms-field-label\">4. S\u00e9lectionnez le type d&#039;examen pour lequel vous avez obtenu un rendez-vous? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-81048-field_7\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_7_1\" name=\"wpforms[fields][7][]\" value=\"Radiologie g\u00e9n\u00e9rale  \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_7_1\">Radiologie g\u00e9n\u00e9rale<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_7_2\" name=\"wpforms[fields][7][]\" value=\"Radiologie sp\u00e9cialis\u00e9e  \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_7_2\">Radiologie sp\u00e9cialis\u00e9e<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_7_3\" name=\"wpforms[fields][7][]\" value=\"Mammographie  \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_7_3\">Mammographie<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_7_4\" name=\"wpforms[fields][7][]\" value=\"Os\u00e9todensitom\u00e9trie  \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_7_4\">Os\u00e9todensitom\u00e9trie<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_7_6\" name=\"wpforms[fields][7][]\" value=\"\u00c9chographie  \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_7_6\">\u00c9chographie<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_7_7\" name=\"wpforms[fields][7][]\" value=\"R\u00e9sonance magn\u00e9tique (IRM)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_7_7\">R\u00e9sonance magn\u00e9tique (IRM)<\/label><\/li><\/ul><\/div><div id=\"wpforms-81048-field_8-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"8\"><label class=\"wpforms-field-label\">5. Avez-vous appr\u00e9ci\u00e9 le d\u00e9lai pour obtenir un rendez-vous selon le type d&#039;examen? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-81048-field_8\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_8_1\" name=\"wpforms[fields][8][]\" value=\"Enti\u00e8rement satisfaisant  \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_8_1\">Enti\u00e8rement satisfaisant<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_8_2\" name=\"wpforms[fields][8][]\" value=\"Moyennement satisfaisant  \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_8_2\">Moyennement satisfaisant<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_8_3\" name=\"wpforms[fields][8][]\" value=\"Non satisfaisant  \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_8_3\">Non satisfaisant<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_8_4\" name=\"wpforms[fields][8][]\" value=\"Ne s&#039;applique pas\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_8_4\">Ne s'applique pas<\/label><\/li><\/ul><\/div><div id=\"wpforms-81048-field_9-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"9\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-prev\" data-action=\"prev\" data-page=\"3\" data-formid=\"81048\" disabled>Pr\u00e9c\u00e9dent<\/button><button class=\"wpforms-page-button wpforms-page-next\" data-action=\"next\" data-page=\"3\" data-formid=\"81048\" disabled>Suivant<\/button><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-4  \" data-page=\"4\" style=\"display:none;\"><div id=\"wpforms-81048-field_10-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"10\"><label class=\"wpforms-field-label\">6. \u00cates-vous satisfait du d\u00e9lai pour acc\u00e9der \u00e0 la r\u00e9ceptionniste de l&#039;accueil? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-81048-field_10\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_10_1\" name=\"wpforms[fields][10][]\" value=\"Enti\u00e8rement satisfaisant  \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_10_1\">Enti\u00e8rement satisfaisant<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_10_2\" name=\"wpforms[fields][10][]\" value=\"Moyennement satisfaisant  \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_10_2\">Moyennement satisfaisant<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_10_3\" name=\"wpforms[fields][10][]\" value=\"Non satisfaisant  \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_10_3\">Non satisfaisant<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_10_4\" name=\"wpforms[fields][10][]\" value=\"Ne s&#039;applique pas\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_10_4\">Ne s'applique pas<\/label><\/li><\/ul><\/div><div id=\"wpforms-81048-field_11-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"11\"><label class=\"wpforms-field-label\">7. \u00cates-vous satisfait de la qualit\u00e9 de l&#039;accueil pour l&#039;ouverture de votre dossier? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-81048-field_11\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_11_1\" name=\"wpforms[fields][11][]\" value=\"Enti\u00e8rement satisfaisant  \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_11_1\">Enti\u00e8rement satisfaisant<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_11_2\" name=\"wpforms[fields][11][]\" value=\"Moyennement satisfaisant  \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_11_2\">Moyennement satisfaisant<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_11_3\" name=\"wpforms[fields][11][]\" value=\"Non satisfaisant  \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_11_3\">Non satisfaisant<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_11_4\" name=\"wpforms[fields][11][]\" value=\"Ne s&#039;applique pas\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_11_4\">Ne s'applique pas<\/label><\/li><\/ul><\/div><div id=\"wpforms-81048-field_12-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"12\"><label class=\"wpforms-field-label\">8. \u00cates-vous satisfait du d\u00e9lai entre votre arriv\u00e9e et l&#039;examen lui-m\u00eame? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-81048-field_12\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_12_1\" name=\"wpforms[fields][12][]\" value=\"Enti\u00e8rement satisfaisant  \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_12_1\">Enti\u00e8rement satisfaisant<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_12_2\" name=\"wpforms[fields][12][]\" value=\"Moyennement satisfaisant  \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_12_2\">Moyennement satisfaisant<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_12_3\" name=\"wpforms[fields][12][]\" value=\"Non satisfaisant  \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_12_3\">Non satisfaisant<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_12_4\" name=\"wpforms[fields][12][]\" value=\"Ne s&#039;applique pas\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_12_4\">Ne s'applique pas<\/label><\/li><\/ul><\/div><div id=\"wpforms-81048-field_13-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"13\"><label class=\"wpforms-field-label\">9. \u00cates-vous satisfait de la qualit\u00e9 de l&#039;accueil par technologue lors de l&#039;examen? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-81048-field_13\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_13_1\" name=\"wpforms[fields][13][]\" value=\"Enti\u00e8rement satisfaisant  \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_13_1\">Enti\u00e8rement satisfaisant<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_13_2\" name=\"wpforms[fields][13][]\" value=\"Moyennement satisfaisant  \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_13_2\">Moyennement satisfaisant<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_13_3\" name=\"wpforms[fields][13][]\" value=\"Non satisfaisant  \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_13_3\">Non satisfaisant<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_13_4\" name=\"wpforms[fields][13][]\" value=\"Ne s&#039;applique pas\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_13_4\">Ne s'applique pas<\/label><\/li><\/ul><\/div><div id=\"wpforms-81048-field_14-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"14\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-prev\" data-action=\"prev\" data-page=\"4\" data-formid=\"81048\" disabled>Pr\u00e9c\u00e9dent<\/button><button class=\"wpforms-page-button wpforms-page-next\" data-action=\"next\" data-page=\"4\" data-formid=\"81048\" disabled>Suivant<\/button><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-5  \" data-page=\"5\" style=\"display:none;\"><div id=\"wpforms-81048-field_15-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"15\"><label class=\"wpforms-field-label\">10. \u00cates-vous satisfait de la qualit\u00e9 de l&#039;accueil par le m\u00e9decin radiologue lors de certains examens? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-81048-field_15\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_15_1\" name=\"wpforms[fields][15][]\" value=\"Enti\u00e8rement satisfaisant  \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_15_1\">Enti\u00e8rement satisfaisant<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_15_2\" name=\"wpforms[fields][15][]\" value=\"Moyennement satisfaisant  \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_15_2\">Moyennement satisfaisant<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_15_3\" name=\"wpforms[fields][15][]\" value=\"Non satisfaisant  \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_15_3\">Non satisfaisant<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_15_4\" name=\"wpforms[fields][15][]\" value=\"Ne s&#039;applique pas\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_15_4\">Ne s'applique pas<\/label><\/li><\/ul><\/div><div id=\"wpforms-81048-field_16-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"16\"><label class=\"wpforms-field-label\">11. \u00cates-vous satisfait du d\u00e9roulement de l&#039;examen? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-81048-field_16\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_16_1\" name=\"wpforms[fields][16][]\" value=\"Enti\u00e8rement satisfaisant  \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_16_1\">Enti\u00e8rement satisfaisant<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_16_2\" name=\"wpforms[fields][16][]\" value=\"Moyennement satisfaisant  \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_16_2\">Moyennement satisfaisant<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_16_3\" name=\"wpforms[fields][16][]\" value=\"Non satisfaisant  \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_16_3\">Non satisfaisant<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_16_4\" name=\"wpforms[fields][16][]\" value=\"Ne s&#039;applique pas\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_16_4\">Ne s'applique pas<\/label><\/li><\/ul><\/div><div id=\"wpforms-81048-field_17-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"17\"><label class=\"wpforms-field-label\">12. \u00cates-vous satisfait de la rapidit\u00e9 des r\u00e9sultats de votre examen? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-81048-field_17\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_17_1\" name=\"wpforms[fields][17][]\" value=\"Enti\u00e8rement satisfaisant  \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_17_1\">Enti\u00e8rement satisfaisant<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_17_2\" name=\"wpforms[fields][17][]\" value=\"Moyennement satisfaisant  \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_17_2\">Moyennement satisfaisant<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_17_3\" name=\"wpforms[fields][17][]\" value=\"Non satisfaisant  \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_17_3\">Non satisfaisant<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_17_4\" name=\"wpforms[fields][17][]\" value=\"Ne s&#039;applique pas\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_17_4\">Ne s'applique pas<\/label><\/li><\/ul><\/div><div id=\"wpforms-81048-field_18-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"18\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-prev\" data-action=\"prev\" data-page=\"5\" data-formid=\"81048\" disabled>Pr\u00e9c\u00e9dent<\/button><button class=\"wpforms-page-button wpforms-page-next\" data-action=\"next\" data-page=\"5\" data-formid=\"81048\" disabled>Suivant<\/button><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-6  \" data-page=\"6\" style=\"display:none;\"><div id=\"wpforms-81048-field_19-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"19\"><label class=\"wpforms-field-label\">13. \u00cates-vous satisfait de l&#039;acc\u00e8s par t\u00e9l\u00e9phone au personnel de la clinique? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-81048-field_19\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_19_1\" name=\"wpforms[fields][19][]\" value=\"Enti\u00e8rement satisfaisant  \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_19_1\">Enti\u00e8rement satisfaisant<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_19_2\" name=\"wpforms[fields][19][]\" value=\"Moyennement satisfaisant  \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_19_2\">Moyennement satisfaisant<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_19_3\" name=\"wpforms[fields][19][]\" value=\"Non satisfaisant  \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_19_3\">Non satisfaisant<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_19_4\" name=\"wpforms[fields][19][]\" value=\"Ne s&#039;applique pas\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_19_4\">Ne s'applique pas<\/label><\/li><\/ul><\/div><div id=\"wpforms-81048-field_22-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"22\"><label class=\"wpforms-field-label\">14. \u00cates-vous satisfait de la qualit\u00e9 de l&#039;information fournie par le personnel de la clinique? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-81048-field_22\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_22_1\" name=\"wpforms[fields][22][]\" value=\"Enti\u00e8rement satisfaisant  \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_22_1\">Enti\u00e8rement satisfaisant<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_22_2\" name=\"wpforms[fields][22][]\" value=\"Moyennement satisfaisant  \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_22_2\">Moyennement satisfaisant<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_22_3\" name=\"wpforms[fields][22][]\" value=\"Non satisfaisant  \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_22_3\">Non satisfaisant<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_22_4\" name=\"wpforms[fields][22][]\" value=\"Ne s&#039;applique pas\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_22_4\">Ne s'applique pas<\/label><\/li><\/ul><\/div><div id=\"wpforms-81048-field_21-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"21\"><label class=\"wpforms-field-label\">15. \u00cates-vous satisfait du stationnement? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-81048-field_21\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_21_1\" name=\"wpforms[fields][21][]\" value=\"Enti\u00e8rement satisfaisant  \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_21_1\">Enti\u00e8rement satisfaisant<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_21_2\" name=\"wpforms[fields][21][]\" value=\"Moyennement satisfaisant  \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_21_2\">Moyennement satisfaisant<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_21_3\" name=\"wpforms[fields][21][]\" value=\"Non satisfaisant  \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_21_3\">Non satisfaisant<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_21_4\" name=\"wpforms[fields][21][]\" value=\"Ne s&#039;applique pas\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_21_4\">Ne s'applique pas<\/label><\/li><\/ul><\/div><div id=\"wpforms-81048-field_20-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"20\"><label class=\"wpforms-field-label\">16. \u00cates-vous satisfait de la propret\u00e9 et qualit\u00e9 de l&#039;environnement? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-81048-field_20\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_20_1\" name=\"wpforms[fields][20][]\" value=\"Enti\u00e8rement satisfaisant  \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_20_1\">Enti\u00e8rement satisfaisant<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_20_2\" name=\"wpforms[fields][20][]\" value=\"Moyennement satisfaisant  \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_20_2\">Moyennement satisfaisant<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_20_3\" name=\"wpforms[fields][20][]\" value=\"Non satisfaisant  \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_20_3\">Non satisfaisant<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_20_4\" name=\"wpforms[fields][20][]\" value=\"Ne s&#039;applique pas\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_20_4\">Ne s'applique pas<\/label><\/li><\/ul><\/div><div id=\"wpforms-81048-field_23-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"23\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-prev\" data-action=\"prev\" data-page=\"6\" data-formid=\"81048\" disabled>Pr\u00e9c\u00e9dent<\/button><button class=\"wpforms-page-button wpforms-page-next\" data-action=\"next\" data-page=\"6\" data-formid=\"81048\" disabled>Suivant<\/button><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-7  \" data-page=\"7\" style=\"display:none;\"><div id=\"wpforms-81048-field_24-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"24\"><label class=\"wpforms-field-label\">17. \u00cates-vous satisfait globalement du site web? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-81048-field_24\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_24_1\" name=\"wpforms[fields][24][]\" value=\"Enti\u00e8rement satisfaisant  \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_24_1\">Enti\u00e8rement satisfaisant<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_24_2\" name=\"wpforms[fields][24][]\" value=\"Moyennement satisfaisant  \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_24_2\">Moyennement satisfaisant<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_24_3\" name=\"wpforms[fields][24][]\" value=\"Non satisfaisant  \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_24_3\">Non satisfaisant<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_24_4\" name=\"wpforms[fields][24][]\" value=\"Ne s&#039;applique pas\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_24_4\">Ne s'applique pas<\/label><\/li><\/ul><\/div><div id=\"wpforms-81048-field_26-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"26\"><label class=\"wpforms-field-label\">18. \u00cates-vous satisfait de l&#039;utilit\u00e9 des informations donn\u00e9es? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-81048-field_26\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_26_1\" name=\"wpforms[fields][26][]\" value=\"Enti\u00e8rement satisfaisant  \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_26_1\">Enti\u00e8rement satisfaisant<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_26_2\" name=\"wpforms[fields][26][]\" value=\"Moyennement satisfaisant  \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_26_2\">Moyennement satisfaisant<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_26_3\" name=\"wpforms[fields][26][]\" value=\"Non satisfaisant  \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_26_3\">Non satisfaisant<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_26_4\" name=\"wpforms[fields][26][]\" value=\"Ne s&#039;applique pas\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_26_4\">Ne s'applique pas<\/label><\/li><\/ul><\/div><div id=\"wpforms-81048-field_25-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"25\"><label class=\"wpforms-field-label\">19. \u00cates-vous satisfait de la facilit\u00e9 \u00e0 naviguer sur notre site web? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-81048-field_25\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_25_1\" name=\"wpforms[fields][25][]\" value=\"Enti\u00e8rement satisfaisant  \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_25_1\">Enti\u00e8rement satisfaisant<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_25_2\" name=\"wpforms[fields][25][]\" value=\"Moyennement satisfaisant  \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_25_2\">Moyennement satisfaisant<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_25_3\" name=\"wpforms[fields][25][]\" value=\"Non satisfaisant  \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_25_3\">Non satisfaisant<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_25_4\" name=\"wpforms[fields][25][]\" value=\"Ne s&#039;applique pas\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_25_4\">Ne s'applique pas<\/label><\/li><\/ul><\/div><div id=\"wpforms-81048-field_27-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"27\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-prev\" data-action=\"prev\" data-page=\"7\" data-formid=\"81048\" disabled>Pr\u00e9c\u00e9dent<\/button><button class=\"wpforms-page-button wpforms-page-next\" data-action=\"next\" data-page=\"7\" data-formid=\"81048\" disabled>Suivant<\/button><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-8  \" data-page=\"8\" style=\"display:none;\"><div id=\"wpforms-81048-field_28-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"28\"><label class=\"wpforms-field-label\">20. \u00cates-vous satisfait globalement de votre exp\u00e9rience? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-81048-field_28\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_28_1\" name=\"wpforms[fields][28][]\" value=\"Enti\u00e8rement satisfaisant  \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_28_1\">Enti\u00e8rement satisfaisant<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_28_2\" name=\"wpforms[fields][28][]\" value=\"Moyennement satisfaisant  \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_28_2\">Moyennement satisfaisant<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_28_3\" name=\"wpforms[fields][28][]\" value=\"Non satisfaisant  \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_28_3\">Non satisfaisant<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_28_4\" name=\"wpforms[fields][28][]\" value=\"Ne s&#039;applique pas\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_28_4\">Ne s'applique pas<\/label><\/li><\/ul><\/div><div id=\"wpforms-81048-field_29-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"29\"><label class=\"wpforms-field-label\">21. \u00cates-vous satisfait de votre exp\u00e9rience comparativement aux autres cliniques? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-81048-field_29\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_29_1\" name=\"wpforms[fields][29][]\" value=\"Enti\u00e8rement satisfaisant  \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_29_1\">Enti\u00e8rement satisfaisant<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_29_2\" name=\"wpforms[fields][29][]\" value=\"Moyennement satisfaisant  \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_29_2\">Moyennement satisfaisant<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_29_3\" name=\"wpforms[fields][29][]\" value=\"Non satisfaisant  \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_29_3\">Non satisfaisant<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_29_4\" name=\"wpforms[fields][29][]\" value=\"Ne s&#039;applique pas\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_29_4\">Ne s'applique pas<\/label><\/li><\/ul><\/div><div id=\"wpforms-81048-field_30-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"30\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-prev\" data-action=\"prev\" data-page=\"8\" data-formid=\"81048\" disabled>Pr\u00e9c\u00e9dent<\/button><button class=\"wpforms-page-button wpforms-page-next\" data-action=\"next\" data-page=\"8\" data-formid=\"81048\" disabled>Suivant<\/button><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-9  \" data-page=\"9\" style=\"display:none;\"><div id=\"wpforms-81048-field_31-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"31\"><label class=\"wpforms-field-label\">22. Recommanderiez-vous notre clinique \u00e0 vos connaissances? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-81048-field_31\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_31_1\" name=\"wpforms[fields][31][]\" value=\"Oui\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_31_1\">Oui<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-81048-field_31_2\" name=\"wpforms[fields][31][]\" value=\"Non\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_31_2\">Non<\/label><\/li><\/ul><\/div><div id=\"wpforms-81048-field_32-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"32\"><label class=\"wpforms-field-label\">23. Comment avez-vous entendu parler de notre clinique? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-81048-field_32\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-81048-field_32_1\" name=\"wpforms[fields][32]\" value=\"Mon m\u00e9decin  \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_32_1\">Mon m\u00e9decin<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-81048-field_32_2\" name=\"wpforms[fields][32]\" value=\"Site internet de la clinique  \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_32_2\">Site internet de la clinique<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-81048-field_32_3\" name=\"wpforms[fields][32]\" value=\"Internet (Google)  \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_32_3\">Internet (Google)<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-81048-field_32_4\" name=\"wpforms[fields][32]\" value=\"Publicit\u00e9s \u00e9crites  \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_32_4\">Publicit\u00e9s \u00e9crites<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-81048-field_32_5\" name=\"wpforms[fields][32]\" value=\"Des connaissances  \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_32_5\">Des connaissances<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"radio\" id=\"wpforms-81048-field_32_6\" name=\"wpforms[fields][32]\" value=\"Pages jaunes \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_32_6\">Pages jaunes<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"radio\" id=\"wpforms-81048-field_32_7\" name=\"wpforms[fields][32]\" value=\"Autre\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-81048-field_32_7\">Autre<\/label><\/li><\/ul><\/div><div id=\"wpforms-81048-field_33-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"33\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-prev\" data-action=\"prev\" data-page=\"9\" data-formid=\"81048\" disabled>Pr\u00e9c\u00e9dent<\/button><button class=\"wpforms-page-button wpforms-page-next\" data-action=\"next\" data-page=\"9\" data-formid=\"81048\" disabled>Suivant<\/button><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-10 last \" data-page=\"10\" style=\"display:none;\"><div id=\"wpforms-81048-field_34-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"34\"><label class=\"wpforms-field-label\" for=\"wpforms-81048-field_34\">Commentaires<\/label><textarea id=\"wpforms-81048-field_34\" class=\"wpforms-field-medium\" name=\"wpforms[fields][34]\" ><\/textarea><\/div><div id=\"wpforms-81048-field_35-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"35\"><label class=\"wpforms-field-label\" for=\"wpforms-81048-field_35\">Nom<\/label><input type=\"text\" id=\"wpforms-81048-field_35\" class=\"wpforms-field-large\" name=\"wpforms[fields][35]\" ><\/div><div id=\"wpforms-81048-field_36-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"36\"><label class=\"wpforms-field-label\" for=\"wpforms-81048-field_36\">Date de la visite \u00e0 notre clinique<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-81048-field_36\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-large\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][36][date]\" ><a title=\"Effacer la date\" data-clear role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Effacer la date\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-81048-field_37-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"37\"><label class=\"wpforms-field-label\" for=\"wpforms-81048-field_37\">Adresse courriel (optionnelle)<\/label><input type=\"email\" id=\"wpforms-81048-field_37\" class=\"wpforms-field-large\" name=\"wpforms[fields][37]\" spellcheck=\"false\" ><\/div><div id=\"wpforms-81048-field_6-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"6\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><\/div><\/div><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" style=\"display:none;\"><input type=\"hidden\" name=\"wpforms[id]\" value=\"81048\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/www.groupeunimage.com\/index.php?rest_route=\/wp\/v2\/pages\/81053\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-81048\" class=\"wpforms-submit\" data-alt-text=\"Envoi...\" data-submit-text=\"Soumettre\" aria-live=\"assertive\" value=\"wpforms-submit\">Soumettre<\/button><img decoding=\"async\" src=\"https:\/\/www.groupeunimage.com\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Chargement en cours\"><\/div><\/form><\/div>  <!-- .wpforms-container -->[\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row row_height_percent=\u00a0\u00bb0&Prime; override_padding=\u00a0\u00bbyes\u00a0\u00bb h_padding=\u00a0\u00bb2&Prime; top_padding=\u00a0\u00bb3&Prime; bottom_padding=\u00a0\u00bb2&Prime; overlay_alpha=\u00a0\u00bb50&Prime; gutter_size=\u00a0\u00bb3&Prime; column_width_percent=\u00a0\u00bb100&Prime; shift_y=\u00a0\u00bb0&Prime; z_index=\u00a0\u00bb0&Prime; uncode_shortcode_id=\u00a0\u00bb170655&Prime; css=\u00a0\u00bb.vc_custom_1654266164739{margin-bottom: 0px !important;border-bottom-width: 0px !important;padding-bottom: 0px !important;}\u00a0\u00bb][vc_column column_width_percent=\u00a0\u00bb100&Prime; [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-81053","page","type-page","status-publish","hentry","page_category-a-propos"],"_links":{"self":[{"href":"https:\/\/www.groupeunimage.com\/index.php?rest_route=\/wp\/v2\/pages\/81053","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.groupeunimage.com\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.groupeunimage.com\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.groupeunimage.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.groupeunimage.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=81053"}],"version-history":[{"count":6,"href":"https:\/\/www.groupeunimage.com\/index.php?rest_route=\/wp\/v2\/pages\/81053\/revisions"}],"predecessor-version":[{"id":110680,"href":"https:\/\/www.groupeunimage.com\/index.php?rest_route=\/wp\/v2\/pages\/81053\/revisions\/110680"}],"wp:attachment":[{"href":"https:\/\/www.groupeunimage.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=81053"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}