{"id":472,"date":"2022-04-18T10:41:56","date_gmt":"2022-04-18T07:41:56","guid":{"rendered":"https:\/\/fortemedcare.com\/fr\/?page_id=472"},"modified":"2022-06-27T16:08:33","modified_gmt":"2022-06-27T13:08:33","slug":"demande-de-consultation-gratuite","status":"publish","type":"page","link":"https:\/\/fortemedcare.com\/fr\/demande-de-consultation-gratuite\/","title":{"rendered":"Demande de consultation gratuite"},"content":{"rendered":"<div class=\"col-md-8\" style=\"margin: 0 auto;\">\n<div class=\"form\">\n<div class=\"head\">\n<h2>Demande de consultation gratuite<\/h2>\n<p> <strong>Nous serions heureux de vous assister !<\/strong><\/p>\n<p>Veuillez nous fournir les informations suivantes afin que nous puissions vous transmettre notre offre, et nous vous r\u00e9pondrons dans les meilleurs d\u00e9lais.<\/p>\n<\/div>\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f471-o1\" lang=\"tr-TR\" 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\/472#wpcf7-f471-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"471\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.8\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"tr_TR\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f471-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/div>\n<style>\n.iti {\nwidth: 100%;\n}\ninput[type=\"tel\"] {\npadding-left: 50px !important;\n}\n<\/style>\n<div class=\"row\">\n    <div class=\"col-12 col-sm-12 col-md-12 col-lg-6 col-xl-6 column\">\n        <label>Pr\u00e9nom (*)<\/label>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-name\" \/><\/span>\n    <\/div>\n   <div class=\"col-12 col-sm-12 col-md-12 col-lg-6 col-xl-6 column\">\n        <label>Nom de Famille (*)<\/label>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"your-surname\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-surname\" \/><\/span>\n    <\/div>\n<\/div>\n<div class=\"row\">\n    <div class=\"col-12 col-sm-12 col-md-12 col-lg-6 col-xl-6 column\">\n        <label>T\u00e9l\u00e9phone (*)<\/label>\n        <div class=\"row\">\n            <div class=\"col-2\">\n                 <span class=\"wpcf7-form-control-wrap\" data-name=\"tel-481\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"tel-481\" \/><\/span>  \n            <\/div>\n            <div class=\"col-10\">\n                 <span class=\"wpcf7-form-control-wrap\" data-name=\"your-phone\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-phone\" \/><\/span>\n            <\/div>  \n         <\/div>\n    <\/div>\n    <div class=\"col-12 col-sm-12 col-md-12 col-lg-6 col-xl-6 column\">\n        <label>E-Mail (*)<\/label>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"your-email\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"your-email\" \/><\/span>\n    <\/div>\n<\/div>\n<div class=\"row\">\n    <div class=\"col-12 col-sm-12 col-md-12 col-lg-12 col-xl-12 column\">\n        <label>Traitement souhait\u00e9 (*)<\/label>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"tedavi\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"tedavi\"><option value=\"\">Choisir<\/option><option value=\"Greffe de cheveux\">Greffe de cheveux<\/option><option value=\"Chirurgie plastique\">Chirurgie plastique<\/option><option value=\"Dentisterie\">Dentisterie<\/option><option value=\"Orthop\u00e9die\">Orthop\u00e9die<\/option><option value=\"Traitement des yeux\">Traitement des yeux<\/option><option value=\"Chirurgie de l\u2019ob\u00e9sit\u00e9\">Chirurgie de l\u2019ob\u00e9sit\u00e9<\/option><option value=\"Autre\">Autre<\/option><\/select><\/span>\n    <\/div>\n<\/div>\n<div class=\"row\">\n    <div class=\"col-12 col-sm-12 col-md-12 col-lg-12 col-xl-12 column\">\n        <label>Quand souhaitez-vous recevoir le traitement ? (*)<\/label>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"ne-zaman\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"ne-zaman\"><option value=\"\">Choisir<\/option><option value=\"Dans une semaine\">Dans une semaine<\/option><option value=\"1 mois\">1 mois<\/option><option value=\"3 mois\">3 mois<\/option><option value=\"6 mois\">6 mois<\/option><option value=\"incertain\">incertain<\/option><\/select><\/span>\n    <\/div>\n<\/div>\n<div class=\"row\">\n    <div class=\"col-12 col-sm-12 col-md-12 col-lg-12 col-xl-12 column\">\n        <label>Votre Message (*)<\/label>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"your-message\"><textarea cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"your-message\"><\/textarea><\/span>\n    <\/div>\n<\/div>\n<div class=\"row\">\n<div class=\"col-12 col-sm-12 col-md-12 col-lg-12 col-xl-12 column d-flex\">\n                <span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-989\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"checkbox-989[]\" value=\"Test1\" \/><span class=\"wpcf7-list-item-label\">Test1<\/span><\/label><\/span><\/span><\/span><p class=\"m-0\"> J'ai lu et compris <a target=\"_blank\" href=\"https:\/\/fortemedcare.com\/fr\/wp-content\/uploads\/2022\/06\/Iletisim-Formu-Aydinlatma-Metni_CEV_FR.pdf\">le texte de clarification du formulaire de communication<\/a> pr\u00e9par\u00e9 pour le traitement de mes donn\u00e9es personnelles dans le cadre de la loi sur la protection des donn\u00e9es personnelles (KVKK).<\/p> \n<\/div>\n<div class=\"col-12 col-sm-12 col-md-12 col-lg-12 col-xl-12 column d-flex\">\n<span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-990\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"checkbox-990[]\" value=\"Test2\" \/><span class=\"wpcf7-list-item-label\">Test2<\/span><\/label><\/span><\/span><\/span><p> Je consens express\u00e9ment \u00e0 la  <a target=\"_blank\" href=\"https:\/\/fortemedcare.com\/fr\/wp-content\/uploads\/2022\/06\/Iletisim-Formu-Yurt-Disi-Aktarim-Acik-Riza-Metni_CEV_FR.pdf\">transmission de mes donn\u00e9es \u00e0 l'\u00e9tranger<\/a> aux fins d\u00e9crites dans le texte de clarification du formulaire de communication.<\/p> <\/div>\n<div class=\"col-12 col-sm-12 col-md-12 col-lg-12 col-xl-12 column d-flex\">\n<span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-991\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"checkbox-991[]\" value=\"Test3\" \/><span class=\"wpcf7-list-item-label\">Test3<\/span><\/label><\/span><\/span><\/span><p> Je consens \u00e0 recevoir des messages \u00e9lectroniques commerciaux contenant des contenus de campagne, de promotion et de publicit\u00e9, au traitement de mes donn\u00e9es personnelles \u00e0 cette fin et au partage de mes donn\u00e9es personnelles avec vos fournisseurs.<\/p>\n            <\/div>\n<\/div>\n<div class=\"row\">\n    <div class=\"col-12 col-sm-12 col-md-12 col-lg-12 col-xl-12 column\">\n        <input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Envoy\u00e9\" \/>\n    <\/div>\n<\/div><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Demande de consultation gratuite Nous serions heureux de vous assister ! Veuillez nous fournir les informations suivantes afin que nous puissions vous transmettre notre offre, et nous vous r\u00e9pondrons dans les meilleurs d\u00e9lais.<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"om_disable_all_campaigns":false,"footnotes":""},"class_list":["post-472","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/fortemedcare.com\/fr\/wp-json\/wp\/v2\/pages\/472","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/fortemedcare.com\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/fortemedcare.com\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/fortemedcare.com\/fr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/fortemedcare.com\/fr\/wp-json\/wp\/v2\/comments?post=472"}],"version-history":[{"count":8,"href":"https:\/\/fortemedcare.com\/fr\/wp-json\/wp\/v2\/pages\/472\/revisions"}],"predecessor-version":[{"id":887,"href":"https:\/\/fortemedcare.com\/fr\/wp-json\/wp\/v2\/pages\/472\/revisions\/887"}],"wp:attachment":[{"href":"https:\/\/fortemedcare.com\/fr\/wp-json\/wp\/v2\/media?parent=472"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}