{"id":3558,"date":"2020-12-15T01:14:23","date_gmt":"2020-12-15T06:14:23","guid":{"rendered":"https:\/\/www.merbleuedental.com\/?page_id=3558"},"modified":"2024-01-25T06:33:09","modified_gmt":"2024-01-25T11:33:09","slug":"demander-un-rendez-vous","status":"publish","type":"page","link":"https:\/\/www.merbleuedental.com\/fr\/demander-un-rendez-vous\/","title":{"rendered":"Prenez un rendez-vous"},"content":{"rendered":"<p>[et_pb_section fb_built=\u00a0\u00bb1&Prime; fullwidth=\u00a0\u00bbon\u00a0\u00bb _builder_version=\u00a0\u00bb4.16&Prime; background_enable_image=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_fullwidth_header title=\u00a0\u00bbPrenez un rendez-vous\u00a0\u00bb subhead=\u00a0\u00bbBook With Us Today!\u00a0\u00bb header_fullscreen=\u00a0\u00bbon\u00a0\u00bb button_one_url=\u00a0\u00bb@ET-DC@eyJkeW5hbWljIjp0cnVlLCJjb250ZW50IjoicG9zdF9saW5rX3VybF9wYWdlIiwic2V0dGluZ3MiOnsicG9zdF9pZCI6IjI4In19@\u00a0\u00bb 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class=\"gform_title\">Demande De Rendez-Vous<\/h2>\n                            <p class='gform_description'><\/p>\n\t\t\t\t\t\t\t<p class='gform_required_legend'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_10' id='gform_10'  action='\/fr\/wp-json\/wp\/v2\/pages\/3558#gf_10' data-formid='10' novalidate><div class='gf_invisible ginput_recaptchav3' data-sitekey='6LeCWBUiAAAAANv34xcxvYKHX6-NK2IdU12ogpU2' data-tabindex='0'><input id=\"input_42285b71e9989e0d1c1db7eeb502e71f\" class=\"gfield_recaptcha_response\" type=\"hidden\" name=\"input_42285b71e9989e0d1c1db7eeb502e71f\" value=\"\"\/><\/div>\n                        <div class='gform-body gform_body'><div id='gform_fields_10' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_10_17\" class=\"gfield gfield--type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_17'>Comment avez-vous entendu parler de notre clinique dentaire?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_17' id='input_10_17' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' >S\u00e9lectionner<\/option><option value='Renvoi de patient' >Renvoi de patient<\/option><option value='vit_dans_la_zone' >Vit dans la r\u00e9gion<\/option><option value='travaux_dans_b\u00e2timent' >Travaux dans le b\u00e2timent<\/option><option value='Radio' >Radio<\/option><option value='R\u00e9seaux sociaux' >R\u00e9seaux sociaux<\/option><option value='Autres' >Autres<\/option><\/select><\/div><\/div><div id=\"field_10_18\" class=\"gfield gfield--type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_18'>Donnez quelques d\u00e9tails :<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_18' id='input_10_18' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_10_3\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_hidden_label gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Nom et pr\u00e9nom<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><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 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name='input_19.3' type='checkbox'  value='Mardi'  id='choice_10_19_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_19_3' id='label_10_19_3' class='gform-field-label gform-field-label--type-inline'>Mardi<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_19_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_19.4' type='checkbox'  value='Mercredi'  id='choice_10_19_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_19_4' id='label_10_19_4' class='gform-field-label gform-field-label--type-inline'>Mercredi<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_19_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_19.5' type='checkbox'  value='Jeudi'  id='choice_10_19_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_19_5' id='label_10_19_5' class='gform-field-label gform-field-label--type-inline'>Jeudi<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_19_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_19.6' type='checkbox'  value='Vendredi'  id='choice_10_19_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_19_6' id='label_10_19_6' class='gform-field-label gform-field-label--type-inline'>Vendredi<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_10_20\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Heures pr\u00e9f\u00e9r\u00e9s pour votre rendez-vous<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_10_20'><div class='gchoice gchoice_10_20_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_20.1' type='checkbox'  value='N\u2019importe quand' 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immediate ) {            var timeout;            return function() {                var context = this, args = arguments;                var later = function() {                    timeout = null;                    if ( !immediate ) func.apply( context, args );                };                var callNow = immediate && !timeout;                clearTimeout( timeout );                timeout = setTimeout( later, wait );                if ( callNow ) func.apply( context, args );            };        }        const debouncedTriggerPostRender = debounce( function() {            triggerPostRender();        }, 200 );        if ( visibilityTestDiv && visibilityTestDiv.offsetParent === null ) {            const observer = new MutationObserver( ( mutations ) => {                mutations.forEach( ( mutation ) => {                    if ( mutation.type === 'attributes' && visibilityTestDiv.offsetParent !== null ) {                        debouncedTriggerPostRender();                        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                      <\/div><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_10' id='gform_10'  action='\/fr\/wp-json\/wp\/v2\/pages\/3558#gf_10' data-formid='10' novalidate><div class='gf_invisible ginput_recaptchav3' data-sitekey='6LeCWBUiAAAAANv34xcxvYKHX6-NK2IdU12ogpU2' data-tabindex='0'><input id=\"input_42285b71e9989e0d1c1db7eeb502e71f\" class=\"gfield_recaptcha_response\" type=\"hidden\" name=\"input_42285b71e9989e0d1c1db7eeb502e71f\" value=\"\"\/><\/div>\n                        <div class='gform-body gform_body'><div id='gform_fields_10' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_10_17\" class=\"gfield gfield--type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_17'>Comment avez-vous entendu parler de notre clinique dentaire?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_17' id='input_10_17' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' >S\u00e9lectionner<\/option><option value='Renvoi de patient' >Renvoi de patient<\/option><option value='vit_dans_la_zone' >Vit dans la r\u00e9gion<\/option><option value='travaux_dans_b\u00e2timent' >Travaux dans le b\u00e2timent<\/option><option value='Radio' >Radio<\/option><option value='R\u00e9seaux sociaux' >R\u00e9seaux sociaux<\/option><option value='Autres' >Autres<\/option><\/select><\/div><\/div><div id=\"field_10_18\" class=\"gfield gfield--type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_18'>Donnez quelques d\u00e9tails :<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_18' id='input_10_18' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_10_3\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_hidden_label gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Nom et pr\u00e9nom<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><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_10_3'>\n                            \n                            <span id='input_10_3_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_3.3' id='input_10_3_3' value=''   aria-required='true'   placeholder='Pr\u00e9nom'  \/>\n                                                    <label for='input_10_3_3' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Pr\u00e9nom<\/label>\n                                                <\/span>\n                            \n                            <span id='input_10_3_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_3.6' id='input_10_3_6' value=''   aria-required='true'   placeholder='Nom de famille'  \/>\n                                                    <label for='input_10_3_6' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Nom<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_10_6\" class=\"gfield gfield--type-phone gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_6'>T\u00e9l\u00e9phone<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_10_6' type='tel' value='' class='large'  placeholder='T\u00e9l\u00e9phone' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_10_5\" class=\"gfield gfield--type-email gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_5'>Courriel<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_10_5' type='email' value='' class='large'   placeholder='Courriel' aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><fieldset id=\"field_10_19\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Jours pr\u00e9f\u00e9r\u00e9s pour votre rendez-vous<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_10_19'><div class='gchoice gchoice_10_19_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_19.1' type='checkbox'  value='N&#039;importe quel jour'  id='choice_10_19_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_19_1' id='label_10_19_1' class='gform-field-label gform-field-label--type-inline'>N'importe quel jour<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_19_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_19.2' type='checkbox'  value='Lundi'  id='choice_10_19_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_19_2' id='label_10_19_2' class='gform-field-label gform-field-label--type-inline'>Lundi<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_19_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_19.3' type='checkbox'  value='Mardi'  id='choice_10_19_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_19_3' id='label_10_19_3' class='gform-field-label gform-field-label--type-inline'>Mardi<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_19_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_19.4' type='checkbox'  value='Mercredi'  id='choice_10_19_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_19_4' id='label_10_19_4' class='gform-field-label gform-field-label--type-inline'>Mercredi<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_19_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_19.5' type='checkbox'  value='Jeudi'  id='choice_10_19_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_19_5' id='label_10_19_5' class='gform-field-label gform-field-label--type-inline'>Jeudi<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_19_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_19.6' type='checkbox'  value='Vendredi'  id='choice_10_19_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_19_6' id='label_10_19_6' class='gform-field-label gform-field-label--type-inline'>Vendredi<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_10_20\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Heures pr\u00e9f\u00e9r\u00e9s pour votre rendez-vous<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_10_20'><div class='gchoice gchoice_10_20_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_20.1' type='checkbox'  value='N\u2019importe quand'  id='choice_10_20_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_20_1' id='label_10_20_1' class='gform-field-label gform-field-label--type-inline'>N\u2019importe quand<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_20_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_20.2' type='checkbox'  value='Le matin'  id='choice_10_20_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_20_2' id='label_10_20_2' class='gform-field-label gform-field-label--type-inline'>Le matin<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_20_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_20.3' type='checkbox'  value='L\u2019apr\u00e8s midi'  id='choice_10_20_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_20_3' id='label_10_20_3' class='gform-field-label gform-field-label--type-inline'>L\u2019apr\u00e8s midi<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_20_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_20.4' type='checkbox'  value='La soir\u00e9e'  id='choice_10_20_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_20_4' id='label_10_20_4' class='gform-field-label gform-field-label--type-inline'>La soir\u00e9e<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_10_16\" class=\"gfield gfield--type-textarea gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_16'>Veuillez d\u00e9crire la nature de votre rendez-vous? 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