{"id":6757,"date":"2022-02-10T08:42:40","date_gmt":"2022-02-10T07:42:40","guid":{"rendered":"https:\/\/www.smilers.com\/eligible-formulaire\/"},"modified":"2024-04-18T16:50:57","modified_gmt":"2024-04-18T14:50:57","slug":"eligible-formulaire","status":"publish","type":"page","link":"https:\/\/www.smilers.com\/es\/eligible-formulaire\/","title":{"rendered":"eligible-formulaire"},"content":{"rendered":"<p>[vc_row][vc_column]\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f7446-o1\" lang=\"es-ES\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/es\/wp-json\/wp\/v2\/pages\/6757#wpcf7-f7446-o1\" method=\"post\" class=\"wpcf7-form init cf7mls-no-scroll cf7mls-no-moving-animation\" aria-label=\"Formulario de contacto\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"7446\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.7.7\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"es_ES\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f7446-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<div class=\"fieldset-cf7mls-wrapper\" data-transition-effects><fieldset class=\"fieldset-cf7mls cf7mls_current_fs\"><div class=\"form-eligibility\">\n\t<h2>SONRISA FRONTAL\n\t<\/h2>\n\t<p><span class=\"eligibility-description\">Aprieta los dientes y captura toda tu sonrisa. <\/span>\n\t<\/p>\n\t<p><span class=\"eligibility-description\">Consejo : apoya el tel\u00e9fono en un lugar fijo y haz la foto con el disparador autom\u00e1tico. Para un mejor resultado, aparta tus mejillas con ayuda de los dedos.<\/span>\n\t<\/p>\n\t<div>\n\t\t<p><img decoding=\"async\" class=\"img_eligible\" src=\"https:\/\/www.smilers.com\/wp-content\/uploads\/2022\/02\/00420220208_095154-6.png\" \/>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"photo-upload-container\">\n\t\t<div class=\"photo-upload-div\">\n\t\t\t<div class=\"photo-upload-icon\">\n\t\t\t\t<p><span class=\"fa-stack fa-2x\"><i class=\"fas fa-circle fa-stack-2x\"><\/i><i class=\"fas fa-images fa-stack-1x fa-inverse\"><\/i><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"photo-upload-button\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap sourire_face wpcf7-images-optimize-upload-wrap\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-upload_image\" aria-invalid=\"false\" type=\"file\" data-name=\"sourire_face\" max-file-error=\"Maximum 1 image is allowed.\" max-file=\"1\" multiple=\"multiple\" accept=\"image\/png,image\/jpeg\"\/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"cf7mls-btns\"><button type=\"button\" class=\"cf7mls_next cf7mls_btn action-button\" name=\"cf7mls_next\" id=\"cf7mls-next-btn-cf7mls_step-1\">Pr\u00f3ximo<img decoding=\"async\" src=\"https:\/\/www.smilers.com\/wp-content\/plugins\/cf7-multi-step\/assets\/frontend\/img\/loader.svg\" alt=\"\" data-lazy-src=\"https:\/\/www.smilers.com\/wp-content\/plugins\/cf7-multi-step\/assets\/frontend\/img\/loader.svg\" style=\"display: none;\" \/><\/button><\/div><p><\/p><\/fieldset><fieldset class=\"fieldset-cf7mls\">\n<\/p>\n<div class=\"form-eligibility\">\n\t<h2>SONRISA LATERAL IZQUIERDA\n\t<\/h2>\n\t<p><span class=\"eligibility-description\">Aprieta los dientes y captura tu lado izquierdo.<\/span>\n\t<\/p>\n\t<p><span class=\"eligibility-description\">Consejo: separa tu mejilla con un dedo y utiliza un espejo para ajustar la foto.<\/span>\n\t<\/p>\n\t<div>\n\t\t<p><img decoding=\"async\" class=\"img_eligible\" src=\"https:\/\/www.smilers.com\/wp-content\/uploads\/2022\/02\/00520220208_095457-4.png\" \/>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"photo-upload-container\">\n\t\t<div class=\"photo-upload-div\">\n\t\t\t<div class=\"photo-upload-icon\">\n\t\t\t\t<p><span class=\"fa-stack fa-2x\"><i class=\"fas fa-circle fa-stack-2x\"><\/i><i class=\"fas fa-images fa-stack-1x fa-inverse\"><\/i><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"photo-upload-button\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap sourire_gauche wpcf7-images-optimize-upload-wrap\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-upload_image\" aria-invalid=\"false\" type=\"file\" data-name=\"sourire_gauche\" max-file-error=\"Maximum 1 image is allowed.\" max-file=\"1\" multiple=\"multiple\" accept=\"image\/png,image\/jpeg\"\/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"cf7mls-btns\"><button type=\"button\" class=\"cf7mls_back action-button\" name=\"cf7mls_back\" id=\"cf7mls-back-btn-cf7mls_step-2\">Anterior<\/button><button type=\"button\" class=\"cf7mls_next cf7mls_btn action-button\" name=\"cf7mls_next\" id=\"cf7mls-next-btn-cf7mls_step-2\">Pr\u00f3ximo<img decoding=\"async\" src=\"https:\/\/www.smilers.com\/wp-content\/plugins\/cf7-multi-step\/assets\/frontend\/img\/loader.svg\" alt=\"\" data-lazy-src=\"https:\/\/www.smilers.com\/wp-content\/plugins\/cf7-multi-step\/assets\/frontend\/img\/loader.svg\" style=\"display: none;\" \/><\/button><\/div><p><\/p><\/fieldset><fieldset class=\"fieldset-cf7mls\">\n<\/p>\n<div class=\"form-eligibility\">\n\t<h2>SONRISA LATERAL DERECHA\n\t<\/h2>\n\t<p><span class=\"eligibility-description\">Aprieta los dientes y captura tu lado derecho.<\/span>\n\t<\/p>\n\t<p><span class=\"eligibility-description\">Consejo: separa tu mejilla con un dedo y utiliza un espejo para ajustar la foto.<\/span>\n\t<\/p>\n\t<div>\n\t\t<p><img decoding=\"async\" class=\"img_eligible\" src=\"https:\/\/www.smilers.com\/wp-content\/uploads\/2022\/02\/00620220208_095457_2-4.png\" \/>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"photo-upload-container\">\n\t\t<div class=\"photo-upload-div\">\n\t\t\t<div class=\"photo-upload-icon\">\n\t\t\t\t<p><span class=\"fa-stack fa-2x\"><i class=\"fas fa-circle fa-stack-2x\"><\/i><i class=\"fas fa-images fa-stack-1x fa-inverse\"><\/i><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"photo-upload-button\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap sourire_droite wpcf7-images-optimize-upload-wrap\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-upload_image\" aria-invalid=\"false\" type=\"file\" data-name=\"sourire_droite\" max-file-error=\"Maximum 1 image is allowed.\" max-file=\"1\" multiple=\"multiple\" accept=\"image\/png,image\/jpeg\"\/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"cf7mls-btns\"><button type=\"button\" class=\"cf7mls_back action-button\" name=\"cf7mls_back\" id=\"cf7mls-back-btn-cf7mls_step-3\">Anterior<\/button><button type=\"button\" class=\"cf7mls_next cf7mls_btn action-button\" name=\"cf7mls_next\" id=\"cf7mls-next-btn-cf7mls_step-3\">Pr\u00f3ximo<img decoding=\"async\" src=\"https:\/\/www.smilers.com\/wp-content\/plugins\/cf7-multi-step\/assets\/frontend\/img\/loader.svg\" alt=\"\" data-lazy-src=\"https:\/\/www.smilers.com\/wp-content\/plugins\/cf7-multi-step\/assets\/frontend\/img\/loader.svg\" style=\"display: none;\" \/><\/button><\/div><p><\/p><\/fieldset><fieldset class=\"fieldset-cf7mls\">\n<\/p>\n<div class=\"form-eligibility\">\n\t<h2>ARCO SUPERIOR\n\t<\/h2>\n\t<p><span class=\"eligibility-description\">Captura tus dientes superiores.<\/span>\n\t<\/p>\n\t<p><span class=\"eligibility-description\">Consejo: abre la boca y utiliza un espejo para ajustar la foto.<\/span>\n\t<\/p>\n\t<div>\n\t\t<p><img decoding=\"async\" class=\"img_eligible\" src=\"https:\/\/www.smilers.com\/wp-content\/uploads\/2022\/02\/01020220209_100830-5.png\" \/>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"photo-upload-container\">\n\t\t<div class=\"photo-upload-div\">\n\t\t\t<div class=\"photo-upload-icon\">\n\t\t\t\t<p><span class=\"fa-stack fa-2x\"><i class=\"fas fa-circle fa-stack-2x\"><\/i><i class=\"fas fa-images fa-stack-1x fa-inverse\"><\/i><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"photo-upload-button\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap arcade_haut wpcf7-images-optimize-upload-wrap\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-upload_image\" aria-invalid=\"false\" type=\"file\" data-name=\"arcade_haut\" max-file-error=\"Maximum 1 image is allowed.\" max-file=\"1\" multiple=\"multiple\" accept=\"image\/png,image\/jpeg\"\/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"cf7mls-btns\"><button type=\"button\" class=\"cf7mls_back action-button\" name=\"cf7mls_back\" id=\"cf7mls-back-btn-cf7mls_step-4\">Anterior<\/button><button type=\"button\" class=\"cf7mls_next cf7mls_btn action-button\" name=\"cf7mls_next\" id=\"cf7mls-next-btn-cf7mls_step-4\">Pr\u00f3ximo<img decoding=\"async\" src=\"https:\/\/www.smilers.com\/wp-content\/plugins\/cf7-multi-step\/assets\/frontend\/img\/loader.svg\" alt=\"\" data-lazy-src=\"https:\/\/www.smilers.com\/wp-content\/plugins\/cf7-multi-step\/assets\/frontend\/img\/loader.svg\" style=\"display: none;\" \/><\/button><\/div><p><\/p><\/fieldset><fieldset class=\"fieldset-cf7mls\">\n<\/p>\n<div class=\"form-eligibility\">\n\t<h2>ARCO INFERIOR\n\t<\/h2>\n\t<p><span class=\"eligibility-description\">Captura tus dientes inferiores.<\/span>\n\t<\/p>\n\t<p><span class=\"eligibility-description\">Consejo : abre la boca y utilizar el espejo para ajustar la foto.<\/span>\n\t<\/p>\n\t<div>\n\t\t<p><img decoding=\"async\" class=\"img_eligible\" src=\"https:\/\/www.smilers.com\/wp-content\/uploads\/2022\/02\/00920220208_095647-4.png\" \/>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"photo-upload-container\">\n\t\t<div class=\"photo-upload-div\">\n\t\t\t<div class=\"photo-upload-icon\">\n\t\t\t\t<p><span class=\"fa-stack fa-2x\"><i class=\"fas fa-circle fa-stack-2x\"><\/i><i class=\"fas fa-images fa-stack-1x fa-inverse\"><\/i><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"photo-upload-button\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap arcade_bas wpcf7-images-optimize-upload-wrap\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-upload_image\" aria-invalid=\"false\" type=\"file\" data-name=\"arcade_bas\" max-file-error=\"Maximum 1 image is allowed.\" max-file=\"1\" multiple=\"multiple\" accept=\"image\/png,image\/jpeg\"\/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"cf7mls-btns\"><button type=\"button\" class=\"cf7mls_back action-button\" name=\"cf7mls_back\" id=\"cf7mls-back-btn-cf7mls_step-5\">Anterior<\/button><button type=\"button\" class=\"cf7mls_next cf7mls_btn action-button\" name=\"cf7mls_next\" id=\"cf7mls-next-btn-cf7mls_step-5\">Pr\u00f3ximo<img decoding=\"async\" src=\"https:\/\/www.smilers.com\/wp-content\/plugins\/cf7-multi-step\/assets\/frontend\/img\/loader.svg\" alt=\"\" data-lazy-src=\"https:\/\/www.smilers.com\/wp-content\/plugins\/cf7-multi-step\/assets\/frontend\/img\/loader.svg\" style=\"display: none;\" \/><\/button><\/div><p><\/p><\/fieldset><fieldset class=\"fieldset-cf7mls\">\n<\/p>\n<div class=\"form-halfcol\">\n\t<div class=\"halfcol\">\n\t\t<p><label><br \/>\nMi dentista me ha recomendado que me quite las muelas del juicio.<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"sagesse\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><span class=\"wpcf7-list-item-label\">S\u00ed<\/span><input type=\"checkbox\" name=\"sagesse\" value=\"S\u00ed\" \/><\/span><span class=\"wpcf7-list-item last\"><span class=\"wpcf7-list-item-label\">No<\/span><input type=\"checkbox\" name=\"sagesse\" value=\"No\" \/><\/span><\/span><\/span><br \/>\n<\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"halfcol\">\n\t\t<p><label><br \/>\nTengo implantes y puentes<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"implant\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><span class=\"wpcf7-list-item-label\">S\u00ed<\/span><input type=\"checkbox\" name=\"implant\" value=\"S\u00ed\" \/><\/span><span class=\"wpcf7-list-item last\"><span class=\"wpcf7-list-item-label\">No<\/span><input type=\"checkbox\" name=\"implant\" value=\"No\" \/><\/span><\/span><\/span><br \/>\n<\/label>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"form-halfcol\">\n\t<div class=\"halfcol\">\n\t\t<p><label><br \/>\nTengo un alambre de contenci\u00f3n.<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"fil\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><span class=\"wpcf7-list-item-label\">S\u00ed<\/span><input type=\"checkbox\" name=\"fil\" value=\"S\u00ed\" \/><\/span><span class=\"wpcf7-list-item last\"><span class=\"wpcf7-list-item-label\">No<\/span><input type=\"checkbox\" name=\"fil\" value=\"No\" \/><\/span><\/span><\/span><br \/>\n<\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"halfcol\">\n\t\t<p><label><br \/>\nTengo problemas de enc\u00edas.<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"gencives\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><span class=\"wpcf7-list-item-label\">S\u00ed<\/span><input type=\"checkbox\" name=\"gencives\" value=\"S\u00ed\" \/><\/span><span class=\"wpcf7-list-item last\"><span class=\"wpcf7-list-item-label\">No<\/span><input type=\"checkbox\" name=\"gencives\" value=\"No\" \/><\/span><\/span><\/span><br \/>\n<\/label>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"form-halfcol\">\n\t<div class=\"halfcol\">\n\t\t<p><label><br \/>\nHe visitado a mi dentista en los 6 meses anteriores.<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"dentiste\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><span class=\"wpcf7-list-item-label\">S\u00ed<\/span><input type=\"checkbox\" name=\"dentiste\" value=\"S\u00ed\" \/><\/span><span class=\"wpcf7-list-item last\"><span class=\"wpcf7-list-item-label\">No<\/span><input type=\"checkbox\" name=\"dentiste\" value=\"No\" \/><\/span><\/span><\/span><br \/>\n<\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"halfcol\">\n\t\t<p><label><br \/>\nEn el pasado he llevado tratamiento de ortodoncia.<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"ortho\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><span class=\"wpcf7-list-item-label\">S\u00ed<\/span><input type=\"checkbox\" name=\"ortho\" value=\"S\u00ed\" \/><\/span><span class=\"wpcf7-list-item last\"><span class=\"wpcf7-list-item-label\">No<\/span><input type=\"checkbox\" name=\"ortho\" value=\"No\" \/><\/span><\/span><\/span><br \/>\n<\/label>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"form-halfcol\">\n\t<div class=\"halfcol\">\n\t\t<p><label><br \/>\nSiento dolor en la mand\u00edbula o dificultad para abrir, cerrar o masticar.<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"douleur\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><span class=\"wpcf7-list-item-label\">S\u00ed<\/span><input type=\"checkbox\" name=\"douleur\" value=\"S\u00ed\" \/><\/span><span class=\"wpcf7-list-item last\"><span class=\"wpcf7-list-item-label\">No<\/span><input type=\"checkbox\" name=\"douleur\" value=\"No\" \/><\/span><\/span><\/span><br \/>\n<\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"halfcol\">\n\t\t<p><label><br \/>\nMe gustar\u00eda corregir<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"correction\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first\"><span class=\"wpcf7-list-item-label\">mi alineaci\u00f3n<\/span><input type=\"checkbox\" name=\"correction[]\" value=\"mi alineaci\u00f3n\" \/><\/span><span class=\"wpcf7-list-item last\"><span class=\"wpcf7-list-item-label\">mi oclusi\u00f3n<\/span><input type=\"checkbox\" name=\"correction[]\" value=\"mi oclusi\u00f3n\" \/><\/span><\/span><\/span><br \/>\n<\/label>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"form-halfcol\">\n\t<div class=\"halfcol\">\n\t\t<p><label><br \/>\nComentarios<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"comment\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"comment\" \/><\/span><br \/>\n<\/label>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"cf7mls-btns\"><button type=\"button\" class=\"cf7mls_back action-button\" name=\"cf7mls_back\" id=\"cf7mls-back-btn-cf7mls_step-6\">Anterior<\/button><button type=\"button\" class=\"cf7mls_next cf7mls_btn action-button\" name=\"cf7mls_next\" id=\"cf7mls-next-btn-cf7mls_step-6\">Pr\u00f3ximo<img decoding=\"async\" src=\"https:\/\/www.smilers.com\/wp-content\/plugins\/cf7-multi-step\/assets\/frontend\/img\/loader.svg\" alt=\"\" data-lazy-src=\"https:\/\/www.smilers.com\/wp-content\/plugins\/cf7-multi-step\/assets\/frontend\/img\/loader.svg\" style=\"display: none;\" \/><\/button><\/div><p><\/p><\/fieldset><fieldset class=\"fieldset-cf7mls\">\n<\/p>\n<div class=\"form-halfcol\">\n\t<div class=\"halfcol\">\n\t\t<p><label> Apellido<br \/>\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> <\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"halfcol\">\n\t\t<p><label> Nombre<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-firstname\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-firstname\" \/><\/span> <\/label>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"form-halfcol\">\n\t<div class=\"halfcol\">\n\t\t<p><label> Fecha de nacimiento<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"date-733\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"date-733\" \/><\/span> <\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"halfcol\">\n\t\t<p><label> Direcci\u00f3n<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"address\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"address\" \/><\/span> <\/label>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"form-halfcol\">\n\t<div class=\"halfcol\">\n\t\t<p><label> Direcci\u00f3n<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"zipCode\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"zipCode\" \/><\/span> <\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"halfcol\">\n\t\t<p><label> Ciudad<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"city\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"city\" \/><\/span> <\/label>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"form-halfcol\">\n\t<div class=\"halfcol\">\n\t\t<p><label> Pa\u00eds<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Country\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Country\" \/><\/span> <\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"halfcol\">\n\t\t<p><label> Tel\u00e9fono<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"tel-666\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-required wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"tel-666\" \/><\/span> <\/label>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"form-halfcol\">\n\t<div class=\"halfcol\">\n\t\t<p><label> E-mail<br \/>\n<span 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generales\n\t\t<\/h2>\n\t\t<p><a class=\"close\" href=\"#\">\u00d7<\/a>\n\t\t<\/p>\n\t\t<div class=\"content\">\n\t\t\t<ul>\n\t\t\t\t<li>\n\t\t\t\t\t<p>Les informations recueillies via l\u2019outil \u00ab Suis-je \u00e9ligible \u00bb sont enregistr\u00e9es dans une base de donn\u00e9es interne par Smilers et ne seront communiqu\u00e9es qu\u2019\u00e0 notre personnel habilit\u00e9 qui \u00e9valuera votre \u00e9ligibilit\u00e9 Smilers\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/li>\n\t\t\t\t<li>\n\t\t\t\t\t<p>Hormis votre adresse \u00e9lectronique, vos donn\u00e9es ne sont conserv\u00e9es que pendant la dur\u00e9e de l\u2019\u00e9valuation de votre \u00e9ligibilit\u00e9. 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Pour exercer ces droits ou pour toute question sur le traitement de vos donn\u00e9es dans ce dispositif, vous pouvez contacter info@smilers.com\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/li>\n\t\t\t<\/ul>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n<p><input class=\"wpcf7-form-control has-spinner wpcf7-submit\" type=\"submit\" value=\"Enviar\" \/><button type=\"button\" class=\"cf7mls_back action-button\" name=\"cf7mls_back\" id=\"cf7mls-back-btn-cf7mls_step-7\">Pr\u00e9c\u00e9dent<\/button><button type=\"button\" style=\"display: none;\" class=\"cf7mls_next cf7mls_btn action-button\" name=\"cf7mls_next\" id=\"cf7mls-next-btn-cf7mls_step-7\"><img decoding=\"async\" src=\"https:\/\/www.smilers.com\/wp-content\/plugins\/cf7-multi-step\/assets\/frontend\/img\/loader.svg\" alt=\"\" data-lazy-src=\"https:\/\/www.smilers.com\/wp-content\/plugins\/cf7-multi-step\/assets\/frontend\/img\/loader.svg\" style=\"display: none;\" \/><\/button>\n<\/p><\/fieldset><\/div><input type='hidden' class='wpcf7-pum' value='{\"closepopup\":false,\"closedelay\":0,\"openpopup\":false,\"openpopup_id\":0}' \/><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n[\/vc_column][\/vc_row]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>[vc_row][vc_column][\/vc_column][\/vc_row]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"pgc_sgb_lightbox_settings":"","footnotes":""},"class_list":["post-6757","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>eligible-formulaire - Smilers<\/title>\n<meta name=\"description\" content=\"\u00bfRe\u00fano los requisitos? 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