{"id":6756,"date":"2022-02-10T08:42:40","date_gmt":"2022-02-10T07:42:40","guid":{"rendered":"https:\/\/www.smilers.com\/eligible-formulaire\/"},"modified":"2024-04-18T16:50:30","modified_gmt":"2024-04-18T14:50:30","slug":"eligible-formulaire","status":"publish","type":"page","link":"https:\/\/www.smilers.com\/pt-pt\/eligible-formulaire\/","title":{"rendered":"eligible-formulaire"},"content":{"rendered":"<p>[vc_row][vc_column]\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f8719-o1\" lang=\"pt-PT\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/pt-pt\/wp-json\/wp\/v2\/pages\/6756#wpcf7-f8719-o1\" method=\"post\" class=\"wpcf7-form init cf7mls-no-moving-animation\" aria-label=\"Formul\u00e1rio de contacto\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"8719\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.7.7\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"pt_PT\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f8719-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>Sourire de face\n\t<\/h2>\n\t<p><span class=\"eligibility-description\">Capturez enti\u00e8rement votre sourire en maintenant les dents serr\u00e9es.<\/span>\n\t<\/p>\n\t<p><span class=\"eligibility-description\">Conseil : Posez votre smartphone contre un support en mode retardateur. Pour un r\u00e9sultat optimal, \u00e9cartez vos joues \u00e0 l\u2019aide de vos doigts<\/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\">Suivant<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>Sourire gauche\n\t<\/h2>\n\t<p><span class=\"eligibility-description\">Capturez votre sourire de profil en maintenant les dents serr\u00e9es.<\/span>\n\t<\/p>\n\t<p><span class=\"eligibility-description\">Conseil : En \u00e9cartant votre joue \u00e0 l\u2019aide de l\u2019un de vos doigts, utilisez un miroir pour ajuster la photo<\/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\">Pr\u00e9c\u00e9dent<\/button><button type=\"button\" class=\"cf7mls_next cf7mls_btn action-button\" name=\"cf7mls_next\" id=\"cf7mls-next-btn-cf7mls_step-2\">Suivant<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>Sourire droite\n\t<\/h2>\n\t<p><span class=\"eligibility-description\">Capturez votre sourire de profil en maintenant les dents serr\u00e9es.<\/span>\n\t<\/p>\n\t<p><span class=\"eligibility-description\">Conseil : En \u00e9cartant votre joue \u00e0 l\u2019aide de l\u2019un de vos doigts, utilisez un miroir pour ajuster la photo.<\/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\">Pr\u00e9c\u00e9dent<\/button><button type=\"button\" class=\"cf7mls_next cf7mls_btn action-button\" name=\"cf7mls_next\" id=\"cf7mls-next-btn-cf7mls_step-3\">Suivant<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>Arcade haut\n\t<\/h2>\n\t<p><span class=\"eligibility-description\">Capturez vos dents du haut.<\/span>\n\t<\/p>\n\t<p><span class=\"eligibility-description\">Conseil : Ouvrez la bouche et utilisez un miroir pour ajuster la photo.<\/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\">Pr\u00e9c\u00e9dent<\/button><button type=\"button\" class=\"cf7mls_next cf7mls_btn action-button\" name=\"cf7mls_next\" id=\"cf7mls-next-btn-cf7mls_step-4\">Suivant<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>Arcade bas\n\t<\/h2>\n\t<p><span class=\"eligibility-description\">Capturez vos dents du bas.<\/span>\n\t<\/p>\n\t<p><span class=\"eligibility-description\">Conseil\u00a0: Ouvrez la bouche et utilisez un miroir pour ajuster la photo.<\/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\">Pr\u00e9c\u00e9dent<\/button><button type=\"button\" class=\"cf7mls_next cf7mls_btn action-button\" name=\"cf7mls_next\" id=\"cf7mls-next-btn-cf7mls_step-5\">Suivant<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 \/>\nMon dentiste m\u2019a recommand\u00e9 de retirer mes dents de sagesse<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\">Oui<\/span><input type=\"checkbox\" name=\"sagesse\" value=\"Oui\" \/><\/span><span class=\"wpcf7-list-item last\"><span class=\"wpcf7-list-item-label\">Non<\/span><input type=\"checkbox\" name=\"sagesse\" value=\"Non\" \/><\/span><\/span><\/span><br \/>\n<\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"halfcol\">\n\t\t<p><label><br \/>\nJ'ai des implants ou bridges<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\">Oui<\/span><input type=\"checkbox\" name=\"implant\" value=\"Oui\" \/><\/span><span class=\"wpcf7-list-item last\"><span class=\"wpcf7-list-item-label\">Non<\/span><input type=\"checkbox\" name=\"implant\" value=\"Non\" \/><\/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 \/>\nJ'ai un fil de contention sur mes dents<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\">Oui<\/span><input type=\"checkbox\" name=\"fil\" value=\"Oui\" \/><\/span><span class=\"wpcf7-list-item last\"><span class=\"wpcf7-list-item-label\">Non<\/span><input type=\"checkbox\" name=\"fil\" value=\"Non\" \/><\/span><\/span><\/span><br \/>\n<\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"halfcol\">\n\t\t<p><label><br \/>\nJ'ai des probl\u00e8mes ou maladies des gencives<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\">Oui<\/span><input type=\"checkbox\" name=\"gencives\" value=\"Oui\" \/><\/span><span class=\"wpcf7-list-item last\"><span class=\"wpcf7-list-item-label\">Non<\/span><input type=\"checkbox\" name=\"gencives\" value=\"Non\" \/><\/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 \/>\nJ'ai vu un dentiste au cours des 6 derniers mois<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\">Oui<\/span><input type=\"checkbox\" name=\"dentiste\" value=\"Oui\" \/><\/span><span class=\"wpcf7-list-item last\"><span class=\"wpcf7-list-item-label\">Non<\/span><input type=\"checkbox\" name=\"dentiste\" value=\"Non\" \/><\/span><\/span><\/span><br \/>\n<\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"halfcol\">\n\t\t<p><label><br \/>\nJ'ai d\u00e9j\u00e0 eu un traitement d'orthodontie<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\">Oui<\/span><input type=\"checkbox\" name=\"ortho\" value=\"Oui\" \/><\/span><span class=\"wpcf7-list-item last\"><span class=\"wpcf7-list-item-label\">Non<\/span><input type=\"checkbox\" name=\"ortho\" value=\"Non\" \/><\/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 \/>\nJe ressens des douleurs au niveau de la m\u00e2choire ou des difficult\u00e9s \u00e0 l'ouvrir\/fermer\/m\u00e2cher<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\">Oui<\/span><input type=\"checkbox\" name=\"douleur\" value=\"Oui\" \/><\/span><span class=\"wpcf7-list-item last\"><span class=\"wpcf7-list-item-label\">Non<\/span><input type=\"checkbox\" name=\"douleur\" value=\"Non\" \/><\/span><\/span><\/span><br \/>\n<\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"halfcol\">\n\t\t<p><label><br \/>\nJe souhaite corriger<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\">L&#039;alignement<\/span><input type=\"checkbox\" name=\"correction[]\" value=\"L&#039;alignement\" \/><\/span><span class=\"wpcf7-list-item last\"><span class=\"wpcf7-list-item-label\">Mon occlusion<\/span><input type=\"checkbox\" name=\"correction[]\" value=\"Mon occlusion\" \/><\/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 \/>\nCommentaire<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\">Pr\u00e9c\u00e9dent<\/button><button type=\"button\" class=\"cf7mls_next cf7mls_btn action-button\" name=\"cf7mls_next\" id=\"cf7mls-next-btn-cf7mls_step-6\">Suivant<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> Votre nom<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> Votre Pr\u00e9nom<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> Votre date de naissance<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> Adresse<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> Code postal<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"zipCode\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" 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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 class=\"wpcf7-form-control-wrap\" data-name=\"your-email\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"your-email\" \/><\/span> <\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"halfcol\">\n\t<\/div>\n<\/div>\n<div class=\"cgu\">\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-consent\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"your-consent\" value=\"1\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">J'ai lu et j'accepte les Conditions G\u00e9n\u00e9rales d'Utilisation<\/span><\/label><\/span><\/span><\/span>\n\t<\/p>\n\t<div class=\"box\">\n\t\t<p><a class=\"button\" href=\"#popup1\">CGU<\/a>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div id=\"popup1\" class=\"overlayCGU\">\n\t<div class=\"popup\">\n\t\t<h2>Conditions G\u00e9n\u00e9rales d'utilisation\n\t\t<\/h2>\n\t\t<p><a class=\"close\" href=\"#\">&times;<\/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. En effet, votre adresse \u00e9lectronique sera utilis\u00e9e afin de vous communiquer des newsletter 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>Pendant cette dur\u00e9e de conservation, vous pouvez \u00e0 tout moment acc\u00e9der \u00e0 vos donn\u00e9es, retirer votre consentement et\/ ou demander l\u2019effacement de vos donn\u00e9es. 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=\"Envoyer\" \/><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-6756","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.0 - 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