{"id":211,"date":"2015-07-15T18:23:40","date_gmt":"2015-07-15T18:23:40","guid":{"rendered":"http:\/\/malala.connexence.com:8085\/?page_id=211"},"modified":"2016-11-10T23:08:00","modified_gmt":"2016-11-10T23:08:00","slug":"questionnaire-sante","status":"publish","type":"page","link":"http:\/\/atelier4.ca\/chiroterrebonne\/questionnaire-sante\/","title":{"rendered":"Questionnaire sant\u00e9"},"content":{"rendered":"<div  class=\"fusion-fullwidth fullwidth-box fusion-blend-mode hundred-percent-fullwidth\"  style='background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;'><div class=\"fusion-builder-row fusion-row \"><div  class=\"fusion-layout-column fusion_builder_column fusion_builder_column_1_3  fusion-one-third fusion-column-first 1_3\"  style='margin-top:0px;margin-bottom:20px;width:30.6666%; margin-right: 4%;'>\n\t\t\t\t\t<div class=\"fusion-column-wrapper\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;\"  data-bg-url=\"\">\n\t\t\t\t\t\t<div class=\"imageframe-align-center\"><span class=\"fusion-imageframe imageframe-none imageframe-1 hover-type-none\"><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/atelier4.ca\/chiroterrebonne\/wp-content\/uploads\/2015\/07\/CentreChiropratiquePiniere-ph-chiropratique.gif\" width=\"580\" height=\"800\" alt=\"\" title=\"CentreChiropratiquePiniere-ph-chiropratique\" class=\"img-responsive wp-image-126\" srcset=\"http:\/\/atelier4.ca\/chiroterrebonne\/wp-content\/uploads\/2015\/07\/CentreChiropratiquePiniere-ph-chiropratique-218x300.gif 218w, http:\/\/atelier4.ca\/chiroterrebonne\/wp-content\/uploads\/2015\/07\/CentreChiropratiquePiniere-ph-chiropratique.gif 580w\" sizes=\"auto, (max-width: 580px) 100vw, 580px\" \/><\/span><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep sep-none\" style=\"margin-left: auto;margin-right: auto;margin-top:20px;\"><\/div><div class=\"fusion-title title fusion-title-size-three\" style=\"margin-top:0px;margin-bottom:31px;\"><h3 class=\"title-heading-left\"><strong>Nos heures d&rsquo;ouverture<\/strong><\/h3><div class=\"title-sep-container\"><div class=\"title-sep sep-single sep-solid\" style=\"border-color:#b4bd3e;\"><\/div><\/div><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep sep-none\" style=\"margin-left: auto;margin-right: auto;margin-top:20px;\"><\/div><p><strong>Lundi<\/strong><br \/>\n7h30 \u00e0 13h00 et 14h00 \u00e0 21h00<\/p>\n<hr \/>\n<p><strong>Mardi<\/strong><br \/>\n9h00 \u00e0 13h00 et 15h00 \u00e0 19h30<\/p>\n<hr \/>\n<p><strong>Mercredi<\/strong><br \/>\n8h30 \u00e0 12h00<\/p>\n<hr \/>\n<p><strong>Jeudi<\/strong><br \/>\n9h00 \u00e0 13h00 et 15h00 \u00e0 19h30<\/p>\n<hr \/>\n<p><strong>Vendredi<\/strong><br \/>\n7h30 \u00e0 14h00<\/p>\n<div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep sep-none\" style=\"margin-left: auto;margin-right: auto;margin-top:20px;\"><\/div><style type='text\/css'>.reading-box-container-1 .element-bottomshadow:before,.reading-box-container-1 .element-bottomshadow:after{opacity:0.7;}<\/style><div class=\"fusion-reading-box-container reading-box-container-1\" style=\"margin-top:0px;margin-bottom:84px;\"><div class=\"reading-box element-bottomshadow\" style=\"background-color:#f6f6f6;border-width:1px;border-color:#f6f6f6;border-top-width:3px;border-top-color:#b4bd3e;border-style:solid;\"><h2>Clinique sans rendez-vous<\/h2><div class=\"reading-box-description fusion-reading-box-additional\">Mardi de 9h00 \u00e0 16h00<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-clearfix\"><\/div>\n\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div><div  class=\"fusion-layout-column fusion_builder_column fusion_builder_column_2_3  fusion-two-third fusion-column-last 2_3\"  style='margin-top:0px;margin-bottom:20px;width:65.3333%'>\n\t\t\t\t\t<div class=\"fusion-column-wrapper\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;\"  data-bg-url=\"\">\n\t\t\t\t\t\t<div class=\"fusion-title title fusion-title-size-two\" style=\"margin-top:0px;margin-bottom:31px;\"><h2 class=\"title-heading-left\">Chiropratique<\/h2><div class=\"title-sep-container\"><div class=\"title-sep sep-single sep-solid\" style=\"border-color:#e0dede;\"><\/div><\/div><\/div><p>Remplissez le questionnaire sant\u00e9 en ligne et obtenez <span style=\"color: #c1272d;\"><strong>20,00 $ de rabais<\/strong><\/span> applicable sur votre examen initial. <a href=\"https:\/\/www.facebook.com\/pages\/Centre-Chiropratique-de-la-Pini%C3%A8re\/1392489911013700?fref=ts\" target=\"_blank\"><strong>Aimez notre page Facebook<\/strong><\/a> et doublez votre rabais (soit, <strong>40,00 $<\/strong> applicable \u00e0 votre premier examen).<\/p>\n<style type='text\/css'>.reading-box-container-2 .element-bottomshadow:before,.reading-box-container-2 .element-bottomshadow:after{opacity:0.7;}<\/style><div class=\"fusion-reading-box-container reading-box-container-2\" style=\"margin-top:0px;margin-bottom:20px;\"><div class=\"reading-box reading-box-center\" style=\"background-color:#e4ed9a;border-width:0px;border-color:#f6f6f6;border-style:solid;\"><div class=\"reading-box-description\">But : D\u00e9terminer si vous avez un trouble de sant\u00e9 qui peut d\u00e9couler d'une subluxation vert\u00e9brale. <\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div>\n                <div class='gf_browser_gecko gform_wrapper' id='gform_wrapper_1' ><form method='post' enctype='multipart\/form-data'  id='gform_1'  action='\/chiroterrebonne\/wp-json\/wp\/v2\/pages\/211'>\n                        <div class='gform_body'><ul id='gform_fields_1' class='gform_fields top_label form_sublabel_below description_below'><li id='field_1_1' class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex' for='input_1_1_3' >Nom<span class='gfield_required'>*<\/span><\/label><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gfield_trigger_change' id='input_1_1'>\n                            \n                            <span id='input_1_1_3_container' class='name_first' >\n                                                    <input type='text' name='input_1.3' id='input_1_1_3' value='' aria-label='Pr\u00e9nom' tabindex='2'  aria-required=\"true\" aria-invalid=\"false\" \/>\n                                                    <label for='input_1_1_3' >Pr\u00e9nom<\/label>\n                                                <\/span>\n                            \n                            <span id='input_1_1_6_container' class='name_last' >\n                                                    <input type='text' name='input_1.6' id='input_1_1_6' value='' aria-label='Nom' tabindex='4'  aria-required=\"true\" aria-invalid=\"false\" \/>\n                                                    <label for='input_1_1_6' >Nom<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id='field_1_3' class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_1_3' >T\u00e9l\u00e9phone<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_3' id='input_1_3' type='text' value='' class='large' tabindex='6'   aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_1_2' class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_1_2' >Courriel<\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_2' id='input_1_2' type='text' value='' class='large' tabindex='7'     aria-invalid=\"false\"\/>\n                        <\/div><\/li><li id='field_1_4' class='gfield gf_list_inline field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >Je suis disponible<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_1_4'><li class='gchoice_1_4_1'>\n\t\t\t\t\t\t\t\t<input name='input_4.1' type='checkbox'  value='Le jour'  id='choice_1_4_1' tabindex='8'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_4_1' id='label_1_4_1'>Le jour<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_4_2'>\n\t\t\t\t\t\t\t\t<input name='input_4.2' type='checkbox'  value='Le soir'  id='choice_1_4_2' tabindex='9'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_4_2' id='label_1_4_2'>Le soir<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_4_3'>\n\t\t\t\t\t\t\t\t<input name='input_4.3' type='checkbox'  value='Le jour et le soir'  id='choice_1_4_3' tabindex='10'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_4_3' id='label_1_4_3'>Le jour et le soir<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_1_5' class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_1_5' >Comment pouvons-nous vous aider ?<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_5' id='input_1_5' class='textarea medium' tabindex='11'    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li>\n                            <\/ul><\/div>\n        <div class='gform_footer top_label'> <input type='submit' id='gform_submit_button_1' class='gform_button button' value='ENVOYER MA DEMANDE DE RENDEZ-VOUS' tabindex='12' onclick='if(window[\"gf_submitting_1\"]){return false;}  window[\"gf_submitting_1\"]=true;  ' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_1\"]){return false;} window[\"gf_submitting_1\"]=true;  jQuery(\"#gform_1\").trigger(\"submit\",[true]); }' \/> \n            <input type='hidden' class='gform_hidden' name='is_submit_1' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='1' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_1' value='WyJbXSIsImI4ZDk4YTI4OTUyNGFlMGY3N2YyMWM5NTE0ZDQ0OTQxIl0=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_target_page_number_1' id='gform_target_page_number_1' value='0' \/>\n            <input type='hidden' class='gform_hidden' name='gform_source_page_number_1' id='gform_source_page_number_1' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n                        <\/form>\n                        <\/div><script type='text\/javascript'> jQuery(document).bind('gform_post_render', function(event, formId, currentPage){if(formId == 1) {jQuery('#input_1_5').textareaCount(    {    'maxCharacterSize': 1000,    'originalStyle': 'ginput_counter',\t 'truncate': true,\t 'errorStyle' : '',    'displayFormat' : '#input de #max caract\u00e8res maximum'    } );if(!\/(android)\/i.test(navigator.userAgent)){jQuery('#input_1_3').mask('(999) 999-9999').bind('keypress', function(e){if(e.which == 13){jQuery(this).blur();} } );}} } );jQuery(document).bind('gform_post_conditional_logic', function(event, formId, fields, isInit){} );<\/script><script type='text\/javascript'> jQuery(document).ready(function(){jQuery(document).trigger('gform_post_render', [1, 1]) } ); <\/script><div class=\"fusion-title title fusion-title-size-two\" style=\"margin-top:0px;margin-bottom:31px;\"><h2 class=\"title-heading-left\">\u00c0 bient\u00f4t !<\/h2><div class=\"title-sep-container\"><div class=\"title-sep sep-double\" style=\"border-color:#e0dede;\"><\/div><\/div><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep sep-none\" style=\"margin-left: auto;margin-right: auto;margin-top:30px;\"><\/div><div class=\"fusion-clearfix\"><\/div>\n\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"open","ping_status":"open","template":"","meta":{"footnotes":""},"class_list":["post-211","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"http:\/\/atelier4.ca\/chiroterrebonne\/wp-json\/wp\/v2\/pages\/211","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/atelier4.ca\/chiroterrebonne\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"http:\/\/atelier4.ca\/chiroterrebonne\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"http:\/\/atelier4.ca\/chiroterrebonne\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"http:\/\/atelier4.ca\/chiroterrebonne\/wp-json\/wp\/v2\/comments?post=211"}],"version-history":[{"count":0,"href":"http:\/\/atelier4.ca\/chiroterrebonne\/wp-json\/wp\/v2\/pages\/211\/revisions"}],"wp:attachment":[{"href":"http:\/\/atelier4.ca\/chiroterrebonne\/wp-json\/wp\/v2\/media?parent=211"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}