{"id":7414,"date":"2024-04-02T15:39:33","date_gmt":"2024-04-02T19:39:33","guid":{"rendered":"https:\/\/loeysdietzcanada.org\/?page_id=7414"},"modified":"2024-04-02T15:39:33","modified_gmt":"2024-04-02T19:39:33","slug":"inscription-au-programme-pilote-de-pleine-conscience","status":"publish","type":"page","link":"https:\/\/loeysdietzcanada.org\/fr\/inscription-au-programme-pilote-de-pleine-conscience\/","title":{"rendered":"Inscription au programme pilote de pleine conscience"},"content":{"rendered":"<div class=\"wpforms-container wpforms-render-modern\" id=\"wpforms-7394\"><form id=\"wpforms-form-7394\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"7394\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/fr\/wp-json\/wp\/v2\/pages\/7414\" data-token=\"7d3c45f7aa7cf64f350374d8980c2c9c\" data-token-time=\"1776418886\"><noscript class=\"wpforms-error-noscript\">Veuillez activer JavaScript dans votre navigateur pour remplir ce formulaire.<\/noscript><div id=\"wpforms-error-noscript\" style=\"display: none;\">Veuillez activer JavaScript dans votre navigateur pour remplir ce formulaire.<\/div><div class=\"wpforms-field-container\"><div id=\"wpforms-7394-field_1-container\" class=\"wpforms-field wpforms-field-name\" data-field-type=\"name\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-7394-field_1\">Nom et pr\u00e9nom <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-7394-field_1\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][1]\" aria-errormessage=\"wpforms-7394-field_1-error\" required><\/div><div id=\"wpforms-7394-field_2-container\" class=\"wpforms-field wpforms-field-email\" data-field-type=\"email\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-7394-field_2\">Courriel <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"email\" id=\"wpforms-7394-field_2\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][2]\" spellcheck=\"false\" aria-errormessage=\"wpforms-7394-field_2-error\" required><\/div><div id=\"wpforms-7394-field_5-container\" class=\"wpforms-field wpforms-field-divider\" data-field-type=\"divider\" data-field-id=\"5\"><h3 id=\"wpforms-7394-field_5\" aria-errormessage=\"wpforms-7394-field_5-error\">Eligibilit\u00e9<\/h3><\/div><div id=\"wpforms-7394-field_8-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-trigger\" data-field-type=\"radio\" data-field-id=\"8\"><fieldset><legend class=\"wpforms-field-label\">\u00cates-vous atteint du syndrome de Loeys-Dietz ? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-7394-field_8\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-7394-field_8_1\" name=\"wpforms[fields][8]\" value=\"Oui\" aria-errormessage=\"wpforms-7394-field_8_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7394-field_8_1\">Oui<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-7394-field_8_2\" name=\"wpforms[fields][8]\" value=\"Non\" aria-errormessage=\"wpforms-7394-field_8_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7394-field_8_2\">Non<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-7394-field_6-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-trigger\" data-field-type=\"radio\" data-field-id=\"6\"><fieldset><legend class=\"wpforms-field-label\">Avez-vous 18 ans ou plus ? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-7394-field_6\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-7394-field_6_1\" name=\"wpforms[fields][6]\" value=\"Oui\" aria-errormessage=\"wpforms-7394-field_6_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7394-field_6_1\">Oui<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-7394-field_6_2\" name=\"wpforms[fields][6]\" value=\"Non\" aria-errormessage=\"wpforms-7394-field_6_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7394-field_6_2\">Non<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-7394-field_9-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-trigger\" data-field-type=\"radio\" data-field-id=\"9\"><fieldset><legend class=\"wpforms-field-label\">Souffrez-vous de douleurs chroniques ? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-7394-field_9\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-7394-field_9_1\" name=\"wpforms[fields][9]\" value=\"Oui\" aria-errormessage=\"wpforms-7394-field_9_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7394-field_9_1\">Oui<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-7394-field_9_2\" name=\"wpforms[fields][9]\" value=\"Non\" aria-errormessage=\"wpforms-7394-field_9_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7394-field_9_2\">Non<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-7394-field_11-container\" class=\"wpforms-field wpforms-field-content\" data-field-type=\"content\" data-field-id=\"11\"><div id=\"wpforms-7394-field_11\" class=\"wpforms-field-medium wpforms-field-row\" aria-errormessage=\"wpforms-7394-field_11-error\"><p><strong>La douleur chronique<\/strong> est une douleur qui dure plus de trois mois ou le temps de gu\u00e9rison pr\u00e9vu pour les l\u00e9sions tissulaires, et qui affecte une partie importante de la population.<\/p>\n<p>La douleur chronique dans la SLD se manifeste sous diverses formes, notamment :<\/p>\n<ul>\n<li>Douleurs articulaires,<\/li>\n<li>douleurs musculaires,<\/li>\n<li>douleurs abdominales<\/li>\n<li>douleur postop\u00e9ratoire, et<\/li>\n<li>la fatigue li\u00e9e \u00e0 la douleur.<\/li>\n<\/ul>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-7394-field_12-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"radio\" data-field-id=\"12\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">Avez-vous d\u00e9j\u00e0 essay\u00e9 la m\u00e9ditation de pleine conscience ? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-7394-field_12\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-7394-field_12_1\" name=\"wpforms[fields][12]\" value=\"Oui\" aria-errormessage=\"wpforms-7394-field_12_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7394-field_12_1\">Oui<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-7394-field_12_2\" name=\"wpforms[fields][12]\" value=\"Non\" aria-errormessage=\"wpforms-7394-field_12_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7394-field_12_2\">Non<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-7394-field_3-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"radio\" data-field-id=\"3\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">Veuillez indiquer votre niveau d&#039;int\u00e9r\u00eat :  <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-7394-field_3\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-7394-field_3_1\" name=\"wpforms[fields][3]\" value=\"Je souhaite r\u00e9server ma place et recevoir plus d&#039;informations\" aria-errormessage=\"wpforms-7394-field_3_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7394-field_3_1\">Je souhaite r\u00e9server ma place et recevoir plus d'informations<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-7394-field_3_2\" name=\"wpforms[fields][3]\" value=\"Je souhaite recevoir plus d&#039;informations\" aria-errormessage=\"wpforms-7394-field_3_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7394-field_3_2\">Je souhaite recevoir plus d'informations<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-7394-field_10-container\" class=\"wpforms-field wpforms-field-content wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"content\" data-field-id=\"10\" style=\"display:none;\"><div id=\"wpforms-7394-field_10\" class=\"wpforms-field-medium wpforms-field-row\" aria-errormessage=\"wpforms-7394-field_10-error\"><p>Veuillez surveiller la publication de notre programme de m\u00e9ditation de pleine conscience pour les SLD et la douleur chronique apr\u00e8s la fin de notre programme pilote. Vous n'\u00eates actuellement pas \u00e9ligible pour participer au programme pilote.<\/p>\n<p>&nbsp;<\/p>\n<p>Nous vous remercions de l'int\u00e9r\u00eat que vous avez manifest\u00e9 !<\/p>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"7394\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/loeysdietzcanada.org\/fr\/wp-json\/wp\/v2\/pages\/7414\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-7394\" class=\"wpforms-submit\" data-alt-text=\"l&#039;envoi...\" data-submit-text=\"Soumettre\" aria-live=\"assertive\" value=\"wpforms-submit\">Soumettre<\/button><img decoding=\"async\" src=\"https:\/\/loeysdietzcanada.org\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Chargement en cours\"><\/div><\/form><\/div>  <!-- .wpforms-container 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