{"id":106,"date":"2025-02-24T13:46:01","date_gmt":"2025-02-24T18:46:01","guid":{"rendered":"http:\/\/testbed.zapto.org\/chiens1\/?page_id=106"},"modified":"2025-02-24T13:46:02","modified_gmt":"2025-02-24T18:46:02","slug":"formulaire-de-consultation","status":"publish","type":"page","link":"https:\/\/pourlamourdeschiens.com\/index.php\/formulaire-de-consultation\/","title":{"rendered":"Formulaire de Consultation"},"content":{"rendered":"\n<div class=\"forminator-guttenberg\"><div class=\"forminator-ui forminator-custom-form forminator-custom-form-105 forminator-design--basic  forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-105\" data-uid=\"69eb80bc69d56\"><br\/><\/div><form\n\t\t\t\tid=\"forminator-module-105\"\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-105 forminator-design--basic  forminator_ajax\"\n\t\t\t\tmethod=\"post\"\n\t\t\t\tdata-forminator-render=\"0\"\n\t\t\t\tdata-form-id=\"105\"\n\t\t\t\t data-color-option=\"theme\" data-design=\"basic\" data-grid=\"open\" style=\"display: none;\"\n\t\t\t\tdata-uid=\"69eb80bc69d56\"\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div class=\"forminator-row\"><div id=\"name-1\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-1_69eb80bc69d56\" id=\"forminator-field-name-1_69eb80bc69d56-label\" class=\"forminator-label\">Nom <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-1\" value=\"\" placeholder=\"E.g. John Doe\" id=\"forminator-field-name-1_69eb80bc69d56\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"address-2\" class=\"forminator-field-address forminator-col forminator-col-12 \"><div class=\"forminator-row\"><div id=\"address-2-street_address\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-address-2-street_address_69eb80bc69d56\" id=\"forminator-field-address-2-street_address_69eb80bc69d56-label\" class=\"forminator-label\">Adresse<\/label><input type=\"text\" name=\"address-2-street_address\" placeholder=\"E.g. 42 Wallaby Way\" id=\"forminator-field-address-2-street_address_69eb80bc69d56\" class=\"forminator-input\" data-required=\"\" aria-required=\"false\" autocomplete=\"address-line1\" value=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"address-2-address_line\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-address-2-address_line_69eb80bc69d56\" id=\"forminator-field-address-2-address_line_69eb80bc69d56-label\" class=\"forminator-label\">Appt<\/label><input type=\"text\" name=\"address-2-address_line\" placeholder=\"\" id=\"forminator-field-address-2-address_line_69eb80bc69d56\" class=\"forminator-input\" data-required=\"\" aria-required=\"false\" autocomplete=\"address-line2\" value=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\" data-multiple=\"false\"><div id=\"address-2-city\" class=\"forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-address-2-city_69eb80bc69d56\" id=\"forminator-field-address-2-city_69eb80bc69d56-label\" class=\"forminator-label\">Ville<\/label><input type=\"text\" name=\"address-2-city\" placeholder=\"E.g. Montreal\" id=\"forminator-field-address-2-city_69eb80bc69d56\" class=\"forminator-input\" data-required=\"\" aria-required=\"false\" autocomplete=\"address-level2\" value=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\" data-multiple=\"false\"><div id=\"address-2-zip\" class=\"forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-address-2-zip_69eb80bc69d56\" id=\"forminator-field-address-2-zip_69eb80bc69d56-label\" class=\"forminator-label\">Code Postal<\/label><input type=\"text\" name=\"address-2-zip\" placeholder=\"H2L4J8\" id=\"forminator-field-address-2-zip_69eb80bc69d56\" class=\"forminator-input\" autocomplete=\"postal-code\" value=\"\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"email-1\" class=\"forminator-field-email forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-email-1_69eb80bc69d56\" id=\"forminator-field-email-1_69eb80bc69d56-label\" class=\"forminator-label\">Courriel <span class=\"forminator-required\">*<\/span><\/label><input type=\"email\" name=\"email-1\" value=\"\" placeholder=\"E.g. john@doe.com\" id=\"forminator-field-email-1_69eb80bc69d56\" class=\"forminator-input forminator-email--field\" data-required=\"1\" aria-required=\"true\" autocomplete=\"email\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"phone-1\" class=\"forminator-field-phone forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-1_69eb80bc69d56\" id=\"forminator-field-phone-1_69eb80bc69d56-label\" class=\"forminator-label\">T\u00e9l\u00e9phone<\/label><input type=\"text\" name=\"phone-1\" value=\"\" placeholder=\"E.g. +1 300 400 5000\" id=\"forminator-field-phone-1_69eb80bc69d56\" class=\"forminator-input forminator-field--phone\" data-required=\"\" aria-required=\"false\" autocomplete=\"off\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-1\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-1_69eb80bc69d56\" id=\"forminator-field-text-1_69eb80bc69d56-label\" class=\"forminator-label\">Nom du chien <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-1\" value=\"\" placeholder=\"\" id=\"forminator-field-text-1_69eb80bc69d56\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-2\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-2_69eb80bc69d56\" id=\"forminator-field-text-2_69eb80bc69d56-label\" class=\"forminator-label\">Race<\/label><input type=\"text\" name=\"text-2\" value=\"\" placeholder=\"\" id=\"forminator-field-text-2_69eb80bc69d56\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-3\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-3_69eb80bc69d56\" id=\"forminator-field-text-3_69eb80bc69d56-label\" class=\"forminator-label\">Age <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-3\" value=\"\" placeholder=\"Years\/Months\/Weeks\" id=\"forminator-field-text-3_69eb80bc69d56\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-4\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-4_69eb80bc69d56\" id=\"forminator-field-text-4_69eb80bc69d56-label\" class=\"forminator-label\">Ou avez vous re\u00e7u le chien<\/label><input type=\"text\" name=\"text-4\" value=\"\" placeholder=\"Store\/breeder\/SPCA\" id=\"forminator-field-text-4_69eb80bc69d56\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-1\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-1_69eb80bc69d56\" id=\"forminator-field-textarea-1_69eb80bc69d56-label\" class=\"forminator-label\">Comment peut on se stationner pr\u00e8s de votre demeure<\/label><textarea name=\"textarea-1\" placeholder=\"Rue\/entr\u00e9e\/stationnement\" id=\"forminator-field-textarea-1_69eb80bc69d56\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-5\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-5_69eb80bc69d56\" id=\"forminator-field-text-5_69eb80bc69d56-label\" class=\"forminator-label\">Nombre et age des personnes qui habitent avec le chien<\/label><input type=\"text\" name=\"text-5\" value=\"\" placeholder=\"\" id=\"forminator-field-text-5_69eb80bc69d56\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-6\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-6_69eb80bc69d56\" id=\"forminator-field-text-6_69eb80bc69d56-label\" class=\"forminator-label\">En quelques mots, d\u00e9crivez les comportements probl\u00e9matiques du chien <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-6\" value=\"\" placeholder=\"Jabbe, mord, n&#039;\u00e9coute pas etc.\" id=\"forminator-field-text-6_69eb80bc69d56\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-1\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-105__field--select-1_69eb80bc69d56\" id=\"forminator-form-105__field--select-1_69eb80bc69d56-label\" class=\"forminator-label\">Est-ce que le chiens mange bien?<\/label><select  id=\"forminator-form-105__field--select-1_69eb80bc69d56\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"\" name=\"select-1\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Oui\/Non\" data-search=\"false\" data-search-placeholder=\"Oui\/Non\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-105__field--select-1_69eb80bc69d56-label\"><option value=\"\"  >Oui\/Non<\/option><option value=\"one\"  data-calculation=\"0\">Oui<\/option><option value=\"two\"  data-calculation=\"0\">Non<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-7\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-7_69eb80bc69d56\" id=\"forminator-field-text-7_69eb80bc69d56-label\" class=\"forminator-label\">Quelle sont ses gateries favorites?<\/label><input type=\"text\" name=\"text-7\" value=\"\" placeholder=\"\" id=\"forminator-field-text-7_69eb80bc69d56\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-2\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-2_69eb80bc69d56\" id=\"forminator-field-textarea-2_69eb80bc69d56-label\" class=\"forminator-label\">Est-ce que le chien a des allergies alimentaires?<\/label><textarea name=\"textarea-2\" placeholder=\"\" id=\"forminator-field-textarea-2_69eb80bc69d56\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-3\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-3_69eb80bc69d56\" id=\"forminator-field-textarea-3_69eb80bc69d56-label\" class=\"forminator-label\">Est-ce que le chiens prend des m\u00e9dicaments?<\/label><textarea name=\"textarea-3\" placeholder=\"\" id=\"forminator-field-textarea-3_69eb80bc69d56\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-4\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-4_69eb80bc69d56\" id=\"forminator-field-textarea-4_69eb80bc69d56-label\" class=\"forminator-label\">Est-ce que le chien a d\u00e9ja mordu? Si oui, de quelle s\u00e9v\u00e9rit\u00e9(Ceci n&#039;emp\u00eache pas nos services)<\/label><textarea name=\"textarea-4\" placeholder=\"\" id=\"forminator-field-textarea-4_69eb80bc69d56\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-2\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-105__field--select-2_69eb80bc69d56\" id=\"forminator-form-105__field--select-2_69eb80bc69d56-label\" class=\"forminator-label\">Comment avez vous entendu parler de nous?<\/label><select  id=\"forminator-form-105__field--select-2_69eb80bc69d56\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"\" name=\"select-2\" data-default-value=\"Internet Search\" data-hidden-behavior=\"zero\" data-placeholder=\"Comment avez vous entendu parler de nous?\" data-search=\"false\" data-search-placeholder=\"Comment avez vous entendu parler de nous?\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-105__field--select-2_69eb80bc69d56-label\"><option value=\"\"  >Comment avez vous entendu parler de nous?<\/option><option value=\"Internet Search\" selected=\"selected\" data-calculation=\"0\">Internet<\/option><option value=\"Vet Referral\"  data-calculation=\"0\">R\u00e9f\u00e9rence du V\u00e9t\u00e9rinaire<\/option><option value=\"SPCA\"  data-calculation=\"0\">SPCA<\/option><option value=\"Friend\"  data-calculation=\"0\">Ami<\/option><option value=\"Other\"  data-calculation=\"0\">Autre<\/option><\/select><\/div><\/div><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><div class=\"forminator-row forminator-row-last\"><div class=\"forminator-col\"><div class=\"forminator-field\"><button class=\"forminator-button forminator-button-submit\">Send Message<\/button><\/div><\/div><\/div><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"385fad4a99\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php\/wp-json\/wp\/v2\/pages\/106\" \/><input type=\"hidden\" name=\"form_id\" value=\"105\"><input type=\"hidden\" name=\"page_id\" value=\"106\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/pourlamourdeschiens.com\/index.php\/formulaire-de-consultation\/\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><\/form><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"class_list":["post-106","page","type-page","status-publish"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/pourlamourdeschiens.com\/index.php\/wp-json\/wp\/v2\/pages\/106","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pourlamourdeschiens.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/pourlamourdeschiens.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/pourlamourdeschiens.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/pourlamourdeschiens.com\/index.php\/wp-json\/wp\/v2\/comments?post=106"}],"version-history":[{"count":1,"href":"https:\/\/pourlamourdeschiens.com\/index.php\/wp-json\/wp\/v2\/pages\/106\/revisions"}],"predecessor-version":[{"id":107,"href":"https:\/\/pourlamourdeschiens.com\/index.php\/wp-json\/wp\/v2\/pages\/106\/revisions\/107"}],"wp:attachment":[{"href":"https:\/\/pourlamourdeschiens.com\/index.php\/wp-json\/wp\/v2\/media?parent=106"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}