{"id":97928,"date":"2026-06-04T09:37:12","date_gmt":"2026-06-04T09:37:12","guid":{"rendered":"https:\/\/savariapatientcare.com\/test-forms\/"},"modified":"2026-06-12T18:34:39","modified_gmt":"2026-06-12T18:34:39","slug":"test-forms-french","status":"publish","type":"page","link":"https:\/\/savariapatientcare.com\/fr\/test-forms-french\/","title":{"rendered":"Test Forms"},"content":{"rendered":"\n<h2>\n\t\t\tSchedule Your Assessment\t<\/h2>\n\t<script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_6' style='display:none'>\n                        <div class='gform_heading'>\n                            <p class='gform_description'><\/p>\n\t\t\t\t\t\t\t<p class='gform_required_legend'>\u00ab\u00a0<span class=\"gfield_required gfield_required_asterisk\">*<\/span>\u00a0\u00bb indique les champs n\u00e9cessaires<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_6'  action='\/fr\/wp-json\/wp\/v2\/pages\/97928' data-formid='6' novalidate><div class='gf_invisible ginput_recaptchav3' data-sitekey='6LdDnGAsAAAAAIuo8eC7PHb8fnYz2uapD7Fm9RJZ' data-tabindex='0'><input id=\"input_7a9b203e7e82f9458cd058edafb3b603\" class=\"gfield_recaptcha_response\" type=\"hidden\" name=\"input_7a9b203e7e82f9458cd058edafb3b603\" value=\"\"\/><\/div>\n                        <div class='gform-body gform_body'><div id='gform_fields_6' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_6_4\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_4'><span class='gform-field-label__text'>Pr\u00e9nom<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_4' id='input_6_4' type='text' value='' class='large'    placeholder='Pr\u00e9nom' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_6_5\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_5'><span class='gform-field-label__text'>Nom<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_5' id='input_6_5' type='text' value='' class='large'    placeholder='Nom' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_6_12\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_12'><span class='gform-field-label__text'>Nom de l&#039;\u00e9tablissement<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_12' id='input_6_12' type='text' value='' class='large'    placeholder='Nom de l&#039;\u00e9tablissement' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_6_2\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_2'><span class='gform-field-label__text'>Adresse courriel<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_2' id='input_6_2' type='email' value='' class='large'   placeholder='Adresse courriel' aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_6_6\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--phone-format-standard gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_6'><span class='gform-field-label__text'>Num\u00e9ro de t\u00e9l\u00e9phone<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_6' id='input_6_6' type='tel' value='' class='large'  placeholder='(###) ###-####' aria-required=\"true\" aria-invalid=\"false\"   data-mask=\"(999) 999-9999\" \/><\/div><\/div><div id=\"field_6_13\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_13'><span class='gform-field-label__text'>Votre r\u00f4le<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_13' id='input_6_13' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Veuillez choisir<\/option><option value='Administrator' >Administrateur<\/option><option value='Architect \/ Planner' >Architecte \/ Urbaniste<\/option><option value='Assistant \/ Coordinator' >Assistant\/Coordonnateur<\/option><option value='Clinician' >Clinicienne<\/option><option value='C-Suite \/ Board of Directors \/ VP' >Direction g\u00e9n\u00e9rale \/ Conseil d&#039;administration \/ Vice-pr\u00e9sident<\/option><option value='Dealer' >Revendeur<\/option><option value='Director' >Directeur<\/option><option value='Engineer' >Ing\u00e9nieur<\/option><option value='Ergonomist' >Ergonome<\/option><option value='Manager' >Gestionnaire<\/option><option value='Nurse' >Infirmi\u00e8re<\/option><option value='Nurse \u2013 Head of Department' >Infirmi\u00e8re \u2013 Chef de service<\/option><option value='Nurse \u2013 WOCN \/ TVN \/ ET' >Infirmi\u00e8re \u2013 WOCN \/ TVN \/ ET<\/option><option value='Nursing Director \/ Chief Nurse' >Directrice des soins infirmiers \/ Infirmi\u00e8re en chef<\/option><option value='Owner' >Propri\u00e9taire<\/option><option value='Procurement' >Approvisionnement<\/option><option value='Specialist' >Sp\u00e9cialiste<\/option><option value='Therapist' >Th\u00e9rapeute<\/option><option value='Trainer' >Entra\u00eeneur<\/option><option value='Other' >Autre<\/option><\/select><\/div><\/div><div id=\"field_6_17\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_17'><span class='gform-field-label__text'>Cadre de soins<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_17' id='input_6_17' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Veuillez choisir<\/option><option value='Long-Term Care' >Soins de longue dur\u00e9e<\/option><option value='Acute Care' >Soins de courte dur\u00e9e<\/option><option value='Home Care' >Soins \u00e0 domicile<\/option><\/select><\/div><\/div><div id=\"field_6_31\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_31'><span class='gform-field-label__text'>Pays<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_31' id='input_6_31' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select<\/option><option value='United States' >United States<\/option><option value='Canada' >Canada<\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albania' >Albania<\/option><option value='Algeria' >Algeria<\/option><option value='American Samoa' >American Samoa<\/option><option value='Andorra' >Andorra<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctica' >Antarctica<\/option><option value='Antigua and Barbuda' >Antigua and Barbuda<\/option><option value='Argentina' >Argentina<\/option><option value='Armenia' >Armenia<\/option><option value='Aruba' >Aruba<\/option><option value='Australia' >Australia<\/option><option value='Austria' >Austria<\/option><option value='Azerbaijan' >Azerbaijan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahrain<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbados<\/option><option value='Belarus' >Belarus<\/option><option value='Belgium' >Belgium<\/option><option value='Belize' >Belize<\/option><option value='Benin' >Benin<\/option><option value='Bermuda' >Bermuda<\/option><option value='Bhutan' >Bhutan<\/option><option value='Bolivia' >Bolivia<\/option><option value='Bonaire, Sint Eustatius and Saba' >Bonaire, Sint Eustatius and Saba<\/option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina<\/option><option value='Botswana' >Botswana<\/option><option value='Bouvet Island' >Bouvet Island<\/option><option value='Brazil' >Brazil<\/option><option value='British Indian Ocean Territory' >British Indian Ocean Territory<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Bulgaria' >Bulgaria<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cabo Verde' >Cabo Verde<\/option><option value='Cambodia' >Cambodia<\/option><option value='Cameroon' >Cameroon<\/option><option value='Cayman Islands' >Cayman Islands<\/option><option value='Central African Republic' >Central African Republic<\/option><option value='Chad' >Chad<\/option><option value='Chile' >Chile<\/option><option value='China' >China<\/option><option value='Christmas Island' >Christmas Island<\/option><option value='Cocos Islands' >Cocos Islands<\/option><option value='Colombia' >Colombia<\/option><option value='Comoros' >Comoros<\/option><option value='Congo' >Congo<\/option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the<\/option><option value='Cook Islands' >Cook Islands<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatia' >Croatia<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Cyprus' >Cyprus<\/option><option value='Czechia' >Czechia<\/option><option value='C\u00f4te d&#039;Ivoire' >C\u00f4te d&#039;Ivoire<\/option><option value='Denmark' >Denmark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominica<\/option><option value='Dominican Republic' >Dominican Republic<\/option><option value='Ecuador' >Ecuador<\/option><option value='Egypt' >Egypt<\/option><option value='El Salvador' >El Salvador<\/option><option value='Equatorial Guinea' >Equatorial Guinea<\/option><option value='Eritrea' >Eritrea<\/option><option value='Estonia' >Estonia<\/option><option value='Eswatini' >Eswatini<\/option><option value='Ethiopia' >Ethiopia<\/option><option value='Falkland Islands' >Falkland Islands<\/option><option value='Faroe Islands' >Faroe Islands<\/option><option value='Fiji' >Fiji<\/option><option value='Finland' >Finland<\/option><option value='France' >France<\/option><option value='French Guiana' >French Guiana<\/option><option value='French Polynesia' >French Polynesia<\/option><option value='French Southern Territories' >French Southern Territories<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >Gambia<\/option><option value='Georgia' >Georgia<\/option><option value='Germany' >Germany<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Greece' >Greece<\/option><option value='Greenland' >Greenland<\/option><option value='Grenada' >Grenada<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guinea' >Guinea<\/option><option value='Guinea-Bissau' >Guinea-Bissau<\/option><option value='Guyana' >Guyana<\/option><option value='Haiti' >Haiti<\/option><option value='Heard Island and McDonald Islands' >Heard Island and McDonald Islands<\/option><option value='Holy See' >Holy See<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hungary' >Hungary<\/option><option value='Iceland' >Iceland<\/option><option value='India' >India<\/option><option value='Indonesia' >Indonesia<\/option><option value='Iran' >Iran<\/option><option value='Iraq' >Iraq<\/option><option value='Ireland' >Ireland<\/option><option value='Isle of Man' >Isle of Man<\/option><option value='Israel' >Israel<\/option><option value='Italy' >Italy<\/option><option value='Jamaica' >Jamaica<\/option><option value='Japan' >Japan<\/option><option value='Jersey' >Jersey<\/option><option value='Jordan' >Jordan<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Korea, Democratic People&#039;s Republic of' >Korea, Democratic People&#039;s Republic of<\/option><option value='Korea, Republic of' >Korea, Republic of<\/option><option value='Kuwait' >Kuwait<\/option><option value='Kyrgyzstan' >Kyrgyzstan<\/option><option value='Lao People&#039;s Democratic Republic' >Lao People&#039;s Democratic Republic<\/option><option value='Latvia' >Latvia<\/option><option value='Lebanon' >Lebanon<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libya' >Libya<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lithuania' >Lithuania<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macao' >Macao<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaysia' >Malaysia<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malta<\/option><option value='Marshall Islands' >Marshall Islands<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritania' >Mauritania<\/option><option value='Mauritius' >Mauritius<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexico' >Mexico<\/option><option value='Micronesia' >Micronesia<\/option><option value='Moldova' >Moldova<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolia' >Mongolia<\/option><option value='Montenegro' >Montenegro<\/option><option value='Montserrat' >Montserrat<\/option><option value='Morocco' >Morocco<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibia' >Namibia<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >Nepal<\/option><option value='Netherlands' >Netherlands<\/option><option value='New Caledonia' >New Caledonia<\/option><option value='New Zealand' >New Zealand<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nigeria<\/option><option value='Niue' >Niue<\/option><option value='Norfolk Island' >Norfolk Island<\/option><option value='North Macedonia' >North Macedonia<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Norway' >Norway<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Palestine, State of' >Palestine, State of<\/option><option value='Panama' >Panama<\/option><option value='Papua New Guinea' >Papua New Guinea<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >Peru<\/option><option value='Philippines' >Philippines<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Poland' >Poland<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Romania' >Romania<\/option><option value='Russian Federation' >Russian Federation<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9union' >R\u00e9union<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Helena, Ascension and Tristan da Cunha' >Saint Helena, Ascension and Tristan da Cunha<\/option><option value='Saint Kitts and Nevis' >Saint Kitts and Nevis<\/option><option value='Saint Lucia' >Saint Lucia<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint Pierre and Miquelon' >Saint Pierre and Miquelon<\/option><option value='Saint Vincent and the Grenadines' >Saint Vincent and the Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='San Marino' >San Marino<\/option><option value='Sao Tome and Principe' >Sao Tome and Principe<\/option><option value='Saudi Arabia' >Saudi Arabia<\/option><option value='Senegal' >Senegal<\/option><option value='Serbia' >Serbia<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapore' >Singapore<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovakia' >Slovakia<\/option><option value='Slovenia' >Slovenia<\/option><option value='Solomon Islands' >Solomon Islands<\/option><option value='Somalia' >Somalia<\/option><option value='South Africa' >South Africa<\/option><option value='South Georgia and the South Sandwich Islands' >South Georgia and the South Sandwich Islands<\/option><option value='South Sudan' >South Sudan<\/option><option value='Spain' >Spain<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Sudan' >Sudan<\/option><option value='Suriname' >Suriname<\/option><option value='Svalbard and Jan Mayen' >Svalbard and Jan Mayen<\/option><option value='Sweden' >Sweden<\/option><option value='Switzerland' >Switzerland<\/option><option value='Syria Arab Republic' >Syria Arab Republic<\/option><option value='Taiwan' >Taiwan<\/option><option value='Tajikistan' >Tajikistan<\/option><option value='Tanzania, the United Republic of' >Tanzania, the United Republic of<\/option><option value='Thailand' >Thailand<\/option><option value='Timor-Leste' >Timor-Leste<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad and Tobago' >Trinidad and Tobago<\/option><option value='Tunisia' >Tunisia<\/option><option value='Turkmenistan' >Turkmenistan<\/option><option value='Turks and Caicos Islands' >Turks and Caicos Islands<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='T\u00fcrkiye' >T\u00fcrkiye<\/option><option value='US Minor Outlying Islands' >US Minor Outlying Islands<\/option><option value='Uganda' >Uganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='United Arab Emirates' >United Arab Emirates<\/option><option value='United Kingdom' >United Kingdom<\/option><option value='Uruguay' >Uruguay<\/option><option value='Uzbekistan' >Uzbekistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Viet Nam' >Viet Nam<\/option><option value='Virgin Islands, British' >Virgin Islands, British<\/option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.<\/option><option value='Wallis and Futuna' >Wallis and Futuna<\/option><option value='Western Sahara' >Western Sahara<\/option><option value='Yemen' >Yemen<\/option><option value='Zambia' >Zambia<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='\u00c5land Islands' >\u00c5land Islands<\/option><\/select><\/div><\/div><fieldset id=\"field_6_32\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Code postal<\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_zip ginput_container_address gform-grid-row' id='input_6_32' >\n                        <input type='hidden' class='gform_hidden' name='input_32.4' id='input_6_32_4' value=''\/><span class='ginput_right address_zip ginput_address_zip gform-grid-col' id='input_6_32_5_container' >\n                                    <label for='input_6_32_5' id='input_6_32_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP \/ Code postal<\/label>\n                                    <input type='text' name='input_32.5' id='input_6_32_5' value=''    aria-required='false'    \/>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_32.6' id='input_6_32_6' value='' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_6_3\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_3'><span class='gform-field-label__text'>Parlez-nous de votre programme actuel (facultatif)<\/span><\/label><div class='ginput_container ginput_container_textarea' data-text-counter-max='600' data-text-counter-template='{current} of {max} max characters'><textarea name='input_3' id='input_6_3' class='textarea small'   maxlength='600' placeholder='Quels d\u00e9fis ou domaines d&#039;intervention sp\u00e9cifiques souhaiteriez-vous qu&#039;on aborde ?'  aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_6_25\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_above gfield--no-description field_description_above hidden_label field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>.<\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_6_25'><div class='gchoice gchoice_6_25_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_25.1' type='checkbox'  value='I accept to receive Savaria communications.'  id='choice_6_25_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_25_1' id='label_6_25_1' class='gform-field-label gform-field-label--type-inline'>J\u2019accepte de recevoir diff\u00e9rentes communications de Savaria<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_6_26\" class=\"gfield gfield--type-hidden gfield--input-type-hidden gfield--width-full gform_hidden field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_26' id='input_6_26' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/div><div id=\"field_6_27\" class=\"gfield gfield--type-hidden gfield--input-type-hidden gfield--width-full gform_hidden field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_27' id='input_6_27' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/div><div id=\"field_6_30\" class=\"gfield gfield--type-hidden gfield--input-type-hidden gfield--width-full gform_hidden field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_30' id='input_6_30' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/div><div id=\"field_6_28\" class=\"gfield gfield--type-hidden gfield--input-type-hidden gfield--width-full gform_hidden field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_28' id='input_6_28' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/div><div id=\"field_6_29\" class=\"gfield gfield--type-hidden gfield--input-type-hidden gfield--width-full gform_hidden field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_29' id='input_6_29' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/div><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <button type='submit' id='gform_submit_button_6' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' >R\u00e9servez votre \u00e9valuation gratuite<\/button> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_6' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_6' id='gform_theme_6' value='gravity-theme' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_6' id='gform_style_settings_6' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_6' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='6' \/>\n            \n            <input 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gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_5' style='display:none'>\n                        <div class='gform_heading'>\n                            <p class='gform_description'><\/p>\n\t\t\t\t\t\t\t<p class='gform_required_legend'>\u00ab\u00a0<span class=\"gfield_required gfield_required_asterisk\">*<\/span>\u00a0\u00bb indique les champs n\u00e9cessaires<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_5'  action='\/fr\/wp-json\/wp\/v2\/pages\/97928' data-formid='5' novalidate><div class='gf_invisible ginput_recaptchav3' data-sitekey='6LdDnGAsAAAAAIuo8eC7PHb8fnYz2uapD7Fm9RJZ' data-tabindex='0'><input id=\"input_3e4bd660fbbdde3592fb2f320f8ce751\" class=\"gfield_recaptcha_response\" type=\"hidden\" name=\"input_3e4bd660fbbdde3592fb2f320f8ce751\" value=\"\"\/><\/div>\n                        <div class='gform-body gform_body'><div id='gform_fields_5' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_5_15\" class=\"gfield gfield--type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_15'><span class='gform-field-label__text'>Comment l&#039;Acad\u00e9mie clinique peut-elle vous soutenir ?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_15' id='input_5_15' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Veuillez choisir<\/option><option value='Online training' >Formation en ligne<\/option><option value='In person training' >Formation en personne<\/option><option value='Webinar information' >Informations sur le webinaire<\/option><option value='Access to clinical resources' >Acc\u00e8s aux ressources cliniques<\/option><option value='Clinical education programs' >Programmes de formation clinique<\/option><option value='On site training' >Formation sur place<\/option><\/select><\/div><\/div><div id=\"field_5_26\" class=\"gfield gfield--type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_26'><span class='gform-field-label__text'>Quel sujet vous int\u00e9resse\u00a0?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_26' id='input_5_26' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Veuillez choisir<\/option><option value='General clinical education' >Formation clinique g\u00e9n\u00e9rale<\/option><option value='Product Training' >Formation sur les produits<\/option><option value='Safe patient handling and mobility' >Manutention s\u00e9curitaire et mobilit\u00e9 des patients<\/option><option value='Early mobility' >Mobilit\u00e9 pr\u00e9coce<\/option><option value='Pressure injury prevention' >Pr\u00e9vention des escarres<\/option><option value='Bariatrics' >Chirurgie bariatrique<\/option><option value='Wound Care' >Soins des plaies<\/option><option value='Dementia care' >Soins aux personnes atteintes de d\u00e9mence<\/option><option value='Other' >Autre<\/option><\/select><\/div><\/div><div id=\"field_5_4\" class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_4'><span class='gform-field-label__text'>Pr\u00e9nom<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_4' id='input_5_4' type='text' value='' class='large'    placeholder='Pr\u00e9nom' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_5\" class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_5'><span class='gform-field-label__text'>Nom<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_5' id='input_5_5' type='text' value='' class='large'    placeholder='Nom' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_2\" class=\"gfield gfield--type-email gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_2'><span class='gform-field-label__text'>Adresse courriel<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_2' id='input_5_2' type='email' value='' class='large'   placeholder='Adresse courriel' aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_5_6\" class=\"gfield gfield--type-phone gfield--phone-format-standard gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_6'><span class='gform-field-label__text'>T\u00e9l\u00e9phone<\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_6' id='input_5_6' type='tel' value='' class='large'  placeholder='(###) ###-####'  aria-invalid=\"false\"   data-mask=\"(999) 999-9999\" \/><\/div><\/div><div id=\"field_5_8\" class=\"gfield gfield--type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_8'><span class='gform-field-label__text'>Pays<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_8' id='input_5_8' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Veuillez choisir<\/option><option value='United States' >\u00c9tats-Unis<\/option><option value='Canada' >Canada<\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albania' >Albanie<\/option><option value='Algeria' >Alg\u00e9rie<\/option><option value='American Samoa' >Samoa am\u00e9ricaines<\/option><option value='Andorra' >Andorre<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctica' >Antarctique<\/option><option value='Antigua and Barbuda' >Antigua-et-Barbuda<\/option><option value='Argentina' >Argentine<\/option><option value='Armenia' >Arm\u00e9nie<\/option><option value='Aruba' >Aruba<\/option><option value='Australia' >Australie<\/option><option value='Austria' >Autriche<\/option><option value='Azerbaijan' >Azerba\u00efdjan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahre\u00efn<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >La Barbade<\/option><option value='Belarus' >Belarus<\/option><option value='Belgium' >Belgique<\/option><option value='Belize' >Belize<\/option><option value='Benin' >B\u00e9nin<\/option><option value='Bermuda' >Bermudes<\/option><option value='Bhutan' >Bhoutan<\/option><option value='Bolivia' >Bolivie<\/option><option value='Bonaire, Sint Eustatius and Saba' >Bonaire, Saint-Eustache et Saba<\/option><option value='Bosnia and Herzegovina' >Bosnie-Herz\u00e9govine<\/option><option value='Botswana' >Botswana<\/option><option value='Bouvet Island' >\u00cele Bouvet<\/option><option value='Brazil' >Br\u00e9sil<\/option><option value='British Indian Ocean Territory' >Territoire britannique de l&#039;oc\u00e9an Indien<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Bulgaria' >Bulgarie<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cabo Verde' >Cap-Vert<\/option><option value='Cambodia' >Cambodge<\/option><option value='Cameroon' >Cameroun<\/option><option value='Cayman Islands' >\u00celes Cayman<\/option><option value='Central African Republic' >R\u00e9publique centrafricaine<\/option><option value='Chad' >Tchad<\/option><option value='Chile' >Chili<\/option><option value='China' >Chine<\/option><option value='Christmas Island' >\u00cele de No\u00ebl<\/option><option value='Cocos Islands' >\u00celes Cocos<\/option><option value='Colombia' >Colombie<\/option><option value='Comoros' >Comores<\/option><option value='Congo' >Congo<\/option><option value='Congo, Democratic Republic of the' >R\u00e9publique d\u00e9mocratique du Congo<\/option><option value='Cook Islands' >\u00celes Cook<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatia' >Croatie<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Cyprus' >Chypre<\/option><option value='Czechia' >R\u00e9publique Tch\u00e8que<\/option><option value='C\u00f4te d&#039;Ivoire' >C\u00f4te d\u2019Ivoire<\/option><option value='Denmark' >Danemark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominique<\/option><option value='Dominican Republic' >R\u00e9publique Dominicaine<\/option><option value='Ecuador' >\u00c9quateur<\/option><option value='Egypt' >\u00c9gypte<\/option><option value='El Salvador' >Salvador<\/option><option value='Equatorial Guinea' >Guin\u00e9e \u00e9quatoriale<\/option><option value='Eritrea' >\u00c9rythr\u00e9e<\/option><option value='Estonia' >Estonie<\/option><option value='Eswatini' >Eswatini<\/option><option value='Ethiopia' >\u00c9thiopie<\/option><option value='Falkland Islands' >\u00celes Falkland<\/option><option value='Faroe Islands' >\u00celes F\u00e9ro\u00e9<\/option><option value='Fiji' >Fidji<\/option><option value='Finland' >Finlande<\/option><option value='France' >France<\/option><option value='French Guiana' >Guin\u00e9e Fran\u00e7aise<\/option><option value='French Polynesia' >Polyn\u00e9sie fran\u00e7aise<\/option><option value='French Southern Territories' >Terres australes Fran\u00e7aises<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >Gambie<\/option><option value='Georgia' >G\u00e9orgie<\/option><option value='Germany' >Allemagne<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Greece' >Gr\u00e8ce<\/option><option value='Greenland' >Groenland<\/option><option value='Grenada' >Grenade<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernesey<\/option><option value='Guinea' >Guin\u00e9e<\/option><option value='Guinea-Bissau' >Guin\u00e9e-Bissau<\/option><option value='Guyana' >Guyane<\/option><option value='Haiti' >Ha\u00efti<\/option><option value='Heard Island and McDonald Islands' >\u00celes Heard et McDonald<\/option><option value='Holy See' >Saint-Si\u00e8ge<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hungary' >Hongrie<\/option><option value='Iceland' >Islande<\/option><option value='India' >Inde<\/option><option value='Indonesia' >Indon\u00e9sie<\/option><option value='Iran' >Iran<\/option><option value='Iraq' >Irak<\/option><option value='Ireland' >Irlande<\/option><option value='Isle of Man' >\u00cele de Man<\/option><option value='Israel' >Isra\u00ebl<\/option><option value='Italy' >Italie<\/option><option value='Jamaica' >Jama\u00efque<\/option><option value='Japan' >Japon<\/option><option value='Jersey' >Jersey<\/option><option value='Jordan' >Jordanie<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Korea, Democratic People&#039;s Republic of' >Cor\u00e9e (R\u00e9publique populaire d\u00e9mocratique de)<\/option><option value='Korea, Republic of' >Cor\u00e9e (R\u00e9publique de)<\/option><option value='Kuwait' >Kowe\u00eft<\/option><option value='Kyrgyzstan' >Kirghizistan<\/option><option value='Lao People&#039;s Democratic Republic' >R\u00e9publique d\u00e9mocratique populaire Lao<\/option><option value='Latvia' >Lettonie<\/option><option value='Lebanon' >Liban<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libya' >Libye<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lithuania' >Lituanie<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macao' >Macao<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaysia' >Malaisie<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malte<\/option><option value='Marshall Islands' >\u00celes Marshall<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritania' >Mauritanie<\/option><option value='Mauritius' >\u00cele Maurice<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexico' >Mexique<\/option><option value='Micronesia' >Micron\u00e9sie<\/option><option value='Moldova' >Moldavie<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolia' >Mongolie<\/option><option value='Montenegro' >Mont\u00e9n\u00e9gro<\/option><option value='Montserrat' >Montserrat<\/option><option value='Morocco' >Maroc<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibia' >Namibie<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >N\u00e9pal<\/option><option value='Netherlands' >Pays-Bas<\/option><option value='New Caledonia' >Nouvelle Cal\u00e9donie<\/option><option value='New Zealand' >Nouvelle-Z\u00e9lande<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nig\u00e9ria<\/option><option value='Niue' >Niue<\/option><option value='Norfolk Island' >\u00cele de Norfolk<\/option><option value='North Macedonia' >Mac\u00e9doine du Nord<\/option><option value='Northern Mariana Islands' >\u00celes Mariannes du Nord<\/option><option value='Norway' >Norv\u00e8ge<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Palestine, State of' >\u00c9tat palestinien<\/option><option value='Panama' >Panama<\/option><option value='Papua New Guinea' >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >P\u00e9rou<\/option><option value='Philippines' >Philippines<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Poland' >Pologne<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Porto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Romania' >Roumanie<\/option><option value='Russian Federation' >F\u00e9d\u00e9ration Russe<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9union' >La R\u00e9union<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Helena, Ascension and Tristan da Cunha' >Sainte-H\u00e9l\u00e8ne, Ascension et Tristan da Cunha<\/option><option value='Saint Kitts and Nevis' >Saint-Christophe-et-Nevis<\/option><option value='Saint Lucia' >Sainte-Lucie<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint Pierre and Miquelon' >Saint-Pierre-et-Miquelon<\/option><option value='Saint Vincent and the Grenadines' >Saint-Vincent-et-les Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='San Marino' >Saint-Marin<\/option><option value='Sao Tome and Principe' >Sao Tom\u00e9 et Principe<\/option><option value='Saudi Arabia' >Arabie Saoudite<\/option><option value='Senegal' >S\u00e9n\u00e9gal<\/option><option value='Serbia' >Serbie<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapore' >Singapour<\/option><option value='Sint Maarten' >Saint-Martin<\/option><option value='Slovakia' >Slovaquie<\/option><option value='Slovenia' >Slov\u00e9nie<\/option><option value='Solomon Islands' >\u00celes Salomon<\/option><option value='Somalia' >Somalie<\/option><option value='South Africa' >Afrique du Sud<\/option><option value='South Georgia and the South Sandwich Islands' >G\u00e9orgie du Sud et \u00celes Sandwich du Sud<\/option><option value='South Sudan' >Soudan du Sud<\/option><option value='Spain' >Espagne<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Sudan' >Soudan<\/option><option value='Suriname' >Suriname<\/option><option value='Svalbard and Jan Mayen' >\u00celes de Svalbard et Jan Mayen<\/option><option value='Sweden' >Su\u00e8de<\/option><option value='Switzerland' >Suisse<\/option><option value='Syria Arab Republic' >R\u00e9publique arabe syrienne<\/option><option value='Taiwan' >Ta\u00efwan<\/option><option value='Tajikistan' >Tadjikistan<\/option><option value='Tanzania, the United Republic of' >Tanzanie (R\u00e9publique-Unie de)<\/option><option value='Thailand' >Tha\u00eflande<\/option><option value='Timor-Leste' >Timor-Leste<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad and Tobago' >Trinit\u00e9 et Tobago<\/option><option value='Tunisia' >Tunisie<\/option><option value='Turkmenistan' >Turkm\u00e9nistan<\/option><option value='Turks and Caicos Islands' >\u00celes Turques-et-Ca\u00efques<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='T\u00fcrkiye' >Turquie<\/option><option value='US Minor Outlying Islands' >\u00celes mineures \u00e9loign\u00e9es des \u00c9tats-Unis<\/option><option value='Uganda' >Ouganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='United Arab Emirates' >\u00c9mirats arabes unis<\/option><option value='United Kingdom' >Royaume-Uni<\/option><option value='Uruguay' >Uruguay<\/option><option value='Uzbekistan' >Ouzb\u00e9kistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Viet Nam' >Vietnam<\/option><option value='Virgin Islands, British' >\u00celes Vierges britanniques<\/option><option value='Virgin Islands, U.S.' >\u00celes Vierges am\u00e9ricaines<\/option><option value='Wallis and Futuna' >Wallis et Futuna<\/option><option value='Western Sahara' >Sahara occidental<\/option><option value='Yemen' >Y\u00e9men<\/option><option value='Zambia' >Zambie<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='\u00c5land Islands' >Iles Aland<\/option><\/select><\/div><\/div><fieldset id=\"field_5_9\" class=\"gfield gfield--type-address gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Code postal<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_zip ginput_container_address gform-grid-row' id='input_5_9' >\n                        <input type='hidden' class='gform_hidden' name='input_9.4' id='input_5_9_4' value=''\/><span class='ginput_right address_zip ginput_address_zip gform-grid-col' id='input_5_9_5_container' >\n                                    <label for='input_5_9_5' id='input_5_9_5_label' class='gform-field-label gform-field-label--type-sub '>Code ZIP<\/label>\n                                    <input type='text' name='input_9.5' id='input_5_9_5' value=''    aria-required='true'    \/>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_9.6' id='input_5_9_6' value='US' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_5_12\" class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_12'><span class='gform-field-label__text'>Institution<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_12' id='input_5_12' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_13\" class=\"gfield gfield--type-select gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_13'><span class='gform-field-label__text'>Titre<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_13' id='input_5_13' class='large gfield_select'     aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Veuillez choisir<\/option><option value='Administrator' >Administrateur<\/option><option value='Architect \/ Planner' >Architecte \/ Urbaniste<\/option><option value='Assistant \/ Coordinator' >Assistant\/Coordonnateur<\/option><option value='Clinician' >Clinicienne<\/option><option value='C-Suite \/ Board of Directors \/ VP' >Direction g\u00e9n\u00e9rale \/ Conseil d&#039;administration \/ Vice-pr\u00e9sident<\/option><option value='Dealer' >Revendeur<\/option><option value='Director' >Directeur<\/option><option value='Engineer' >Ing\u00e9nieur<\/option><option value='Ergonomist' >Ergonome<\/option><option value='Manager' >Gestionnaire<\/option><option value='Nurse' >Infirmi\u00e8re<\/option><option value='Nurse \u2013 Head of Department' >Infirmi\u00e8re \u2013 Chef de service<\/option><option value='Nurse \u2013 WOCN \/ TVN \/ ET' >Infirmi\u00e8re \u2013 WOCN \/ TVN \/ ET<\/option><option value='Nursing Director \/ Chief Nurse' >Directrice des soins infirmiers \/ Infirmi\u00e8re en chef<\/option><option value='Owner' >Propri\u00e9taire<\/option><option value='Procurement' >Approvisionnement<\/option><option value='Specialist' >Sp\u00e9cialiste<\/option><option value='Therapist' >Th\u00e9rapeute<\/option><option value='Trainer' >Entra\u00eeneur<\/option><option value='Other' >Autre<\/option><\/select><\/div><\/div><fieldset id=\"field_5_25\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full field_sublabel_above gfield--no-description field_description_above hidden_label field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>.<\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_5_25'><div class='gchoice gchoice_5_25_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_25.1' type='checkbox'  value='I accept to receive Savaria communications.'  id='choice_5_25_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_25_1' id='label_5_25_1' class='gform-field-label gform-field-label--type-inline'>J\u2019accepte de recevoir diff\u00e9rentes communications de Savaria<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_27\" class=\"gfield gfield--type-hidden gfield--width-full gform_hidden field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_27' id='input_5_27' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/div><div id=\"field_5_28\" class=\"gfield gfield--type-hidden gfield--width-full gform_hidden field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_28' id='input_5_28' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/div><div id=\"field_5_29\" class=\"gfield gfield--type-hidden gfield--width-full gform_hidden field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><div 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\/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_5' id='gform_target_page_number_5' value='0' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_5' id='gform_source_page_number_5' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n                        <p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"ak_\"><label>&#916;<textarea name=\"ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_2\" name=\"ak_js\" value=\"218\"\/><script>\ndocument.getElementById( \"ak_js_2\" ).setAttribute( \"value\", ( new Date() ).getTime() );\n<\/script>\n<\/p><\/form>\n                        <\/div>\n<h2>\n\t\t\tGet A Quote &#8211; Preventative Maitenance\t<\/h2>\n\t\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_8' style='display:none'>\n                        <div class='gform_heading'>\n                            <p class='gform_description'><\/p>\n\t\t\t\t\t\t\t<p class='gform_required_legend'>\u00ab\u00a0<span class=\"gfield_required gfield_required_asterisk\">*<\/span>\u00a0\u00bb indique les champs n\u00e9cessaires<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_8'  action='\/fr\/wp-json\/wp\/v2\/pages\/97928' data-formid='8' novalidate><div class='gf_invisible ginput_recaptchav3' data-sitekey='6LdDnGAsAAAAAIuo8eC7PHb8fnYz2uapD7Fm9RJZ' data-tabindex='0'><input id=\"input_3f1b158930940546112d3662d483e257\" class=\"gfield_recaptcha_response\" type=\"hidden\" name=\"input_3f1b158930940546112d3662d483e257\" value=\"\"\/><\/div>\n                        <div class='gform-body gform_body'><div id='gform_fields_8' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_8_13\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_13'><span class='gform-field-label__text'>Qu&#039;est-ce que tu cherches?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_13' id='input_8_13' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Veuillez choisir<\/option><option value='New maintenance plan' >Nouveau plan d&#039;entretien<\/option><option value='Review of current program' >Examen du programme actuel<\/option><option value='Compliance \/ inspection support' >Soutien \u00e0 la conformit\u00e9 et aux inspections<\/option><option value='Equipment assessment' >\u00c9valuation de l&#039;\u00e9quipement<\/option><\/select><\/div><\/div><div id=\"field_8_4\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_4'><span class='gform-field-label__text'>Pr\u00e9nom<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_4' id='input_8_4' type='text' value='' class='large'    placeholder='Pr\u00e9nom' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_8_5\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_5'><span class='gform-field-label__text'>Nom<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_5' id='input_8_5' type='text' value='' class='large'    placeholder='Nom' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_8_2\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_2'><span class='gform-field-label__text'>Adresse courriel<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_2' id='input_8_2' type='email' value='' class='large'   placeholder='Adresse courriel' aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_8_6\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--phone-format-standard gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_6'><span class='gform-field-label__text'>Num\u00e9ro de t\u00e9l\u00e9phone<\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_6' id='input_8_6' type='tel' value='' class='large'  placeholder='(###) ###-####'  aria-invalid=\"false\"   data-mask=\"(999) 999-9999\" \/><\/div><\/div><div id=\"field_8_29\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_29'><span class='gform-field-label__text'>Pays<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_29' id='input_8_29' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Veuillez choisir<\/option><option value='United States' >\u00c9tats-Unis<\/option><option value='Canada' >Canada<\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albania' >Albanie<\/option><option value='Algeria' >Alg\u00e9rie<\/option><option value='American Samoa' >Samoa am\u00e9ricaines<\/option><option value='Andorra' >Andorre<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctica' >Antarctique<\/option><option value='Antigua and Barbuda' >Antigua-et-Barbuda<\/option><option value='Argentina' >Argentine<\/option><option value='Armenia' >Arm\u00e9nie<\/option><option value='Aruba' >Aruba<\/option><option value='Australia' >Australie<\/option><option value='Austria' >Autriche<\/option><option value='Azerbaijan' >Azerba\u00efdjan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahre\u00efn<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >La Barbade<\/option><option value='Belarus' >Belarus<\/option><option value='Belgium' >Belgique<\/option><option value='Belize' >Belize<\/option><option value='Benin' >B\u00e9nin<\/option><option value='Bermuda' >Bermudes<\/option><option value='Bhutan' >Bhoutan<\/option><option value='Bolivia' >Bolivie<\/option><option value='Bonaire, Sint Eustatius and Saba' >Bonaire, Saint-Eustache et Saba<\/option><option value='Bosnia and Herzegovina' >Bosnie-Herz\u00e9govine<\/option><option value='Botswana' >Botswana<\/option><option value='Bouvet Island' >\u00cele Bouvet<\/option><option value='Brazil' >Br\u00e9sil<\/option><option value='British Indian Ocean Territory' >Territoire britannique de l&#039;oc\u00e9an Indien<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Bulgaria' >Bulgarie<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cabo Verde' >Cap-Vert<\/option><option value='Cambodia' >Cambodge<\/option><option value='Cameroon' >Cameroun<\/option><option value='Cayman Islands' >\u00celes Cayman<\/option><option value='Central African Republic' >R\u00e9publique centrafricaine<\/option><option value='Chad' >Tchad<\/option><option value='Chile' >Chili<\/option><option value='China' >Chine<\/option><option value='Christmas Island' >\u00cele de No\u00ebl<\/option><option value='Cocos Islands' >\u00celes Cocos<\/option><option value='Colombia' >Colombie<\/option><option value='Comoros' >Comores<\/option><option value='Congo' >Congo<\/option><option value='Congo, Democratic Republic of the' >R\u00e9publique d\u00e9mocratique du Congo<\/option><option value='Cook Islands' >\u00celes Cook<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatia' >Croatie<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Cyprus' >Chypre<\/option><option value='Czechia' >R\u00e9publique Tch\u00e8que<\/option><option value='C\u00f4te d&#039;Ivoire' >C\u00f4te d\u2019Ivoire<\/option><option value='Denmark' >Danemark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominique<\/option><option value='Dominican Republic' >R\u00e9publique Dominicaine<\/option><option value='Ecuador' >\u00c9quateur<\/option><option value='Egypt' >\u00c9gypte<\/option><option value='El Salvador' >Salvador<\/option><option value='Equatorial Guinea' >Guin\u00e9e \u00e9quatoriale<\/option><option value='Eritrea' >\u00c9rythr\u00e9e<\/option><option value='Estonia' >Estonie<\/option><option value='Eswatini' >Eswatini<\/option><option value='Ethiopia' >\u00c9thiopie<\/option><option value='Falkland Islands' >\u00celes Falkland<\/option><option value='Faroe Islands' >\u00celes F\u00e9ro\u00e9<\/option><option value='Fiji' >Fidji<\/option><option value='Finland' >Finlande<\/option><option value='France' >France<\/option><option value='French Guiana' >Guin\u00e9e Fran\u00e7aise<\/option><option value='French Polynesia' >Polyn\u00e9sie fran\u00e7aise<\/option><option value='French Southern Territories' >Terres australes Fran\u00e7aises<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >Gambie<\/option><option value='Georgia' >G\u00e9orgie<\/option><option value='Germany' >Allemagne<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Greece' >Gr\u00e8ce<\/option><option value='Greenland' >Groenland<\/option><option value='Grenada' >Grenade<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernesey<\/option><option value='Guinea' >Guin\u00e9e<\/option><option value='Guinea-Bissau' >Guin\u00e9e-Bissau<\/option><option value='Guyana' >Guyane<\/option><option value='Haiti' >Ha\u00efti<\/option><option value='Heard Island and McDonald Islands' >\u00celes Heard et McDonald<\/option><option value='Holy See' >Saint-Si\u00e8ge<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hungary' >Hongrie<\/option><option value='Iceland' >Islande<\/option><option value='India' >Inde<\/option><option value='Indonesia' >Indon\u00e9sie<\/option><option value='Iran' >Iran<\/option><option value='Iraq' >Irak<\/option><option value='Ireland' >Irlande<\/option><option value='Isle of Man' >\u00cele de Man<\/option><option value='Israel' >Isra\u00ebl<\/option><option value='Italy' >Italie<\/option><option value='Jamaica' >Jama\u00efque<\/option><option value='Japan' >Japon<\/option><option value='Jersey' >Jersey<\/option><option value='Jordan' >Jordanie<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Korea, Democratic People&#039;s Republic of' >Cor\u00e9e (R\u00e9publique populaire d\u00e9mocratique de)<\/option><option value='Korea, Republic of' >Cor\u00e9e (R\u00e9publique de)<\/option><option value='Kuwait' >Kowe\u00eft<\/option><option value='Kyrgyzstan' >Kirghizistan<\/option><option value='Lao People&#039;s Democratic Republic' >R\u00e9publique d\u00e9mocratique populaire Lao<\/option><option value='Latvia' >Lettonie<\/option><option value='Lebanon' >Liban<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libya' >Libye<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lithuania' >Lituanie<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macao' >Macao<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaysia' >Malaisie<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malte<\/option><option value='Marshall Islands' >\u00celes Marshall<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritania' >Mauritanie<\/option><option value='Mauritius' >\u00cele Maurice<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexico' >Mexique<\/option><option value='Micronesia' >Micron\u00e9sie<\/option><option value='Moldova' >Moldavie<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolia' >Mongolie<\/option><option value='Montenegro' >Mont\u00e9n\u00e9gro<\/option><option value='Montserrat' >Montserrat<\/option><option value='Morocco' >Maroc<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibia' >Namibie<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >N\u00e9pal<\/option><option value='Netherlands' >Pays-Bas<\/option><option value='New Caledonia' >Nouvelle Cal\u00e9donie<\/option><option value='New Zealand' >Nouvelle-Z\u00e9lande<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nig\u00e9ria<\/option><option value='Niue' >Niue<\/option><option value='Norfolk Island' >\u00cele de Norfolk<\/option><option value='North Macedonia' >Mac\u00e9doine du Nord<\/option><option value='Northern Mariana Islands' >\u00celes Mariannes du Nord<\/option><option value='Norway' >Norv\u00e8ge<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Palestine, State of' >\u00c9tat palestinien<\/option><option value='Panama' >Panama<\/option><option value='Papua New Guinea' >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >P\u00e9rou<\/option><option value='Philippines' >Philippines<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Poland' >Pologne<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Porto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Romania' >Roumanie<\/option><option value='Russian Federation' >F\u00e9d\u00e9ration Russe<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9union' >La R\u00e9union<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Helena, Ascension and Tristan da Cunha' >Sainte-H\u00e9l\u00e8ne, Ascension et Tristan da Cunha<\/option><option value='Saint Kitts and Nevis' >Saint-Christophe-et-Nevis<\/option><option value='Saint Lucia' >Sainte-Lucie<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint Pierre and Miquelon' >Saint-Pierre-et-Miquelon<\/option><option value='Saint Vincent and the Grenadines' >Saint-Vincent-et-les Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='San Marino' >Saint-Marin<\/option><option value='Sao Tome and Principe' >Sao Tom\u00e9 et Principe<\/option><option value='Saudi Arabia' >Arabie Saoudite<\/option><option value='Senegal' >S\u00e9n\u00e9gal<\/option><option value='Serbia' >Serbie<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapore' >Singapour<\/option><option value='Sint Maarten' >Saint-Martin<\/option><option value='Slovakia' >Slovaquie<\/option><option value='Slovenia' >Slov\u00e9nie<\/option><option value='Solomon Islands' >\u00celes Salomon<\/option><option value='Somalia' >Somalie<\/option><option value='South Africa' >Afrique du Sud<\/option><option value='South Georgia and the South Sandwich Islands' >G\u00e9orgie du Sud et \u00celes Sandwich du Sud<\/option><option value='South Sudan' >Soudan du Sud<\/option><option value='Spain' >Espagne<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Sudan' >Soudan<\/option><option value='Suriname' >Suriname<\/option><option value='Svalbard and Jan Mayen' >\u00celes de Svalbard et Jan Mayen<\/option><option value='Sweden' >Su\u00e8de<\/option><option value='Switzerland' >Suisse<\/option><option value='Syria Arab Republic' >R\u00e9publique arabe syrienne<\/option><option value='Taiwan' >Ta\u00efwan<\/option><option value='Tajikistan' >Tadjikistan<\/option><option value='Tanzania, the United Republic of' >Tanzanie (R\u00e9publique-Unie de)<\/option><option value='Thailand' >Tha\u00eflande<\/option><option value='Timor-Leste' >Timor-Leste<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad and Tobago' >Trinit\u00e9 et Tobago<\/option><option value='Tunisia' >Tunisie<\/option><option value='Turkmenistan' >Turkm\u00e9nistan<\/option><option value='Turks and Caicos Islands' >\u00celes Turques-et-Ca\u00efques<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='T\u00fcrkiye' >Turquie<\/option><option value='US Minor Outlying Islands' >\u00celes mineures \u00e9loign\u00e9es des \u00c9tats-Unis<\/option><option value='Uganda' >Ouganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='United Arab Emirates' >\u00c9mirats arabes unis<\/option><option value='United Kingdom' >Royaume-Uni<\/option><option value='Uruguay' >Uruguay<\/option><option value='Uzbekistan' >Ouzb\u00e9kistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Viet Nam' >Vietnam<\/option><option value='Virgin Islands, British' >\u00celes Vierges britanniques<\/option><option value='Virgin Islands, U.S.' >\u00celes Vierges am\u00e9ricaines<\/option><option value='Wallis and Futuna' >Wallis et Futuna<\/option><option value='Western Sahara' >Sahara occidental<\/option><option value='Yemen' >Y\u00e9men<\/option><option value='Zambia' >Zambie<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='\u00c5land Islands' >Iles Aland<\/option><\/select><\/div><\/div><fieldset id=\"field_8_30\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Code postal<\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_zip ginput_container_address gform-grid-row' id='input_8_30' >\n                        <input type='hidden' class='gform_hidden' name='input_30.4' id='input_8_30_4' value=''\/><span class='ginput_right address_zip ginput_address_zip gform-grid-col' id='input_8_30_5_container' >\n                                    <label for='input_8_30_5' id='input_8_30_5_label' class='gform-field-label gform-field-label--type-sub '>Code postal<\/label>\n                                    <input type='text' name='input_30.5' id='input_8_30_5' value=''    aria-required='false'    \/>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_30.6' id='input_8_30_6' value='' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_8_31\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_31'><span class='gform-field-label__text'>Type d\u2019\u00e9tablissement<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_31' id='input_8_31' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Veuillez choisir<\/option><option value='Long-term Care' >Soins de longue dur\u00e9e<\/option><option value='Acute Care' >Soins de courte dur\u00e9e<\/option><option value='Home Care' >Soins \u00e0 domicile<\/option><\/select><\/div><\/div><div id=\"field_8_32\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_32'><span class='gform-field-label__text'>Institution<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_32' id='input_8_32' type='text' value='' class='large'    placeholder='Institution' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_8_26\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_26'><span class='gform-field-label__text'>Titre d&#039;emploi<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_26' id='input_8_26' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Veuillez choisir<\/option><option value='Administrator' >Administrateur<\/option><option value='Architect \/ Planner' >Architecte \/ Urbaniste<\/option><option value='Assistant \/ Coordinator' >Assistant\/Coordonnateur<\/option><option value='Clinician' >Clinicienne<\/option><option value='C-Suite \/ Board of Directors \/ VP' >Direction g\u00e9n\u00e9rale \/ Conseil d&#039;administration \/ Vice-pr\u00e9sident<\/option><option value='Dealer' >Revendeur<\/option><option value='Director' >Directeur<\/option><option value='Engineer' >Ing\u00e9nieur<\/option><option value='Ergonomist' >Ergonome<\/option><option value='Manager' >Gestionnaire<\/option><option value='Nurse' >Infirmi\u00e8re<\/option><option value='Nurse \u2013 Head of Department' >Infirmi\u00e8re \u2013 Chef de service<\/option><option value='Nurse \u2013 WOCN \/ TVN \/ ET' >Infirmi\u00e8re \u2013 WOCN \/ TVN \/ ET<\/option><option value='Nursing Director \/ Chief Nurse' >Directrice des soins infirmiers \/ Infirmi\u00e8re en chef<\/option><option value='Owner' >Propri\u00e9taire<\/option><option value='Procurement' >Approvisionnement<\/option><option value='Specialist' >Sp\u00e9cialiste<\/option><option value='Therapist' >Th\u00e9rapeute<\/option><option value='Trainer' >Entra\u00eeneur<\/option><option value='Other' >Autre<\/option><\/select><\/div><\/div><fieldset id=\"field_8_25\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_above gfield--no-description field_description_above hidden_label field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>.<\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_8_25'><div class='gchoice gchoice_8_25_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_25.1' type='checkbox'  value='I accept to receive Savaria communications.'  id='choice_8_25_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_8_25_1' id='label_8_25_1' class='gform-field-label gform-field-label--type-inline'>J'accepte de recevoir des communications de Savaria.<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_8_37\" class=\"gfield gfield--type-hidden gfield--input-type-hidden gfield--width-full gform_hidden field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_37' id='input_8_37' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/div><div id=\"field_8_36\" class=\"gfield gfield--type-hidden gfield--input-type-hidden gfield--width-full gform_hidden field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_36' id='input_8_36' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/div><div id=\"field_8_35\" class=\"gfield gfield--type-hidden gfield--input-type-hidden gfield--width-full gform_hidden field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_35' id='input_8_35' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/div><div id=\"field_8_34\" class=\"gfield gfield--type-hidden gfield--input-type-hidden gfield--width-full gform_hidden field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_34' id='input_8_34' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/div><div id=\"field_8_33\" class=\"gfield gfield--type-hidden gfield--input-type-hidden gfield--width-full gform_hidden field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_33' id='input_8_33' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/div><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <button type='submit' id='gform_submit_button_8' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' >Envoyer<\/button> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_8' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_8' id='gform_theme_8' value='gravity-theme' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_8' id='gform_style_settings_8' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_8' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='8' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='USD' value='4HCULwzihX1Av\/nhZWbmtHxvA6VN+43GdEznovVK5A1GSYMolsheAzi7Z7Q9Hy4wtbQs6UXz2oPgwSOT5bXxX95xe\/22G3zpEoA0O2zsATmaG6s=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' 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\/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_8' id='gform_target_page_number_8' value='0' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_8' id='gform_source_page_number_8' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n                        <p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"ak_\"><label>&#916;<textarea name=\"ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_3\" name=\"ak_js\" value=\"67\"\/><script>\ndocument.getElementById( \"ak_js_3\" ).setAttribute( \"value\", ( new Date() ).getTime() );\n<\/script>\n<\/p><\/form>\n                        <\/div>\n<h2>\n\t\t\tGet a Quote &#8211; Product Page\t<\/h2>\n\t\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_10' style='display:none'>\n                        <div class='gform_heading'>\n                            <p class='gform_description'><\/p>\n\t\t\t\t\t\t\t<p class='gform_required_legend'>\u00ab\u00a0<span class=\"gfield_required gfield_required_asterisk\">*<\/span>\u00a0\u00bb indique les champs n\u00e9cessaires<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_10'  action='\/fr\/wp-json\/wp\/v2\/pages\/97928' data-formid='10' novalidate><div class='gf_invisible ginput_recaptchav3' data-sitekey='6LdDnGAsAAAAAIuo8eC7PHb8fnYz2uapD7Fm9RJZ' data-tabindex='0'><input id=\"input_42285b71e9989e0d1c1db7eeb502e71f\" class=\"gfield_recaptcha_response\" type=\"hidden\" name=\"input_42285b71e9989e0d1c1db7eeb502e71f\" value=\"\"\/><\/div>\n                        <div class='gform-body gform_body'><div id='gform_fields_10' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_10_17\" class=\"gfield gfield--type-hidden gfield--input-type-hidden gfield--width-full gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_17' id='input_10_17' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/div><div id=\"field_10_18\" class=\"gfield gfield--type-hidden gfield--input-type-hidden gfield--width-full gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_18' id='input_10_18' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='https:\/\/savariapatientcare.com\/fr\/wp-json\/wp\/v2\/pages\/97928' \/><\/div><\/div><div id=\"field_10_3\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_3'><span class='gform-field-label__text'>Pr\u00e9nom<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_3' id='input_10_3' type='text' value='' class='large'    placeholder='Pr\u00e9nom' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_10_4\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_4'><span class='gform-field-label__text'>Nom<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_4' id='input_10_4' type='text' value='' class='large'    placeholder='Nom' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_10_5\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_5'><span class='gform-field-label__text'>Adresse courriel<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_5' id='input_10_5' type='email' value='' class='large'   placeholder='Adresse courriel' aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_10_6\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--phone-format-international gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_6'><span class='gform-field-label__text'>T\u00e9l\u00e9phone<\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_6' id='input_10_6' type='tel' value='' class='large'  placeholder='(###) ###-####'  aria-invalid=\"false\"    \/><\/div><\/div><div id=\"field_10_7\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_7'><span class='gform-field-label__text'>Pays<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_7' id='input_10_7' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Veuillez choisir<\/option><option value='United States' >\u00c9tats-Unis<\/option><option value='Canada' >Canada<\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albania' >Albanie<\/option><option value='Algeria' >Alg\u00e9rie<\/option><option value='American Samoa' >Samoa am\u00e9ricaines<\/option><option value='Andorra' >Andorre<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctica' >Antarctique<\/option><option value='Antigua and Barbuda' >Antigua-et-Barbuda<\/option><option value='Argentina' >Argentine<\/option><option value='Armenia' >Arm\u00e9nie<\/option><option value='Aruba' >Aruba<\/option><option value='Australia' >Australie<\/option><option value='Austria' >Autriche<\/option><option value='Azerbaijan' >Azerba\u00efdjan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahre\u00efn<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >La Barbade<\/option><option value='Belarus' >Belarus<\/option><option value='Belgium' >Belgique<\/option><option value='Belize' >Belize<\/option><option value='Benin' >B\u00e9nin<\/option><option value='Bermuda' >Bermudes<\/option><option value='Bhutan' >Bhoutan<\/option><option value='Bolivia' >Bolivie<\/option><option value='Bonaire, Sint Eustatius and Saba' >Bonaire, Saint-Eustache et Saba<\/option><option value='Bosnia and Herzegovina' >Bosnie-Herz\u00e9govine<\/option><option value='Botswana' >Botswana<\/option><option value='Bouvet Island' >\u00cele Bouvet<\/option><option value='Brazil' >Br\u00e9sil<\/option><option value='British Indian Ocean Territory' >Territoire britannique de l&#039;oc\u00e9an Indien<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Bulgaria' >Bulgarie<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cabo Verde' >Cap-Vert<\/option><option value='Cambodia' >Cambodge<\/option><option value='Cameroon' >Cameroun<\/option><option value='Cayman Islands' >\u00celes Cayman<\/option><option value='Central African Republic' >R\u00e9publique centrafricaine<\/option><option value='Chad' >Tchad<\/option><option value='Chile' >Chili<\/option><option value='China' >Chine<\/option><option value='Christmas Island' >\u00cele de No\u00ebl<\/option><option value='Cocos Islands' >\u00celes Cocos<\/option><option value='Colombia' >Colombie<\/option><option value='Comoros' >Comores<\/option><option value='Congo' >Congo<\/option><option value='Congo, Democratic Republic of the' >R\u00e9publique d\u00e9mocratique du Congo<\/option><option value='Cook Islands' >\u00celes Cook<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatia' >Croatie<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Cyprus' >Chypre<\/option><option value='Czechia' >R\u00e9publique Tch\u00e8que<\/option><option value='C\u00f4te d&#039;Ivoire' >C\u00f4te d\u2019Ivoire<\/option><option value='Denmark' >Danemark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominique<\/option><option value='Dominican Republic' >R\u00e9publique Dominicaine<\/option><option value='Ecuador' >\u00c9quateur<\/option><option value='Egypt' >\u00c9gypte<\/option><option value='El Salvador' >Salvador<\/option><option value='Equatorial Guinea' >Guin\u00e9e \u00e9quatoriale<\/option><option value='Eritrea' >\u00c9rythr\u00e9e<\/option><option value='Estonia' >Estonie<\/option><option value='Eswatini' >Eswatini<\/option><option value='Ethiopia' >\u00c9thiopie<\/option><option value='Falkland Islands' >\u00celes Falkland<\/option><option value='Faroe Islands' >\u00celes F\u00e9ro\u00e9<\/option><option value='Fiji' >Fidji<\/option><option value='Finland' >Finlande<\/option><option value='France' >France<\/option><option value='French Guiana' >Guin\u00e9e Fran\u00e7aise<\/option><option value='French Polynesia' >Polyn\u00e9sie fran\u00e7aise<\/option><option value='French Southern Territories' >Terres australes Fran\u00e7aises<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >Gambie<\/option><option value='Georgia' >G\u00e9orgie<\/option><option value='Germany' >Allemagne<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Greece' >Gr\u00e8ce<\/option><option value='Greenland' >Groenland<\/option><option value='Grenada' >Grenade<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernesey<\/option><option value='Guinea' >Guin\u00e9e<\/option><option value='Guinea-Bissau' >Guin\u00e9e-Bissau<\/option><option value='Guyana' >Guyane<\/option><option value='Haiti' >Ha\u00efti<\/option><option value='Heard Island and McDonald Islands' >\u00celes Heard et McDonald<\/option><option value='Holy See' >Saint-Si\u00e8ge<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hungary' >Hongrie<\/option><option value='Iceland' >Islande<\/option><option value='India' >Inde<\/option><option value='Indonesia' >Indon\u00e9sie<\/option><option value='Iran' >Iran<\/option><option value='Iraq' >Irak<\/option><option value='Ireland' >Irlande<\/option><option value='Isle of Man' >\u00cele de Man<\/option><option value='Israel' >Isra\u00ebl<\/option><option value='Italy' >Italie<\/option><option value='Jamaica' >Jama\u00efque<\/option><option value='Japan' >Japon<\/option><option value='Jersey' >Jersey<\/option><option value='Jordan' >Jordanie<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Korea, Democratic People&#039;s Republic of' >Cor\u00e9e (R\u00e9publique populaire d\u00e9mocratique de)<\/option><option value='Korea, Republic of' >Cor\u00e9e (R\u00e9publique de)<\/option><option value='Kuwait' >Kowe\u00eft<\/option><option value='Kyrgyzstan' >Kirghizistan<\/option><option value='Lao People&#039;s Democratic Republic' >R\u00e9publique d\u00e9mocratique populaire Lao<\/option><option value='Latvia' >Lettonie<\/option><option value='Lebanon' >Liban<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libya' >Libye<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lithuania' >Lituanie<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macao' >Macao<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaysia' >Malaisie<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malte<\/option><option value='Marshall Islands' >\u00celes Marshall<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritania' >Mauritanie<\/option><option value='Mauritius' >\u00cele Maurice<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexico' >Mexique<\/option><option value='Micronesia' >Micron\u00e9sie<\/option><option value='Moldova' >Moldavie<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolia' >Mongolie<\/option><option value='Montenegro' >Mont\u00e9n\u00e9gro<\/option><option value='Montserrat' >Montserrat<\/option><option value='Morocco' >Maroc<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibia' >Namibie<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >N\u00e9pal<\/option><option value='Netherlands' >Pays-Bas<\/option><option value='New Caledonia' >Nouvelle Cal\u00e9donie<\/option><option value='New Zealand' >Nouvelle-Z\u00e9lande<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nig\u00e9ria<\/option><option value='Niue' >Niue<\/option><option value='Norfolk Island' >\u00cele de Norfolk<\/option><option value='North Macedonia' >Mac\u00e9doine du Nord<\/option><option value='Northern Mariana Islands' >\u00celes Mariannes du Nord<\/option><option value='Norway' >Norv\u00e8ge<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Palestine, State of' >\u00c9tat palestinien<\/option><option value='Panama' >Panama<\/option><option value='Papua New Guinea' >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >P\u00e9rou<\/option><option value='Philippines' >Philippines<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Poland' >Pologne<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Porto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Romania' >Roumanie<\/option><option value='Russian Federation' >F\u00e9d\u00e9ration Russe<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9union' >La R\u00e9union<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Helena, Ascension and Tristan da Cunha' >Sainte-H\u00e9l\u00e8ne, Ascension et Tristan da Cunha<\/option><option value='Saint Kitts and Nevis' >Saint-Christophe-et-Nevis<\/option><option value='Saint Lucia' >Sainte-Lucie<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint Pierre and Miquelon' >Saint-Pierre-et-Miquelon<\/option><option value='Saint Vincent and the Grenadines' >Saint-Vincent-et-les Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='San Marino' >Saint-Marin<\/option><option value='Sao Tome and Principe' >Sao Tom\u00e9 et Principe<\/option><option value='Saudi Arabia' >Arabie Saoudite<\/option><option value='Senegal' >S\u00e9n\u00e9gal<\/option><option value='Serbia' >Serbie<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapore' >Singapour<\/option><option value='Sint Maarten' >Saint-Martin<\/option><option value='Slovakia' >Slovaquie<\/option><option value='Slovenia' >Slov\u00e9nie<\/option><option value='Solomon Islands' >\u00celes Salomon<\/option><option value='Somalia' >Somalie<\/option><option value='South Africa' >Afrique du Sud<\/option><option value='South Georgia and the South Sandwich Islands' >G\u00e9orgie du Sud et \u00celes Sandwich du Sud<\/option><option value='South Sudan' >Soudan du Sud<\/option><option value='Spain' >Espagne<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Sudan' >Soudan<\/option><option value='Suriname' >Suriname<\/option><option value='Svalbard and Jan Mayen' >\u00celes de Svalbard et Jan Mayen<\/option><option value='Sweden' >Su\u00e8de<\/option><option value='Switzerland' >Suisse<\/option><option value='Syria Arab Republic' >R\u00e9publique arabe syrienne<\/option><option value='Taiwan' >Ta\u00efwan<\/option><option value='Tajikistan' >Tadjikistan<\/option><option value='Tanzania, the United Republic of' >Tanzanie (R\u00e9publique-Unie de)<\/option><option value='Thailand' >Tha\u00eflande<\/option><option value='Timor-Leste' >Timor-Leste<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad and Tobago' >Trinit\u00e9 et Tobago<\/option><option value='Tunisia' >Tunisie<\/option><option value='Turkmenistan' >Turkm\u00e9nistan<\/option><option value='Turks and Caicos Islands' >\u00celes Turques-et-Ca\u00efques<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='T\u00fcrkiye' >Turquie<\/option><option value='US Minor Outlying Islands' >\u00celes mineures \u00e9loign\u00e9es des \u00c9tats-Unis<\/option><option value='Uganda' >Ouganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='United Arab Emirates' >\u00c9mirats arabes unis<\/option><option value='United Kingdom' >Royaume-Uni<\/option><option value='Uruguay' >Uruguay<\/option><option value='Uzbekistan' >Ouzb\u00e9kistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Viet Nam' >Vietnam<\/option><option value='Virgin Islands, British' >\u00celes Vierges britanniques<\/option><option value='Virgin Islands, U.S.' >\u00celes Vierges am\u00e9ricaines<\/option><option value='Wallis and Futuna' >Wallis et Futuna<\/option><option value='Western Sahara' >Sahara occidental<\/option><option value='Yemen' >Y\u00e9men<\/option><option value='Zambia' >Zambie<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='\u00c5land Islands' >Iles Aland<\/option><\/select><\/div><\/div><div id=\"field_10_14\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_14'><span class='gform-field-label__text'>Code postal<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_14' id='input_10_14' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_10_8\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_8'><span class='gform-field-label__text'>Type d\u2019\u00e9tablissement<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_8' id='input_10_8' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Veuillez choisir<\/option><option value='Long-term Care' >Soins de longue dur\u00e9e<\/option><option value='Acute Care' >Soins de courte dur\u00e9e<\/option><option value='Home Care' >Soins \u00e0 domicile<\/option><\/select><\/div><\/div><div id=\"field_10_9\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_9'><span class='gform-field-label__text'>Institution<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_9' id='input_10_9' type='text' value='' class='large'    placeholder='Institution' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_10_10\" class=\"gfield gfield--type-select gfield--input-type-select field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_10'><span class='gform-field-label__text'>Titre<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_10' id='input_10_10' class='large gfield_select'     aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Titre<\/option><option value='Administrator' >Administrateur<\/option><option value='Architect \/ Planner' >Architecte \/ Urbaniste<\/option><option value='Assistant \/ Coordinator' >Assistant\/Coordonnateur<\/option><option value='Clinician' >Clinicienne<\/option><option value='C-Suite \/ Board of Directors \/ VP' >Direction g\u00e9n\u00e9rale \/ Conseil d&#039;administration \/ Vice-pr\u00e9sident<\/option><option value='Dealer' >Revendeur<\/option><option value='Director' >Directeur<\/option><option value='Engineer' >Ing\u00e9nieur<\/option><option value='Ergonomist' >Ergonome<\/option><option value='Manager' >Gestionnaire<\/option><option value='Nurse' >Infirmi\u00e8re<\/option><option value='Nurse \u2013 Head of Department' >Infirmi\u00e8re \u2013 Chef de service<\/option><option value='Nurse \u2013 WOCN \/ TVN \/ ET' >Infirmi\u00e8re \u2013 WOCN \/ TVN \/ ET<\/option><option value='Nursing Director \/ Chief Nurse' >Directrice des soins infirmiers \/ Infirmi\u00e8re en chef<\/option><option value='Other' >Autre<\/option><option value='Owner' >Propri\u00e9taire<\/option><option value='Procurement' >Approvisionnement<\/option><option value='Specialist' >Sp\u00e9cialiste<\/option><option value='Therapist' >Th\u00e9rapeute<\/option><option value='Trainer' >Entra\u00eeneur<\/option><\/select><\/div><\/div><div id=\"field_10_12\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_12'><span class='gform-field-label__text'>Commentaires<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_12' id='input_10_12' class='textarea large'    placeholder='Commentaires'  aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_10_13\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Consentement<\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_10_13'><div class='gchoice gchoice_10_13_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_13.1' type='checkbox'  value='I accept to receive different Savaria communications'  id='choice_10_13_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_13_1' id='label_10_13_1' class='gform-field-label gform-field-label--type-inline'>J\u2019accepte de recevoir diff\u00e9rentes communications de Savaria<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_10_19\" class=\"gfield gfield--type-hidden gfield--input-type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_19' id='input_10_19' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/div><div id=\"field_10_20\" class=\"gfield gfield--type-hidden gfield--input-type-hidden gfield--width-full gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_20' id='input_10_20' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/div><div id=\"field_10_21\" class=\"gfield gfield--type-hidden gfield--input-type-hidden gfield--width-full gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_21' id='input_10_21' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/div><div id=\"field_10_22\" class=\"gfield gfield--type-hidden gfield--input-type-hidden gfield--width-full gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_22' id='input_10_22' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/div><div id=\"field_10_23\" class=\"gfield gfield--type-hidden gfield--input-type-hidden gfield--width-full gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_23' id='input_10_23' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/div><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <button type='submit' id='gform_submit_button_10' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' >Envoyer<\/button> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_10' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_10' id='gform_theme_10' value='gravity-theme' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_10' id='gform_style_settings_10' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_10' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='10' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='USD' value='L52CYY0dy5GHAaNEqTm8a2Qc0VYKHqXHJ0C6wjblE\/VQUPEqVedKiRB\/E9u0wMYbtSNNex3+LLgP5tkhDlTCfx88SAquq8KyH4d1CjXHt1S+zYw=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_10' 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\/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_10' id='gform_target_page_number_10' value='0' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_10' id='gform_source_page_number_10' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n                        <p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"ak_\"><label>&#916;<textarea name=\"ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_4\" name=\"ak_js\" value=\"130\"\/><script>\ndocument.getElementById( \"ak_js_4\" ).setAttribute( \"value\", ( new Date() ).getTime() );\n<\/script>\n<\/p><\/form>\n                        <\/div>\n<h2>\n\t\t\tRequest Architect &#038; Design Support\t<\/h2>\n\t\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_7' style='display:none'>\n                        <div class='gform_heading'>\n                            <p class='gform_description'><\/p>\n\t\t\t\t\t\t\t<p class='gform_required_legend'>\u00ab\u00a0<span class=\"gfield_required gfield_required_asterisk\">*<\/span>\u00a0\u00bb indique les champs n\u00e9cessaires<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_7'  action='\/fr\/wp-json\/wp\/v2\/pages\/97928' data-formid='7' novalidate><div class='gf_invisible ginput_recaptchav3' data-sitekey='6LdDnGAsAAAAAIuo8eC7PHb8fnYz2uapD7Fm9RJZ' data-tabindex='0'><input id=\"input_adc36019a3bf6728146a8aec1372ec00\" class=\"gfield_recaptcha_response\" type=\"hidden\" name=\"input_adc36019a3bf6728146a8aec1372ec00\" value=\"\"\/><\/div>\n                        <div class='gform-body gform_body'><div id='gform_fields_7' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_7_13\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_13'><span class='gform-field-label__text'>Avez-vous un contrat d&#039;entretien pr\u00e9ventif\u00a0?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_13' id='input_7_13' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Veuillez choisir<\/option><option value='Yes' >Oui<\/option><option value='No' >Non<\/option><\/select><\/div><\/div><div id=\"field_7_27\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_27'><span class='gform-field-label__text'>Quel est le probl\u00e8me ?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_27' id='input_7_27' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Veuillez choisir<\/option><option value='Equipment not functioning' >L&#039;\u00e9quipement ne fonctionne pas.<\/option><option value='Performance issue' >Probl\u00e8me de performance<\/option><option value='Urgent breakdown' >Panne d&#039;urgence<\/option><option value='Parts request' >Demande de pi\u00e8ces<\/option><option value='Other' >Autre<\/option><\/select><\/div><\/div><div id=\"field_7_28\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_28'><span class='gform-field-label__text'>Urgence<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_28' id='input_7_28' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Veuillez choisir<\/option><option value='Critical (equipment down)' >Critique (\u00e9quipement hors service)<\/option><option value='High (impacting operations)' >\u00c9lev\u00e9 (impact sur les op\u00e9rations)<\/option><option value='Medium' >Moyenne<\/option><option value='Low' >Bas<\/option><\/select><\/div><\/div><div id=\"field_7_4\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_4'><span class='gform-field-label__text'>Pr\u00e9nom<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_4' id='input_7_4' type='text' value='' class='large'    placeholder='Pr\u00e9nom' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_7_5\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_5'><span class='gform-field-label__text'>Nom<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_5' id='input_7_5' type='text' value='' class='large'    placeholder='Nom' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_7_2\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_2'><span class='gform-field-label__text'>Adresse courriel<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_2' id='input_7_2' type='email' value='' class='large'   placeholder='Adresse courriel' aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_7_6\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--phone-format-standard gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_6'><span class='gform-field-label__text'>Num\u00e9ro de t\u00e9l\u00e9phone<\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_6' id='input_7_6' type='tel' value='' class='large'  placeholder='(###) ###-####'  aria-invalid=\"false\"   data-mask=\"(999) 999-9999\" \/><\/div><\/div><div id=\"field_7_29\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_29'><span class='gform-field-label__text'>Pays<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_29' id='input_7_29' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Veuillez choisir<\/option><option value='United States' >\u00c9tats-Unis<\/option><option value='Canada' >Canada<\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albania' >Albanie<\/option><option value='Algeria' >Alg\u00e9rie<\/option><option value='American Samoa' >Samoa am\u00e9ricaines<\/option><option value='Andorra' >Andorre<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctica' >Antarctique<\/option><option value='Antigua and Barbuda' >Antigua-et-Barbuda<\/option><option value='Argentina' >Argentine<\/option><option value='Armenia' >Arm\u00e9nie<\/option><option value='Aruba' >Aruba<\/option><option value='Australia' >Australie<\/option><option value='Austria' >Autriche<\/option><option value='Azerbaijan' >Azerba\u00efdjan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahre\u00efn<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >La Barbade<\/option><option value='Belarus' >Belarus<\/option><option value='Belgium' >Belgique<\/option><option value='Belize' >Belize<\/option><option value='Benin' >B\u00e9nin<\/option><option value='Bermuda' >Bermudes<\/option><option value='Bhutan' >Bhoutan<\/option><option value='Bolivia' >Bolivie<\/option><option value='Bonaire, Sint Eustatius and Saba' >Bonaire, Saint-Eustache et Saba<\/option><option value='Bosnia and Herzegovina' >Bosnie-Herz\u00e9govine<\/option><option value='Botswana' >Botswana<\/option><option value='Bouvet Island' >\u00cele Bouvet<\/option><option value='Brazil' >Br\u00e9sil<\/option><option value='British Indian Ocean Territory' >Territoire britannique de l&#039;oc\u00e9an Indien<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Bulgaria' >Bulgarie<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cabo Verde' >Cap-Vert<\/option><option value='Cambodia' >Cambodge<\/option><option value='Cameroon' >Cameroun<\/option><option value='Cayman Islands' >\u00celes Cayman<\/option><option value='Central African Republic' >R\u00e9publique centrafricaine<\/option><option value='Chad' >Tchad<\/option><option value='Chile' >Chili<\/option><option value='China' >Chine<\/option><option value='Christmas Island' >\u00cele de No\u00ebl<\/option><option value='Cocos Islands' >\u00celes Cocos<\/option><option value='Colombia' >Colombie<\/option><option value='Comoros' >Comores<\/option><option value='Congo' >Congo<\/option><option value='Congo, Democratic Republic of the' >R\u00e9publique d\u00e9mocratique du Congo<\/option><option value='Cook Islands' >\u00celes Cook<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatia' >Croatie<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Cyprus' >Chypre<\/option><option value='Czechia' >R\u00e9publique Tch\u00e8que<\/option><option value='C\u00f4te d&#039;Ivoire' >C\u00f4te d\u2019Ivoire<\/option><option value='Denmark' >Danemark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominique<\/option><option value='Dominican Republic' >R\u00e9publique Dominicaine<\/option><option value='Ecuador' >\u00c9quateur<\/option><option value='Egypt' >\u00c9gypte<\/option><option value='El Salvador' >Salvador<\/option><option value='Equatorial Guinea' >Guin\u00e9e \u00e9quatoriale<\/option><option value='Eritrea' >\u00c9rythr\u00e9e<\/option><option value='Estonia' >Estonie<\/option><option value='Eswatini' >Eswatini<\/option><option value='Ethiopia' >\u00c9thiopie<\/option><option value='Falkland Islands' >\u00celes Falkland<\/option><option value='Faroe Islands' >\u00celes F\u00e9ro\u00e9<\/option><option value='Fiji' >Fidji<\/option><option value='Finland' >Finlande<\/option><option value='France' >France<\/option><option value='French Guiana' >Guin\u00e9e Fran\u00e7aise<\/option><option value='French Polynesia' >Polyn\u00e9sie fran\u00e7aise<\/option><option value='French Southern Territories' >Terres australes Fran\u00e7aises<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >Gambie<\/option><option value='Georgia' >G\u00e9orgie<\/option><option value='Germany' >Allemagne<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Greece' >Gr\u00e8ce<\/option><option value='Greenland' >Groenland<\/option><option value='Grenada' >Grenade<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernesey<\/option><option value='Guinea' >Guin\u00e9e<\/option><option value='Guinea-Bissau' >Guin\u00e9e-Bissau<\/option><option value='Guyana' >Guyane<\/option><option value='Haiti' >Ha\u00efti<\/option><option value='Heard Island and McDonald Islands' >\u00celes Heard et McDonald<\/option><option value='Holy See' >Saint-Si\u00e8ge<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hungary' >Hongrie<\/option><option value='Iceland' >Islande<\/option><option value='India' >Inde<\/option><option value='Indonesia' >Indon\u00e9sie<\/option><option value='Iran' >Iran<\/option><option value='Iraq' >Irak<\/option><option value='Ireland' >Irlande<\/option><option value='Isle of Man' >\u00cele de Man<\/option><option value='Israel' >Isra\u00ebl<\/option><option value='Italy' >Italie<\/option><option value='Jamaica' >Jama\u00efque<\/option><option value='Japan' >Japon<\/option><option value='Jersey' >Jersey<\/option><option value='Jordan' >Jordanie<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Korea, Democratic People&#039;s Republic of' >Cor\u00e9e (R\u00e9publique populaire d\u00e9mocratique de)<\/option><option value='Korea, Republic of' >Cor\u00e9e (R\u00e9publique de)<\/option><option value='Kuwait' >Kowe\u00eft<\/option><option value='Kyrgyzstan' >Kirghizistan<\/option><option value='Lao People&#039;s Democratic Republic' >R\u00e9publique d\u00e9mocratique populaire Lao<\/option><option value='Latvia' >Lettonie<\/option><option value='Lebanon' >Liban<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libya' >Libye<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lithuania' >Lituanie<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macao' >Macao<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaysia' >Malaisie<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malte<\/option><option value='Marshall Islands' >\u00celes Marshall<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritania' >Mauritanie<\/option><option value='Mauritius' >\u00cele Maurice<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexico' >Mexique<\/option><option value='Micronesia' >Micron\u00e9sie<\/option><option value='Moldova' >Moldavie<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolia' >Mongolie<\/option><option value='Montenegro' >Mont\u00e9n\u00e9gro<\/option><option value='Montserrat' >Montserrat<\/option><option value='Morocco' >Maroc<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibia' >Namibie<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >N\u00e9pal<\/option><option value='Netherlands' >Pays-Bas<\/option><option value='New Caledonia' >Nouvelle Cal\u00e9donie<\/option><option value='New Zealand' >Nouvelle-Z\u00e9lande<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nig\u00e9ria<\/option><option value='Niue' >Niue<\/option><option value='Norfolk Island' >\u00cele de Norfolk<\/option><option value='North Macedonia' >Mac\u00e9doine du Nord<\/option><option value='Northern Mariana Islands' >\u00celes Mariannes du Nord<\/option><option value='Norway' >Norv\u00e8ge<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Palestine, State of' >\u00c9tat palestinien<\/option><option value='Panama' >Panama<\/option><option value='Papua New Guinea' >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >P\u00e9rou<\/option><option value='Philippines' >Philippines<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Poland' >Pologne<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Porto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Romania' >Roumanie<\/option><option value='Russian Federation' >F\u00e9d\u00e9ration Russe<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9union' >La R\u00e9union<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Helena, Ascension and Tristan da Cunha' >Sainte-H\u00e9l\u00e8ne, Ascension et Tristan da Cunha<\/option><option value='Saint Kitts and Nevis' >Saint-Christophe-et-Nevis<\/option><option value='Saint Lucia' >Sainte-Lucie<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint Pierre and Miquelon' >Saint-Pierre-et-Miquelon<\/option><option value='Saint Vincent and the Grenadines' >Saint-Vincent-et-les Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='San Marino' >Saint-Marin<\/option><option value='Sao Tome and Principe' >Sao Tom\u00e9 et Principe<\/option><option value='Saudi Arabia' >Arabie Saoudite<\/option><option value='Senegal' >S\u00e9n\u00e9gal<\/option><option value='Serbia' >Serbie<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapore' >Singapour<\/option><option value='Sint Maarten' >Saint-Martin<\/option><option value='Slovakia' >Slovaquie<\/option><option value='Slovenia' >Slov\u00e9nie<\/option><option value='Solomon Islands' >\u00celes Salomon<\/option><option value='Somalia' >Somalie<\/option><option value='South Africa' >Afrique du Sud<\/option><option value='South Georgia and the South Sandwich Islands' >G\u00e9orgie du Sud et \u00celes Sandwich du Sud<\/option><option value='South Sudan' >Soudan du Sud<\/option><option value='Spain' >Espagne<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Sudan' >Soudan<\/option><option value='Suriname' >Suriname<\/option><option value='Svalbard and Jan Mayen' >\u00celes de Svalbard et Jan Mayen<\/option><option value='Sweden' >Su\u00e8de<\/option><option value='Switzerland' >Suisse<\/option><option value='Syria Arab Republic' >R\u00e9publique arabe syrienne<\/option><option value='Taiwan' >Ta\u00efwan<\/option><option value='Tajikistan' >Tadjikistan<\/option><option value='Tanzania, the United Republic of' >Tanzanie (R\u00e9publique-Unie de)<\/option><option value='Thailand' >Tha\u00eflande<\/option><option value='Timor-Leste' >Timor-Leste<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad and Tobago' >Trinit\u00e9 et Tobago<\/option><option value='Tunisia' >Tunisie<\/option><option value='Turkmenistan' >Turkm\u00e9nistan<\/option><option value='Turks and Caicos Islands' >\u00celes Turques-et-Ca\u00efques<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='T\u00fcrkiye' >Turquie<\/option><option value='US Minor Outlying Islands' >\u00celes mineures \u00e9loign\u00e9es des \u00c9tats-Unis<\/option><option value='Uganda' >Ouganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='United Arab Emirates' >\u00c9mirats arabes unis<\/option><option value='United Kingdom' >Royaume-Uni<\/option><option value='Uruguay' >Uruguay<\/option><option value='Uzbekistan' >Ouzb\u00e9kistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Viet Nam' >Vietnam<\/option><option value='Virgin Islands, British' >\u00celes Vierges britanniques<\/option><option value='Virgin Islands, U.S.' >\u00celes Vierges am\u00e9ricaines<\/option><option value='Wallis and Futuna' >Wallis et Futuna<\/option><option value='Western Sahara' >Sahara occidental<\/option><option value='Yemen' >Y\u00e9men<\/option><option value='Zambia' >Zambie<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='\u00c5land Islands' >Iles Aland<\/option><\/select><\/div><\/div><fieldset id=\"field_7_30\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Code postal<\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_zip ginput_container_address gform-grid-row' id='input_7_30' >\n                        <input type='hidden' class='gform_hidden' name='input_30.4' id='input_7_30_4' value=''\/><span class='ginput_right address_zip ginput_address_zip gform-grid-col' id='input_7_30_5_container' >\n                                    <label for='input_7_30_5' id='input_7_30_5_label' class='gform-field-label gform-field-label--type-sub '>Code postal<\/label>\n                                    <input type='text' name='input_30.5' id='input_7_30_5' value=''    aria-required='false'    \/>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_30.6' id='input_7_30_6' value='' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_7_31\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_31'><span class='gform-field-label__text'>Veuillez choisir<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_31' id='input_7_31' class='large gfield_select'     aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Type d\u2019\u00e9tablissement<\/option><option value='Long-term Care' >Soins de longue dur\u00e9e<\/option><option value='Acute Care' >Soins de courte dur\u00e9e<\/option><option value='Home Care' >Soins \u00e0 domicile<\/option><\/select><\/div><\/div><div id=\"field_7_32\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_32'><span class='gform-field-label__text'>Institution<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_32' id='input_7_32' type='text' value='' class='large'    placeholder='Institution' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_7_26\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_26'><span class='gform-field-label__text'>Titre d&#039;emploi<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_26' id='input_7_26' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Veuillez choisir<\/option><option value='Administrator' >Administrateur<\/option><option value='Architect \/ Planner' >Architecte \/ Urbaniste<\/option><option value='Assistant \/ Coordinator' >Assistant\/Coordonnateur<\/option><option value='Clinician' >Clinicienne<\/option><option value='C-Suite \/ Board of Directors \/ VP' >Direction g\u00e9n\u00e9rale \/ Conseil d&#039;administration \/ Vice-pr\u00e9sident<\/option><option value='Dealer' >Revendeur<\/option><option value='Director' >Directeur<\/option><option value='Engineer' >Ing\u00e9nieur<\/option><option value='Ergonomist' >Ergonome<\/option><option value='Manager' >Gestionnaire<\/option><option value='Nurse' >Infirmi\u00e8re<\/option><option value='Nurse \u2013 Head of Department' >Infirmi\u00e8re \u2013 Chef de service<\/option><option value='Nurse \u2013 WOCN \/ TVN \/ ET' >Infirmi\u00e8re \u2013 WOCN \/ TVN \/ ET<\/option><option value='Nursing Director \/ Chief Nurse' >Directrice des soins infirmiers \/ Infirmi\u00e8re en chef<\/option><option value='Owner' >Propri\u00e9taire<\/option><option value='Procurement' >Approvisionnement<\/option><option value='Specialist' >Sp\u00e9cialiste<\/option><option value='Therapist' >Th\u00e9rapeute<\/option><option value='Trainer' >Entra\u00eeneur<\/option><option value='Other' >Autre<\/option><\/select><\/div><\/div><fieldset id=\"field_7_25\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_above gfield--no-description field_description_above hidden_label field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>.<\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_7_25'><div class='gchoice gchoice_7_25_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_25.1' type='checkbox'  value='I accept to receive Savaria communications.'  id='choice_7_25_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_25_1' id='label_7_25_1' class='gform-field-label gform-field-label--type-inline'>J\u2019accepte de recevoir diff\u00e9rentes communications de Savaria<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_7_33\" class=\"gfield gfield--type-hidden gfield--input-type-hidden gfield--width-full gform_hidden field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_33' id='input_7_33' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/div><div id=\"field_7_36\" class=\"gfield gfield--type-hidden gfield--input-type-hidden gfield--width-full gform_hidden field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_36' id='input_7_36' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/div><div id=\"field_7_35\" class=\"gfield gfield--type-hidden gfield--input-type-hidden gfield--width-full gform_hidden field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_35' id='input_7_35' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/div><div id=\"field_7_37\" class=\"gfield gfield--type-hidden gfield--input-type-hidden gfield--width-full gform_hidden field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_37' id='input_7_37' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/div><div id=\"field_7_34\" class=\"gfield gfield--type-hidden gfield--input-type-hidden gfield--width-full gform_hidden field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_34' id='input_7_34' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/div><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <button type='submit' id='gform_submit_button_7' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' >Envoyer<\/button> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_7' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_7' id='gform_theme_7' value='gravity-theme' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_7' id='gform_style_settings_7' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_7' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='7' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='USD' value='NDv9xKl+mTIR3bwCZvO5ei\/uOu4xpbOHbWRvUcQuULXNDNE8wYwnEAMYyLNrCEM+7xjVwfGCEi5C5nGyYKCRyJV9JZcZ\/Lk7QwZQXAaI+IXFz8A=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_7' 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gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_6' style='display:none'>\n                        <div class='gform_heading'>\n                            <p class='gform_description'><\/p>\n\t\t\t\t\t\t\t<p class='gform_required_legend'>\u00ab\u00a0<span class=\"gfield_required gfield_required_asterisk\">*<\/span>\u00a0\u00bb indique les champs n\u00e9cessaires<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_6'  action='\/fr\/wp-json\/wp\/v2\/pages\/97928' data-formid='6' novalidate><div class='gf_invisible ginput_recaptchav3' data-sitekey='6LdDnGAsAAAAAIuo8eC7PHb8fnYz2uapD7Fm9RJZ' data-tabindex='0'><input id=\"input_7a9b203e7e82f9458cd058edafb3b603\" class=\"gfield_recaptcha_response\" type=\"hidden\" name=\"input_7a9b203e7e82f9458cd058edafb3b603\" value=\"\"\/><\/div>\n                        <div class='gform-body gform_body'><div id='gform_fields_6' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_6_4\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_4'><span class='gform-field-label__text'>Pr\u00e9nom<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_4' id='input_6_4' type='text' value='' class='large'    placeholder='Pr\u00e9nom' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_6_5\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_5'><span class='gform-field-label__text'>Nom<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_5' id='input_6_5' type='text' value='' class='large'    placeholder='Nom' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_6_12\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_12'><span class='gform-field-label__text'>Nom de l&#039;\u00e9tablissement<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_12' id='input_6_12' type='text' value='' class='large'    placeholder='Nom de l&#039;\u00e9tablissement' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_6_2\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_2'><span class='gform-field-label__text'>Adresse courriel<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_2' id='input_6_2' type='email' value='' class='large'   placeholder='Adresse courriel' aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_6_6\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--phone-format-standard gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_6'><span class='gform-field-label__text'>Num\u00e9ro de t\u00e9l\u00e9phone<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_6' id='input_6_6' type='tel' value='' class='large'  placeholder='(###) ###-####' aria-required=\"true\" aria-invalid=\"false\"   data-mask=\"(999) 999-9999\" \/><\/div><\/div><div id=\"field_6_13\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_13'><span class='gform-field-label__text'>Votre r\u00f4le<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_13' id='input_6_13' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Veuillez choisir<\/option><option value='Administrator' >Administrateur<\/option><option value='Architect \/ Planner' >Architecte \/ Urbaniste<\/option><option value='Assistant \/ Coordinator' >Assistant\/Coordonnateur<\/option><option value='Clinician' >Clinicienne<\/option><option value='C-Suite \/ Board of Directors \/ VP' >Direction g\u00e9n\u00e9rale \/ Conseil d&#039;administration \/ Vice-pr\u00e9sident<\/option><option value='Dealer' >Revendeur<\/option><option value='Director' >Directeur<\/option><option value='Engineer' >Ing\u00e9nieur<\/option><option value='Ergonomist' >Ergonome<\/option><option value='Manager' >Gestionnaire<\/option><option value='Nurse' >Infirmi\u00e8re<\/option><option value='Nurse \u2013 Head of Department' >Infirmi\u00e8re \u2013 Chef de service<\/option><option value='Nurse \u2013 WOCN \/ TVN \/ ET' >Infirmi\u00e8re \u2013 WOCN \/ TVN \/ ET<\/option><option value='Nursing Director \/ Chief Nurse' >Directrice des soins infirmiers \/ Infirmi\u00e8re en chef<\/option><option value='Owner' >Propri\u00e9taire<\/option><option value='Procurement' >Approvisionnement<\/option><option value='Specialist' >Sp\u00e9cialiste<\/option><option value='Therapist' >Th\u00e9rapeute<\/option><option value='Trainer' >Entra\u00eeneur<\/option><option value='Other' >Autre<\/option><\/select><\/div><\/div><div id=\"field_6_17\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_17'><span class='gform-field-label__text'>Cadre de soins<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_17' id='input_6_17' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Veuillez choisir<\/option><option value='Long-Term Care' >Soins de longue dur\u00e9e<\/option><option value='Acute Care' >Soins de courte dur\u00e9e<\/option><option value='Home Care' >Soins \u00e0 domicile<\/option><\/select><\/div><\/div><div id=\"field_6_31\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_31'><span class='gform-field-label__text'>Pays<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_31' id='input_6_31' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select<\/option><option value='United States' >United States<\/option><option value='Canada' >Canada<\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albania' >Albania<\/option><option value='Algeria' >Algeria<\/option><option value='American Samoa' >American Samoa<\/option><option value='Andorra' >Andorra<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctica' >Antarctica<\/option><option value='Antigua and Barbuda' >Antigua and Barbuda<\/option><option value='Argentina' >Argentina<\/option><option value='Armenia' >Armenia<\/option><option value='Aruba' >Aruba<\/option><option value='Australia' >Australia<\/option><option value='Austria' >Austria<\/option><option value='Azerbaijan' >Azerbaijan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahrain<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbados<\/option><option value='Belarus' >Belarus<\/option><option value='Belgium' >Belgium<\/option><option value='Belize' >Belize<\/option><option value='Benin' >Benin<\/option><option value='Bermuda' >Bermuda<\/option><option value='Bhutan' >Bhutan<\/option><option value='Bolivia' >Bolivia<\/option><option value='Bonaire, Sint Eustatius and Saba' >Bonaire, Sint Eustatius and Saba<\/option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina<\/option><option value='Botswana' >Botswana<\/option><option value='Bouvet Island' >Bouvet Island<\/option><option value='Brazil' >Brazil<\/option><option value='British Indian Ocean Territory' >British Indian Ocean Territory<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Bulgaria' >Bulgaria<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cabo Verde' >Cabo Verde<\/option><option value='Cambodia' >Cambodia<\/option><option value='Cameroon' >Cameroon<\/option><option value='Cayman Islands' >Cayman Islands<\/option><option value='Central African Republic' >Central African Republic<\/option><option value='Chad' >Chad<\/option><option value='Chile' >Chile<\/option><option value='China' >China<\/option><option value='Christmas Island' >Christmas Island<\/option><option value='Cocos Islands' >Cocos Islands<\/option><option value='Colombia' >Colombia<\/option><option value='Comoros' >Comoros<\/option><option value='Congo' >Congo<\/option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the<\/option><option value='Cook Islands' >Cook Islands<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatia' >Croatia<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Cyprus' >Cyprus<\/option><option value='Czechia' >Czechia<\/option><option value='C\u00f4te d&#039;Ivoire' >C\u00f4te d&#039;Ivoire<\/option><option value='Denmark' >Denmark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominica<\/option><option value='Dominican Republic' >Dominican Republic<\/option><option value='Ecuador' >Ecuador<\/option><option value='Egypt' >Egypt<\/option><option value='El Salvador' >El Salvador<\/option><option value='Equatorial Guinea' >Equatorial Guinea<\/option><option value='Eritrea' >Eritrea<\/option><option value='Estonia' >Estonia<\/option><option value='Eswatini' >Eswatini<\/option><option value='Ethiopia' >Ethiopia<\/option><option value='Falkland Islands' >Falkland Islands<\/option><option value='Faroe Islands' >Faroe Islands<\/option><option value='Fiji' >Fiji<\/option><option value='Finland' >Finland<\/option><option value='France' >France<\/option><option value='French Guiana' >French Guiana<\/option><option value='French Polynesia' >French Polynesia<\/option><option value='French Southern Territories' >French Southern Territories<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >Gambia<\/option><option value='Georgia' >Georgia<\/option><option value='Germany' >Germany<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Greece' >Greece<\/option><option value='Greenland' >Greenland<\/option><option value='Grenada' >Grenada<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guinea' >Guinea<\/option><option value='Guinea-Bissau' >Guinea-Bissau<\/option><option value='Guyana' >Guyana<\/option><option value='Haiti' >Haiti<\/option><option value='Heard Island and McDonald Islands' >Heard Island and McDonald Islands<\/option><option value='Holy See' >Holy See<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hungary' >Hungary<\/option><option value='Iceland' >Iceland<\/option><option value='India' >India<\/option><option value='Indonesia' >Indonesia<\/option><option value='Iran' >Iran<\/option><option value='Iraq' >Iraq<\/option><option value='Ireland' >Ireland<\/option><option value='Isle of Man' >Isle of Man<\/option><option value='Israel' >Israel<\/option><option value='Italy' >Italy<\/option><option value='Jamaica' >Jamaica<\/option><option value='Japan' >Japan<\/option><option value='Jersey' >Jersey<\/option><option value='Jordan' >Jordan<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Korea, Democratic People&#039;s Republic of' >Korea, Democratic People&#039;s Republic of<\/option><option value='Korea, Republic of' >Korea, Republic of<\/option><option value='Kuwait' >Kuwait<\/option><option value='Kyrgyzstan' >Kyrgyzstan<\/option><option value='Lao People&#039;s Democratic Republic' >Lao People&#039;s Democratic Republic<\/option><option value='Latvia' >Latvia<\/option><option value='Lebanon' >Lebanon<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libya' >Libya<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lithuania' >Lithuania<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macao' >Macao<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaysia' >Malaysia<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malta<\/option><option value='Marshall Islands' >Marshall Islands<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritania' >Mauritania<\/option><option value='Mauritius' >Mauritius<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexico' >Mexico<\/option><option value='Micronesia' >Micronesia<\/option><option value='Moldova' >Moldova<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolia' >Mongolia<\/option><option value='Montenegro' >Montenegro<\/option><option value='Montserrat' >Montserrat<\/option><option value='Morocco' >Morocco<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibia' >Namibia<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >Nepal<\/option><option value='Netherlands' >Netherlands<\/option><option value='New Caledonia' >New Caledonia<\/option><option value='New Zealand' >New Zealand<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nigeria<\/option><option value='Niue' >Niue<\/option><option value='Norfolk Island' >Norfolk Island<\/option><option value='North Macedonia' >North Macedonia<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Norway' >Norway<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Palestine, State of' >Palestine, State of<\/option><option value='Panama' >Panama<\/option><option value='Papua New Guinea' >Papua New Guinea<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >Peru<\/option><option value='Philippines' >Philippines<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Poland' >Poland<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Romania' >Romania<\/option><option value='Russian Federation' >Russian Federation<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9union' >R\u00e9union<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Helena, Ascension and Tristan da Cunha' >Saint Helena, Ascension and Tristan da Cunha<\/option><option value='Saint Kitts and Nevis' >Saint Kitts and Nevis<\/option><option value='Saint Lucia' >Saint Lucia<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint Pierre and Miquelon' >Saint Pierre and Miquelon<\/option><option value='Saint Vincent and the Grenadines' >Saint Vincent and the Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='San Marino' >San Marino<\/option><option value='Sao Tome and Principe' >Sao Tome and Principe<\/option><option value='Saudi Arabia' >Saudi Arabia<\/option><option value='Senegal' >Senegal<\/option><option value='Serbia' >Serbia<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapore' >Singapore<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovakia' >Slovakia<\/option><option value='Slovenia' >Slovenia<\/option><option value='Solomon Islands' >Solomon Islands<\/option><option value='Somalia' >Somalia<\/option><option value='South Africa' >South Africa<\/option><option value='South Georgia and the South Sandwich Islands' >South Georgia and the South Sandwich Islands<\/option><option value='South Sudan' >South Sudan<\/option><option value='Spain' >Spain<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Sudan' >Sudan<\/option><option value='Suriname' >Suriname<\/option><option value='Svalbard and Jan Mayen' >Svalbard and Jan Mayen<\/option><option value='Sweden' >Sweden<\/option><option value='Switzerland' >Switzerland<\/option><option value='Syria Arab Republic' >Syria Arab Republic<\/option><option value='Taiwan' >Taiwan<\/option><option value='Tajikistan' >Tajikistan<\/option><option value='Tanzania, the United Republic of' >Tanzania, the United Republic of<\/option><option value='Thailand' >Thailand<\/option><option value='Timor-Leste' >Timor-Leste<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad and Tobago' >Trinidad and Tobago<\/option><option value='Tunisia' >Tunisia<\/option><option value='Turkmenistan' >Turkmenistan<\/option><option value='Turks and Caicos Islands' >Turks and Caicos Islands<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='T\u00fcrkiye' >T\u00fcrkiye<\/option><option value='US Minor Outlying Islands' >US Minor Outlying Islands<\/option><option value='Uganda' >Uganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='United Arab Emirates' >United Arab Emirates<\/option><option value='United Kingdom' >United Kingdom<\/option><option value='Uruguay' >Uruguay<\/option><option value='Uzbekistan' >Uzbekistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Viet Nam' >Viet Nam<\/option><option value='Virgin Islands, British' >Virgin Islands, British<\/option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.<\/option><option value='Wallis and Futuna' >Wallis and Futuna<\/option><option value='Western Sahara' >Western Sahara<\/option><option value='Yemen' >Yemen<\/option><option value='Zambia' >Zambia<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='\u00c5land Islands' >\u00c5land Islands<\/option><\/select><\/div><\/div><fieldset id=\"field_6_32\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Code postal<\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_zip ginput_container_address gform-grid-row' id='input_6_32' >\n                        <input type='hidden' class='gform_hidden' name='input_32.4' id='input_6_32_4' value=''\/><span class='ginput_right address_zip ginput_address_zip gform-grid-col' id='input_6_32_5_container' >\n                                    <label for='input_6_32_5' id='input_6_32_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP \/ Code postal<\/label>\n                                    <input type='text' name='input_32.5' id='input_6_32_5' value=''    aria-required='false'    \/>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_32.6' id='input_6_32_6' value='' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_6_3\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_3'><span class='gform-field-label__text'>Parlez-nous de votre programme actuel (facultatif)<\/span><\/label><div class='ginput_container ginput_container_textarea' data-text-counter-max='600' data-text-counter-template='{current} of {max} max characters'><textarea name='input_3' id='input_6_3' class='textarea small'   maxlength='600' placeholder='Quels d\u00e9fis ou domaines d&#039;intervention sp\u00e9cifiques souhaiteriez-vous qu&#039;on aborde ?'  aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_6_25\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_above gfield--no-description field_description_above hidden_label field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>.<\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_6_25'><div class='gchoice gchoice_6_25_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_25.1' type='checkbox'  value='I accept to receive Savaria communications.'  id='choice_6_25_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_25_1' id='label_6_25_1' class='gform-field-label gform-field-label--type-inline'>J\u2019accepte de recevoir diff\u00e9rentes communications de Savaria<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_6_26\" class=\"gfield gfield--type-hidden gfield--input-type-hidden gfield--width-full gform_hidden field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_26' id='input_6_26' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/div><div id=\"field_6_27\" class=\"gfield gfield--type-hidden gfield--input-type-hidden gfield--width-full gform_hidden field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_27' id='input_6_27' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/div><div id=\"field_6_30\" class=\"gfield gfield--type-hidden gfield--input-type-hidden gfield--width-full gform_hidden field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_30' id='input_6_30' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/div><div id=\"field_6_28\" class=\"gfield gfield--type-hidden gfield--input-type-hidden gfield--width-full gform_hidden field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_28' id='input_6_28' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/div><div id=\"field_6_29\" class=\"gfield gfield--type-hidden gfield--input-type-hidden gfield--width-full gform_hidden field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_29' id='input_6_29' type='hidden' class='gform_hidden'  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