{"id":10634,"date":"2015-07-13T11:23:56","date_gmt":"2015-07-13T09:23:56","guid":{"rendered":"http:\/\/www.dalpasso.it\/fr\/contatti\/per-esprimere-la-vostra-opinione\/"},"modified":"2017-02-07T14:10:19","modified_gmt":"2017-02-07T13:10:19","slug":"pour-nous-faire-part-de-votre-avis","status":"publish","type":"page","link":"https:\/\/www.dalpasso.it\/fr\/contacts\/pour-nous-faire-part-de-votre-avis\/","title":{"rendered":"Pour nous faire part de votre avis"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><\/div><\/div><\/div><\/div>\r\n\t<div class=\" \" style=\" width: 100%; margin-top:-41px; margin-bottom: 0;\">\r\n\t\t<div class=\"home_paralax\" style=\"background-image:url('https:\/\/www.dalpasso.it\/wp-content\/uploads\/2015\/07\/esprimi.jpg'); !important; padding-top:150px; padding-bottom:150px\" data-type=\"background\" >\r\n\t\t\t<div class=\"main_content_area\" style=\"padding:0px;\">\r\n\t\t\t\t<div class=\"container oi_break\">\r\n\t\t\t\t\t<\/p>\n<div class=\"oi_caption\">\n<h3 id=\"introForm\" class=\"introForm3\"><span style=\"color: #00ccff;\"><strong>Ce formulaire Vous est consacr\u00e9:<\/strong><\/span><\/h3>\n<h3 class=\"introForm3\"><span style=\"color: #00ccff;\"><strong>Votre avis nous permet d&rsquo;am\u00e9liorer notre service!<\/strong><\/span><\/h3>\n<p><span style=\"color: #00ccff;\"><strong>(Les champs pr\u00e9c\u00e9d\u00e9s d&rsquo;un * sont obligatoires).<\/strong><\/span><\/p>\n<\/div>\n<p>\r\n\t\t\t\t<\/div>\r\n\t\t\t<\/div>\r\n\t\t<\/div>\r\n\t\t\t\r\n\t<\/div>\r\n\t<div class=\"main_content_area\">\r\n\t\t<div class=\"container\">\r\n\t\t\t<div class=\"row\">\r\n            \t<div class=\"col-md-12\">[vc_row][vc_column][vc_separator color=\u00a0\u00bbsky\u00a0\u00bb][\/vc_column][\/vc_row][vc_row][vc_column width=\u00a0\u00bb5\/6&Prime; css=\u00a0\u00bb.vc_custom_1442911797227{padding-top: 20px !important;padding-right: 20px !important;padding-bottom: 20px !important;padding-left: 20px !important;background-color: #b8e3f2 !important;}\u00a0\u00bb offset=\u00a0\u00bbvc_col-lg-7 vc_col-md-offset-2 vc_col-md-8 vc_col-sm-offset-1&Prime;][vc_column_text]<\/p>\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f10636-o1\" lang=\"it-IT\" dir=\"ltr\" data-wpcf7-id=\"10636\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/fr\/wp-json\/wp\/v2\/pages\/10634#wpcf7-f10636-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Modulo di contatto\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"10636\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.5\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"it_IT\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f10636-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<h4>Centre DALPASSO dans lequel vous avez consult\u00e9 *\n<\/h4>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"centro-dalpasso\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><label><span class=\"wpcf7-list-item-label\">Reggio Emilia<\/span><input type=\"checkbox\" name=\"centro-dalpasso\" value=\"Reggio Emilia\" \/><\/label><\/span><span class=\"wpcf7-list-item\"><label><span class=\"wpcf7-list-item-label\">Milan<\/span><input type=\"checkbox\" name=\"centro-dalpasso\" value=\"Milan\" \/><\/label><\/span><span class=\"wpcf7-list-item\"><label><span class=\"wpcf7-list-item-label\">Padoue<\/span><input type=\"checkbox\" name=\"centro-dalpasso\" value=\"Padoue\" \/><\/label><\/span><span class=\"wpcf7-list-item\"><label><span class=\"wpcf7-list-item-label\">Florence<\/span><input type=\"checkbox\" name=\"centro-dalpasso\" value=\"Florence\" \/><\/label><\/span><span class=\"wpcf7-list-item last\"><label><span class=\"wpcf7-list-item-label\">Catane<\/span><input type=\"checkbox\" name=\"centro-dalpasso\" value=\"Catane\" \/><\/label><\/span><\/span><\/span>\n<\/p>\n<h4>Depuis quand \u00eates-vous notre patient? *\n<\/h4>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"quanto-tempo\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><label><span class=\"wpcf7-list-item-label\">Moins d&#039;un an<\/span><input type=\"checkbox\" name=\"quanto-tempo\" value=\"Moins d&#039;un an\" \/><\/label><\/span><span class=\"wpcf7-list-item last\"><label><span class=\"wpcf7-list-item-label\">Plus d&#039;un an<\/span><input type=\"checkbox\" name=\"quanto-tempo\" value=\"Plus d&#039;un an\" \/><\/label><\/span><\/span><\/span>\n<\/p>\n<h4>Quel moyen de transport utilisez-vous pour venir chez nous? *\n<\/h4>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"come-arrivare\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><label><span class=\"wpcf7-list-item-label\">Voiture<\/span><input type=\"checkbox\" name=\"come-arrivare\" value=\"Voiture\" \/><\/label><\/span><span class=\"wpcf7-list-item\"><label><span class=\"wpcf7-list-item-label\">Train<\/span><input type=\"checkbox\" name=\"come-arrivare\" value=\"Train\" \/><\/label><\/span><span class=\"wpcf7-list-item\"><label><span class=\"wpcf7-list-item-label\">Avion<\/span><input type=\"checkbox\" name=\"come-arrivare\" value=\"Avion\" \/><\/label><\/span><span class=\"wpcf7-list-item last\"><label><span class=\"wpcf7-list-item-label\">Autre<\/span><input type=\"checkbox\" name=\"come-arrivare\" value=\"Autre\" \/><\/label><\/span><\/span><\/span>\n<\/p>\n<hr \/>\n<p>Nom de famille et Pr\u00e9nom *\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"nome\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"\" value=\"\" type=\"text\" name=\"nome\" \/><\/span>\n<\/p>\n<p>Quel \u00e2ge avez-vous?\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"eta\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"\" value=\"\" type=\"text\" name=\"eta\" \/><\/span>\n<\/p>\n<p>Homme ou Femme*\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"sesso\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><label><span class=\"wpcf7-list-item-label\">F<\/span><input type=\"checkbox\" name=\"sesso\" value=\"F\" \/><\/label><\/span><span class=\"wpcf7-list-item last\"><label><span class=\"wpcf7-list-item-label\">H<\/span><input type=\"checkbox\" name=\"sesso\" value=\"H\" \/><\/label><\/span><\/span><\/span>\n<\/p>\n<p>Profession\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"professione\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"\" value=\"\" type=\"text\" name=\"professione\" \/><\/span>\n<\/p>\n<hr \/>\n<h4>DONNEZ-NOUS VOTRE AVIS SUR LE NIVEAU DES SERVICES D\u00c9CRITS:\n<\/h4>\n<p><label>Rapidit\u00e9 de prise de rendez-vous<\/label>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-481\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><label><span class=\"wpcf7-list-item-label\">M\u00e9diocre<\/span><input type=\"checkbox\" name=\"checkbox-481\" value=\"M\u00e9diocre\" \/><\/label><\/span><span class=\"wpcf7-list-item\"><label><span class=\"wpcf7-list-item-label\">Normal<\/span><input type=\"checkbox\" name=\"checkbox-481\" value=\"Normal\" \/><\/label><\/span><span class=\"wpcf7-list-item\"><label><span class=\"wpcf7-list-item-label\">Bon<\/span><input type=\"checkbox\" name=\"checkbox-481\" value=\"Bon\" \/><\/label><\/span><span class=\"wpcf7-list-item last\"><label><span class=\"wpcf7-list-item-label\">Excellent<\/span><input type=\"checkbox\" name=\"checkbox-481\" value=\"Excellent\" \/><\/label><\/span><\/span><\/span>\n<\/p>\n<p><label>Temps pass\u00e9 en salle d'attente<\/label>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-482\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><label><span class=\"wpcf7-list-item-label\">M\u00e9diocre<\/span><input type=\"checkbox\" name=\"checkbox-482\" value=\"M\u00e9diocre\" \/><\/label><\/span><span class=\"wpcf7-list-item\"><label><span class=\"wpcf7-list-item-label\">Normal<\/span><input type=\"checkbox\" name=\"checkbox-482\" value=\"Normal\" \/><\/label><\/span><span class=\"wpcf7-list-item\"><label><span class=\"wpcf7-list-item-label\">Bon<\/span><input type=\"checkbox\" name=\"checkbox-482\" value=\"Bon\" \/><\/label><\/span><span class=\"wpcf7-list-item last\"><label><span class=\"wpcf7-list-item-label\">Excellent<\/span><input type=\"checkbox\" name=\"checkbox-482\" value=\"Excellent\" \/><\/label><\/span><\/span><\/span>\n<\/p>\n<p><label>Qualit\u00e9 de l'attente<\/label>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-483\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><label><span class=\"wpcf7-list-item-label\">M\u00e9diocre<\/span><input type=\"checkbox\" name=\"checkbox-483\" value=\"M\u00e9diocre\" \/><\/label><\/span><span class=\"wpcf7-list-item\"><label><span class=\"wpcf7-list-item-label\">Normal<\/span><input type=\"checkbox\" name=\"checkbox-483\" value=\"Normal\" \/><\/label><\/span><span class=\"wpcf7-list-item\"><label><span class=\"wpcf7-list-item-label\">Bon<\/span><input type=\"checkbox\" name=\"checkbox-483\" value=\"Bon\" \/><\/label><\/span><span class=\"wpcf7-list-item last\"><label><span class=\"wpcf7-list-item-label\">Excellent<\/span><input type=\"checkbox\" name=\"checkbox-483\" value=\"Excellent\" \/><\/label><\/span><\/span><\/span>\n<\/p>\n<p><label>Comp\u00e9tences du personnel de la r\u00e9ception<\/label>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-484\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><label><span class=\"wpcf7-list-item-label\">M\u00e9diocre<\/span><input type=\"checkbox\" name=\"checkbox-484\" value=\"M\u00e9diocre\" \/><\/label><\/span><span class=\"wpcf7-list-item\"><label><span class=\"wpcf7-list-item-label\">Normal<\/span><input type=\"checkbox\" name=\"checkbox-484\" value=\"Normal\" \/><\/label><\/span><span class=\"wpcf7-list-item\"><label><span class=\"wpcf7-list-item-label\">Bon<\/span><input type=\"checkbox\" name=\"checkbox-484\" value=\"Bon\" \/><\/label><\/span><span class=\"wpcf7-list-item last\"><label><span class=\"wpcf7-list-item-label\">Excellent<\/span><input type=\"checkbox\" name=\"checkbox-484\" value=\"Excellent\" \/><\/label><\/span><\/span><\/span>\n<\/p>\n<p><label>Disponibilit\u00e9 et courtoisie du personnel de la r\u00e9ception<\/label>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-486\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><label><span class=\"wpcf7-list-item-label\">M\u00e9diocre<\/span><input type=\"checkbox\" name=\"checkbox-486\" value=\"M\u00e9diocre\" \/><\/label><\/span><span class=\"wpcf7-list-item\"><label><span class=\"wpcf7-list-item-label\">Normal<\/span><input type=\"checkbox\" name=\"checkbox-486\" value=\"Normal\" \/><\/label><\/span><span class=\"wpcf7-list-item\"><label><span class=\"wpcf7-list-item-label\">Bon<\/span><input type=\"checkbox\" name=\"checkbox-486\" value=\"Bon\" \/><\/label><\/span><span class=\"wpcf7-list-item last\"><label><span class=\"wpcf7-list-item-label\">Excellent<\/span><input type=\"checkbox\" name=\"checkbox-486\" value=\"Excellent\" \/><\/label><\/span><\/span><\/span>\n<\/p>\n<p><label>Disponibilit\u00e9 et courtoisie du personnel au t\u00e9l\u00e9phone<\/label>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-485\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><label><span class=\"wpcf7-list-item-label\">M\u00e9diocre<\/span><input type=\"checkbox\" name=\"checkbox-485\" value=\"M\u00e9diocre\" \/><\/label><\/span><span class=\"wpcf7-list-item\"><label><span class=\"wpcf7-list-item-label\">Normal<\/span><input type=\"checkbox\" name=\"checkbox-485\" value=\"Normal\" \/><\/label><\/span><span class=\"wpcf7-list-item\"><label><span class=\"wpcf7-list-item-label\">Bon<\/span><input type=\"checkbox\" name=\"checkbox-485\" value=\"Bon\" \/><\/label><\/span><span class=\"wpcf7-list-item last\"><label><span class=\"wpcf7-list-item-label\">Excellent<\/span><input type=\"checkbox\" name=\"checkbox-485\" value=\"Excellent\" \/><\/label><\/span><\/span><\/span>\n<\/p>\n<p>Professionnalisme g\u00e9n\u00e9ral de la r\u00e9ception\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-487\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><label><span class=\"wpcf7-list-item-label\">M\u00e9diocre<\/span><input type=\"checkbox\" name=\"checkbox-487\" value=\"M\u00e9diocre\" \/><\/label><\/span><span class=\"wpcf7-list-item\"><label><span class=\"wpcf7-list-item-label\">Normal<\/span><input type=\"checkbox\" name=\"checkbox-487\" value=\"Normal\" \/><\/label><\/span><span class=\"wpcf7-list-item\"><label><span class=\"wpcf7-list-item-label\">Bon<\/span><input type=\"checkbox\" name=\"checkbox-487\" value=\"Bon\" \/><\/label><\/span><span class=\"wpcf7-list-item last\"><label><span class=\"wpcf7-list-item-label\">Excellent<\/span><input type=\"checkbox\" name=\"checkbox-487\" value=\"Excellent\" \/><\/label><\/span><\/span><\/span>\n<\/p>\n<p><label>Comp\u00e9tence technique des oculistes<\/label>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-488\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><label><span class=\"wpcf7-list-item-label\">M\u00e9diocre<\/span><input type=\"checkbox\" name=\"checkbox-488\" value=\"M\u00e9diocre\" \/><\/label><\/span><span class=\"wpcf7-list-item\"><label><span class=\"wpcf7-list-item-label\">Normal<\/span><input type=\"checkbox\" name=\"checkbox-488\" value=\"Normal\" \/><\/label><\/span><span class=\"wpcf7-list-item\"><label><span class=\"wpcf7-list-item-label\">Bon<\/span><input type=\"checkbox\" name=\"checkbox-488\" value=\"Bon\" \/><\/label><\/span><span class=\"wpcf7-list-item last\"><label><span class=\"wpcf7-list-item-label\">Excellent<\/span><input type=\"checkbox\" name=\"checkbox-488\" value=\"Excellent\" \/><\/label><\/span><\/span><\/span>\n<\/p>\n<p><label>Disponibilit\u00e9 et courtoisie des oculistes<\/label>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-489\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><label><span class=\"wpcf7-list-item-label\">M\u00e9diocre<\/span><input type=\"checkbox\" name=\"checkbox-489\" value=\"M\u00e9diocre\" \/><\/label><\/span><span class=\"wpcf7-list-item\"><label><span class=\"wpcf7-list-item-label\">Normal<\/span><input type=\"checkbox\" name=\"checkbox-489\" value=\"Normal\" \/><\/label><\/span><span class=\"wpcf7-list-item\"><label><span class=\"wpcf7-list-item-label\">Bon<\/span><input type=\"checkbox\" name=\"checkbox-489\" value=\"Bon\" \/><\/label><\/span><span class=\"wpcf7-list-item last\"><label><span class=\"wpcf7-list-item-label\">Excellent<\/span><input type=\"checkbox\" name=\"checkbox-489\" value=\"Excellent\" \/><\/label><\/span><\/span><\/span>\n<\/p>\n<p><label>Professionnalisme g\u00e9n\u00e9ral des oculistes<\/label>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-490\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><label><span class=\"wpcf7-list-item-label\">M\u00e9diocre<\/span><input type=\"checkbox\" name=\"checkbox-490\" value=\"M\u00e9diocre\" \/><\/label><\/span><span class=\"wpcf7-list-item\"><label><span class=\"wpcf7-list-item-label\">Normal<\/span><input type=\"checkbox\" name=\"checkbox-490\" value=\"Normal\" \/><\/label><\/span><span class=\"wpcf7-list-item\"><label><span class=\"wpcf7-list-item-label\">Bon<\/span><input type=\"checkbox\" name=\"checkbox-490\" value=\"Bon\" \/><\/label><\/span><span class=\"wpcf7-list-item last\"><label><span class=\"wpcf7-list-item-label\">Excellent<\/span><input type=\"checkbox\" name=\"checkbox-490\" value=\"Excellent\" \/><\/label><\/span><\/span><\/span>\n<\/p>\n<p><label>Niveau de discr\u00e9tion et de protection des donn\u00e9es personnelles<\/label>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-491\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><label><span class=\"wpcf7-list-item-label\">M\u00e9diocre<\/span><input type=\"checkbox\" name=\"checkbox-491\" value=\"M\u00e9diocre\" \/><\/label><\/span><span class=\"wpcf7-list-item\"><label><span class=\"wpcf7-list-item-label\">Normal<\/span><input type=\"checkbox\" name=\"checkbox-491\" value=\"Normal\" \/><\/label><\/span><span class=\"wpcf7-list-item\"><label><span class=\"wpcf7-list-item-label\">Bon<\/span><input type=\"checkbox\" name=\"checkbox-491\" value=\"Bon\" \/><\/label><\/span><span class=\"wpcf7-list-item last\"><label><span class=\"wpcf7-list-item-label\">Excellent<\/span><input type=\"checkbox\" name=\"checkbox-491\" value=\"Excellent\" \/><\/label><\/span><\/span><\/span>\n<\/p>\n<p><label>Clart\u00e9 et exhaustivit\u00e9 de la documentation relative \u00e0 l'entretien de la proth\u00e8se<\/label>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-492\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><label><span class=\"wpcf7-list-item-label\">M\u00e9diocre<\/span><input type=\"checkbox\" name=\"checkbox-492\" value=\"M\u00e9diocre\" \/><\/label><\/span><span class=\"wpcf7-list-item\"><label><span class=\"wpcf7-list-item-label\">Normal<\/span><input type=\"checkbox\" name=\"checkbox-492\" value=\"Normal\" \/><\/label><\/span><span class=\"wpcf7-list-item\"><label><span class=\"wpcf7-list-item-label\">Bon<\/span><input type=\"checkbox\" name=\"checkbox-492\" value=\"Bon\" \/><\/label><\/span><span class=\"wpcf7-list-item last\"><label><span class=\"wpcf7-list-item-label\">Excellent<\/span><input type=\"checkbox\" name=\"checkbox-492\" value=\"Excellent\" \/><\/label><\/span><\/span><\/span>\n<\/p>\n<p><label>Clart\u00e9 et exhaustivit\u00e9 de la documentation relative aux soins pris en charge par la s\u00e9curit\u00e9 sociale.<\/label>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-493\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><label><span class=\"wpcf7-list-item-label\">M\u00e9diocre<\/span><input type=\"checkbox\" name=\"checkbox-493\" value=\"M\u00e9diocre\" \/><\/label><\/span><span class=\"wpcf7-list-item\"><label><span class=\"wpcf7-list-item-label\">Normal<\/span><input type=\"checkbox\" name=\"checkbox-493\" value=\"Normal\" \/><\/label><\/span><span class=\"wpcf7-list-item\"><label><span class=\"wpcf7-list-item-label\">Bon<\/span><input type=\"checkbox\" name=\"checkbox-493\" value=\"Bon\" \/><\/label><\/span><span class=\"wpcf7-list-item last\"><label><span class=\"wpcf7-list-item-label\">Excellent<\/span><input type=\"checkbox\" name=\"checkbox-493\" value=\"Excellent\" \/><\/label><\/span><\/span><\/span>\n<\/p>\n<p><label>Services g\u00e9n\u00e9raux du centre (confort, accessibilit\u00e9, hygi\u00e8ne, etc.)<\/label>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-494\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><label><span class=\"wpcf7-list-item-label\">M\u00e9diocre<\/span><input type=\"checkbox\" name=\"checkbox-494\" value=\"M\u00e9diocre\" \/><\/label><\/span><span class=\"wpcf7-list-item\"><label><span class=\"wpcf7-list-item-label\">Normal<\/span><input type=\"checkbox\" name=\"checkbox-494\" value=\"Normal\" \/><\/label><\/span><span class=\"wpcf7-list-item\"><label><span class=\"wpcf7-list-item-label\">Bon<\/span><input type=\"checkbox\" name=\"checkbox-494\" value=\"Bon\" \/><\/label><\/span><span class=\"wpcf7-list-item last\"><label><span class=\"wpcf7-list-item-label\">Excellent<\/span><input type=\"checkbox\" name=\"checkbox-494\" value=\"Excellent\" \/><\/label><\/span><\/span><\/span>\n<\/p>\n<p><label>Clart\u00e9 et exhaustivit\u00e9 de notre site Internet<\/label>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-495\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><label><span class=\"wpcf7-list-item-label\">M\u00e9diocre<\/span><input type=\"checkbox\" name=\"checkbox-495\" value=\"M\u00e9diocre\" \/><\/label><\/span><span class=\"wpcf7-list-item\"><label><span class=\"wpcf7-list-item-label\">Normal<\/span><input type=\"checkbox\" name=\"checkbox-495\" value=\"Normal\" \/><\/label><\/span><span class=\"wpcf7-list-item\"><label><span class=\"wpcf7-list-item-label\">Bon<\/span><input type=\"checkbox\" name=\"checkbox-495\" value=\"Bon\" \/><\/label><\/span><span class=\"wpcf7-list-item last\"><label><span class=\"wpcf7-list-item-label\">Excellent<\/span><input type=\"checkbox\" name=\"checkbox-495\" value=\"Excellent\" \/><\/label><\/span><\/span><\/span>\n<\/p>\n<p><label>\u00c9valuation g\u00e9n\u00e9rale de notre Centre<\/label>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-496\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><label><span class=\"wpcf7-list-item-label\">M\u00e9diocre<\/span><input type=\"checkbox\" name=\"checkbox-496\" value=\"M\u00e9diocre\" \/><\/label><\/span><span class=\"wpcf7-list-item\"><label><span class=\"wpcf7-list-item-label\">Normal<\/span><input type=\"checkbox\" name=\"checkbox-496\" value=\"Normal\" \/><\/label><\/span><span class=\"wpcf7-list-item\"><label><span class=\"wpcf7-list-item-label\">Bon<\/span><input type=\"checkbox\" name=\"checkbox-496\" value=\"Bon\" \/><\/label><\/span><span class=\"wpcf7-list-item last\"><label><span class=\"wpcf7-list-item-label\">Excellent<\/span><input type=\"checkbox\" name=\"checkbox-496\" value=\"Excellent\" \/><\/label><\/span><\/span><\/span>\n<\/p>\n<hr \/>\n<h4>VIE PRIV\u00c9E\n<\/h4>\n<p><br \/>\n<small>Je soussign\u00e9(e) prends acte des<a href=\"#0\">informations<\/a> en vertu de l'article 13 du D\u00e9cret l\u00e9gislatif italien 196\/2003, et consens au traitement de mes donn\u00e9es personnelles aux fins indiqu\u00e9es ainsi qu'au fait qu'elles puissent faire l'objet de communication aux entit\u00e9s et aux fins d\u00e9clar\u00e9es. <\/small><br \/>\n<label>J'autorise <span class=\"wpcf7-form-control-wrap\" data-name=\"consenso\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"consenso\" value=\"1\" aria-invalid=\"false\" \/><\/span><\/span><\/span><\/label>\n<\/p>\n<div style=\"margin:1.5em 0;\">\n\t<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Envoyer\" \/>\n\t<\/p>\n<\/div><input type='hidden' class='wpcf7-pum' value='{\"closepopup\":false,\"closedelay\":0,\"openpopup\":false,\"openpopup_id\":0}' \/><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n<p>[\/vc_column_text][\/vc_column][\/vc_row]<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row][vc_column][\/vc_column][\/vc_row][vc_row][vc_column][vc_separator color=\u00a0\u00bbsky\u00a0\u00bb][\/vc_column][\/vc_row][vc_row][vc_column width=\u00a0\u00bb5\/6&Prime; css=\u00a0\u00bb.vc_custom_1442911797227{padding-top: 20px !important;padding-right: 20px !important;padding-bottom: 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