{"id":11922,"date":"2024-11-16T08:38:31","date_gmt":"2024-11-16T07:38:31","guid":{"rendered":"https:\/\/axomethod.com\/?page_id=11922"},"modified":"2024-12-13T10:56:53","modified_gmt":"2024-12-13T09:56:53","slug":"onboarding","status":"publish","type":"page","link":"https:\/\/axomethod.com\/fr\/onboarding\/","title":{"rendered":"Client onboarding form"},"content":{"rendered":"<div data-colibri-id=\"11922-c1\" class=\"style-8386 style-local-11922-c1 position-relative\">\r\n  <!---->\r\n  <div data-colibri-component=\"section\" data-colibri-id=\"11922-c10\" id=\"reusable-sections\" class=\"h-section h-section-global-spacing d-flex align-items-lg-center align-items-md-center align-items-center style-9908 style-local-11922-c10 position-relative\">\r\n    <div class=\"background-wrapper\">\r\n      <div class=\"background-layer background-layer-media-container-lg\">\r\n        <div data-enabled=\"true\" data-colibri-component=\"parallax\" class=\"background-layer paraxify\" style=\"background-image: url(&quot;https:\/\/axomethod.com\/wp-content\/uploads\/2022\/05\/vincent-botta-eouEtrJf844-unsplash-scaled.jpg&quot;);\" model-id=\"11922-c10\"\r\n          media=\"desktop\" is-preview=\"true\"><\/div>\r\n        <div class=\"overlay-layer\">\r\n          <div class=\"overlay-image-layer\" style=\"background-color: rgb(0, 0, 0); opacity: 0.5;\"><\/div>\r\n        <\/div>\r\n      <\/div>\r\n      <div class=\"background-layer background-layer-media-container-md\">\r\n        <div data-enabled=\"true\" data-colibri-component=\"parallax\" class=\"background-layer paraxify\" style=\"background-image: url(&quot;https:\/\/axomethod.com\/wp-content\/uploads\/2022\/05\/vincent-botta-eouEtrJf844-unsplash-scaled.jpg&quot;);\" model-id=\"11922-c10\"\r\n          media=\"tablet\" is-preview=\"true\"><\/div>\r\n        <div class=\"overlay-layer\">\r\n          <div class=\"overlay-image-layer\" style=\"background-color: rgb(0, 0, 0); opacity: 0.5;\"><\/div>\r\n        <\/div>\r\n      <\/div>\r\n      <div class=\"background-layer background-layer-media-container\">\r\n        <div data-enabled=\"true\" data-colibri-component=\"parallax\" class=\"background-layer paraxify\" style=\"background-image: url(&quot;https:\/\/axomethod.com\/wp-content\/uploads\/2022\/05\/vincent-botta-eouEtrJf844-unsplash-scaled.jpg&quot;);\" model-id=\"11922-c10\"\r\n          media=\"mobile\" is-preview=\"true\"><\/div>\r\n        <div class=\"overlay-layer\">\r\n          <div class=\"overlay-image-layer\" style=\"background-color: rgb(0, 0, 0); opacity: 0.5;\"><\/div>\r\n        <\/div>\r\n      <\/div>\r\n    <\/div>\r\n    <!---->\r\n    <div class=\"h-section-grid-container h-section-boxed-container\">\r\n      <!---->\r\n      <div data-colibri-id=\"11922-c11\" class=\"h-row-container gutters-row-lg-2 gutters-row-md-2 gutters-row-0 gutters-row-v-lg-2 gutters-row-v-md-2 gutters-row-v-2 style-9909 style-local-11922-c11 position-relative\">\r\n        <!---->\r\n        <div class=\"h-row justify-content-lg-center justify-content-md-center justify-content-center align-items-lg-stretch align-items-md-stretch align-items-stretch gutters-col-lg-2 gutters-col-md-2 gutters-col-0 gutters-col-v-lg-2 gutters-col-v-md-2 gutters-col-v-2\">\r\n          <!---->\r\n          <div class=\"h-column h-column-container d-flex h-col-lg-auto h-col-md-auto h-col-auto style-9910-outer style-local-11922-c12-outer\">\r\n            <div data-colibri-id=\"11922-c12\" class=\"d-flex h-flex-basis h-column__inner h-px-lg-2 h-px-md-2 h-px-2 v-inner-lg-2 v-inner-md-2 v-inner-2 style-9910 style-local-11922-c12 position-relative\">\r\n              <!---->\r\n              <!---->\r\n              <div class=\"w-100 h-y-container h-column__content h-column__v-align flex-basis-100 align-self-lg-start align-self-md-start align-self-start\">\r\n                <!---->\r\n                <div data-colibri-id=\"11922-c13\" class=\"h-global-transition-all h-heading style-9911 style-local-11922-c13 position-relative h-element\">\r\n                  <!---->\r\n                  <div class=\"h-heading__outer style-9911 style-local-11922-c13\">\r\n                    <!---->\r\n                    <!---->\r\n                    <h1 class=\"\">Fiche prise en charge\r\n                      <br>nouveau clients<\/h1>\r\n                  <\/div>\r\n                <\/div>\r\n              <\/div>\r\n            <\/div>\r\n          <\/div>\r\n        <\/div>\r\n      <\/div>\r\n    <\/div>\r\n  <\/div>\r\n  <div data-colibri-component=\"section\" data-colibri-id=\"11922-c2\" id=\"custom\" class=\"h-section h-section-global-spacing d-flex align-items-lg-center align-items-md-center align-items-center style-8387 style-local-11922-c2 position-relative\">\r\n    <!---->\r\n    <!---->\r\n    <div class=\"h-section-grid-container h-section-boxed-container\">\r\n      <!---->\r\n      <div data-colibri-id=\"11922-c3\" class=\"h-row-container gutters-row-lg-2 gutters-row-md-2 gutters-row-0 gutters-row-v-lg-2 gutters-row-v-md-2 gutters-row-v-2 style-8388 style-local-11922-c3 position-relative\">\r\n        <!---->\r\n        <div class=\"h-row justify-content-lg-center justify-content-md-center justify-content-center align-items-lg-stretch align-items-md-stretch align-items-stretch gutters-col-lg-2 gutters-col-md-2 gutters-col-0 gutters-col-v-lg-2 gutters-col-v-md-2 gutters-col-v-2\">\r\n          <!---->\r\n          <div class=\"h-column h-column-container d-flex h-col-lg-auto h-col-md-auto h-col-auto style-8389-outer style-local-11922-c4-outer\">\r\n            <div data-colibri-id=\"11922-c4\" class=\"d-flex h-flex-basis h-column__inner h-px-lg-2 h-px-md-2 h-px-2 v-inner-lg-2 v-inner-md-2 v-inner-2 style-8389 style-local-11922-c4 position-relative\">\r\n              <!---->\r\n              <!---->\r\n              <div class=\"w-100 h-y-container h-column__content h-column__v-align flex-basis-100 align-self-lg-start align-self-md-start align-self-start\">\r\n                <!---->\r\n                <div data-colibri-id=\"11922-c6\" class=\"style-8391 style-local-11922-c6 position-relative h-element\">\r\n                  <!---->\r\n                  <div class=\"\"><div class=\"forminator-ui forminator-custom-form forminator-custom-form-13978 forminator-design--default  forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-13978\" data-uid=\"69d17316d9017\"><br\/><\/div><form\n\t\t\t\tid=\"forminator-module-13978\"\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-13978 forminator-design--default  forminator_ajax\"\n\t\t\t\tmethod=\"post\"\n\t\t\t\tdata-forminator-render=\"0\"\n\t\t\t\tdata-form-id=\"13978\"\n\t\t\t\t data-color-option=\"theme\" data-design=\"default\" data-grid=\"open\" style=\"display: none;\"\n\t\t\t\tdata-uid=\"69d17316d9017\" action=\"\"\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div role=\"tablist\" class=\"forminator-pagination-steps\" aria-label=\"Pagination\"><\/div><div\n\t\t\t\ttabindex=\"-1\"\n\t\t\t\trole=\"tabpanel\"\n\t\t\t\tid=\"forminator-custom-form-13978--page-0\"\n\t\t\t\tclass=\"forminator-pagination forminator-pagination-start\"\n\t\t\t\taria-labelledby=\"forminator-custom-form-13978--page-0-label\"\n\t\t\t\tdata-step=\"0\"\n\t\t\t\tdata-label=\"Termin\u00e9\"\n\t\t\t\tdata-actual-label=\"Page 1\"\n\t\t\t\tdata-name=\"page-break-1\"\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"name-1\" class=\"forminator-field-name forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-name-1_69d17316d9017\" id=\"forminator-field-name-1_69d17316d9017-label\" class=\"forminator-label\">Pr\u00e9nom :<\/label><input type=\"text\" name=\"name-1\" value=\"\" placeholder=\"\" id=\"forminator-field-name-1_69d17316d9017\" class=\"forminator-input forminator-name--field\" aria-required=\"false\" autocomplete=\"name\" \/><\/div><\/div><div id=\"phone-1\" class=\"forminator-field-phone forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-phone-1_69d17316d9017\" id=\"forminator-field-phone-1_69d17316d9017-label\" class=\"forminator-label\">T\u00e9l\u00e9phone<\/label><input type=\"text\" name=\"phone-1\" value=\"\" placeholder=\"\" id=\"forminator-field-phone-1_69d17316d9017\" class=\"forminator-input forminator-field--phone\" data-required=\"\" aria-required=\"false\" autocomplete=\"off\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"email-1\" class=\"forminator-field-email forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-email-1_69d17316d9017\" id=\"forminator-field-email-1_69d17316d9017-label\" class=\"forminator-label\">Adresse mail :<\/label><input type=\"email\" name=\"email-1\" value=\"\" placeholder=\"\" id=\"forminator-field-email-1_69d17316d9017\" class=\"forminator-input forminator-email--field\" data-required=\"\" aria-required=\"false\" autocomplete=\"email\" \/><\/div><\/div><div id=\"address-1\" class=\"forminator-field-address forminator-col forminator-col-6\"><div class=\"forminator-row\"><div id=\"address-1-street_address\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-address-1-street_address_69d17316d9017\" id=\"forminator-field-address-1-street_address_69d17316d9017-label\" class=\"forminator-label\">R\u00e9sidence :<\/label><input type=\"text\" name=\"address-1-street_address\" placeholder=\"E.g. 42 Wallaby Way\" id=\"forminator-field-address-1-street_address_69d17316d9017\" class=\"forminator-input\" data-required=\"\" aria-required=\"false\" autocomplete=\"address-line1\" value=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\" data-multiple=\"false\"><div id=\"address-1-city\" class=\"forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-address-1-city_69d17316d9017\" id=\"forminator-field-address-1-city_69d17316d9017-label\" class=\"forminator-label\">Ville :<\/label><input type=\"text\" name=\"address-1-city\" placeholder=\"E.g. Sydney\" id=\"forminator-field-address-1-city_69d17316d9017\" class=\"forminator-input\" data-required=\"\" aria-required=\"false\" autocomplete=\"address-level2\" value=\"\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-2\" class=\"forminator-field-name forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-name-2_69d17316d9017\" id=\"forminator-field-name-2_69d17316d9017-label\" class=\"forminator-label\">Contact d'urgence<\/label><input type=\"text\" name=\"name-2\" value=\"\" placeholder=\"\" id=\"forminator-field-name-2_69d17316d9017\" class=\"forminator-input forminator-name--field\" aria-required=\"false\" autocomplete=\"name\" \/><\/div><\/div><div id=\"phone-2\" class=\"forminator-field-phone forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-phone-2_69d17316d9017\" id=\"forminator-field-phone-2_69d17316d9017-label\" class=\"forminator-label\">Num\u00e9ro du contact d'urgence<\/label><input type=\"text\" name=\"phone-2\" value=\"\" placeholder=\"\" id=\"forminator-field-phone-2_69d17316d9017\" class=\"forminator-input forminator-field--phone\" data-required=\"\" aria-required=\"false\" autocomplete=\"off\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-1\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-13978__field--select-1_69d17316d9017\" id=\"forminator-form-13978__field--select-1_69d17316d9017-label\" class=\"forminator-label\">Votre th\u00e9rapeute<\/label><select  id=\"forminator-form-13978__field--select-1_69d17316d9017\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"\" name=\"select-1\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Selected therapist\" data-search=\"false\" data-search-placeholder=\"Selected therapist\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-13978__field--select-1_69d17316d9017-label\"><option value=\"\"  >S\u00e9lectionnez votre th\u00e9rapeute<\/option><option value=\"Anais---Pays-Basque\"  data-calculation=\"0\">Anais - Pays Basque<\/option><option value=\"Carole---Bordeaux\"  data-calculation=\"0\">Carole - Bordeaux<\/option><option value=\"Claire---La-R\u00e9union\"  data-calculation=\"0\">Claire - La R\u00e9union<\/option><option value=\"two\"  data-calculation=\"0\">Dawid - Libourne<\/option><option value=\"Denis---Bordeaux\"  data-calculation=\"0\">Denis - Bordeaux<\/option><option value=\"\u00c9va---Ibiza\"  data-calculation=\"0\">\u00c9va - Ibiza<\/option><option value=\"Fabrice-P.---Grenoble\"  data-calculation=\"0\">Fabrice P. - Grenoble<\/option><option value=\"Fabrice-T.---Pau\"  data-calculation=\"0\">Fabrice T. - Pau<\/option><option value=\"Guillaume-Guibordeau\"  data-calculation=\"0\">Guillaume Guibordeau<\/option><option value=\"Janey---London\"  data-calculation=\"0\">Janey - London<\/option><option value=\"Julie---Marocco\"  data-calculation=\"0\">Julie - Marocco<\/option><option value=\"L\u00e9a---Les-Landes\"  data-calculation=\"0\">L\u00e9a - Les Landes<\/option><option value=\"one\"  data-calculation=\"0\">Marie Clotilde - Limoges<\/option><option value=\"Marion---Suisse\"  data-calculation=\"0\">Marion - Suisse<\/option><option value=\"M\u00e9lanie---Berneuil---Les-Mathes---St-Lary-Soulan\"  data-calculation=\"0\">M\u00e9lanie - Berneuil \/ Les Mathes \/ St Lary Soulan<\/option><option value=\"William---Dubai\"  data-calculation=\"0\">William - Dubai<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div\n\t\t\t\ttabindex=\"-1\"\n\t\t\t\trole=\"tabpanel\"\n\t\t\t\tid=\"forminator-custom-form-13978--page-1\"\n\t\t\t\tclass=\"forminator-pagination\"\n\t\t\t\taria-labelledby=\"forminator-custom-form-13978--page-1-label\"\n\t\t\t\taria-hidden=\"true\"\n\t\t\t\tdata-step=\"1\"\n\t\t\t\tdata-label=\"Page 1\"\n\t\t\t\tdata-actual-label=\"Page 2\"\n\t\t\t\tdata-name=\"page-break-2\"\n\t\t\t\thidden\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"text-1\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-1_69d17316d9017\" id=\"forminator-field-text-1_69d17316d9017-label\" class=\"forminator-label\">Comment avez-vous entendu parler de nous?<\/label><input type=\"text\" name=\"text-1\" value=\"\" placeholder=\"\" id=\"forminator-field-text-1_69d17316d9017\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-1\" class=\"forminator-field-checkbox forminator-col forminator-col-6\"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-1-69d17316d9017-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-1-69d17316d9017-label\" class=\"forminator-label\">Avez vous re\u00e7u un traitement AXO ou similaire auparavant?<\/span><label id=\"forminator-field-checkbox-1-1-69d17316d9017-label\" for=\"forminator-field-checkbox-1-1-69d17316d9017\" class=\"forminator-checkbox\" title=\"Oui.\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"one\" id=\"forminator-field-checkbox-1-1-69d17316d9017\" aria-labelledby=\"forminator-field-checkbox-1-1-69d17316d9017-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Oui.<\/span><\/label><label id=\"forminator-field-checkbox-1-2-69d17316d9017-label\" for=\"forminator-field-checkbox-1-2-69d17316d9017\" class=\"forminator-checkbox\" title=\"Non.\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"two\" id=\"forminator-field-checkbox-1-2-69d17316d9017\" aria-labelledby=\"forminator-field-checkbox-1-2-69d17316d9017-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Non.<\/span><\/label><\/div><\/div><div id=\"checkbox-2\" class=\"forminator-field-checkbox forminator-col forminator-col-6\"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-2-69d17316d9017-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-2-69d17316d9017-label\" class=\"forminator-label\">Est-ce que vous \u00eates sous traitement?<\/span><label id=\"forminator-field-checkbox-2-1-69d17316d9017-label\" for=\"forminator-field-checkbox-2-1-69d17316d9017\" class=\"forminator-checkbox\" title=\"Oui.\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"one\" id=\"forminator-field-checkbox-2-1-69d17316d9017\" aria-labelledby=\"forminator-field-checkbox-2-1-69d17316d9017-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Oui.<\/span><\/label><label id=\"forminator-field-checkbox-2-2-69d17316d9017-label\" for=\"forminator-field-checkbox-2-2-69d17316d9017\" class=\"forminator-checkbox\" title=\"Non.\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"two\" id=\"forminator-field-checkbox-2-2-69d17316d9017\" aria-labelledby=\"forminator-field-checkbox-2-2-69d17316d9017-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Non.<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-1\" class=\"forminator-field-textarea forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-1_69d17316d9017\" id=\"forminator-field-textarea-1_69d17316d9017-label\" class=\"forminator-label\">Si oui, veuillez nous indiquer lequel :<\/label><textarea name=\"textarea-1\" placeholder=\"\" id=\"forminator-field-textarea-1_69d17316d9017\" class=\"forminator-textarea\" rows=\"6\" style=\"min-height:140px;\" ><\/textarea><\/div><\/div><\/div><\/div><\/div><div\n\t\t\t\ttabindex=\"-1\"\n\t\t\t\trole=\"tabpanel\"\n\t\t\t\tid=\"forminator-custom-form-13978--page-2\"\n\t\t\t\tclass=\"forminator-pagination\"\n\t\t\t\taria-labelledby=\"forminator-custom-form-13978--page-2-label\"\n\t\t\t\taria-hidden=\"true\"\n\t\t\t\tdata-step=\"2\"\n\t\t\t\tdata-label=\"Page 2\"\n\t\t\t\tdata-actual-label=\"Page 3\"\n\t\t\t\tdata-name=\"page-break-3\"\n\t\t\t\thidden\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"checkbox-3\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-3-69d17316d9017-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-3-69d17316d9017-label\" class=\"forminator-label\">*Veuillez nous indiquer si l\u2019une des conditions ci-dessous s\u2019appliquent \u00e0 vous<\/span><label id=\"forminator-field-checkbox-3-1-69d17316d9017-label\" for=\"forminator-field-checkbox-3-1-69d17316d9017\" class=\"forminator-checkbox\" title=\"Blessure aux cervicales\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"one\" id=\"forminator-field-checkbox-3-1-69d17316d9017\" aria-labelledby=\"forminator-field-checkbox-3-1-69d17316d9017-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Blessure aux cervicales<\/span><\/label><label id=\"forminator-field-checkbox-3-2-69d17316d9017-label\" for=\"forminator-field-checkbox-3-2-69d17316d9017\" class=\"forminator-checkbox\" title=\"Infection\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"two\" id=\"forminator-field-checkbox-3-2-69d17316d9017\" aria-labelledby=\"forminator-field-checkbox-3-2-69d17316d9017-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Infection<\/span><\/label><label id=\"forminator-field-checkbox-3-3-69d17316d9017-label\" for=\"forminator-field-checkbox-3-3-69d17316d9017\" class=\"forminator-checkbox\" title=\"Syndromes pr\u00e9-menstruel\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"PMS\" id=\"forminator-field-checkbox-3-3-69d17316d9017\" aria-labelledby=\"forminator-field-checkbox-3-3-69d17316d9017-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Syndromes pr\u00e9-menstruel<\/span><\/label><label id=\"forminator-field-checkbox-3-4-69d17316d9017-label\" for=\"forminator-field-checkbox-3-4-69d17316d9017\" class=\"forminator-checkbox\" title=\"Changements \u00e9motionnels\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"Emotional-changes\" id=\"forminator-field-checkbox-3-4-69d17316d9017\" aria-labelledby=\"forminator-field-checkbox-3-4-69d17316d9017-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Changements \u00e9motionnels<\/span><\/label><label id=\"forminator-field-checkbox-3-5-69d17316d9017-label\" for=\"forminator-field-checkbox-3-5-69d17316d9017\" class=\"forminator-checkbox\" title=\"Congestion des sinus\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"Sinus-congestion\" id=\"forminator-field-checkbox-3-5-69d17316d9017\" aria-labelledby=\"forminator-field-checkbox-3-5-69d17316d9017-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Congestion des sinus<\/span><\/label><label id=\"forminator-field-checkbox-3-6-69d17316d9017-label\" for=\"forminator-field-checkbox-3-6-69d17316d9017\" class=\"forminator-checkbox\" title=\"Maux de t\u00eate\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"Headaches\" id=\"forminator-field-checkbox-3-6-69d17316d9017\" aria-labelledby=\"forminator-field-checkbox-3-6-69d17316d9017-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Maux de t\u00eate<\/span><\/label><label id=\"forminator-field-checkbox-3-7-69d17316d9017-label\" for=\"forminator-field-checkbox-3-7-69d17316d9017\" class=\"forminator-checkbox\" title=\"Rhume\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"Cold-virus\" id=\"forminator-field-checkbox-3-7-69d17316d9017\" aria-labelledby=\"forminator-field-checkbox-3-7-69d17316d9017-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Rhume<\/span><\/label><label id=\"forminator-field-checkbox-3-8-69d17316d9017-label\" for=\"forminator-field-checkbox-3-8-69d17316d9017\" class=\"forminator-checkbox\" title=\"Grippe\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"Flu\" id=\"forminator-field-checkbox-3-8-69d17316d9017\" aria-labelledby=\"forminator-field-checkbox-3-8-69d17316d9017-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Grippe<\/span><\/label><label id=\"forminator-field-checkbox-3-9-69d17316d9017-label\" for=\"forminator-field-checkbox-3-9-69d17316d9017\" class=\"forminator-checkbox\" title=\"Covid\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"Covid\" id=\"forminator-field-checkbox-3-9-69d17316d9017\" aria-labelledby=\"forminator-field-checkbox-3-9-69d17316d9017-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Covid<\/span><\/label><label id=\"forminator-field-checkbox-3-10-69d17316d9017-label\" for=\"forminator-field-checkbox-3-10-69d17316d9017\" class=\"forminator-checkbox\" title=\"Allergies\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"Allergies\" id=\"forminator-field-checkbox-3-10-69d17316d9017\" aria-labelledby=\"forminator-field-checkbox-3-10-69d17316d9017-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Allergies<\/span><\/label><label id=\"forminator-field-checkbox-3-11-69d17316d9017-label\" for=\"forminator-field-checkbox-3-11-69d17316d9017\" class=\"forminator-checkbox\" title=\"grossesse\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"Pregnancy\" id=\"forminator-field-checkbox-3-11-69d17316d9017\" aria-labelledby=\"forminator-field-checkbox-3-11-69d17316d9017-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">grossesse<\/span><\/label><label id=\"forminator-field-checkbox-3-12-69d17316d9017-label\" for=\"forminator-field-checkbox-3-12-69d17316d9017\" class=\"forminator-checkbox\" title=\"Alcohol dans les derni\u00e8res 24h\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"Alcohol-within-24hrs\" id=\"forminator-field-checkbox-3-12-69d17316d9017\" aria-labelledby=\"forminator-field-checkbox-3-12-69d17316d9017-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Alcohol dans les derni\u00e8res 24h<\/span><\/label><label id=\"forminator-field-checkbox-3-13-69d17316d9017-label\" for=\"forminator-field-checkbox-3-13-69d17316d9017\" class=\"forminator-checkbox\" title=\"Infection aux reins\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"Kidney-infection\" id=\"forminator-field-checkbox-3-13-69d17316d9017\" aria-labelledby=\"forminator-field-checkbox-3-13-69d17316d9017-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Infection aux reins<\/span><\/label><label id=\"forminator-field-checkbox-3-14-69d17316d9017-label\" for=\"forminator-field-checkbox-3-14-69d17316d9017\" class=\"forminator-checkbox\" title=\"Blessure sportive\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"Sports-injury\" id=\"forminator-field-checkbox-3-14-69d17316d9017\" aria-labelledby=\"forminator-field-checkbox-3-14-69d17316d9017-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Blessure sportive<\/span><\/label><label id=\"forminator-field-checkbox-3-15-69d17316d9017-label\" for=\"forminator-field-checkbox-3-15-69d17316d9017\" class=\"forminator-checkbox\" title=\"Phl\u00e9bite\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"Phlebitis\" id=\"forminator-field-checkbox-3-15-69d17316d9017\" aria-labelledby=\"forminator-field-checkbox-3-15-69d17316d9017-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Phl\u00e9bite<\/span><\/label><label id=\"forminator-field-checkbox-3-16-69d17316d9017-label\" for=\"forminator-field-checkbox-3-16-69d17316d9017\" class=\"forminator-checkbox\" title=\"Cancer\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"Cancer\" id=\"forminator-field-checkbox-3-16-69d17316d9017\" aria-labelledby=\"forminator-field-checkbox-3-16-69d17316d9017-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Cancer<\/span><\/label><label id=\"forminator-field-checkbox-3-17-69d17316d9017-label\" for=\"forminator-field-checkbox-3-17-69d17316d9017\" class=\"forminator-checkbox\" title=\"Hypertension art\u00e9rielle\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"High-Blood-pressure\" id=\"forminator-field-checkbox-3-17-69d17316d9017\" aria-labelledby=\"forminator-field-checkbox-3-17-69d17316d9017-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Hypertension art\u00e9rielle<\/span><\/label><label id=\"forminator-field-checkbox-3-18-69d17316d9017-label\" for=\"forminator-field-checkbox-3-18-69d17316d9017\" class=\"forminator-checkbox\" title=\"Varices\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"Varicose-veins\" id=\"forminator-field-checkbox-3-18-69d17316d9017\" aria-labelledby=\"forminator-field-checkbox-3-18-69d17316d9017-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Varices<\/span><\/label><label id=\"forminator-field-checkbox-3-19-69d17316d9017-label\" for=\"forminator-field-checkbox-3-19-69d17316d9017\" class=\"forminator-checkbox\" title=\"Douleur aigu\u00eb\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"Acute-pain\" id=\"forminator-field-checkbox-3-19-69d17316d9017\" aria-labelledby=\"forminator-field-checkbox-3-19-69d17316d9017-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Douleur aigu\u00eb<\/span><\/label><label id=\"forminator-field-checkbox-3-20-69d17316d9017-label\" for=\"forminator-field-checkbox-3-20-69d17316d9017\" class=\"forminator-checkbox\" title=\"Processus de deuil\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"Grief-processing\" id=\"forminator-field-checkbox-3-20-69d17316d9017\" aria-labelledby=\"forminator-field-checkbox-3-20-69d17316d9017-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Processus de deuil<\/span><\/label><label id=\"forminator-field-checkbox-3-21-69d17316d9017-label\" for=\"forminator-field-checkbox-3-21-69d17316d9017\" class=\"forminator-checkbox\" title=\"Troubles cutan\u00e9s\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"Skin-issues\" id=\"forminator-field-checkbox-3-21-69d17316d9017\" aria-labelledby=\"forminator-field-checkbox-3-21-69d17316d9017-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Troubles cutan\u00e9s<\/span><\/label><label id=\"forminator-field-checkbox-3-22-69d17316d9017-label\" for=\"forminator-field-checkbox-3-22-69d17316d9017\" class=\"forminator-checkbox\" title=\"Chirurgie r\u00e9cente\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"Recent-surgery\" id=\"forminator-field-checkbox-3-22-69d17316d9017\" aria-labelledby=\"forminator-field-checkbox-3-22-69d17316d9017-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Chirurgie r\u00e9cente<\/span><\/label><label id=\"forminator-field-checkbox-3-23-69d17316d9017-label\" for=\"forminator-field-checkbox-3-23-69d17316d9017\" class=\"forminator-checkbox\" title=\"Plaies ouvertes\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"Open-wounds\" id=\"forminator-field-checkbox-3-23-69d17316d9017\" aria-labelledby=\"forminator-field-checkbox-3-23-69d17316d9017-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Plaies ouvertes<\/span><\/label><label id=\"forminator-field-checkbox-3-24-69d17316d9017-label\" for=\"forminator-field-checkbox-3-24-69d17316d9017\" class=\"forminator-checkbox\" title=\"Ost\u00e9oporose\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"Osteoporosis\" id=\"forminator-field-checkbox-3-24-69d17316d9017\" aria-labelledby=\"forminator-field-checkbox-3-24-69d17316d9017-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Ost\u00e9oporose<\/span><\/label><label id=\"forminator-field-checkbox-3-25-69d17316d9017-label\" for=\"forminator-field-checkbox-3-25-69d17316d9017\" class=\"forminator-checkbox\" title=\"Troubles cardiovasculaires\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"Chronic-Pain\" id=\"forminator-field-checkbox-3-25-69d17316d9017\" aria-labelledby=\"forminator-field-checkbox-3-25-69d17316d9017-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Troubles cardiovasculaires<\/span><\/label><label id=\"forminator-field-checkbox-3-26-69d17316d9017-label\" for=\"forminator-field-checkbox-3-26-69d17316d9017\" class=\"forminator-checkbox\" title=\"Caillot sanguin\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"Blood-clot\" id=\"forminator-field-checkbox-3-26-69d17316d9017\" aria-labelledby=\"forminator-field-checkbox-3-26-69d17316d9017-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Caillot sanguin<\/span><\/label><label id=\"forminator-field-checkbox-3-27-69d17316d9017-label\" for=\"forminator-field-checkbox-3-27-69d17316d9017\" class=\"forminator-checkbox\" title=\"Fi\u00e8vre ces derni\u00e8res 24h\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"Fever-within-24hrs\" id=\"forminator-field-checkbox-3-27-69d17316d9017\" aria-labelledby=\"forminator-field-checkbox-3-27-69d17316d9017-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Fi\u00e8vre ces derni\u00e8res 24h<\/span><\/label><label id=\"forminator-field-checkbox-3-28-69d17316d9017-label\" for=\"forminator-field-checkbox-3-28-69d17316d9017\" class=\"forminator-checkbox\" title=\"Porteur de lentilles de contact\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"Wearing-contact-lenses\" id=\"forminator-field-checkbox-3-28-69d17316d9017\" aria-labelledby=\"forminator-field-checkbox-3-28-69d17316d9017-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Porteur de lentilles de contact<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-2\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-2_69d17316d9017\" id=\"forminator-field-text-2_69d17316d9017-label\" class=\"forminator-label\">Autres conditions que nous devrions savoir ?<\/label><input type=\"text\" name=\"text-2\" value=\"\" placeholder=\"\" id=\"forminator-field-text-2_69d17316d9017\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><\/div><\/div><div\n\t\t\t\ttabindex=\"-1\"\n\t\t\t\trole=\"tabpanel\"\n\t\t\t\tid=\"forminator-custom-form-13978--page-3\"\n\t\t\t\tclass=\"forminator-pagination\"\n\t\t\t\taria-labelledby=\"forminator-custom-form-13978--page-3-label\"\n\t\t\t\taria-hidden=\"true\"\n\t\t\t\tdata-step=\"3\"\n\t\t\t\tdata-label=\"Page 3\"\n\t\t\t\tdata-actual-label=\"Page 4\"\n\t\t\t\tdata-name=\"\"\n\t\t\t\thidden\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"consent-1\" class=\"forminator-field-consent forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-consent-1_69d17316d9017\" id=\"forminator-field-consent-1_69d17316d9017-label\" class=\"forminator-label\">Consentement <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-checkbox__wrapper\"><label id=\"forminator-field-consent-1_69d17316d9017__label\" class=\"forminator-checkbox forminator-consent\" aria-labelledby=\"forminator-field-consent-1_69d17316d9017-label\"><input type=\"checkbox\" name=\"consent-1\" id=\"forminator-field-consent-1_69d17316d9017\" value=\"checked\" aria-labelledby=\"forminator-field-consent-1_69d17316d9017-label\" aria-describedby=\"forminator-field-consent-1_69d17316d9017__description\" data-required=\"true\" aria-required=\"true\" \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><\/label><div id=\"forminator-field-consent-1_69d17316d9017__description\" class=\"forminator-checkbox__label forminator-consent__label\"><p>AXO est une marque de bien-\u00eatre de luxe innovante qui propose des soins r\u00e9g\u00e9n\u00e9ratifs. En combinant des techniques prouv\u00e9es \u00e0 une approche humaine et empathique, nous accompagnons chacun dans la reconnection \u00e0 son corps, la recherche d\u2019\u00e9quilibre et l\u2019\u00e9panouissement personnel. Le soin phare de la m\u00e9thode AXO associe \u00e9tirements passifs, \"scooping\" ost\u00e9opathique et drainages.&nbsp;<\/p>\n<p>Je confirme avoir pris connaissance de toutes les donn\u00e9es concernant la m\u00e9thode AXO et conscent recevoir le soin par le th\u00e9rapeute assign\u00e9. Je reconnais que le massage a pour but de r\u00e9duire le stress, de soulager les tensions ou spasmes musculaires et d\u2019am\u00e9liorer la circulation sanguine. Je comprends que le praticien ne fait pas de diagnostique de maladies, troubles physiques ou mentaux et ne prescrit pas de traitements m\u00e9dicaux. Je m\u2019engage \u00e0 informer le praticien de mon \u00e9tat de sant\u00e9 \u00e0 chaque s\u00e9ance.<\/p>\n<p>I also agree with the <a rel=\"noopener\" target=\"_blank\" href=\"https:\/\/axomethod.com\/fr\/privacy-policy\/\">privacy policy.<\/a><\/p><\/div><\/div><\/div><\/div><\/div><\/div><button class=\"forminator-button forminator-pagination-submit\" style=\"display: none;\" disabled>Send Message<\/button><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"0e6268ab4f\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/fr\/wp-json\/wp\/v2\/pages\/11922\" \/><input type=\"hidden\" name=\"form_id\" value=\"13978\"><input type=\"hidden\" name=\"page_id\" value=\"11922\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/axomethod.com\/fr\/onboarding\/\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><input type=\"hidden\" name=\"trp-form-language\" value=\"fr\"\/><\/form><\/div>\r\n                <\/div>\r\n                <div data-colibri-id=\"11922-c7\" class=\"style-8395 style-local-11922-c7 position-relative h-element\">\r\n                  <!---->\r\n                <\/div>\r\n              <\/div>\r\n            <\/div>\r\n          <\/div>\r\n        <\/div>\r\n      <\/div>\r\n    <\/div>\r\n  <\/div>\r\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Client onboarding form<\/p>","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-templates\/full-width-page.php","meta":{"pmpro_default_level":"","footnotes":""},"class_list":["post-11922","page","type-page","status-publish","hentry","pmpro-has-access"],"_links":{"self":[{"href":"https:\/\/axomethod.com\/fr\/wp-json\/wp\/v2\/pages\/11922","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/axomethod.com\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/axomethod.com\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/axomethod.com\/fr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/axomethod.com\/fr\/wp-json\/wp\/v2\/comments?post=11922"}],"version-history":[{"count":13,"href":"https:\/\/axomethod.com\/fr\/wp-json\/wp\/v2\/pages\/11922\/revisions"}],"predecessor-version":[{"id":13988,"href":"https:\/\/axomethod.com\/fr\/wp-json\/wp\/v2\/pages\/11922\/revisions\/13988"}],"wp:attachment":[{"href":"https:\/\/axomethod.com\/fr\/wp-json\/wp\/v2\/media?parent=11922"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}