{"id":7125,"date":"2022-06-24T10:02:22","date_gmt":"2022-06-24T09:02:22","guid":{"rendered":"https:\/\/now-fertility.com\/contactez-nous\/"},"modified":"2025-11-05T15:38:13","modified_gmt":"2025-11-05T15:38:13","slug":"contactez-nous","status":"publish","type":"page","link":"https:\/\/now-fertility.com\/fr\/contactez-nous\/","title":{"rendered":"Contactez-nous"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"7125\" class=\"elementor elementor-7125 elementor-5258\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-25b8f309 elementor-section-height-min-height elementor-section-boxed elementor-section-height-default elementor-section-items-middle\" data-id=\"25b8f309\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;shape_divider_bottom&quot;:&quot;curve-asymmetrical&quot;,&quot;shape_divider_bottom_negative&quot;:&quot;yes&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t<div class=\"elementor-shape elementor-shape-bottom\" aria-hidden=\"true\" data-negative=\"true\">\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 1000 100\" preserveAspectRatio=\"none\">\n\t<path class=\"elementor-shape-fill\" d=\"M615.2,96.7C240.2,97.8,0,18.9,0,0v100h1000V0C1000,19.2,989.8,96,615.2,96.7z\"\/>\n<\/svg>\t\t<\/div>\n\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-66 elementor-top-column elementor-element elementor-element-2ba0ec5\" data-id=\"2ba0ec5\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-332a7fc3 elementor-widget elementor-widget-heading\" data-id=\"332a7fc3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-xl\"><b>Contact <br>NOW-fertility<\/b><\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-1768d841\" data-id=\"1768d841\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5afccfd elementor-align-left elementor-mobile-align-left elementor-widget elementor-widget-breadcrumbs\" data-id=\"5afccfd\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"breadcrumbs.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<p id=\"breadcrumbs\"><span><span><a href=\"https:\/\/now-fertility.com\/fr\/domicile\/\">Accueil<\/a><\/span><\/span><\/p>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-ace6b26 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"ace6b26\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-894cb47\" data-id=\"894cb47\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-9782976 elementor-widget elementor-widget-heading\" data-id=\"9782976\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">D\u00e9marrer avec NOW-fertility<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f51a95d elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"f51a95d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8daa6bd elementor-widget elementor-widget-text-editor\" data-id=\"8daa6bd\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Notre \u00e9quipe de soins est l\u00e0 pour explorer votre parcours de fertilit\u00e9 et vous guider \u00e0 travers vos options.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6e41322 elementor-widget elementor-widget-heading\" data-id=\"6e41322\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Veuillez soumettre vos coordonn\u00e9es ci-dessous :<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5e65e17 elementor-widget elementor-widget-text-editor\" data-id=\"5e65e17\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\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 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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' target='gform_ajax_frame_28' id='gform_28'  action='\/fr\/wp-json\/wp\/v2\/pages\/7125#gf_28' data-formid='28' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_28' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_28_41\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_28_41'>Facebook<\/label><div class='ginput_container'><input name='input_41' id='input_28_41' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_28_41'>Ce champ n\u2019est utilis\u00e9 qu\u2019\u00e0 des fins de validation et devrait rester inchang\u00e9.<\/div><\/div><div id=\"field_28_1\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_28_1'>Pr\u00e9nom<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_28_1' type='text' value='' class='large'    placeholder='Pr\u00e9nom*' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_28_19\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_28_19'>Nom<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_19' id='input_28_19' type='text' value='' class='large'    placeholder='Nom*' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_28_39\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_28_39'>Date de naissance (partenaire f\u00e9minine)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_39' id='input_28_39' type='text' value='' class='large'    placeholder='Date de naissance (partenaire f\u00e9minine) *' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_28_40\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_28_40'>Situation amoureuse *<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_40' id='input_28_40' type='text' value='' class='large'    placeholder='Situation amoureuse *' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_28_11\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_28_11'>T\u00e9l\u00e9phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_11' id='input_28_11' type='tel' value='' class='large'  placeholder='T\u00e9l\u00e9phone*' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_28_18\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_28_18'>Pays<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_18' id='input_28_18' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Pays*<\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albanie' >Albanie<\/option><option value='Alg\u00e9rie' >Alg\u00e9rie<\/option><option value='Samoa am\u00e9ricaines' >Samoa am\u00e9ricaines<\/option><option value='Andorre' >Andorre<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctique' >Antarctique<\/option><option value='Antigua-et-Barbuda' >Antigua-et-Barbuda<\/option><option value='Argentine' >Argentine<\/option><option value='Arm\u00e9nie' >Arm\u00e9nie<\/option><option value='Aruba' >Aruba<\/option><option value='Australie' >Australie<\/option><option value='Autriche' >Autriche<\/option><option value='Azerba\u00efdjan' >Azerba\u00efdjan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahre\u00efn' >Bahre\u00efn<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbade' >Barbade<\/option><option value='Bi\u00e9lorussie' >Bi\u00e9lorussie<\/option><option value='Belgique' >Belgique<\/option><option value='Belize' >Belize<\/option><option value='B\u00e9nin' >B\u00e9nin<\/option><option value='Bermudes' >Bermudes<\/option><option value='Bhoutan' >Bhoutan<\/option><option value='Bolivie' >Bolivie<\/option><option value='Bonaire, Saint-Eustache et Saba' >Bonaire, Saint-Eustache et Saba<\/option><option value='Bosnie-Herz\u00e9govine' >Bosnie-Herz\u00e9govine<\/option><option value='Botswana' >Botswana<\/option><option value='\u00cele Bouvet' >\u00cele Bouvet<\/option><option value='Br\u00e9sil' >Br\u00e9sil<\/option><option value='Territoire britannique de l\u2019oc\u00e9an Indien' >Territoire britannique de l\u2019oc\u00e9an Indien<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Bulgarie' >Bulgarie<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cabo Verde' >Cabo Verde<\/option><option value='Cambodge' >Cambodge<\/option><option value='Cameroun' >Cameroun<\/option><option value='Canada' >Canada<\/option><option value='\u00celes Ca\u00efmanes' >\u00celes Ca\u00efmanes<\/option><option value='R\u00e9publique centrafricaine' >R\u00e9publique centrafricaine<\/option><option value='Tchad' >Tchad<\/option><option value='Chili' >Chili<\/option><option value='Chine' >Chine<\/option><option value='\u00cele Christmas' >\u00cele Christmas<\/option><option value='\u00celes Cocos' >\u00celes Cocos<\/option><option value='Colombie' >Colombie<\/option><option value='Comores' >Comores<\/option><option value='Congo' >Congo<\/option><option value='Congo, R\u00e9publique d\u00e9mocratique du' >Congo, R\u00e9publique d\u00e9mocratique du<\/option><option value='\u00celes Cook' >\u00celes Cook<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatie (Hrvatska)' >Croatie (Hrvatska)<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Chypre' >Chypre<\/option><option value='Tch\u00e9quie' >Tch\u00e9quie<\/option><option value='C\u00f4te d\u2019Ivoire' >C\u00f4te d\u2019Ivoire<\/option><option value='Danemark' >Danemark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominique' >Dominique<\/option><option value='R\u00e9publique dominicaine' >R\u00e9publique dominicaine<\/option><option value='\u00c9quateur' >\u00c9quateur<\/option><option value='\u00c9gypte' >\u00c9gypte<\/option><option value='Salvador' >Salvador<\/option><option value='Guin\u00e9e \u00e9quatoriale' >Guin\u00e9e \u00e9quatoriale<\/option><option value='\u00c9rythr\u00e9e' >\u00c9rythr\u00e9e<\/option><option value='Estonie' >Estonie<\/option><option value='Eswatini' >Eswatini<\/option><option value='\u00c9thiopie' >\u00c9thiopie<\/option><option value='\u00celes Falkland' >\u00celes Falkland<\/option><option value='F\u00e9ro\u00e9 (\u00eeles)' >F\u00e9ro\u00e9 (\u00eeles)<\/option><option value='Fidji' >Fidji<\/option><option value='Finlande' >Finlande<\/option><option value='France' >France<\/option><option value='Guyane fran\u00e7aise' >Guyane fran\u00e7aise<\/option><option value='Polyn\u00e9sie fran\u00e7aise' >Polyn\u00e9sie fran\u00e7aise<\/option><option value='Terres australes fran\u00e7aises' >Terres australes fran\u00e7aises<\/option><option value='Gabon' >Gabon<\/option><option value='Gambie' >Gambie<\/option><option value='G\u00e9orgie' >G\u00e9orgie<\/option><option value='Allemagne' >Allemagne<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Gr\u00e8ce' >Gr\u00e8ce<\/option><option value='Groenland' >Groenland<\/option><option value='Grenade' >Grenade<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernesey' >Guernesey<\/option><option value='Guin\u00e9e' >Guin\u00e9e<\/option><option value='Guin\u00e9e-Bissau' >Guin\u00e9e-Bissau<\/option><option value='Guyana' >Guyana<\/option><option value='Ha\u00efti' >Ha\u00efti<\/option><option value='\u00cele Heard et \u00eeles McDonald' >\u00cele Heard et \u00eeles McDonald<\/option><option value='Saint-Si\u00e8ge' >Saint-Si\u00e8ge<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hongrie' >Hongrie<\/option><option value='Islande' >Islande<\/option><option value='Inde' >Inde<\/option><option value='Indon\u00e9sie' >Indon\u00e9sie<\/option><option value='Iran' >Iran<\/option><option value='Irak' >Irak<\/option><option value='Irlande' >Irlande<\/option><option value='\u00cele de Man' >\u00cele de Man<\/option><option value='Isra\u00ebl' >Isra\u00ebl<\/option><option value='Italie' >Italie<\/option><option value='Jama\u00efque' >Jama\u00efque<\/option><option value='Japon' >Japon<\/option><option value='Jersey' >Jersey<\/option><option value='Jordanie' >Jordanie<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Cor\u00e9e, R\u00e9publique populaire d\u00e9mocratique de' >Cor\u00e9e, R\u00e9publique populaire d\u00e9mocratique de<\/option><option value='Cor\u00e9e, R\u00e9publique de' >Cor\u00e9e, R\u00e9publique de<\/option><option value='Kowe\u00eft' >Kowe\u00eft<\/option><option value='Kirghizistan' >Kirghizistan<\/option><option value='R\u00e9publique d\u00e9mocratique populaire lao' >R\u00e9publique d\u00e9mocratique populaire lao<\/option><option value='Lettonie' >Lettonie<\/option><option value='Liban' >Liban<\/option><option value='Lesotho' >Lesotho<\/option><option value='Lib\u00e9ria' >Lib\u00e9ria<\/option><option value='Libye' >Libye<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lituanie' >Lituanie<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macao' >Macao<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaisie' >Malaisie<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malte' >Malte<\/option><option value='\u00celes Marshall' >\u00celes Marshall<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritanie' >Mauritanie<\/option><option value='Maurice' >Maurice<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexique' >Mexique<\/option><option value='Micron\u00e9sie' >Micron\u00e9sie<\/option><option value='Moldavie' >Moldavie<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolie' >Mongolie<\/option><option value='Mont\u00e9n\u00e9gro' >Mont\u00e9n\u00e9gro<\/option><option value='Montserrat' >Montserrat<\/option><option value='Maroc' >Maroc<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibie' >Namibie<\/option><option value='Nauru' >Nauru<\/option><option value='N\u00e9pal' >N\u00e9pal<\/option><option value='Pays-Bas' >Pays-Bas<\/option><option value='Nouvelle-Cal\u00e9donie' >Nouvelle-Cal\u00e9donie<\/option><option value='Nouvelle-Z\u00e9lande' >Nouvelle-Z\u00e9lande<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nig\u00e9ria' >Nig\u00e9ria<\/option><option value='Niou\u00e9' >Niou\u00e9<\/option><option value='\u00cele Norfolk' >\u00cele Norfolk<\/option><option value='Mac\u00e9doine du Nord' >Mac\u00e9doine du Nord<\/option><option value='\u00celes Mariannes du Nord' >\u00celes Mariannes du Nord<\/option><option value='Norv\u00e8ge' >Norv\u00e8ge<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palaos' >Palaos<\/option><option value='Palestine, \u00c9tat de' >Palestine, \u00c9tat de<\/option><option value='Panama' >Panama<\/option><option value='Papouasie-Nouvelle-Guin\u00e9e' >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value='Paraguay' >Paraguay<\/option><option value='P\u00e9rou' >P\u00e9rou<\/option><option value='Philippines' >Philippines<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Pologne' >Pologne<\/option><option value='Portugal' >Portugal<\/option><option value='Porto Rico' >Porto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Roumanie' >Roumanie<\/option><option value='F\u00e9d\u00e9ration de Russie' >F\u00e9d\u00e9ration de Russie<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9union' >R\u00e9union<\/option><option value='Saint-Barth\u00e9lemy' >Saint-Barth\u00e9lemy<\/option><option value='Sainte-H\u00e9l\u00e8ne, l\u2019Ascension et Tristan da Cunha' >Sainte-H\u00e9l\u00e8ne, l\u2019Ascension et Tristan da Cunha<\/option><option value='Saint-Kitts-et-Nevis' >Saint-Kitts-et-Nevis<\/option><option value='Sainte-Lucie' >Sainte-Lucie<\/option><option value='Saint-Martin' >Saint-Martin<\/option><option value='Saint-Pierre-et-Miquelon' >Saint-Pierre-et-Miquelon<\/option><option value='Saint-Vincent-et-les-Grenadines' >Saint-Vincent-et-les-Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='Saint-Marin' >Saint-Marin<\/option><option value='Sao Tom\u00e9-et-Principe' >Sao Tom\u00e9-et-Principe<\/option><option value='Arabie Saoudite' >Arabie Saoudite<\/option><option value='S\u00e9n\u00e9gal' >S\u00e9n\u00e9gal<\/option><option value='Serbie' >Serbie<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapour' >Singapour<\/option><option value='Saint-Martin' >Saint-Martin<\/option><option value='Slovaquie' >Slovaquie<\/option><option value='Slov\u00e9nie' >Slov\u00e9nie<\/option><option value='\u00celes Salomon' >\u00celes Salomon<\/option><option value='Somalie' >Somalie<\/option><option value='Afrique du Sud' >Afrique du Sud<\/option><option value='G\u00e9orgie du Sud et \u00eeles Sandwich du Sud' >G\u00e9orgie du Sud et \u00eeles Sandwich du Sud<\/option><option value='Soudan du Sud' >Soudan du Sud<\/option><option value='Espagne' >Espagne<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Soudan' >Soudan<\/option><option value='Suriname' >Suriname<\/option><option value='Svalbard et Jan Mayen' >Svalbard et Jan Mayen<\/option><option value='Su\u00e8de' >Su\u00e8de<\/option><option value='Suisse' >Suisse<\/option><option value='R\u00e9publique arabe syrienne' >R\u00e9publique arabe syrienne<\/option><option value='Taiwan' >Taiwan<\/option><option value='Tadjikistan' >Tadjikistan<\/option><option value='Tanzanie, R\u00e9publique-Unie de' >Tanzanie, R\u00e9publique-Unie de<\/option><option value='Tha\u00eflande' >Tha\u00eflande<\/option><option value='Timor-Leste' >Timor-Leste<\/option><option value='Togo' >Togo<\/option><option value='Tok\u00e9laou' >Tok\u00e9laou<\/option><option value='Tonga' >Tonga<\/option><option value='Trinit\u00e9-et-Tobago' >Trinit\u00e9-et-Tobago<\/option><option value='Tunisie' >Tunisie<\/option><option value='Turkm\u00e9nistan' >Turkm\u00e9nistan<\/option><option value='\u00celes Turques-et-Ca\u00efques' >\u00celes Turques-et-Ca\u00efques<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='T\u00fcrkiye' >T\u00fcrkiye<\/option><option value='\u00celes mineures \u00e9loign\u00e9es des \u00c9tats-Unis' >\u00celes mineures \u00e9loign\u00e9es des \u00c9tats-Unis<\/option><option value='Ouganda' >Ouganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='\u00c9mirats arabes unis' >\u00c9mirats arabes unis<\/option><option value='Royaume-Uni' >Royaume-Uni<\/option><option value='\u00c9tats-Unis' >\u00c9tats-Unis<\/option><option value='Uruguay' >Uruguay<\/option><option value='Ouzb\u00e9kistan' >Ouzb\u00e9kistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='\u00celes Vierges, Britanniques' >\u00celes Vierges, Britanniques<\/option><option value='\u00celes Vierges, \u00c9tats-Unis' >\u00celes Vierges, \u00c9tats-Unis<\/option><option value='Wallis-et-Futuna' >Wallis-et-Futuna<\/option><option value='Sahara occidental' >Sahara occidental<\/option><option value='Y\u00e9men' >Y\u00e9men<\/option><option value='Zambie' >Zambie<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='\u00celes \u00c5land' >\u00celes \u00c5land<\/option><\/select><\/div><\/div><fieldset id=\"field_28_7\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full gfield_contains_required field_sublabel_hidden_label gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Adresse courriel<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container_email gform-grid-row' id='input_28_7_container'>\n                                <span id='input_28_7_1_container' class='ginput_left gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_7' id='input_28_7' value=''   placeholder='Adresse courriel*' aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                    <label for='input_28_7' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Adresse courriel*<\/label>\n                                <\/span>\n                                <span id='input_28_7_2_container' class='ginput_right gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_7_2' id='input_28_7_2' value=''   placeholder='Confirmer l\u2019adresse e-mail *' aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                    <label for='input_28_7_2' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Confirmer l\u2019adresse e-mail*<\/label>\n                                <\/span>\n                                <div class='gf_clear gf_clear_complex'><\/div>\n                            <\/div><\/fieldset><div id=\"field_28_5\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_28_5'>Langue pr\u00e9f\u00e9r\u00e9e<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_5' id='input_28_5' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Langue pr\u00e9f\u00e9r\u00e9e *<\/option><option value='Afrikaans' >Afrikaans<\/option><option value='Albanais' >Albanais<\/option><option value='Arabe' >Arabe<\/option><option value='Arm\u00e9nien' >Arm\u00e9nien<\/option><option value='Basque' >Basque<\/option><option value='Bengali' >Bengali<\/option><option value='Bulgare' >Bulgare<\/option><option value='Catalan' >Catalan<\/option><option value='Cambodgien' >Cambodgien<\/option><option value='Chinois (mandarin)' >Chinois (mandarin)<\/option><option value='Croate' >Croate<\/option><option value='Tch\u00e8que' >Tch\u00e8que<\/option><option value='Danois' >Danois<\/option><option value='N\u00e9erlandais' >N\u00e9erlandais<\/option><option value='Anglais' >Anglais<\/option><option value='Estonien' >Estonien<\/option><option value='Fidji' >Fidji<\/option><option value='Finnois' >Finnois<\/option><option value='Fran\u00e7ais' >Fran\u00e7ais<\/option><option value='G\u00e9orgien' >G\u00e9orgien<\/option><option value='Allemand' >Allemand<\/option><option value='Grec' >Grec<\/option><option value='Gujar\u00e2t\u00ee' >Gujar\u00e2t\u00ee<\/option><option value='H\u00e9breu' >H\u00e9breu<\/option><option value='Hindi' >Hindi<\/option><option value='Hongrois' >Hongrois<\/option><option value='Islandais' >Islandais<\/option><option value='Indon\u00e9sien' >Indon\u00e9sien<\/option><option value='Irlandais' >Irlandais<\/option><option value='Italien' >Italien<\/option><option value='Japonais' >Japonais<\/option><option value='Javanais' >Javanais<\/option><option value='Cor\u00e9en' >Cor\u00e9en<\/option><option value='Latin' >Latin<\/option><option value='Letton' >Letton<\/option><option value='Lituanien' >Lituanien<\/option><option value='Mac\u00e9donien' >Mac\u00e9donien<\/option><option value='Malaisien' >Malaisien<\/option><option value='Malayalam' >Malayalam<\/option><option value='Maltais' >Maltais<\/option><option value='Maori' >Maori<\/option><option value='Marathi' >Marathi<\/option><option value='Mongol' >Mongol<\/option><option value='N\u00e9palais' >N\u00e9palais<\/option><option value='Norv\u00e9gien' >Norv\u00e9gien<\/option><option value='Perse' >Perse<\/option><option value='Polonais' >Polonais<\/option><option value='Portugais' >Portugais<\/option><option value='Punjabi' >Punjabi<\/option><option value='Quechua' >Quechua<\/option><option value='Roumain' >Roumain<\/option><option value='Russe' >Russe<\/option><option value='Samoan' >Samoan<\/option><option value='Serbe' >Serbe<\/option><option value='Slovaque' >Slovaque<\/option><option value='Slov\u00e8ne' >Slov\u00e8ne<\/option><option value='Espagnol' >Espagnol<\/option><option value='Swahili' >Swahili<\/option><option value='Su\u00e9dois' >Su\u00e9dois<\/option><option value='Tamil' >Tamil<\/option><option value='Tatar' >Tatar<\/option><option value='Telugu' >Telugu<\/option><option value='Tha\u00ef' >Tha\u00ef<\/option><option value='Tib\u00e9tain' >Tib\u00e9tain<\/option><option value='Tonga' >Tonga<\/option><option value='Turc' >Turc<\/option><option value='Ukrainien' >Ukrainien<\/option><option value='Urdu' >Urdu<\/option><option value='Ouzbek' >Ouzbek<\/option><option value='Vietnamien' >Vietnamien<\/option><option value='Gallois' >Gallois<\/option><option value='Xhosa' >Xhosa<\/option><\/select><\/div><\/div><div id=\"field_28_15\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_28_15'>Raison de demander un traitement de fertilit\u00e9<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_28_15' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Raison de la recherche d\u2019un traitement de fertilit\u00e9 *<\/option><option value='FIV' >FIV<\/option><option value='FIV avec ICSI' >FIV avec ICSI<\/option><option value='FIV avec ovules de donneuse' >FIV avec ovules de donneuse<\/option><option value='FIV avec sperme de donneur' >FIV avec sperme de donneur<\/option><option value='FIV avec double don' >FIV avec double don<\/option><option value='Don d\u2019embryons' >Don d\u2019embryons<\/option><option value='FIV pour la s\u00e9lection du sexe' >FIV pour la s\u00e9lection du sexe<\/option><option value='FIV pour les tests g\u00e9n\u00e9tiques' >FIV pour les tests g\u00e9n\u00e9tiques<\/option><option value='Don d\u2019ovules avec s\u00e9lection du sexe' >Don d\u2019ovules avec s\u00e9lection du sexe<\/option><option value='Banque d\u2019embryons' >Banque d\u2019embryons<\/option><option value='Cong\u00e9lation d\u2019ovules' >Cong\u00e9lation d\u2019ovules<\/option><option value='Cong\u00e9lation du sperme' >Cong\u00e9lation du sperme<\/option><option value='Autre' >Autre<\/option><\/select><\/div><\/div><div id=\"field_28_16\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_28_16'>Autre<\/label><div class='ginput_container ginput_container_text'><input name='input_16' id='input_28_16' type='text' value='' class='large'    placeholder='Autre - veuillez fournir plus d\u2019informations'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_28_20\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_28_20'>Pays de pr\u00e9dilection pour le traitement &#8211; Autre<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_20' id='input_28_20' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Pays pr\u00e9f\u00e9r\u00e9 pour le traitement *<\/option><option value='\u00c9gypte' >\u00c9gypte<\/option><option value='Gr\u00e8ce' >Gr\u00e8ce<\/option><option value='Italie' >Italie<\/option><option value='Pologne' >Pologne<\/option><option value='Arabie Saoudite' >Arabie Saoudite<\/option><option value='Espagne' >Espagne<\/option><option value='Tunisie' >Tunisie<\/option><option value='Turquie' >Turquie<\/option><option value='EAU' >EAU<\/option><option value='ROYAUME-UNI' >ROYAUME-UNI<\/option><\/select><\/div><\/div><div id=\"field_28_12\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_28_12'>Pays de pr\u00e9dilection pour le traitement &#8211; FIV<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_12' id='input_28_12' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Pays pr\u00e9f\u00e9r\u00e9 pour le traitement *<\/option><option value='\u00c9gypte' >\u00c9gypte<\/option><option value='Gr\u00e8ce' >Gr\u00e8ce<\/option><option value='Italie' >Italie<\/option><option value='Pologne' >Pologne<\/option><option value='Arabie Saoudite' >Arabie Saoudite<\/option><option value='Espagne' >Espagne<\/option><option value='Tunisie' >Tunisie<\/option><option value='Turquie' >Turquie<\/option><option value='EAU' >EAU<\/option><option value='ROYAUME-UNI' >ROYAUME-UNI<\/option><\/select><\/div><\/div><div id=\"field_28_21\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_28_21'>Pays de pr\u00e9dilection pour le traitement &#8211; FIV avec ICSI<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_21' id='input_28_21' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Pays pr\u00e9f\u00e9r\u00e9 pour le traitement *<\/option><option value='\u00c9gypte' >\u00c9gypte<\/option><option value='Gr\u00e8ce' >Gr\u00e8ce<\/option><option value='Italie' >Italie<\/option><option value='Pologne' >Pologne<\/option><option value='Arabie Saoudite' >Arabie Saoudite<\/option><option value='Espagne' >Espagne<\/option><option value='Tunisie' >Tunisie<\/option><option value='Turquie' >Turquie<\/option><option value='EAU' >EAU<\/option><option value='ROYAUME-UNI' >ROYAUME-UNI<\/option><\/select><\/div><\/div><div id=\"field_28_29\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_28_29'>Pays pr\u00e9f\u00e9r\u00e9 pour le traitement &#8211; FIV avec ovules de donneuse<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_28_29' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Pays pr\u00e9f\u00e9r\u00e9 pour le traitement *<\/option><option value='Gr\u00e8ce' >Gr\u00e8ce<\/option><option value='Italie' >Italie<\/option><option value='Pologne' >Pologne<\/option><option value='Espagne' >Espagne<\/option><option value='ROYAUME-UNI' >ROYAUME-UNI<\/option><\/select><\/div><\/div><div id=\"field_28_22\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_28_22'>Pays pr\u00e9f\u00e9r\u00e9 pour le traitement &#8211; FIV avec sperme de donneur<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_22' id='input_28_22' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Pays pr\u00e9f\u00e9r\u00e9 pour le traitement *<\/option><option value='Gr\u00e8ce' >Gr\u00e8ce<\/option><option value='Italie' >Italie<\/option><option value='Pologne' >Pologne<\/option><option value='Espagne' >Espagne<\/option><option value='ROYAUME-UNI' >ROYAUME-UNI<\/option><\/select><\/div><\/div><div id=\"field_28_23\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_28_23'>Pays de pr\u00e9dilection pour le traitement &#8211; FIV avec double don<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_23' id='input_28_23' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Pays pr\u00e9f\u00e9r\u00e9 pour le traitement *<\/option><option value='Gr\u00e8ce' >Gr\u00e8ce<\/option><option value='Italie' >Italie<\/option><option value='Espagne' >Espagne<\/option><option value='ROYAUME-UNI' >ROYAUME-UNI<\/option><\/select><\/div><\/div><div id=\"field_28_24\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_28_24'>Pays pr\u00e9f\u00e9r\u00e9 pour le traitement &#8211; FIV avec don d\u2019embryons<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_24' id='input_28_24' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Pays pr\u00e9f\u00e9r\u00e9 pour le traitement *<\/option><option value='Pologne' >Pologne<\/option><option value='Espagne' >Espagne<\/option><\/select><\/div><\/div><div id=\"field_28_25\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_28_25'>Pays pr\u00e9f\u00e9r\u00e9 pour le traitement &#8211; FIV pour la s\u00e9lection du sexe<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_25' id='input_28_25' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Pays pr\u00e9f\u00e9r\u00e9 pour le traitement *<\/option><option value='\u00c9gypte' >\u00c9gypte<\/option><option value='Arabie Saoudite' >Arabie Saoudite<\/option><option value='EAU' >EAU<\/option><\/select><\/div><\/div><div id=\"field_28_26\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_28_26'>Pays de pr\u00e9dilection pour le traitement &#8211; Embryo Banking<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_28_26' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Pays pr\u00e9f\u00e9r\u00e9 pour le traitement *<\/option><option value='\u00c9gypte' >\u00c9gypte<\/option><option value='Gr\u00e8ce' >Gr\u00e8ce<\/option><option value='Italie' >Italie<\/option><option value='Pologne' >Pologne<\/option><option value='Arabie Saoudite' >Arabie Saoudite<\/option><option value='Espagne' >Espagne<\/option><option value='Tunisie' >Tunisie<\/option><option value='Turquie' >Turquie<\/option><option value='EAU' >EAU<\/option><option value='ROYAUME-UNI' >ROYAUME-UNI<\/option><\/select><\/div><\/div><div id=\"field_28_27\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_28_27'>Pays pr\u00e9f\u00e9r\u00e9 pour le traitement &#8211; Cong\u00e9lation d\u2019ovules<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_28_27' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Pays pr\u00e9f\u00e9r\u00e9 pour le traitement *<\/option><option value='\u00c9gypte' >\u00c9gypte<\/option><option value='Gr\u00e8ce' >Gr\u00e8ce<\/option><option value='Italie' >Italie<\/option><option value='Pologne' >Pologne<\/option><option value='Arabie Saoudite' >Arabie Saoudite<\/option><option value='Espagne' >Espagne<\/option><option value='Tunisie' >Tunisie<\/option><option value='Turquie' >Turquie<\/option><option value='ROYAUME-UNI' >ROYAUME-UNI<\/option><option value='EAU' >EAU<\/option><\/select><\/div><\/div><div id=\"field_28_28\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_28_28'>Pays pr\u00e9f\u00e9r\u00e9 pour le traitement &#8211; Cong\u00e9lation de sperme<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_28_28' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Pays pr\u00e9f\u00e9r\u00e9 pour le traitement *<\/option><option value='\u00c9gypte' >\u00c9gypte<\/option><option value='Gr\u00e8ce' >Gr\u00e8ce<\/option><option value='Italie' >Italie<\/option><option value='Pologne' >Pologne<\/option><option value='Arabie Saoudite' >Arabie Saoudite<\/option><option value='Espagne' >Espagne<\/option><option value='Tunisie' >Tunisie<\/option><option value='Turquie' >Turquie<\/option><option value='ROYAUME-UNI' >ROYAUME-UNI<\/option><option value='EAU' >EAU<\/option><\/select><\/div><\/div><div id=\"field_28_30\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_28_30'>Pays pr\u00e9f\u00e9r\u00e9 pour le traitement &#8211; FIV pour les tests g\u00e9n\u00e9tiques<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_30' id='input_28_30' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Pays pr\u00e9f\u00e9r\u00e9 pour le traitement *<\/option><option value='\u00c9gypte' >\u00c9gypte<\/option><option value='Gr\u00e8ce' >Gr\u00e8ce<\/option><option value='Italie' >Italie<\/option><option value='Pologne' >Pologne<\/option><option value='Arabie Saoudite' >Arabie Saoudite<\/option><option value='Espagne' >Espagne<\/option><option value='Turquie' >Turquie<\/option><option value='ROYAUME-UNI' >ROYAUME-UNI<\/option><option value='EAU' >EAU<\/option><\/select><\/div><\/div><div id=\"field_28_31\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_28_31'>Pays pr\u00e9f\u00e9r\u00e9 pour le traitement &#8211; Don d\u2019ovules avec s\u00e9lection du sexe<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_28_31' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Pays pr\u00e9f\u00e9r\u00e9 pour le traitement *<\/option><option value='Chypre du Nord' >Chypre du Nord<\/option><\/select><\/div><\/div><div id=\"field_28_36\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_28_36'>Temps disponible pour rester \u00e0 l\u2019\u00e9tranger (en jours)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_36' id='input_28_36' type='text' value='' class='large'    placeholder='Temps disponible pour s\u00e9journer \u00e0 l\u2019\u00e9tranger (en jours) *' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_28_35\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 style=\"font-size:17px; margin-bottom: 5px; margin-top: 10px;color: #0e4f5c; font-weight: 400;\">Budget pour le traitement de fertilit\u00e9 *<\/h3><\/div><div id=\"field_28_33\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_28_33'>Monnaie<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_33' id='input_28_33' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Monnaie*<\/option><option value='CHF' >CHF<\/option><option value='GBP' >GBP<\/option><option value='EURO' >EURO<\/option><option value='USD' >USD<\/option><option value='DEA' >DEA<\/option><\/select><\/div><\/div><div id=\"field_28_32\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_28_32'>Quantit\u00e9<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_28_32' type='text' value='' class='large'    placeholder='Quantit\u00e9*' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_28_38\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >R\u00e9servez une consultation *<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_28_38'>\n\t\t\t<div class='gchoice gchoice_28_38_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_38' type='radio' value='Oui'  id='choice_28_38_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_38_0' id='label_28_38_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_28_38_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_38' type='radio' value='Non'  id='choice_28_38_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_28_38_1' id='label_28_38_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_28_6\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_28_6'>Informations compl\u00e9mentaires<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_6' id='input_28_6' class='textarea small'    placeholder='Informations compl\u00e9mentaires'  aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_28_13\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_28_13'>Comment avez-vous entendu parler de nous ?<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_28_13' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Comment avez-vous entendu parler de nous ? *<\/option><option value='Moteur de recherche (Google, Bing, etc.)' >Moteur de recherche (Google, Bing, etc.)<\/option><option value='Sur Facebook' >Sur Facebook<\/option><option value='Lien LinkedIn' >Lien LinkedIn<\/option><option value='Sur Instagram' >Sur Instagram<\/option><option value='Recommand\u00e9 par un ami ou un coll\u00e8gue' >Recommand\u00e9 par un ami ou un coll\u00e8gue<\/option><option value='Publication d\u2019actualit\u00e9s ou de m\u00e9dias' >Publication d\u2019actualit\u00e9s ou de m\u00e9dias<\/option><option value='Autre' >Autre<\/option><\/select><\/div><\/div><div id=\"field_28_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 hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_28_14'>Autre &#8211; veuillez indiquer<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_28_14' type='text' value='' class='large'    placeholder='Autre - veuillez indiquer *' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_28_10\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Petits caract\u00e8res*<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_10.1' id='input_28_10_1' type='checkbox' value='1'   aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_28_10_1' >J\u2019ai lu et j\u2019accepte les <a href=\"https:\/\/now-fertility.com\/fr\/termes\/\" target=\"blank\" rel=\"noopener noreferrer\">conditions d\u2019utilisation du<\/a> site Web.<\/label><input type='hidden' name='input_10.2' value='J\u2019ai lu et j\u2019accepte les &lt;a href=&quot;https:\/\/now-fertility.com\/fr\/termes\/&quot; target=&quot;blank&quot; rel=&quot;noopener noreferrer&quot;&gt;conditions d\u2019utilisation du&lt;\/a&gt; site Web.' class='gform_hidden' \/><input type='hidden' name='input_10.3' value='35' class='gform_hidden' \/><\/div><\/fieldset><fieldset id=\"field_28_8\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Vie priv\u00e9e*<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_8.1' id='input_28_8_1' type='checkbox' value='1'   aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_28_8_1' >J\u2019ai lu et j\u2019accepte la <a href=\"https:\/\/now-fertility.com\/fr\/politique-de-confidentialite-et-de-cookies\/\" target=\"blank\" rel=\"noopener noreferrer\">politique de confidentialit\u00e9.<\/a><\/label><input type='hidden' name='input_8.2' value='J\u2019ai lu et j\u2019accepte la &lt;a href=&quot;https:\/\/now-fertility.com\/fr\/politique-de-confidentialite-et-de-cookies\/&quot; target=&quot;blank&quot; rel=&quot;noopener noreferrer&quot;&gt;politique de confidentialit\u00e9.&lt;\/a&gt;' class='gform_hidden' \/><input type='hidden' name='input_8.3' value='35' class='gform_hidden' \/><\/div><\/fieldset><fieldset id=\"field_28_9\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Marketing<\/legend><div class='ginput_container ginput_container_consent'><input name='input_9.1' id='input_28_9_1' type='checkbox' value='1'    aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_28_9_1' >Je souhaite recevoir des informations marketing et de la communication \u00e0 l\u2019avenir.<\/label><input type='hidden' name='input_9.2' value='Je souhaite recevoir des informations marketing et de la communication \u00e0 l\u2019avenir.' class='gform_hidden' \/><input type='hidden' name='input_9.3' value='35' class='gform_hidden' \/><\/div><\/fieldset><div id=\"field_28_17\" class=\"gfield gfield--type-captcha gfield--input-type-captcha gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_28_17'>CAPTCHA<\/label><div id='input_28_17' class='ginput_container ginput_recaptcha' data-sitekey='6LeHX5gmAAAAALbQyGj63D8v5PtUl1O67nmkvtmj'  data-theme='light' data-tabindex='0'  data-badge=''><\/div><\/div><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <input type='submit' id='gform_submit_button_28' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Envoyer'  \/> <input type='hidden' name='gform_ajax' value='form_id=28&amp;title=&amp;description=&amp;tabindex=0&amp;theme=gravity-theme&amp;styles=[]&amp;hash=026befc7ee066cebf152c14aa4fa926e' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_28' value='iframe' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_28' id='gform_theme_28' value='gravity-theme' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_28' id='gform_style_settings_28' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_28' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='28' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='GBP' value='z06I2bWr1gsEA4c1qEobbh\/zztpOyMlg2QuBoycoAh6TKbfj9SDU9QhYQVIHJL8KqJMvYZpK\/N3xtTlE5TnNHzAhte7G1ZVqYN4oK8nW0B98KZE=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_28' 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