{"id":314,"date":"2025-01-27T21:44:29","date_gmt":"2025-01-27T20:44:29","guid":{"rendered":"http:\/\/www.mspduboulonnais.fr\/?page_id=314"},"modified":"2025-01-27T21:45:02","modified_gmt":"2025-01-27T20:45:02","slug":"questionnaire-de-satisfaction","status":"publish","type":"page","link":"https:\/\/www.mspduboulonnais.fr\/index.php\/questionnaire-de-satisfaction\/","title":{"rendered":"Questionnaire de satisfaction"},"content":{"rendered":"<div class=\"wpforms-container wpforms-container-full wpforms-block wpforms-block-ca0e1eba-4da2-4812-a818-fd13aa2756d8 wpforms-render-modern\" id=\"wpforms-311\"><form id=\"wpforms-form-311\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"311\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php\/wp-json\/wp\/v2\/pages\/314\" data-token=\"c06ae0d57a186ab21450ab34e9250700\" data-token-time=\"1779186560\"><noscript class=\"wpforms-error-noscript\">Veuillez activer JavaScript dans votre navigateur pour remplir ce formulaire.<\/noscript><div id=\"wpforms-error-noscript\" style=\"display: none;\">Veuillez activer JavaScript dans votre navigateur pour remplir ce formulaire.<\/div><div class=\"wpforms-field-container\"><div id=\"wpforms-311-field_1-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-311-field_1\">\u00c2ge<\/label><input type=\"text\" id=\"wpforms-311-field_1\" class=\"wpforms-field-medium\" name=\"wpforms[fields][1]\" aria-errormessage=\"wpforms-311-field_1-error\" ><\/div>\t\t<div id=\"wpforms-311-field_10-container\"\n\t\t\tclass=\"wpforms-field wpforms-field-text\"\n\t\t\tdata-field-type=\"text\"\n\t\t\tdata-field-id=\"10\"\n\t\t\t>\n\t\t\t<label class=\"wpforms-field-label\" for=\"wpforms-311-field_10\" >en de MSP<\/label>\n\t\t\t<input type=\"text\" id=\"wpforms-311-field_10\" class=\"wpforms-field-medium\" name=\"wpforms[fields][10]\" >\n\t\t<\/div>\n\t\t<div id=\"wpforms-311-field_2-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"2\"><fieldset><legend class=\"wpforms-field-label\">Genre<\/legend><ul id=\"wpforms-311-field_2\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-311-field_2_1\" name=\"wpforms[fields][2][]\" value=\"Homme\" aria-errormessage=\"wpforms-311-field_2_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-311-field_2_1\">Homme<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-311-field_2_2\" name=\"wpforms[fields][2][]\" value=\"Femme\" aria-errormessage=\"wpforms-311-field_2_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-311-field_2_2\">Femme<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-311-field_2_3\" name=\"wpforms[fields][2][]\" value=\"Non pr\u00e9cis\u00e9\" aria-errormessage=\"wpforms-311-field_2_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-311-field_2_3\">Non pr\u00e9cis\u00e9<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-311-field_3-container\" class=\"wpforms-field wpforms-field-number-slider\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-311-field_3\">Quelle est votre niveau de satisfaction sur la fonctionnalit\u00e9 et l&#039;accessibilit\u00e9 des locaux ?<\/label>\n<input\n\ttype=\"range\"\n\tid=\"wpforms-311-field_3\" class=\"wpforms-field-medium\" name=\"wpforms[fields][3]\" value=\"0\" aria-errormessage=\"wpforms-311-field_3-error\" aria-describedby=\"wpforms-311-field_3-description\"\t\tmin=\"0\"\n\tmax=\"5\"\n\tstep=\"1\">\n\n<div class=\"wpforms-field-number-slider-hint\"\n\tdata-hint=\"Valeur s\u00e9lectionn\u00e9e\u00a0: {value}\">\n\tValeur s\u00e9lectionn\u00e9e\u00a0: <b>0<\/b><\/div>\n<div id=\"wpforms-311-field_3-description\" class=\"wpforms-field-description\">0 : Tr\u00e8s insatisfait 5 : Tr\u00e8s satisfait<\/div><\/div><div id=\"wpforms-311-field_4-container\" class=\"wpforms-field wpforms-field-number-slider\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-311-field_4\">Quelle est votre niveau de satisfaction sur les modalit\u00e9s de prise de rendez vous ?<\/label>\n<input\n\ttype=\"range\"\n\tid=\"wpforms-311-field_4\" class=\"wpforms-field-medium\" name=\"wpforms[fields][4]\" value=\"0\" aria-errormessage=\"wpforms-311-field_4-error\" aria-describedby=\"wpforms-311-field_4-description\"\t\tmin=\"0\"\n\tmax=\"5\"\n\tstep=\"1\">\n\n<div class=\"wpforms-field-number-slider-hint\"\n\tdata-hint=\"Valeur s\u00e9lectionn\u00e9e\u00a0: {value}\">\n\tValeur s\u00e9lectionn\u00e9e\u00a0: <b>0<\/b><\/div>\n<div id=\"wpforms-311-field_4-description\" class=\"wpforms-field-description\">0 : Tr\u00e8s insatisfait 5 : Tr\u00e8s satisfait<\/div><\/div><div id=\"wpforms-311-field_5-container\" class=\"wpforms-field wpforms-field-number-slider\" data-field-id=\"5\"><label class=\"wpforms-field-label\" for=\"wpforms-311-field_5\">Quelle est votre niveau de satisfaction concernant les informations affich\u00e9es dans la Maison de Sant\u00e9 sur la pr\u00e9vention en sant\u00e9 ?<\/label>\n<input\n\ttype=\"range\"\n\tid=\"wpforms-311-field_5\" class=\"wpforms-field-medium\" name=\"wpforms[fields][5]\" value=\"0\" aria-errormessage=\"wpforms-311-field_5-error\" aria-describedby=\"wpforms-311-field_5-description\"\t\tmin=\"0\"\n\tmax=\"5\"\n\tstep=\"1\">\n\n<div class=\"wpforms-field-number-slider-hint\"\n\tdata-hint=\"Valeur s\u00e9lectionn\u00e9e\u00a0: {value}\">\n\tValeur s\u00e9lectionn\u00e9e\u00a0: <b>0<\/b><\/div>\n<div id=\"wpforms-311-field_5-description\" class=\"wpforms-field-description\">0 : Tr\u00e8s insatisfait 5 : Tr\u00e8s satisfait<\/div><\/div><div id=\"wpforms-311-field_6-container\" class=\"wpforms-field wpforms-field-number-slider\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-311-field_6\">Quelle est votre niveau de satisfaction concernant la prise en charge globale ?<\/label>\n<input\n\ttype=\"range\"\n\tid=\"wpforms-311-field_6\" class=\"wpforms-field-medium\" name=\"wpforms[fields][6]\" value=\"0\" aria-errormessage=\"wpforms-311-field_6-error\" aria-describedby=\"wpforms-311-field_6-description\"\t\tmin=\"0\"\n\tmax=\"5\"\n\tstep=\"1\">\n\n<div class=\"wpforms-field-number-slider-hint\"\n\tdata-hint=\"Valeur s\u00e9lectionn\u00e9e\u00a0: {value}\">\n\tValeur s\u00e9lectionn\u00e9e\u00a0: <b>0<\/b><\/div>\n<div id=\"wpforms-311-field_6-description\" class=\"wpforms-field-description\">0 : Tr\u00e8s insatisfait 5 : Tr\u00e8s satisfait<\/div><\/div><div id=\"wpforms-311-field_7-container\" class=\"wpforms-field wpforms-field-number-slider\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-311-field_7\">Les espaces d&#039;attentes sont-ils confortables et agr\u00e9ables ?<\/label>\n<input\n\ttype=\"range\"\n\tid=\"wpforms-311-field_7\" class=\"wpforms-field-medium\" name=\"wpforms[fields][7]\" value=\"0\" aria-errormessage=\"wpforms-311-field_7-error\" aria-describedby=\"wpforms-311-field_7-description\"\t\tmin=\"0\"\n\tmax=\"5\"\n\tstep=\"1\">\n\n<div class=\"wpforms-field-number-slider-hint\"\n\tdata-hint=\"Valeur s\u00e9lectionn\u00e9e\u00a0: {value}\">\n\tValeur s\u00e9lectionn\u00e9e\u00a0: <b>0<\/b><\/div>\n<div id=\"wpforms-311-field_7-description\" class=\"wpforms-field-description\">0 : Tr\u00e8s insatisfait 5 : Tr\u00e8s satisfait<\/div><\/div><div id=\"wpforms-311-field_8-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"8\"><fieldset><legend class=\"wpforms-field-label\">\u00cates vous inform\u00e9 de la pr\u00e9sence \u00e0 la MSP de<\/legend><ul id=\"wpforms-311-field_8\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-311-field_8_1\" name=\"wpforms[fields][8]\" value=\"Medecins g\u00e9n\u00e9ralistes\" aria-errormessage=\"wpforms-311-field_8_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-311-field_8_1\">Medecins g\u00e9n\u00e9ralistes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-311-field_8_2\" name=\"wpforms[fields][8]\" value=\"Cabinet Infirmier\" aria-errormessage=\"wpforms-311-field_8_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-311-field_8_2\">Cabinet Infirmier<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-311-field_8_3\" name=\"wpforms[fields][8]\" value=\"Cabinet Kin\u00e9sith\u00e9rapeute\" aria-errormessage=\"wpforms-311-field_8_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-311-field_8_3\">Cabinet Kin\u00e9sith\u00e9rapeute<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-311-field_8_4\" name=\"wpforms[fields][8]\" value=\"P\u00e9dicure-Podologue\" aria-errormessage=\"wpforms-311-field_8_4-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-311-field_8_4\">P\u00e9dicure-Podologue<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-311-field_8_5\" name=\"wpforms[fields][8]\" value=\"Sage-femme\" aria-errormessage=\"wpforms-311-field_8_5-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-311-field_8_5\">Sage-femme<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"radio\" id=\"wpforms-311-field_8_6\" name=\"wpforms[fields][8]\" value=\"Psychologue Clinicienne - Psychoth\u00e9rapeute\" aria-errormessage=\"wpforms-311-field_8_6-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-311-field_8_6\">Psychologue Clinicienne &#8211; Psychoth\u00e9rapeute<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"radio\" id=\"wpforms-311-field_8_7\" name=\"wpforms[fields][8]\" value=\"Di\u00e9t\u00e9ticienne\" aria-errormessage=\"wpforms-311-field_8_7-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-311-field_8_7\">Di\u00e9t\u00e9ticienne<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-311-field_9-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"9\"><fieldset><legend class=\"wpforms-field-label\">Connaissez vous le projet de sant\u00e9 ?<\/legend><ul id=\"wpforms-311-field_9\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-311-field_9_1\" name=\"wpforms[fields][9][]\" value=\"Oui\" aria-errormessage=\"wpforms-311-field_9_1-error\" aria-describedby=\"wpforms-311-field_9-description\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-311-field_9_1\">Oui<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-311-field_9_2\" name=\"wpforms[fields][9][]\" value=\"Non\" aria-errormessage=\"wpforms-311-field_9_2-error\" aria-describedby=\"wpforms-311-field_9-description\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-311-field_9_2\">Non<\/label><\/li><\/ul><div id=\"wpforms-311-field_9-description\" class=\"wpforms-field-description\">Pour le d\u00e9couvrir : http:\/\/www.mspduboulonnais.fr\/index.php\/2025\/01\/27\/projet-de-sante\/<\/div><\/fieldset><\/div><div id=\"wpforms-311-field_11-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-311-field_11\">En mati\u00e8re de pr\u00e9vention, qu&#039;attendez vous de votre \u00e9quipe de sant\u00e9 pluri-professionnelle ?<\/label><textarea id=\"wpforms-311-field_11\" class=\"wpforms-field-medium\" name=\"wpforms[fields][11]\" aria-errormessage=\"wpforms-311-field_11-error\" ><\/textarea><\/div><div id=\"wpforms-311-field_12-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"12\"><fieldset><legend class=\"wpforms-field-label\">Seriez vous d&#039;accord pour participer \u00e0 un groupe de repr\u00e9sentant des usagers ? <\/legend><ul id=\"wpforms-311-field_12\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-311-field_12_1\" name=\"wpforms[fields][12][]\" value=\"Oui\" aria-errormessage=\"wpforms-311-field_12_1-error\" aria-describedby=\"wpforms-311-field_12-description\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-311-field_12_1\">Oui<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-311-field_12_2\" name=\"wpforms[fields][12][]\" value=\"Non\" aria-errormessage=\"wpforms-311-field_12_2-error\" aria-describedby=\"wpforms-311-field_12-description\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-311-field_12_2\">Non<\/label><\/li><\/ul><div id=\"wpforms-311-field_12-description\" class=\"wpforms-field-description\">Si oui merci de renseigner votre adresse email ci dessous<\/div><\/fieldset><\/div><div id=\"wpforms-311-field_13-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"13\"><label class=\"wpforms-field-label\" for=\"wpforms-311-field_13\">Si oui, merci 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type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-311\" class=\"wpforms-submit\" data-alt-text=\"Envoi...\" data-submit-text=\"Envoyer\" aria-live=\"assertive\" value=\"wpforms-submit\">Envoyer<\/button><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.mspduboulonnais.fr\/wp-content\/plugins\/wpforms-lite\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Chargement en cours\"><\/div><\/form><\/div>  <!-- .wpforms-container -->\n\n\n<p class=\"is-style-info\">Merci pour votre participation !<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Merci pour votre participation 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