{"id":4343,"date":"2012-09-23T20:04:49","date_gmt":"2012-09-23T20:04:49","guid":{"rendered":"http:\/\/@WEBSITE_1@\/?page_id=4343"},"modified":"2018-06-02T10:49:44","modified_gmt":"2018-06-02T10:49:44","slug":"offerte_hospitalisatie","status":"publish","type":"page","link":"https:\/\/www.gbwoluwe.be\/fr\/offerte_hospitalisatie\/","title":{"rendered":"Devis Hospitalisation"},"content":{"rendered":"<p>\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_14' ><div id='gf_14' class='gform_anchor' tabindex='-1'><\/div><form method='post' enctype='multipart\/form-data'  id='gform_14'  action=\"\/fr\/wp-json\/wp\/v2\/pages\/4343#gf_14\" data-formid='14' novalidate>\n        <div id='gf_progressbar_wrapper_14' class='gf_progressbar_wrapper' data-start-at-zero=''>\n        \t<h3 class=\"gf_progressbar_title\">\u00c9tape <span class='gf_step_current_page'>1<\/span> sur <span class='gf_step_page_count'>4<\/span><span class='gf_step_page_name'><\/span>\n        \t<\/h3>\n            <div class='gf_progressbar gf_progressbar_blue' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_blue percentbar_25' style='width:25%;'><span>25%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_14_1' class='gform_page ' data-js='page-field-id-0' >\n\t\t\t\t\t<div class='gform_page_fields'><ul id='gform_fields_14' class='gform_fields left_label form_sublabel_above description_below validation_below'><li id=\"field_14_23\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_23'>X\/Twitter<\/label><div class='ginput_container'><input name='input_23' id='input_14_23' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_14_23'>Ce champ n\u2019est utilis\u00e9 qu\u2019\u00e0 des fins de validation et devrait rester inchang\u00e9.<\/div><\/li><li id=\"field_14_2\" class=\"gfield gfield--type-section gsection field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Souscripteur<\/h2><\/li><li id=\"field_14_3\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Nom<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_14_3'>\n                            \n                            <span id='input_14_3_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_14_3_3' class='gform-field-label gform-field-label--type-sub '>Pr\u00e9nom<\/label>\n                                                    <input type='text' name='input_3.3' id='input_14_3_3' value=''   aria-required='true'     \/>\n                                                <\/span>\n                            \n                            <span id='input_14_3_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                            <label for='input_14_3_6' class='gform-field-label gform-field-label--type-sub '>Nom<\/label>\n                                                            <input type='text' name='input_3.6' id='input_14_3_6' value=''   aria-required='true'     \/>\n                                                        <\/span>\n                            \n                        <\/div><\/li><li id=\"field_14_5\" class=\"gfield gfield--type-address gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Adresse<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_street has_city has_zip ginput_container_address gform-grid-row' id='input_14_5' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_14_5_1_container' >\n                                        <label for='input_14_5_1' id='input_14_5_1_label' class='gform-field-label gform-field-label--type-sub '>Adresse postale<\/label>\n                                        <input type='text' name='input_5.1' id='input_14_5_1' value=''    aria-required='true'    \/>\n                                   <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_14_5_3_container' >\n                                    <label for='input_14_5_3' id='input_14_5_3_label' class='gform-field-label gform-field-label--type-sub '>Ville<\/label>\n                                    <input type='text' name='input_5.3' id='input_14_5_3' value=''    aria-required='true'    \/>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_5.4' id='input_14_5_4' value=''\/><span class='ginput_right address_zip ginput_address_zip gform-grid-col' id='input_14_5_5_container' >\n                                    <label for='input_14_5_5' id='input_14_5_5_label' class='gform-field-label gform-field-label--type-sub '>Code postal<\/label>\n                                    <input type='text' name='input_5.5' id='input_14_5_5' value=''    aria-required='true'    \/>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_5.6' id='input_14_5_6' value='' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_14_6\" class=\"gfield gfield--type-email gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_6'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_6' id='input_14_6' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_14_7\" class=\"gfield gfield--type-phone gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_7'>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_7' id='input_14_7' type='tel' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_14_9\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_9'>Date de naissance<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_9' id='input_14_9' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/jj\/aaaa' aria-describedby=\"input_14_9_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_14_9_date_format' class='screen-reader-text'>MM slash JJ slash AAAA<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_14_9' class='gform_hidden' value='https:\/\/www.gbwoluwe.be\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_14_10\" class=\"gfield gfield--type-select field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_10'>Sexe<\/label><div class='ginput_container ginput_container_select'><select name='input_10' id='input_14_10' class='medium gfield_select'     aria-invalid=\"false\" ><option value='M' >M<\/option><option value='F' >F<\/option><option value='X' >X<\/option><\/select><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer left_label'>\n                         <input type='button' id='gform_next_button_14_1' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Volgende'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_14_2' class='gform_page' data-js='page-field-id-1' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_14_2' class='gform_fields left_label form_sublabel_above description_below validation_below'><li id=\"field_14_12\" class=\"gfield gfield--type-section gsection field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Autres membres de la famille<\/h2><\/li><li id=\"field_14_11\" class=\"gfield gfield--type-textarea field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_11'>Coordonn\u00e9es des autres membres de la famille \u00e0 assurer<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_11' id='input_14_11' class='textarea medium'  aria-describedby=\"gfield_description_14_11\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_14_11'><strong>(Nom + date de naissance+ sexe de chaque membre concern\u00e9)<\/strong><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer left_label'>\n                        <input type='button' id='gform_previous_button_14_15' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Vorige'  \/> <input type='button' id='gform_next_button_14_15' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Volgende'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_14_3' class='gform_page' data-js='page-field-id-15' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_14_3' class='gform_fields left_label form_sublabel_above description_below validation_below'><li id=\"field_14_14\" class=\"gfield gfield--type-section gsection field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Informations compl\u00e9mentaires<\/h2><\/li><li id=\"field_14_18\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Premiebetaling<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_14_18'>\n\t\t\t<li class='gchoice gchoice_14_18_0'>\n\t\t\t\t<input name='input_18' type='radio' value='Mensuel'  id='choice_14_18_0'    \/>\n\t\t\t\t<label for='choice_14_18_0' id='label_14_18_0' class='gform-field-label gform-field-label--type-inline'>Mensuel<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_14_18_1'>\n\t\t\t\t<input name='input_18' type='radio' value='Trimestriel'  id='choice_14_18_1'    \/>\n\t\t\t\t<label for='choice_14_18_1' id='label_14_18_1' class='gform-field-label gform-field-label--type-inline'>Trimestriel<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_14_18_2'>\n\t\t\t\t<input name='input_18' type='radio' value='Biannuel'  id='choice_14_18_2'    \/>\n\t\t\t\t<label for='choice_14_18_2' id='label_14_18_2' class='gform-field-label gform-field-label--type-inline'>Biannuel<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_14_18_3'>\n\t\t\t\t<input name='input_18' type='radio' value='Annuel'  id='choice_14_18_3'    \/>\n\t\t\t\t<label for='choice_14_18_3' id='label_14_18_3' class='gform-field-label gform-field-label--type-inline'>Annuel<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_14_19\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Choix de la chambre<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_14_19'>\n\t\t\t<li class='gchoice gchoice_14_19_0'>\n\t\t\t\t<input name='input_19' type='radio' value='Chambre individuelle'  id='choice_14_19_0'    \/>\n\t\t\t\t<label for='choice_14_19_0' id='label_14_19_0' class='gform-field-label gform-field-label--type-inline'>Chambre individuelle<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_14_19_1'>\n\t\t\t\t<input name='input_19' type='radio' value='Chambre commune'  id='choice_14_19_1'    \/>\n\t\t\t\t<label for='choice_14_19_1' id='label_14_19_1' class='gform-field-label gform-field-label--type-inline'>Chambre commune<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_14_20\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Franchise<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_14_20'>\n\t\t\t<li class='gchoice gchoice_14_20_0'>\n\t\t\t\t<input name='input_20' type='radio' value='\u20ac0'  id='choice_14_20_0'    \/>\n\t\t\t\t<label for='choice_14_20_0' id='label_14_20_0' class='gform-field-label gform-field-label--type-inline'>\u20ac0<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_14_20_1'>\n\t\t\t\t<input name='input_20' type='radio' value='\u20ac100'  id='choice_14_20_1'    \/>\n\t\t\t\t<label for='choice_14_20_1' id='label_14_20_1' class='gform-field-label gform-field-label--type-inline'>\u20ac100<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_14_20_2'>\n\t\t\t\t<input name='input_20' type='radio' value='\u20ac150'  id='choice_14_20_2'    \/>\n\t\t\t\t<label for='choice_14_20_2' id='label_14_20_2' class='gform-field-label gform-field-label--type-inline'>\u20ac150<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_14_20_3'>\n\t\t\t\t<input name='input_20' type='radio' value='\u20ac200'  id='choice_14_20_3'    \/>\n\t\t\t\t<label for='choice_14_20_3' id='label_14_20_3' class='gform-field-label gform-field-label--type-inline'>\u20ac200<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_14_20_4'>\n\t\t\t\t<input name='input_20' type='radio' value='\u20ac250'  id='choice_14_20_4'    \/>\n\t\t\t\t<label for='choice_14_20_4' id='label_14_20_4' class='gform-field-label gform-field-label--type-inline'>\u20ac250<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_14_20_5'>\n\t\t\t\t<input name='input_20' type='radio' value='\u20ac300'  id='choice_14_20_5'    \/>\n\t\t\t\t<label for='choice_14_20_5' id='label_14_20_5' class='gform-field-label gform-field-label--type-inline'>\u20ac300<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_14_21\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >J\u2019ai d\u00e9j\u00e0 une assurance hospitalisation en cours<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_14_21'>\n\t\t\t<li class='gchoice gchoice_14_21_0'>\n\t\t\t\t<input name='input_21' type='radio' value='Non'  id='choice_14_21_0'    \/>\n\t\t\t\t<label for='choice_14_21_0' id='label_14_21_0' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_14_21_1'>\n\t\t\t\t<input name='input_21' type='radio' value='Oui'  id='choice_14_21_1'    \/>\n\t\t\t\t<label for='choice_14_21_1' id='label_14_21_1' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_14_22\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >J\u2019ai d\u00e9j\u00e0 d\u2019une assurance hospitalisation via mon employeur mais je souhaite \u00e9pargner pour \u00e9viter de fortes augmentations de primes (au cas o\u00f9 je doive reprendre cette assurance \u00e0 mon nom)<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_14_22'>\n\t\t\t<li class='gchoice gchoice_14_22_0'>\n\t\t\t\t<input name='input_22' type='radio' value='Non'  id='choice_14_22_0'    \/>\n\t\t\t\t<label for='choice_14_22_0' id='label_14_22_0' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_14_22_1'>\n\t\t\t\t<input name='input_22' type='radio' value='Oui'  id='choice_14_22_1'    \/>\n\t\t\t\t<label for='choice_14_22_1' id='label_14_22_1' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer left_label'>\n                        <input type='button' id='gform_previous_button_14_13' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Vorige'  \/> <input type='button' id='gform_next_button_14_13' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Volgende'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_14_4' class='gform_page' data-js='page-field-id-13' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_14_4' class='gform_fields left_label form_sublabel_above description_below validation_below'><li id=\"field_14_16\" class=\"gfield gfield--type-section gsection field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Extra<\/h2><\/li><li id=\"field_14_17\" class=\"gfield gfield--type-textarea field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_17'>Autres remarques<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_17' id='input_14_17' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><\/ul><\/div>\n        <div class='gform-page-footer gform_page_footer left_label'><input type='submit' id='gform_previous_button_14' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Vorige'  \/> <input type='submit' 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