{"id":10461,"date":"2025-12-19T15:26:46","date_gmt":"2025-12-19T20:26:46","guid":{"rendered":"https:\/\/cpaquebec.wp.vortexdev.com\/?page_id=10461"},"modified":"2026-02-10T12:38:58","modified_gmt":"2026-02-10T17:38:58","slug":"formulaire-test","status":"publish","type":"page","link":"https:\/\/cpaquebec.wp.vortexdev.com\/fr\/accueil\/gabarit-texte\/youppie\/bobby-branchaud\/formulaire-test\/","title":{"rendered":"formulaire test"},"content":{"rendered":"<section class=\"gravity-forms-block aligndefault\"><script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\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 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n\/* ]]> *\/\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_7' ><div id='gf_7' class='gform_anchor' tabindex='-1'><\/div>\n                        <div class='gform_heading'>\n                            <h2 class=\"gform_title\" id=\"form-title-7\">Demande d&rsquo;enqu\u00eate &#8211; \u00c9tapes<\/h2>\n                            <p class='gform_description'><\/p>\n\t\t\t\t\t\t\t<p 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 aria-labelledby=\"form-title-7\" method='post' enctype='multipart\/form-data'  id='gform_7'  action='\/fr\/wp-json\/wp\/v2\/pages\/10461#gf_7' data-formid='7' novalidate><div class='gf_invisible ginput_recaptchav3' data-sitekey='6Leia1UpAAAAAP4tN9VFsXujTLjfWDkhzqGp4O7n' data-tabindex='0'><input id=\"input_adc36019a3bf6728146a8aec1372ec00\" class=\"gfield_recaptcha_response\" type=\"hidden\" name=\"input_adc36019a3bf6728146a8aec1372ec00\" value=\"\"\/><\/div>\n        <div id='gf_progressbar_wrapper_7' class='gf_progressbar_wrapper' data-start-at-zero='1'>\n        \t<p class=\"gf_progressbar_title\">\u00c9tape <span class='gf_step_current_page'>1<\/span> de <span class='gf_step_page_count'>3<\/span><span class='gf_step_page_name'> &#8211; Renseignements personnels<\/span>\n        \t<\/p>\n            <div class='gf_progressbar gf_progressbar_blue' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_blue percentbar_0' style='width:0%;'><span>0%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_7_1' class='gform_page ' data-js='page-field-id-0' >\n\t\t\t\t\t<div class='gform_page_fields'><div id='gform_fields_7' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_7_11\" 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 gfield--html gfield--html\"  data-field-class=\"gfield--html gfield--html\" ><h3>Renseignements personnels<\/h3><\/div><div id=\"field_7_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 field_validation_below gfield_visibility_visible gfield--text gfield--text\"  data-field-class=\"gfield--text gfield--text\" ><label class='gfield_label gform-field-label' for='input_7_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_7_1' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_7_3\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--text gfield--text\"  data-field-class=\"gfield--text gfield--text\" ><label class='gfield_label gform-field-label' for='input_7_3'>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_3' id='input_7_3' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_7_5\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--email gfield--email\"  data-field-class=\"gfield--email gfield--email\" ><label class='gfield_label gform-field-label' for='input_7_5'>Adresse courriel<\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_5' id='input_7_5' type='email' value='' class='large'     aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_7_4\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--text gfield--text\"  data-field-class=\"gfield--text gfield--text\" ><label class='gfield_label gform-field-label' for='input_7_4'>Organisme<\/label><div class='ginput_container ginput_container_text'><input name='input_4' id='input_7_4' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_7_24\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--text gfield--text\"  data-field-class=\"gfield--text gfield--text\" ><label class='gfield_label gform-field-label' for='input_7_24'>T\u00e9l\u00e9phone (dom. ou cell.)<\/label><div class='ginput_container ginput_container_text'><input name='input_24' id='input_7_24' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_7_25\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--text gfield--text\"  data-field-class=\"gfield--text gfield--text\" ><label class='gfield_label gform-field-label' for='input_7_25'>T\u00e9l\u00e9phone (bureau)<\/label><div class='ginput_container ginput_container_text'><input name='input_25' id='input_7_25' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_7_26\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--text gfield--text\"  data-field-class=\"gfield--text gfield--text\" ><label class='gfield_label gform-field-label' for='input_7_26'>Poste<\/label><div class='ginput_container ginput_container_text'><input name='input_26' id='input_7_26' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_7_27\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--address gfield--address gfield--has-multiple-inputs\"  data-field-class=\"gfield--address gfield--address gfield--has-multiple-inputs\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Adresse<\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address gform-grid-row' id='input_7_27' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_7_27_1_container' >\n                                        <label for='input_7_27_1' id='input_7_27_1_label' class='gform-field-label gform-field-label--type-sub '>Adresse postale<\/label>\n                                        <input type='text' name='input_27.1' id='input_7_27_1' value=''    aria-required='false'    \/>\n                                   <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_7_27_2_container' >\n                                        <label for='input_7_27_2' id='input_7_27_2_label' class='gform-field-label gform-field-label--type-sub '>Adresse ligne 2<\/label>\n                                        <input type='text' name='input_27.2' id='input_7_27_2' value=''     aria-required='false'   \/>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_7_27_3_container' >\n                                    <label for='input_7_27_3' id='input_7_27_3_label' class='gform-field-label gform-field-label--type-sub '>Ville<\/label>\n                                    <input type='text' name='input_27.3' id='input_7_27_3' value=''    aria-required='false'    \/>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_7_27_4_container' >\n                                        <label for='input_7_27_4' id='input_7_27_4_label' class='gform-field-label gform-field-label--type-sub '>\u00c9tat \/ Province \/ R\u00e9gion<\/label>\n                                        <input type='text' name='input_27.4' id='input_7_27_4' value=''      aria-required='false'    \/>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_7_27_5_container' >\n                                    <label for='input_7_27_5' id='input_7_27_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP \/ Code postal<\/label>\n                                    <input type='text' name='input_27.5' id='input_7_27_5' value=''    aria-required='false'    \/>\n                                <\/span><span class='ginput_right address_country ginput_address_country gform-grid-col' id='input_7_27_6_container' >\n                                        <label for='input_7_27_6' id='input_7_27_6_label' class='gform-field-label gform-field-label--type-sub '>Pays<\/label>\n                                        <select name='input_27.6' id='input_7_27_6'   aria-required='false'    ><option value='' selected='selected'><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Afrique du Sud' >Afrique du Sud<\/option><option value='Albanie' >Albanie<\/option><option value='Alg\u00e9rie' >Alg\u00e9rie<\/option><option value='Allemagne' >Allemagne<\/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='Arabie Saoudite' >Arabie Saoudite<\/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='Belarus' >Belarus<\/option><option value='Belgique' >Belgique<\/option><option value='Belize' >Belize<\/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='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Br\u00e9sil' >Br\u00e9sil<\/option><option value='Bulgarie' >Bulgarie<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='B\u00e9nin' >B\u00e9nin<\/option><option value='Cambodge' >Cambodge<\/option><option value='Cameroun' >Cameroun<\/option><option value='Canada' >Canada<\/option><option value='Cap-Vert' >Cap-Vert<\/option><option value='Chili' >Chili<\/option><option value='Chine' >Chine<\/option><option value='Chypre' >Chypre<\/option><option value='Colombie' >Colombie<\/option><option value='Comores' >Comores<\/option><option value='Congo' >Congo<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatie' >Croatie<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Czechia' >Czechia<\/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='Espagne' >Espagne<\/option><option value='Estonie' >Estonie<\/option><option value='Eswatini' >Eswatini<\/option><option value='Fidji' >Fidji<\/option><option value='Finlande' >Finlande<\/option><option value='France' >France<\/option><option value='Gabon' >Gabon<\/option><option value='Gambie' >Gambie<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Grenade' >Grenade<\/option><option value='Groenland' >Groenland<\/option><option value='Gr\u00e8ce' >Gr\u00e8ce<\/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 Fran\u00e7aise' >Guin\u00e9e Fran\u00e7aise<\/option><option value='Guin\u00e9e \u00e9quatoriale' >Guin\u00e9e \u00e9quatoriale<\/option><option value='Guin\u00e9e-Bissau' >Guin\u00e9e-Bissau<\/option><option value='Guyane' >Guyane<\/option><option value='G\u00e9orgie' >G\u00e9orgie<\/option><option value='Ha\u00efti' >Ha\u00efti<\/option><option value='Heard Island and McDonald Islands' >Heard Island and McDonald Islands<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hongrie' >Hongrie<\/option><option value='Iles Aland' >Iles Aland<\/option><option value='Inde' >Inde<\/option><option value='Indon\u00e9sie' >Indon\u00e9sie<\/option><option value='Irak' >Irak<\/option><option value='Iran' >Iran<\/option><option value='Irlande' >Irlande<\/option><option value='Islande' >Islande<\/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='Kirghizistan' >Kirghizistan<\/option><option value='Kiribati' >Kiribati<\/option><option value='Korea, Democratic People&#039;s Republic of' >Korea, Democratic People&#039;s Republic of<\/option><option value='Korea, Republic of' >Korea, Republic of<\/option><option value='Kowe\u00eft' >Kowe\u00eft<\/option><option value='La Barbade' >La Barbade<\/option><option value='La R\u00e9union' >La R\u00e9union<\/option><option value='Lesotho' >Lesotho<\/option><option value='Lettonie' >Lettonie<\/option><option value='Liban' >Liban<\/option><option value='Liberia' >Liberia<\/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='Malaisie' >Malaisie<\/option><option value='Malawi' >Malawi<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malte' >Malte<\/option><option value='Maroc' >Maroc<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritanie' >Mauritanie<\/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='Montserrat' >Montserrat<\/option><option value='Mont\u00e9n\u00e9gro' >Mont\u00e9n\u00e9gro<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibie' >Namibie<\/option><option value='Nauru' >Nauru<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nig\u00e9ria' >Nig\u00e9ria<\/option><option value='Niue' >Niue<\/option><option value='North Macedonia' >North Macedonia<\/option><option value='Norv\u00e8ge' >Norv\u00e8ge<\/option><option value='Nouvelle Cal\u00e9donie' >Nouvelle Cal\u00e9donie<\/option><option value='Nouvelle-Z\u00e9lande' >Nouvelle-Z\u00e9lande<\/option><option value='N\u00e9pal' >N\u00e9pal<\/option><option value='Oman' >Oman<\/option><option value='Ouganda' >Ouganda<\/option><option value='Ouzb\u00e9kistan' >Ouzb\u00e9kistan<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Panama' >Panama<\/option><option value='Papouasie-Nouvelle-Guin\u00e9e' >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value='Paraguay' >Paraguay<\/option><option value='Pays-Bas' >Pays-Bas<\/option><option value='Philippines' >Philippines<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Pologne' >Pologne<\/option><option value='Polyn\u00e9sie fran\u00e7aise' >Polyn\u00e9sie fran\u00e7aise<\/option><option value='Porto Rico' >Porto Rico<\/option><option value='Portugal' >Portugal<\/option><option value='P\u00e9rou' >P\u00e9rou<\/option><option value='Qatar' >Qatar<\/option><option value='Roumanie' >Roumanie<\/option><option value='Royaume-Uni' >Royaume-Uni<\/option><option value='Russian Federation' >Russian Federation<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9publique Dominicaine' >R\u00e9publique Dominicaine<\/option><option value='R\u00e9publique centrafricaine' >R\u00e9publique centrafricaine<\/option><option value='R\u00e9publique d\u00e9mocratique du Congo' >R\u00e9publique d\u00e9mocratique du Congo<\/option><option value='R\u00e9publique d\u00e9mocratique populaire Lao' >R\u00e9publique d\u00e9mocratique populaire Lao<\/option><option value='Sahara occidental' >Sahara occidental<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Helena, Ascension and Tristan da Cunha' >Saint Helena, Ascension and Tristan da Cunha<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint-Christophe-et-Nevis' >Saint-Christophe-et-Nevis<\/option><option value='Saint-Marin' >Saint-Marin<\/option><option value='Saint-Martin' >Saint-Martin<\/option><option value='Saint-Pierre-et-Miquelon' >Saint-Pierre-et-Miquelon<\/option><option value='Saint-Si\u00e8ge' >Saint-Si\u00e8ge<\/option><option value='Saint-Vincent-et-les Grenadines' >Saint-Vincent-et-les Grenadines<\/option><option value='Sainte-Lucie' >Sainte-Lucie<\/option><option value='Salvador' >Salvador<\/option><option value='Samoa' >Samoa<\/option><option value='Samoa am\u00e9ricaines' >Samoa am\u00e9ricaines<\/option><option value='Sao Tom\u00e9 et Principe' >Sao Tom\u00e9 et Principe<\/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='Slovaquie' >Slovaquie<\/option><option value='Slov\u00e9nie' >Slov\u00e9nie<\/option><option value='Somalie' >Somalie<\/option><option value='Soudan' >Soudan<\/option><option value='Soudan du Sud' >Soudan du Sud<\/option><option value='South Georgia and the South Sandwich Islands' >South Georgia and the South Sandwich Islands<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Suisse' >Suisse<\/option><option value='Suriname' >Suriname<\/option><option value='Su\u00e8de' >Su\u00e8de<\/option><option value='Svalbard and Jan Mayen' >Svalbard and Jan Mayen<\/option><option value='Syria Arab Republic' >Syria Arab Republic<\/option><option value='S\u00e9n\u00e9gal' >S\u00e9n\u00e9gal<\/option><option value='Tadjikistan' >Tadjikistan<\/option><option value='Tanzania, the United Republic of' >Tanzania, the United Republic of<\/option><option value='Ta\u00efwan' >Ta\u00efwan<\/option><option value='Tchad' >Tchad<\/option><option value='Terres australes Fran\u00e7aises' >Terres australes Fran\u00e7aises<\/option><option value='Territoire britannique de l&#039;oc\u00e9an Indien' >Territoire britannique de l&#039;oc\u00e9an Indien<\/option><option value='Tha\u00eflande' >Tha\u00eflande<\/option><option value='Timor-Leste' >Timor-Leste<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/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='Tuvalu' >Tuvalu<\/option><option value='T\u00fcrkiye' >T\u00fcrkiye<\/option><option value='Ukraine' >Ukraine<\/option><option value='Uruguay' >Uruguay<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Viet Nam' >Viet Nam<\/option><option value='Wallis et Futuna' >Wallis et Futuna<\/option><option value='Y\u00e9men' >Y\u00e9men<\/option><option value='Zambie' >Zambie<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='\u00c9gypte' >\u00c9gypte<\/option><option value='\u00c9mirats arabes unis' >\u00c9mirats arabes unis<\/option><option value='\u00c9quateur' >\u00c9quateur<\/option><option value='\u00c9rythr\u00e9e' >\u00c9rythr\u00e9e<\/option><option value='\u00c9tat palestinien' >\u00c9tat palestinien<\/option><option value='\u00c9tats-Unis' >\u00c9tats-Unis<\/option><option value='\u00c9thiopie' >\u00c9thiopie<\/option><option value='\u00cele Bouvet' >\u00cele Bouvet<\/option><option value='\u00cele Maurice' >\u00cele Maurice<\/option><option value='\u00cele de Man' >\u00cele de Man<\/option><option value='\u00cele de Norfolk' >\u00cele de Norfolk<\/option><option value='\u00cele de No\u00ebl' >\u00cele de No\u00ebl<\/option><option value='\u00celes Cayman' >\u00celes Cayman<\/option><option value='\u00celes Cocos' >\u00celes Cocos<\/option><option value='\u00celes Cook' >\u00celes Cook<\/option><option value='\u00celes Falkland' >\u00celes Falkland<\/option><option value='\u00celes F\u00e9ro\u00e9' >\u00celes F\u00e9ro\u00e9<\/option><option value='\u00celes Mariannes du Nord' >\u00celes Mariannes du Nord<\/option><option value='\u00celes Marshall' >\u00celes Marshall<\/option><option value='\u00celes Salomon' >\u00celes Salomon<\/option><option value='\u00celes Turques-et-Ca\u00efques' >\u00celes Turques-et-Ca\u00efques<\/option><option value='\u00celes Vierges am\u00e9ricaines' >\u00celes Vierges am\u00e9ricaines<\/option><option value='\u00celes Vierges britanniques' >\u00celes Vierges britanniques<\/option><option value='\u00celes mineures \u00e9loign\u00e9es des \u00c9tats-Unis' >\u00celes mineures \u00e9loign\u00e9es des \u00c9tats-Unis<\/option> <\/select>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><fieldset id=\"field_7_6\" class=\"gfield gfield--type-multi_choice gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical gfield--multi_choice gfield--radio gfield--has-multiple-inputs\"  data-field-class=\"gfield--multi_choice gfield--radio gfield--has-multiple-inputs\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >M\u00e9thode(s) de contact privil\u00e9gi\u00e9e(s)<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_7_6'>\n\t\t\t<div class='gchoice gchoice_7_6_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_6' type='radio' value='Courriel'  id='choice_7_6_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_6_0' id='label_7_6_0' class='gform-field-label gform-field-label--type-inline'>Courriel<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_6_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_6' type='radio' value='T\u00e9l\u00e9phone (domicile ou cellulaire)'  id='choice_7_6_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_6_1' id='label_7_6_1' class='gform-field-label gform-field-label--type-inline'>T\u00e9l\u00e9phone (domicile ou cellulaire)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_6_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_6' type='radio' value='T\u00e9l\u00e9phone (bureau)'  id='choice_7_6_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_6_2' id='label_7_6_2' class='gform-field-label gform-field-label--type-inline'>T\u00e9l\u00e9phone (bureau)<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_7_7\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--radio gfield--radio\"  data-field-class=\"gfield--radio gfield--radio\" ><legend class='gfield_label gform-field-label' >Je suis CPA<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_7_7'>\n\t\t\t<div class='gchoice gchoice_7_7_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_7' type='radio' value='Oui'  id='choice_7_7_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_7_0' id='label_7_7_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_7_7_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_7' type='radio' value='Non'  id='choice_7_7_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_7_1' id='label_7_7_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_7_8\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--radio gfield--radio\"  data-field-class=\"gfield--radio gfield--radio\" ><legend class='gfield_label gform-field-label' >Langue de communication<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_7_8'>\n\t\t\t<div class='gchoice gchoice_7_8_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='Fran\u00e7ais'  id='choice_7_8_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_8_0' id='label_7_8_0' class='gform-field-label gform-field-label--type-inline'>Fran\u00e7ais<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_8_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='Anglais'  id='choice_7_8_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_8_1' id='label_7_8_1' class='gform-field-label gform-field-label--type-inline'>Anglais<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_7_29\" 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 gfield--html gfield--html\"  data-field-class=\"gfield--html gfield--html\" ><h5>Autres renseignements<\/h5>\nLes renseignements suivants sont recueillis \u00e0 des fins statistiques seulement.<\/div><fieldset id=\"field_7_30\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--radio gfield--radio\"  data-field-class=\"gfield--radio gfield--radio\" ><legend class='gfield_label gform-field-label' >Sexe<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_7_30'>\n\t\t\t<div class='gchoice gchoice_7_30_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_30' type='radio' value='Masculin'  id='choice_7_30_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_30_0' id='label_7_30_0' class='gform-field-label gform-field-label--type-inline'>Masculin<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_30_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_30' type='radio' value='F\u00e9minin'  id='choice_7_30_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_30_1' id='label_7_30_1' class='gform-field-label gform-field-label--type-inline'>F\u00e9minin<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_7_31\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--radio gfield--radio\"  data-field-class=\"gfield--radio gfield--radio\" ><legend class='gfield_label gform-field-label' >\u00c2ge<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_7_31'>\n\t\t\t<div class='gchoice gchoice_7_31_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_31' type='radio' value='18 \u00e0 34 ans'  id='choice_7_31_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_31_0' id='label_7_31_0' class='gform-field-label gform-field-label--type-inline'>18 \u00e0 34 ans<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_31_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_31' type='radio' value='35 \u00e0 55 ans'  id='choice_7_31_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_31_1' id='label_7_31_1' class='gform-field-label gform-field-label--type-inline'>35 \u00e0 55 ans<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_31_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_31' type='radio' value='56 \u00e0 74 ans'  id='choice_7_31_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_31_2' id='label_7_31_2' class='gform-field-label gform-field-label--type-inline'>56 \u00e0 74 ans<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_31_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_31' type='radio' value='75 ans et plus'  id='choice_7_31_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_31_3' id='label_7_31_3' class='gform-field-label gform-field-label--type-inline'>75 ans et plus<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <button type='button' id='gform_next_button_7_9' class='btn btn-next gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Suivant'  >Suivant<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_7_2' class='gform_page' data-js='page-field-id-9' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_7_2' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_7_12\" 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 gfield--html gfield--html\"  data-field-class=\"gfield--html gfield--html\" ><h3>Coordonn\u00e9es de la personne vis\u00e9e par la demande<\/h3><\/div><div id=\"field_7_13\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--text gfield--text\"  data-field-class=\"gfield--text gfield--text\" ><label class='gfield_label gform-field-label' for='input_7_13'>Pr\u00e9nom<\/label><div class='ginput_container ginput_container_text'><input name='input_13' id='input_7_13' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_7_14\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--text gfield--text\"  data-field-class=\"gfield--text gfield--text\" ><label class='gfield_label gform-field-label' for='input_7_14'>Nom<\/label><div class='ginput_container ginput_container_text'><input name='input_14' id='input_7_14' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_7_32\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--text gfield--text\"  data-field-class=\"gfield--text gfield--text\" ><label class='gfield_label gform-field-label' for='input_7_32'>Cabinet ou employeur<\/label><div class='ginput_container ginput_container_text'><input name='input_32' id='input_7_32' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_7_33\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--text gfield--text\"  data-field-class=\"gfield--text gfield--text\" ><label class='gfield_label gform-field-label' for='input_7_33'>T\u00e9l\u00e9phone<\/label><div class='ginput_container ginput_container_text'><input name='input_33' id='input_7_33' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_7_34\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--address gfield--address gfield--has-multiple-inputs\"  data-field-class=\"gfield--address gfield--address gfield--has-multiple-inputs\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Adresse<\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address gform-grid-row' id='input_7_34' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_7_34_1_container' >\n                                        <input type='text' name='input_34.1' id='input_7_34_1' value=''    aria-required='false'    \/>\n                                        <label for='input_7_34_1' id='input_7_34_1_label' class='gform-field-label gform-field-label--type-sub '>Adresse postale<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_7_34_2_container' >\n                                        <input type='text' name='input_34.2' id='input_7_34_2' value=''     aria-required='false'   \/>\n                                        <label for='input_7_34_2' id='input_7_34_2_label' class='gform-field-label gform-field-label--type-sub '>Adresse ligne 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_7_34_3_container' >\n                                    <input type='text' name='input_34.3' id='input_7_34_3' value=''    aria-required='false'    \/>\n                                    <label for='input_7_34_3' id='input_7_34_3_label' class='gform-field-label gform-field-label--type-sub '>Ville<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_7_34_4_container' >\n                                        <input type='text' name='input_34.4' id='input_7_34_4' value=''      aria-required='false'    \/>\n                                        <label for='input_7_34_4' id='input_7_34_4_label' class='gform-field-label gform-field-label--type-sub '>\u00c9tat \/ Province \/ R\u00e9gion<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_7_34_5_container' >\n                                    <input type='text' name='input_34.5' id='input_7_34_5' value=''    aria-required='false'    \/>\n                                    <label for='input_7_34_5' id='input_7_34_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP \/ Code postal<\/label>\n                                <\/span><span class='ginput_right address_country ginput_address_country gform-grid-col' id='input_7_34_6_container' >\n                                        <select name='input_34.6' id='input_7_34_6'   aria-required='false'    ><option value='' selected='selected'><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Afrique du Sud' >Afrique du Sud<\/option><option value='Albanie' >Albanie<\/option><option value='Alg\u00e9rie' >Alg\u00e9rie<\/option><option value='Allemagne' >Allemagne<\/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='Arabie Saoudite' >Arabie Saoudite<\/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='Belarus' >Belarus<\/option><option value='Belgique' >Belgique<\/option><option value='Belize' >Belize<\/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='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Br\u00e9sil' >Br\u00e9sil<\/option><option value='Bulgarie' >Bulgarie<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='B\u00e9nin' >B\u00e9nin<\/option><option value='Cambodge' >Cambodge<\/option><option value='Cameroun' >Cameroun<\/option><option value='Canada' >Canada<\/option><option value='Cap-Vert' >Cap-Vert<\/option><option value='Chili' >Chili<\/option><option value='Chine' >Chine<\/option><option value='Chypre' >Chypre<\/option><option value='Colombie' >Colombie<\/option><option value='Comores' >Comores<\/option><option value='Congo' >Congo<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatie' >Croatie<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Czechia' >Czechia<\/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='Espagne' >Espagne<\/option><option value='Estonie' >Estonie<\/option><option value='Eswatini' >Eswatini<\/option><option value='Fidji' >Fidji<\/option><option value='Finlande' >Finlande<\/option><option value='France' >France<\/option><option value='Gabon' >Gabon<\/option><option value='Gambie' >Gambie<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Grenade' >Grenade<\/option><option value='Groenland' >Groenland<\/option><option value='Gr\u00e8ce' >Gr\u00e8ce<\/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 Fran\u00e7aise' >Guin\u00e9e Fran\u00e7aise<\/option><option value='Guin\u00e9e \u00e9quatoriale' >Guin\u00e9e \u00e9quatoriale<\/option><option value='Guin\u00e9e-Bissau' >Guin\u00e9e-Bissau<\/option><option value='Guyane' >Guyane<\/option><option value='G\u00e9orgie' >G\u00e9orgie<\/option><option value='Ha\u00efti' >Ha\u00efti<\/option><option value='Heard Island and McDonald Islands' >Heard Island and McDonald Islands<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hongrie' >Hongrie<\/option><option value='Iles Aland' >Iles Aland<\/option><option value='Inde' >Inde<\/option><option value='Indon\u00e9sie' >Indon\u00e9sie<\/option><option value='Irak' >Irak<\/option><option value='Iran' >Iran<\/option><option value='Irlande' >Irlande<\/option><option value='Islande' >Islande<\/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='Kirghizistan' >Kirghizistan<\/option><option value='Kiribati' >Kiribati<\/option><option value='Korea, Democratic People&#039;s Republic of' >Korea, Democratic People&#039;s Republic of<\/option><option value='Korea, Republic of' >Korea, Republic of<\/option><option value='Kowe\u00eft' >Kowe\u00eft<\/option><option value='La Barbade' >La Barbade<\/option><option value='La R\u00e9union' >La R\u00e9union<\/option><option value='Lesotho' >Lesotho<\/option><option value='Lettonie' >Lettonie<\/option><option value='Liban' >Liban<\/option><option value='Liberia' >Liberia<\/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='Malaisie' >Malaisie<\/option><option value='Malawi' >Malawi<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malte' >Malte<\/option><option value='Maroc' >Maroc<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritanie' >Mauritanie<\/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='Montserrat' >Montserrat<\/option><option value='Mont\u00e9n\u00e9gro' >Mont\u00e9n\u00e9gro<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibie' >Namibie<\/option><option value='Nauru' >Nauru<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nig\u00e9ria' >Nig\u00e9ria<\/option><option value='Niue' >Niue<\/option><option value='North Macedonia' >North Macedonia<\/option><option value='Norv\u00e8ge' >Norv\u00e8ge<\/option><option value='Nouvelle Cal\u00e9donie' >Nouvelle Cal\u00e9donie<\/option><option value='Nouvelle-Z\u00e9lande' >Nouvelle-Z\u00e9lande<\/option><option value='N\u00e9pal' >N\u00e9pal<\/option><option value='Oman' >Oman<\/option><option value='Ouganda' >Ouganda<\/option><option value='Ouzb\u00e9kistan' >Ouzb\u00e9kistan<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Panama' >Panama<\/option><option value='Papouasie-Nouvelle-Guin\u00e9e' >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value='Paraguay' >Paraguay<\/option><option value='Pays-Bas' >Pays-Bas<\/option><option value='Philippines' >Philippines<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Pologne' >Pologne<\/option><option value='Polyn\u00e9sie fran\u00e7aise' >Polyn\u00e9sie fran\u00e7aise<\/option><option value='Porto Rico' >Porto Rico<\/option><option value='Portugal' >Portugal<\/option><option value='P\u00e9rou' >P\u00e9rou<\/option><option value='Qatar' >Qatar<\/option><option value='Roumanie' >Roumanie<\/option><option value='Royaume-Uni' >Royaume-Uni<\/option><option value='Russian Federation' >Russian Federation<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9publique Dominicaine' >R\u00e9publique Dominicaine<\/option><option value='R\u00e9publique centrafricaine' >R\u00e9publique centrafricaine<\/option><option value='R\u00e9publique d\u00e9mocratique du Congo' >R\u00e9publique d\u00e9mocratique du Congo<\/option><option value='R\u00e9publique d\u00e9mocratique populaire Lao' >R\u00e9publique d\u00e9mocratique populaire Lao<\/option><option value='Sahara occidental' >Sahara occidental<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Helena, Ascension and Tristan da Cunha' >Saint Helena, Ascension and Tristan da Cunha<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint-Christophe-et-Nevis' >Saint-Christophe-et-Nevis<\/option><option value='Saint-Marin' >Saint-Marin<\/option><option value='Saint-Martin' >Saint-Martin<\/option><option value='Saint-Pierre-et-Miquelon' >Saint-Pierre-et-Miquelon<\/option><option value='Saint-Si\u00e8ge' >Saint-Si\u00e8ge<\/option><option value='Saint-Vincent-et-les Grenadines' >Saint-Vincent-et-les Grenadines<\/option><option value='Sainte-Lucie' >Sainte-Lucie<\/option><option value='Salvador' >Salvador<\/option><option value='Samoa' >Samoa<\/option><option value='Samoa am\u00e9ricaines' >Samoa am\u00e9ricaines<\/option><option value='Sao Tom\u00e9 et Principe' >Sao Tom\u00e9 et Principe<\/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='Slovaquie' >Slovaquie<\/option><option value='Slov\u00e9nie' >Slov\u00e9nie<\/option><option value='Somalie' >Somalie<\/option><option value='Soudan' >Soudan<\/option><option value='Soudan du Sud' >Soudan du Sud<\/option><option value='South Georgia and the South Sandwich Islands' >South Georgia and the South Sandwich Islands<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Suisse' >Suisse<\/option><option value='Suriname' >Suriname<\/option><option value='Su\u00e8de' >Su\u00e8de<\/option><option value='Svalbard and Jan Mayen' >Svalbard and Jan Mayen<\/option><option value='Syria Arab Republic' >Syria Arab Republic<\/option><option value='S\u00e9n\u00e9gal' >S\u00e9n\u00e9gal<\/option><option value='Tadjikistan' >Tadjikistan<\/option><option value='Tanzania, the United Republic of' >Tanzania, the United Republic of<\/option><option value='Ta\u00efwan' >Ta\u00efwan<\/option><option value='Tchad' >Tchad<\/option><option value='Terres australes Fran\u00e7aises' >Terres australes Fran\u00e7aises<\/option><option value='Territoire britannique de l&#039;oc\u00e9an Indien' >Territoire britannique de l&#039;oc\u00e9an Indien<\/option><option value='Tha\u00eflande' >Tha\u00eflande<\/option><option value='Timor-Leste' >Timor-Leste<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/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='Tuvalu' >Tuvalu<\/option><option value='T\u00fcrkiye' >T\u00fcrkiye<\/option><option value='Ukraine' >Ukraine<\/option><option value='Uruguay' >Uruguay<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Viet Nam' >Viet Nam<\/option><option value='Wallis et Futuna' >Wallis et Futuna<\/option><option value='Y\u00e9men' >Y\u00e9men<\/option><option value='Zambie' >Zambie<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='\u00c9gypte' >\u00c9gypte<\/option><option value='\u00c9mirats arabes unis' >\u00c9mirats arabes unis<\/option><option value='\u00c9quateur' >\u00c9quateur<\/option><option value='\u00c9rythr\u00e9e' >\u00c9rythr\u00e9e<\/option><option value='\u00c9tat palestinien' >\u00c9tat palestinien<\/option><option value='\u00c9tats-Unis' >\u00c9tats-Unis<\/option><option value='\u00c9thiopie' >\u00c9thiopie<\/option><option value='\u00cele Bouvet' >\u00cele Bouvet<\/option><option value='\u00cele Maurice' >\u00cele Maurice<\/option><option value='\u00cele de Man' >\u00cele de Man<\/option><option value='\u00cele de Norfolk' >\u00cele de Norfolk<\/option><option value='\u00cele de No\u00ebl' >\u00cele de No\u00ebl<\/option><option value='\u00celes Cayman' >\u00celes Cayman<\/option><option value='\u00celes Cocos' >\u00celes Cocos<\/option><option value='\u00celes Cook' >\u00celes Cook<\/option><option value='\u00celes Falkland' >\u00celes Falkland<\/option><option value='\u00celes F\u00e9ro\u00e9' >\u00celes F\u00e9ro\u00e9<\/option><option value='\u00celes Mariannes du Nord' >\u00celes Mariannes du Nord<\/option><option value='\u00celes Marshall' >\u00celes Marshall<\/option><option value='\u00celes Salomon' >\u00celes Salomon<\/option><option value='\u00celes Turques-et-Ca\u00efques' >\u00celes Turques-et-Ca\u00efques<\/option><option value='\u00celes Vierges am\u00e9ricaines' >\u00celes Vierges am\u00e9ricaines<\/option><option value='\u00celes Vierges britanniques' >\u00celes Vierges britanniques<\/option><option value='\u00celes mineures \u00e9loign\u00e9es des \u00c9tats-Unis' >\u00celes mineures \u00e9loign\u00e9es des \u00c9tats-Unis<\/option><\/select>\n                                        <label for='input_7_34_6' id='input_7_34_6_label' class='gform-field-label gform-field-label--type-sub '>Pays<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><fieldset id=\"field_7_15\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--radio gfield--radio\"  data-field-class=\"gfield--radio gfield--radio\" ><legend class='gfield_label gform-field-label' >\u00c0 votre connaissance, est-ce que cette personne est CPA ? *<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_7_15'>\n\t\t\t<div class='gchoice gchoice_7_15_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='Oui'  id='choice_7_15_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_15_0' id='label_7_15_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_7_15_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='Non'  id='choice_7_15_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_15_1' id='label_7_15_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_7_17' class='btn btn--outline btn-previous gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Pr\u00e9c\u00e9dent'  >Pr\u00e9c\u00e9dent<\/button> <button type='button' id='gform_next_button_7_17' class='btn btn-next gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Suivant'  >Suivant<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_7_3' class='gform_page' data-js='page-field-id-17' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_7_3' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_7_18\" 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 gfield--html gfield--html\"  data-field-class=\"gfield--html gfield--html\" ><h3>Renseignements li\u00e9s \u00e0 la demande d\u2019enqu\u00eate<\/h3><\/div><fieldset id=\"field_7_20\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--radio gfield--radio\"  data-field-class=\"gfield--radio gfield--radio\" ><legend class='gfield_label gform-field-label' >Choisissez l\u2019option qui d\u00e9crit le mieux votre situation :<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_7_20'>\n\t\t\t<div class='gchoice gchoice_7_20_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_20' type='radio' value='Je suis la personne qui a re\u00e7u les services professionnels.'  id='choice_7_20_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_20_0' id='label_7_20_0' class='gform-field-label gform-field-label--type-inline'>Je suis la personne qui a re\u00e7u les services professionnels.<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_20_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_20' type='radio' value='J&#039;ai re\u00e7u les services professionnels par l&#039;entremise de mon entreprise.'  id='choice_7_20_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_20_1' id='label_7_20_1' class='gform-field-label gform-field-label--type-inline'>J&rsquo;ai re\u00e7u les services professionnels par l&rsquo;entremise de mon entreprise.<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_20_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_20' type='radio' value='Je soumets une demande pour une autre personne.'  id='choice_7_20_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_20_2' id='label_7_20_2' class='gform-field-label gform-field-label--type-inline'>Je soumets une demande pour une autre personne.<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_7_36\" 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 gfield--html gfield--html\"  data-field-class=\"gfield--html gfield--html\" ><h6>Nature de la relation avec la personne vis\u00e9e par la demande d&rsquo;enqu\u00eate<\/h6><\/div><fieldset id=\"field_7_35\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--radio gfield--radio\"  data-field-class=\"gfield--radio gfield--radio\" ><legend class='gfield_label gform-field-label' >Vous \u00e9tiez :<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_7_35'>\n\t\t\t<div class='gchoice gchoice_7_35_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_35' type='radio' value='Client - Individu'  id='choice_7_35_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_35_0' id='label_7_35_0' class='gform-field-label gform-field-label--type-inline'>Client &#8211; Individu<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_35_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_35' type='radio' value='Client - Organisme'  id='choice_7_35_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_35_1' id='label_7_35_1' class='gform-field-label gform-field-label--type-inline'>Client &#8211; Organisme<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_35_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_35' type='radio' value='Employeur'  id='choice_7_35_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_35_2' id='label_7_35_2' class='gform-field-label gform-field-label--type-inline'>Employeur<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_35_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_35' type='radio' value='Associ\u00e9\/confr\u00e8re'  id='choice_7_35_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_35_3' id='label_7_35_3' class='gform-field-label gform-field-label--type-inline'>Associ\u00e9\/confr\u00e8re<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_35_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_35' type='radio' value='Membre de la famille'  id='choice_7_35_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_35_4' id='label_7_35_4' class='gform-field-label gform-field-label--type-inline'>Membre de la famille<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_35_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_35' type='radio' value='Employ\u00e9'  id='choice_7_35_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_35_5' id='label_7_35_5' class='gform-field-label gform-field-label--type-inline'>Employ\u00e9<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_35_6'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_35' type='radio' value='gf_other_choice'  id='choice_7_35_6' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_35_6' id='label_7_35_6' class='gform-field-label gform-field-label--type-inline'>Autre<\/label><br \/><input id='input_7_35_other' class='gchoice_other_control' name='input_35_other' type='text' value='Autre' aria-label='Autre Choix, veuillez pr\u00e9ciser'  disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_7_37\" 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 gfield--html gfield--html\"  data-field-class=\"gfield--html gfield--html\" ><h6>Types de services<\/h6><\/div><fieldset id=\"field_7_38\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox _vertical gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--checkbox gfield--checkbox gfield--has-multiple-inputs gf_list_inline\"  data-field-class=\"gfield--checkbox gfield--checkbox gfield--has-multiple-inputs gf_list_inline\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Veuillez pr\u00e9ciser les types de services re\u00e7us faisant l\u2019objet de la demande :<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_7_38'><div class='gchoice gchoice_7_38_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_38.1' type='checkbox'  value='Imp\u00f4ts personnels'  id='choice_7_38_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_38_1' id='label_7_38_1' class='gform-field-label gform-field-label--type-inline'>Imp\u00f4ts personnels<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_38_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_38.2' type='checkbox'  value='Imp\u00f4ts corporatifs'  id='choice_7_38_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_38_2' id='label_7_38_2' class='gform-field-label gform-field-label--type-inline'>Imp\u00f4ts corporatifs<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_38_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_38.3' type='checkbox'  value='Fiscalit\u00e9 autre'  id='choice_7_38_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_38_3' id='label_7_38_3' class='gform-field-label gform-field-label--type-inline'>Fiscalit\u00e9 autre<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_38_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_38.4' type='checkbox'  value='Tenue de livres'  id='choice_7_38_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_38_4' id='label_7_38_4' class='gform-field-label gform-field-label--type-inline'>Tenue de livres<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_38_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_38.5' type='checkbox'  value='Succession'  id='choice_7_38_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_38_5' id='label_7_38_5' class='gform-field-label gform-field-label--type-inline'>Succession<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_38_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_38.6' type='checkbox'  value='Services-conseils'  id='choice_7_38_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_38_6' id='label_7_38_6' class='gform-field-label gform-field-label--type-inline'>Services-conseils<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_38_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_38.7' type='checkbox'  value='Audit'  id='choice_7_38_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_38_7' id='label_7_38_7' class='gform-field-label gform-field-label--type-inline'>Audit<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_38_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_38.8' type='checkbox'  value='Examen'  id='choice_7_38_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_38_8' id='label_7_38_8' class='gform-field-label gform-field-label--type-inline'>Examen<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_38_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_38.9' type='checkbox'  value='Compilation'  id='choice_7_38_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_38_9' id='label_7_38_9' class='gform-field-label gform-field-label--type-inline'>Compilation<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_38_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_38.11' type='checkbox'  value='\u00c9valuation d&#039;entreprise'  id='choice_7_38_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_38_11' id='label_7_38_11' class='gform-field-label gform-field-label--type-inline'>\u00c9valuation d&rsquo;entreprise<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_38_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_38.12' type='checkbox'  value='Juricomptabilit\u00e9'  id='choice_7_38_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_38_12' id='label_7_38_12' class='gform-field-label gform-field-label--type-inline'>Juricomptabilit\u00e9<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_38_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_38.13' type='checkbox'  value='Autre, veuillez pr\u00e9ciser'  id='choice_7_38_13'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_38_13' id='label_7_38_13' class='gform-field-label gform-field-label--type-inline'>Autre, veuillez pr\u00e9ciser<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_7_39\" 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 gfield--html gfield--html\"  data-field-class=\"gfield--html gfield--html\" ><h6>Objet de la demande<\/h6><\/div><fieldset id=\"field_7_40\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--checkbox gfield--checkbox gfield--has-multiple-inputs gf_list_1col\"  data-field-class=\"gfield--checkbox gfield--checkbox gfield--has-multiple-inputs gf_list_1col\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Veuillez pr\u00e9ciser l\u2019objet de votre demande d\u2019enqu\u00eate.<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_7_40'><div class='gchoice gchoice_7_40_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.1' type='checkbox'  value='Discipline\/d\u00e9ontologie'  id='choice_7_40_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_40_1' id='label_7_40_1' class='gform-field-label gform-field-label--type-inline'>Discipline\/d\u00e9ontologie<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_40_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.2' type='checkbox'  value='Conciliation de comptes d\u2019honoraires'  id='choice_7_40_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_40_2' id='label_7_40_2' class='gform-field-label gform-field-label--type-inline'>Conciliation de comptes d\u2019honoraires<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_40_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.3' type='checkbox'  value='Exercice ill\u00e9gal\/usurpation du titre'  id='choice_7_40_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_40_3' id='label_7_40_3' class='gform-field-label gform-field-label--type-inline'>Exercice ill\u00e9gal\/usurpation du titre<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_7_42\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--textarea gfield--textarea\"  data-field-class=\"gfield--textarea gfield--textarea\" ><label class='gfield_label gform-field-label' for='input_7_42'>Veuillez d\u00e9crire la situation faisant l\u2019objet de la demande. Indiquez, entre autres, la date et la description des \u00e9v\u00e9nements ou des faits qui sont \u00e0 l&#039;origine de votre demande.<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_42' id='input_7_42' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_7_41\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--textarea gfield--textarea\"  data-field-class=\"gfield--textarea gfield--textarea\" ><label class='gfield_label gform-field-label' for='input_7_41'>Quelles sont vos attentes par rapport \u00e0 cette demande?<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_41' id='input_7_41' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_7_23\" 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 gfield--html gfield--html\"  data-field-class=\"gfield--html gfield--html\" ><div class=\"notification-message aligndefault notification-message--warning notification-message--outline\">\n   \n\n<p>Veuillez joindre une copie num\u00e9rique de tous les documents pertinents \u00e0 l\u2019\u00e9tude de votre demande. Notez qu\u2019un maximum de 10 documents peuvent \u00eatre joints \u00e0 ce formulaire. Tout document suppl\u00e9mentaire pourra \u00eatre nous \u00eatre transmis par courriel ult\u00e9rieurement.<\/p>\n\n<p>Attention : S\u2019il s\u2019agit d\u2019une demande de conciliation de comptes d\u2019honoraires, vous devez joindre une copie des factures concern\u00e9es en indiquant clairement lesquelles sont pay\u00e9es (totalement ou en partie).<\/p>\n\n\n<\/div><\/div><div id=\"field_7_21\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--fileupload gfield--fileupload\"  data-field-class=\"gfield--fileupload gfield--fileupload\" ><label class='gfield_label gform-field-label' for='input_7_21'>Documents pertinents<\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='2097152' \/><input name='input_21' id='input_7_21' type='file' class='large' aria-describedby=\"gfield_upload_rules_7_21\" onchange='javascript:gformValidateFileSize( this, 2097152 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_7_21'>Types de fichier accept\u00e9s\u00a0: png, pdf, docx, xlsx, Taille maximum des fichiers : 2 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_7_21'><\/div> <\/div><\/div><\/div><\/div>\n        <div class='gform-page-footer gform_page_footer top_label'><button type='submit' id='gform_previous_button_7' class='btn btn--outline btn-previous gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Pr\u00e9c\u00e9dent'  >Pr\u00e9c\u00e9dent<\/button> <button type='submit' id='gform_submit_button_7' class='btn gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Soumettre'  >Soumettre<\/button> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_7' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_7' id='gform_theme_7' value='gravity-theme' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_7' id='gform_style_settings_7' value='{&quot;inputPrimaryColor&quot;:&quot;#204ce5&quot;}' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_7' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='7' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='CAD' value='KafAioH9Wv1FscAaa2+xzbxtikpD+yQWuZQNlkAg7AJPpp54+a83CY3kQPZxOF0tgEUKxERNSdDocX307RqZmYvPdjbESJXZW20fnoVuHJ\/iyeg=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_7' value='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' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_7' id='gform_target_page_number_7' value='2' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_7' id='gform_source_page_number_7' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n             <\/div><\/div>\n                        <\/form>\n                        <\/div><script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\ndocument.addEventListener( \"DOMContentLoaded\", function() {  gform.initializeOnLoaded( function() {gformInitSpinner( 7, 'data:image\/gif;base64,R0lGODlhAQABAAD\/ACwAAAAAAQABAAACADs=', true );jQuery('#gform_ajax_frame_7').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_7');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_7').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 && ! is_redirect && ! is_confirmation;var mt = parseInt(jQuery('html').css('margin-top'), 10) + parseInt(jQuery('body').css('margin-top'), 10) + 100;if(is_form){jQuery('#gform_wrapper_7').html(form_content.html());if(form_content.hasClass('gform_validation_error')){jQuery('#gform_wrapper_7').addClass('gform_validation_error');} else {jQuery('#gform_wrapper_7').removeClass('gform_validation_error');}setTimeout( function() { \/* delay the scroll by 50 milliseconds to fix a bug in chrome *\/ jQuery(document).scrollTop(jQuery('#gform_wrapper_7').offset().top - mt); }, 50 );if(window['gformInitDatepicker']) {gformInitDatepicker();}if(window['gformInitPriceFields']) {gformInitPriceFields();}var current_page = jQuery('#gform_source_page_number_7').val();gformInitSpinner( 7, 'data:image\/gif;base64,R0lGODlhAQABAAD\/ACwAAAAAAQABAAACADs=', true );jQuery(document).trigger('gform_page_loaded', [7, current_page]);window['gf_submitting_7'] = false;}else if(!is_redirect){var confirmation_content = jQuery(this).contents().find('.GF_AJAX_POSTBACK').html();if(!confirmation_content){confirmation_content = contents;}jQuery('#gform_wrapper_7').replaceWith(confirmation_content);jQuery(document).scrollTop(jQuery('#gf_7').offset().top - mt);jQuery(document).trigger('gform_confirmation_loaded', [7]);window['gf_submitting_7'] = false;wp.a11y.speak(jQuery('#gform_confirmation_message_7').text());}else{jQuery('#gform_7').append(contents);if(window['gformRedirect']) {gformRedirect();}}jQuery(document).trigger(\"gform_pre_post_render\", [{ formId: \"7\", currentPage: \"current_page\", abort: function() { this.preventDefault(); } }]);        if (event && event.defaultPrevented) {                return;        }        const gformWrapperDiv = document.getElementById( \"gform_wrapper_7\" );        if ( gformWrapperDiv ) {            const visibilitySpan = document.createElement( \"span\" );            visibilitySpan.id = \"gform_visibility_test_7\";            gformWrapperDiv.insertAdjacentElement( \"afterend\", visibilitySpan );        }        const visibilityTestDiv = document.getElementById( \"gform_visibility_test_7\" );        let postRenderFired = false;        function triggerPostRender() {            if ( postRenderFired ) {                return;            }            postRenderFired = true;            gform.core.triggerPostRenderEvents( 7, current_page );            if ( visibilityTestDiv ) {                visibilityTestDiv.parentNode.removeChild( visibilityTestDiv );            }        }        function debounce( func, wait, immediate ) {            var timeout;            return function() {                var context = this, args = arguments;                var later = function() {                    timeout = null;                    if ( !immediate ) func.apply( context, args );                };                var callNow = immediate && !timeout;                clearTimeout( timeout );                timeout = setTimeout( later, wait );                if ( callNow ) func.apply( context, args );            };        }        const debouncedTriggerPostRender = debounce( function() {            triggerPostRender();        }, 200 );        if ( visibilityTestDiv && visibilityTestDiv.offsetParent === null ) {            const observer = new MutationObserver( ( mutations ) => {                mutations.forEach( ( mutation ) => {                    if ( mutation.type === 'attributes' && visibilityTestDiv.offsetParent !== null ) {                        debouncedTriggerPostRender();                        observer.disconnect();                    }                });            });            observer.observe( document.body, {                attributes: true,                childList: false,                subtree: true,                attributeFilter: [ 'style', 'class' ],            });        } else {            triggerPostRender();        }    } );} );  }, false );\n\/* ]]> *\/\n<\/script>\n<\/section>","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":13425,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-10461","page","type-page","status-publish","hentry"],"pp_statuses_selecting_workflow":false,"pp_workflow_action":"current","pp_status_selection":"publish","pp_force_visibility":null,"pp_subpost_visibility":null,"pp_inherited_force_visibility":null,"pp_inherited_subpost_visibility":null,"acf":[],"publishpress_future_action":{"enabled":false,"date":"2026-06-20 12:01:35","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"translation_priority","extraData":[]},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"_links":{"self":[{"href":"https:\/\/cpaquebec.wp.vortexdev.com\/fr\/wp-json\/wp\/v2\/pages\/10461","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cpaquebec.wp.vortexdev.com\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/cpaquebec.wp.vortexdev.com\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/cpaquebec.wp.vortexdev.com\/fr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/cpaquebec.wp.vortexdev.com\/fr\/wp-json\/wp\/v2\/comments?post=10461"}],"version-history":[{"count":3,"href":"https:\/\/cpaquebec.wp.vortexdev.com\/fr\/wp-json\/wp\/v2\/pages\/10461\/revisions"}],"predecessor-version":[{"id":14869,"href":"https:\/\/cpaquebec.wp.vortexdev.com\/fr\/wp-json\/wp\/v2\/pages\/10461\/revisions\/14869"}],"up":[{"embeddable":true,"href":"https:\/\/cpaquebec.wp.vortexdev.com\/fr\/wp-json\/wp\/v2\/pages\/13425"}],"wp:attachment":[{"href":"https:\/\/cpaquebec.wp.vortexdev.com\/fr\/wp-json\/wp\/v2\/media?parent=10461"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}