{"id":26,"date":"2014-03-18T12:17:27","date_gmt":"2014-03-18T11:17:27","guid":{"rendered":"http:\/\/mdiabete.gouv.sn\/\/?page_id=26"},"modified":"2014-11-20T13:08:26","modified_gmt":"2014-11-20T12:08:26","slug":"contact","status":"publish","type":"page","link":"https:\/\/mdiabete.gouv.sn\/?page_id=26","title":{"rendered":"Contact"},"content":{"rendered":"<form enctype=\"multipart\/form-data\" class=\"fm-form\" method=\"post\" action=\"https:\/\/mdiabete.gouv.sn\/?page_id=26\" name=\"fm-form-6\" id=\"fm-form-6\" autocomplete=\"on\" >\n\r\n\t<fieldset>\t\r\n\t\t\t\t\t\t\t\t\t<legend>Formulaire de contact<\/legend>\r\n\t\t\t\t\t\t\t\r\n\t\t<ul>\r\n\t\t\t\t\t\t<li id=\"fm-item-text-546dd8d3257b0\">\r\n\t\t\t\t\t\t\t\t\t<table><tr>\r\n\t\t\t\t\t\t<td style=\"width:200px\"><label>Nom&nbsp;<em>*<\/em><\/label><\/td>\r\n\t\t\t\t\t\t<td><input type=\"text\" name=\"text-546dd8d3257b0\" id=\"text-546dd8d3257b0\" style=\"width:300px;\" placeholder=\"\" \/><\/td>\r\n\t\t\t\t\t<\/tr><\/table>\r\n\t\t\t\t\t\t\t<\/li>\r\n\t\t\t\t\t\t<li id=\"fm-item-text-546dd8df1633d\">\r\n\t\t\t\t\t\t\t\t\t<table><tr>\r\n\t\t\t\t\t\t<td style=\"width:200px\"><label>Pr\u00e9nom<\/label><\/td>\r\n\t\t\t\t\t\t<td><input type=\"text\" name=\"text-546dd8df1633d\" id=\"text-546dd8df1633d\" style=\"width:300px;\" placeholder=\"\" \/><\/td>\r\n\t\t\t\t\t<\/tr><\/table>\r\n\t\t\t\t\t\t\t<\/li>\r\n\t\t\t\t\t\t<li id=\"fm-item-text-546dd9027a856\">\r\n\t\t\t\t\t\t\t\t\t<table><tr>\r\n\t\t\t\t\t\t<td style=\"width:200px\"><label>Email&nbsp;<em>*<\/em><\/label><\/td>\r\n\t\t\t\t\t\t<td><input type=\"text\" name=\"text-546dd9027a856\" id=\"text-546dd9027a856\" style=\"width:300px;\" placeholder=\"\" \/><\/td>\r\n\t\t\t\t\t<\/tr><\/table>\r\n\t\t\t\t\t\t\t<\/li>\r\n\t\t\t\t\t\t<li id=\"fm-item-text-546dd91d25e2e\">\r\n\t\t\t\t\t\t\t\t\t<table><tr>\r\n\t\t\t\t\t\t<td style=\"width:200px\"><label>T\u00e9l\u00e9phone portable<\/label><\/td>\r\n\t\t\t\t\t\t<td><input type=\"text\" name=\"text-546dd91d25e2e\" id=\"text-546dd91d25e2e\" style=\"width:300px;\" placeholder=\"\" \/><\/td>\r\n\t\t\t\t\t<\/tr><\/table>\r\n\t\t\t\t\t\t\t<\/li>\r\n\t\t\t\t\t\t<li id=\"fm-item-custom_list-546dd81fddba3\">\r\n\t\t\t\t\t\t\t\t\t<table><tr>\r\n\t\t\t\t\t\t<td style=\"width:200px\"><label>Choix du programme<\/label><\/td>\r\n\t\t\t\t\t\t<td><select name=\"custom_list-546dd81fddba3\" id=\"custom_list-546dd81fddba3\" style=\"width:px;\" ><option value=\"0\">Sensibilisation pour les non-diab\u00e8tiques<\/option><option value=\"1\">Education pour les diab\u00e8tiques<\/option><option value=\"2\">Pied diab\u00e8tique<\/option><option value=\"3\">Professionnels de sant\u00e9<\/option><\/select><input type=\"hidden\" id=\"custom_list-546dd81fddba3-list-style\" value=\"select\" \/><input type=\"hidden\" id=\"custom_list-546dd81fddba3-count\" value=\"4\" \/><\/td>\r\n\t\t\t\t\t<\/tr><\/table>\r\n\t\t\t\t\t\t\t<\/li>\r\n\t\t\t\t\t\t<li id=\"fm-item-checkbox-546dd93c547c6\">\r\n\t\t\t\t\t\t\t\t\t<table><tr>\r\n\t\t\t\t\t\t<td style=\"width:200px\"><label>J'accepte des recevoir des SMS dans le cadre du programme m-DIABETE<\/label><\/td>\r\n\t\t\t\t\t\t<td><input type=\"checkbox\" name=\"checkbox-546dd93c547c6\" id=\"checkbox-546dd93c547c6\" style=\"\" \/><\/td>\r\n\t\t\t\t\t<\/tr><\/table>\r\n\t\t\t\t\t\t\t<\/li>\r\n\t\t\t\t\t\t<li id=\"fm-item-textarea-546dd8eb2ab57\">\r\n\t\t\t\t\t\t\t\t\t<table><tr>\r\n\t\t\t\t\t\t<td style=\"width:200px\"><label>Commentaire<\/label><\/td>\r\n\t\t\t\t\t\t<td><textarea name=\"textarea-546dd8eb2ab57\" id=\"textarea-546dd8eb2ab57\" style=\"width:300px;height:100px;\" placeholder=\"\"><\/textarea><\/td>\r\n\t\t\t\t\t<\/tr><\/table>\r\n\t\t\t\t\t\t\t<\/li>\r\n\t\t\t\t\t<\/ul>\r\n\r\n\t\t<div>\r\n\t\t <input type=\"submit\" name=\"fm_form_submit\" id=\"fm_form_submit\" class=\"submit\" value=\"Envoyer\" onclick=\"return fm_submit_onclick(6)\"  \/>\n\t\t<\/div>\r\n\r\n\t<\/fieldset>\r\n\t<input type=\"hidden\" name=\"fm_nonce\" id=\"fm_nonce\" value=\"82ab0741ad\" \/>\n<input type=\"hidden\" name=\"fm_id\" id=\"fm_id\" value=\"6\" \/>\n<input type=\"hidden\" name=\"fm_uniq_id\" id=\"fm_uniq_id\" value=\"fm-6a13397cb4836\" \/>\n<input type=\"hidden\" name=\"fm_parent_post_id\" id=\"fm_parent_post_id\" value=\"26\" \/>\n<\/form>\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"open","template":"","meta":{"footnotes":""},"class_list":["post-26","page","type-page","status-publish","hentry","post"],"_links":{"self":[{"href":"https:\/\/mdiabete.gouv.sn\/index.php?rest_route=\/wp\/v2\/pages\/26","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/mdiabete.gouv.sn\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/mdiabete.gouv.sn\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/mdiabete.gouv.sn\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/mdiabete.gouv.sn\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=26"}],"version-history":[{"count":3,"href":"https:\/\/mdiabete.gouv.sn\/index.php?rest_route=\/wp\/v2\/pages\/26\/revisions"}],"predecessor-version":[{"id":822,"href":"https:\/\/mdiabete.gouv.sn\/index.php?rest_route=\/wp\/v2\/pages\/26\/revisions\/822"}],"wp:attachment":[{"href":"https:\/\/mdiabete.gouv.sn\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=26"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}