{"id":8712,"date":"2020-09-01T15:37:32","date_gmt":"2020-09-01T13:37:32","guid":{"rendered":"https:\/\/www.buendiaseguros.es\/souscription-1\/"},"modified":"2026-06-14T11:08:30","modified_gmt":"2026-06-14T09:08:30","slug":"souscription-dkv","status":"publish","type":"page","link":"https:\/\/www.buendiaseguros.es\/fr\/souscription-dkv\/","title":{"rendered":"Souscription 1"},"content":{"rendered":"\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-16ncd-b188611fc806967d5b1b9c689e86aa64\">\n.flex_column.av-16ncd-b188611fc806967d5b1b9c689e86aa64{\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n<\/style>\n<div  class='flex_column av-16ncd-b188611fc806967d5b1b9c689e86aa64 av_one_full  avia-builder-el-0  el_before_av_textblock  avia-builder-el-first  first flex_column_div av-zero-column-padding  '     ><style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-k8vwtcsh-80167c7e8bb1a055fb0957609c0e52ff\">\n#top .av-special-heading.av-k8vwtcsh-80167c7e8bb1a055fb0957609c0e52ff{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-k8vwtcsh-80167c7e8bb1a055fb0957609c0e52ff .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-k8vwtcsh-80167c7e8bb1a055fb0957609c0e52ff .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-k8vwtcsh-80167c7e8bb1a055fb0957609c0e52ff av-special-heading-h3  avia-builder-el-1  avia-builder-el-no-sibling '><h3 class='av-special-heading-tag '  >Souscription en ligne <\/h3><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><\/div>\n<section  class='av_textblock_section av-k8vwunmd-ab7d0d1b1192a8f7458712dd41a68a57 '  ><div class='avia_textblock' ><div>\n<h4><span style=\"color: #98a92a;\"><strong>Bienvenue dans l&rsquo;espace s\u00e9curis\u00e9 de souscription d&rsquo;assurances m\u00e9dicales DKV. <\/strong><\/span><\/h4>\n<p><strong>En 2 \u00e9tapes<\/strong>, finalisez votre souscription et <strong>vous pourrez profiter de votre assurance.<\/strong> Nous vous accompagnerons tout au long du processus en vous indiquant les informations \u00e0 fournir si vous avez des questions.<\/p>\n<\/div>\n<p>Les champs marqu\u00e9s d&rsquo;un ast\u00e9risque rouge sont obligatoires.<\/p>\n<form class=\"c-form-calculadora u-mb+++@xs ng-pristine ng-valid ng-valid-maxlength ng-valid-required ng-valid-date\"><\/form>\n<\/div><\/section>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-au3tx-80a160a7e0c8adeb1d10f03c2e276c3b\">\n.flex_column.av-au3tx-80a160a7e0c8adeb1d10f03c2e276c3b{\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n<\/style>\n<div  class='flex_column av-au3tx-80a160a7e0c8adeb1d10f03c2e276c3b av_one_full  avia-builder-el-3  el_after_av_textblock  avia-builder-el-last  first flex_column_div av-zero-column-padding  column-top-margin'     ><section  class='av_textblock_section av-lvp7kedx-0dfdb7c53f36a6fbc71a0c5fd9280e9b '  ><div class='avia_textblock' ><style id=\"wpforms-css-vars-7007\">\n\t\t\t\t#wpforms-7007 {\n\t\t\t\t--wpforms-container-padding: 0px;\n--wpforms-container-border-width: 1px;\n--wpforms-container-border-radius: 3px;\n--wpforms-background-color: rgba(0, 0, 0, 0);\n--wpforms-field-size-input-height: 43px;\n--wpforms-field-size-input-spacing: 15px;\n--wpforms-field-size-font-size: 16px;\n--wpforms-field-size-line-height: 19px;\n--wpforms-field-size-padding-h: 14px;\n--wpforms-field-size-checkbox-size: 16px;\n--wpforms-field-size-sublabel-spacing: 5px;\n--wpforms-field-size-icon-size: 1;\n--wpforms-label-size-font-size: 16px;\n--wpforms-label-size-line-height: 19px;\n--wpforms-label-size-sublabel-font-size: 14px;\n--wpforms-label-size-sublabel-line-height: 17px;\n--wpforms-button-size-font-size: 17px;\n--wpforms-button-size-height: 41px;\n--wpforms-button-size-padding-h: 15px;\n--wpforms-button-size-margin-top: 10px;\n--wpforms-container-shadow-size-box-shadow: none;\n\t\t\t}\n\t\t\t<\/style><div class=\"wpforms-container wpforms-container-full wpforms-render-modern\" id=\"wpforms-7007\"><form id=\"wpforms-form-7007\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"7007\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/fr\/wp-json\/wp\/v2\/pages\/8712\" data-token=\"2f5342d0094986a94385a7db871611d1\" data-token-time=\"1785559703\"><noscript class=\"wpforms-error-noscript\">Veuillez activer JavaScript dans votre navigateur pour remplir ce formulaire.<\/noscript><div id=\"wpforms-error-noscript\" style=\"display: none;\">Veuillez activer JavaScript dans votre navigateur pour remplir ce formulaire.<\/div><div class=\"wpforms-field-container\"><div id=\"wpforms-7007-field_3-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-7007-field_3\">Date de d\u00e9but. <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-7007-field_3\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][3]\" aria-errormessage=\"wpforms-7007-field_3-error\" required><\/div><div id=\"wpforms-7007-field_4-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-7007-field_4\">Mod\u00e8le d\u2019assurance. <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><select id=\"wpforms-7007-field_4\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][4]\" required=\"required\"><option value=\"Elite (Sin Copago)\"  class=\"choice-1 depth-1\"  >Elite (Sin Copago)<\/option><option value=\"Classic (Copago de 3 euros)\"  class=\"choice-2 depth-1\"  >Classic (Copago de 3 euros)<\/option><option value=\"Plus (Copago desde 6 euros)\"  class=\"choice-3 depth-1\"  >Plus (Copago desde 6 euros)<\/option><option value=\"Complet (Copago desde 12 euros)\"  class=\"choice-8 depth-1\"  >Complet (Copago desde 12 euros)<\/option><option value=\"DKV Selecci\u00f3n (sin copago)\"  class=\"choice-7 depth-1\"  >DKV Selecci\u00f3n (sin copago)<\/option><option value=\"Enfermedades Graves\"  class=\"choice-6 depth-1\"  >Enfermedades Graves<\/option><option value=\"Seguro de Urgencias\"  class=\"choice-5 depth-1\"  >Seguro de Urgencias<\/option><option value=\"Seguro de Especialistas\"  class=\"choice-4 depth-1\"  >Seguro de Especialistas<\/option><option value=\"Seguro de Urgencias+Especialistas\"  class=\"choice-9 depth-1\"  >Seguro de Urgencias+Especialistas<\/option><option value=\"Seguro de Reembolso Elite\"  class=\"choice-10 depth-1\"  >Seguro de Reembolso Elite<\/option><option value=\"Seguro de Reembolso Classic\"  class=\"choice-11 depth-1\"  >Seguro de Reembolso Classic<\/option><option value=\"Seguro de Reembolso Plus\"  class=\"choice-13 depth-1\"  >Seguro de Reembolso Plus<\/option><option value=\"Seguro de Reembolso Complet\"  class=\"choice-12 depth-1\"  >Seguro de Reembolso Complet<\/option><option value=\"DKV Visa\"  class=\"choice-14 depth-1\"  >DKV Visa<\/option><option value=\"DKV Visa +Repatriacion\"  class=\"choice-15 depth-1\"  >DKV Visa +Repatriacion<\/option><option value=\"Dental\"  class=\"choice-19 depth-1\"  >Dental<\/option><option value=\"Decesos\"  class=\"choice-18 depth-1\"  >Decesos<\/option><option value=\"Viajes\"  class=\"choice-20 depth-1\"  >Viajes<\/option><\/select><\/div><div id=\"wpforms-7007-field_0-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"0\"><fieldset><legend class=\"wpforms-field-label\">Nom du souscripteur (personne responsable de l\u2019assurance). <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-7007-field_0\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][0][first]\" aria-errormessage=\"wpforms-7007-field_0-error\" required><label for=\"wpforms-7007-field_0\" class=\"wpforms-field-sublabel after\">Nombre<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-7007-field_0-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][0][last]\" aria-errormessage=\"wpforms-7007-field_0-last-error\" required><label for=\"wpforms-7007-field_0-last\" class=\"wpforms-field-sublabel after\">Apellidos<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-7007-field_5-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"5\"><label class=\"wpforms-field-label\" for=\"wpforms-7007-field_5\">Date de naissance du souscripteur. <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-7007-field_5\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][5]\" aria-errormessage=\"wpforms-7007-field_5-error\" required><\/div><div id=\"wpforms-7007-field_8-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-7007-field_8\">DNI\/NIE\/Passeport <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-7007-field_8\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][8]\" aria-errormessage=\"wpforms-7007-field_8-error\" required><\/div><div id=\"wpforms-7007-field_9-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-7007-field_9\">Nationalit\u00e9 du souscripteur. <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-7007-field_9\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][9]\" aria-errormessage=\"wpforms-7007-field_9-error\" required><\/div><div id=\"wpforms-7007-field_10-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"10\"><label class=\"wpforms-field-label\" for=\"wpforms-7007-field_10\">Adresse. <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-7007-field_10\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][10]\" aria-errormessage=\"wpforms-7007-field_10-error\" required><\/div><div id=\"wpforms-7007-field_11-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-7007-field_11\">Code postal. <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"number\" id=\"wpforms-7007-field_11\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][11]\" step=\"any\" aria-errormessage=\"wpforms-7007-field_11-error\" required><\/div><div id=\"wpforms-7007-field_1-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-7007-field_1\">Adresse e-mail. <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"email\" id=\"wpforms-7007-field_1\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][1]\" spellcheck=\"false\" aria-errormessage=\"wpforms-7007-field_1-error\" required><\/div><div id=\"wpforms-7007-field_6-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-7007-field_6\">T\u00e9l\u00e9phone. <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"number\" id=\"wpforms-7007-field_6\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][6]\" step=\"any\" aria-errormessage=\"wpforms-7007-field_6-error\" required><\/div><div id=\"wpforms-7007-field_26-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"26\"><label class=\"wpforms-field-label\" for=\"wpforms-7007-field_26\">P\u00e9riode de paiement <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><select id=\"wpforms-7007-field_26\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][26]\" required=\"required\"><option value=\"mensuelle\"  class=\"choice-1 depth-1\"  >mensuelle<\/option><option value=\"trimestrielle\"  class=\"choice-2 depth-1\"  >trimestrielle<\/option><option value=\"semestrielle\"  class=\"choice-3 depth-1\"  >semestrielle<\/option><option value=\"annuelle\"  class=\"choice-4 depth-1\"  >annuelle<\/option><\/select><\/div><div id=\"wpforms-7007-field_27-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"27\"><label class=\"wpforms-field-label\" for=\"wpforms-7007-field_27\">Compte bancaire sur lequel vous souhaitez que le pr\u00e9l\u00e8vement soit effectu\u00e9. <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-7007-field_27\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][27]\" aria-errormessage=\"wpforms-7007-field_27-error\" required><\/div><div id=\"wpforms-7007-field_14-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"14\"><fieldset><legend class=\"wpforms-field-label\">Options multiples.<\/legend><ul id=\"wpforms-7007-field_14\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-7007-field_14_1\" name=\"wpforms[fields][14]\" value=\"Le souscripteur et l\u2019assur\u00e9 sont la m\u00eame personne (si vous s\u00e9lectionnez cette option, il n\u2019est pas n\u00e9cessaire de remplir \u00e0 nouveau les donn\u00e9es de l\u2019assur\u00e9).\" aria-errormessage=\"wpforms-7007-field_14_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7007-field_14_1\">Le souscripteur et l\u2019assur\u00e9 sont la m\u00eame personne (si vous s\u00e9lectionnez cette option, il n\u2019est pas n\u00e9cessaire de remplir \u00e0 nouveau les donn\u00e9es de l\u2019assur\u00e9).<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-7007-field_14_4\" name=\"wpforms[fields][14]\" value=\"Assur\u00e9 diff\u00e9rent du souscripteur.\" aria-errormessage=\"wpforms-7007-field_14_4-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7007-field_14_4\">Assur\u00e9 diff\u00e9rent du souscripteur.<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-7007-field_13-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"13\"><fieldset><legend class=\"wpforms-field-label\">Nom de l\u2019assur\u00e9.<\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-7007-field_13\" class=\"wpforms-field-name-first\" name=\"wpforms[fields][13][first]\" aria-errormessage=\"wpforms-7007-field_13-error\" ><label for=\"wpforms-7007-field_13\" class=\"wpforms-field-sublabel after\">Nombre<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-7007-field_13-last\" class=\"wpforms-field-name-last\" name=\"wpforms[fields][13][last]\" aria-errormessage=\"wpforms-7007-field_13-last-error\" ><label for=\"wpforms-7007-field_13-last\" class=\"wpforms-field-sublabel after\">Apellidos<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-7007-field_16-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"16\"><label class=\"wpforms-field-label\" for=\"wpforms-7007-field_16\">DNI \/ NIE \/ Passeport de l\u2019assur\u00e9.<\/label><input type=\"text\" id=\"wpforms-7007-field_16\" class=\"wpforms-field-medium\" name=\"wpforms[fields][16]\" aria-errormessage=\"wpforms-7007-field_16-error\" ><\/div><div id=\"wpforms-7007-field_15-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"15\"><label class=\"wpforms-field-label\" for=\"wpforms-7007-field_15\">Date de naissance de l\u2019assur\u00e9.<\/label><input type=\"text\" id=\"wpforms-7007-field_15\" class=\"wpforms-field-medium\" name=\"wpforms[fields][15]\" aria-errormessage=\"wpforms-7007-field_15-error\" ><\/div><div id=\"wpforms-7007-field_17-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"17\"><label class=\"wpforms-field-label\" for=\"wpforms-7007-field_17\">Nationalit\u00e9 de l\u2019assur\u00e9.<\/label><input type=\"text\" id=\"wpforms-7007-field_17\" class=\"wpforms-field-medium\" name=\"wpforms[fields][17]\" aria-errormessage=\"wpforms-7007-field_17-error\" ><\/div><div id=\"wpforms-7007-field_18-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"18\"><label class=\"wpforms-field-label\" for=\"wpforms-7007-field_18\">Poids de l\u2019assur\u00e9 (kg). <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-7007-field_18\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][18]\" aria-errormessage=\"wpforms-7007-field_18-error\" required><\/div><div id=\"wpforms-7007-field_12-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"12\"><label class=\"wpforms-field-label\" for=\"wpforms-7007-field_12\">Taille de l\u2019assur\u00e9 (cm). <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-7007-field_12\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][12]\" aria-errormessage=\"wpforms-7007-field_12-error\" required><\/div><div id=\"wpforms-7007-field_19-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"19\"><label class=\"wpforms-field-label\" for=\"wpforms-7007-field_19\">1. Avez-vous ou avez-vous eu une maladie, un accident, une anomalie cong\u00e9nitale, une maladie familiale h\u00e9r\u00e9ditaire, des douleurs articulaires, ainsi qu\u2019un autre sympt\u00f4me ou type de douleur, ou souffrez-vous d\u2019une pathologie m\u00e9tabolique (cholest\u00e9rol, tension, sucre, thyro\u00efde) ? (Pr\u00e9cisez votre r\u00e9ponse et l\u2019ann\u00e9e.) <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><textarea id=\"wpforms-7007-field_19\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][19]\" aria-errormessage=\"wpforms-7007-field_19-error\" required><\/textarea><\/div><div id=\"wpforms-7007-field_20-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"20\"><label class=\"wpforms-field-label\" for=\"wpforms-7007-field_20\">2. Avez-vous re\u00e7u, ou \u00eates-vous en attente de recevoir, un type de traitement chirurgical, m\u00e9dical, pharmacologique, de r\u00e9\u00e9ducation ou di\u00e9t\u00e9tique (ex. : r\u00e9gime pour hypertendus) ? (Pr\u00e9cisez les traitements, les causes et les dates.) <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><textarea id=\"wpforms-7007-field_20\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][20]\" aria-errormessage=\"wpforms-7007-field_20-error\" required><\/textarea><\/div><div id=\"wpforms-7007-field_21-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"21\"><label class=\"wpforms-field-label\" for=\"wpforms-7007-field_21\">3. Avez-vous \u00e9t\u00e9 hospitalis\u00e9, avez-vous subi une intervention chirurgicale ou \u00eates-vous en attente d\u2019une hospitalisation ? (Pr\u00e9cisez les causes et les dates.) <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><textarea id=\"wpforms-7007-field_21\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][21]\" aria-errormessage=\"wpforms-7007-field_21-error\" required><\/textarea><\/div><div id=\"wpforms-7007-field_22-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"22\"><label class=\"wpforms-field-label\" for=\"wpforms-7007-field_22\">4. Avez-vous pass\u00e9, ou avez-vous en attente, un examen diagnostique ? (Pr\u00e9cisez le type d\u2019examen, le motif, le r\u00e9sultat et la date.) <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><textarea id=\"wpforms-7007-field_22\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][22]\" aria-errormessage=\"wpforms-7007-field_22-error\" required><\/textarea><\/div><div id=\"wpforms-7007-field_23-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"23\"><label class=\"wpforms-field-label\" for=\"wpforms-7007-field_23\">Portez-vous des lunettes ? Indiquez le nombre de dioptries. <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-7007-field_23\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][23]\" aria-errormessage=\"wpforms-7007-field_23-error\" required><\/div><div id=\"wpforms-7007-field_25-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"25\"><fieldset><legend class=\"wpforms-field-label\">Consommez-vous l\u2019une des substances suivantes ?<\/legend><ul id=\"wpforms-7007-field_25\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-7007-field_25_1\" name=\"wpforms[fields][25]\" value=\"Alcool\" aria-errormessage=\"wpforms-7007-field_25_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7007-field_25_1\">Alcool<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-7007-field_25_2\" name=\"wpforms[fields][25]\" value=\"Tabac\" aria-errormessage=\"wpforms-7007-field_25_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7007-field_25_2\">Tabac<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-7007-field_25_3\" name=\"wpforms[fields][25]\" value=\"Drogues\" aria-errormessage=\"wpforms-7007-field_25_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7007-field_25_3\">Drogues<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-7007-field_28-container\" class=\"wpforms-field wpforms-field-gdpr-checkbox\" data-field-id=\"28\"><label class=\"wpforms-field-label\">Accord RGPD <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><ul id=\"wpforms-7007-field_28\" class=\"wpforms-field-required\"><li class=\"choice-1\"><input type=\"checkbox\" id=\"wpforms-7007-field_28_1\" name=\"wpforms[fields][28][]\" value=\"He le\u00eddo y acepto el &lt;a href=&quot;https:\/\/www.buendiaseguros.es\/nosotros\/aviso-legal\/&quot;&gt;Aviso Legal&lt;\/a&gt; y acepto la &lt;a href=&quot;https:\/\/www.buendiaseguros.es\/nosotros\/politica-de-privacidad\/&quot;&gt;Pol\u00edtica de Privacidad&lt;\/a&gt;.\" aria-errormessage=\"wpforms-7007-field_28_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7007-field_28_1\">He le\u00eddo y acepto el <a href=\"https:\/\/www.buendiaseguros.es\/nosotros\/aviso-legal\/\">Aviso Legal<\/a> y acepto la <a href=\"https:\/\/www.buendiaseguros.es\/nosotros\/politica-de-privacidad\/\">Pol\u00edtica de Privacidad<\/a>.<\/label><\/li><\/ul><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"7007\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/www.buendiaseguros.es\/fr\/wp-json\/wp\/v2\/pages\/8712\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-7007\" class=\"wpforms-submit\" data-alt-text=\"Formulario enviado con \u00e9xito, en breve le enviaremos su documentaci\u00f3n\" data-submit-text=\"Enviar\" aria-live=\"assertive\" value=\"wpforms-submit\">Enviar<\/button><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.buendiaseguros.es\/wp-content\/plugins\/wpforms-lite\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Chargement en cours\"><\/div><\/form><\/div>  <!-- .wpforms-container -->\n<\/div><\/section><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_joinchat":[],"footnotes":""},"class_list":["post-8712","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.buendiaseguros.es\/fr\/wp-json\/wp\/v2\/pages\/8712","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.buendiaseguros.es\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.buendiaseguros.es\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.buendiaseguros.es\/fr\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.buendiaseguros.es\/fr\/wp-json\/wp\/v2\/comments?post=8712"}],"version-history":[{"count":11,"href":"https:\/\/www.buendiaseguros.es\/fr\/wp-json\/wp\/v2\/pages\/8712\/revisions"}],"predecessor-version":[{"id":8724,"href":"https:\/\/www.buendiaseguros.es\/fr\/wp-json\/wp\/v2\/pages\/8712\/revisions\/8724"}],"wp:attachment":[{"href":"https:\/\/www.buendiaseguros.es\/fr\/wp-json\/wp\/v2\/media?parent=8712"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}