{"id":16442,"date":"2024-02-29T15:27:02","date_gmt":"2024-02-29T14:27:02","guid":{"rendered":"https:\/\/www.dexeus.com\/fertility\/le-prediagnostic-pma\/"},"modified":"2025-06-16T17:12:37","modified_gmt":"2025-06-16T15:12:37","slug":"prediagnostic-en-ligne","status":"publish","type":"page","link":"https:\/\/www.dexeus.com\/fertility\/fr\/prediagnostic-en-ligne\/","title":{"rendered":"Pr\u00e9diagnostic en ligne"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"16442\" class=\"elementor elementor-16442 elementor-3156\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-d5ba0b0 e-con-full e-flex e-con e-parent\" data-id=\"d5ba0b0\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t<div class=\"elementor-element elementor-element-8fe9948 e-flex e-con-boxed e-con e-child\" data-id=\"8fe9948\" data-element_type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-f3056bc elementor-widget elementor-widget-heading\" data-id=\"f3056bc\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Pr\u00e9diagnostic en ligne<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-0619e65 e-flex e-con-boxed e-con e-parent\" data-id=\"0619e65\" data-element_type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-f8f4f52 elementor-widget elementor-widget-text-editor\" data-id=\"f8f4f52\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Remplissez ce formulaire de <strong>mani\u00e8re anonyme et gratuite<\/strong>, afin d\u2019obtenir des <strong>informations d\u00e9taill\u00e9es<\/strong> sur le traitement le mieux adapt\u00e9 \u00e0 votre situation. Nous vous dirons en quoi il consiste, quelles sont ses chances de r\u00e9ussite, le temps n\u00e9cessaire pour le r\u00e9aliser et son prix.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-30f8376 e-flex e-con-boxed e-con e-parent\" data-id=\"30f8376\" data-element_type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-f3bf509 e-con-full e-flex e-con e-child\" data-id=\"f3bf509\" data-element_type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-732b28f dexeusfertility-preadignosis-form elementor-widget elementor-widget-shortcode\" data-id=\"732b28f\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><style type=\"text\/css\">#ipt_fsqm_form_wrap_10 .ipt_fsqm_form_logo img,\n\t#ipt_fsqm_form_wrap_10 .ipt-eform-width-restrain,\n\t#ipt_fsqm_form_wrap_10 .ipt_fsqm_form_message_restore,\n\t#ipt_fsqm_form_wrap_10 .ipt_fsqm_form_message_success,\n\t#ipt_fsqm_form_wrap_10 .ipt_fsqm_form_message_error,\n\t#ipt_fsqm_form_wrap_10 .ipt_fsqm_form_message_process,\n\t#ipt_fsqm_form_wrap_10 .ipt_fsqm_form_validation_error,\n\t#ipt_fsqm_form_wrap_10 .eform-ui-estimator {\n\t\tmax-width: 1800px;\n\t\tmin-width: 240px;\n\t}\n\n\t\/**\/<\/style><div\nid=\"ipt_fsqm_form_wrap_10\"\nclass=\"ipt_uif_front ipt_uif_common ipt_fsqm_form type_2 ui-front eform-ltr eform-override-element-material eform-override-alignment-centered\"\ndata-fsqmsayt=\"{&quot;auto_save&quot;:false,&quot;show_restore&quot;:true,&quot;restore&quot;:false,&quot;admin_override&quot;:false,&quot;user_update&quot;:false,&quot;interval_save&quot;:false,&quot;interval&quot;:&quot;30&quot;}\"\ndata-ui-type=\"2\"\ndata-ui-theme=\"[&quot;https:\\\/\\\/www.dexeus.com\\\/fertility\\\/wp-content\\\/uploads\\\/eform-custom-material\\\/form-theme-10.css?checksum=3901367654&amp;ver=4.18.0&quot;]\"\ndata-ui-theme-id=\"material-custom\"\ndata-eformanim=\"1\"\ndata-fsqmga=\"{&quot;enabled&quot;:false,&quot;manual_load&quot;:false,&quot;tracking_id&quot;:&quot;&quot;,&quot;cookie&quot;:&quot;auto&quot;,&quot;user_update&quot;:false,&quot;name&quot;:&quot;Prediagnostico Fertility FR&quot;,&quot;form_id&quot;:&quot;10&quot;}\"\ndata-fsqmreset=\"{&quot;reset&quot;:false,&quot;delay&quot;:10}\"\ndata-eformreg=\"{&quot;enabled&quot;:false,&quot;username_id&quot;:&quot;ipt_fsqm_form_10_pinfo_&quot;,&quot;password_id&quot;:&quot;ipt_fsqm_form_10_pinfo_&quot;,&quot;hide_pinfo&quot;:false,&quot;hide_meta&quot;:false,&quot;meta&quot;:[]}\"\ndata-eformscroll=\"{&quot;progress&quot;:false,&quot;message&quot;:false,&quot;offset&quot;:&quot;0&quot;,&quot;scrollOnError&quot;:true}\"\ndata-eform-cookie=\"0\"\ndata-subscription-form=\"false\"\ndata-instant-subscription=\"{&quot;doable&quot;:true,&quot;config&quot;:{&quot;enabled&quot;:false,&quot;min_tab&quot;:&quot;&quot;,&quot;debounce&quot;:&quot;3000&quot;},&quot;nonce&quot;:&quot;2c0fe7ea64&quot;}\"\n><style type=\"text\/css\">.ipt-uif-custom-material-custom [type=\"radio\"]:not(:checked) + label:before {display:none !important;}\n.ipt-uif-custom-material-custom [type=\"checkbox\"] + label:before {display:none !important;}\n.ipt-uif-custom-material-custom [type=\"checkbox\"] + label {padding-left: 20px !important;}\n.ipt-uif-custom-material-custom input[type=\"number\"] {text-align: center !important; max-width: 200px;display: block !important; margin-left: auto !important; margin-right: auto !important;}\n\n.ipt-uif-custom-material-custom .ipt_uif_question label.ipt_uif_question_title {\n    font-weight: 600 !important;\n    font-size: 35px !important;\n    display: block;\n    color: #18988b;\n    margin: 0 0 5px 0;\n    font-family: 'Poppins';\n}\n.ipt-uif-custom-material-custom .ipt-eform-material-button-container.ipt_fsqm_form_button_container--outline.eform-material-alternate-pb .eform-button-container-inner .ui-button {\n    background-color: #18988b;\n    border-color: #18988b !important;\n    color: #ffffff !important;\n}\n.ipt-uif-custom-material-custom .ipt_uif_question label.ipt_uif_question_subtitle {\n    font-weight: 400 !important;\n    font-size: 18px !important;\n    color: #333;\n    margin-top: -4px;\n    font-style: normal !important;\n    display: block;\n    font-family: 'Poppins';\n}\n.ipt-uif-custom-material-custom [type=\"radio\"]:not(:checked) + label, .ipt-uif-custom-material-custom [type=\"radio\"]:checked + label {\n    font-size: 17px !important;\n    font-family: 'Poppins';\n}\n.ipt-uif-custom-material-custom [type=\"checkbox\"] + label {\n    font-size: 17px !important;\n    font-family: 'Poppins';\n}\n.ipt-uif-custom-material-custom .ipt-eform-content {box-shadow: none !important;}\n.ipt-uif-custom-material-custom .ipt_uif_question label.ipt_uif_question_title .ipt_uif_question_required {display: none;}\n.ipt-uif-custom-material-custom.eform-override-alignment-centered .ipt_uif_question .ipt_uif_question_content {padding-top: 50px;}\/**\/<\/style><noscript><div\nclass=\"ipt_fsqm_form_message_noscript ui-widget ui-widget-content ui-corner-all\"><div\nclass=\"ui-helper-reset ui-helper-clearfix ui-widget-header ui-corner-all\"><div>Javascript is disabled<\/div><\/div><div\nclass=\"ui-widget-content ui-corner-bottom\"><p>Javascript is disabled on your browser. Please enable it in order to use this form.<\/p><\/div><\/div>\n<\/noscript><style type=\"text\/css\">.ipt_uif_ajax_loader,\n\t\t\t.ipt_uif_ajax_loader *,\n\t\t\tipt_uif_ajax_loader *::before,\n\t\t\tipt_uif_ajax_loader *::after {\n\t\t\t\tbox-sizing: border-box;\n\t\t\t}<\/style><div\nclass=\"ipt_uif_init_loader ipt-eform-preloader-inline ipt_uif_ajax_loader\"><div\nclass=\"ipt-eform-preloader-inner\"><div\nclass=\"ipt-eform-preloader-circle\"><div\nclass=\"preloader-wrapper active\"><div\nclass=\"spinner-layer spinner-blue\"><div\nclass=\"circle-clipper left\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"gap-patch\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"circle-clipper right\"><div\nclass=\"circle\"><\/div><\/div><\/div><div\nclass=\"spinner-layer spinner-red\"><div\nclass=\"circle-clipper left\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"gap-patch\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"circle-clipper right\"><div\nclass=\"circle\"><\/div><\/div><\/div><div\nclass=\"spinner-layer spinner-yellow\"><div\nclass=\"circle-clipper left\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"gap-patch\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"circle-clipper right\"><div\nclass=\"circle\"><\/div><\/div><\/div><div\nclass=\"spinner-layer spinner-green\"><div\nclass=\"circle-clipper left\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"gap-patch\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"circle-clipper right\"><div\nclass=\"circle\"><\/div><\/div><\/div><\/div><\/div><div\nclass=\"ipt-eform-preloader-text\"><div\nclass=\"ipt-eform-preloader-text-inner ipt_uif_ajax_loader_text\">Chargement<\/div><\/div><div\nclass=\"clear\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude class=\"ipt_uif_conditional_logic\" id=\"ipt_uif_conditional_logic_10\" value=\"{&quot;logics&quot;:{&quot;ipt_fsqm_form_10_tab_3_control_li&quot;:{&quot;active&quot;:true,&quot;status&quot;:false,&quot;change&quot;:true,&quot;logic&quot;:{&quot;0&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;66&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;Faible r\\u00e9serve ovarienne&quot;,&quot;rel&quot;:&quot;or&quot;},&quot;1&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;66&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;Ligature des trompes&quot;,&quot;rel&quot;:&quot;or&quot;},&quot;2&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;66&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;Maladie 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ovarienne&quot;,&quot;rel&quot;:&quot;or&quot;},&quot;1&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;67&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;Ligature des trompes&quot;,&quot;rel&quot;:&quot;or&quot;},&quot;2&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;67&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;Maladie h\\u00e9r\\u00e9ditaire&quot;,&quot;rel&quot;:&quot;or&quot;},&quot;3&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;67&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;Endom\\u00e9triose&quot;,&quot;rel&quot;:&quot;or&quot;},&quot;4&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;67&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;Je ne connais pas mon histoire \\\/ Aucune de ces r\\u00e9ponses&quot;,&quot;rel&quot;:&quot;or&quot;}},&quot;type&quot;:&quot;tab&quot;,&quot;m_type&quot;:&quot;layout&quot;},&quot;ipt_fsqm_form_10_tab_5_control_li&quot;:{&quot;active&quot;:true,&quot;status&quot;:false,&quot;change&quot;:true,&quot;logic&quot;:{&quot;0&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;68&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;Faible r\\u00e9serve ovarienne&quot;,&quot;rel&quot;:&quot;or&quot;},&quot;1&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;68&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;Ligature des trompes&quot;,&quot;rel&quot;:&quot;or&quot;},&quot;2&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;68&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;Maladie h\\u00e9r\\u00e9ditaire&quot;,&quot;rel&quot;:&quot;or&quot;},&quot;3&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;68&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;Endom\\u00e9triose&quot;,&quot;rel&quot;:&quot;or&quot;},&quot;4&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;68&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;Je ne connais pas mon histoire \\\/ Aucune de ces r\\u00e9ponses&quot;,&quot;rel&quot;:&quot;or&quot;}},&quot;type&quot;:&quot;tab&quot;,&quot;m_type&quot;:&quot;layout&quot;},&quot;ipt_fsqm_form_10_tab_6_control_li&quot;:{&quot;active&quot;:true,&quot;status&quot;:false,&quot;change&quot;:true,&quot;logic&quot;:{&quot;0&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;69&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;Faible r\\u00e9serve ovarienne&quot;,&quot;rel&quot;:&quot;or&quot;},&quot;1&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;69&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;Ligature des trompes&quot;,&quot;rel&quot;:&quot;or&quot;},&quot;2&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;69&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;Maladie h\\u00e9r\\u00e9ditaire&quot;,&quot;rel&quot;:&quot;or&quot;},&quot;3&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;69&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;Endom\\u00e9triose&quot;,&quot;rel&quot;:&quot;or&quot;},&quot;4&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;69&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;Je ne connais pas mon histoire \\\/ Aucune de ces r\\u00e9ponses&quot;,&quot;rel&quot;:&quot;or&quot;},&quot;5&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;70&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;Faible r\\u00e9serve ovarienne&quot;,&quot;rel&quot;:&quot;or&quot;},&quot;6&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;70&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;Ligature des trompes&quot;,&quot;rel&quot;:&quot;or&quot;},&quot;7&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;70&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;Maladie h\\u00e9r\\u00e9ditaire&quot;,&quot;rel&quot;:&quot;or&quot;},&quot;8&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;70&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;Endom\\u00e9triose&quot;,&quot;rel&quot;:&quot;or&quot;},&quot;9&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;70&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;Je ne connais pas mon histoire \\\/ Aucune de ces r\\u00e9ponses&quot;,&quot;rel&quot;:&quot;or&quot;},&quot;10&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;71&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;Faible r\\u00e9serve ovarienne&quot;,&quot;rel&quot;:&quot;or&quot;},&quot;11&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;71&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;Ligature des trompes&quot;,&quot;rel&quot;:&quot;or&quot;},&quot;12&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;71&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;Maladie h\\u00e9r\\u00e9ditaire&quot;,&quot;rel&quot;:&quot;or&quot;},&quot;13&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;71&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;Endom\\u00e9triose&quot;,&quot;rel&quot;:&quot;or&quot;},&quot;14&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;71&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;Je ne connais pas mon histoire \\\/ Aucune de ces r\\u00e9ponses&quot;,&quot;rel&quot;:&quot;or&quot;}},&quot;type&quot;:&quot;tab&quot;,&quot;m_type&quot;:&quot;layout&quot;},&quot;ipt_fsqm_form_10_tab_7_control_li&quot;:{&quot;active&quot;:true,&quot;status&quot;:false,&quot;change&quot;:true,&quot;logic&quot;:{&quot;0&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;69&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;Faible r\\u00e9serve ovarienne&quot;,&quot;rel&quot;:&quot;or&quot;},&quot;1&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;69&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;Ligature des trompes&quot;,&quot;rel&quot;:&quot;or&quot;},&quot;2&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;69&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;Maladie h\\u00e9r\\u00e9ditaire&quot;,&quot;rel&quot;:&quot;or&quot;},&quot;3&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;69&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;Endom\\u00e9triose&quot;,&quot;rel&quot;:&quot;or&quot;},&quot;4&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;69&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;Je ne connais pas mon histoire \\\/ Aucune de ces r\\u00e9ponses&quot;,&quot;rel&quot;:&quot;or&quot;},&quot;5&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;70&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;Faible r\\u00e9serve ovarienne&quot;,&quot;rel&quot;:&quot;or&quot;},&quot;6&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;71&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;Faible r\\u00e9serve ovarienne&quot;,&quot;rel&quot;:&quot;or&quot;},&quot;7&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;70&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;Ligature des trompes&quot;,&quot;rel&quot;:&quot;or&quot;},&quot;8&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;71&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;Ligature des trompes&quot;,&quot;rel&quot;:&quot;or&quot;},&quot;9&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;70&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;Maladie h\\u00e9r\\u00e9ditaire&quot;,&quot;rel&quot;:&quot;or&quot;},&quot;10&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;71&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;Maladie h\\u00e9r\\u00e9ditaire&quot;,&quot;rel&quot;:&quot;or&quot;},&quot;11&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;70&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;Endom\\u00e9triose&quot;,&quot;rel&quot;:&quot;or&quot;},&quot;12&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;71&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;Endom\\u00e9triose&quot;,&quot;rel&quot;:&quot;or&quot;},&quot;13&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;71&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;Je ne connais pas mon histoire \\\/ Aucune de ces r\\u00e9ponses&quot;,&quot;rel&quot;:&quot;or&quot;},&quot;14&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;71&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;Je ne connais pas mon histoire \\\/ Aucune de ces r\\u00e9ponses&quot;,&quot;rel&quot;:&quot;or&quot;}},&quot;type&quot;:&quot;tab&quot;,&quot;m_type&quot;:&quot;layout&quot;},&quot;ipt_fsqm_form_10_mcq_50&quot;:{&quot;active&quot;:true,&quot;status&quot;:false,&quot;change&quot;:true,&quot;logic&quot;:{&quot;0&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;49&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;... avec mon partenaire masculin&quot;,&quot;rel&quot;:&quot;and&quot;}},&quot;type&quot;:&quot;slider&quot;,&quot;m_type&quot;:&quot;mcq&quot;},&quot;ipt_fsqm_form_10_mcq_65&quot;:{&quot;active&quot;:true,&quot;status&quot;:false,&quot;change&quot;:true,&quot;logic&quot;:{&quot;0&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;49&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;... seule&quot;,&quot;rel&quot;:&quot;and&quot;}},&quot;type&quot;:&quot;slider&quot;,&quot;m_type&quot;:&quot;mcq&quot;},&quot;ipt_fsqm_form_10_mcq_64&quot;:{&quot;active&quot;:true,&quot;status&quot;:false,&quot;change&quot;:true,&quot;logic&quot;:{&quot;0&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;49&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;... avec ma partenaire 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quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;75&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;46&quot;,&quot;rel&quot;:&quot;or&quot;},&quot;2&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;75&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;47&quot;,&quot;rel&quot;:&quot;or&quot;},&quot;3&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;75&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;48&quot;,&quot;rel&quot;:&quot;or&quot;},&quot;4&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;75&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;49&quot;,&quot;rel&quot;:&quot;or&quot;},&quot;5&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;75&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;50&quot;,&quot;rel&quot;:&quot;or&quot;}},&quot;type&quot;:&quot;checkbox&quot;,&quot;m_type&quot;:&quot;mcq&quot;}},&quot;indexes&quot;:{&quot;ipt_fsqm_form_10_mcq_66&quot;:[&quot;ipt_fsqm_form_10_tab_3_control_li&quot;,&quot;ipt_fsqm_form_10_tab_3_control_li&quot;,&quot;ipt_fsqm_form_10_tab_3_control_li&quot;,&quot;ipt_fsqm_form_10_tab_3_control_li&quot;,&quot;ipt_fsqm_form_10_tab_3_control_li&quot;],&quot;ipt_fsqm_form_10_mcq_67&quot;:[&quot;ipt_fsqm_form_10_tab_4_control_li&quot;,&quot;ipt_fsqm_form_10_tab_4_control_li&quot;,&quot;ipt_fsqm_form_10_tab_4_control_li&quot;,&quot;ipt_fsqm_form_10_tab_4_control_li&quot;,&quot;ipt_fsqm_form_10_tab_4_control_li&quot;],&quot;ipt_fsqm_form_10_mcq_68&quot;:[&quot;ipt_fsqm_form_10_tab_5_control_li&quot;,&quot;ipt_fsqm_form_10_tab_5_control_li&quot;,&quot;ipt_fsqm_form_10_tab_5_control_li&quot;,&quot;ipt_fsqm_form_10_tab_5_control_li&quot;,&quot;ipt_fsqm_form_10_tab_5_control_li&quot;],&quot;ipt_fsqm_form_10_mcq_69&quot;:[&quot;ipt_fsqm_form_10_tab_6_control_li&quot;,&quot;ipt_fsqm_form_10_tab_6_control_li&quot;,&quot;ipt_fsqm_form_10_tab_6_control_li&quot;,&quot;ipt_fsqm_form_10_tab_6_control_li&quot;,&quot;ipt_fsqm_form_10_tab_6_control_li&quot;,&quot;ipt_fsqm_form_10_tab_7_control_li&quot;,&quot;ipt_fsqm_form_10_tab_7_control_li&quot;,&quot;ipt_fsqm_form_10_tab_7_control_li&quot;,&quot;ipt_fsqm_form_10_tab_7_control_li&quot;,&quot;ipt_fsqm_form_10_tab_7_control_li&quot;],&quot;ipt_fsqm_form_10_mcq_70&quot;:[&quot;ipt_fsqm_form_10_tab_6_control_li&quot;,&quot;ipt_fsqm_form_10_tab_6_control_li&quot;,&quot;ipt_fsqm_form_10_tab_6_control_li&quot;,&quot;ipt_fsqm_form_10_tab_6_control_li&quot;,&quot;ipt_fsqm_form_10_tab_6_control_li&quot;,&quot;ipt_fsqm_form_10_tab_7_control_li&quot;,&quot;ipt_fsqm_form_10_tab_7_control_li&quot;,&quot;ipt_fsqm_form_10_tab_7_control_li&quot;,&quot;ipt_fsqm_form_10_tab_7_control_li&quot;],&quot;ipt_fsqm_form_10_mcq_71&quot;:[&quot;ipt_fsqm_form_10_tab_6_control_li&quot;,&quot;ipt_fsqm_form_10_tab_6_control_li&quot;,&quot;ipt_fsqm_form_10_tab_6_control_li&quot;,&quot;ipt_fsqm_form_10_tab_6_control_li&quot;,&quot;ipt_fsqm_form_10_tab_6_control_li&quot;,&quot;ipt_fsqm_form_10_tab_7_control_li&quot;,&quot;ipt_fsqm_form_10_tab_7_control_li&quot;,&quot;ipt_fsqm_form_10_tab_7_control_li&quot;,&quot;ipt_fsqm_form_10_tab_7_control_li&quot;,&quot;ipt_fsqm_form_10_tab_7_control_li&quot;,&quot;ipt_fsqm_form_10_tab_7_control_li&quot;],&quot;ipt_fsqm_form_10_mcq_49&quot;:[&quot;ipt_fsqm_form_10_mcq_50&quot;,&quot;ipt_fsqm_form_10_mcq_65&quot;,&quot;ipt_fsqm_form_10_mcq_64&quot;],&quot;ipt_fsqm_form_10_mcq_65&quot;:[&quot;ipt_fsqm_form_10_mcq_57&quot;,&quot;ipt_fsqm_form_10_mcq_57&quot;,&quot;ipt_fsqm_form_10_mcq_57&quot;,&quot;ipt_fsqm_form_10_mcq_57&quot;,&quot;ipt_fsqm_form_10_mcq_57&quot;,&quot;ipt_fsqm_form_10_mcq_57&quot;,&quot;ipt_fsqm_form_10_mcq_57&quot;,&quot;ipt_fsqm_form_10_mcq_57&quot;,&quot;ipt_fsqm_form_10_mcq_57&quot;,&quot;ipt_fsqm_form_10_mcq_57&quot;,&quot;ipt_fsqm_form_10_mcq_57&quot;,&quot;ipt_fsqm_form_10_mcq_57&quot;,&quot;ipt_fsqm_form_10_mcq_57&quot;,&quot;ipt_fsqm_form_10_mcq_57&quot;,&quot;ipt_fsqm_form_10_mcq_57&quot;,&quot;ipt_fsqm_form_10_mcq_57&quot;,&quot;ipt_fsqm_form_10_mcq_57&quot;,&quot;ipt_fsqm_form_10_mcq_57&quot;,&quot;ipt_fsqm_form_10_mcq_57&quot;,&quot;ipt_fsqm_form_10_mcq_57&quot;,&quot;ipt_fsqm_form_10_mcq_60&quot;,&quot;ipt_fsqm_form_10_mcq_60&quot;,&quot;ipt_fsqm_form_10_mcq_60&quot;,&quot;ipt_fsqm_form_10_mcq_60&quot;,&quot;ipt_fsqm_form_10_mcq_60&quot;,&quot;ipt_fsqm_form_10_mcq_60&quot;,&quot;ipt_fsqm_form_10_mcq_59&quot;,&quot;ipt_fsqm_form_10_mcq_59&quot;,&quot;ipt_fsqm_form_10_mcq_59&quot;,&quot;ipt_fsqm_form_10_mcq_59&quot;,&quot;ipt_fsqm_form_10_mcq_59&quot;,&quot;ipt_fsqm_form_10_mcq_59&quot;],&quot;ipt_fsqm_form_10_mcq_61&quot;:[&quot;ipt_fsqm_form_10_mcq_60&quot;],&quot;ipt_fsqm_form_10_mcq_50&quot;:[&quot;ipt_fsqm_form_10_mcq_66&quot;,&quot;ipt_fsqm_form_10_mcq_66&quot;,&quot;ipt_fsqm_form_10_mcq_66&quot;,&quot;ipt_fsqm_form_10_mcq_66&quot;,&quot;ipt_fsqm_form_10_mcq_66&quot;,&quot;ipt_fsqm_form_10_mcq_66&quot;,&quot;ipt_fsqm_form_10_mcq_66&quot;,&quot;ipt_fsqm_form_10_mcq_66&quot;,&quot;ipt_fsqm_form_10_mcq_66&quot;,&quot;ipt_fsqm_form_10_mcq_66&quot;,&quot;ipt_fsqm_form_10_mcq_66&quot;,&quot;ipt_fsqm_form_10_mcq_66&quot;,&quot;ipt_fsqm_form_10_mcq_66&quot;,&quot;ipt_fsqm_form_10_mcq_66&quot;,&quot;ipt_fsqm_form_10_mcq_66&quot;,&quot;ipt_fsqm_form_10_mcq_66&quot;,&quot;ipt_fsqm_form_10_mcq_66&quot;,&quot;ipt_fsqm_form_10_mcq_66&quot;,&quot;ipt_fsqm_form_10_mcq_66&quot;,&quot;ipt_fsqm_form_10_mcq_66&quot;,&quot;ipt_fsqm_form_10_mcq_67&quot;,&quot;ipt_fsqm_form_10_mcq_67&quot;,&quot;ipt_fsqm_form_10_mcq_67&quot;,&quot;ipt_fsqm_form_10_mcq_67&quot;,&quot;ipt_fsqm_form_10_mcq_67&quot;,&quot;ipt_fsqm_form_10_mcq_67&quot;,&quot;ipt_fsqm_form_10_mcq_67&quot;,&quot;ipt_fsqm_form_10_mcq_68&quot;,&quot;ipt_fsqm_form_10_mcq_68&quot;,&quot;ipt_fsqm_form_10_mcq_68&quot;,&quot;ipt_fsqm_form_10_mcq_68&quot;,&quot;ipt_fsqm_form_10_mcq_68&quot;,&quot;ipt_fsqm_form_10_mcq_68&quot;],&quot;ipt_fsqm_form_10_mcq_64&quot;:[&quot;ipt_fsqm_form_10_mcq_69&quot;,&quot;ipt_fsqm_form_10_mcq_69&quot;,&quot;ipt_fsqm_form_10_mcq_69&quot;,&quot;ipt_fsqm_form_10_mcq_69&quot;,&quot;ipt_fsqm_form_10_mcq_69&quot;,&quot;ipt_fsqm_form_10_mcq_69&quot;,&quot;ipt_fsqm_form_10_mcq_69&quot;,&quot;ipt_fsqm_form_10_mcq_69&quot;,&quot;ipt_fsqm_form_10_mcq_69&quot;,&quot;ipt_fsqm_form_10_mcq_69&quot;,&quot;ipt_fsqm_form_10_mcq_69&quot;,&quot;ipt_fsqm_form_10_mcq_69&quot;,&quot;ipt_fsqm_form_10_mcq_69&quot;,&quot;ipt_fsqm_form_10_mcq_69&quot;,&quot;ipt_fsqm_form_10_mcq_69&quot;,&quot;ipt_fsqm_form_10_mcq_69&quot;,&quot;ipt_fsqm_form_10_mcq_69&quot;,&quot;ipt_fsqm_form_10_mcq_69&quot;,&quot;ipt_fsqm_form_10_mcq_69&quot;,&quot;ipt_fsqm_form_10_mcq_69&quot;,&quot;ipt_fsqm_form_10_mcq_70&quot;,&quot;ipt_fsqm_form_10_mcq_70&quot;,&quot;ipt_fsqm_form_10_mcq_70&quot;,&quot;ipt_fsqm_form_10_mcq_70&quot;,&quot;ipt_fsqm_form_10_mcq_70&quot;,&quot;ipt_fsqm_form_10_mcq_70&quot;,&quot;ipt_fsqm_form_10_mcq_70&quot;,&quot;ipt_fsqm_form_10_mcq_71&quot;,&quot;ipt_fsqm_form_10_mcq_71&quot;,&quot;ipt_fsqm_form_10_mcq_71&quot;,&quot;ipt_fsqm_form_10_mcq_71&quot;,&quot;ipt_fsqm_form_10_mcq_71&quot;,&quot;ipt_fsqm_form_10_mcq_71&quot;],&quot;ipt_fsqm_form_10_mcq_75&quot;:[&quot;ipt_fsqm_form_10_mcq_76&quot;,&quot;ipt_fsqm_form_10_mcq_76&quot;,&quot;ipt_fsqm_form_10_mcq_76&quot;,&quot;ipt_fsqm_form_10_mcq_76&quot;,&quot;ipt_fsqm_form_10_mcq_76&quot;,&quot;ipt_fsqm_form_10_mcq_76&quot;,&quot;ipt_fsqm_form_10_mcq_76&quot;,&quot;ipt_fsqm_form_10_mcq_76&quot;,&quot;ipt_fsqm_form_10_mcq_76&quot;,&quot;ipt_fsqm_form_10_mcq_76&quot;,&quot;ipt_fsqm_form_10_mcq_76&quot;,&quot;ipt_fsqm_form_10_mcq_76&quot;,&quot;ipt_fsqm_form_10_mcq_76&quot;,&quot;ipt_fsqm_form_10_mcq_76&quot;,&quot;ipt_fsqm_form_10_mcq_76&quot;,&quot;ipt_fsqm_form_10_mcq_76&quot;,&quot;ipt_fsqm_form_10_mcq_76&quot;,&quot;ipt_fsqm_form_10_mcq_76&quot;,&quot;ipt_fsqm_form_10_mcq_76&quot;,&quot;ipt_fsqm_form_10_mcq_76&quot;,&quot;ipt_fsqm_form_10_mcq_86&quot;,&quot;ipt_fsqm_form_10_mcq_86&quot;,&quot;ipt_fsqm_form_10_mcq_86&quot;,&quot;ipt_fsqm_form_10_mcq_86&quot;,&quot;ipt_fsqm_form_10_mcq_86&quot;,&quot;ipt_fsqm_form_10_mcq_86&quot;,&quot;ipt_fsqm_form_10_mcq_86&quot;,&quot;ipt_fsqm_form_10_mcq_85&quot;,&quot;ipt_fsqm_form_10_mcq_85&quot;,&quot;ipt_fsqm_form_10_mcq_85&quot;,&quot;ipt_fsqm_form_10_mcq_85&quot;,&quot;ipt_fsqm_form_10_mcq_85&quot;,&quot;ipt_fsqm_form_10_mcq_85&quot;]},&quot;base&quot;:&quot;10&quot;}\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude class=\"ipt_fsqm_timer_data\" id=\"ipt_fsqm_timer_data_10\" value=\"{&quot;type&quot;:&quot;none&quot;}\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude class=\"ipt_fsqm_epoc_data\" id=\"ipt_fsqm_epoc_data_10\" value=\"{&quot;CURRENTYEAR&quot;:2026,&quot;CURRENTDATE&quot;:1777519430000,&quot;CURRENTDAY&quot;:30,&quot;CURRENTMONTH&quot;:4,&quot;CURRENTHOUR&quot;:3,&quot;CURRENTMINUTE&quot;:23,&quot;CURRENTSECOND&quot;:50,&quot;CURRENTWEEK&quot;:18,&quot;CURRENTEPOC&quot;:20573}\" \/><div\nstyle=\"display: none;\" class=\"ipt_uif_hidden_init\"><form\nmethod=\"post\" action=\"\" class=\"ipt_uif_validate_form ipt_fsqm_main_form\" id=\"ipt_fsqm_form_10\" autocomplete=\"on\">\n<input\ntype=\"hidden\" data-sayt-exclude name=\"action\" id=\"action\" value=\"ipt_fsqm_save_form\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_epoc\" class=\"eform-epoc-value\" value=\"1777519430\" \/>\n<input\ntype=\"hidden\" class=\"ipt_fsqm_form_tab_pos\" name=\"fsqm_form10_tab_pos\" value=\"0\" id=\"fsqm_form10_tab_pos\" \/>\n<input\ntype=\"hidden\" id=\"ipt_fsqm_form_data_save\" name=\"ipt_fsqm_form_data_save\" value=\"596a2488c7\" data-sayt-exclude \/>\t\t\t<input\ntype=\"hidden\" name=\"_wp_http_referer\" value=\"\/fertility\/fr\/wp-json\/wp\/v2\/pages\/16442\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"form_id\" value=\"10\" \/><div\nclass=\"ipt-eform-width-restrain\"><div\nclass=\"ipt-eform-content \"><div\ndata-settings=\"{&quot;can_previous&quot;:false,&quot;show_progress_bar&quot;:false,&quot;progress_bar_bottom&quot;:false,&quot;block_previous&quot;:true,&quot;any_tab&quot;:false,&quot;type&quot;:&quot;2&quot;,&quot;scroll&quot;:true,&quot;decimal_point&quot;:2,&quot;auto_progress&quot;:false,&quot;auto_progress_delay&quot;:&quot;1500&quot;,&quot;auto_submit&quot;:false,&quot;hidden_buttons&quot;:true,&quot;scroll_on_error&quot;:true}\" class=\"ipt_fsqm_main_tab ipt_uif_tabs horizontal\"><div\nclass=\"ipt-eform-tab-nav-wrap\"><ul><li\nid=\"ipt_fsqm_form_10_tab_0_control_li\"><a\nclass=\"eform-ripple\" href=\"#ipt_fsqm_form_10_tab_0\"><span\nclass=\"eform-tab-labels\">\u00c9tape 1 <\/span><\/a><\/li><li\nid=\"ipt_fsqm_form_10_tab_1_control_li\"><a\nclass=\"eform-ripple\" href=\"#ipt_fsqm_form_10_tab_1\"><span\nclass=\"eform-tab-labels\">\u00c9tape 2 <\/span><\/a><\/li><li\nid=\"ipt_fsqm_form_10_tab_2_control_li\"><a\nclass=\"eform-ripple\" href=\"#ipt_fsqm_form_10_tab_2\"><span\nclass=\"eform-tab-labels\">\u00c9tape 3 <\/span><\/a><\/li><li\nid=\"ipt_fsqm_form_10_tab_3_control_li\"><a\nclass=\"eform-ripple\" href=\"#ipt_fsqm_form_10_tab_3\"><span\nclass=\"eform-tab-labels\">\u00c9tape 4 <\/span><\/a><\/li><li\nid=\"ipt_fsqm_form_10_tab_4_control_li\"><a\nclass=\"eform-ripple\" href=\"#ipt_fsqm_form_10_tab_4\"><span\nclass=\"eform-tab-labels\">\u00c9tape 4 <\/span><\/a><\/li><li\nid=\"ipt_fsqm_form_10_tab_5_control_li\"><a\nclass=\"eform-ripple\" href=\"#ipt_fsqm_form_10_tab_5\"><span\nclass=\"eform-tab-labels\">\u00c9tape 4 <\/span><\/a><\/li><li\nid=\"ipt_fsqm_form_10_tab_6_control_li\"><a\nclass=\"eform-ripple\" href=\"#ipt_fsqm_form_10_tab_6\"><span\nclass=\"eform-tab-labels\">\u00c9tape 4 <\/span><\/a><\/li><li\nid=\"ipt_fsqm_form_10_tab_7_control_li\"><a\nclass=\"eform-ripple\" href=\"#ipt_fsqm_form_10_tab_7\"><span\nclass=\"eform-tab-labels\">\u00c9tape 5 <\/span><\/a><\/li><\/ul>\n<i\nclass=\"eform-tab-nav eform-tab-nav-right ipt-icomoon-angle-right disabled eform-ripple\"><\/i>\n<i\nclass=\"eform-tab-nav eform-tab-nav-left ipt-icomoon-angle-left disabled eform-ripple\"><\/i>\n<span\nclass=\"eform-tab-passive-notifier\"><\/span>\n<span\nclass=\"eform-tab-active-notifier\"><\/span><\/div><div\nid=\"ipt_fsqm_form_10_tab_0\" class=\"ipt_fsqm_form_tab_panel\"><div\nid=\"ipt_fsqm_form_10_layout_0_inner\" class=\"ipt-eform-layout-wrapper\"><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_main_heading_column\"><div\nclass=\"ipt_uif_column_inner\"><h3 class=\"ipt_fsqm_main_heading ipt_uif_heading ipt_uif_divider ipt_uif_align_left ipt_uif_divider_no_icon ipt_uif_divider_icon_no_bg\">\n<span\nclass=\"ipt_uif_divider_text\">\n<span\nclass=\"ipt_uif_divider_text_inner\">\n\u00c9tape 1<span\nclass=\"subtitle\"><\/span>\t\t\t\t<\/span>\n<\/span><\/h3><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_10[mcq][49][m_type]\" id=\"ipt_fsqm_form_10_mcq_49_m_type\" value=\"mcq\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_10[mcq][49][type]\" id=\"ipt_fsqm_form_10_mcq_49_type\" value=\"radio\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_radio\" id=\"ipt_fsqm_form_10_mcq_49\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_10_mcq_49\">Je veux devenir <span\nstyle=\"color:#fb91a3; font-weight:600;\">m\u00e8re ...<\/span><span\nclass=\"ipt_uif_question_required\">*<\/span><\/label><div\nclass=\"clear-both\"><\/div>\t\t\t\t\t\t<label\nclass=\"ipt_uif_question_subtitle ipt_uif_label\" for=\"ipt_fsqm_form_10_mcq_49\">Chaque circonstance est diff\u00e9rente et n\u00e9cessite un traitement sp\u00e9cifique.<\/label><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"ipt_uif_label_column column_3\">\n<input\ndata-num=\"\"\t\t\t\ttype=\"radio\"\nclass=\"check_me validate[required] ipt_uif_radio with-gap\"\nname=\"ipt_fsqm_form_10[mcq][49][options][]\"\nid=\"ipt_fsqm_form_10_mcq_49_options__0\"\nvalue=\"0\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_10_mcq_49_options__0\" data-labelcon=\"&#xe18e;\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/pareja.png\" alt=\"con mi pareja masculina\" \/>... avec mon partenaire masculin\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_3\">\n<input\ndata-num=\"\"\t\t\t\ttype=\"radio\"\nclass=\"check_me validate[required] ipt_uif_radio with-gap\"\nname=\"ipt_fsqm_form_10[mcq][49][options][]\"\nid=\"ipt_fsqm_form_10_mcq_49_options__1\"\nvalue=\"1\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_10_mcq_49_options__1\" data-labelcon=\"&#xe18e;\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/sola.png\" alt=\"yo sola\" \/>... seule\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_3\">\n<input\ndata-num=\"\"\t\t\t\ttype=\"radio\"\nclass=\"check_me validate[required] ipt_uif_radio with-gap\"\nname=\"ipt_fsqm_form_10[mcq][49][options][]\"\nid=\"ipt_fsqm_form_10_mcq_49_options__2\"\nvalue=\"2\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_10_mcq_49_options__2\" data-labelcon=\"&#xe18e;\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/femenina.png\" alt=\"con mi pareja femenina\" \/>... avec ma partenaire f\u00e9minine\t<\/label><\/div><div\nclass=\"clear-both\"><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><div\nid=\"ipt_fsqm_form_10_tab_1\" class=\"ipt_fsqm_form_tab_panel\"><div\nid=\"ipt_fsqm_form_10_layout_1_inner\" class=\"ipt-eform-layout-wrapper\"><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_main_heading_column\"><div\nclass=\"ipt_uif_column_inner\"><h3 class=\"ipt_fsqm_main_heading ipt_uif_heading ipt_uif_divider ipt_uif_align_left ipt_uif_divider_no_icon ipt_uif_divider_icon_no_bg\">\n<span\nclass=\"ipt_uif_divider_text\">\n<span\nclass=\"ipt_uif_divider_text_inner\">\n\u00c9tape 2<span\nclass=\"subtitle\"><\/span>\t\t\t\t<\/span>\n<\/span><\/h3><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_10[mcq][50][m_type]\" id=\"ipt_fsqm_form_10_mcq_50_m_type\" value=\"mcq\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_10[mcq][50][type]\" id=\"ipt_fsqm_form_10_mcq_50_type\" value=\"slider\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_slider\" id=\"ipt_fsqm_form_10_mcq_50\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_centered\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_10_mcq_50_value\">Mon \u00e2ge ...<span\nclass=\"ipt_uif_question_required\">*<\/span><\/label><div\nclass=\"clear-both\"><\/div><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"ipt_uif_empty_box ipt_uif_slider_box\">\n<input\ndata-floats=\"1\" type=\"number\" min=\"18\" max=\"50\" step=\"1\" data-nomin=\"\" data-show-count=\"\" data-labels=\"{&quot;first&quot;:false,&quot;last&quot;:false,&quot;rest&quot;:false,&quot;labels&quot;:[]}\" data-prefix=\"20\" data-suffix=\"\" class=\"ipt_uif_slider check_me validate[funcCall[iptUIFSliderVal]]\" data-min=\"18\" data-max=\"50\" data-step=\"1\" name=\"ipt_fsqm_form_10[mcq][50][value]\" id=\"ipt_fsqm_form_10_mcq_50_value\" value=\"18\" data-vertical=\"\" data-height=\"300\" \/><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_10[mcq][65][m_type]\" id=\"ipt_fsqm_form_10_mcq_65_m_type\" value=\"mcq\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_10[mcq][65][type]\" id=\"ipt_fsqm_form_10_mcq_65_type\" value=\"slider\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_slider\" id=\"ipt_fsqm_form_10_mcq_65\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_centered\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_10_mcq_65_value\">Mon \u00e2ge ...<span\nclass=\"ipt_uif_question_required\">*<\/span><\/label><div\nclass=\"clear-both\"><\/div><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"ipt_uif_empty_box ipt_uif_slider_box\">\n<input\ndata-floats=\"1\" type=\"number\" min=\"18\" max=\"50\" step=\"1\" data-nomin=\"\" data-show-count=\"\" data-labels=\"{&quot;first&quot;:false,&quot;last&quot;:false,&quot;rest&quot;:false,&quot;labels&quot;:[]}\" data-prefix=\"20\" data-suffix=\"\" class=\"ipt_uif_slider check_me validate[funcCall[iptUIFSliderVal]]\" data-min=\"18\" data-max=\"50\" data-step=\"1\" name=\"ipt_fsqm_form_10[mcq][65][value]\" id=\"ipt_fsqm_form_10_mcq_65_value\" value=\"18\" data-vertical=\"\" data-height=\"300\" \/><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_10[mcq][64][m_type]\" id=\"ipt_fsqm_form_10_mcq_64_m_type\" value=\"mcq\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_10[mcq][64][type]\" id=\"ipt_fsqm_form_10_mcq_64_type\" value=\"slider\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_slider\" id=\"ipt_fsqm_form_10_mcq_64\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_centered\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_10_mcq_64_value\">Mon \u00e2ge ...<span\nclass=\"ipt_uif_question_required\">*<\/span><\/label><div\nclass=\"clear-both\"><\/div><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"ipt_uif_empty_box ipt_uif_slider_box\">\n<input\ndata-floats=\"1\" type=\"number\" min=\"18\" max=\"50\" step=\"1\" data-nomin=\"\" data-show-count=\"\" data-labels=\"{&quot;first&quot;:false,&quot;last&quot;:false,&quot;rest&quot;:false,&quot;labels&quot;:[]}\" data-prefix=\"20\" data-suffix=\"\" class=\"ipt_uif_slider check_me validate[funcCall[iptUIFSliderVal]]\" data-min=\"18\" data-max=\"50\" data-step=\"1\" name=\"ipt_fsqm_form_10[mcq][64][value]\" id=\"ipt_fsqm_form_10_mcq_64_value\" value=\"18\" data-vertical=\"\" data-height=\"300\" \/><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><div\nid=\"ipt_fsqm_form_10_tab_2\" class=\"ipt_fsqm_form_tab_panel\"><div\nid=\"ipt_fsqm_form_10_layout_2_inner\" class=\"ipt-eform-layout-wrapper\"><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_main_heading_column\"><div\nclass=\"ipt_uif_column_inner\"><h3 class=\"ipt_fsqm_main_heading ipt_uif_heading ipt_uif_divider ipt_uif_align_left ipt_uif_divider_no_icon ipt_uif_divider_icon_no_bg\">\n<span\nclass=\"ipt_uif_divider_text\">\n<span\nclass=\"ipt_uif_divider_text_inner\">\n\u00c9tape 3<span\nclass=\"subtitle\"><\/span>\t\t\t\t<\/span>\n<\/span><\/h3><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_10[mcq][57][m_type]\" id=\"ipt_fsqm_form_10_mcq_57_m_type\" value=\"mcq\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_10[mcq][57][type]\" id=\"ipt_fsqm_form_10_mcq_57_type\" value=\"checkbox\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_checkbox\" id=\"ipt_fsqm_form_10_mcq_57\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_centered\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_10_mcq_57\">Mes ant\u00e9c\u00e9dents m\u00e9dicaux ...<span\nclass=\"ipt_uif_question_required\">*<\/span><\/label><div\nclass=\"clear-both\"><\/div><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_10[mcq][57][options][]\" id=\"ipt_fsqm_form_10_mcq_57_options__0\"\nvalue=\"0\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_10_mcq_57_options__0\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/baja-1.jpg\" alt=\"Faible r\u00e9serve ovarienne\" \/>Faible r\u00e9serve ovarienne\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_10[mcq][57][options][]\" id=\"ipt_fsqm_form_10_mcq_57_options__1\"\nvalue=\"1\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_10_mcq_57_options__1\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/trompas-1.jpg\" alt=\"Ligature des trompes\" \/>Ligature des trompes\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_10[mcq][57][options][]\" id=\"ipt_fsqm_form_10_mcq_57_options__2\"\nvalue=\"2\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_10_mcq_57_options__2\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/hereditaria-1.jpg\" alt=\"Enfermedad hereditaria\" \/>Maladie h\u00e9r\u00e9ditaire\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_10[mcq][57][options][]\" id=\"ipt_fsqm_form_10_mcq_57_options__3\"\nvalue=\"3\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_10_mcq_57_options__3\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/endometriosis-1.jpg\" alt=\"Soy seropositiva\" \/>Endom\u00e9triose\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_10[mcq][57][options][]\" id=\"ipt_fsqm_form_10_mcq_57_options__4\"\nvalue=\"4\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_10_mcq_57_options__4\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/no-conozco-1.jpg\" alt=\"No conozco mi historia\" \/>Je ne connais pas mon histoire \/ Aucune de ces r\u00e9ponses\t\t\t\t<\/label><\/div><div\nclass=\"clear-both\"><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_10[mcq][60][m_type]\" id=\"ipt_fsqm_form_10_mcq_60_m_type\" value=\"mcq\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_10[mcq][60][type]\" id=\"ipt_fsqm_form_10_mcq_60_type\" value=\"checkbox\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_checkbox\" id=\"ipt_fsqm_form_10_mcq_60\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_centered\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_10_mcq_60\">Mes ant\u00e9c\u00e9dents m\u00e9dicaux ...<span\nclass=\"ipt_uif_question_required\">*<\/span><\/label><div\nclass=\"clear-both\"><\/div><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_10[mcq][60][options][]\" id=\"ipt_fsqm_form_10_mcq_60_options__0\"\nvalue=\"0\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_10_mcq_60_options__0\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/baja-1.jpg\" alt=\"Faible r\u00e9serve ovarienne\" \/>Faible r\u00e9serve ovarienne\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_10[mcq][60][options][]\" id=\"ipt_fsqm_form_10_mcq_60_options__1\"\nvalue=\"1\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_10_mcq_60_options__1\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/trompas-1.jpg\" alt=\"Ligature des trompes\" \/>Ligature des trompes\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_10[mcq][60][options][]\" id=\"ipt_fsqm_form_10_mcq_60_options__2\"\nvalue=\"2\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_10_mcq_60_options__2\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/hereditaria-1.jpg\" alt=\"Maladie h\u00e9r\u00e9ditaire\" \/>Maladie h\u00e9r\u00e9ditaire\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_10[mcq][60][options][]\" id=\"ipt_fsqm_form_10_mcq_60_options__3\"\nvalue=\"3\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_10_mcq_60_options__3\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/endometriosis-1.jpg\" alt=\"Endom\u00e9triose\" \/>Endom\u00e9triose\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_10[mcq][60][options][]\" id=\"ipt_fsqm_form_10_mcq_60_options__4\"\nvalue=\"4\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_10_mcq_60_options__4\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/no-conozco-1.jpg\" alt=\"Je ne connais pas mon histoire \" \/>Je ne connais pas mon histoire \/ Aucune de ces r\u00e9ponses\t\t\t\t<\/label><\/div><div\nclass=\"clear-both\"><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_10[mcq][59][m_type]\" id=\"ipt_fsqm_form_10_mcq_59_m_type\" value=\"mcq\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_10[mcq][59][type]\" id=\"ipt_fsqm_form_10_mcq_59_type\" value=\"checkbox\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_checkbox\" id=\"ipt_fsqm_form_10_mcq_59\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_centered\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_10_mcq_59\">Mes ant\u00e9c\u00e9dents m\u00e9dicaux ...<span\nclass=\"ipt_uif_question_required\">*<\/span><\/label><div\nclass=\"clear-both\"><\/div><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_10[mcq][59][options][]\" id=\"ipt_fsqm_form_10_mcq_59_options__0\"\nvalue=\"0\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_10_mcq_59_options__0\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/baja-1.jpg\" alt=\"Faible r\u00e9serve ovarienne\" \/>Faible r\u00e9serve ovarienne\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_10[mcq][59][options][]\" id=\"ipt_fsqm_form_10_mcq_59_options__1\"\nvalue=\"1\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_10_mcq_59_options__1\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/trompas-1.jpg\" alt=\"Ligature des trompes\" \/>Ligature des trompes\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_10[mcq][59][options][]\" id=\"ipt_fsqm_form_10_mcq_59_options__2\"\nvalue=\"2\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_10_mcq_59_options__2\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/hereditaria-1.jpg\" alt=\"Maladie h\u00e9r\u00e9ditaire\" \/>Maladie h\u00e9r\u00e9ditaire\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_10[mcq][59][options][]\" id=\"ipt_fsqm_form_10_mcq_59_options__3\"\nvalue=\"3\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_10_mcq_59_options__3\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/endometriosis-1.jpg\" alt=\"Endom\u00e9triose\" \/>Endom\u00e9triose\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_10[mcq][59][options][]\" id=\"ipt_fsqm_form_10_mcq_59_options__4\"\nvalue=\"4\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_10_mcq_59_options__4\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/no-conozco-1.jpg\" alt=\"Je ne connais pas mon histoire \" \/>Je ne connais pas mon histoire \/ Aucune de ces r\u00e9ponses\t\t\t\t<\/label><\/div><div\nclass=\"clear-both\"><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_10[mcq][66][m_type]\" id=\"ipt_fsqm_form_10_mcq_66_m_type\" value=\"mcq\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_10[mcq][66][type]\" id=\"ipt_fsqm_form_10_mcq_66_type\" value=\"checkbox\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_checkbox\" id=\"ipt_fsqm_form_10_mcq_66\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_centered\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_10_mcq_66\">Mes ant\u00e9c\u00e9dents m\u00e9dicaux ...<span\nclass=\"ipt_uif_question_required\">*<\/span><\/label><div\nclass=\"clear-both\"><\/div><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_10[mcq][66][options][]\" id=\"ipt_fsqm_form_10_mcq_66_options__0\"\nvalue=\"0\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_10_mcq_66_options__0\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/baja-1.jpg\" alt=\"Baja\" \/>Faible r\u00e9serve ovarienne\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_10[mcq][66][options][]\" id=\"ipt_fsqm_form_10_mcq_66_options__1\"\nvalue=\"1\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_10_mcq_66_options__1\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/trompas-1.jpg\" alt=\"Ligadura de trompas\" \/>Ligature des trompes\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_10[mcq][66][options][]\" id=\"ipt_fsqm_form_10_mcq_66_options__2\"\nvalue=\"2\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_10_mcq_66_options__2\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/hereditaria-1.jpg\" alt=\"Enfermedad hereditaria\" \/>Maladie h\u00e9r\u00e9ditaire\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_10[mcq][66][options][]\" id=\"ipt_fsqm_form_10_mcq_66_options__3\"\nvalue=\"3\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_10_mcq_66_options__3\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/endometriosis-1.jpg\" alt=\"Endom\u00e9triose\" \/>Endom\u00e9triose\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_10[mcq][66][options][]\" id=\"ipt_fsqm_form_10_mcq_66_options__4\"\nvalue=\"4\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_10_mcq_66_options__4\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/no-conozco-1.jpg\" alt=\"No conozco mi historia\" \/>Je ne connais pas mon histoire \/ Aucune de ces r\u00e9ponses\t\t\t\t<\/label><\/div><div\nclass=\"clear-both\"><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_10[mcq][67][m_type]\" id=\"ipt_fsqm_form_10_mcq_67_m_type\" value=\"mcq\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_10[mcq][67][type]\" id=\"ipt_fsqm_form_10_mcq_67_type\" value=\"checkbox\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_checkbox\" id=\"ipt_fsqm_form_10_mcq_67\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_centered\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_10_mcq_67\">Mes ant\u00e9c\u00e9dents m\u00e9dicaux ...<span\nclass=\"ipt_uif_question_required\">*<\/span><\/label><div\nclass=\"clear-both\"><\/div><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_10[mcq][67][options][]\" id=\"ipt_fsqm_form_10_mcq_67_options__0\"\nvalue=\"0\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_10_mcq_67_options__0\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/baja-1.jpg\" alt=\"Baja\" \/>Faible r\u00e9serve ovarienne\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_10[mcq][67][options][]\" id=\"ipt_fsqm_form_10_mcq_67_options__1\"\nvalue=\"1\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_10_mcq_67_options__1\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/trompas-1.jpg\" alt=\"Ligadura de trompas\" \/>Ligature des trompes\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_10[mcq][67][options][]\" id=\"ipt_fsqm_form_10_mcq_67_options__2\"\nvalue=\"2\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_10_mcq_67_options__2\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/hereditaria-1.jpg\" alt=\"Enfermedad hereditaria\" \/>Maladie h\u00e9r\u00e9ditaire\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_10[mcq][67][options][]\" id=\"ipt_fsqm_form_10_mcq_67_options__3\"\nvalue=\"3\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_10_mcq_67_options__3\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/endometriosis-1.jpg\" alt=\"Soy seropositiva\" \/>Endom\u00e9triose\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_10[mcq][67][options][]\" id=\"ipt_fsqm_form_10_mcq_67_options__4\"\nvalue=\"4\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_10_mcq_67_options__4\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/no-conozco-1.jpg\" alt=\"Je ne connais pas mon histoire \" \/>Je ne connais pas mon histoire \/ Aucune de ces r\u00e9ponses\t\t\t\t<\/label><\/div><div\nclass=\"clear-both\"><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_10[mcq][68][m_type]\" id=\"ipt_fsqm_form_10_mcq_68_m_type\" value=\"mcq\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_10[mcq][68][type]\" id=\"ipt_fsqm_form_10_mcq_68_type\" value=\"checkbox\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_checkbox\" id=\"ipt_fsqm_form_10_mcq_68\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_centered\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_10_mcq_68\">Mes ant\u00e9c\u00e9dents m\u00e9dicaux ...<span\nclass=\"ipt_uif_question_required\">*<\/span><\/label><div\nclass=\"clear-both\"><\/div><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_10[mcq][68][options][]\" id=\"ipt_fsqm_form_10_mcq_68_options__0\"\nvalue=\"0\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_10_mcq_68_options__0\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/baja-1.jpg\" alt=\"Baja\" \/>Faible r\u00e9serve ovarienne\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_10[mcq][68][options][]\" id=\"ipt_fsqm_form_10_mcq_68_options__1\"\nvalue=\"1\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_10_mcq_68_options__1\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/trompas-1.jpg\" alt=\"Ligadura de trompas\" \/>Ligature des trompes\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_10[mcq][68][options][]\" id=\"ipt_fsqm_form_10_mcq_68_options__2\"\nvalue=\"2\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_10_mcq_68_options__2\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/hereditaria-1.jpg\" alt=\"Enfermedad hereditaria\" \/>Maladie h\u00e9r\u00e9ditaire\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_10[mcq][68][options][]\" id=\"ipt_fsqm_form_10_mcq_68_options__3\"\nvalue=\"3\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_10_mcq_68_options__3\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/endometriosis-1.jpg\" alt=\"Soy seropositiva\" \/>Endom\u00e9triose\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_10[mcq][68][options][]\" id=\"ipt_fsqm_form_10_mcq_68_options__4\"\nvalue=\"4\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_10_mcq_68_options__4\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/no-conozco-1.jpg\" alt=\"Je ne connais pas mon histoire \" \/>Je ne connais pas mon histoire \/ Aucune de ces r\u00e9ponses\t\t\t\t<\/label><\/div><div\nclass=\"clear-both\"><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_10[mcq][69][m_type]\" id=\"ipt_fsqm_form_10_mcq_69_m_type\" value=\"mcq\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_10[mcq][69][type]\" id=\"ipt_fsqm_form_10_mcq_69_type\" value=\"checkbox\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_checkbox\" id=\"ipt_fsqm_form_10_mcq_69\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_centered\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_10_mcq_69\">Mes ant\u00e9c\u00e9dents m\u00e9dicaux ...<span\nclass=\"ipt_uif_question_required\">*<\/span><\/label><div\nclass=\"clear-both\"><\/div><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_10[mcq][69][options][]\" id=\"ipt_fsqm_form_10_mcq_69_options__0\"\nvalue=\"0\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_10_mcq_69_options__0\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/baja-1.jpg\" alt=\"Baja\" \/>Faible r\u00e9serve ovarienne\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_10[mcq][69][options][]\" id=\"ipt_fsqm_form_10_mcq_69_options__1\"\nvalue=\"1\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_10_mcq_69_options__1\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/trompas-1.jpg\" alt=\"Ligadura de trompas\" \/>Ligature des trompes\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_10[mcq][69][options][]\" id=\"ipt_fsqm_form_10_mcq_69_options__2\"\nvalue=\"2\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_10_mcq_69_options__2\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/hereditaria-1.jpg\" alt=\"Enfermedad hereditaria\" \/>Maladie h\u00e9r\u00e9ditaire\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_10[mcq][69][options][]\" id=\"ipt_fsqm_form_10_mcq_69_options__3\"\nvalue=\"3\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_10_mcq_69_options__3\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/endometriosis-1.jpg\" alt=\"Soy seropositiva\" \/>Endom\u00e9triose\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_10[mcq][69][options][]\" id=\"ipt_fsqm_form_10_mcq_69_options__4\"\nvalue=\"4\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_10_mcq_69_options__4\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/no-conozco-1.jpg\" alt=\"No conozco mi historia\" \/>Je ne connais pas mon histoire \/ Aucune de ces r\u00e9ponses\t\t\t\t<\/label><\/div><div\nclass=\"clear-both\"><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_10[mcq][70][m_type]\" id=\"ipt_fsqm_form_10_mcq_70_m_type\" value=\"mcq\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_10[mcq][70][type]\" id=\"ipt_fsqm_form_10_mcq_70_type\" value=\"checkbox\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_checkbox\" id=\"ipt_fsqm_form_10_mcq_70\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_centered\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_10_mcq_70\">Mes ant\u00e9c\u00e9dents m\u00e9dicaux ...<span\nclass=\"ipt_uif_question_required\">*<\/span><\/label><div\nclass=\"clear-both\"><\/div><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_10[mcq][70][options][]\" id=\"ipt_fsqm_form_10_mcq_70_options__0\"\nvalue=\"0\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_10_mcq_70_options__0\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/baja-1.jpg\" alt=\"Baja\" \/>Faible r\u00e9serve ovarienne\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_10[mcq][70][options][]\" id=\"ipt_fsqm_form_10_mcq_70_options__1\"\nvalue=\"1\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_10_mcq_70_options__1\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/trompas-1.jpg\" alt=\"Ligadura de trompas\" \/>Ligature des trompes\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_10[mcq][70][options][]\" id=\"ipt_fsqm_form_10_mcq_70_options__2\"\nvalue=\"2\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_10_mcq_70_options__2\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/hereditaria-1.jpg\" alt=\"Enfermedad hereditaria\" \/>Maladie h\u00e9r\u00e9ditaire\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_10[mcq][70][options][]\" id=\"ipt_fsqm_form_10_mcq_70_options__3\"\nvalue=\"3\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_10_mcq_70_options__3\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/endometriosis-1.jpg\" alt=\"Soy seropositiva\" \/>Endom\u00e9triose\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_10[mcq][70][options][]\" id=\"ipt_fsqm_form_10_mcq_70_options__4\"\nvalue=\"4\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_10_mcq_70_options__4\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/no-conozco-1.jpg\" alt=\"Je ne connais pas mon histoire \" \/>Je ne connais pas mon histoire \/ Aucune de ces r\u00e9ponses\t\t\t\t<\/label><\/div><div\nclass=\"clear-both\"><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_10[mcq][71][m_type]\" id=\"ipt_fsqm_form_10_mcq_71_m_type\" value=\"mcq\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_10[mcq][71][type]\" id=\"ipt_fsqm_form_10_mcq_71_type\" value=\"checkbox\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_checkbox\" id=\"ipt_fsqm_form_10_mcq_71\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_centered\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_10_mcq_71\">Mes ant\u00e9c\u00e9dents m\u00e9dicaux ...<span\nclass=\"ipt_uif_question_required\">*<\/span><\/label><div\nclass=\"clear-both\"><\/div><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_10[mcq][71][options][]\" id=\"ipt_fsqm_form_10_mcq_71_options__0\"\nvalue=\"0\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_10_mcq_71_options__0\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/baja-1.jpg\" alt=\"Baja\" \/>Faible r\u00e9serve ovarienne\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_10[mcq][71][options][]\" id=\"ipt_fsqm_form_10_mcq_71_options__1\"\nvalue=\"1\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_10_mcq_71_options__1\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/trompas-1.jpg\" alt=\"Ligadura de trompas\" \/>Ligature des trompes\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_10[mcq][71][options][]\" id=\"ipt_fsqm_form_10_mcq_71_options__2\"\nvalue=\"2\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_10_mcq_71_options__2\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/hereditaria-1.jpg\" alt=\"Enfermedad hereditaria\" \/>Maladie h\u00e9r\u00e9ditaire\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_10[mcq][71][options][]\" id=\"ipt_fsqm_form_10_mcq_71_options__3\"\nvalue=\"3\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_10_mcq_71_options__3\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/endometriosis-1.jpg\" alt=\"Soy seropositiva\" \/>Endom\u00e9triose\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_10[mcq][71][options][]\" id=\"ipt_fsqm_form_10_mcq_71_options__4\"\nvalue=\"4\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_10_mcq_71_options__4\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/no-conozco-1.jpg\" alt=\"No conozco mi historia\" \/>Je ne connais pas mon histoire \/ Aucune de ces r\u00e9ponses\t\t\t\t<\/label><\/div><div\nclass=\"clear-both\"><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><div\nid=\"ipt_fsqm_form_10_tab_3\" class=\"ipt_fsqm_form_tab_panel\"><div\nid=\"ipt_fsqm_form_10_layout_3_inner\" class=\"ipt-eform-layout-wrapper\"><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_main_heading_column\"><div\nclass=\"ipt_uif_column_inner\"><h3 class=\"ipt_fsqm_main_heading ipt_uif_heading ipt_uif_divider ipt_uif_align_left ipt_uif_divider_no_icon ipt_uif_divider_icon_no_bg\">\n<span\nclass=\"ipt_uif_divider_text\">\n<span\nclass=\"ipt_uif_divider_text_inner\">\n\u00c9tape 4<span\nclass=\"subtitle\"><\/span>\t\t\t\t<\/span>\n<\/span><\/h3><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_10[mcq][72][m_type]\" id=\"ipt_fsqm_form_10_mcq_72_m_type\" value=\"mcq\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_10[mcq][72][type]\" id=\"ipt_fsqm_form_10_mcq_72_type\" value=\"checkbox\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_checkbox\" id=\"ipt_fsqm_form_10_mcq_72\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_10_mcq_72\">Les ant\u00e9c\u00e9dents m\u00e9dicaux de mon partenaire<span\nclass=\"ipt_uif_question_required\">*<\/span><\/label><div\nclass=\"clear-both\"><\/div><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_10[mcq][72][options][]\" id=\"ipt_fsqm_form_10_mcq_72_options__0\"\nvalue=\"0\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_10_mcq_72_options__0\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/pocos.jpg\" alt=\"Baja\" style=\"padding-left: 62px;\">Il produit peu de sperme\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_10[mcq][72][options][]\" id=\"ipt_fsqm_form_10_mcq_72_options__1\"\nvalue=\"1\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_10_mcq_72_options__1\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/ninguno.jpg\" alt=\"Baja\" style=\"padding-left: 58px;\">Il ne produit pas de sperme\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_10[mcq][72][options][]\" id=\"ipt_fsqm_form_10_mcq_72_options__2\"\nvalue=\"2\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_10_mcq_72_options__2\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/vasectomia.jpg\" alt=\"Baja\" \/>Vasectomie\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_10[mcq][72][options][]\" id=\"ipt_fsqm_form_10_mcq_72_options__3\"\nvalue=\"3\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_10_mcq_72_options__3\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/seropositivo.jpg\" alt=\"Baja\" \/>S\u00e9ropositif\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_10[mcq][72][options][]\" id=\"ipt_fsqm_form_10_mcq_72_options__4\"\nvalue=\"4\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_10_mcq_72_options__4\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/hepatitis.jpg\" alt=\"Baja\" \/>H\u00e9patite B ou C\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_10[mcq][72][options][]\" id=\"ipt_fsqm_form_10_mcq_72_options__5\"\nvalue=\"5\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_10_mcq_72_options__5\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/hereditaria-1.jpg\" alt=\"Baja\" style=\"padding-left: 32px;\">Maladie h\u00e9r\u00e9ditaire\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_10[mcq][72][options][]\" id=\"ipt_fsqm_form_10_mcq_72_options__6\"\nvalue=\"6\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_10_mcq_72_options__6\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/no-conozco-1.jpg\" alt=\"Baja\" style=\"padding-left: 26px;\">Je ne connais pas son histoire \/ Aucune de ces r\u00e9ponses\t\t\t\t<\/label><\/div><div\nclass=\"clear-both\"><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><div\nid=\"ipt_fsqm_form_10_tab_4\" class=\"ipt_fsqm_form_tab_panel\"><div\nid=\"ipt_fsqm_form_10_layout_4_inner\" class=\"ipt-eform-layout-wrapper\"><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_main_heading_column\"><div\nclass=\"ipt_uif_column_inner\"><h3 class=\"ipt_fsqm_main_heading ipt_uif_heading ipt_uif_divider ipt_uif_align_left ipt_uif_divider_no_icon ipt_uif_divider_icon_no_bg\">\n<span\nclass=\"ipt_uif_divider_text\">\n<span\nclass=\"ipt_uif_divider_text_inner\">\n\u00c9tape 4<span\nclass=\"subtitle\"><\/span>\t\t\t\t<\/span>\n<\/span><\/h3><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_10[mcq][73][m_type]\" id=\"ipt_fsqm_form_10_mcq_73_m_type\" value=\"mcq\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_10[mcq][73][type]\" id=\"ipt_fsqm_form_10_mcq_73_type\" value=\"checkbox\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_checkbox\" id=\"ipt_fsqm_form_10_mcq_73\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_10_mcq_73\">Les ant\u00e9c\u00e9dents m\u00e9dicaux de mon partenaire<span\nclass=\"ipt_uif_question_required\">*<\/span><\/label><div\nclass=\"clear-both\"><\/div><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_10[mcq][73][options][]\" id=\"ipt_fsqm_form_10_mcq_73_options__0\"\nvalue=\"0\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_10_mcq_73_options__0\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/pocos.jpg\" alt=\"Baja\" style=\"padding-left: 62px;\">Il produit peu de sperme\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_10[mcq][73][options][]\" id=\"ipt_fsqm_form_10_mcq_73_options__1\"\nvalue=\"1\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_10_mcq_73_options__1\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/ninguno.jpg\" alt=\"Baja\" style=\"padding-left: 58px;\">Il ne produit pas de sperme\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_10[mcq][73][options][]\" id=\"ipt_fsqm_form_10_mcq_73_options__2\"\nvalue=\"2\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_10_mcq_73_options__2\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/vasectomia.jpg\" alt=\"Baja\" \/>Vasectomie\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_10[mcq][73][options][]\" id=\"ipt_fsqm_form_10_mcq_73_options__3\"\nvalue=\"3\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_10_mcq_73_options__3\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/seropositivo.jpg\" alt=\"Baja\" \/>S\u00e9ropositif\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_10[mcq][73][options][]\" id=\"ipt_fsqm_form_10_mcq_73_options__4\"\nvalue=\"4\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_10_mcq_73_options__4\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/hepatitis.jpg\" alt=\"Baja\" \/>H\u00e9patite B ou C\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_10[mcq][73][options][]\" id=\"ipt_fsqm_form_10_mcq_73_options__5\"\nvalue=\"5\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_10_mcq_73_options__5\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/hereditaria-1.jpg\" alt=\"Baja\" style=\"padding-left: 32px;\">Maladie h\u00e9r\u00e9ditaire\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_10[mcq][73][options][]\" id=\"ipt_fsqm_form_10_mcq_73_options__6\"\nvalue=\"6\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_10_mcq_73_options__6\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/no-conozco-1.jpg\" alt=\"Baja\" style=\"padding-left: 26px;\">Je ne connais pas son histoire \/ Aucune de ces r\u00e9ponses\t\t\t\t<\/label><\/div><div\nclass=\"clear-both\"><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><div\nid=\"ipt_fsqm_form_10_tab_5\" class=\"ipt_fsqm_form_tab_panel\"><div\nid=\"ipt_fsqm_form_10_layout_5_inner\" class=\"ipt-eform-layout-wrapper\"><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_main_heading_column\"><div\nclass=\"ipt_uif_column_inner\"><h3 class=\"ipt_fsqm_main_heading ipt_uif_heading ipt_uif_divider ipt_uif_align_left ipt_uif_divider_no_icon ipt_uif_divider_icon_no_bg\">\n<span\nclass=\"ipt_uif_divider_text\">\n<span\nclass=\"ipt_uif_divider_text_inner\">\n\u00c9tape 4<span\nclass=\"subtitle\"><\/span>\t\t\t\t<\/span>\n<\/span><\/h3><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_10[mcq][74][m_type]\" id=\"ipt_fsqm_form_10_mcq_74_m_type\" value=\"mcq\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_10[mcq][74][type]\" id=\"ipt_fsqm_form_10_mcq_74_type\" value=\"checkbox\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_checkbox\" id=\"ipt_fsqm_form_10_mcq_74\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_10_mcq_74\">Les ant\u00e9c\u00e9dents m\u00e9dicaux de mon partenaire<span\nclass=\"ipt_uif_question_required\">*<\/span><\/label><div\nclass=\"clear-both\"><\/div><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_10[mcq][74][options][]\" id=\"ipt_fsqm_form_10_mcq_74_options__0\"\nvalue=\"0\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_10_mcq_74_options__0\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/pocos.jpg\" alt=\"Baja\" style=\"padding-left: 62px;\">Il produit peu de sperme\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_10[mcq][74][options][]\" id=\"ipt_fsqm_form_10_mcq_74_options__1\"\nvalue=\"1\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_10_mcq_74_options__1\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/ninguno.jpg\" alt=\"Baja\" style=\"padding-left: 58px;\">Il ne produit pas de sperme\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_10[mcq][74][options][]\" id=\"ipt_fsqm_form_10_mcq_74_options__2\"\nvalue=\"2\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_10_mcq_74_options__2\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/vasectomia.jpg\" alt=\"Baja\" \/>Vasectomie\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_10[mcq][74][options][]\" id=\"ipt_fsqm_form_10_mcq_74_options__3\"\nvalue=\"3\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_10_mcq_74_options__3\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/seropositivo.jpg\" alt=\"Baja\" \/>S\u00e9ropositifs\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_10[mcq][74][options][]\" id=\"ipt_fsqm_form_10_mcq_74_options__4\"\nvalue=\"4\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_10_mcq_74_options__4\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/hepatitis.jpg\" alt=\"Baja\" \/>H\u00e9patite B ou C\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_10[mcq][74][options][]\" id=\"ipt_fsqm_form_10_mcq_74_options__5\"\nvalue=\"5\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_10_mcq_74_options__5\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/hereditaria-1.jpg\" alt=\"Baja\" style=\"padding-left: 32px;\">Maladie h\u00e9r\u00e9ditaire\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_10[mcq][74][options][]\" id=\"ipt_fsqm_form_10_mcq_74_options__6\"\nvalue=\"6\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_10_mcq_74_options__6\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/no-conozco-1.jpg\" alt=\"Baja\" style=\"padding-left: 26px;\">Je ne connais pas son histoire \/ Aucune de ces r\u00e9ponses\t\t\t\t<\/label><\/div><div\nclass=\"clear-both\"><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><div\nid=\"ipt_fsqm_form_10_tab_6\" class=\"ipt_fsqm_form_tab_panel\"><div\nid=\"ipt_fsqm_form_10_layout_6_inner\" class=\"ipt-eform-layout-wrapper\"><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_main_heading_column\"><div\nclass=\"ipt_uif_column_inner\"><h3 class=\"ipt_fsqm_main_heading ipt_uif_heading ipt_uif_divider ipt_uif_align_left ipt_uif_divider_no_icon ipt_uif_divider_icon_no_bg\">\n<span\nclass=\"ipt_uif_divider_text\">\n<span\nclass=\"ipt_uif_divider_text_inner\">\n\u00c9tape 4<span\nclass=\"subtitle\"><\/span>\t\t\t\t<\/span>\n<\/span><\/h3><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_10[mcq][75][m_type]\" id=\"ipt_fsqm_form_10_mcq_75_m_type\" value=\"mcq\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_10[mcq][75][type]\" id=\"ipt_fsqm_form_10_mcq_75_type\" value=\"slider\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_slider\" id=\"ipt_fsqm_form_10_mcq_75\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_10_mcq_75_value\">L'\u00e2ge de mon partenaire<span\nclass=\"ipt_uif_question_required\">*<\/span><\/label><div\nclass=\"clear-both\"><\/div><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"ipt_uif_empty_box ipt_uif_slider_box\">\n<input\ndata-floats=\"1\" type=\"number\" min=\"18\" max=\"50\" step=\"1\" data-nomin=\"\" data-show-count=\"\" data-labels=\"{&quot;first&quot;:false,&quot;last&quot;:false,&quot;rest&quot;:false,&quot;labels&quot;:[]}\" data-prefix=\"\" data-suffix=\"\" class=\"ipt_uif_slider check_me validate[funcCall[iptUIFSliderVal]]\" data-min=\"18\" data-max=\"50\" data-step=\"1\" name=\"ipt_fsqm_form_10[mcq][75][value]\" id=\"ipt_fsqm_form_10_mcq_75_value\" value=\"18\" data-vertical=\"\" data-height=\"300\" \/><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><div\nid=\"ipt_fsqm_form_10_tab_7\" class=\"ipt_fsqm_form_tab_panel\"><div\nid=\"ipt_fsqm_form_10_layout_7_inner\" class=\"ipt-eform-layout-wrapper\"><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_main_heading_column\"><div\nclass=\"ipt_uif_column_inner\"><h3 class=\"ipt_fsqm_main_heading ipt_uif_heading ipt_uif_divider ipt_uif_align_left ipt_uif_divider_no_icon ipt_uif_divider_icon_no_bg\">\n<span\nclass=\"ipt_uif_divider_text\">\n<span\nclass=\"ipt_uif_divider_text_inner\">\n\u00c9tape 5<span\nclass=\"subtitle\"><\/span>\t\t\t\t<\/span>\n<\/span><\/h3><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_10[mcq][76][m_type]\" id=\"ipt_fsqm_form_10_mcq_76_m_type\" value=\"mcq\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_10[mcq][76][type]\" id=\"ipt_fsqm_form_10_mcq_76_type\" value=\"checkbox\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_checkbox\" id=\"ipt_fsqm_form_10_mcq_76\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_centered\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_10_mcq_76\">Les ant\u00e9c\u00e9dents m\u00e9dicaux de ma partenaire<span\nclass=\"ipt_uif_question_required\">*<\/span><\/label><div\nclass=\"clear-both\"><\/div><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_10[mcq][76][options][]\" id=\"ipt_fsqm_form_10_mcq_76_options__0\"\nvalue=\"0\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_10_mcq_76_options__0\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/baja-1.jpg\" alt=\"Baja\" \/>Faible r\u00e9serve ovarienne\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_10[mcq][76][options][]\" id=\"ipt_fsqm_form_10_mcq_76_options__1\"\nvalue=\"1\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_10_mcq_76_options__1\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/trompas-1.jpg\" alt=\"Ligadura de trompas\" \/>Ligature des trompes\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_10[mcq][76][options][]\" id=\"ipt_fsqm_form_10_mcq_76_options__2\"\nvalue=\"2\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_10_mcq_76_options__2\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/hereditaria-1.jpg\" alt=\"Enfermedad hereditaria\" \/>Maladie h\u00e9r\u00e9ditaire\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_10[mcq][76][options][]\" id=\"ipt_fsqm_form_10_mcq_76_options__3\"\nvalue=\"3\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_10_mcq_76_options__3\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/endometriosis-1.jpg\" alt=\"Soy seropositiva\" \/>Endom\u00e9triose\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_10[mcq][76][options][]\" id=\"ipt_fsqm_form_10_mcq_76_options__4\"\nvalue=\"4\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_10_mcq_76_options__4\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/no-conozco-1.jpg\" alt=\"No conozco mi historia\" \/>Je ne connais pas son histoire \/ Aucune de ces r\u00e9ponses\t\t\t\t<\/label><\/div><div\nclass=\"clear-both\"><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_10[mcq][86][m_type]\" id=\"ipt_fsqm_form_10_mcq_86_m_type\" value=\"mcq\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_10[mcq][86][type]\" id=\"ipt_fsqm_form_10_mcq_86_type\" value=\"checkbox\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_checkbox\" id=\"ipt_fsqm_form_10_mcq_86\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_centered\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_10_mcq_86\">Les ant\u00e9c\u00e9dents m\u00e9dicaux de ma partenaire<span\nclass=\"ipt_uif_question_required\">*<\/span><\/label><div\nclass=\"clear-both\"><\/div><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_10[mcq][86][options][]\" id=\"ipt_fsqm_form_10_mcq_86_options__0\"\nvalue=\"0\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_10_mcq_86_options__0\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/baja-1.jpg\" alt=\"Faible r\u00e9serve ovarienne\" \/>Faible r\u00e9serve ovarienne\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_10[mcq][86][options][]\" id=\"ipt_fsqm_form_10_mcq_86_options__1\"\nvalue=\"1\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_10_mcq_86_options__1\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/trompas-1.jpg\" alt=\"Ligature des trompes\" \/>Ligature des trompes\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_10[mcq][86][options][]\" id=\"ipt_fsqm_form_10_mcq_86_options__2\"\nvalue=\"2\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_10_mcq_86_options__2\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/hereditaria-1.jpg\" alt=\"Maladie h\u00e9r\u00e9ditaire\" \/>Maladie h\u00e9r\u00e9ditaire\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_10[mcq][86][options][]\" id=\"ipt_fsqm_form_10_mcq_86_options__3\"\nvalue=\"3\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_10_mcq_86_options__3\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/endometriosis-1.jpg\" alt=\"\/>Endom\u00e9triose\" \/>Endom\u00e9triose\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_10[mcq][86][options][]\" id=\"ipt_fsqm_form_10_mcq_86_options__4\"\nvalue=\"4\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_10_mcq_86_options__4\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/no-conozco-1.jpg\" alt=\"Je ne connais pas mon histoire \" \/>Je ne connais pas mon histoire \/ Aucune de ces r\u00e9ponses\t\t\t\t<\/label><\/div><div\nclass=\"clear-both\"><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_10[mcq][85][m_type]\" id=\"ipt_fsqm_form_10_mcq_85_m_type\" value=\"mcq\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_10[mcq][85][type]\" id=\"ipt_fsqm_form_10_mcq_85_type\" value=\"checkbox\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_checkbox\" id=\"ipt_fsqm_form_10_mcq_85\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_centered\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_10_mcq_85\">Les ant\u00e9c\u00e9dents m\u00e9dicaux de ma partenaire<span\nclass=\"ipt_uif_question_required\">*<\/span><\/label><div\nclass=\"clear-both\"><\/div><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_10[mcq][85][options][]\" id=\"ipt_fsqm_form_10_mcq_85_options__0\"\nvalue=\"0\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_10_mcq_85_options__0\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/baja-1.jpg\" alt=\"Faible r\u00e9serve ovarienne\" \/>Faible r\u00e9serve ovarienne\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_10[mcq][85][options][]\" id=\"ipt_fsqm_form_10_mcq_85_options__1\"\nvalue=\"1\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_10_mcq_85_options__1\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/trompas-1.jpg\" alt=\"Ligature des trompes\" \/>Ligature des trompes\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_10[mcq][85][options][]\" id=\"ipt_fsqm_form_10_mcq_85_options__2\"\nvalue=\"2\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_10_mcq_85_options__2\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/hereditaria-1.jpg\" alt=\"Maladie h\u00e9r\u00e9ditaire\" \/>Maladie h\u00e9r\u00e9ditaire\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_10[mcq][85][options][]\" id=\"ipt_fsqm_form_10_mcq_85_options__3\"\nvalue=\"3\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_10_mcq_85_options__3\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/endometriosis-1.jpg\" alt=\"\/>Endom\u00e9triose\" \/>Endom\u00e9triose\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me validate[required] ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_10[mcq][85][options][]\" id=\"ipt_fsqm_form_10_mcq_85_options__4\"\nvalue=\"4\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_10_mcq_85_options__4\">\n<img\nsrc=\"https:\/\/www.dexeus.com\/fertility\/wp-content\/uploads\/2021\/10\/no-conozco-1.jpg\" alt=\"Je ne connais pas son histoire \" \/>Je ne connais pas mon histoire \/ Aucune de ces r\u00e9ponses\t\t\t\t<\/label><\/div><div\nclass=\"clear-both\"><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear\"><\/div><div\nid=\"ipt_fsqm_form_10_button_container\" class=\"ipt_fsqm_form_button_container ipt_fsqm_form_button_container--outline eform-material-alternate-pb ipt-eform-material-button-container\"><div\nclass=\"eform-button-container-inner\">\n<button\ntype=\"button\" class=\"ipt_uif_button eform-material-button eform-ripple ipt_fsqm_form_button_prev medium primary-button\" name=\"ipt_fsqm_form_10_button_prev\" id=\"ipt_fsqm_form_10_button_prev\"> Pr\u00e9c\u00e9dent<\/button>\n<button\ntype=\"submit\" class=\"ipt_uif_button eform-material-button eform-ripple ipt_fsqm_form_button_submit medium primary-button\" name=\"ipt_fsqm_form_10_button_submit\" id=\"ipt_fsqm_form_10_button_submit\"> Confirmer<\/button>\n<button\ntype=\"button\" class=\"ipt_uif_button eform-material-button eform-ripple ipt_fsqm_form_button_next medium primary-button\" name=\"ipt_fsqm_form_10_button_next\" id=\"ipt_fsqm_form_10_button_next\"> Suivant<\/button><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/form><\/div><div\nstyle=\"display: none;\" class=\"ipt_fsqm_form_message_success ui-widget ui-widget-content ui-corner-all ipt_uif_widget_box\"><div\nclass=\"ui-helper-reset ui-helper-clearfix ui-widget-header ui-corner-all\"><h3><i\ntitle=\"\" class=\" ipt-icomoon-checkmark-circle ipticm prefix\"><\/i>\nMeci pour vos r\u00e9ponses, nous consultons notre base de donn\u00e9es et dans quelques secondes vous recevrez notre r\u00e9ponse bas\u00e9e sur plus de 40 ans d\u00b4exp\u00e9rience.<\/h3><\/div><div\nclass=\"ui-widget-content ui-corner-all ipt_fsqm_success_wrap\"><\/div><\/div><div\nstyle=\"display: none;\" class=\"ipt_fsqm_form_message_error ui-widget ui-widget-content ui-corner-all ipt_uif_widget_box\"><div\nclass=\"ui-helper-reset ui-helper-clearfix ui-widget-header ui-corner-all\"><div><i\ntitle=\"\" class=\" ipt-icomoon-laptop ipticm prefix\"><\/i>\nServer Side Error<\/div><\/div><div\nclass=\"ui-widget-content ui-corner-all\"><p>We faced problems while connecting to the server or receiving data from the server. Please wait for a few seconds and try again.<\/p><p>If the problem persists, then check your internet connectivity. 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