{"id":3749,"date":"2026-01-25T21:52:26","date_gmt":"2026-01-25T20:52:26","guid":{"rendered":"https:\/\/www.residencepalaisetoile.com\/?page_id=3749"},"modified":"2026-09-29T15:32:21","modified_gmt":"2026-09-29T13:32:21","slug":"%e6%ba%80%e8%b6%b3%e5%ba%a6%e8%aa%bf%e6%9f%bb","status":"publish","type":"page","link":"https:\/\/www.residencepalaisetoile.com\/ja\/enquete-satisfaction\/","title":{"rendered":"\u6e80\u8db3\u5ea6\u8abf\u67fb"},"content":{"rendered":"<p>[et_pb_section fb_built=\u00a0\u00bb1&Prime; _builder_version=\u00a0\u00bb4.27.5&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row _builder_version=\u00a0\u00bb4.27.5&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4&Prime; _builder_version=\u00a0\u00bb4.27.5&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_code admin_label=\u00a0\u00bbCode\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.9&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<style><!-- [et_pb_line_break_holder] -->#rpes{--g:#FBF9F5;--s:#FFFFFF;--s2:#F4F0E8;--ink:#1A1A18;--tx:#3F3F39;--mu:#5E5E56;--ln:#E6E0D4;--br:#8A6D1F;--brl:#B8912F;font-family:'Jost',system-ui,sans-serif;font-weight:300;color:var(--ink);line-height:1.7}<!-- [et_pb_line_break_holder] -->#rpes *{box-sizing:border-box}<!-- [et_pb_line_break_holder] -->#rpes .sur{display:flex;align-items:center;gap:12px;font-size:.72rem;letter-spacing:.22em;text-transform:uppercase;color:var(--br);margin:0 0 14px}<!-- [et_pb_line_break_holder] -->#rpes .sur::before{content:\"\";width:34px;height:1px;background:var(--brl);flex:none}<!-- [et_pb_line_break_holder] -->#rpes h1{font-family:'Cormorant Garamond',Georgia,serif;font-weight:400;font-size:clamp(2rem,5.5vw,3rem);line-height:1.1;margin:0 0 18px;color:var(--ink)}<!-- [et_pb_line_break_holder] -->#rpes .intro{color:var(--tx);max-width:62ch;margin:0;font-size:1.02rem}<!-- [et_pb_line_break_holder] -->#rpes .reperes{display:flex;flex-wrap:wrap;gap:10px;margin-top:22px}<!-- [et_pb_line_break_holder] -->#rpes .rep{background:var(--s2);border:1px solid var(--ln);border-radius:999px;padding:7px 16px;font-size:.86rem;color:var(--mu)}<!-- [et_pb_line_break_holder] -->#rpes .carte{background:var(--s);border:1px solid var(--ln);border-radius:18px;padding:clamp(20px,4vw,38px);margin-top:30px;box-shadow:0 1px 2px rgba(26,26,24,.04),0 12px 28px -18px rgba(26,26,24,.18)}<!-- [et_pb_line_break_holder] -->#rpes .fin{margin-top:26px;color:var(--mu);font-size:.92rem}<!-- [et_pb_line_break_holder] -->#rpes .fin a{color:var(--ink);border-bottom:1px solid var(--brl);text-decoration:none;padding-bottom:1px}<!-- [et_pb_line_break_holder] -->#rpes .forminator-ui.forminator-custom-form{font-family:'Jost',system-ui,sans-serif!important}<!-- [et_pb_line_break_holder] -->#rpes .forminator-ui.forminator-custom-form{border-top:0!important;border:0!important}<!-- [et_pb_line_break_holder] -->#rpes .forminator-ui .forminator-label{font-weight:500!important;color:var(--ink)!important;font-size:.93rem!important}<!-- [et_pb_line_break_holder] -->#rpes .forminator-ui input[type=text],#rpes .forminator-ui input[type=email],#rpes .forminator-ui input[type=number],#rpes .forminator-ui input[type=date],#rpes .forminator-ui textarea,#rpes .forminator-ui select{background:var(--g)!important;border:1px solid var(--ln)!important;border-radius:10px!important;color:var(--ink)!important;font-family:inherit!important;font-weight:300!important;box-shadow:none!important}<!-- [et_pb_line_break_holder] -->#rpes .forminator-ui input:focus,#rpes .forminator-ui textarea:focus,#rpes .forminator-ui select:focus{border-color:var(--brl)!important;box-shadow:0 0 0 3px rgba(184,145,47,.16)!important;outline:none!important}<!-- [et_pb_line_break_holder] -->#rpes .forminator-ui .forminator-button-submit{background:var(--ink)!important;color:#FBF9F5!important;border-radius:999px!important;padding:14px 34px!important;font-family:inherit!important;font-weight:400!important;letter-spacing:.06em!important;border:0!important}<!-- [et_pb_line_break_holder] -->#rpes .forminator-ui .forminator-button-submit:hover{background:var(--br)!important}<!-- [et_pb_line_break_holder] -->body.page-id-3749 .et_pb_section{background:#FBF9F5!important;padding-top:clamp(38px,7vw,70px)!important;padding-bottom:clamp(44px,8vw,80px)!important}<!-- [et_pb_line_break_holder] -->@media (max-width:640px){body.page-id-3749 .et_pb_row{padding-left:20px!important;padding-right:20px!important}}<!-- [et_pb_line_break_holder] --><\/style>\n<p><!-- [et_pb_line_break_holder] --><\/p>\n<div id=\"rpes\"><!-- [et_pb_line_break_holder] --><pee class=\"sur\">Votre avis<\/pee><!-- [et_pb_line_break_holder] --><\/p>\n<h1>Dites-nous comment<!\u2013- [et_pb_br_holder] -\u2013>s\u2019est pass\u00e9 votre s\u00e9jour<\/h1>\n<p><!-- [et_pb_line_break_holder] --><pee class=\"intro\">Quelques minutes suffisent. Vos r\u00e9ponses sont lues une \u00e0 une : ce sont elles qui nous disent quoi garder et quoi corriger dans les appartements.<\/pee><!-- [et_pb_line_break_holder] --><\/p>\n<div class=\"reperes\"><span class=\"rep\">Environ 3 minutes<\/span><span class=\"rep\">Une seule page<\/span><span class=\"rep\">Sans inscription<\/span><\/div>\n<p><!-- [et_pb_line_break_holder] --><\/p>\n<div class=\"carte\"><div class=\"forminator-ui forminator-custom-form forminator-custom-form-3815 forminator-design--bold  \" data-forminator-render=\"0\" data-form=\"forminator-module-3815\" data-uid=\"6adb52011db96\"><br\/><\/div><form\n\t\t\t\tid=\"forminator-module-3815\"\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-3815 forminator-design--bold  \"\n\t\t\t\tmethod=\"post\"\n\t\t\t\tdata-forminator-render=\"0\"\n\t\t\t\tdata-form-id=\"3815\"\n\t\t\t\t data-color-option=\"default\" data-design=\"bold\" data-grid=\"open\" style=\"display: none;\"\n\t\t\t\tdata-uid=\"6adb52011db96\"\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div class=\"forminator-row\"><div id=\"name-1\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-1_6adb52011db96\" id=\"forminator-field-name-1_6adb52011db96-label\" class=\"forminator-label\">NOM \/ PRENOM <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-1\" value=\"\" placeholder=\"\" id=\"forminator-field-name-1_6adb52011db96\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-1\" class=\"forminator-field-date forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-date-1-picker_6adb52011db96\" id=\"forminator-field-date-1-picker_6adb52011db96-label\" class=\"forminator-label\">Date d&#039;arriv\u00e9e <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-1\" value=\"23-10-2026\" placeholder=\"Choisissez une date\" id=\"forminator-field-date-1-picker_6adb52011db96\" class=\"forminator-input forminator-datepicker\" data-required=\"1\" data-format=\"dd-mm-yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1926\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><\/div><div id=\"date-2\" class=\"forminator-field-date forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-date-2-picker_6adb52011db96\" id=\"forminator-field-date-2-picker_6adb52011db96-label\" class=\"forminator-label\">Date de d\u00e9part <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-2\" value=\"23-10-2026\" placeholder=\"Choisissez une date\" id=\"forminator-field-date-2-picker_6adb52011db96\" class=\"forminator-input forminator-datepicker\" data-required=\"1\" data-format=\"dd-mm-yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1926\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-1\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-1_6adb52011db96\" id=\"forminator-field-text-1_6adb52011db96-label\" class=\"forminator-label\">NUMERO D&#039;APPARTEMENT <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-1\" value=\"\" placeholder=\"ex: 102\" id=\"forminator-field-text-1_6adb52011db96\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-1\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-1-6adb52011db96-label\"><span id=\"forminator-radiogroup-radio-1-6adb52011db96-label\" class=\"forminator-label\">Quel \u00e9tait le type de s\u00e9jour dans notre \u00e9tablissement ? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-1-label-1\" for=\"forminator-field-radio-1-1-6adb52011db96\" class=\"forminator-radio\" title=\"Professionnel\"><input type=\"radio\" name=\"radio-1\" value=\"Pro\" id=\"forminator-field-radio-1-1-6adb52011db96\" aria-labelledby=\"forminator-field-radio-1-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Professionnel<\/span><\/label><label id=\"forminator-field-radio-1-label-2\" for=\"forminator-field-radio-1-2-6adb52011db96\" class=\"forminator-radio\" title=\"En couple\"><input type=\"radio\" name=\"radio-1\" value=\"Couple\" id=\"forminator-field-radio-1-2-6adb52011db96\" aria-labelledby=\"forminator-field-radio-1-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">En couple<\/span><\/label><label id=\"forminator-field-radio-1-label-3\" for=\"forminator-field-radio-1-3-6adb52011db96\" class=\"forminator-radio\" title=\"En famille\"><input type=\"radio\" name=\"radio-1\" value=\"Famille\" id=\"forminator-field-radio-1-3-6adb52011db96\" aria-labelledby=\"forminator-field-radio-1-label-3\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">En famille<\/span><\/label><label id=\"forminator-field-radio-1-label-4\" for=\"forminator-field-radio-1-4-6adb52011db96\" class=\"forminator-radio\" title=\"Avec des amis\"><input type=\"radio\" name=\"radio-1\" value=\"Amis\" id=\"forminator-field-radio-1-4-6adb52011db96\" aria-labelledby=\"forminator-field-radio-1-label-4\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Avec des amis<\/span><\/label><label id=\"forminator-field-radio-1-label-5\" for=\"forminator-field-radio-1-5-6adb52011db96\" class=\"forminator-radio\" title=\"Seul\"><input type=\"radio\" name=\"radio-1\" value=\"Seul\" id=\"forminator-field-radio-1-5-6adb52011db96\" aria-labelledby=\"forminator-field-radio-1-label-5\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Seul<\/span><\/label><label id=\"forminator-field-radio-1-label-6\" for=\"forminator-field-radio-1-6-6adb52011db96\" class=\"forminator-radio\" title=\"Autre\"><input type=\"radio\" name=\"radio-1\" value=\"Autre\" id=\"forminator-field-radio-1-6-6adb52011db96\" aria-labelledby=\"forminator-field-radio-1-label-6\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Autre<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-2\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-2-6adb52011db96-label\"><span id=\"forminator-radiogroup-radio-2-6adb52011db96-label\" class=\"forminator-label\">S\u2019agit-il de votre premi\u00e8re visite chez nous ? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-2-label-1\" for=\"forminator-field-radio-2-1-6adb52011db96\" class=\"forminator-radio\" title=\"Oui\"><input type=\"radio\" name=\"radio-2\" value=\"Oui\" id=\"forminator-field-radio-2-1-6adb52011db96\" aria-labelledby=\"forminator-field-radio-2-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Oui<\/span><\/label><label id=\"forminator-field-radio-2-label-2\" for=\"forminator-field-radio-2-2-6adb52011db96\" class=\"forminator-radio\" title=\"Non\"><input type=\"radio\" name=\"radio-2\" value=\"Non\" id=\"forminator-field-radio-2-2-6adb52011db96\" aria-labelledby=\"forminator-field-radio-2-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Non<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-2\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-2_6adb52011db96\" id=\"forminator-field-text-2_6adb52011db96-label\" class=\"forminator-label\">Comment avez-vous d\u00e9couvert notre h\u00f4tel ?<\/label><input type=\"text\" name=\"text-2\" value=\"\" placeholder=\"\" id=\"forminator-field-text-2_6adb52011db96\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-1\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-3815__field--select-1_6adb52011db96\" id=\"forminator-form-3815__field--select-1_6adb52011db96-label\" class=\"forminator-label\">\u00c0 quelle fr\u00e9quence venez-vous s\u00e9journer chez nous ?<\/label><select  id=\"forminator-form-3815__field--select-1_6adb52011db96\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"\" name=\"select-1\" data-default-value=\"\" data-placeholder=\"\" data-search=\"false\" data-search-placeholder=\"\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-3815__field--select-1_6adb52011db96-label\"><option value=\"tous-les-jours\"  data-calculation=\"0\">Tous les jours<\/option><option value=\"semaine\"  data-calculation=\"0\">Plusieurs fois \/ semaine<\/option><option value=\"1-semaine\"  data-calculation=\"0\">Une fois \/ semaine<\/option><option value=\"plusieurs-mois\"  data-calculation=\"0\">Plusieurs fois \/ mois<\/option><option value=\"1-mois\"  data-calculation=\"0\">Une fois \/ mois<\/option><option value=\"plusieurs-an\"  data-calculation=\"0\">Plusieurs fois \/ an<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-3\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-3-6adb52011db96-label\"><span id=\"forminator-radiogroup-radio-3-6adb52011db96-label\" class=\"forminator-label\">Notes de satisfaction (1 \u00e0 10) : Qualit\u00e9 des services<\/span><label id=\"forminator-field-radio-3-label-1\" for=\"forminator-field-radio-3-1-6adb52011db96\" class=\"forminator-radio\" title=\"1\"><input type=\"radio\" name=\"radio-3\" value=\"1\" id=\"forminator-field-radio-3-1-6adb52011db96\" aria-labelledby=\"forminator-field-radio-3-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">1<\/span><\/label><label id=\"forminator-field-radio-3-label-2\" for=\"forminator-field-radio-3-2-6adb52011db96\" class=\"forminator-radio\" title=\"2\"><input type=\"radio\" name=\"radio-3\" value=\"2\" id=\"forminator-field-radio-3-2-6adb52011db96\" aria-labelledby=\"forminator-field-radio-3-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">2<\/span><\/label><label id=\"forminator-field-radio-3-label-3\" for=\"forminator-field-radio-3-3-6adb52011db96\" class=\"forminator-radio\" title=\"3\"><input type=\"radio\" name=\"radio-3\" value=\"3\" id=\"forminator-field-radio-3-3-6adb52011db96\" aria-labelledby=\"forminator-field-radio-3-label-3\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">3<\/span><\/label><label id=\"forminator-field-radio-3-label-4\" for=\"forminator-field-radio-3-4-6adb52011db96\" class=\"forminator-radio\" title=\"4\"><input type=\"radio\" name=\"radio-3\" value=\"4\" id=\"forminator-field-radio-3-4-6adb52011db96\" aria-labelledby=\"forminator-field-radio-3-label-4\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">4<\/span><\/label><label id=\"forminator-field-radio-3-label-5\" for=\"forminator-field-radio-3-5-6adb52011db96\" class=\"forminator-radio\" title=\"5\"><input type=\"radio\" name=\"radio-3\" value=\"5\" id=\"forminator-field-radio-3-5-6adb52011db96\" aria-labelledby=\"forminator-field-radio-3-label-5\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">5<\/span><\/label><label id=\"forminator-field-radio-3-label-6\" for=\"forminator-field-radio-3-6-6adb52011db96\" class=\"forminator-radio\" title=\"6\"><input type=\"radio\" name=\"radio-3\" value=\"6\" id=\"forminator-field-radio-3-6-6adb52011db96\" aria-labelledby=\"forminator-field-radio-3-label-6\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">6<\/span><\/label><label id=\"forminator-field-radio-3-label-7\" for=\"forminator-field-radio-3-7-6adb52011db96\" class=\"forminator-radio\" title=\"7\"><input type=\"radio\" name=\"radio-3\" value=\"7\" id=\"forminator-field-radio-3-7-6adb52011db96\" aria-labelledby=\"forminator-field-radio-3-label-7\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">7<\/span><\/label><label id=\"forminator-field-radio-3-label-8\" for=\"forminator-field-radio-3-8-6adb52011db96\" class=\"forminator-radio\" title=\"8\"><input type=\"radio\" name=\"radio-3\" value=\"8\" id=\"forminator-field-radio-3-8-6adb52011db96\" aria-labelledby=\"forminator-field-radio-3-label-8\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">8<\/span><\/label><label id=\"forminator-field-radio-3-label-9\" for=\"forminator-field-radio-3-9-6adb52011db96\" class=\"forminator-radio\" title=\"9\"><input type=\"radio\" name=\"radio-3\" value=\"9\" id=\"forminator-field-radio-3-9-6adb52011db96\" aria-labelledby=\"forminator-field-radio-3-label-9\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">9<\/span><\/label><label id=\"forminator-field-radio-3-label-10\" for=\"forminator-field-radio-3-10-6adb52011db96\" class=\"forminator-radio\" title=\"10\"><input type=\"radio\" name=\"radio-3\" value=\"10\" id=\"forminator-field-radio-3-10-6adb52011db96\" aria-labelledby=\"forminator-field-radio-3-label-10\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">10<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-4\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-4-6adb52011db96-label\"><span id=\"forminator-radiogroup-radio-4-6adb52011db96-label\" class=\"forminator-label\">Notes de satisfaction (1 \u00e0 10) : Chambre<\/span><label id=\"forminator-field-radio-4-label-1\" for=\"forminator-field-radio-4-1-6adb52011db96\" class=\"forminator-radio\" title=\"1\"><input type=\"radio\" name=\"radio-4\" value=\"1\" id=\"forminator-field-radio-4-1-6adb52011db96\" aria-labelledby=\"forminator-field-radio-4-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">1<\/span><\/label><label id=\"forminator-field-radio-4-label-2\" for=\"forminator-field-radio-4-2-6adb52011db96\" class=\"forminator-radio\" title=\"2\"><input type=\"radio\" name=\"radio-4\" value=\"2\" id=\"forminator-field-radio-4-2-6adb52011db96\" aria-labelledby=\"forminator-field-radio-4-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">2<\/span><\/label><label id=\"forminator-field-radio-4-label-3\" for=\"forminator-field-radio-4-3-6adb52011db96\" class=\"forminator-radio\" title=\"3\"><input type=\"radio\" name=\"radio-4\" value=\"3\" id=\"forminator-field-radio-4-3-6adb52011db96\" aria-labelledby=\"forminator-field-radio-4-label-3\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">3<\/span><\/label><label id=\"forminator-field-radio-4-label-4\" for=\"forminator-field-radio-4-4-6adb52011db96\" class=\"forminator-radio\" title=\"4\"><input type=\"radio\" name=\"radio-4\" value=\"4\" id=\"forminator-field-radio-4-4-6adb52011db96\" aria-labelledby=\"forminator-field-radio-4-label-4\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">4<\/span><\/label><label id=\"forminator-field-radio-4-label-5\" for=\"forminator-field-radio-4-5-6adb52011db96\" class=\"forminator-radio\" title=\"5\"><input type=\"radio\" name=\"radio-4\" value=\"5\" id=\"forminator-field-radio-4-5-6adb52011db96\" aria-labelledby=\"forminator-field-radio-4-label-5\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">5<\/span><\/label><label id=\"forminator-field-radio-4-label-6\" for=\"forminator-field-radio-4-6-6adb52011db96\" class=\"forminator-radio\" title=\"6\"><input type=\"radio\" name=\"radio-4\" value=\"6\" id=\"forminator-field-radio-4-6-6adb52011db96\" aria-labelledby=\"forminator-field-radio-4-label-6\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">6<\/span><\/label><label id=\"forminator-field-radio-4-label-7\" for=\"forminator-field-radio-4-7-6adb52011db96\" class=\"forminator-radio\" title=\"7\"><input type=\"radio\" name=\"radio-4\" value=\"7\" id=\"forminator-field-radio-4-7-6adb52011db96\" aria-labelledby=\"forminator-field-radio-4-label-7\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">7<\/span><\/label><label id=\"forminator-field-radio-4-label-8\" for=\"forminator-field-radio-4-8-6adb52011db96\" class=\"forminator-radio\" title=\"8\"><input type=\"radio\" name=\"radio-4\" value=\"8\" id=\"forminator-field-radio-4-8-6adb52011db96\" aria-labelledby=\"forminator-field-radio-4-label-8\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">8<\/span><\/label><label id=\"forminator-field-radio-4-label-9\" for=\"forminator-field-radio-4-9-6adb52011db96\" class=\"forminator-radio\" title=\"9\"><input type=\"radio\" name=\"radio-4\" value=\"9\" id=\"forminator-field-radio-4-9-6adb52011db96\" aria-labelledby=\"forminator-field-radio-4-label-9\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">9<\/span><\/label><label id=\"forminator-field-radio-4-label-10\" for=\"forminator-field-radio-4-10-6adb52011db96\" class=\"forminator-radio\" title=\"10\"><input type=\"radio\" name=\"radio-4\" value=\"10\" id=\"forminator-field-radio-4-10-6adb52011db96\" aria-labelledby=\"forminator-field-radio-4-label-10\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">10<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-5\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-5-6adb52011db96-label\"><span id=\"forminator-radiogroup-radio-5-6adb52011db96-label\" class=\"forminator-label\">Notes de satisfaction (1 \u00e0 10) : Propret\u00e9<\/span><label id=\"forminator-field-radio-5-label-1\" for=\"forminator-field-radio-5-1-6adb52011db96\" class=\"forminator-radio\" title=\"1\"><input type=\"radio\" name=\"radio-5\" value=\"1\" id=\"forminator-field-radio-5-1-6adb52011db96\" aria-labelledby=\"forminator-field-radio-5-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">1<\/span><\/label><label id=\"forminator-field-radio-5-label-2\" for=\"forminator-field-radio-5-2-6adb52011db96\" class=\"forminator-radio\" title=\"2\"><input type=\"radio\" name=\"radio-5\" value=\"2\" id=\"forminator-field-radio-5-2-6adb52011db96\" aria-labelledby=\"forminator-field-radio-5-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">2<\/span><\/label><label id=\"forminator-field-radio-5-label-3\" for=\"forminator-field-radio-5-3-6adb52011db96\" class=\"forminator-radio\" title=\"3\"><input type=\"radio\" name=\"radio-5\" value=\"3\" id=\"forminator-field-radio-5-3-6adb52011db96\" aria-labelledby=\"forminator-field-radio-5-label-3\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">3<\/span><\/label><label id=\"forminator-field-radio-5-label-4\" for=\"forminator-field-radio-5-4-6adb52011db96\" class=\"forminator-radio\" title=\"4\"><input type=\"radio\" name=\"radio-5\" value=\"4\" id=\"forminator-field-radio-5-4-6adb52011db96\" aria-labelledby=\"forminator-field-radio-5-label-4\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">4<\/span><\/label><label id=\"forminator-field-radio-5-label-5\" for=\"forminator-field-radio-5-5-6adb52011db96\" class=\"forminator-radio\" title=\"5\"><input type=\"radio\" name=\"radio-5\" value=\"5\" id=\"forminator-field-radio-5-5-6adb52011db96\" aria-labelledby=\"forminator-field-radio-5-label-5\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">5<\/span><\/label><label id=\"forminator-field-radio-5-label-6\" for=\"forminator-field-radio-5-6-6adb52011db96\" class=\"forminator-radio\" title=\"6\"><input type=\"radio\" name=\"radio-5\" value=\"6\" id=\"forminator-field-radio-5-6-6adb52011db96\" aria-labelledby=\"forminator-field-radio-5-label-6\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">6<\/span><\/label><label id=\"forminator-field-radio-5-label-7\" for=\"forminator-field-radio-5-7-6adb52011db96\" class=\"forminator-radio\" title=\"7\"><input type=\"radio\" name=\"radio-5\" value=\"7\" id=\"forminator-field-radio-5-7-6adb52011db96\" aria-labelledby=\"forminator-field-radio-5-label-7\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">7<\/span><\/label><label id=\"forminator-field-radio-5-label-8\" for=\"forminator-field-radio-5-8-6adb52011db96\" class=\"forminator-radio\" title=\"8\"><input type=\"radio\" name=\"radio-5\" value=\"8\" id=\"forminator-field-radio-5-8-6adb52011db96\" aria-labelledby=\"forminator-field-radio-5-label-8\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">8<\/span><\/label><label id=\"forminator-field-radio-5-label-9\" for=\"forminator-field-radio-5-9-6adb52011db96\" class=\"forminator-radio\" title=\"9\"><input type=\"radio\" name=\"radio-5\" value=\"9\" id=\"forminator-field-radio-5-9-6adb52011db96\" aria-labelledby=\"forminator-field-radio-5-label-9\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">9<\/span><\/label><label id=\"forminator-field-radio-5-label-10\" for=\"forminator-field-radio-5-10-6adb52011db96\" class=\"forminator-radio\" title=\"10\"><input type=\"radio\" name=\"radio-5\" value=\"10\" id=\"forminator-field-radio-5-10-6adb52011db96\" aria-labelledby=\"forminator-field-radio-5-label-10\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">10<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-6\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-6-6adb52011db96-label\"><span id=\"forminator-radiogroup-radio-6-6adb52011db96-label\" class=\"forminator-label\">Recommanderiez-vous cet h\u00f4tel \u00e0 vos proches ?<\/span><label id=\"forminator-field-radio-6-label-1\" for=\"forminator-field-radio-6-1-6adb52011db96\" class=\"forminator-radio\" title=\"Oui\"><input type=\"radio\" name=\"radio-6\" value=\"Oui\" id=\"forminator-field-radio-6-1-6adb52011db96\" aria-labelledby=\"forminator-field-radio-6-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Oui<\/span><\/label><label id=\"forminator-field-radio-6-label-2\" for=\"forminator-field-radio-6-2-6adb52011db96\" class=\"forminator-radio\" title=\"Non\"><input type=\"radio\" name=\"radio-6\" value=\"Non\" id=\"forminator-field-radio-6-2-6adb52011db96\" aria-labelledby=\"forminator-field-radio-6-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Non<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-2\" class=\"forminator-field-select forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-form-3815__field--select-2_6adb52011db96\" id=\"forminator-form-3815__field--select-2_6adb52011db96-label\" class=\"forminator-label\">Genre<\/label><select  id=\"forminator-form-3815__field--select-2_6adb52011db96\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"\" name=\"select-2\" data-default-value=\"\" data-placeholder=\"\" data-search=\"false\" data-search-placeholder=\"\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-3815__field--select-2_6adb52011db96-label\"><option value=\"Homme\"  data-calculation=\"0\">Homme<\/option><option value=\"Femme\"  data-calculation=\"0\">Femme<\/option><option value=\"Autre\"  data-calculation=\"0\">Autre<\/option><\/select><\/div><\/div><div id=\"select-3\" class=\"forminator-field-select forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-form-3815__field--select-3_6adb52011db96\" id=\"forminator-form-3815__field--select-3_6adb52011db96-label\" class=\"forminator-label\">Tranche d&#039;\u00e2ge<\/label><select  id=\"forminator-form-3815__field--select-3_6adb52011db96\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"\" name=\"select-3\" data-default-value=\"\" data-placeholder=\"\" data-search=\"false\" data-search-placeholder=\"\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-3815__field--select-3_6adb52011db96-label\"><option value=\"-20\"  data-calculation=\"0\">- 20 ans<\/option><option value=\"21-30\"  data-calculation=\"0\">21-30 ans<\/option><option value=\"31-40\"  data-calculation=\"0\">31-40 ans<\/option><option value=\"41-50\"  data-calculation=\"0\">41-50 ans<\/option><option value=\"51-60\"  data-calculation=\"0\">51-60 ans<\/option><option value=\"61-70\"  data-calculation=\"0\">61-70 ans<\/option><option value=\"+70\"  data-calculation=\"0\">+ 70 ans<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-1\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-1_6adb52011db96\" id=\"forminator-field-textarea-1_6adb52011db96-label\" class=\"forminator-label\">Remarques ou suggestions :<\/label><textarea name=\"textarea-1\" placeholder=\"\" id=\"forminator-field-textarea-1_6adb52011db96\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-2\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-2_6adb52011db96\" id=\"forminator-field-textarea-2_6adb52011db96-label\" class=\"forminator-label\">R\u00e9clamations<\/label><textarea name=\"textarea-2\" placeholder=\"D\u00e9taillez votre probl\u00e8me ici...\" id=\"forminator-field-textarea-2_6adb52011db96\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><div class=\"forminator-row forminator-row-last\"><div class=\"forminator-col\"><div class=\"forminator-field\"><button class=\"forminator-button forminator-button-submit\">ENVOYER<\/button><\/div><\/div><\/div><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"16bf2c217b\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/ja\/wp-json\/wp\/v2\/pages\/3749\" \/><input type=\"hidden\" name=\"form_id\" value=\"3815\"><input type=\"hidden\" name=\"page_id\" value=\"3749\"><input type=\"hidden\" name=\"form_type\" value=\"\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/www.residencepalaisetoile.com\/ja\/enquete-satisfaction\/\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><label for=\"input_17\" class=\"forminator-hidden\" aria-hidden=\"true\">Please do not fill in this field. <input id=\"input_17\" type=\"text\" name=\"input_17\" value=\"\" autocomplete=\"off\"><\/label><\/form><\/div>\n<p><!-- [et_pb_line_break_holder] --><pee class=\"fin\">Un probl\u00e8me \u00e0 signaler tout de suite ? \u00c9crivez-nous \u00e0 <a href=\"mailto:palaisetoile@gmail.com\">palaisetoile@gmail.com<\/a> ou appelez le <a href=\"tel:+33767712846\">07 67 71 28 46<\/a>.<\/pee><!-- [et_pb_line_break_holder] --><\/div>\n<p><!-- [et_pb_line_break_holder] --><\/p>\n<style><!-- [et_pb_line_break_holder] -->#rpes .forminator-ui .forminator-label{text-transform:none!important;font-size:.95rem!important;font-weight:500!important;letter-spacing:0!important;color:#1A1A18!important;margin-bottom:9px!important;line-height:1.45!important}<!-- [et_pb_line_break_holder] -->#rpes .forminator-ui .forminator-required{color:#B8912F!important}<!-- [et_pb_line_break_holder] -->#rpes .forminator-ui .forminator-row{margin-bottom:22px!important}<!-- [et_pb_line_break_holder] -->#rpes .forminator-ui .forminator-row:last-child{margin-bottom:0!important}<!-- [et_pb_line_break_holder] -->#rpes .forminator-ui input[type=text],#rpes .forminator-ui input[type=email],#rpes .forminator-ui input[type=number],#rpes .forminator-ui input[type=date],#rpes .forminator-ui select,#rpes .forminator-ui textarea{background:#FBF9F5!important;border:1px solid #E6E0D4!important;border-radius:10px!important;box-shadow:none!important;color:#1A1A18!important;font-family:'Jost',system-ui,sans-serif!important;font-weight:300!important;font-size:1rem!important}<!-- [et_pb_line_break_holder] -->#rpes .forminator-ui input[type=text],#rpes .forminator-ui input[type=email],#rpes .forminator-ui input[type=number],#rpes .forminator-ui input[type=date],#rpes .forminator-ui select{height:50px!important;padding:0 16px!important}<!-- [et_pb_line_break_holder] -->#rpes .forminator-ui textarea{min-height:130px!important;padding:14px 16px!important}<!-- [et_pb_line_break_holder] -->#rpes .forminator-ui select{max-width:260px!important}<!-- [et_pb_line_break_holder] -->#rpes .forminator-ui input:focus,#rpes .forminator-ui select:focus,#rpes .forminator-ui textarea:focus{border-color:#B8912F!important;box-shadow:0 0 0 3px rgba(184,145,47,.16)!important;outline:none!important}<!-- [et_pb_line_break_holder] -->#rpes .forminator-ui .forminator-radio,#rpes .forminator-ui .forminator-checkbox{display:inline-flex!important;align-items:center!important;gap:9px!important;margin:0 10px 10px 0!important;padding:9px 17px!important;background:#FFFFFF!important;border:1px solid #E6E0D4!important;border-radius:999px!important;font-size:.92rem!important;font-weight:300!important;color:#3F3F39!important;cursor:pointer!important;transition:border-color .15s ease!important}<!-- [et_pb_line_break_holder] -->#rpes .forminator-ui .forminator-radio:hover,#rpes .forminator-ui .forminator-checkbox:hover{border-color:#B8912F!important}<!-- [et_pb_line_break_holder] -->#rpes .forminator-ui .forminator-radio-bullet,#rpes .forminator-ui .forminator-checkbox-box{width:15px!important;height:15px!important;min-width:15px!important;border:1px solid #B8912F!important;box-shadow:none!important;background:#FBF9F5!important}<!-- [et_pb_line_break_holder] -->#rpes .forminator-ui .forminator-description{color:#5E5E56!important;font-size:.86rem!important;font-weight:300!important}<!-- [et_pb_line_break_holder] -->#rpes .forminator-ui .forminator-button-submit{margin-top:8px!important}<!-- [et_pb_line_break_holder] -->@media (max-width:640px){#rpes .forminator-ui select{max-width:100%!important}#rpes .forminator-ui .forminator-button-submit{width:100%!important}}<!-- [et_pb_line_break_holder] --><\/style>\n<p>[\/et_pb_code][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u3054\u610f\u898b\u3092\u304a\u805e\u304b\u305b\u304f\u3060\u3055\u3044\u3002\u3054\u6ede\u5728\u306e\u69d8\u5b50\u306b\u3064\u3044\u3066\u304a\u805e\u304b\u305b\u304f\u3060\u3055\u3044\u3002\u6570\u5206\u3067\u5b8c\u4e86\u3057\u307e\u3059\u3002\u7686\u69d8\u304b\u3089\u306e\u3054\u56de\u7b54\u306f\u4e00\u3064\u3072\u3068\u3064\u4e01\u5be7\u306b\u62dd\u8aad\u3057\u3066\u304a\u308a\u3001\u30a2\u30d1\u30fc\u30c8\u30e1\u30f3\u30c8\u306e\u3069\u306e\u70b9\u3092\u7dad\u6301\u3057\u3001\u3069\u306e\u70b9\u3092\u6539\u5584\u3059\u3079\u304d\u304b\u5224\u65ad\u3059\u308b\u4e0a\u3067\u5927\u5909\u53c2\u8003\u306b\u306a\u308a\u307e\u3059\u3002\u6240\u8981\u6642\u9593\uff1a\u7d043\u5206\u30001\u30da\u30fc\u30b8\u306e\u307f\u3000\u767b\u9332\u4e0d\u8981<div class=\"forminator-ui forminator-custom-form forminator-custom-form-3815 forminator-design--bold\" data-forminator-render=\"1\" data-form=\"forminator-module-3815\" data-uid=\"6adb520122f52\"><br\/><\/div><form\n\t\t\t\tid=\"forminator-module-3815\"\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-3815 forminator-design--bold\"\n\t\t\t\tmethod=\"post\"\n\t\t\t\tdata-forminator-render=\"1\"\n\t\t\t\tdata-form-id=\"3815\"\n\t\t\t\t data-color-option=\"default\" data-design=\"bold\" data-grid=\"open\" style=\"display: none;\"\n\t\t\t\tdata-uid=\"6adb520122f52\" action=\"\"\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div class=\"forminator-row\"><div id=\"name-1\" class=\"forminator-field-name forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-name-1_6adb520122f52\" id=\"forminator-field-name-1_6adb520122f52-label\" class=\"forminator-label\">\u59d3 \/ \u540d <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-1\" value=\"\" placeholder=\"\" id=\"forminator-field-name-1_6adb520122f52\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-1\" class=\"forminator-field-date forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-date-1-picker_6adb520122f52\" id=\"forminator-field-date-1-picker_6adb520122f52-label\" class=\"forminator-label\">\u5230\u7740\u65e5 <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-1\" value=\"23-10-2026\" placeholder=\"\u65e5\u4ed8\u3092\u9078\u3076\" id=\"forminator-field-date-1-picker_6adb520122f52\" class=\"forminator-input forminator-datepicker\" data-required=\"1\" data-format=\"dd-mm-yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1926\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><\/div><div id=\"date-2\" class=\"forminator-field-date forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-date-2-picker_6adb520122f52\" id=\"forminator-field-date-2-picker_6adb520122f52-label\" class=\"forminator-label\">\u51fa\u767a\u65e5 <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-2\" value=\"23-10-2026\" placeholder=\"\u65e5\u4ed8\u3092\u9078\u3076\" id=\"forminator-field-date-2-picker_6adb520122f52\" class=\"forminator-input forminator-datepicker\" data-required=\"1\" data-format=\"dd-mm-yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1926\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-1\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-1_6adb520122f52\" id=\"forminator-field-text-1_6adb520122f52-label\" class=\"forminator-label\">\u30d5\u30e9\u30c3\u30c8\u30ca\u30f3\u30d0\u30fc <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-1\" value=\"\" placeholder=\"\u4f8b\uff1a102\" id=\"forminator-field-text-1_6adb520122f52\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-1\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-1-6adb520122f52-label\"><span id=\"forminator-radiogroup-radio-1-6adb520122f52-label\" class=\"forminator-label\">\u3069\u306e\u3088\u3046\u306a\u3054\u6ede\u5728\u3067\u3057\u305f\u304b\uff1f <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-1-label-1\" for=\"forminator-field-radio-1-1-6adb520122f52\" class=\"forminator-radio\" title=\"\u30d7\u30ed\u30d5\u30a7\u30c3\u30b7\u30e7\u30ca\u30eb\"><input type=\"radio\" name=\"radio-1\" value=\"Pro\" id=\"forminator-field-radio-1-1-6adb520122f52\" aria-labelledby=\"forminator-field-radio-1-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">\u30d7\u30ed\u30d5\u30a7\u30c3\u30b7\u30e7\u30ca\u30eb<\/span><\/label><label id=\"forminator-field-radio-1-label-2\" for=\"forminator-field-radio-1-2-6adb520122f52\" class=\"forminator-radio\" title=\"\u30ab\u30c3\u30d7\u30eb\"><input type=\"radio\" name=\"radio-1\" value=\"Couple\" id=\"forminator-field-radio-1-2-6adb520122f52\" aria-labelledby=\"forminator-field-radio-1-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">\u30ab\u30c3\u30d7\u30eb<\/span><\/label><label id=\"forminator-field-radio-1-label-3\" for=\"forminator-field-radio-1-3-6adb520122f52\" class=\"forminator-radio\" title=\"\u5bb6\u65cf\u3068\u3068\u3082\u306b\"><input type=\"radio\" name=\"radio-1\" value=\"Famille\" id=\"forminator-field-radio-1-3-6adb520122f52\" aria-labelledby=\"forminator-field-radio-1-label-3\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">\u5bb6\u65cf\u3068\u3068\u3082\u306b<\/span><\/label><label id=\"forminator-field-radio-1-label-4\" for=\"forminator-field-radio-1-4-6adb520122f52\" class=\"forminator-radio\" title=\"\u53cb\u4eba\u305f\u3061\u3068\"><input type=\"radio\" name=\"radio-1\" value=\"Amis\" id=\"forminator-field-radio-1-4-6adb520122f52\" aria-labelledby=\"forminator-field-radio-1-label-4\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">\u53cb\u4eba\u305f\u3061\u3068<\/span><\/label><label id=\"forminator-field-radio-1-label-5\" for=\"forminator-field-radio-1-5-6adb520122f52\" class=\"forminator-radio\" title=\"\u306e\u307f\"><input type=\"radio\" name=\"radio-1\" value=\"Seul\" id=\"forminator-field-radio-1-5-6adb520122f52\" aria-labelledby=\"forminator-field-radio-1-label-5\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">\u306e\u307f<\/span><\/label><label id=\"forminator-field-radio-1-label-6\" for=\"forminator-field-radio-1-6-6adb520122f52\" class=\"forminator-radio\" title=\"\u305d\u306e\u4ed6\"><input type=\"radio\" name=\"radio-1\" value=\"Autre\" id=\"forminator-field-radio-1-6-6adb520122f52\" aria-labelledby=\"forminator-field-radio-1-label-6\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">\u305d\u306e\u4ed6<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-2\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-2-6adb520122f52-label\"><span id=\"forminator-radiogroup-radio-2-6adb520122f52-label\" class=\"forminator-label\">\u521d\u3081\u3066\u306e\u3054\u6765\u5e97\u3067\u3059\u304b\uff1f <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-2-label-1\" for=\"forminator-field-radio-2-1-6adb520122f52\" class=\"forminator-radio\" title=\"\u306f\u3044\"><input type=\"radio\" name=\"radio-2\" value=\"Oui\" id=\"forminator-field-radio-2-1-6adb520122f52\" aria-labelledby=\"forminator-field-radio-2-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">\u306f\u3044<\/span><\/label><label id=\"forminator-field-radio-2-label-2\" for=\"forminator-field-radio-2-2-6adb520122f52\" class=\"forminator-radio\" title=\"\u3044\u3044\u3048\"><input type=\"radio\" name=\"radio-2\" value=\"Non\" id=\"forminator-field-radio-2-2-6adb520122f52\" aria-labelledby=\"forminator-field-radio-2-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">\u3044\u3044\u3048<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-2\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-2_6adb520122f52\" id=\"forminator-field-text-2_6adb520122f52-label\" class=\"forminator-label\">\u3069\u306e\u3088\u3046\u306b\u3057\u3066\u5f53\u30db\u30c6\u30eb\u3092\u304a\u77e5\u308a\u306b\u306a\u308a\u307e\u3057\u305f\u304b\uff1f<\/label><input type=\"text\" name=\"text-2\" value=\"\" placeholder=\"\" id=\"forminator-field-text-2_6adb520122f52\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-1\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-3815__field--select-1_6adb520122f52\" id=\"forminator-form-3815__field--select-1_6adb520122f52-label\" class=\"forminator-label\">\u6ede\u5728\u983b\u5ea6\u306f\uff1f<\/label><select  id=\"forminator-form-3815__field--select-1_6adb520122f52\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"\" name=\"select-1\" data-default-value=\"\" data-placeholder=\"\" data-search=\"false\" data-search-placeholder=\"\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-3815__field--select-1_6adb520122f52-label\"><option value=\"tous-les-jours\"  data-calculation=\"0\">\u6bce\u65e5<\/option><option value=\"semaine\"  data-calculation=\"0\">\u9031\u306b\u6570\u56de<\/option><option value=\"1-semaine\"  data-calculation=\"0\">\u90311\u56de<\/option><option value=\"plusieurs-mois\"  data-calculation=\"0\">\u6708\u306b\u6570\u56de<\/option><option value=\"1-mois\"  data-calculation=\"0\">\u67081\u56de<\/option><option value=\"plusieurs-an\"  data-calculation=\"0\">\u5e74\u306b\u6570\u56de<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-3\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-3-6adb520122f52-label\"><span id=\"forminator-radiogroup-radio-3-6adb520122f52-label\" class=\"forminator-label\">\u6e80\u8db3\u5ea6\uff081\uff5e10\u70b9\uff09\uff1a\u30b5\u30fc\u30d3\u30b9\u306e\u8cea<\/span><label id=\"forminator-field-radio-3-label-1\" for=\"forminator-field-radio-3-1-6adb520122f52\" class=\"forminator-radio\" title=\"1\"><input type=\"radio\" name=\"radio-3\" value=\"1\" id=\"forminator-field-radio-3-1-6adb520122f52\" aria-labelledby=\"forminator-field-radio-3-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">1<\/span><\/label><label id=\"forminator-field-radio-3-label-2\" for=\"forminator-field-radio-3-2-6adb520122f52\" class=\"forminator-radio\" title=\"2\"><input type=\"radio\" name=\"radio-3\" value=\"2\" id=\"forminator-field-radio-3-2-6adb520122f52\" aria-labelledby=\"forminator-field-radio-3-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">2<\/span><\/label><label id=\"forminator-field-radio-3-label-3\" for=\"forminator-field-radio-3-3-6adb520122f52\" class=\"forminator-radio\" title=\"3\"><input type=\"radio\" name=\"radio-3\" value=\"3\" id=\"forminator-field-radio-3-3-6adb520122f52\" aria-labelledby=\"forminator-field-radio-3-label-3\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">3<\/span><\/label><label id=\"forminator-field-radio-3-label-4\" for=\"forminator-field-radio-3-4-6adb520122f52\" class=\"forminator-radio\" title=\"4\"><input type=\"radio\" name=\"radio-3\" value=\"4\" id=\"forminator-field-radio-3-4-6adb520122f52\" aria-labelledby=\"forminator-field-radio-3-label-4\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">4<\/span><\/label><label id=\"forminator-field-radio-3-label-5\" for=\"forminator-field-radio-3-5-6adb520122f52\" class=\"forminator-radio\" title=\"5\"><input type=\"radio\" name=\"radio-3\" value=\"5\" id=\"forminator-field-radio-3-5-6adb520122f52\" aria-labelledby=\"forminator-field-radio-3-label-5\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">5<\/span><\/label><label id=\"forminator-field-radio-3-label-6\" for=\"forminator-field-radio-3-6-6adb520122f52\" class=\"forminator-radio\" title=\"6\"><input type=\"radio\" name=\"radio-3\" value=\"6\" id=\"forminator-field-radio-3-6-6adb520122f52\" aria-labelledby=\"forminator-field-radio-3-label-6\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">6<\/span><\/label><label id=\"forminator-field-radio-3-label-7\" for=\"forminator-field-radio-3-7-6adb520122f52\" class=\"forminator-radio\" title=\"7\"><input type=\"radio\" name=\"radio-3\" value=\"7\" id=\"forminator-field-radio-3-7-6adb520122f52\" aria-labelledby=\"forminator-field-radio-3-label-7\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">7<\/span><\/label><label id=\"forminator-field-radio-3-label-8\" for=\"forminator-field-radio-3-8-6adb520122f52\" class=\"forminator-radio\" title=\"8\"><input type=\"radio\" name=\"radio-3\" value=\"8\" id=\"forminator-field-radio-3-8-6adb520122f52\" aria-labelledby=\"forminator-field-radio-3-label-8\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">8<\/span><\/label><label id=\"forminator-field-radio-3-label-9\" for=\"forminator-field-radio-3-9-6adb520122f52\" class=\"forminator-radio\" title=\"9\"><input type=\"radio\" name=\"radio-3\" value=\"9\" id=\"forminator-field-radio-3-9-6adb520122f52\" aria-labelledby=\"forminator-field-radio-3-label-9\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">9<\/span><\/label><label id=\"forminator-field-radio-3-label-10\" for=\"forminator-field-radio-3-10-6adb520122f52\" class=\"forminator-radio\" title=\"10\"><input type=\"radio\" name=\"radio-3\" value=\"10\" id=\"forminator-field-radio-3-10-6adb520122f52\" aria-labelledby=\"forminator-field-radio-3-label-10\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">10<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-4\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-4-6adb520122f52-label\"><span id=\"forminator-radiogroup-radio-4-6adb520122f52-label\" class=\"forminator-label\">\u6e80\u8db3\u5ea6(1\uff5e10) \uff1a\u90e8\u5c4b<\/span><label id=\"forminator-field-radio-4-label-1\" for=\"forminator-field-radio-4-1-6adb520122f52\" class=\"forminator-radio\" title=\"1\"><input type=\"radio\" name=\"radio-4\" value=\"1\" id=\"forminator-field-radio-4-1-6adb520122f52\" aria-labelledby=\"forminator-field-radio-4-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">1<\/span><\/label><label id=\"forminator-field-radio-4-label-2\" for=\"forminator-field-radio-4-2-6adb520122f52\" class=\"forminator-radio\" title=\"2\"><input type=\"radio\" name=\"radio-4\" value=\"2\" id=\"forminator-field-radio-4-2-6adb520122f52\" aria-labelledby=\"forminator-field-radio-4-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">2<\/span><\/label><label id=\"forminator-field-radio-4-label-3\" for=\"forminator-field-radio-4-3-6adb520122f52\" class=\"forminator-radio\" title=\"3\"><input type=\"radio\" name=\"radio-4\" value=\"3\" id=\"forminator-field-radio-4-3-6adb520122f52\" aria-labelledby=\"forminator-field-radio-4-label-3\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">3<\/span><\/label><label id=\"forminator-field-radio-4-label-4\" for=\"forminator-field-radio-4-4-6adb520122f52\" class=\"forminator-radio\" title=\"4\"><input type=\"radio\" name=\"radio-4\" value=\"4\" id=\"forminator-field-radio-4-4-6adb520122f52\" aria-labelledby=\"forminator-field-radio-4-label-4\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">4<\/span><\/label><label id=\"forminator-field-radio-4-label-5\" for=\"forminator-field-radio-4-5-6adb520122f52\" class=\"forminator-radio\" title=\"5\"><input type=\"radio\" name=\"radio-4\" value=\"5\" id=\"forminator-field-radio-4-5-6adb520122f52\" aria-labelledby=\"forminator-field-radio-4-label-5\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">5<\/span><\/label><label id=\"forminator-field-radio-4-label-6\" for=\"forminator-field-radio-4-6-6adb520122f52\" class=\"forminator-radio\" title=\"6\"><input type=\"radio\" name=\"radio-4\" value=\"6\" id=\"forminator-field-radio-4-6-6adb520122f52\" aria-labelledby=\"forminator-field-radio-4-label-6\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">6<\/span><\/label><label id=\"forminator-field-radio-4-label-7\" for=\"forminator-field-radio-4-7-6adb520122f52\" class=\"forminator-radio\" title=\"7\"><input type=\"radio\" name=\"radio-4\" value=\"7\" id=\"forminator-field-radio-4-7-6adb520122f52\" aria-labelledby=\"forminator-field-radio-4-label-7\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">7<\/span><\/label><label id=\"forminator-field-radio-4-label-8\" for=\"forminator-field-radio-4-8-6adb520122f52\" class=\"forminator-radio\" title=\"8\"><input type=\"radio\" name=\"radio-4\" value=\"8\" id=\"forminator-field-radio-4-8-6adb520122f52\" aria-labelledby=\"forminator-field-radio-4-label-8\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">8<\/span><\/label><label id=\"forminator-field-radio-4-label-9\" 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