<\/p>

<\/ul><\/div>\n
\n

\n<\/fieldset>\n

Votre nom
\n<\/span> <\/label>\n<\/p>\n

Votre pr\u00e9nom
\n<\/span> <\/label>\n<\/p>\n

Votre n\u00b0 de t\u00e9l\u00e9phone
\n<\/span> <\/label>\n<\/p>\n

Votre e-mail
\n<\/span> <\/label>\n<\/p>\n

Email pour la newsletter (pour \u00eatre inform\u00e9 des promotions, des nouveaut\u00e9s et des concours) cocher juste oui si vous utiliser la m\u00eame que si dessus <\/label>
\nOui<\/span><\/label><\/span>Non<\/span><\/label><\/span><\/span><\/span>
\n<\/span>\n<\/p>\n

Date de naissance
\n<\/span> <\/label>\n<\/p>\n

Femme<\/span><\/label><\/span>Homme<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n

Enceinte<\/span><\/label><\/span>Allaitement<\/span><\/label><\/span>M\u00e9nopause<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n

Ant\u00e9c\u00e9dent de sant\u00e9
\nRien \u00e0 signaler<\/textarea><\/span> <\/label>\n<\/p>\n<p><label> M\u00e9dicaments<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Medicament\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"Medicament\">Rien \u00e0 signaler<\/textarea><\/span> <\/label>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"Diversquestions\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"Diversquestions[]\" value=\"Diab\u00e8te\" \/><span class=\"wpcf7-list-item-label\">Diab\u00e8te<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"Diversquestions[]\" value=\"Cardiaque\" \/><span class=\"wpcf7-list-item-label\">Cardiaque<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"Diversquestions[]\" value=\"Hypertension\" \/><span class=\"wpcf7-list-item-label\">Hypertension<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"Diversquestions[]\" value=\"Scoliose\" \/><span class=\"wpcf7-list-item-label\">Scoliose<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"Diversquestions[]\" value=\"Thrombose\" \/><span class=\"wpcf7-list-item-label\">Thrombose<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"Diversquestions[]\" value=\"D\u00e9pression\" \/><span class=\"wpcf7-list-item-label\">D\u00e9pression<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"Diversquestions[]\" value=\"Varice\" \/><span class=\"wpcf7-list-item-label\">Varice<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"Diversquestions[]\" value=\"La goutte\" \/><span class=\"wpcf7-list-item-label\">La goutte<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"Diversquestions[]\" value=\"Prise d'anticoagulant\" \/><span class=\"wpcf7-list-item-label\">Prise d'anticoagulant<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"Diversquestions[]\" value=\"Probl\u00e8me digestif\" \/><span class=\"wpcf7-list-item-label\">Probl\u00e8me digestif<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"Diversquestions[]\" value=\"Probl\u00e8me de circulation sanguine\" \/><span class=\"wpcf7-list-item-label\">Probl\u00e8me de circulation sanguine<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"Diversquestion2\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"Diversquestion2[]\" value=\"Fragilit\u00e9 capillaire perte de sensibilit\u00e9 (Nerfs coup\u00e9, neuropathie)\" \/><span class=\"wpcf7-list-item-label\">Fragilit\u00e9 capillaire perte de sensibilit\u00e9 (Nerfs coup\u00e9, neuropathie)<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"Diversquestion2[]\" value=\"Traitement m\u00e9dicamenteux pouvant avoir des effets non d\u00e9sirables au variation de temp\u00e9rature\" \/><span class=\"wpcf7-list-item-label\">Traitement m\u00e9dicamenteux pouvant avoir des effets non d\u00e9sirables au variation de temp\u00e9rature<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"Diversquestion2[]\" value=\"Peaux pr\u00e9sentent une fragilit\u00e9 extr\u00eame et pouvant \u00eatre d\u00e9t\u00e9rior\u00e9e par l\u2019humidit\u00e9 ou la chaleur\" \/><span class=\"wpcf7-list-item-label\">Peaux pr\u00e9sentent une fragilit\u00e9 extr\u00eame et pouvant \u00eatre d\u00e9t\u00e9rior\u00e9e par l\u2019humidit\u00e9 ou la chaleur<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><label>Autres<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Autres\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"Rien \u00e0 signaler\" type=\"text\" name=\"Autres\" \/><\/span> <\/label>\n<\/p>\n<p><label> Allergie <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Allergie\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"Allergie[]\" value=\"Huile d\u2019amande douce\" \/><span class=\"wpcf7-list-item-label\">Huile d\u2019amande douce<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"Allergie[]\" value=\"Huile d'argan\" \/><span class=\"wpcf7-list-item-label\">Huile d'argan<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"Allergie[]\" value=\"Huile de coco\" \/><span class=\"wpcf7-list-item-label\">Huile de coco<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"Allergie[]\" value=\"Huile essentielle de lavande\" \/><span class=\"wpcf7-list-item-label\">Huile essentielle de lavande<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"Allergie[]\" value=\"Huile essentielle de Ylang-Ylang\" \/><span class=\"wpcf7-list-item-label\">Huile essentielle de Ylang-Ylang<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"Allergie[]\" value=\"Huile essentielle de bois de H\u00f4\" \/><span class=\"wpcf7-list-item-label\">Huile essentielle de bois de H\u00f4<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"Allergie[]\" value=\"Huile essentielle de gaulth\u00e9rie\" \/><span class=\"wpcf7-list-item-label\">Huile essentielle de gaulth\u00e9rie<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><label>Autre allergie<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Autreallergie\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"Rien \u00e0 signaler\" type=\"text\" name=\"Autreallergie\" \/><\/span> <\/label>\n<\/p>\n<p><label>Massage en duo ? si oui, la 2\u00e9me personne doit aussi remplir une anamn\u00e8se<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Duo\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"Duo[]\" value=\"Oui\" \/><span class=\"wpcf7-list-item-label\">Oui<\/span><\/label><\/span><\/span><\/span><\/label>\n<\/p>\n<p><label> Votre message (facultatif)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-message\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"your-message\"><\/textarea><\/span> <\/label>\n<\/p>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Envoyer\" \/>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-495","page","type-page","status-publish","hentry","nodate","item-wrap"],"_links":{"self":[{"href":"https:\/\/chrismassage.ch\/index.php\/wp-json\/wp\/v2\/pages\/495","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/chrismassage.ch\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/chrismassage.ch\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/chrismassage.ch\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/chrismassage.ch\/index.php\/wp-json\/wp\/v2\/comments?post=495"}],"version-history":[{"count":3,"href":"https:\/\/chrismassage.ch\/index.php\/wp-json\/wp\/v2\/pages\/495\/revisions"}],"predecessor-version":[{"id":502,"href":"https:\/\/chrismassage.ch\/index.php\/wp-json\/wp\/v2\/pages\/495\/revisions\/502"}],"wp:attachment":[{"href":"https:\/\/chrismassage.ch\/index.php\/wp-json\/wp\/v2\/media?parent=495"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}