{"id":892,"date":"2025-03-31T18:52:50","date_gmt":"2025-03-31T18:52:50","guid":{"rendered":"https:\/\/mealsonwheels-ottawa.org\/programme-de-repas\/formulaire-de-demande\/"},"modified":"2025-08-17T21:14:04","modified_gmt":"2025-08-17T21:14:04","slug":"formulaire-de-demande","status":"publish","type":"page","link":"https:\/\/mealsonwheels-ottawa.org\/fr\/programme-de-repas\/formulaire-de-demande\/","title":{"rendered":"Formulaire de demande"},"content":{"rendered":"<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:80px;--awb-padding-bottom:80px;--awb-min-height:600px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_3 1_3 fusion-flex-column fusion-flex-align-self-flex-start\" style=\"--awb-bg-size:cover;--awb-width-large:33.333333333333%;--awb-margin-top-large:0px;--awb-spacing-right-large:5.76%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:5.76%;--awb-width-medium:33.333333333333%;--awb-order-medium:0;--awb-spacing-right-medium:5.76%;--awb-spacing-left-medium:5.76%;--awb-width-small:100%;--awb-order-small:1;--awb-spacing-right-small:1.92%;--awb-margin-bottom-small:48px;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-center fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-1 fusion-sep-none fusion-title-text fusion-title-size-one\" style=\"--awb-text-color:var(--awb-color3);--awb-margin-top:0px;--awb-margin-top-small:10px;--awb-margin-right-small:0px;--awb-margin-bottom-small:10px;--awb-margin-left-small:0px;\"><h1 class=\"fusion-title-heading title-heading-left fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:54;line-height:1;\">Formulaire de demande<\/h1><\/div><div class=\"fusion-text fusion-text-1\" style=\"--awb-text-color:var(--awb-color5);\"><p>Inscrivez-vous en communiquant avec nous au 613-233-2424 ou en remplissant notre formulaire de demande du client en ligne.<\/p>\n<p><b>Veuillez consulter la <a href=\"https:\/\/mealsonwheels-ottawa.org\/fr\/programme-de-repas\/territoire-de-service\/\" target=\"_blank\" rel=\"noopener noreferrer\">carte de notre zone de service<\/a> en haut de la page Web pour vous assurer que vous r\u00e9sidez dans notre zone de livraison avant de faire votre demande.<\/b><\/p>\n<\/div><div class=\"fusion-title title fusion-title-2 fusion-sep-none fusion-title-text fusion-title-size-three\" style=\"--awb-margin-top-small:10px;--awb-margin-right-small:0px;--awb-margin-bottom-small:10px;--awb-margin-left-small:0px;\"><h3 class=\"fusion-title-heading title-heading-left fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:28;line-height:var(--awb-typography1-line-height);\">Admissibilit\u00e9:<\/h3><\/div><div class=\"fusion-text fusion-text-2 fusion-text-no-margin\" style=\"--awb-text-color:var(--awb-color5);--awb-margin-bottom:10px;\"><p>Les personnes, qui re\u00e7oivent un soutien nutritionnel, sont mieux en mesure de maintenir leur autonomie et leur bien-\u00eatre \u00e0 la maison, y compris:<\/p>\n<\/div><ul style=\"--awb-size:16px;--awb-item-padding-top:6px;--awb-item-padding-bottom:6px;--awb-iconcolor:var(--awb-color3);--awb-line-height:27.2px;--awb-icon-width:27.2px;--awb-icon-height:27.2px;--awb-icon-margin:11.2px;--awb-content-margin:38.4px;--awb-circlecolor:var(--awb-color2);--awb-circle-yes-font-size:14.08px;\" class=\"fusion-checklist fusion-checklist-1 type-icons\"><li class=\"fusion-li-item\" style=\"\"><span class=\"icon-wrapper circle-yes\"><i class=\"fusion-li-icon fa-angle-right fas\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\">\n<p>Personnes \u00e2g\u00e9es (60 +)<\/p>\n<\/div><\/li><li class=\"fusion-li-item\" style=\"\"><span class=\"icon-wrapper circle-yes\"><i class=\"fusion-li-icon fa-angle-right fas\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\">\n<p>Adultes atteints de maladies chroniques<\/p>\n<\/div><\/li><li class=\"fusion-li-item\" style=\"\"><span class=\"icon-wrapper circle-yes\"><i class=\"fusion-li-icon fa-angle-right fas\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\">\n<p>Adultes ayant un handicap physique ou mental<\/p>\n<\/div><\/li><li class=\"fusion-li-item\" style=\"\"><span class=\"icon-wrapper circle-yes\"><i class=\"fusion-li-icon fa-angle-right fas\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\">\n<p>Adultes en convalescence d\u2019une intervention chirurgicale ou d\u2019une maladie<\/p>\n<\/div><\/li><li class=\"fusion-li-item\" style=\"\"><span class=\"icon-wrapper circle-yes\"><i class=\"fusion-li-icon fa-angle-right fas\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\">\n<p>Adultes sous traitement m\u00e9dical<\/p>\n<\/div><\/li><\/ul><div ><a class=\"fusion-button button-flat fusion-button-default-size button-default fusion-button-default button-1 fusion-button-default-span fusion-button-default-type\" style=\"--awb-margin-top:30px;\" target=\"_self\" href=\"https:\/\/mealsonwheels-ottawa.org\/fr\/foire-aux-questions\/\"><span class=\"fusion-button-text awb-button__text awb-button__text--default\">Consulter la FAQ<\/span><\/a><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_2_3 2_3 fusion-flex-column\" style=\"--awb-padding-top:40px;--awb-padding-right:10px;--awb-padding-bottom:40px;--awb-padding-left:10px;--awb-overflow:hidden;--awb-bg-color:#fcf7ff;--awb-bg-color-hover:#fcf7ff;--awb-bg-size:cover;--awb-border-radius:50px 50px 50px 50px;--awb-width-large:66.666666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:2.88%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:2.88%;--awb-width-medium:66.666666666667%;--awb-order-medium:0;--awb-spacing-right-medium:2.88%;--awb-spacing-left-medium:2.88%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form fusion-form-builder fusion-form-form-wrapper fusion-form-918 has-icon-alignment\" style=\"--awb-tooltip-text-color:#ffffff;--awb-tooltip-background-color:#333333;--awb-field-margin-top:2px;--awb-field-margin-bottom:18px;--awb-form-input-height:44px;--awb-form-bg-color:#fefcff;--awb-form-font-size:15px;--awb-form-placeholder-color:#545454;--awb-form-border-width-top:1px;--awb-form-border-width-bottom:1px;--awb-form-border-width-right:1px;--awb-form-border-width-left:1px;--awb-form-border-color:var(--awb-color5);--awb-form-focus-border-color:var(--awb-color3);--awb-form-focus-border-hover-color:hsla(var(--awb-color3-h),var(--awb-color3-s),var(--awb-color3-l),calc(var(--awb-color3-a) - 50%));--awb-form-border-radius:15px;--awb-icon-alignment-top:1px;--awb-icon-alignment-bottom:1px;--awb-icon-alignment-font-size:15px;\" data-form-id=\"918\" data-config=\"{&quot;form_id&quot;:918,&quot;form_post_id&quot;:918,&quot;post_id&quot;:892,&quot;form_type&quot;:&quot;ajax&quot;,&quot;confirmation_type&quot;:&quot;message&quot;,&quot;redirect_url&quot;:&quot;&quot;,&quot;redirect_timeout&quot;:&quot;0&quot;,&quot;field_labels&quot;:{&quot;name-person-filling-out-form&quot;:&quot;Nom de la personne qui rempli cette demande&quot;,&quot;email-person-filling-out-form&quot;:&quot;Courriel (afin de communiquer avec vous)&quot;,&quot;who_should_we_contact_to_set_up_services&quot;:&quot;Qui devrons-nous contacter pour d\\u00e9buter le service?&quot;,&quot;name-person-needing-service&quot;:&quot;Nom du client&quot;,&quot;client_phone_primary&quot;:&quot;&quot;,&quot;client_phone_secondary&quot;:&quot;&quot;,&quot;client_address_1&quot;:&quot;&quot;,&quot;client_address_2&quot;:&quot;&quot;,&quot;client_address_city&quot;:&quot;&quot;,&quot;client_address_province&quot;:&quot;&quot;,&quot;client_address_postal_code&quot;:&quot;&quot;,&quot;client_address_ring_number&quot;:&quot;&quot;,&quot;client_program_of_interest&quot;:&quot;Quel programme est d&#039;int\\u00e9r\\u00eat?&quot;,&quot;client_preferred_language&quot;:&quot;Langue parl\\u00e9e de pr\\u00e9f\\u00e9rence&quot;,&quot;client_lives_alone&quot;:&quot;Est-ce que vous habitez seul(e)?&quot;,&quot;client_health_card_number&quot;:&quot;Num\\u00e9ro de carte sant\\u00e9&quot;,&quot;client_date_of_birth&quot;:&quot;Date de naissance&quot;,&quot;client_reason_for_meal_program&quot;:&quot;Raison pour laquelle vous demandez \\u00e0 recevoir des repas&quot;,&quot;client_home_care_support&quot;:&quot;Est-ce que vous recevez pr\\u00e9sentement de l\\u2019aide \\u00e0 la maison?&quot;,&quot;client_allergies_or_dietary_restrictions&quot;:&quot;Allergies ou restrictions alimentaires&quot;,&quot;client_info_share&quot;:&quot;Pouvons-nous avoir votre consentement \\u00e0 partager votre information de sant\\u00e9 personnelle avec nos agences partenaires dans le domaine des soins de sant\\u00e9 ?&quot;,&quot;emergency_contact_1_name&quot;:&quot;&quot;,&quot;emergency_contact_1_primary_number&quot;:&quot;&quot;,&quot;emergency_contact_1_relationship&quot;:&quot;&quot;,&quot;emergency_contact_2_name&quot;:&quot;&quot;,&quot;emergency_contact_2_primary_number&quot;:&quot;&quot;,&quot;emergency_contact_2_relationship&quot;:&quot;&quot;,&quot;how_did_they_hear_of_mow&quot;:&quot;Comment avez-vous entendu parler de la Popote roulante?&quot;,&quot;how_did_they_hear_of_mow_other&quot;:&quot;Si autre, veuillez sp\\u00e9cifier&quot;,&quot;gift_certificate&quot;:&quot;Avez-vous un ch\\u00e8que-cadeau?&quot;},&quot;field_logics&quot;:{&quot;name-person-filling-out-form&quot;:&quot;&quot;,&quot;email-person-filling-out-form&quot;:&quot;&quot;,&quot;who_should_we_contact_to_set_up_services&quot;:&quot;&quot;,&quot;name-person-needing-service&quot;:&quot;&quot;,&quot;client_phone_primary&quot;:&quot;&quot;,&quot;client_phone_secondary&quot;:&quot;&quot;,&quot;client_address_1&quot;:&quot;&quot;,&quot;client_address_2&quot;:&quot;&quot;,&quot;client_address_city&quot;:&quot;&quot;,&quot;client_address_province&quot;:&quot;&quot;,&quot;client_address_postal_code&quot;:&quot;&quot;,&quot;client_address_ring_number&quot;:&quot;&quot;,&quot;client_program_of_interest&quot;:&quot;&quot;,&quot;client_preferred_language&quot;:&quot;&quot;,&quot;client_lives_alone&quot;:&quot;&quot;,&quot;client_health_card_number&quot;:&quot;&quot;,&quot;client_date_of_birth&quot;:&quot;&quot;,&quot;client_reason_for_meal_program&quot;:&quot;&quot;,&quot;client_home_care_support&quot;:&quot;&quot;,&quot;client_allergies_or_dietary_restrictions&quot;:&quot;&quot;,&quot;client_info_share&quot;:&quot;&quot;,&quot;emergency_contact_1_name&quot;:&quot;&quot;,&quot;emergency_contact_1_primary_number&quot;:&quot;&quot;,&quot;emergency_contact_1_relationship&quot;:&quot;&quot;,&quot;emergency_contact_2_name&quot;:&quot;&quot;,&quot;emergency_contact_2_primary_number&quot;:&quot;&quot;,&quot;emergency_contact_2_relationship&quot;:&quot;&quot;,&quot;how_did_they_hear_of_mow&quot;:&quot;&quot;,&quot;how_did_they_hear_of_mow_other&quot;:&quot;&quot;,&quot;gift_certificate&quot;:&quot;&quot;,&quot;submit_1&quot;:&quot;&quot;,&quot;notice_1&quot;:&quot;&quot;},&quot;field_types&quot;:{&quot;name-person-filling-out-form&quot;:&quot;text&quot;,&quot;email-person-filling-out-form&quot;:&quot;email&quot;,&quot;who_should_we_contact_to_set_up_services&quot;:&quot;select&quot;,&quot;name-person-needing-service&quot;:&quot;text&quot;,&quot;client_phone_primary&quot;:&quot;phone_number&quot;,&quot;client_phone_secondary&quot;:&quot;phone_number&quot;,&quot;client_address_1&quot;:&quot;text&quot;,&quot;client_address_2&quot;:&quot;text&quot;,&quot;client_address_city&quot;:&quot;text&quot;,&quot;client_address_province&quot;:&quot;text&quot;,&quot;client_address_postal_code&quot;:&quot;text&quot;,&quot;client_address_ring_number&quot;:&quot;text&quot;,&quot;client_program_of_interest&quot;:&quot;radio&quot;,&quot;client_preferred_language&quot;:&quot;radio&quot;,&quot;client_lives_alone&quot;:&quot;radio&quot;,&quot;client_health_card_number&quot;:&quot;text&quot;,&quot;client_date_of_birth&quot;:&quot;date&quot;,&quot;client_reason_for_meal_program&quot;:&quot;textarea&quot;,&quot;client_home_care_support&quot;:&quot;textarea&quot;,&quot;client_allergies_or_dietary_restrictions&quot;:&quot;textarea&quot;,&quot;client_info_share&quot;:&quot;radio&quot;,&quot;emergency_contact_1_name&quot;:&quot;text&quot;,&quot;emergency_contact_1_primary_number&quot;:&quot;phone_number&quot;,&quot;emergency_contact_1_relationship&quot;:&quot;text&quot;,&quot;emergency_contact_2_name&quot;:&quot;text&quot;,&quot;emergency_contact_2_primary_number&quot;:&quot;phone_number&quot;,&quot;emergency_contact_2_relationship&quot;:&quot;text&quot;,&quot;how_did_they_hear_of_mow&quot;:&quot;radio&quot;,&quot;how_did_they_hear_of_mow_other&quot;:&quot;text&quot;,&quot;gift_certificate&quot;:&quot;radio&quot;,&quot;recaptcha_1&quot;:&quot;recaptcha&quot;,&quot;submit_1&quot;:&quot;submit&quot;,&quot;notice_1&quot;:&quot;notice&quot;},&quot;nonce_method&quot;:&quot;ajax&quot;,&quot;form_views&quot;:&quot;ajax&quot;,&quot;form_views_counting&quot;:&quot;all&quot;}\"><form action=\"https:\/\/mealsonwheels-ottawa.org\/fr\/programme-de-repas\/formulaire-de-demande\/\" method=\"post\" class=\"fusion-form fusion-form-918\"><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1-1 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-2 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:0;--awb-flex-shrink-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:0;--awb-flex-shrink-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-3 fusion-sep-none fusion-title-text fusion-title-size-four\" style=\"--awb-margin-bottom:10px;--awb-margin-top-small:10px;--awb-margin-right-small:0px;--awb-margin-bottom-small:10px;--awb-margin-left-small:0px;--awb-font-size:30px;\"><h4 class=\"fusion-title-heading title-heading-left fusion-responsive-typography-calculated\" style=\"margin:0;font-size:1em;--fontSize:30;line-height:var(--awb-typography1-line-height);\">Information de contact<\/h4><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-3 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:0;--awb-flex-shrink-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:0;--awb-flex-shrink-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"918\"><div class=\"fusion-form-label-wrapper\"><label for=\"name-person-filling-out-form\">Nom de la personne qui rempli cette demande <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"text\" autocomplete=\"off\" name=\"name-person-filling-out-form\" id=\"name-person-filling-out-form\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><div class=\"fusion-form-field fusion-form-email-field fusion-form-label-above\" style=\"\" data-form-id=\"918\"><div class=\"fusion-form-label-wrapper\"><label for=\"email-person-filling-out-form\">Courriel (afin de communiquer avec vous)<\/label><\/div><input type=\"email\" autocomplete=\"off\" name=\"email-person-filling-out-form\" id=\"email-person-filling-out-form\" value=\"\"  class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-4 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:0;--awb-flex-shrink-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:0;--awb-flex-shrink-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-select-field fusion-form-label-above\" style=\"\" data-form-id=\"918\"><label for=\"who_should_we_contact_to_set_up_services\">Qui devrons-nous contacter pour d\u00e9buter le service? <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><div class=\"fusion-select-wrapper\"><select autocomplete=\"off\" tabindex=\"\" id=\"who_should_we_contact_to_set_up_services\" name=\"who_should_we_contact_to_set_up_services\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"><option value=\"Client directement\" >Client directement<\/option><option value=\"Premier contact en cas d'urgence\" >Premier contact en cas d'urgence<\/option><option value=\"Deuxi\u00e8me contact en cas d'urgence\" >Deuxi\u00e8me contact en cas d'urgence<\/option><\/select><div class=\"select-arrow\"><svg width=\"12\" height=\"8\" viewBox=\"0 0 12 8\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"> <path d=\"M1.5 1.75L6 6.25L10.5 1.75\" stroke=\"#6D6D6D\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"\/> <\/svg><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-5 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:0;--awb-flex-shrink-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:0;--awb-flex-shrink-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:10px;width:100%;\"><div class=\"fusion-separator-border sep-single sep-solid\" style=\"--awb-height:20px;--awb-amount:20px;border-color:var(--awb-color3);border-top-width:2px;\"><\/div><\/div><div class=\"fusion-title title fusion-title-4 fusion-sep-none fusion-title-text fusion-title-size-four\" style=\"--awb-margin-top:40px;--awb-margin-bottom:10px;--awb-margin-top-small:10px;--awb-margin-right-small:0px;--awb-margin-bottom-small:10px;--awb-margin-left-small:0px;--awb-font-size:30px;\"><h4 class=\"fusion-title-heading title-heading-left fusion-responsive-typography-calculated\" style=\"margin:0;font-size:1em;--fontSize:30;line-height:var(--awb-typography1-line-height);\">Information au sujet du client<\/h4><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-6 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:0;--awb-flex-shrink-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:0;--awb-flex-shrink-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"918\"><div class=\"fusion-form-label-wrapper\"><label for=\"name-person-needing-service\">Nom du client <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"text\" autocomplete=\"off\" name=\"name-person-needing-service\" id=\"name-person-needing-service\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><div class=\"fusion-text fusion-text-3 fusion-text-no-margin\" style=\"--awb-margin-bottom:5px;\"><p>Num\u00e9ros de t\u00e9l\u00e9phone<\/p>\n<\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-7 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:3.84%;--awb-width-medium:50%;--awb-order-medium:0;--awb-flex-grow-medium:0;--awb-flex-shrink-medium:0;--awb-spacing-right-medium:3.84%;--awb-spacing-left-medium:3.84%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:0;--awb-flex-shrink-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-phone-number-field fusion-form-label-above\" style=\"\" data-form-id=\"918\"><input type=\"tel\" autocomplete=\"off\" name=\"client_phone_primary\" id=\"client_phone_primary\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" placeholder=\"Primaire *\" data-holds-private-data=\"false\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-8 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:3.84%;--awb-width-medium:50%;--awb-order-medium:0;--awb-flex-grow-medium:0;--awb-flex-shrink-medium:0;--awb-spacing-right-medium:3.84%;--awb-spacing-left-medium:3.84%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:0;--awb-flex-shrink-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-phone-number-field fusion-form-label-above\" style=\"\" data-form-id=\"918\"><input type=\"tel\" autocomplete=\"off\" name=\"client_phone_secondary\" id=\"client_phone_secondary\" value=\"\"  class=\"fusion-form-input\" placeholder=\"Secondaire \" data-holds-private-data=\"false\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-9 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:0;--awb-flex-shrink-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:0;--awb-flex-shrink-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-4 fusion-text-no-margin\" style=\"--awb-margin-bottom:5px;\"><p>Adresse:<\/p>\n<\/div><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"918\"><input type=\"text\" autocomplete=\"off\" name=\"client_address_1\" id=\"client_address_1\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" placeholder=\"Adresse Postal *\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"918\"><input type=\"text\" autocomplete=\"off\" name=\"client_address_2\" id=\"client_address_2\" value=\"\"  class=\"fusion-form-input\" placeholder=\"Address Postal \" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"918\"><input type=\"text\" autocomplete=\"off\" name=\"client_address_city\" id=\"client_address_city\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" placeholder=\"Ville *\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-10 fusion_builder_column_1_3 1_3 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:33.333333333333%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:5.76%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:5.76%;--awb-width-medium:33.333333333333%;--awb-order-medium:0;--awb-flex-grow-medium:0;--awb-flex-shrink-medium:0;--awb-spacing-right-medium:5.76%;--awb-spacing-left-medium:5.76%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:0;--awb-flex-shrink-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"918\"><input type=\"text\" autocomplete=\"off\" name=\"client_address_province\" id=\"client_address_province\" value=\"\"  class=\"fusion-form-input\" placeholder=\"Province \" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-11 fusion_builder_column_1_3 1_3 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:33.333333333333%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:5.76%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:5.76%;--awb-width-medium:33.333333333333%;--awb-order-medium:0;--awb-flex-grow-medium:0;--awb-flex-shrink-medium:0;--awb-spacing-right-medium:5.76%;--awb-spacing-left-medium:5.76%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:0;--awb-flex-shrink-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"918\"><input type=\"text\" autocomplete=\"off\" name=\"client_address_postal_code\" id=\"client_address_postal_code\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" placeholder=\"Code Postal *\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-12 fusion_builder_column_1_3 1_3 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:33.333333333333%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:5.76%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:5.76%;--awb-width-medium:33.333333333333%;--awb-order-medium:0;--awb-flex-grow-medium:0;--awb-flex-shrink-medium:0;--awb-spacing-right-medium:5.76%;--awb-spacing-left-medium:5.76%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:0;--awb-flex-shrink-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"918\"><input type=\"text\" autocomplete=\"off\" name=\"client_address_ring_number\" id=\"client_address_ring_number\" value=\"\"  class=\"fusion-form-input\" placeholder=\"Num\u00e9ro de la sonnerie \" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-13 fusion_builder_column_1_3 1_3 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:33.333333333333%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:5.76%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:5.76%;--awb-width-medium:33.333333333333%;--awb-order-medium:0;--awb-flex-grow-medium:0;--awb-flex-shrink-medium:0;--awb-spacing-right-medium:5.76%;--awb-spacing-left-medium:5.76%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:0;--awb-flex-shrink-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-radio-field fusion-form-label-above\" style=\"\" data-form-id=\"918\"><fieldset><legend class=\"fusion-form-label-wrapper\"><span class=\"label\">Quel programme est d&#039;int\u00e9r\u00eat?<\/span><\/legend><div class=\"fusion-form-radio\"><input tabindex=\"\" id=\"radio-client_program_of_interest-1-0\" type=\"radio\" value=\"Repas Chauds\" name=\"client_program_of_interest\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-client_program_of_interest-1-0\">Repas Chauds<\/label><\/div><div class=\"fusion-form-radio\"><input tabindex=\"\" id=\"radio-client_program_of_interest-1-1\" type=\"radio\" value=\"Repas Congel\u00e9s\" name=\"client_program_of_interest\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-client_program_of_interest-1-1\">Repas Congel\u00e9s<\/label><\/div><div class=\"fusion-form-radio\"><input tabindex=\"\" id=\"radio-client_program_of_interest-1-2\" type=\"radio\" value=\"Les deux\" name=\"client_program_of_interest\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-client_program_of_interest-1-2\">Les deux<\/label><\/div><\/fieldset><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-14 fusion_builder_column_1_3 1_3 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:33.333333333333%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:5.76%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:5.76%;--awb-width-medium:33.333333333333%;--awb-order-medium:0;--awb-flex-grow-medium:0;--awb-flex-shrink-medium:0;--awb-spacing-right-medium:5.76%;--awb-spacing-left-medium:5.76%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:0;--awb-flex-shrink-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-radio-field fusion-form-label-above\" style=\"\" data-form-id=\"918\"><fieldset><legend class=\"fusion-form-label-wrapper\"><span class=\"label\">Langue parl\u00e9e de pr\u00e9f\u00e9rence<\/span><\/legend><div class=\"fusion-form-radio\"><input tabindex=\"\" id=\"radio-client_preferred_language-2-0\" type=\"radio\" value=\"Anglais\" name=\"client_preferred_language\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-client_preferred_language-2-0\">Anglais<\/label><\/div><div class=\"fusion-form-radio\"><input tabindex=\"\" id=\"radio-client_preferred_language-2-1\" type=\"radio\" value=\"Fran\u00e7ais\" name=\"client_preferred_language\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-client_preferred_language-2-1\">Fran\u00e7ais<\/label><\/div><\/fieldset><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-15 fusion_builder_column_1_3 1_3 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:33.333333333333%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:5.76%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:5.76%;--awb-width-medium:33.333333333333%;--awb-order-medium:0;--awb-flex-grow-medium:0;--awb-flex-shrink-medium:0;--awb-spacing-right-medium:5.76%;--awb-spacing-left-medium:5.76%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:0;--awb-flex-shrink-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-radio-field fusion-form-label-above\" style=\"\" data-form-id=\"918\"><fieldset><legend class=\"fusion-form-label-wrapper\"><span class=\"label\">Est-ce que vous habitez seul(e)?<\/span><\/legend><div class=\"fusion-form-radio\"><input tabindex=\"\" id=\"radio-client_lives_alone-3-0\" type=\"radio\" value=\"Oui\" name=\"client_lives_alone\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-client_lives_alone-3-0\">Oui<\/label><\/div><div class=\"fusion-form-radio\"><input tabindex=\"\" id=\"radio-client_lives_alone-3-1\" type=\"radio\" value=\"Non\" name=\"client_lives_alone\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-client_lives_alone-3-1\">Non<\/label><\/div><\/fieldset><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-16 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:0;--awb-flex-shrink-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:0;--awb-flex-shrink-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:10px;width:100%;\"><div class=\"fusion-separator-border sep-single sep-solid\" style=\"--awb-height:20px;--awb-amount:20px;border-color:var(--awb-color3);border-top-width:2px;\"><\/div><\/div><div class=\"fusion-title title fusion-title-5 fusion-sep-none fusion-title-text fusion-title-size-four\" style=\"--awb-margin-top:40px;--awb-margin-bottom:10px;--awb-margin-top-small:10px;--awb-margin-right-small:0px;--awb-margin-bottom-small:10px;--awb-margin-left-small:0px;--awb-font-size:30px;\"><h4 class=\"fusion-title-heading title-heading-left fusion-responsive-typography-calculated\" style=\"margin:0;font-size:1em;--fontSize:30;line-height:var(--awb-typography1-line-height);\">Information M\u00e9dicale<\/h4><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-17 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:3.84%;--awb-width-medium:50%;--awb-order-medium:0;--awb-flex-grow-medium:0;--awb-flex-shrink-medium:0;--awb-spacing-right-medium:3.84%;--awb-spacing-left-medium:3.84%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:0;--awb-flex-shrink-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"918\"><div class=\"fusion-form-label-wrapper\"><label for=\"client_health_card_number\">Num\u00e9ro de carte sant\u00e9 <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"text\" autocomplete=\"off\" name=\"client_health_card_number\" id=\"client_health_card_number\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-18 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:3.84%;--awb-width-medium:50%;--awb-order-medium:0;--awb-flex-grow-medium:0;--awb-flex-shrink-medium:0;--awb-spacing-right-medium:3.84%;--awb-spacing-left-medium:3.84%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:0;--awb-flex-shrink-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-date-field fusion-form-label-above\" style=\"\" data-form-id=\"918\"><label for=\"client_date_of_birth\">Date de naissance <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><input autocomplete=\"off\" type=\"date\" data-first-day=\"1\"  data-format=\"\" tabindex=\"\" id=\"client_date_of_birth\" name=\"client_date_of_birth\" data-type=\"native\" value=\"\" data-holds-private-data=\"false\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" placeholder=\" YYYY MM DD *\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-19 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:3.84%;--awb-width-medium:50%;--awb-order-medium:0;--awb-flex-grow-medium:0;--awb-flex-shrink-medium:0;--awb-spacing-right-medium:3.84%;--awb-spacing-left-medium:3.84%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:0;--awb-flex-shrink-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-textarea-field fusion-form-label-above\" style=\"\" data-form-id=\"918\"><label for=\"client_reason_for_meal_program\">Raison pour laquelle vous demandez \u00e0 recevoir des repas<\/label><textarea cols=\"40\" autocomplete=\"off\"  minlength=\"0\"  rows=\"2\" tabindex=\"\" id=\"client_reason_for_meal_program\" name=\"client_reason_for_meal_program\" class=\"fusion-form-input\" data-holds-private-data=\"false\"><\/textarea><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-20 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:3.84%;--awb-width-medium:50%;--awb-order-medium:0;--awb-flex-grow-medium:0;--awb-flex-shrink-medium:0;--awb-spacing-right-medium:3.84%;--awb-spacing-left-medium:3.84%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:0;--awb-flex-shrink-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-textarea-field fusion-form-label-above\" style=\"\" data-form-id=\"918\"><label for=\"client_home_care_support\">Est-ce que vous recevez pr\u00e9sentement de l\u2019aide \u00e0 la maison?<\/label><textarea cols=\"40\" autocomplete=\"off\"  minlength=\"0\"  rows=\"2\" tabindex=\"\" id=\"client_home_care_support\" name=\"client_home_care_support\" class=\"fusion-form-input\" data-holds-private-data=\"false\"><\/textarea><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-21 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:3.84%;--awb-width-medium:50%;--awb-order-medium:0;--awb-flex-grow-medium:0;--awb-flex-shrink-medium:0;--awb-spacing-right-medium:3.84%;--awb-spacing-left-medium:3.84%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:0;--awb-flex-shrink-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-textarea-field fusion-form-label-above\" style=\"\" data-form-id=\"918\"><label for=\"client_allergies_or_dietary_restrictions\">Allergies ou restrictions alimentaires<\/label><textarea cols=\"40\" autocomplete=\"off\"  minlength=\"0\"  rows=\"2\" tabindex=\"\" id=\"client_allergies_or_dietary_restrictions\" name=\"client_allergies_or_dietary_restrictions\" class=\"fusion-form-input\" data-holds-private-data=\"false\"><\/textarea><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-22 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:3.84%;--awb-width-medium:50%;--awb-order-medium:0;--awb-flex-grow-medium:0;--awb-flex-shrink-medium:0;--awb-spacing-right-medium:3.84%;--awb-spacing-left-medium:3.84%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:0;--awb-flex-shrink-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-radio-field fusion-form-label-above\" style=\"\" data-form-id=\"918\"><fieldset><legend class=\"fusion-form-label-wrapper\"><span class=\"label\">Pouvons-nous avoir votre consentement \u00e0 partager votre information de sant\u00e9 personnelle avec nos agences partenaires dans le domaine des soins de sant\u00e9 ? <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/span><\/legend><div class=\"fusion-form-radio\"><input tabindex=\"\" id=\"radio-client_info_share-4-0\" type=\"radio\" value=\"Oui\" name=\"client_info_share\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"radio-client_info_share-4-0\">Oui<\/label><\/div><div class=\"fusion-form-radio\"><input tabindex=\"\" id=\"radio-client_info_share-4-1\" type=\"radio\" value=\"Non\" name=\"client_info_share\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"radio-client_info_share-4-1\">Non<\/label><\/div><\/fieldset><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-23 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:0;--awb-flex-shrink-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:0;--awb-flex-shrink-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:10px;width:100%;\"><div class=\"fusion-separator-border sep-single sep-solid\" style=\"--awb-height:20px;--awb-amount:20px;border-color:var(--awb-color3);border-top-width:2px;\"><\/div><\/div><div class=\"fusion-title title fusion-title-6 fusion-sep-none fusion-title-text fusion-title-size-four\" style=\"--awb-margin-top:40px;--awb-margin-bottom:10px;--awb-margin-top-small:10px;--awb-margin-right-small:0px;--awb-margin-bottom-small:10px;--awb-margin-left-small:0px;--awb-font-size:30px;\"><h4 class=\"fusion-title-heading title-heading-left fusion-responsive-typography-calculated\" style=\"margin:0;font-size:1em;--fontSize:30;line-height:var(--awb-typography1-line-height);\">Contacts d'urgence<\/h4><\/div><div class=\"fusion-text fusion-text-5\"><p>Je consens \u00e0 la Popote roulante d'appeler les num\u00e9ros d'urgence suivants :<\/p>\n<\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-24 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:3.84%;--awb-width-medium:50%;--awb-order-medium:0;--awb-flex-grow-medium:0;--awb-flex-shrink-medium:0;--awb-spacing-right-medium:3.84%;--awb-spacing-left-medium:3.84%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:0;--awb-flex-shrink-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-6 fusion-text-no-margin\" style=\"--awb-margin-bottom:5px;\"><p>Premier contact en cas d'urgence<\/p>\n<\/div><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"918\"><input type=\"text\" autocomplete=\"off\" name=\"emergency_contact_1_name\" id=\"emergency_contact_1_name\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" placeholder=\"Nom *\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><div class=\"fusion-text fusion-text-7 fusion-text-no-margin\" style=\"--awb-font-size:13px;--awb-margin-top:0px;--awb-margin-bottom:0px;\"><p>Entrez le num\u00e9ro de t\u00e9l\u00e9phone sans caract\u00e8res sp\u00e9ciaux ni tirets :<\/p>\n<\/div><div class=\"fusion-form-field fusion-form-phone-number-field fusion-form-label-above\" style=\"\" data-form-id=\"918\"><input type=\"tel\" autocomplete=\"off\" name=\"emergency_contact_1_primary_number\" id=\"emergency_contact_1_primary_number\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" placeholder=\"Num\u00e9ro de t\u00e9l\u00e9phone *\" data-holds-private-data=\"false\"\/><\/div><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"918\"><input type=\"text\" autocomplete=\"off\" name=\"emergency_contact_1_relationship\" id=\"emergency_contact_1_relationship\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" placeholder=\"Lien *\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-25 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:3.84%;--awb-width-medium:50%;--awb-order-medium:0;--awb-flex-grow-medium:0;--awb-flex-shrink-medium:0;--awb-spacing-right-medium:3.84%;--awb-spacing-left-medium:3.84%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:0;--awb-flex-shrink-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-8 fusion-text-no-margin\" style=\"--awb-margin-bottom:5px;\"><p>Deuxi\u00e8me contact en cas d'urgence<\/p>\n<\/div><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"918\"><input type=\"text\" autocomplete=\"off\" name=\"emergency_contact_2_name\" id=\"emergency_contact_2_name\" value=\"\"  class=\"fusion-form-input\" placeholder=\"Nom \" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><div class=\"fusion-text fusion-text-9 fusion-text-no-margin\" style=\"--awb-font-size:13px;--awb-margin-top:0px;--awb-margin-bottom:0px;\"><p>Entrez le num\u00e9ro de t\u00e9l\u00e9phone sans caract\u00e8res sp\u00e9ciaux ni tirets :<\/p>\n<\/div>\n<div class=\"fusion-form-field fusion-form-phone-number-field fusion-form-label-above\" style=\"\" data-form-id=\"918\"><input type=\"tel\" autocomplete=\"off\" name=\"emergency_contact_2_primary_number\" id=\"emergency_contact_2_primary_number\" value=\"\"  class=\"fusion-form-input\" placeholder=\"Num\u00e9ro de t\u00e9l\u00e9phone \" data-holds-private-data=\"false\"\/><\/div><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"918\"><input type=\"text\" autocomplete=\"off\" name=\"emergency_contact_2_relationship\" id=\"emergency_contact_2_relationship\" value=\"\"  class=\"fusion-form-input\" placeholder=\"Lien \" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-26 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:0;--awb-flex-shrink-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:0;--awb-flex-shrink-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:10px;width:100%;\"><div class=\"fusion-separator-border sep-single sep-solid\" style=\"--awb-height:20px;--awb-amount:20px;border-color:var(--awb-color3);border-top-width:2px;\"><\/div><\/div><div class=\"fusion-title title fusion-title-7 fusion-sep-none fusion-title-text fusion-title-size-four\" style=\"--awb-margin-top:40px;--awb-margin-bottom:10px;--awb-margin-top-small:10px;--awb-margin-right-small:0px;--awb-margin-bottom-small:10px;--awb-margin-left-small:0px;--awb-font-size:30px;\"><h4 class=\"fusion-title-heading title-heading-left fusion-responsive-typography-calculated\" style=\"margin:0;font-size:1em;--fontSize:30;line-height:var(--awb-typography1-line-height);\">Informations suppl\u00e9mentaires<\/h4><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-27 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:0;--awb-flex-shrink-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:0;--awb-flex-shrink-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-radio-field fusion-form-label-above\" style=\"\" data-form-id=\"918\"><fieldset><legend class=\"fusion-form-label-wrapper\"><span class=\"label\">Comment avez-vous entendu parler de la Popote roulante?<\/span><\/legend><div class=\"fusion-form-radio\"><input tabindex=\"\" id=\"radio-how_did_they_hear_of_mow-5-0\" type=\"radio\" value=\"Connaissance pr\u00e9alable\" name=\"how_did_they_hear_of_mow\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-how_did_they_hear_of_mow-5-0\">Connaissance pr\u00e9alable<\/label><\/div><div class=\"fusion-form-radio\"><input tabindex=\"\" id=\"radio-how_did_they_hear_of_mow-5-1\" type=\"radio\" value=\"Famille\/ami\/b\u00e9n\u00e9vole\" name=\"how_did_they_hear_of_mow\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-how_did_they_hear_of_mow-5-1\">Famille\/ami\/b\u00e9n\u00e9vole<\/label><\/div><div class=\"fusion-form-radio\"><input tabindex=\"\" id=\"radio-how_did_they_hear_of_mow-5-2\" type=\"radio\" value=\"Coordonnateur de Vieillir chez soi\" name=\"how_did_they_hear_of_mow\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-how_did_they_hear_of_mow-5-2\">Coordonnateur de Vieillir chez soi<\/label><\/div><div class=\"fusion-form-radio\"><input tabindex=\"\" id=\"radio-how_did_they_hear_of_mow-5-3\" type=\"radio\" value=\"Site Internet\" name=\"how_did_they_hear_of_mow\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-how_did_they_hear_of_mow-5-3\">Site Internet<\/label><\/div><div class=\"fusion-form-radio\"><input tabindex=\"\" id=\"radio-how_did_they_hear_of_mow-5-4\" type=\"radio\" value=\"H\u00f4pital\" name=\"how_did_they_hear_of_mow\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-how_did_they_hear_of_mow-5-4\">H\u00f4pital<\/label><\/div><div class=\"fusion-form-radio\"><input tabindex=\"\" id=\"radio-how_did_they_hear_of_mow-5-5\" type=\"radio\" value=\"Autre:\" name=\"how_did_they_hear_of_mow\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-how_did_they_hear_of_mow-5-5\">Autre:<\/label><\/div><\/fieldset><\/div><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"918\"><div class=\"fusion-form-label-wrapper\"><label for=\"how_did_they_hear_of_mow_other\">Si autre, veuillez sp\u00e9cifier<\/label><\/div><input type=\"text\" autocomplete=\"off\" name=\"how_did_they_hear_of_mow_other\" id=\"how_did_they_hear_of_mow_other\" value=\"\"  class=\"fusion-form-input\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><div class=\"fusion-form-field fusion-form-radio-field fusion-form-label-above\" style=\"\" data-form-id=\"918\"><fieldset><legend class=\"fusion-form-label-wrapper\"><span class=\"label\">Avez-vous un ch\u00e8que-cadeau?<\/span><\/legend><div class=\"fusion-form-radio\"><input tabindex=\"\" id=\"radio-gift_certificate-6-0\" type=\"radio\" value=\"Oui\" name=\"gift_certificate\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-gift_certificate-6-0\">Oui<\/label><\/div><div class=\"fusion-form-radio\"><input tabindex=\"\" id=\"radio-gift_certificate-6-1\" type=\"radio\" value=\"Non\" name=\"gift_certificate\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"radio-gift_certificate-6-1\">Non<\/label><\/div><\/fieldset><\/div><div class=\"fusion-form-field fusion-form-recaptcha-field fusion-form-label-above\" style=\"\" data-form-id=\"918\">\t\t\t\t<div class=\"form-creator-recaptcha\" >\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div><div class=\"fusion-form-field fusion-form-submit-field fusion-form-label-above\" style=\"\" data-form-id=\"918\"><div ><button type=\"submit\" class=\"fusion-button button-flat fusion-button-default-size button-default fusion-button-default button-2 fusion-button-default-span  button-default form-form-submit\" data-form-number=\"918\" tabindex=\"\"><span class=\"fusion-button-text awb-button__text awb-button__text--default\">Soumettre<\/span><\/button><\/div><\/div><div class=\"form-submission-notices data-notice_1\" id=\"fusion-notices-1\" data-instance=\"1\"><div class=\"fusion-alert alert success alert-success fusion-alert-center fusion-form-response fusion-form-response-success awb-alert-inherit-link-color alert-dismissable awb-alert-close-boxed\" role=\"alert\"><div class=\"fusion-alert-content-wrapper\"><span class=\"alert-icon\"><i class=\"awb-icon-check-circle\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-alert-content\">Nous vous remercions pour votre candidature. Elle a \u00e9t\u00e9 envoy\u00e9e.<\/span><\/div><button type=\"button\" class=\"close toggle-alert\" data-dismiss=\"alert\" aria-label=\"Close\">&times;<\/button><\/div><div class=\"fusion-alert alert error alert-danger fusion-alert-center fusion-form-response fusion-form-response-error awb-alert-inherit-link-color alert-dismissable awb-alert-close-boxed\" role=\"alert\"><div class=\"fusion-alert-content-wrapper\"><span class=\"alert-icon\"><i class=\"awb-icon-exclamation-triangle\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-alert-content\">Une erreur s'est produite lors de l'envoi de votre candidature. Veuillez r\u00e9essayer plus tard.<\/span><\/div><button type=\"button\" class=\"close toggle-alert\" data-dismiss=\"alert\" aria-label=\"Close\">&times;<\/button><\/div><\/div><\/div><\/div><\/div><\/div><input type=\"hidden\" name=\"fusion_privacy_expiration_interval\" value=\"48\"><input type=\"hidden\" name=\"privacy_expiration_action\" value=\"anonymize\"><\/form><\/div><\/div><\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":880,"menu_order":3,"comment_status":"closed","ping_status":"closed","template":"100-width.php","meta":{"footnotes":""},"class_list":["post-892","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/mealsonwheels-ottawa.org\/fr\/wp-json\/wp\/v2\/pages\/892","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/mealsonwheels-ottawa.org\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/mealsonwheels-ottawa.org\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/mealsonwheels-ottawa.org\/fr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/mealsonwheels-ottawa.org\/fr\/wp-json\/wp\/v2\/comments?post=892"}],"version-history":[{"count":5,"href":"https:\/\/mealsonwheels-ottawa.org\/fr\/wp-json\/wp\/v2\/pages\/892\/revisions"}],"predecessor-version":[{"id":1662,"href":"https:\/\/mealsonwheels-ottawa.org\/fr\/wp-json\/wp\/v2\/pages\/892\/revisions\/1662"}],"up":[{"embeddable":true,"href":"https:\/\/mealsonwheels-ottawa.org\/fr\/wp-json\/wp\/v2\/pages\/880"}],"wp:attachment":[{"href":"https:\/\/mealsonwheels-ottawa.org\/fr\/wp-json\/wp\/v2\/media?parent=892"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}