{"id":2810,"date":"2021-02-18T11:44:19","date_gmt":"2021-02-18T10:44:19","guid":{"rendered":"https:\/\/aca-pl.com\/?page_id=2810"},"modified":"2021-02-18T11:44:20","modified_gmt":"2021-02-18T10:44:20","slug":"questionnaire-protection-juridique","status":"publish","type":"page","link":"https:\/\/aca-pl.com\/?page_id=2810","title":{"rendered":"QUESTIONNAIRE PROTECTION JURIDIQUE"},"content":{"rendered":"\n<p class=\"has-background\" style=\"background-color:#f1e830\">L&rsquo;objectif de ce questionnaire est d&rsquo;obtenir les informations destin\u00e9es \u00e0 votre \u00e9tude personnalis\u00e9e. Ces informations ne seront en aucun cas transmis \u00e0 des tiers, hormis les assureurs interrog\u00e9s. Merci de s\u00e9lectionner les propositions ou bien de remplir les informations demand\u00e9es. Si certaines r\u00e9ponses propos\u00e9es, ne correspondent pas, indiquez-le-nous dans votre message d&rsquo;envoi.<\/p>\n\n\n\n<div class=\"forminator-guttenberg\"><div class=\"forminator-ui forminator-custom-form forminator-custom-form-2799 forminator-design--default  forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-2799\" data-uid=\"69e5c64fb281b\"><br\/><\/div><form\n\t\t\t\tid=\"forminator-module-2799\"\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-2799 forminator-design--default  forminator_ajax\"\n\t\t\t\tmethod=\"post\"\n\t\t\t\tdata-forminator-render=\"0\"\n\t\t\t\tdata-form-id=\"2799\"\n\t\t\t\t\n\t\t\t\tdata-design=\"default\"\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\tdata-grid=\"open\"\n\t\t\t\t\n\t\t\t\t\n\t\t\t\tstyle=\"display: none;\"\n\t\t\t\t\n\t\t\t\tdata-uid=\"69e5c64fb281b\"\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-row forminator-no-margin\" data-multiple=\"true\"><div class=\"forminator-col forminator-col-md-6\"><div class=\"forminator-field\"><label for=\"forminator-form-2799__field--name-1_69e5c64fb281b\" id=\"forminator-form-2799__field--name-1_69e5c64fb281b-label\" class=\"forminator-label\">Pr\u00e9fixe<\/label><select name=\"name-1-prefix\" id=\"forminator-form-2799__field--name-1_69e5c64fb281b\" class=\"forminator-select2\" data-multi=\"1\" aria-labelledby=\"forminator-form-2799__field--name-1_69e5c64fb281b-label\" data-default-value=\"\"><option value=\"Mr\" >M.<\/option><option value=\"Mrs\" >Mme<\/option><option value=\"Ms\" >Mme<\/option><option value=\"Mx\" >Mx<\/option><option value=\"Miss\" >Mlle<\/option><option value=\"Dr\" >Dr.<\/option><option value=\"Prof\" >Prof.<\/option><\/select><\/div><\/div><div class=\"forminator-col forminator-col-md-6\"><div class=\"forminator-field\"><label for=\"forminator-field-first-name-1_69e5c64fb281b\" class=\"forminator-label\" id=\"forminator-field-first-name-1_69e5c64fb281b-label\">Pr\u00e9nom <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-1-first-name\" placeholder=\"Par exemple : &quot;Jean&quot;\" id=\"forminator-field-first-name-1_69e5c64fb281b\" class=\"forminator-input\" aria-required=\"true\" data-multi=\"1\" value=\"\" \/><\/div><\/div><div class=\"forminator-col forminator-col-md-6\"><div class=\"forminator-field\"><label for=\"forminator-field-last-name-1_69e5c64fb281b\" class=\"forminator-label\" id=\"forminator-field-last-name-1_69e5c64fb281b-label\">Nom de famille <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-1-last-name\" placeholder=\"Par exemple : &quot;Dupont&quot;\" id=\"forminator-field-last-name-1_69e5c64fb281b\" class=\"forminator-input\" aria-required=\"true\" data-multi=\"1\" value=\"\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"address-1\" class=\"forminator-field-address forminator-col forminator-col-12 \"><div class=\"forminator-row\"><div id=\"address-1-street_address\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-address-1-street_address_69e5c64fb281b\" class=\"forminator-label\" id=\"forminator-field-address-1-street_address_69e5c64fb281b-label\">Rue <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"address-1-street_address\" placeholder=\"Par exemple : Rue du Mar\u00e9chal Foch\" id=\"forminator-field-address-1-street_address_69e5c64fb281b\" class=\"forminator-input\" data-required=\"1\" aria-required=\"true\" value=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"address-1-address_line\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-address-1-address_line_69e5c64fb281b\" class=\"forminator-label\" id=\"forminator-field-address-1-address_line_69e5c64fb281b-label\">Appartement, suite, etc.<\/label><input type=\"text\" name=\"address-1-address_line\" placeholder=\"\" id=\"forminator-field-address-1-address_line_69e5c64fb281b\" class=\"forminator-input\" data-required=\"\" aria-required=\"false\" value=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\" data-multiple=\"false\"><div id=\"address-1-city\" class=\"forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-address-1-city_69e5c64fb281b\" class=\"forminator-label\" id=\"forminator-field-address-1-city_69e5c64fb281b-label\">Ville<\/label><input type=\"text\" name=\"address-1-city\" placeholder=\"Par exemple : Paris\" id=\"forminator-field-address-1-city_69e5c64fb281b\" class=\"forminator-input\" data-required=\"\" aria-required=\"false\" value=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\" data-multiple=\"false\"><div id=\"address-1-zip\" class=\"forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-address-1-zip_69e5c64fb281b\" class=\"forminator-label\" id=\"forminator-field-address-1-zip_69e5c64fb281b-label\">Code postal <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"address-1-zip\" placeholder=\"Par exemple : 75000\" id=\"forminator-field-address-1-zip_69e5c64fb281b\" class=\"forminator-input\" value=\"\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"phone-1\" class=\"forminator-field-phone forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-1_69e5c64fb281b\" class=\"forminator-label\" id=\"forminator-field-phone-1_69e5c64fb281b-label\">T\u00e9l\u00e9phone <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"phone-1\" value=\"\" placeholder=\"Par exemple : +1 3004005000\" id=\"forminator-field-phone-1_69e5c64fb281b\" class=\"forminator-input forminator-field--phone\" data-required=\"1\" aria-required=\"true\" autocomplete=\"off\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"email-1\" class=\"forminator-field-email forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-email-1_69e5c64fb281b\" class=\"forminator-label\" id=\"forminator-field-email-1_69e5c64fb281b-label\">Adresse de messagerie <span class=\"forminator-required\">*<\/span><\/label><input type=\"email\" name=\"email-1\" value=\"\" placeholder=\"Par exemple : jacques@martin.com\" id=\"forminator-field-email-1_69e5c64fb281b\" class=\"forminator-input forminator-email--field\" data-required=\"1\" aria-required=\"true\" \/><\/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-2799__field--select-1_69e5c64fb281b\" id=\"forminator-form-2799__field--select-1_69e5c64fb281b-label\" class=\"forminator-label\">Quel est votre statut familial ? <span class=\"forminator-required\">*<\/span><\/label><select id=\"forminator-form-2799__field--select-1_69e5c64fb281b\" class=\"forminator-select--field forminator-select2\" data-required=\"1\" name=\"select-1\" data-default-value=\"\" data-placeholder=\"Merci de choisir une option\" data-search=\"false\" aria-labelledby=\"forminator-form-2799__field--select-1_69e5c64fb281b-label\" aria-describedby=\"forminator-form-2799__field--select-1_69e5c64fb281b-description\"><option value=\"\">Merci de choisir une option<\/option><option value=\"choisir-un-statut\"  data-calculation=\"0\">Choisir un statut<\/option><option value=\"marie\"  data-calculation=\"0\">Mari\u00e9(e)<\/option><option value=\"C\u00e9libataire\"  data-calculation=\"0\">C\u00e9libataire<\/option><option value=\"Concubinage\"  data-calculation=\"0\">Concubinage<\/option><option value=\"Veuf (ve)\"  data-calculation=\"0\">Veuf (ve)<\/option><option value=\"Divorc\u00e9\"  data-calculation=\"0\">Divorc\u00e9<\/option><option value=\"Pacs\u00e9 (e)\"  data-calculation=\"0\">Pacs\u00e9 (e)<\/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_69e5c64fb281b\" id=\"forminator-field-textarea-1_69e5c64fb281b-label\" class=\"forminator-label\">Quelle est votre profession ? <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-1\" placeholder=\"Par exemple : texte indicatif pour le texte\nVous pouvez ajouter une nouvelle ligne\" id=\"forminator-field-textarea-1_69e5c64fb281b\" class=\"forminator-textarea\" rows=\"6\" style=\"min-height:20px;\" maxlength=\"50\" ><\/textarea><span id=\"forminator-field-textarea-1_69e5c64fb281b-description\" class=\"forminator-description\"><span data-limit=\"50\" data-type=\"characters\">0 \/ 50<\/span><\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-2\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-2799__field--select-2_69e5c64fb281b\" id=\"forminator-form-2799__field--select-2_69e5c64fb281b-label\" class=\"forminator-label\">Vous recherchez : <span class=\"forminator-required\">*<\/span><\/label><select id=\"forminator-form-2799__field--select-2_69e5c64fb281b\" class=\"forminator-select--field forminator-select2\" data-required=\"1\" name=\"select-2\" data-default-value=\"\" data-placeholder=\"Merci de choisir une option\" data-search=\"false\" aria-labelledby=\"forminator-form-2799__field--select-2_69e5c64fb281b-label\" aria-describedby=\"forminator-form-2799__field--select-2_69e5c64fb281b-description\"><option value=\"\">Merci de choisir une option<\/option><option value=\"Une-protection-juridique-vie-priv\u00e9e\"  data-calculation=\"0\">Une Protection Juridique Vie priv\u00e9e<\/option><option value=\"Une-protection-juridique-professionnelle\"  data-calculation=\"0\">Une protection juridique Professionnelle <\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-3\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-2799__field--select-3_69e5c64fb281b\" id=\"forminator-form-2799__field--select-3_69e5c64fb281b-label\" class=\"forminator-label\">Vous souhaitez : <span class=\"forminator-required\">*<\/span><\/label><select id=\"forminator-form-2799__field--select-3_69e5c64fb281b\" class=\"forminator-select--field forminator-select2\" data-required=\"1\" name=\"select-3\" data-default-value=\"Merci-de-faire-un-choix\" data-placeholder=\"Merci de choisir une option\" data-search=\"false\" aria-labelledby=\"forminator-form-2799__field--select-3_69e5c64fb281b-label\" aria-describedby=\"forminator-form-2799__field--select-3_69e5c64fb281b-description\"><option value=\"\">Merci de choisir une option<\/option><option value=\"Merci-de-faire-un-choix\" selected=\"selected\" data-calculation=\"0\">Merci de faire un choix<\/option><option value=\"Une-formule-une-personne\"  data-calculation=\"0\">Une formule Une personne<\/option><option value=\"une-formule-famille\"  data-calculation=\"0\">Une formule Famille<\/option><\/select><\/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_69e5c64fb281b\" id=\"forminator-field-textarea-2_69e5c64fb281b-label\" class=\"forminator-label\">Quelle est votre activit\u00e9 professionnelle ? <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-2\" placeholder=\"Par exemple : texte indicatif pour le texte\nVous pouvez ajouter une nouvelle ligne\" id=\"forminator-field-textarea-2_69e5c64fb281b\" class=\"forminator-textarea\" rows=\"6\" style=\"min-height:20px;\" maxlength=\"100\" ><\/textarea><span id=\"forminator-field-textarea-2_69e5c64fb281b-description\" class=\"forminator-description\"><span data-limit=\"100\" data-type=\"characters\">0 \/ 100<\/span><\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-4\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-2799__field--select-4_69e5c64fb281b\" id=\"forminator-form-2799__field--select-4_69e5c64fb281b-label\" class=\"forminator-label\">Avez-vous des pr\u00e9cisions \u00e0 apporter sur votre activit\u00e9 professionnelle <span class=\"forminator-required\">*<\/span><\/label><select id=\"forminator-form-2799__field--select-4_69e5c64fb281b\" class=\"forminator-select--field forminator-select2\" data-required=\"1\" name=\"select-4\" data-default-value=\"Merci-de-faire-un-choix\" data-placeholder=\"Merci de choisir une option\" data-search=\"false\" aria-labelledby=\"forminator-form-2799__field--select-4_69e5c64fb281b-label\" aria-describedby=\"forminator-form-2799__field--select-4_69e5c64fb281b-description\"><option value=\"\">Merci de choisir une option<\/option><option value=\"Oui\"  data-calculation=\"0\">Oui<\/option><option value=\"Non\"  data-calculation=\"0\">Non<\/option><option value=\"Merci-de-faire-un-choix\" selected=\"selected\" data-calculation=\"0\">Merci de faire un choix<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-3\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-3_69e5c64fb281b\" id=\"forminator-field-textarea-3_69e5c64fb281b-label\" class=\"forminator-label\">Merci de pr\u00e9ciser <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-3\" placeholder=\"Par exemple : texte indicatif pour le texte\nVous pouvez ajouter une nouvelle ligne\" id=\"forminator-field-textarea-3_69e5c64fb281b\" class=\"forminator-textarea\" rows=\"6\" style=\"min-height:20px;\" maxlength=\"100\" ><\/textarea><span id=\"forminator-field-textarea-3_69e5c64fb281b-description\" class=\"forminator-description\"><span data-limit=\"100\" data-type=\"characters\">0 \/ 100<\/span><\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"number-4\" class=\"forminator-field-number forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-number-4_69e5c64fb281b\" class=\"forminator-label\" id=\"forminator-field-number-4_69e5c64fb281b-label\">Quel est le num\u00e9ro de SIRET de votre entreprise ? <span class=\"forminator-required\">*<\/span><\/label><input name=\"number-4\" value=\"\" placeholder=\"\" id=\"forminator-field-number-4_69e5c64fb281b\" class=\"forminator-input forminator-number--field\" inputmode=\"decimal\" data-required=\"1\" data-decimals=\"2\" aria-required=\"true\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" type=\"number\" step=\"any\" min=\"1\" max=\"99999999999999999\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-1\" class=\"forminator-field-date forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-date-1-picker_69e5c64fb281b\" class=\"forminator-label\" id=\"forminator-field-date-1-picker_69e5c64fb281b-label\">Quelle est la date de cr\u00e9ation de votre entreprise? <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-input-with-icon\"><label for=\"forminator-field-date-1-picker_69e5c64fb281b\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><\/label><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-1\" value=\"\" placeholder=\"Choisissez une date\" id=\"forminator-field-date-1-picker_69e5c64fb281b\" 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=\"textarea-4\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-4_69e5c64fb281b\" id=\"forminator-field-textarea-4_69e5c64fb281b-label\" class=\"forminator-label\">Quelle est la forme juridique de votre entreprise ?  <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-4\" placeholder=\"Par exemple : texte indicatif pour le texte\nVous pouvez ajouter une nouvelle ligne\" id=\"forminator-field-textarea-4_69e5c64fb281b\" class=\"forminator-textarea\" rows=\"6\" style=\"min-height:20px;\" maxlength=\"50\" ><\/textarea><span id=\"forminator-field-textarea-4_69e5c64fb281b-description\" class=\"forminator-description\"><span data-limit=\"50\" data-type=\"characters\">0 \/ 50<\/span><\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"number-1\" class=\"forminator-field-number forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-number-1_69e5c64fb281b\" class=\"forminator-label\" id=\"forminator-field-number-1_69e5c64fb281b-label\">Quel est l\u2019effectif de votre entreprise ?  <span class=\"forminator-required\">*<\/span><\/label><input name=\"number-1\" value=\"\" placeholder=\"Exemple : &quot;2&quot;\" id=\"forminator-field-number-1_69e5c64fb281b\" class=\"forminator-input forminator-number--field\" inputmode=\"decimal\" data-required=\"1\" data-decimals=\"2\" aria-required=\"true\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" type=\"number\" step=\"any\" min=\"1\" max=\"150\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"number-2\" class=\"forminator-field-number forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-number-2_69e5c64fb281b\" class=\"forminator-label\" id=\"forminator-field-number-2_69e5c64fb281b-label\">Quel est votre chiffre d\u2019affaire ?  <span class=\"forminator-required\">*<\/span><\/label><input name=\"number-2\" value=\"\" placeholder=\"Exemple : &quot;150 000&quot;\" id=\"forminator-field-number-2_69e5c64fb281b\" class=\"forminator-input forminator-number--field\" inputmode=\"decimal\" data-required=\"1\" data-decimals=\"2\" aria-required=\"true\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" type=\"number\" step=\"any\" min=\"1\" max=\"999 999 999\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-5\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-2799__field--select-5_69e5c64fb281b\" id=\"forminator-form-2799__field--select-5_69e5c64fb281b-label\" class=\"forminator-label\">Avez-vous eu une r\u00e9siliation de la part de votre pr\u00e9c\u00e9dent assureur au cours des 24 derniers mois ?  <span class=\"forminator-required\">*<\/span><\/label><select id=\"forminator-form-2799__field--select-5_69e5c64fb281b\" class=\"forminator-select--field forminator-select2\" data-required=\"1\" name=\"select-5\" data-default-value=\"Merci-de-faire-un-choix\" data-placeholder=\"Merci de choisir une option\" data-search=\"false\" aria-labelledby=\"forminator-form-2799__field--select-5_69e5c64fb281b-label\" aria-describedby=\"forminator-form-2799__field--select-5_69e5c64fb281b-description\"><option value=\"\">Merci de choisir une option<\/option><option value=\"Oui\"  data-calculation=\"0\">Oui<\/option><option value=\"Non\"  data-calculation=\"0\">Non<\/option><option value=\"Merci-de-faire-un-choix\" selected=\"selected\" data-calculation=\"0\">Merci de faire un choix<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-6\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-2799__field--select-6_69e5c64fb281b\" id=\"forminator-form-2799__field--select-6_69e5c64fb281b-label\" class=\"forminator-label\">Avez-vous eu un sinistre au cours des 24 derniers mois ?  <span class=\"forminator-required\">*<\/span><\/label><select id=\"forminator-form-2799__field--select-6_69e5c64fb281b\" class=\"forminator-select--field forminator-select2\" data-required=\"1\" name=\"select-6\" data-default-value=\"Merci-de-faire-un-choix\" data-placeholder=\"Merci de choisir une option\" data-search=\"false\" aria-labelledby=\"forminator-form-2799__field--select-6_69e5c64fb281b-label\" aria-describedby=\"forminator-form-2799__field--select-6_69e5c64fb281b-description\"><option value=\"\">Merci de choisir une option<\/option><option value=\"Oui\"  data-calculation=\"0\">Oui<\/option><option value=\"Non\"  data-calculation=\"0\">Non<\/option><option value=\"Merci-de-faire-un-choix\" selected=\"selected\" data-calculation=\"0\">Merci de faire un choix<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"number-3\" class=\"forminator-field-number forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-number-3_69e5c64fb281b\" class=\"forminator-label\" id=\"forminator-field-number-3_69e5c64fb281b-label\">Nombre de sinistres  <span class=\"forminator-required\">*<\/span><\/label><input name=\"number-3\" value=\"\" placeholder=\"Par exemple : &quot;10&quot;\" id=\"forminator-field-number-3_69e5c64fb281b\" class=\"forminator-input forminator-number--field\" inputmode=\"decimal\" data-required=\"1\" data-decimals=\"2\" aria-required=\"true\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" type=\"number\" step=\"any\" min=\"1\" max=\"5\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-6\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-6_69e5c64fb281b\" id=\"forminator-field-textarea-6_69e5c64fb281b-label\" class=\"forminator-label\">Merci d&#039;apporter des pr\u00e9cisions <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-6\" placeholder=\"Par exemple : texte indicatif pour le texte\nVous pouvez ajouter une nouvelle ligne\" id=\"forminator-field-textarea-6_69e5c64fb281b\" class=\"forminator-textarea\" rows=\"6\" style=\"min-height:25px;\" maxlength=\"300\" ><\/textarea><span id=\"forminator-field-textarea-6_69e5c64fb281b-description\" class=\"forminator-description\"><span data-limit=\"300\" data-type=\"characters\">0 \/ 300<\/span><\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-5\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-5_69e5c64fb281b\" id=\"forminator-field-textarea-5_69e5c64fb281b-label\" class=\"forminator-label\">Souhaitez vous apporter des pr\u00e9cisions suppl\u00e9mentaires ?<\/label><textarea name=\"textarea-5\" placeholder=\"Par exemple : texte indicatif pour le texte\nVous pouvez ajouter une nouvelle ligne\" id=\"forminator-field-textarea-5_69e5c64fb281b\" class=\"forminator-textarea\" rows=\"6\" 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value=\"https:\/\/aca-pl.com\/?page_id=2810\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><\/form><\/div>\n\n\n\n<p class=\"has-background\" style=\"background-color:#f1e830\">Des documents compl\u00e9mentaires pourront vous \u00eatre demand\u00e9s dans le cadre de cette \u00e9tude, en compl\u00e9ment de la copie du permis de conduire et de la carte grise qui seront demand\u00e9s obligatoirement en cas de souscription, de m\u00eame que le relev\u00e9 d\u2019information de la ou des compagnies pr\u00e9c\u00e9dentes. Les donn\u00e9es communiqu\u00e9es sont strictement confidentielles et ne seront utilis\u00e9es que dans le cadre de l\u2019\u00e9tude de ce projet.<\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/aca-pl.com\/wp-content\/uploads\/2019\/11\/cropped-ACA-15pxX15px-1-2.png\" alt=\"\" class=\"wp-image-96\" width=\"125\" height=\"125\" srcset=\"https:\/\/aca-pl.com\/wp-content\/uploads\/2019\/11\/cropped-ACA-15pxX15px-1-2.png 512w, https:\/\/aca-pl.com\/wp-content\/uploads\/2019\/11\/cropped-ACA-15pxX15px-1-2-300x300.png 300w, https:\/\/aca-pl.com\/wp-content\/uploads\/2019\/11\/cropped-ACA-15pxX15px-1-2-150x150.png 150w, https:\/\/aca-pl.com\/wp-content\/uploads\/2019\/11\/cropped-ACA-15pxX15px-1-2-50x50.png 50w, https:\/\/aca-pl.com\/wp-content\/uploads\/2019\/11\/cropped-ACA-15pxX15px-1-2-270x270.png 270w, https:\/\/aca-pl.com\/wp-content\/uploads\/2019\/11\/cropped-ACA-15pxX15px-1-2-192x192.png 192w, https:\/\/aca-pl.com\/wp-content\/uploads\/2019\/11\/cropped-ACA-15pxX15px-1-2-180x180.png 180w, https:\/\/aca-pl.com\/wp-content\/uploads\/2019\/11\/cropped-ACA-15pxX15px-1-2-32x32.png 32w\" sizes=\"auto, (max-width: 125px) 100vw, 125px\" \/><\/figure><\/div>\n\n\n\n<p class=\"has-text-align-center\"><strong>Quand la passion est un m\u00e9tier<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>L&rsquo;objectif de ce questionnaire est d&rsquo;obtenir les informations destin\u00e9es \u00e0 votre \u00e9tude personnalis\u00e9e. Ces informations ne seront en aucun cas transmis \u00e0 des tiers, hormis les assureurs interrog\u00e9s. Merci de s\u00e9lectionner les propositions ou bien de remplir les informations demand\u00e9es. Si certaines r\u00e9ponses propos\u00e9es, ne correspondent pas, indiquez-le-nous dans votre message d&rsquo;envoi. Des documents compl\u00e9mentaires &hellip; <a href=\"https:\/\/aca-pl.com\/?page_id=2810\" class=\"more-link\">Continuer la lecture de <span class=\"screen-reader-text\">QUESTIONNAIRE PROTECTION JURIDIQUE<\/span>  <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":2813,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_themeisle_gutenberg_block_has_review":false,"footnotes":""},"class_list":["post-2810","page","type-page","status-publish","has-post-thumbnail","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.9 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>QUESTIONNAIRE PROTECTION JURIDIQUE -<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/aca-pl.com\/?page_id=2810\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"QUESTIONNAIRE PROTECTION JURIDIQUE -\" \/>\n<meta property=\"og:description\" content=\"L&rsquo;objectif de ce questionnaire est d&rsquo;obtenir les informations destin\u00e9es \u00e0 votre \u00e9tude personnalis\u00e9e. 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