	<div id="ajax-response">
    <br/><br/>
    <a href="https://fihoa.net/pdf/formfihoa.php?lang=fr-ca" class="btn btn-default alignright" target="_blank"><i class="fa fa-download"></i> Download the PDF</a>
    <br/><br/>
	<form id="fihoaform" action="" method="post" class="form-inline" >
	<h3>INDICE FONCTIONNEL DES ARTHROPATHIES DE LA MAIN (FIHOA) </h3>
	<div class="scoring_sys">
	<div class="toggle_title"><span>Scoring system <i class="fa fa-question-circle"></i></span></div>
    <div class="toggle">
	<br/>0 = possible sans difficulté	&bull; 1 = possible avec difficulté modérée	&bull; 2 = possible avec difficulté importante	&bull; 3 = impossible    </div>
	</div>
	<div class="quests q1 ">
		<div class="quest_wrapper">
			<div class="questions"><span class="num">1</span> Pouvez-vous tourner une clef dans une serrure ?</div>
			<div class="rads">
				<div class="custom-control custom-radio custom-control-inline radio0">
				  <input type="radio" id="q1_0" name="q1" class="custom-control-input" value="0">
				  <label class="custom-control-label" for="q1_0">0</label>
				</div>
				<div class="custom-control custom-radio custom-control-inline radio1">
				  <input type="radio" id="q1_1" name="q1" class="custom-control-input" value="1">
				  <label class="custom-control-label" for="q1_1">1</label>
				</div>
				<div class="custom-control custom-radio custom-control-inline radio2">
				  <input type="radio" id="q1_2" name="q1" class="custom-control-input" value="2">
				  <label class="custom-control-label" for="q1_2">2</label>
				</div>
				<div class="custom-control custom-radio custom-control-inline radio3">
				  <input type="radio" id="q1_3" name="q1" class="custom-control-input" value="3">
				  <label class="custom-control-label" for="q1_3">3</label>
				</div>
			</div>
			<div class="clearfix"></div>
		</div>
		</div><div class="quests q2 ">
		<div class="quest_wrapper">
			<div class="questions"><span class="num">2</span> Pouvez-vous couper de la viande avec un couteau ?</div>
			<div class="rads">
				<div class="custom-control custom-radio custom-control-inline radio0">
				  <input type="radio" id="q2_0" name="q2" class="custom-control-input" value="0">
				  <label class="custom-control-label" for="q2_0">0</label>
				</div>
				<div class="custom-control custom-radio custom-control-inline radio1">
				  <input type="radio" id="q2_1" name="q2" class="custom-control-input" value="1">
				  <label class="custom-control-label" for="q2_1">1</label>
				</div>
				<div class="custom-control custom-radio custom-control-inline radio2">
				  <input type="radio" id="q2_2" name="q2" class="custom-control-input" value="2">
				  <label class="custom-control-label" for="q2_2">2</label>
				</div>
				<div class="custom-control custom-radio custom-control-inline radio3">
				  <input type="radio" id="q2_3" name="q2" class="custom-control-input" value="3">
				  <label class="custom-control-label" for="q2_3">3</label>
				</div>
			</div>
			<div class="clearfix"></div>
		</div>
		</div><div class="quests q3 ">
		<div class="quest_wrapper">
			<div class="questions"><span class="num">3</span> Pouvez-vous couper du tissu ou du papier avec une paire de ciseaux ?</div>
			<div class="rads">
				<div class="custom-control custom-radio custom-control-inline radio0">
				  <input type="radio" id="q3_0" name="q3" class="custom-control-input" value="0">
				  <label class="custom-control-label" for="q3_0">0</label>
				</div>
				<div class="custom-control custom-radio custom-control-inline radio1">
				  <input type="radio" id="q3_1" name="q3" class="custom-control-input" value="1">
				  <label class="custom-control-label" for="q3_1">1</label>
				</div>
				<div class="custom-control custom-radio custom-control-inline radio2">
				  <input type="radio" id="q3_2" name="q3" class="custom-control-input" value="2">
				  <label class="custom-control-label" for="q3_2">2</label>
				</div>
				<div class="custom-control custom-radio custom-control-inline radio3">
				  <input type="radio" id="q3_3" name="q3" class="custom-control-input" value="3">
				  <label class="custom-control-label" for="q3_3">3</label>
				</div>
			</div>
			<div class="clearfix"></div>
		</div>
		</div><div class="quests q4 ">
		<div class="quest_wrapper">
			<div class="questions"><span class="num">4</span> Pouvez-vous soulever une bouteille pleine avec la main ?</div>
			<div class="rads">
				<div class="custom-control custom-radio custom-control-inline radio0">
				  <input type="radio" id="q4_0" name="q4" class="custom-control-input" value="0">
				  <label class="custom-control-label" for="q4_0">0</label>
				</div>
				<div class="custom-control custom-radio custom-control-inline radio1">
				  <input type="radio" id="q4_1" name="q4" class="custom-control-input" value="1">
				  <label class="custom-control-label" for="q4_1">1</label>
				</div>
				<div class="custom-control custom-radio custom-control-inline radio2">
				  <input type="radio" id="q4_2" name="q4" class="custom-control-input" value="2">
				  <label class="custom-control-label" for="q4_2">2</label>
				</div>
				<div class="custom-control custom-radio custom-control-inline radio3">
				  <input type="radio" id="q4_3" name="q4" class="custom-control-input" value="3">
				  <label class="custom-control-label" for="q4_3">3</label>
				</div>
			</div>
			<div class="clearfix"></div>
		</div>
		</div><div class="quests q5 ">
		<div class="quest_wrapper">
			<div class="questions"><span class="num">5</span> Pouvez-vous fermer le poing complètement ?</div>
			<div class="rads">
				<div class="custom-control custom-radio custom-control-inline radio0">
				  <input type="radio" id="q5_0" name="q5" class="custom-control-input" value="0">
				  <label class="custom-control-label" for="q5_0">0</label>
				</div>
				<div class="custom-control custom-radio custom-control-inline radio1">
				  <input type="radio" id="q5_1" name="q5" class="custom-control-input" value="1">
				  <label class="custom-control-label" for="q5_1">1</label>
				</div>
				<div class="custom-control custom-radio custom-control-inline radio2">
				  <input type="radio" id="q5_2" name="q5" class="custom-control-input" value="2">
				  <label class="custom-control-label" for="q5_2">2</label>
				</div>
				<div class="custom-control custom-radio custom-control-inline radio3">
				  <input type="radio" id="q5_3" name="q5" class="custom-control-input" value="3">
				  <label class="custom-control-label" for="q5_3">3</label>
				</div>
			</div>
			<div class="clearfix"></div>
		</div>
		</div><div class="quests q6 ">
		<div class="quest_wrapper">
			<div class="questions"><span class="num">6</span> Pouvez-vous faire un noeud ?</div>
			<div class="rads">
				<div class="custom-control custom-radio custom-control-inline radio0">
				  <input type="radio" id="q6_0" name="q6" class="custom-control-input" value="0">
				  <label class="custom-control-label" for="q6_0">0</label>
				</div>
				<div class="custom-control custom-radio custom-control-inline radio1">
				  <input type="radio" id="q6_1" name="q6" class="custom-control-input" value="1">
				  <label class="custom-control-label" for="q6_1">1</label>
				</div>
				<div class="custom-control custom-radio custom-control-inline radio2">
				  <input type="radio" id="q6_2" name="q6" class="custom-control-input" value="2">
				  <label class="custom-control-label" for="q6_2">2</label>
				</div>
				<div class="custom-control custom-radio custom-control-inline radio3">
				  <input type="radio" id="q6_3" name="q6" class="custom-control-input" value="3">
				  <label class="custom-control-label" for="q6_3">3</label>
				</div>
			</div>
			<div class="clearfix"></div>
		</div>
		</div><div class="quests q7 ">
		<div class="quest_wrapper">
			<div class="questions"><span class="num">7</span> <em>Pour les femmes</em> -Pouvez-vous coudre ?<br/><em>Pour les hommes</em> - Pouvez-vous utiliser un tournevis ?</div>
			<div class="rads">
				<div class="custom-control custom-radio custom-control-inline radio0">
				  <input type="radio" id="q7_0" name="q7" class="custom-control-input" value="0">
				  <label class="custom-control-label" for="q7_0">0</label>
				</div>
				<div class="custom-control custom-radio custom-control-inline radio1">
				  <input type="radio" id="q7_1" name="q7" class="custom-control-input" value="1">
				  <label class="custom-control-label" for="q7_1">1</label>
				</div>
				<div class="custom-control custom-radio custom-control-inline radio2">
				  <input type="radio" id="q7_2" name="q7" class="custom-control-input" value="2">
				  <label class="custom-control-label" for="q7_2">2</label>
				</div>
				<div class="custom-control custom-radio custom-control-inline radio3">
				  <input type="radio" id="q7_3" name="q7" class="custom-control-input" value="3">
				  <label class="custom-control-label" for="q7_3">3</label>
				</div>
			</div>
			<div class="clearfix"></div>
		</div>
		</div><div class="quests q8 ">
		<div class="quest_wrapper">
			<div class="questions"><span class="num">8</span> Pouvez-vous boutonner un vêtement ?</div>
			<div class="rads">
				<div class="custom-control custom-radio custom-control-inline radio0">
				  <input type="radio" id="q8_0" name="q8" class="custom-control-input" value="0">
				  <label class="custom-control-label" for="q8_0">0</label>
				</div>
				<div class="custom-control custom-radio custom-control-inline radio1">
				  <input type="radio" id="q8_1" name="q8" class="custom-control-input" value="1">
				  <label class="custom-control-label" for="q8_1">1</label>
				</div>
				<div class="custom-control custom-radio custom-control-inline radio2">
				  <input type="radio" id="q8_2" name="q8" class="custom-control-input" value="2">
				  <label class="custom-control-label" for="q8_2">2</label>
				</div>
				<div class="custom-control custom-radio custom-control-inline radio3">
				  <input type="radio" id="q8_3" name="q8" class="custom-control-input" value="3">
				  <label class="custom-control-label" for="q8_3">3</label>
				</div>
			</div>
			<div class="clearfix"></div>
		</div>
		</div><div class="quests q9 ">
		<div class="quest_wrapper">
			<div class="questions"><span class="num">9</span> Pouvez-vous écrire longtemps (10 mn sans interruption) ?</div>
			<div class="rads">
				<div class="custom-control custom-radio custom-control-inline radio0">
				  <input type="radio" id="q9_0" name="q9" class="custom-control-input" value="0">
				  <label class="custom-control-label" for="q9_0">0</label>
				</div>
				<div class="custom-control custom-radio custom-control-inline radio1">
				  <input type="radio" id="q9_1" name="q9" class="custom-control-input" value="1">
				  <label class="custom-control-label" for="q9_1">1</label>
				</div>
				<div class="custom-control custom-radio custom-control-inline radio2">
				  <input type="radio" id="q9_2" name="q9" class="custom-control-input" value="2">
				  <label class="custom-control-label" for="q9_2">2</label>
				</div>
				<div class="custom-control custom-radio custom-control-inline radio3">
				  <input type="radio" id="q9_3" name="q9" class="custom-control-input" value="3">
				  <label class="custom-control-label" for="q9_3">3</label>
				</div>
			</div>
			<div class="clearfix"></div>
		</div>
		</div><div class="quests q10 ">
		<div class="quest_wrapper">
			<div class="questions"><span class="num">10</span> Acceptez-vous sans réticence qu&#39;on vous serre la main ?</div>
			<div class="rads">
				<div class="custom-control custom-radio custom-control-inline radio0">
				  <input type="radio" id="q10_0" name="q10" class="custom-control-input" value="0">
				  <label class="custom-control-label" for="q10_0">0</label>
				</div>
				<div class="custom-control custom-radio custom-control-inline radio1">
				  <input type="radio" id="q10_1" name="q10" class="custom-control-input" value="1">
				  <label class="custom-control-label" for="q10_1">1</label>
				</div>
				<div class="custom-control custom-radio custom-control-inline radio2">
				  <input type="radio" id="q10_2" name="q10" class="custom-control-input" value="2">
				  <label class="custom-control-label" for="q10_2">2</label>
				</div>
				<div class="custom-control custom-radio custom-control-inline radio3">
				  <input type="radio" id="q10_3" name="q10" class="custom-control-input" value="3">
				  <label class="custom-control-label" for="q10_3">3</label>
				</div>
			</div>
			<div class="clearfix"></div>
		</div>
		</div>	<div class="form-row">
		<div class="form-group col-md-4">
			<h3 class="qtitle">Weight<span class="unity"> (in Kilograms)</span></h3>
			<input type="text" name="weight" class="form-control">
		</div>
		<div class="form-group col-md-4">
		<h3 class="qtitle">Height <span class="unity"> (in Centimeters)</span></h3>
		<input type="text" name="height" class="form-control">
		</div>
		<div class="form-group col-md-4">
		<h3 class="qtitle">BMI</h3>
		<input value="" type="text" name="bmi" readonly class="form-control">
		</div>
	</div>
	<div class="container">
	<div class="row">
		<div class="col-md-6">
			<h3 class="qtitle">Gender</h3>
			<div class="form-check form-check-inline">
			  <input class="form-check-input" type="radio" name="gender" id="gender_M" value="M">
			  <label class="form-check-label" for="gender_M">M</label>
			</div>
			<div class="form-check form-check-inline">
			  <input class="form-check-input" type="radio" name="gender" id="gender_F" value="F">
			  <label class="form-check-label" for="gender_F">F</label>
			</div>
		</div>
		<div class="col-md-6">
			<h3 class="qtitle">Age</h3>
			<input type="text" name="age" class="form-control">
		</div>
	</div>
	<div class="row">
		<div class="col-md-12">
			<a onclick="validform();" class="btn btn-default btn-lg">Calculate</a>
		</div>
	</div>
</div>
	</form>
	</div>
	<div id="mailpdf">
    	<h2>Result</h2>
    	<p class='result_container'>
	    	<span class="theresult"></span>
        </p>
        <br/>
        <br/><a href="#" id="getpdfbutton" class="btn btn-default btn-lg" target="_blank"><i class="fa fa-download"></i> Download the result (PDF)</a>
        <br/>
        <br/>
        <br /><input placeholder="Enter your mail" name="mail" type="mail"   class="form-control">
        <br/><a onclick="sendmail()" id="sendmailbutton" class="btn btn-default btn-lg"><i class="fa fa-envelope-o"></i> Get the result by e-mail</a>
        <br/>
        <br/>
        <br/>
        <br/>
        <a class="btn btn-default btn-lg" id="newcalculation" onClick="javascript:location.reload();"><i class="fa fa-undo"></i> New calculation</a>
    </div>

        <div id="token" style="display:none"></div>
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