{#
Vue Formulaire Demande De Bilan Gratuit - MCA et Whitelabel
#}
{% if not isWhiteLabel() %}
{% set projectName = "Mon Centre Auditif" %}
{% else %}
{% set projectName = "depistage-auditif.fr" %}
{% endif %}
<!-- Info -->
{% if introText is defined %}
{{ introText|raw }}
{% else %}
<div class="mb-4">
<h1 class="h2 text-primary fw-semibold">Demandez votre bilan auditif<sup>(1)</sup> gratuit</h1>
<p class="lead" style="font-size: 1.125rem;">Test non médical, 100% gratuit, à réaliser près de chez vous.
<strong>Remplissez le formulaire</strong> ci-dessous pour en bénéficier.</p>
</div>
{% endif %}
<!-- End Info -->
{{ form_start(formProspect, {'attr': {'id': 'prospect_eml_acq_wstep'}}) }}
{# {% for error in errors %}#}
{# <li class="text-danger">{{ error.message }}</li>#}
{#{% endfor %} #}
{# <p>{{ form_errors(formProspect) }}</p> #}
{% include ('front_v4/mca/landing_page/form/_form_lp_prospect.html.twig') %}
{{ form_rest(formProspect) }}
{{ form_end(formProspect) }}
<small class="text-secondary">(*) Champs obligatoires</small>
<div class="my-3">
{% include 'front_v4/mca/partials/_form_text_conditions.html.twig' %}
</div>