@import url("https://cdn.jotfor.ms/fonts/?family=Roboto&display=swap");@keyframes pulse{0%{box-shadow:0 0 0 0 rgba(255, 255, 255, 0.4)}70%{box-shadow:0 0 0 9px rgba(255, 255, 255, 0)}100%{box-shadow:0 0 0 0 rgba(255, 255, 255, 0)}}.jfProgress-itemCircle,.jfProgress-itemCircle:after{box-shadow:0 3px 6px rgba(0, 0, 0, .08), 0 3px 6px rgba(0, 0, 0, .15)}.jfProgress-itemWrapperLine{box-shadow:0 1px 3px rgba(0, 0, 0, .05), 0 1px 2px rgba(0, 0, 0, .1)}.jfProgress-itemPulse{box-shadow:0 0 0 0 rgba(255, 255, 255, 0.4)}.jfProgress-info{color:#fff}.jfProgress-itemWrapperLine{background-color:rgba(255, 255, 255, 0.3)}.jfProgress-itemLabel{background-color:rgba(0, 0, 0, .7);color:rgba(255, 255, 255, 0.8)}.jfProgress-itemCircle{background-color:rgba(255, 255, 255, 0.6)}.jfProgress-item.isValid .jfProgress-itemCircle{background-color:#6dbd00;border:1px solid #fff}.jfProgress-item.hasError .jfProgress-statusIcon{background-color:#e34343}.jfProgress-item.hasError .jfProgress-itemCircle{background-color:#e34343;border:1px solid #fff}.jfProgress-item.hasError:not(.isActive) .jfProgress-itemPulse{animation:pulse 3s infinite}.jfProgress-item.isActive .jfProgress-itemCircle{background-color:#fff}.jfProgress-item.isActive .jfProgress-itemCircle:after{border:1px solid rgba(255, 255, 255, 1);background-color:rgba(255, 255, 255, .2)}.jfProgress-item.isActive.hasError .jfProgress-statusIcon{background-color:#e34343}.jfCard-index{color:#fff}.iconSvg.overview svg{fill:#fff}@media screen and (max-width: 736px){.jfProgress-item.isActive .jfProgress-itemCircle{background-color:rgba(0, 0, 0, .7)}.jfProgress-item.hasError .jfProgress-itemCircle{background-color:#e34343}.jfProgress-itemLabel{line-height:44px;background-color:transparent;color:rgba(0, 0, 0, .7)}.jfProgress-itemCell{background:#fff}.jfProgress-itemCell:last-child .jfProgress-item{text-align:center}.formMode.isMobile .jfProgress{background-color:#263444}.formMode.isMobile.onScrollMode .jfProgress{background:url('https://www.jotform.com/uploads/medicodeldomingo/form_files/Capture%20d%E2%80%99%C3%A9cran%202026-09-01%20%C3%A0%2022.25.31-6a9735bcbc70d2.04264886.png');background-repeat:no-repeat;background-position:50%}}.isEmbed.isSmartEmbed .jfProgress#cardProgress,.isEmbed.isSmartEmbed .formFooter,.isEmbed.isSmartEmbed .jfWelcome-wrapper{transition:all 0.25s ease}.isEmbed.isSmartEmbed .jfProgress{z-index:1}.isEmbed.isSmartEmbed.onScrollMode .jfCard-index{text-shadow:2px 2px 6px rgba(0, 0, 0, 0.35)}.isEmbed.isSmartEmbed.formMode .formFooter{transition:all 0.25s ease;transform:translateY(100%)}.isEmbed.isSmartEmbed.formMode .formFooter ~ .jfProgress{bottom:0}.isEmbed.isSmartEmbed.reviewMode .jfProgress:not(.isMobile){display:none}.isEmbed.isSmartEmbed.isSmartEmbedCleanState .jfProgress#cardProgress{bottom:0;transform:translate(-50%, 100%);transition:all 0.25s ease;overflow:hidden}.isEmbed.isSmartEmbed.isSmartEmbedCleanState .jfWelcome-wrapper{top:0;transform:translate(-50%, -100%);transition:all 0.25s ease;overflow:hidden}.isEmbed.isSmartEmbed.isSmartEmbedCleanState .jfWelcome-wrapper .jfWelcome-header{transition:all 0.25s ease}@media screen and (max-width: 736px){.isEmbed.isSmartEmbed.formMode .jfWelcome{margin:0 3%}}@media screen and (min-width: 481px) and (max-width: 768px){.isEmbed.isSmartEmbed.formMode .jfWelcome{margin:0 3%}}.isEmbed.isSmartEmbed.welcomeMode .jfWelcome,.isEmbed.isSmartEmbed.sectionHeaderMode .jfWelcome{width:auto !important}.isEmbed.isSmartEmbed:not(.welcomeMode):not(.sectionHeaderMode) .jfWelcome-wrapper{transition:all 0.25s ease;top:0;font-size:1.8em}.isEmbed.isSmartEmbed:not(.welcomeMode):not(.sectionHeaderMode) .jfWelcome-wrapper div.jfWelcome{position:absolute;left:50%;top:50%;transform:translate(-50%, -50%);margin:0}.isEmbed.isSmartEmbed:not(.onScrollMode) .jfProgress-info{position:relative;height:100%;transition:all 0.25s ease}.isEmbed.isSmartEmbed:not(.onScrollMode) .jfProgress-info .jfProgress-infoContent{margin-bottom:0;position:absolute;top:50%;left:50%;transform:translate(-50%, -50%);transition:all 0.25s ease, transform 0}.isEmbed.isSmartEmbed:not(.onScrollMode) .jfProgress-info .jfProgress-infoContent.jfProgress-sacl{left:62%}.isEmbed.isSmartEmbed .jfCard{box-shadow:0 calc($card-boxShadow / 5) 50px calc($card-boxShadow / 3) rgba(0, 0, 0, .12)}.isEmbed.isSmartEmbed .iconSvgStroke{stroke:#fff}.jfProgressLine{display:none}.forMiniCard .jfWelcome-image svg{min-height:90px}.welcomeMode.forMiniCard .formFooter,.sectionHeaderMode.forMiniCard .formFooter,.welcomeMode.isMobile .formFooter,.forMiniCard .jfHipaa{display:none}.formMode.forMiniCard .jfWelcome-wrapper{display:none}.formMode.forMiniCard .jfForm-wrapper{padding:0 0 52px !important;background:none}.formMode.forMiniCard .jfCard-question,.formMode.forMiniCard .jfReview-content{padding:1.5em 1.8em 0.7em;background-color:transparent;border-radius:0;position:relative;display:inline-block;vertical-align:middle;width:100%}.formMode.forMiniCard .jfCard-actions{display:none}.formMode.forMiniCard .jfQuestion-fields{max-height:none !important}.formMode.forMiniCard .jfQuestion-fullscreen{display:none !important}.formMode.forMiniCard .jfCard{font-size:16px;margin:0;top:0;position:relative;height:100%;overflow-y:auto;background-color:#fff;transform:translate3d(0, 0, 0);border-radius:0;box-shadow:none}.formMode.forMiniCard .jfCard[data-type="control_matrix"] .jfQuestion-fields{padding-bottom:1px}.formMode.forMiniCard .jfCard .jfQuestion-fields[data-component="radio"],.formMode.forMiniCard .jfCard .jfQuestion-fields[data-component="checkbox"]{margin-bottom:0;padding-bottom:1px;padding-top:1px}.formMode.forMiniCard .jfCard:before{content:"";display:inline-block;height:100%;vertical-align:middle}.formMode.forMiniCard .jfCard-wrapper.isVisible .jfCard{z-index:5;display:block}.formMode.forMiniCard .jfCard-wrapper.prevQuestion,.formMode.forMiniCard .jfCard-wrapper.nextQuestion{opacity:1;visibility:visible}.formMode.forMiniCard .jfCard-wrapper.prevQuestion .jfCard,.formMode.forMiniCard .jfCard-wrapper.nextQuestion .jfCard{display:block}.formMode.forMiniCard .jfCard-wrapper.prevQuestion .jfCard{transform:translateX(0%) scale(1);z-index:4}.formMode.forMiniCard .jfCard-wrapper.nextQuestion .jfCard{transform:translateX(0%) scale(1);z-index:4}.formMode.forMiniCard .jfProgressLine-inner{height:4px;display:block;transition:width 0.25s ease;background-color:#666}.formMode.forMiniCard .jfProgressLine{display:block;position:absolute;top:-4px;background-color:#ccc;width:100%}.formMode.forMiniCard .jfProgress{height:48px;fill:#fff;background-image:url('https://www.jotform.com/uploads/medicodeldomingo/form_files/Capture%20d%E2%80%99%C3%A9cran%202026-09-01%20%C3%A0%2022.25.31-6a9735bcbc70d2.04264886.png');background-repeat:no-repeat;background-position:50%}.formMode.forMiniCard .jfProgress button.jfInput-button.forMobileNav.forSubmit{margin-top:2px}.formMode.forMiniCard .jfInput-button.forMobileNav svg{fill:#fff;fill:#fff}.formMode.forMiniCard .jfInput-button.forMobileNav:not(.forSubmit){background:transparent;padding:1em 1.2em}.formMode.forMiniCard .jfInput-button.forMobileNav:not(.forSubmit) .iconSvg svg{height:18px;width:10px}.formMode.forMiniCard .formFooter{display:none}.formMode.forMiniCard.withJotformFooter .jfProgress{bottom:0}.formMode.forMiniCard .jfProgress-statusIcon,.formMode.forMiniCard .jfProgress-mobileNavigation{display:block !important}.formMode.forMiniCard .form-button-error,.formMode.forMiniCard .jfProgress-item div.jfProgress-itemCircle{display:none}.formMode.forMiniCard.sectionHeaderMode .formFooter{display:none}.formMode.forMiniCard.reviewMode .formFooter{display:none}.formMode.forMiniCard span.jfProgress-infoContent{display:none}.formMode.forMiniCard .jfProgress-itemLabel{text-align:left;padding:0 15px 0 42px}.formMode.forMiniCard .jfProgress .jfProgress-infoContent{margin:0.5em 0;padding:0.5em 0.6em}.jfField.jfWidget{width:100%;display:block;flex:none;max-height:inherit}.jfField.jfWidget .jfWidget-frame{overflow:auto;-webkit-overflow-scrolling:touch;width:100%;max-height:inherit}.jfField.jfWidget .jfWidget-frame iframe{width:100% !important}.jfWidget-videoWrapper{width:100% !important}.jfWidget-videoWrapper iframe{max-width:initial !important;display:block;margin:0 auto}@media screen and (max-width: 736px){.jfWidget-videoWrapper iframe{width:100% !important}}.jfWidget[data-widget-id="529e18322c0cc6240a000004"] .jfWidget-frame iframe,.jfCard[data-widget-id="529e18322c0cc6240a000004"] .jfWidget-frame iframe{min-height:78px}.jfWidget[data-widget="slider"] table,.jfCard[data-widget="slider"] table{width:auto;margin:auto}.jfWidget[data-widget-id="5294cdf62c35a45745000011"] .jfWidget-frame,.jfCard[data-widget-id="5294cdf62c35a45745000011"] .jfWidget-frame{overflow:hidden}.jfWidget[data-widget-id="5294cdf62c35a45745000011"] .jfWidget-frame iframe,.jfCard[data-widget-id="5294cdf62c35a45745000011"] .jfWidget-frame iframe{max-height:60px}.jfWidget[data-widget-id="573ae96be567f40178000011"] .jfWidget-frame,.jfCard[data-widget-id="573ae96be567f40178000011"] .jfWidget-frame,.jfWidget[data-widget-id="59e8685531e12f0a3d000009"] .jfWidget-frame,.jfCard[data-widget-id="59e8685531e12f0a3d000009"] .jfWidget-frame{overflow:hidden}.jfWidget[data-widget-id="573ae96be567f40178000011"] .jfWidget-frame iframe,.jfCard[data-widget-id="573ae96be567f40178000011"] .jfWidget-frame iframe,.jfWidget[data-widget-id="59e8685531e12f0a3d000009"] .jfWidget-frame iframe,.jfCard[data-widget-id="59e8685531e12f0a3d000009"] .jfWidget-frame iframe{max-height:inherit}.jfWidget[data-widget-id="528f536c532af5af43000004"] .jfWidget-frame,.jfCard[data-widget-id="528f536c532af5af43000004"] .jfWidget-frame{overflow:hidden}.jfWidget[data-widget-id="528f536c532af5af43000004"] .jfWidget-frame iframe,.jfCard[data-widget-id="528f536c532af5af43000004"] .jfWidget-frame iframe{max-height:inherit;height:160px !important}.jfWidget[data-widget-id="538c8d12061f4b5808000011"] .jfWidget-frame iframe,.jfCard[data-widget-id="538c8d12061f4b5808000011"] .jfWidget-frame iframe,.jfWidget[data-widget-id="5298b265886815755900001e"] .jfWidget-frame iframe,.jfCard[data-widget-id="5298b265886815755900001e"] .jfWidget-frame iframe{min-height:225px}.jfWidget[data-widget-id="5290397c57a764425100000b"] .jfWidget-frame iframe,.jfCard[data-widget-id="5290397c57a764425100000b"] .jfWidget-frame iframe{min-height:66px}.jfWidget[data-widget-id="5297695fafa6626f0e000008"] .jfWidget-frame iframe,.jfCard[data-widget-id="5297695fafa6626f0e000008"] .jfWidget-frame iframe,.jfWidget[data-widget-id="529c82a772a985697f000007"] .jfWidget-frame iframe,.jfCard[data-widget-id="529c82a772a985697f000007"] .jfWidget-frame iframe{min-height:70px}.jfWidget[data-widget-id="52933bf13be147110a000005"] .jfWidget-frame iframe,.jfCard[data-widget-id="52933bf13be147110a000005"] .jfWidget-frame iframe,.jfWidget[data-widget-id="528eea9eec60d3b530000005"] .jfWidget-frame iframe,.jfCard[data-widget-id="528eea9eec60d3b530000005"] .jfWidget-frame iframe,.jfWidget[data-widget-id="5391b2468f5ea33236000006"] .jfWidget-frame iframe,.jfCard[data-widget-id="5391b2468f5ea33236000006"] .jfWidget-frame iframe{min-height:76px}.jfWidget[data-widget-id="5290f66c23b1347d6e000005"] .jfWidget-frame iframe,.jfCard[data-widget-id="5290f66c23b1347d6e000005"] .jfWidget-frame iframe{min-height:100px}.jfWidget[data-widget-id="52934da53be147110a00002d"] .jfWidget-frame iframe,.jfCard[data-widget-id="52934da53be147110a00002d"] .jfWidget-frame iframe{min-height:76px;height:76px !important}.jfWidget[data-widget-id="532714968a621dd23e000033"] .jfWidget-frame iframe,.jfCard[data-widget-id="532714968a621dd23e000033"] .jfWidget-frame iframe{min-height:110px}.jfWidget[data-widget-id="52a1957635fd1d2172000009"] .jfWidget-frame iframe,.jfCard[data-widget-id="52a1957635fd1d2172000009"] .jfWidget-frame iframe{min-height:120px}.jfWidget[data-widget-id="5295ba2b4a87e6175e000004"] iframe[data-type="oembed"],.jfCard[data-widget-id="5295ba2b4a87e6175e000004"] iframe[data-type="oembed"]{visibility:visible}.jfWidget[data-type="control_signature"],.jfCard[data-type="control_signature"]{display:block;}.jfWidget[data-type="control_signature"] .jfField,.jfCard[data-type="control_signature"] .jfField{flex:none;display:block;width:100%}@media screen and (max-width: 736px){.jfWidget[data-type="control_signature"] .signature-pad-wrapper,.jfCard[data-type="control_signature"] .signature-pad-wrapper,.jfWidget[data-type="control_signature"] .signature-wrapper,.jfCard[data-type="control_signature"] .signature-wrapper{width:70vw !important;height:35vw !important}.jfWidget[data-type="control_signature"] .pad,.jfCard[data-type="control_signature"] .pad,.jfWidget[data-type="control_signature"] .jSignature,.jfCard[data-type="control_signature"] .jSignature{width:70vw !important;height:35vw !important}}.jfWidget[data-type="control_signature"] .signature-pad-passive,.jfCard[data-type="control_signature"] .signature-pad-passive,.jfWidget[data-type="control_signature"] .signature-pad-wrapper,.jfCard[data-type="control_signature"] .signature-pad-wrapper{border:1px solid #9d9d9d;position:relative;margin:auto}.jfWidget[data-type="control_signature"] .signature-pad-passive .signature-line,.jfCard[data-type="control_signature"] .signature-pad-passive .signature-line{border:1px solid;width:80%;position:absolute;bottom:50px;left:10%;right:10%}.jfWidget[data-type="control_signature"] .signature-pad-wrapper .clear-pad-btn,.jfCard[data-type="control_signature"] .signature-pad-wrapper .clear-pad-btn{cursor:pointer;text-decoration:underline;float:right;font-weight:600;font-size:12px}.form-autocomplete-list{border:1px solid #979797;background:#fff;border-radius:0 0 0.4em 0.4em;border-top:0;max-height:20vh;height:auto !important}.form-autocomplete-list li.form-autocomplete-list-item{padding:0.9em 1.2em;font-size:0.8em;transition:all 0.2s;cursor:pointer}.form-autocomplete-list li.form-autocomplete-list-item:first-of-type{margin-top:0.4em}.form-autocomplete-list li.form-autocomplete-list-item:not(:hover).form-autocomplete-list-item-selected,.form-autocomplete-list li.form-autocomplete-list-item:hover{background-color:#d7eaff;transition:all 0.2s}.form-autocomplete-list li.form-autocomplete-list-item.form-autocomplete-list-item-selected:hover{background-color:#a4cfff;transition:all 0.2s}.jfWidget-frame-centered{text-align:center !important;}.isMobile .jfWidget[data-widget-id="533946093c1ad0c45d000070"]{max-height:47vh !important;overflow-y:auto;-webkit-overflow-scrolling:touch}.isTablet.osName-iOS .jfWidget[data-widget-id="533946093c1ad0c45d000070"] .jfWidget-frame{max-height:50% !important}.jfCard-question[data-widget-id="52a02b574b41f8114a000004"] .jfQuestion-fields{padding-top:0;padding-bottom:0}.isMobile .jfCard-question[data-widget-id="52a02b574b41f8114a000004"]{max-height:65vh !important;overflow-y:auto;-webkit-overflow-scrolling:touch}.jfCard-wrapper:not(.isVisible) .jfCard-question[data-widget-id="5295bd883a20442323000007"]{display:none}.jfCard[data-type="control_range"] .jfQuestion-fields .jfField > div{width:100%}.jfCard[data-type="control_range"] .jfQuestion-fields .jfField table{height:47px;}.jfCard[data-type="control_range"] .jfQuestion-fields .jfField table input[type="number"]{font-size:18px !important;padding:6px 18px !important;font-family:Roboto, sans-serif;-moz-appearance:textfield}.jfCard[data-type="control_range"] .jfQuestion-fields .jfField table input[type="number"]::-webkit-inner-spin-button,.jfCard[data-type="control_range"] .jfQuestion-fields .jfField table input[type="number"]::-webkit-outer-spin-button{-webkit-appearance:none;margin:0}[data-widget-id="53bfd5c2ec70ec9f25000005"]{min-height:100px}.JotFormCardBuilder [data-widget-id="53bfd5c2ec70ec9f25000005"]{min-height:auto;margin-bottom:8px}[data-widget-id="53bfd5c2ec70ec9f25000005"] .direct-embed-widgets{width:100% !important;height:auto !important}[data-widget-id="53bfd5c2ec70ec9f25000005"] .echoSign-wrapper{padding-bottom:0.75em}[data-widget-id="53bfd5c2ec70ec9f25000005"] .echoSign-wrapper .inputs-wrapper{max-width:initial;display:flex;justify-content:space-between}[data-widget-id="53bfd5c2ec70ec9f25000005"] .echoSign-wrapper .email-wrapper,[data-widget-id="53bfd5c2ec70ec9f25000005"] .echoSign-wrapper .button-wrapper{flex:0 0 49%;align-self:flex-end}[data-widget-id="53bfd5c2ec70ec9f25000005"] .echoSign-wrapper .email-wrapper{margin-bottom:0}[data-widget-id="53bfd5c2ec70ec9f25000005"] .echoSign-wrapper .email-input{padding:12px 9px 10px;border:1px solid #979797;box-shadow:none;font-size:15px;color:#757575}[data-widget-id="53bfd5c2ec70ec9f25000005"] .echoSign-wrapper .status-wrapper{margin-bottom:12px}[data-widget-id="53bfd5c2ec70ec9f25000005"] .echoSign-wrapper .status-wrapper .status-main span{font-size:1.1rem}[data-widget-id="53bfd5c2ec70ec9f25000005"] .echoSign-wrapper .status-wrapper .status-sub div{font-size:0.9rem}[data-widget-id="53bfd5c2ec70ec9f25000005"] .echoSign-button{padding:12px 18px 10px}[data-widget-id="53bfd5c2ec70ec9f25000005"] .widget-directEmbed-headerText{display:none}[data-widget-id="53bfd5c2ec70ec9f25000005"] .widget-customContentPanel{width:49%}[data-widget-id="53bfd5c2ec70ec9f25000005"] .widget-customContentPanel-wrapper{display:flex;flex-direction:row;justify-content:space-between}[data-widget-id="53bfd5c2ec70ec9f25000005"] .widget-customContentPanel .echoSign-input{width:100%}[data-widget-id="53bfd5c2ec70ec9f25000005"] .widget-customContentPanel .echoSign-button{border:none;border-radius:3px;color:#fff;cursor:pointer;display:inline-block;font-size:15px;font-weight:500;padding:9px 18px;text-transform:none;width:100%;background-color:#b0b5c0}[data-widget-id="53bfd5c2ec70ec9f25000005"] .widget-customContentPanel .echoSign-button:before{content:'';width:20px;vertical-align:middle;display:inline-block;height:20px;margin-right:8px;background-repeat:no-repeat;background-image:url(data:image/svg+xml;base64,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)}.isMobile .jfWidget[data-widget-id="53bfd5c2ec70ec9f25000005"] .echoSign-wrapper .inputs-wrapper{flex-direction:column}.isMobile .jfWidget[data-widget-id="53bfd5c2ec70ec9f25000005"] .echoSign-wrapper .email-wrapper,.isMobile .jfWidget[data-widget-id="53bfd5c2ec70ec9f25000005"] .echoSign-wrapper .button-wrapper{flex:0 0 100%}.isMobile .jfWidget[data-widget-id="53bfd5c2ec70ec9f25000005"] .echoSign-wrapper .email-wrapper{margin-bottom:8px}.isMobile .jfWidget[data-widget-id="53bfd5c2ec70ec9f25000005"] .echoSign-wrapper .status-wrapper{margin-bottom:12px}.isMobile .jfWidget[data-widget-id="53bfd5c2ec70ec9f25000005"] .echoSign-wrapper .status-wrapper .status-main span{font-size:1.1rem}.isMobile .jfWidget[data-widget-id="53bfd5c2ec70ec9f25000005"] .echoSign-wrapper .status-wrapper .status-sub div{font-size:0.9rem}[data-widget-id="302518f9f4744e3ae379dd71"] .widget-directEmbed-headerText{display:none}[data-widget-id="302518f9f4744e3ae379dd71"] .direct-embed-widgets{width:100% !important;height:auto !important}[data-widget-id="302518f9f4744e3ae379dd71"] .loom-video-recorder-button{padding:8px 16px;margin-bottom:5px;background-color:#625df5;color:#fff;font-weight:600;border-radius:0.4rem;border-color:#625df5;line-height:1.5}.isMobile.browserName-Safari.osName-iOS .jfWidget[data-widget-id="538c8d12061f4b5808000011"]{}.isMobile.browserName-Safari.osName-iOS .jfWidget[data-widget-id="538c8d12061f4b5808000011"] .jfWidget-frame{height:250px !important;}.isMobile.browserName-Safari.osName-iOS .jfWidget[data-widget-id="538c8d12061f4b5808000011"] .jfWidget-frame iframe{height:100% !important}.isMobile .jfCard-question[data-widget-id="52960d32a249ca096f000004"] .jfWidget-frame{width:100%;box-sizing:border-box;position:relative}.isMobile .jfCard-question[data-widget-id="52960d32a249ca096f000004"] .jfWidget-frame:before{content:'Choose File';font:300 13px sans-serif;border:0;cursor:pointer;color:#fff;text-transform:uppercase;background-color:#4987c5;display:block;padding:12px 12px 13px 42px;box-sizing:border-box;width:100%;margin:0 auto;border-radius:3px;margin-bottom:-30px;background-size:18px;background-repeat:no-repeat;background-position:left 12px top 10px;background-image:url(data:image/svg+xml;base64,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)}.isMobile .jfCard-question[data-widget-id="52960d32a249ca096f000004"] input[type="file"]{padding:50px 0 10px;color:#666;display:block;margin:0 auto;border-radius:3px;position:relative;text-align:center;width:100%}.isMobile .jfCard-question[data-widget-id="52960d32a249ca096f000004"] input[type="file"]::-webkit-file-upload-button{border:0;color:#fff;background-color:#fff;display:block;padding:0;font-size:0}.isMobile .jfCard-question[data-widget-id="52960d32a249ca096f000004"] input[type="file"]::-ms-browse{border:0;color:#fff;background-color:#fff;display:block;font-size:0}body,html{position:fixed;transform:translate3d(0, 0, 0)}body:not(.JotFormCardBuilder),body.jfCardForm{font-family:"Roboto"}body:not(.JotFormCardBuilder) input,body.jfCardForm input,body:not(.JotFormCardBuilder) textarea,body.jfCardForm textarea,body:not(.JotFormCardBuilder) select,body.jfCardForm select,body:not(.JotFormCardBuilder) button,body.jfCardForm button{font-family:"Roboto"}.formPage-container > .formPage-each > .formPage-stage,.formPage-container > .formPage-each > .formPage-stage .ql-container,.welcome-page-content{font-family:"Roboto"}*{outline:none}*::-ms-clear{display:none}body.thankyouMode{background-image:url('https://www.jotform.com/uploads/medicodeldomingo/form_files/Capture%20d%E2%80%99%C3%A9cran%202026-09-01%20%C3%A0%2022.25.31-6a9735bcbc70d2.04264886.png');background-repeat:no-repeat;background-position:50%;background-size:cover}.jfWelcome-header,.jfHeading-header,.emptyNotification-header{color:#fff}.jfWelcome-description,.jfHeading-description,.emptyNotification-description,.jfWelcome-sectionInfo,.jfHeading-sectionInfo,.emptyNotification-sectionInfo{color:#fff}.jfWelcome-button,.jfHeading-button,.emptyNotification-button{color:#fff;background-color:#263444;border-radius:0 0 6px 6px}.btn.btn-barebone,button.scrollToTop .scrollToTop-text,button.formPage-removePage{color:#fff}.btn.btn-barebone.editDropdownOptionsButton{color:#263444}.btn.btn-barebone.editDropdownOptionsButton:hover{color:#fff}button.scrollToTop svg{fill:#fff}button.formPage-removePage:hover,button.formPage-removePage:active,.btn.btn-barebone:hover,.btn.btn-barebone:active{background-color:#263444}div.welcome-page-break:before,div.thankyou-page-break:before,div.welcome-page-break:after,div.thankyou-page-break:after{border-color:#fff}div.welcome-page-break.light:before,div.thankyou-page-break.light:before,div.welcome-page-break.light:after,div.thankyou-page-break.light:after{border-color:#fff}div.welcome-page-break.dark:after,div.thankyou-page-break.dark:after,div.welcome-page-break.dark:before,div.thankyou-page-break.dark:before{border-color:#000}.jfThankYou-header{color:#fff}.jfThankYou-description,.jfThankYou-sectionInfo{color:#fff}.formMode .jfForm-backgroundContainer,.welcomeMode .jfForm-backgroundContainer,.thankyouMode .jfForm-backgroundContainer,.reviewMode .jfForm-backgroundContainer,.sectionHeaderMode .jfForm-backgroundContainer{background-image:url('https://www.jotform.com/uploads/medicodeldomingo/form_files/Capture%20d%E2%80%99%C3%A9cran%202026-09-01%20%C3%A0%2022.25.31-6a9735bcbc70d2.04264886.png?width=2048')}.formMode .jfForm-backgroundOverlay,.welcomeMode .jfForm-backgroundOverlay,.thankyouMode .jfForm-backgroundOverlay,.reviewMode .jfForm-backgroundOverlay,.sectionHeaderMode .jfForm-backgroundOverlay{background:rgba(0, 0, 0, 0)}.formMode .jfForm-backgroundUnderlay,.welcomeMode .jfForm-backgroundUnderlay,.thankyouMode .jfForm-backgroundUnderlay,.reviewMode .jfForm-backgroundUnderlay,.sectionHeaderMode .jfForm-backgroundUnderlay{background-image:url("data:image/png;base64,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")}.formMode.isEmbed .jfForm-wrapper,.formMode.isEmbed .jfForm-backgroundContainer{transition:all 0.5s}.jfWelcome-header,.jfThankYou-header,.jfHeading-header,.sectionHeaderMode-header{font-size:1.6em;font-weight:500;text-align:center;margin:0;padding:0 1em}.formMode .jfWelcome-header,.formMode .jfThankYou-header,.formMode .jfHeading-header,.formMode .sectionHeaderMode-header{font-size:1.6em}.jfWelcome-description,.jfThankYou-description,.jfHeading-description,.sectionHeaderMode-description{font-size:0.8em;font-weight:300}.jfWelcome-sectionInfo,.jfThankYou-sectionInfo,.jfHeading-sectionInfo,.sectionHeaderMode-sectionInfo{font-size:0.7em}.jfWelcome-button,.jfThankYou-button,.jfHeading-button,.sectionHeaderMode-button{font-size:1em}.iconSvgStroke{stroke:#fff}.iconSvgFill{fill:#fff}.emptyNotification-header{font-size:1.2em}.formMode .jfWelcome{text-align:center}.formMode .jfWelcome-header,.formMode .jfWelcome-description{opacity:1;transition:all 0.2s ease}.jfProgress-formError{color:#fff;color:#fff}.jfForm-logo{opacity:1}.jfWelcome-wrapper.isHeader .jfWelcome-buttonWrapper{display:inline-block;border-radius:0 0 0 6px}.jfWelcome-wrapper.isHeader .jfWelcome-buttonWrapper + .jfWelcome-buttonWrapper{border-radius:0 0 6px 0}.formMode .jfWelcome-wrapper.isHeader .jfWelcome-buttonWrapper{display:none}.jfWelcome-wrapper.isHeader.noPrevButton .jfWelcome-buttonWrapper + .jfWelcome-buttonWrapper{border-radius:0 0 6px 6px}.jfWelcome-image{transition:all 0.2s ease}.jfWelcome-image.collapse{max-height:0;opacity:0}.jfQuestion-label{color:#323232}.jfQuestion-description{color:#797676}.jfQuestion-fullscreen:focus-visible{outline:2px solid #09f;outline-offset:3px}.jfReview .jfReviewItem-header{color:initial}.jfReview .jfReviewItem-answer{color:#63b607;font-size:1em;font-weight:500}.jfReview .jfReviewItem-answer span{display:inline-block}.jfReview .jfReviewItem-answer .imageChoiceContainer{display:flex}.jfReview .jfReviewItem-answer .imageChoiceContainer .imageChoiceContent{display:inline-block;text-align:center}.jfReview .jfReviewItem-answer .imageChoiceContainer img{width:140px;height:140px;margin-right:10px}.jfReview .jfReviewItem-answer .table-grid{white-space:normal;table-layout:fixed;font-family:Tahoma !important;border-collapse:collapse !important;border:1px solid #ccc !important;background:#fff !important}.jfReview .jfReviewItem-answer .table-grid th.table-head{font-weight:700;text-align:center;text-transform:capitalize;border:1px solid #ccc;padding:4px;background-color:#eee;font-size:12px;overflow:hidden;display:table-cell;vertical-align:inherit}.jfReview .jfReviewItem-answer .table-grid td.table-col{border:1px solid #ccc;background:#fff;vertical-align:middle;overflow:hidden;font-size:13px;text-align:center;word-break:break-word;word-wrap:break-word}.jfReview .jfFormHeader{color:initial}.jfField-sublabel{color:#64728c}.jfRequiredStar,.jfCard-mobileError,.form-line.form-line-error .jfQuestion-label{color:#e34343}.jfInput-input,.jfInput-textarea{border-radius:3px;border-color:#72757b;background-color:#fff;color:initial}.jfInput-input::placeholder,.jfInput-textarea::placeholder{color:#bfc9d4}.jfInput-input.form-validation-error,.jfInput-textarea.form-validation-error{border-color:#e34343}.jfInput-input:focus,.jfInput-textarea:focus{border-color:#0099fa}.jfInput-input:not(:read-only):focus,.jfInput-textarea:not(:read-only):focus,.jfInput-input:not(:read-only):active,.jfInput-textarea:not(:read-only):active{border-color:#4a85ef}.jfAddress-search{}.jfAddress-search .jfInput-input[placeholder]::placeholder{color:rgba(0, 0, 0, 0.2)}.jfInput-dropdown.form-validation-error{border-color:#e34343}.jfTextarea-editor[contenteditable]{color:initial;background-color:#fff;border-color:#72757b;border-radius:3px}.jfTextarea-editor[contenteditable]:focus,.jfTextarea-editor[contenteditable]:active{border-color:#4a85ef}.jfTextarea-editor[contenteditable]:focus::placeholder,.jfTextarea-editor[contenteditable]:active::placeholder{color:#bfc9d4}.jfTextarea-editor[contenteditable]:empty:before{color:rgba(0, 0, 0, 0.2)}.jfRequiredStar-message{background-color:rgba(0, 0, 0, .7);color:rgba(255, 255, 255, 0.8);border-radius:3px}.jfProgress-item.isValid span.icon_check svg{fill:#5badfe}.jfInput-button{border:2px solid #fff;background-color:transparent}.jfInput-button.forPrev-heading[disabled],.jfInput-button.forNext-heading[disabled]{opacity:0.5}.jfInput-button.forPrev,.jfInput-button.forPrev-heading,.jfInput-button.forBackToForm{color:rgba(255, 255, 255, .7)}.jfInput-button.forPrev[disabled],.jfInput-button.forPrev-heading[disabled],.jfInput-button.forBackToForm[disabled]{opacity:0.5}.jfInput-button.forMobileNav.forPrev .iconSvg svg{fill:#fff}.jfInput-button.forMobileNav.forNext .iconSvg svg{fill:#fff}.jfInput-button.forNext,.jfInput-button.forNext-heading{color:#fff;border-radius:0 0 3px 0}.jfInput-button.forNext:hover,.jfInput-button.forNext-heading:hover{border-color:#7cd700}.jfInput-button.forNext[disabled],.jfInput-button.forNext-heading[disabled]{opacity:0.5}.jfInput-button.form-submit-button,.jfInput-button.forReview,.jfInput-button.forReviewButton{color:#fff;border-radius:3px;background:#141b23}.jfInput-button.form-submit-button:not(.forMobileNav),.jfInput-button.forReview:not(.forMobileNav),.jfInput-button.forReviewButton:not(.forMobileNav){border-radius:0 0 3px 0}.jfInput-button.form-submit-button:hover,.jfInput-button.forReview:hover,.jfInput-button.forReviewButton:hover{background-color:#1d2734}.jfInput-button.form-submit-button:focus,.jfInput-button.forReview:focus,.jfInput-button.forReviewButton:focus{background-color:#19222d}.jfCard{background-color:#fff;box-shadow:-1px 15px 33px 4px rgba(0, 0, 0, 0.15);border-radius:6px;border:none}.jfCard-actions{border-radius:0 0 6px 6px;background-color:#263444}.sacl-state-text{background-color:rgba(0, 0, 0, .35)}.jfProgress .jfProgress-infoContent{background-color:rgba(0, 0, 0, .1);color:#fff;display:inline-block}.jfProgress .jfProgress-infoContent.forNew:hover{background-color:rgba(38, 38, 38, .35)}.jfProgress .jfProgress-infoContent.isUntouched:before,.jfProgress .jfProgress-infoContent.isUntouched:after{animation-name:overviewButtonPulse}@keyframes overviewButtonPulse{0%{box-shadow:0 0 0 0 rgba(0, 0, 0, 0.175)}70%{box-shadow:0 0 0 10px rgba(0, 0, 0, 0)}100%{box-shadow:0 0 0 0 rgba(0, 0, 0, 0)}}.jfRadio-label,.jfCheckbox-label,.jfInput-dropdown{border-radius:3px}.jfCard-question,.jfReview-content{border-radius:6px 6px 0 0;background-color:#fff}.jfDropdown-toggle{border-radius:0 4px 4px 0}.jfDropdown-chip{border-radius:4px}.jfDropdown-chip .removeChip{border-radius:2px}.jfDropdown-optionListWrapper{border-radius:0 0 3px 3px}@media screen and (max-width: 736px){.jfForm-wrapper.hasTouch select.form-dropdown{border-radius:3px}}.jfMatrix.forMobile{border-radius:3px}#paypal-spb-area.has-fastlane [class*="-hosted-fields"]{border:1px solid #e5e8e8;background-color:transparent;border-radius:4px}[class*="-hosted-fields"]{border:1px solid #72757b;background-color:#fff;border-radius:2.4px}.loading-wallet-buttons{max-width:750px;width:100%;height:auto;background:#000;border:0;border-radius:4px;color:#fff;font-size:14px;font-weight:400;display:flex;justify-content:center;align-items:center;cursor:pointer;transition:0.2s ease;opacity:0.6;pointer-events:none;user-select:none}.loading-wallet-buttons#googlepay-button-spinner .google-pay-logo{position:relative;top:unset;margin:2px 0 0 4px;width:40px;height:40px;transform:none}.loading-wallet-buttons#applepay-button-spinner .apple-pay-logo{position:relative;top:unset;margin:2px 0 0 4px;width:40px;height:auto;transform:none}.loading-wallet-buttons .loading-icon{display:inline-block;width:16px;height:16px;margin-left:4px;animation:rotate 0.5s ease infinite}.hide-loading{display:none}.jfProgress-itemCell{border-radius:2.25px}.jfProduct-detail.form-product-item-detail{border-radius:3px}.jfProductDetail.forPrice{border-radius:3px}.buttonMenu-caret{border-left:2px solid #6dbd00}.buttonMenu.isOpen .buttonMenu-caret{background-color:#354b60}.jfThankYou-wrapper:before{background:rgba(14, 76, 117, 0.73)}.cf-minimal .jfForm-background-mask{background:rgba(14, 76, 117, 0.73);border-radius:6px}.cf-minimal.sectionHeaderMode .jfWelcome-wrapper.isHeader .jfWelcome-buttonWrapper .jfWelcome-button{background:#263444}.cf-minimal.sectionHeaderMode .jfWelcome-wrapper.isHeader .jfWelcome-buttonWrapper .jfWelcome-button:hover{background:#17202a}.cf-minimal.sectionHeaderMode .jfWelcome-wrapper.isHeader .jfWelcome-buttonWrapper .jfWelcome-button:focus-visible{outline:none;box-shadow:inset 0 0 0 0.125rem #0099fa}.cf-minimal.JotFormCardBuilder .welcome-page-content{background:rgba(14, 76, 117, 0.73)}.cf-minimal.JotFormCardBuilder .thankyou-page-content{background:rgba(14, 76, 117, 0.73)}.cf-minimal.JotFormCardBuilder .jfCard[data-type="control_head"] .jfHeading-buttonWrapper{background:#263444}.cf-minimal .jfWelcome-button:not(.forPrev-heading):not(.forNext-hading):after{background-image:url("data:image/svg+xml;charset=UTF-8,%3csvg xmlns='http://www.w3.org/2000/svg' width='24' height='16'%3e%3cg fill='none' fill-rule='evenodd' stroke='%23fff' stroke-linecap='round' stroke-linejoin='round' stroke-width='2'%3e%3cpath d='M1.7797 8.0199h20.9252l-6.2016 6.2016'/%3e%3cpath d='M16.806 1.308l5.8236 6.5842-2.9118 3.0499'/%3e%3c/g%3e%3c/svg%3e");right:-0.7em}.cf-minimal .jfInput-button:not(.forMobileNav).forNext:after,.cf-minimal .jfInput-button:not(.forMobileNav).forNext-heading:after{background-image:url("data:image/svg+xml;charset=UTF-8,%3csvg xmlns='http://www.w3.org/2000/svg' width='24' height='16'%3e%3cg fill='none' fill-rule='evenodd' stroke='%23fff' stroke-linecap='round' stroke-linejoin='round' stroke-width='2'%3e%3cpath d='M1.7797 8.0199h20.9252l-6.2016 6.2016'/%3e%3cpath d='M16.806 1.308l5.8236 6.5842-2.9118 3.0499'/%3e%3c/g%3e%3c/svg%3e");right:-0.7em}.cf-minimal .jfInput-button:not(.forMobileNav).forPrev:before,.cf-minimal .jfInput-button:not(.forMobileNav).forPrev-heading:before,.cf-minimal .jfInput-button:not(.forMobileNav).forBackToForm:before{background-image:url("data:image/svg+xml;charset=UTF-8,%3csvg xmlns='http://www.w3.org/2000/svg' width='24' height='16'%3e%3cg fill='none' fill-rule='evenodd' stroke='%23fff' stroke-opacity='70%25' stroke-linecap='round' stroke-linejoin='round' stroke-width='2'%3e%3cpath d='M22.2203 8.0199H1.2951l6.2016 6.2016'/%3e%3cpath d='M7.194 1.308L1.3704 7.8922l2.9118 3.0499'/%3e%3c/g%3e%3c/svg%3e");right:0.7em}.cf-minimal .jfInput-button:not(.forMobileNav).forPrev:hover,.cf-minimal .jfInput-button:not(.forMobileNav).forPrev-heading:hover,.cf-minimal .jfInput-button:not(.forMobileNav).forBackToForm:hover{color:#fff}.cf-minimal .jfInput-button:not(.forMobileNav).forPrev:hover:before,.cf-minimal .jfInput-button:not(.forMobileNav).forPrev-heading:hover:before,.cf-minimal .jfInput-button:not(.forMobileNav).forBackToForm:hover:before{background-image:url("data:image/svg+xml;charset=UTF-8,%3csvg xmlns='http://www.w3.org/2000/svg' width='24' height='16'%3e%3cg fill='none' fill-rule='evenodd' stroke='%23fff' stroke-opacity='100%25' stroke-linecap='round' stroke-linejoin='round' stroke-width='2'%3e%3cpath d='M22.2203 8.0199H1.2951l6.2016 6.2016'/%3e%3cpath d='M7.194 1.308L1.3704 7.8922l2.9118 3.0499'/%3e%3c/g%3e%3c/svg%3e");right:0.7em}.jfMatrix{color:#333}.jfMatrix .jfMatrixTable-cell{border-right:4px solid #fff}.jfMatrix.forYesNo .jfMatrixInputList-item{background-color:#f7f7f7}.jfMatrix.forYesNo .jfMatrixLabelList-item{background-color:#f7f7f7}.jfMatrixTable-row{background-color:#f7f7f7}.jfMatrixTable-row:hover{background-color:#eeefef}.jfRadio-otherInputField,.jfCheckbox-otherInputField{color:initial}.jfInput-dropdown{background-color:#fff;border-color:#72757b}.jfInput-dropdown.isOpen,.jfInput-dropdown:hover{border-color:#8f959c}.jfInput-dropdown.isOpen:before,.jfInput-dropdown:hover:before{border-top-color:#8f959c}.jfDropdown-search{background-color:initial;color:initial}.jfDropdown-search::placeholder{color:rgba(0, 0, 0, 0.2)}.jfDropdown-optionListWrapper.isOpen.forDrawer{border-color:#72757b}.jfDropdown-toggle:before{border-top-color:#72757b}.jfDropdown-optionListItem{color:#323232}.jfDropdown-optionListItem.isSelected{background-color:#499fff;border-color:#72757b}.jfDropdown-optionListItem:not(.isSelected):hover,.jfDropdown-optionListItem:not(.isSelected):focus,.jfDropdown-optionListItem:not(.isSelected).js-selected,.jfDropdown-optionListItem:not(.isSelected).isHighlighted{background-color:#d7eaff}body.isMobile .jfForm-wrapper.hasTouch select.form-dropdown,body.isTablet .jfForm-wrapper.hasTouch select.form-dropdown{color:initial;background-color:#fff;border-color:#72757b}.jfDropdown-chip.isSingle{color:#323232}.jfDropdown-optionListGroupTitle{color:#323232}.withJotformFooter .jfForm-wrapper .jfWelcome-feature-badge{bottom:76px}@media screen and (max-width: 736px){.jfMatrix.forMobile .jfMatrixScale-labelWrapper{color:#4a85ef}.jfMatrix.forMobile .jfMatrixChoice-row{background-color:#f7f7f7}.jfMatrix.forMobile .jfMatrixChoice-row:hover{background-color:#eeefef}}.jfInput-inputLabel{color:#72757b}.jfToolbar{background-color:#fff}.jfToolbar-item svg [fill]{fill:initial}.jfToolbar-select{background-color:#fff}.jfRadio-label,.jfCheckbox-label{border-color:#72757b}.jfRadio-label:hover,.jfCheckbox-label:hover{background-color:#f7f7f7}.jfRadio-customInput,.jfCheckbox-customInput,.checkboxProduct-customInput,.radioProduct-customInput{border-color:#72757b}.jfRadio-customInputIcon,.jfCheckbox-customInputIcon,.checkboxProduct-customInputIcon,.radioProduct-customInputIcon{background-color:#5badfe}.jfRadio-labelText,.jfCheckbox-labelText,.radioProduct-labelText,.checkboxProduct-labelText{color:#323232}@keyframes blink2{0%{background-color:transparent;border-color:#72757b}100%{border-color:#5badfe;background-color:#d7ebff}}.jfRadio-input[type="radio"]:checked ~ .jfRadio-label,.jfCheckbox-input[type="checkbox"]:checked ~ .jfRadio-label,.jfRadio-input[type="radio"]:checked ~ .jfCheckbox-label,.jfCheckbox-input[type="checkbox"]:checked ~ .jfCheckbox-label{animation:blink2 0.15s linear 2 normal forwards}.jfRadio-input[type="radio"]:checked ~ .jfRadio-label .jfRadio-labelText,.jfCheckbox-input[type="checkbox"]:checked ~ .jfRadio-label .jfRadio-labelText,.jfRadio-input[type="radio"]:checked ~ .jfCheckbox-label .jfRadio-labelText,.jfCheckbox-input[type="checkbox"]:checked ~ .jfCheckbox-label .jfRadio-labelText,.jfRadio-input[type="radio"]:checked ~ .jfRadio-label .jfCheckbox-labelText,.jfCheckbox-input[type="checkbox"]:checked ~ .jfRadio-label .jfCheckbox-labelText,.jfRadio-input[type="radio"]:checked ~ .jfCheckbox-label .jfCheckbox-labelText,.jfCheckbox-input[type="checkbox"]:checked ~ .jfCheckbox-label .jfCheckbox-labelText,.jfRadio-input[type="radio"]:checked ~ .jfRadio-label .radioProduct-labelText,.jfCheckbox-input[type="checkbox"]:checked ~ .jfRadio-label .radioProduct-labelText,.jfRadio-input[type="radio"]:checked ~ .jfCheckbox-label .radioProduct-labelText,.jfCheckbox-input[type="checkbox"]:checked ~ .jfCheckbox-label .radioProduct-labelText,.jfRadio-input[type="radio"]:checked ~ .jfRadio-label .checkboxProduct-labelText,.jfCheckbox-input[type="checkbox"]:checked ~ .jfRadio-label .checkboxProduct-labelText,.jfRadio-input[type="radio"]:checked ~ .jfCheckbox-label .checkboxProduct-labelText,.jfCheckbox-input[type="checkbox"]:checked ~ .jfCheckbox-label .checkboxProduct-labelText{color:initial}.jfRadio-input[type="radio"]:checked ~ .jfRadio-label .jfRadio-customInput,.jfCheckbox-input[type="checkbox"]:checked ~ .jfRadio-label .jfRadio-customInput,.jfRadio-input[type="radio"]:checked ~ .jfCheckbox-label .jfRadio-customInput,.jfCheckbox-input[type="checkbox"]:checked ~ .jfCheckbox-label .jfRadio-customInput,.jfRadio-input[type="radio"]:checked ~ .jfRadio-label .jfCheckbox-customInput,.jfCheckbox-input[type="checkbox"]:checked ~ .jfRadio-label .jfCheckbox-customInput,.jfRadio-input[type="radio"]:checked ~ .jfCheckbox-label .jfCheckbox-customInput,.jfCheckbox-input[type="checkbox"]:checked ~ .jfCheckbox-label .jfCheckbox-customInput{border-color:#5badfe}.jfRadio-input[type="radio"]:focus-visible + .jfRadio-label .jfRadio-customInput,.jfCheckbox-input[type="checkbox"]:focus-visible + .jfRadio-label .jfRadio-customInput,.jfRadio-input[type="radio"]:focus-visible + .jfCheckbox-label .jfCheckbox-customInput,.jfCheckbox-input[type="checkbox"]:focus-visible + .jfCheckbox-label .jfCheckbox-customInput{outline:2px solid #4dbefc;outline-offset:5px}.radioProduct-input[type="radio"]:checked ~ .radioProduct .radioProduct-label .radioProduct-customInput,.checkboxProduct-input[type="checkbox"]:checked ~ .radioProduct .radioProduct-label .radioProduct-customInput,.radioProduct-input[type="radio"]:checked ~ .checkboxProduct .checkboxProduct-label .radioProduct-customInput,.checkboxProduct-input[type="checkbox"]:checked ~ .checkboxProduct .checkboxProduct-label .radioProduct-customInput,.radioProduct-input[type="radio"]:checked ~ .radioProduct .radioProduct-label .checkboxProduct-customInput,.checkboxProduct-input[type="checkbox"]:checked ~ .radioProduct .radioProduct-label .checkboxProduct-customInput,.radioProduct-input[type="radio"]:checked ~ .checkboxProduct .checkboxProduct-label .checkboxProduct-customInput,.checkboxProduct-input[type="checkbox"]:checked ~ .checkboxProduct .checkboxProduct-label .checkboxProduct-customInput{border-color:#5badfe}@keyframes blink{0%{background-color:transparent;color:#1776eb}100%{background-color:#1776eb;color:#fff}}.jfYesno-label{color:#1776eb;border-color:#1776eb;background-color:transparent}.jfYesno-label:hover{background-color:#1776eb}.jfYesno input[type="radio"]:checked ~ .jfYesno-label{animation:blink 0.15s linear 2 normal forwards}.jfYesno:focus{background-color:#1776eb}.jfYesno:focus .jfYesno-label{color:#fff}.jfYesno input[type="radio"]:focus-visible + .jfYesno-label{outline:2px solid #4dbefc;outline-offset:5px}.jfUpload-wrapper .jfUpload-container{background:#f4f7fa}.jfUpload-wrapper .jfUpload-heading{color:initial}.jfTranslation-dropdown{background-color:#fff}.jfTranslation .dd-placeholder{background-color:#fff}.product{color:initial}.product--selected{color:initial}.product-mini__title,.product-mini__price{color:#344556}.products:not(.products--selected) .product--selected:not(.product--active){background:#f2f9ff}.products{height:auto;transition:0.3s}.isMobile .new-payment-coupon .form-payment-footer_total{background:linear-gradient(to bottom, rgba(255, 255, 255, 0) 0%, rgba(255, 255, 255, 1) 41%, rgba(255, 255, 255, 1) 100%)}.product__detail-options th{color:initial}.product__header{color:initial}.form-payment-price,.form-item-subtotal,.form-item-subtotal .currency,.paymentCardDetail-footer-wrapper{color:#000}.product-summary__bag{color:#778596}.jfSubProductTable{color:initial}[data-type="control_email"] .jfQuestion-fields .jfEmailVerify-wrapper{color:initial}.jfInput-input.sacl-input{color:initial}.qq-upload-file{color:initial}:not(.isMobile):not(.forMiniCard) .jfProgress-item.isActive.isValid .jfProgress-itemCircle{background:#5badfe;border-color:#5badfe}@media screen and (max-width: 736px){.jfProgress-item.isValid .jfProgress-itemCircle{background:#5badfe}}.jfMatrixInputList-item.isFilled .jfMatrixScale-button{background-color:#5390ff}.jfMatrixScale-button:focus{box-shadow:0 0 0 6px rgba(39, 62, 103, .58)}.jfMatrix-inputWrapper.forRadio input[type="radio"]:checked + .jfMatrix-customRadio{background-color:#4a85ef;border-color:#4a85ef}.jfMatrix-inputWrapper.forCheckbox input[type="checkbox"]:checked + .jfMatrix-customCheckbox{background-color:#4a85ef;border-color:#4a85ef}.jfMatrixBinary-input:checked ~ .jfMatrixBinary-custom{background-color:#4a85ef}.jfMatrixBinary-button{border:2px solid #4a85ef;color:#4a85ef}.jfMatrixBinary-button.isActive{background-color:#4a85ef}.jfMatrixInputList-item.isFilled .jfMatrixScale-item{background-color:#4a85ef}.jfMatrixScale{background-color:#e8e8e8}div.jfField.jfTime-until{color:#323232}.jfRating-scaleText .jfRating-fromText,.jfRating-scaleText .jfRating-toText{color:#323232}.jfWidget[data-type="control_signature"] .signature-pad-passive,.jfCard[data-type="control_signature"] .signature-pad-passive,.jfWidget[data-type="control_signature"] .signature-pad-wrapper,.jfCard[data-type="control_signature"] .signature-pad-wrapper{color:#444}.jfWidget[data-type="control_signature"] .signature-pad-passive .signature-line,.jfCard[data-type="control_signature"] .signature-pad-passive .signature-line{border-color:#444}[data-encrypted-answer="true"]{filter:blur(0.2rem);pointer-events:none}.jfHiddenTextLabel{position:absolute;left:-9999px;width:1px;height:1px;overflow:hidden}.form-product-item .form-product-child-table tr td .currency__price.underlined{text-decoration:line-through}.form-payment-subscriptionprices .form-amount-container{display:flex;justify-content:end;align-items:center;font-size:18px !important;line-height:20px !important}.form-payment-subscriptionprices .form-payment-price{width:unset;padding:unset}.form-payment-subscriptionprices .form-payment-price span.first-payment,.form-payment-subscriptionprices .form-payment-price span.recur-payment,.form-payment-subscriptionprices .form-payment-price span.custom-recurring{display:inline-block;min-width:128px;text-align:right}.form-payment-subscriptionprices .form-first-payment-price-label,.form-payment-subscriptionprices .form-payment-price span.first-payment{color:#2c3345;width:100% !important;font-weight:500}.form-payment-subscriptionprices .form-recur-payment-price-label,.form-payment-subscriptionprices .form-payment-price span.recur-payment,.form-payment-subscriptionprices .form-custom-recurring-price-label,.form-payment-subscriptionprices .form-payment-price span.custom-recurring{font-size:14px !important;width:100% !important;font-weight:300 !important;color:#7f859c !important}.form-payment-subscriptionprices .form-amount-container:not(:last-child){margin-bottom:8px}