{"id":4023,"date":"2026-03-17T12:33:36","date_gmt":"2026-03-17T16:33:36","guid":{"rendered":"https:\/\/sleepconsortium.org\/?page_id=4023"},"modified":"2026-04-13T10:16:33","modified_gmt":"2026-04-13T14:16:33","slug":"illuminate-brain-fog","status":"publish","type":"page","link":"https:\/\/sleepconsortium.org\/fr\/illuminate-brain-fog\/","title":{"rendered":"Illuminer le brouillard c\u00e9r\u00e9bral"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"4023\" class=\"elementor elementor-4023\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-02e073d elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"02e073d\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-bd56dbf\" data-id=\"bd56dbf\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-9cb2622 elementor-widget elementor-widget-image\" data-id=\"9cb2622\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/sleepconsortium.org\/wp-content\/uploads\/elementor\/thumbs\/IlliuminateBrainFog-Logo_ForDarkBkgrd-rknekfhaz0upaj92z1xsg9sd3tqdsdk2b23nu7w13u.png\" title=\"\" alt=\"Illuminate Brain Fog\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-b7b6808 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"b7b6808\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-8777a9a\" data-id=\"8777a9a\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-8365d38 elementor-widget elementor-widget-heading\" data-id=\"8365d38\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Join us in helping to ILLUMINATE BRAIN FOG<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f9a80c1 elementor-widget elementor-widget-text-editor\" data-id=\"f9a80c1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p class=\"p1\">To leverage learnings from the <a href=\"https:\/\/sleepconsortium.org\/illuminate-hypersomnia\/\"><span class=\"s1\">Illuminate Hypersomnia initiative<\/span><\/a>, Sleep Consortium is excited to launch Illuminate Brain Fog, a new research initiative focused on improving how brain fog is defined, measured, and understood in people living with Central Disorders of Hypersomnolence (CDoH).<\/p><p class=\"p1\">Sleep Consortium has partnered with RARE-X to host this survey series on the <a href=\"https:\/\/rare-x.org\/sleepconsortium\/\"><span class=\"s1\">DREAMS Portal<\/span><\/a> to capture insights from adults affected by narcolepsy (with or without cataplexy) and idiopathic hypersomnia (IH).<\/p><p class=\"p1\">Your survey responses will help evaluate how well current tools capture the true experience of living with brain fog and will guide development of a more comprehensive, patient-centered measurement scale. These learnings will support future therapy development and improve clinical care.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ff291cb elementor-widget elementor-widget-heading\" data-id=\"ff291cb\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Who Can Participate?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b6e76ef elementor-widget elementor-widget-text-editor\" data-id=\"b6e76ef\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><b>We invite adults aged 18 and older\u00a0affected by narcolepsy (with or without cataplexy) and IH worldwide to enroll in this initiative to deepen our understanding of brain fog by completing a series of short surveys. <\/b>We are committed to representing the full breadth of experiences across these communities. All responses will be confidential.<\/p><p class=\"p1\"><i>Note: Currently, all surveys and materials are available\u00a0<span class=\"gmail-Asgive gmail-ng\">in English only.<\/span><\/i><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4d27cb3 elementor-widget elementor-widget-heading\" data-id=\"4d27cb3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Steps to Participate<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-12a37bb elementor-widget elementor-widget-text-editor\" data-id=\"12a37bb\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p class=\"p1\"><b>STEP 1: Submit a short questionnaire<\/b><\/p><p class=\"p1\">Complete our interest questionnaire to help us learn a bit more about you. Your responses will help us guide you through the process.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2545366 elementor-align-center elementor-widget elementor-widget-button\" data-id=\"2545366\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"#QUESTIONNAIRE\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">START THE QUESTIONNAIRE<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5dd7084 elementor-widget elementor-widget-text-editor\" data-id=\"5dd7084\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p class=\"p1\"><b>STEP 2: Onboarding<\/b><\/p><p class=\"p1\">After submitting the questionnaire, eligible participants will be invited to attend a live, virtual onboarding session to learn how to join the portal, contribute initial health-related information, and access the survey series.\u00a0<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d76d7f4 elementor-widget elementor-widget-text-editor\" data-id=\"d76d7f4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p class=\"p1\"><b>STEP 3: Complete the survey series<\/b><\/p><p class=\"p1\">Once onboarding is completed, participants can begin the survey series in the <a href=\"https:\/\/rare-x.org\/sleepconsortium\/\"><span class=\"s1\">DREAMS Portal<\/span><\/a>. Participants can expect the entire survey series to take about an hour, from account creation through completion of the essential survey set. A \u201csave and return\u201d feature allows participants to pause as needed and return when they\u2019re able. As a series, they are designed to assess the full-body impacts of these sleep disorders, with a special focus on brain fog.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3b4fb38 elementor-widget elementor-widget-heading\" data-id=\"3b4fb38\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Frequently Asked Questions<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e469044 elementor-widget elementor-widget-text-editor\" data-id=\"e469044\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p class=\"p1\"><i>For more information on data privacy and the RARE-X Data Collection Program in the <\/i><a href=\"https:\/\/rare-x.org\/sleepconsortium\/\"><span class=\"s1\"><i>DREAMS Portal<\/i><\/span><\/a><i>, please visit <\/i><a href=\"https:\/\/rare-x.org\/sleepconsortium\/\"><span class=\"s1\"><i>https:\/\/rare-x.org\/sleepconsortium\/<\/i><\/span><\/a><i> and review the full list of FAQs at the bottom of the page.<\/i><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a2b0ec2 elementor-widget elementor-widget-accordion\" data-id=\"a2b0ec2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-accordion\">\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1701\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-1701\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">How long will it take to complete the survey series?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-1701\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-1701\"><p class=\"p1\">After creating your DREAMS Portal account, you\u2019ll immediately be prompted to complete a brief \u201cHead-to-Toe\u201d survey that inquires about effects on each body system. Account creation and the Head-to-Toe survey together take approximately 35 minutes. Based on your responses to the Head-to-Toe survey, you\u2019ll be assigned additional short surveys specific to the affected body system, which may take up to 5-15 minutes more, depending on your health history.<\/p><p class=\"p1\">Once those steps are complete, participants will take a core series of three short brain fog surveys, which together take about 15 minutes.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1702\" class=\"elementor-tab-title\" data-tab=\"2\" role=\"button\" aria-controls=\"elementor-tab-content-1702\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">What is the DREAMS Portal?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-1702\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"region\" aria-labelledby=\"elementor-tab-title-1702\"><p class=\"p1\">The DREAMS Portal data repository is part of the RARE-X research program. RARE-X is a non-profit organization created by leaders in the fields of patient advocacy, medical research, biopharma, and technology. Its mission to accelerate diagnosis, disease understanding, and development of future treatments and cures across rare diseases aligns with Sleep Consortium\u2019s mission to accelerate next generation research, disease understanding and therapy development for those living with Central Disorders of Hypersomnolence (CDoH) and related diseases. Read more about the benefits of our partnership <a href=\"https:\/\/sleepconsortium.org\/benefits\/\"><span class=\"s1\">here<\/span><\/a>.<\/p><p class=\"p1\">In addition, our partnership with Rare-X provides the following services:<\/p><ul class=\"ul1\"><li style=\"list-style-type: none;\"><ul class=\"ul1\"><li class=\"li2\">Data governance and security (exceeding HIPAA standards)<\/li><li class=\"li2\">Legal support<\/li><li class=\"li2\">Inter-connection of data across multiple diseases<\/li><li class=\"li2\">Technical support and portal domain maintenance\/updates<\/li><\/ul><\/li><\/ul><p class=\"p1\">Sleep Consortium collects and stores health-related information (data) about patients with CDoH from patients and caregivers (not doctors). With your permission, your de-identified data will be shared with researchers and patient organizations associated with these conditions worldwide.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1703\" class=\"elementor-tab-title\" data-tab=\"3\" role=\"button\" aria-controls=\"elementor-tab-content-1703\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">I already have a DREAMS Portal account. Do I need to submit a questionnaire or get onboarded? <\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-1703\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"3\" role=\"region\" aria-labelledby=\"elementor-tab-title-1703\"><p class=\"p1\">Yes. All participants are asked to follow the three participation steps outlined above, including completing the questionnaire and attending an onboarding session, even if they already have a DREAMS Portal account. The Illuminate Brain Fog survey series is new to the portal, and surveys will be completed in a specific order.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1704\" class=\"elementor-tab-title\" data-tab=\"4\" role=\"button\" aria-controls=\"elementor-tab-content-1704\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">How will my data be used?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-1704\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"4\" role=\"region\" aria-labelledby=\"elementor-tab-title-1704\"><p class=\"p1\">All participants will need to provide informed consent for RARE-X to share information about their survey progress as a part of the onboarding process. Your personally identifiable information (name and email) will be used solely for administrative purposes, including tracking survey progress.<\/p><p class=\"p1\">Maintaining your privacy is very important to us. Your name and other personal identifiers will be removed from the data and replaced with a unique code number before data is shared with researchers. Data is encrypted (scrambled) when stored for added security.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1705\" class=\"elementor-tab-title\" data-tab=\"5\" role=\"button\" aria-controls=\"elementor-tab-content-1705\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Who can I contact with questions about the initiative?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-1705\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"5\" role=\"region\" aria-labelledby=\"elementor-tab-title-1705\"><p class=\"p1\">If you have any questions or need assistance with the survey series, please contact us at <a href=\"mailto:info@sleepconsortium.org\"><span class=\"s1\">info@sleepconsortium.org<\/span><\/a>.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-c61335d elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"c61335d\" data-element_type=\"section\" data-e-type=\"section\" id=\"QUESTIONNAIRE\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-bbe31c5\" data-id=\"bbe31c5\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-537711b elementor-widget elementor-widget-heading\" data-id=\"537711b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Questionnaire<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-de70a9b uael-gf-check-yes uael-gf-ajax-true uael-gf-style-box uael-gf-input-size-sm uael-gf-enable-classes-no uael-gf-check-default-no uael-gf-button-left uael-gf-btn-size-sm elementor-widget elementor-widget-uael-gf-styler\" data-id=\"de70a9b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"uael-gf-styler.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"uael-gf-style uael-gf-check-style elementor-clickable\">\n\t<script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_6' ><form method='post' enctype='multipart\/form-data'  id='gform_6'  action='\/fr\/wp-json\/wp\/v2\/pages\/4023' data-formid='6' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_6' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_6_1\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Demographic info<\/h3><\/div><fieldset id=\"field_6_3\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_6_3'>\n                            \n                            <span id='input_6_3_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_3.3' id='input_6_3_3' value='' tabindex='2'  aria-required='true'     \/>\n                                                    <label for='input_6_3_3' class='gform-field-label gform-field-label--type-sub '>Pr\u00e9nom<\/label>\n                                                <\/span>\n                            \n                            <span id='input_6_3_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_3.6' id='input_6_3_6' value='' tabindex='4'  aria-required='true'     \/>\n                                                    <label for='input_6_3_6' class='gform-field-label gform-field-label--type-sub '>Nom<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_6_4\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-two-thirds gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_4'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_4' id='input_6_4' type='email' value='' class='large' tabindex='6'   aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_6_18\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-two-thirds field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_18'>Sex\/gender<\/label><div class='ginput_container ginput_container_select'><select name='input_18' id='input_6_18' class='large gfield_select' tabindex='7'    aria-invalid=\"false\" ><option value='---' >---<\/option><option value='Female' >Female<\/option><option value='Male' >Male<\/option><option value='Non-binary' >Non-binary<\/option><option value='None of these' >None of these<\/option><option value='Prefer not to answer' >Prefer not to answer<\/option><\/select><\/div><\/div><div id=\"field_6_6\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_6'>Date of Birth<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_6' id='input_6_6' type='text' value='' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon' tabindex='8'  placeholder='mm\/jj\/aaaa' aria-describedby=\"input_6_6_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_6_6_date_format' class='screen-reader-text'>MM slash JJ slash AAAA<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_6_6' class='gform_hidden' value='https:\/\/sleepconsortium.org\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_6_7\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_7'>Age at onset of symptoms<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_7' id='input_6_7' type='number' step='any'   value='' class='large' tabindex='9'    aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_6_8\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_8'>Year of diagnosis<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_8' id='input_6_8' type='number' step='any'   value='' class='large' tabindex='10'    aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><fieldset id=\"field_6_10\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Which conditions have you ever been diagnosed with?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_6_10'>(Check all that apply)<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_6_10'><div class='gchoice gchoice_6_10_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.1' type='checkbox'  value='Narcolepsy with cataplexy (NT1)'  id='choice_6_10_1' tabindex='11'  aria-describedby=\"gfield_description_6_10\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_6_10_1' id='label_6_10_1' class='gform-field-label gform-field-label--type-inline'>Narcolepsy with cataplexy (NT1)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_10_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.2' type='checkbox'  value='Narcolepsy without cataplexy (NT2)'  id='choice_6_10_2' tabindex='12'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_10_2' id='label_6_10_2' class='gform-field-label gform-field-label--type-inline'>Narcolepsy without cataplexy (NT2)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_10_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.3' type='checkbox'  value='Idiopathic Hypersomnia (IH)'  id='choice_6_10_3' tabindex='13'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_10_3' id='label_6_10_3' class='gform-field-label gform-field-label--type-inline'>Idiopathic Hypersomnia (IH)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_10_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.4' type='checkbox'  value='None of the above'  id='choice_6_10_4' tabindex='14'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_10_4' id='label_6_10_4' class='gform-field-label gform-field-label--type-inline'>None of the above<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_6_11\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Which condition do you consider to be the most appropriate diagnosis based on your lived experience?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_6_11'>Select one<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_6_11'>\n\t\t\t<div class='gchoice gchoice_6_11_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_11' type='radio' value='Narcolepsy with cataplexy (NT1)'  id='choice_6_11_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_6_11\" tabindex='15'  \/>\n\t\t\t\t\t<label for='choice_6_11_0' id='label_6_11_0' class='gform-field-label gform-field-label--type-inline'>Narcolepsy with cataplexy (NT1)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_11_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_11' type='radio' value='Narcolepsy without cataplexy (NT2)'  id='choice_6_11_1' onchange='gformToggleRadioOther( this )'  tabindex='16'  \/>\n\t\t\t\t\t<label for='choice_6_11_1' id='label_6_11_1' class='gform-field-label gform-field-label--type-inline'>Narcolepsy without cataplexy (NT2)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_11_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_11' type='radio' value='Idiopathic Hypersomnia (IH)'  id='choice_6_11_2' onchange='gformToggleRadioOther( this )'  tabindex='17'  \/>\n\t\t\t\t\t<label for='choice_6_11_2' id='label_6_11_2' class='gform-field-label gform-field-label--type-inline'>Idiopathic Hypersomnia (IH)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_11_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_11' type='radio' value='Unsure\/I don\u2019t know'  id='choice_6_11_3' onchange='gformToggleRadioOther( this )'  tabindex='18'  \/>\n\t\t\t\t\t<label for='choice_6_11_3' id='label_6_11_3' class='gform-field-label gform-field-label--type-inline'>Unsure\/I don\u2019t know<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_11_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_11' type='radio' value='None of the above'  id='choice_6_11_4' onchange='gformToggleRadioOther( this )'  tabindex='19'  \/>\n\t\t\t\t\t<label for='choice_6_11_4' id='label_6_11_4' class='gform-field-label gform-field-label--type-inline'>None of the above<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_6_12\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full gfield_contains_required field_sublabel_hidden_label gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >What is your country of residence?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_country ginput_container_address gform-grid-row' id='input_6_12' >\n                        <input type='hidden' class='gform_hidden' name='input_12.4' id='input_6_12_4' value=''\/><span class='ginput_left address_country ginput_address_country gform-grid-col' id='input_6_12_6_container' >\n                                        <select name='input_12.6' id='input_6_12_6' tabindex='23'  aria-required='true'    ><option value='' selected='selected'><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Afrique du Sud' >Afrique du Sud<\/option><option value='Albanie' >Albanie<\/option><option value='Alg\u00e9rie' >Alg\u00e9rie<\/option><option value='Allemagne' >Allemagne<\/option><option value='Andorre' >Andorre<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctique' >Antarctique<\/option><option value='Antigua-et-Barbuda' >Antigua-et-Barbuda<\/option><option value='Arabie Saoudite' >Arabie Saoudite<\/option><option value='Argentine' >Argentine<\/option><option value='Arm\u00e9nie' >Arm\u00e9nie<\/option><option value='Aruba' >Aruba<\/option><option value='Australie' >Australie<\/option><option value='Autriche' >Autriche<\/option><option value='Azerba\u00efdjan' >Azerba\u00efdjan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahre\u00efn' >Bahre\u00efn<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Belarus' >Belarus<\/option><option value='Belgique' >Belgique<\/option><option value='Belize' >Belize<\/option><option value='Bermudes' >Bermudes<\/option><option value='Bhoutan' >Bhoutan<\/option><option value='Bolivie' >Bolivie<\/option><option value='Bonaire, Saint-Eustache et Saba' >Bonaire, Saint-Eustache et Saba<\/option><option value='Bosnie-Herz\u00e9govine' >Bosnie-Herz\u00e9govine<\/option><option value='Botswana' >Botswana<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Br\u00e9sil' >Br\u00e9sil<\/option><option value='Bulgarie' >Bulgarie<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='B\u00e9nin' >B\u00e9nin<\/option><option value='Cambodge' >Cambodge<\/option><option value='Cameroun' >Cameroun<\/option><option value='Canada' >Canada<\/option><option value='Cap-Vert' >Cap-Vert<\/option><option value='Chili' >Chili<\/option><option value='Chine' >Chine<\/option><option value='Chypre' >Chypre<\/option><option value='Colombie' >Colombie<\/option><option value='Comores' >Comores<\/option><option value='Congo' >Congo<\/option><option value='Cor\u00e9e (R\u00e9publique de)' >Cor\u00e9e (R\u00e9publique de)<\/option><option value='Cor\u00e9e (R\u00e9publique populaire d\u00e9mocratique de)' >Cor\u00e9e (R\u00e9publique populaire d\u00e9mocratique de)<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatie' >Croatie<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='C\u00f4te d\u2019Ivoire' >C\u00f4te d\u2019Ivoire<\/option><option value='Danemark' >Danemark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominique' >Dominique<\/option><option value='Espagne' >Espagne<\/option><option value='Estonie' >Estonie<\/option><option value='Eswatini' >Eswatini<\/option><option value='Fidji' >Fidji<\/option><option value='Finlande' >Finlande<\/option><option value='France' >France<\/option><option value='F\u00e9d\u00e9ration Russe' >F\u00e9d\u00e9ration Russe<\/option><option value='Gabon' >Gabon<\/option><option value='Gambie' >Gambie<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Grenade' >Grenade<\/option><option value='Groenland' >Groenland<\/option><option value='Gr\u00e8ce' >Gr\u00e8ce<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guin\u00e9e' >Guin\u00e9e<\/option><option value='Guin\u00e9e \u00e9quatoriale' >Guin\u00e9e \u00e9quatoriale<\/option><option value='Guin\u00e9e-Bissau' >Guin\u00e9e-Bissau<\/option><option value='Guyane' >Guyane<\/option><option value='Guyane' >Guyane<\/option><option value='G\u00e9orgie' >G\u00e9orgie<\/option><option value='G\u00e9orgie du Sud et \u00celes Sandwich du Sud' >G\u00e9orgie du Sud et \u00celes Sandwich du Sud<\/option><option value='Ha\u00efti' >Ha\u00efti<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hongrie' >Hongrie<\/option><option value='Inde' >Inde<\/option><option value='Indon\u00e9sie' >Indon\u00e9sie<\/option><option value='Irak' >Irak<\/option><option value='Iran' >Iran<\/option><option value='Irlande' >Irlande<\/option><option value='Islande' >Islande<\/option><option value='Isra\u00ebl' >Isra\u00ebl<\/option><option value='Italie' >Italie<\/option><option value='Jama\u00efque' >Jama\u00efque<\/option><option value='Japon' >Japon<\/option><option value='Jersey' >Jersey<\/option><option value='Jordanie' >Jordanie<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kirghizistan' >Kirghizistan<\/option><option value='Kiribati' >Kiribati<\/option><option value='Kowe\u00eft' >Kowe\u00eft<\/option><option value='La Barbade' >La Barbade<\/option><option value='La R\u00e9union' >La R\u00e9union<\/option><option value='Lesotho' >Lesotho<\/option><option value='Lettonie' >Lettonie<\/option><option value='Liban' >Liban<\/option><option value='Liberia' >Liberia<\/option><option value='Libye' >Libye<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lituanie' >Lituanie<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macao' >Macao<\/option><option value='Mac\u00e9doine du Nord' >Mac\u00e9doine du Nord<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malaisie' >Malaisie<\/option><option value='Malawi' >Malawi<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malte' >Malte<\/option><option value='Maroc' >Maroc<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritanie' >Mauritanie<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexique' >Mexique<\/option><option value='Micron\u00e9sie' >Micron\u00e9sie<\/option><option value='Moldavie' >Moldavie<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolie' >Mongolie<\/option><option value='Montserrat' >Montserrat<\/option><option value='Mont\u00e9n\u00e9gro' >Mont\u00e9n\u00e9gro<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibie' >Namibie<\/option><option value='Nauru' >Nauru<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nig\u00e9ria' >Nig\u00e9ria<\/option><option value='Niu\u00e9' >Niu\u00e9<\/option><option value='Norv\u00e8ge' >Norv\u00e8ge<\/option><option value='Nouvelle-Cal\u00e9donie' >Nouvelle-Cal\u00e9donie<\/option><option value='Nouvelle-Z\u00e9lande' >Nouvelle-Z\u00e9lande<\/option><option value='N\u00e9pal' >N\u00e9pal<\/option><option value='Oman' >Oman<\/option><option value='Ouganda' >Ouganda<\/option><option value='Ouzb\u00e9kistan' >Ouzb\u00e9kistan<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Panama' >Panama<\/option><option value='Papouasie-Nouvelle-Guin\u00e9e' >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value='Paraguay' >Paraguay<\/option><option value='Pays-Bas' >Pays-Bas<\/option><option value='Philippines' >Philippines<\/option><option value='Pologne' >Pologne<\/option><option value='Polyn\u00e9sie fran\u00e7aise' >Polyn\u00e9sie fran\u00e7aise<\/option><option value='Porto Rico' >Porto Rico<\/option><option value='Portugal' >Portugal<\/option><option value='P\u00e9rou' >P\u00e9rou<\/option><option value='Qatar' >Qatar<\/option><option value='Roumanie' >Roumanie<\/option><option value='Royaume-Uni' >Royaume-Uni<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9publique Dominicaine' >R\u00e9publique Dominicaine<\/option><option value='R\u00e9publique Tch\u00e8que' >R\u00e9publique Tch\u00e8que<\/option><option value='R\u00e9publique arabe syrienne' >R\u00e9publique arabe syrienne<\/option><option value='R\u00e9publique centrafricaine' >R\u00e9publique centrafricaine<\/option><option value='R\u00e9publique d\u00e9mocratique du Congo' >R\u00e9publique d\u00e9mocratique du Congo<\/option><option value='R\u00e9publique d\u00e9mocratique populaire du Laos' >R\u00e9publique d\u00e9mocratique populaire du Laos<\/option><option value='Sahara occidental' >Sahara occidental<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint Pierre et Miquelon' >Saint Pierre et Miquelon<\/option><option value='Saint-Christophe-et-Nevis' >Saint-Christophe-et-Nevis<\/option><option value='Saint-Marin' >Saint-Marin<\/option><option value='Saint-Si\u00e8ge' >Saint-Si\u00e8ge<\/option><option value='Saint-Vincent-et-les Grenadines' >Saint-Vincent-et-les Grenadines<\/option><option value='Sainte-H\u00e9l\u00e8ne, Ascension et Tristan da Cunha' >Sainte-H\u00e9l\u00e8ne, Ascension et Tristan da Cunha<\/option><option value='Sainte-Lucie' >Sainte-Lucie<\/option><option value='Salvador' >Salvador<\/option><option value='Samoa' >Samoa<\/option><option value='Samoa am\u00e9ricaines' >Samoa am\u00e9ricaines<\/option><option value='Sao Tom\u00e9 et Principe' >Sao Tom\u00e9 et Principe<\/option><option value='Serbie' >Serbie<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapour' >Singapour<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovaquie' >Slovaquie<\/option><option value='Slov\u00e9nie' >Slov\u00e9nie<\/option><option value='Somalie' >Somalie<\/option><option value='Soudan' >Soudan<\/option><option value='Soudan du Sud' >Soudan du Sud<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Suisse' >Suisse<\/option><option value='Suriname' >Suriname<\/option><option value='Su\u00e8de' >Su\u00e8de<\/option><option value='S\u00e9n\u00e9gal' >S\u00e9n\u00e9gal<\/option><option value='Tadjikistan' >Tadjikistan<\/option><option value='Tanzanie (R\u00e9publique-Unie de)' >Tanzanie (R\u00e9publique-Unie de)<\/option><option value='Ta\u00efwan' >Ta\u00efwan<\/option><option value='Tchad' >Tchad<\/option><option value='Terres Australes Fran\u00e7aises' >Terres Australes Fran\u00e7aises<\/option><option value='Territoire britannique de l\u2019oc\u00e9an Indien' >Territoire britannique de l\u2019oc\u00e9an Indien<\/option><option value='Tha\u00eflande' >Tha\u00eflande<\/option><option value='Timor oriental' >Timor oriental<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinit\u00e9 et Tobago' >Trinit\u00e9 et Tobago<\/option><option value='Tunisie' >Tunisie<\/option><option value='Turkm\u00e9nistan' >Turkm\u00e9nistan<\/option><option value='Turquie' >Turquie<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='Ukraine' >Ukraine<\/option><option value='Uruguay' >Uruguay<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='Wallis et Futuna' >Wallis et Futuna<\/option><option value='Y\u00e9men' >Y\u00e9men<\/option><option value='Zambie' >Zambie<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='\u00c9gypte' >\u00c9gypte<\/option><option value='\u00c9mirats arabes unis' >\u00c9mirats arabes unis<\/option><option value='\u00c9quateur' >\u00c9quateur<\/option><option value='\u00c9rythr\u00e9e' >\u00c9rythr\u00e9e<\/option><option value='\u00c9tat palestinien' >\u00c9tat palestinien<\/option><option value='\u00c9tats-Unis' >\u00c9tats-Unis<\/option><option value='\u00c9thiopie' >\u00c9thiopie<\/option><option value='\u00cele Bouvet' >\u00cele Bouvet<\/option><option value='\u00cele Christmas' >\u00cele Christmas<\/option><option value='\u00cele Maurice' >\u00cele Maurice<\/option><option value='\u00cele Norfolk' >\u00cele Norfolk<\/option><option value='\u00cele de Man' >\u00cele de Man<\/option><option value='\u00celes Cayman' >\u00celes Cayman<\/option><option value='\u00celes Cocos' >\u00celes Cocos<\/option><option value='\u00celes Cook' >\u00celes Cook<\/option><option value='\u00celes Falkland' >\u00celes Falkland<\/option><option value='\u00celes F\u00e9ro\u00e9' >\u00celes F\u00e9ro\u00e9<\/option><option value='\u00celes Heard et McDonald' >\u00celes Heard et McDonald<\/option><option value='\u00celes Mariannes du Nord' >\u00celes Mariannes du Nord<\/option><option value='\u00celes Marshall' >\u00celes Marshall<\/option><option value='\u00celes Pitcairn' >\u00celes Pitcairn<\/option><option value='\u00celes Salomon' >\u00celes Salomon<\/option><option value='\u00celes Turques et Ca\u00efques' >\u00celes Turques et Ca\u00efques<\/option><option value='\u00celes Vierges am\u00e9ricaines' >\u00celes Vierges am\u00e9ricaines<\/option><option value='\u00celes Vierges britanniques' >\u00celes Vierges britanniques<\/option><option value='\u00celes de Svalbard et Jan Mayen' >\u00celes de Svalbard et Jan Mayen<\/option><option value='\u00celes mineures am\u00e9ricaines' >\u00celes mineures am\u00e9ricaines<\/option><option value='\u00celes \u00c5land' >\u00celes \u00c5land<\/option><\/select>\n                                        <label for='input_6_12_6' id='input_6_12_6_label' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Pays<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_6_13\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-seven-twelfths gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_13'>In which time zone do you live?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_13' id='input_6_13' class='large gfield_select' tabindex='24'   aria-required=\"true\" aria-invalid=\"false\" ><option value='(GMT -12:00) Eniwetok, Kwajalein' >(GMT -12:00) Eniwetok, Kwajalein<\/option><option value='(GMT -11:00) Midway Island, Samoa' >(GMT -11:00) Midway Island, Samoa<\/option><option value='(GMT -10:00) Hawaii' >(GMT -10:00) Hawaii<\/option><option value='(GMT -9:00) Alaska' >(GMT -9:00) Alaska<\/option><option value='(GMT -8:00) Pacific Time (US &amp; Canada)' >(GMT -8:00) Pacific Time (US &amp; Canada)<\/option><option value='(GMT -7:00) Mountain Time (US &amp; Canada)' >(GMT -7:00) Mountain Time (US &amp; Canada)<\/option><option value='(GMT -6:00) Central Time (US &amp; Canada), Mexico City' >(GMT -6:00) Central Time (US &amp; Canada), Mexico City<\/option><option value='(GMT -5:00) Eastern Time (US &amp; Canada), New York, Bogota, Lima' selected='selected'>(GMT -5:00) Eastern Time (US &amp; Canada), New York, Bogota, Lima<\/option><option value='(GMT -4:00) Atlantic Time (Canada), Caracas, La Paz' >(GMT -4:00) Atlantic Time (Canada), Caracas, La Paz<\/option><option value='(GMT -3:30) Newfoundland' >(GMT -3:30) Newfoundland<\/option><option value='(GMT -3:00) Brazil, Buenos Aires, Georgetown' >(GMT -3:00) Brazil, Buenos Aires, Georgetown<\/option><option value='(GMT -2:00) Mid-Atlantic' >(GMT -2:00) Mid-Atlantic<\/option><option value='(GMT -1:00 hour) Azores, Cape Verde Islands' >(GMT -1:00 hour) Azores, Cape Verde Islands<\/option><option value='(GMT) Western Europe Time, London, Lisbon, Casablanca' >(GMT) Western Europe Time, London, Lisbon, Casablanca<\/option><option value='(GMT +1:00 hour) Brussels, Copenhagen, Madrid, Paris' >(GMT +1:00 hour) Brussels, Copenhagen, Madrid, Paris<\/option><option value='(GMT +2:00) Kaliningrad, South Africa' >(GMT +2:00) Kaliningrad, South Africa<\/option><option value='(GMT +3:00) Baghdad, Riyadh, Moscow, St. Petersburg' >(GMT +3:00) Baghdad, Riyadh, Moscow, St. Petersburg<\/option><option value='(GMT +3:30) Tehran' >(GMT +3:30) Tehran<\/option><option value='(GMT +4:00) Abu Dhabi, Muscat, Baku, Tbilisi' >(GMT +4:00) Abu Dhabi, Muscat, Baku, Tbilisi<\/option><option value='(GMT +4:30) Kabul' >(GMT +4:30) Kabul<\/option><option value='(GMT +5:00) Ekaterinburg, Islamabad, Karachi, Tashkent' >(GMT +5:00) Ekaterinburg, Islamabad, Karachi, Tashkent<\/option><option value='(GMT +5:30) Bombay, Calcutta, Madras, New Delhi' >(GMT +5:30) Bombay, Calcutta, Madras, New Delhi<\/option><option value='(GMT +5:45) Kathmandu' >(GMT +5:45) Kathmandu<\/option><option value='(GMT +6:00) Almaty, Dhaka, Colombo' >(GMT +6:00) Almaty, Dhaka, Colombo<\/option><option value='(GMT +7:00) Bangkok, Hanoi, Jakarta' >(GMT +7:00) Bangkok, Hanoi, Jakarta<\/option><option value='(GMT +8:00) Beijing, Perth, Singapore, Hong Kong' >(GMT +8:00) Beijing, Perth, Singapore, Hong Kong<\/option><option value='(GMT +9:00) Tokyo, Seoul, Osaka, Sapporo, Yakutsk' >(GMT +9:00) Tokyo, Seoul, Osaka, Sapporo, Yakutsk<\/option><option value='(GMT +9:30) Adelaide, Darwin' >(GMT +9:30) Adelaide, Darwin<\/option><option value='(GMT +10:00) Eastern Australia, Guam, Vladivostok' >(GMT +10:00) Eastern Australia, Guam, Vladivostok<\/option><option value='(GMT +11:00) Magadan, Solomon Islands, New Caledonia' >(GMT +11:00) Magadan, Solomon Islands, New Caledonia<\/option><option value='(GMT +12:00) Auckland, Wellington, Fiji, Kamchatka' >(GMT +12:00) Auckland, Wellington, Fiji, Kamchatka<\/option><\/select><\/div><\/div><div id=\"field_6_14\" class=\"gfield gfield--type-section gfield--input-type-section gsection fog-desc field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Brain fog<\/h3><div class='gsection_description' id='gfield_description_6_14'>Brain fog is a feeling that your thinking isn\u2019t as clear or sharp as usual. It can feel like your mind is slow, cloudy, or hard to focus. You might have trouble concentrating, remembering things, finding the right words, or keeping track of what you are doing.\n\nSome people describe it as:\n<ul style=\"padding: 15px 0 0 30px\"><li style=\"list-style-type: disc\">Thinking through mud or a fog<\/li>\n<li style=\"list-style-type: disc\">Losing your train of thought mid-sentence<\/li>\n<li style=\"list-style-type: disc\">Needing extra time to understand and respond<\/li>\n<li style=\"list-style-type: disc\">Forgetting simple things, like why you walked into a room<\/li><\/ul>\nIt deals with attention, memory, and mental clarity.<\/div><\/div><div id=\"field_6_15\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-seven-twelfths gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_15'>How often do you experience brain fog?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_15' id='input_6_15' class='large gfield_select' tabindex='25'   aria-required=\"true\" aria-invalid=\"false\" ><option value='---' >---<\/option><option value='6-7 days per week on average' >6-7 days per week on average<\/option><option value='4-5 days per week on average' >4-5 days per week on average<\/option><option value='2-3 days per week on average' >2-3 days per week on average<\/option><option value='1 day per week on average' >1 day per week on average<\/option><\/select><\/div><\/div><div id=\"field_6_16\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-seven-twelfths gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_16'>How long does your brain fog typically last?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_16' id='input_6_16' class='large gfield_select' tabindex='26'   aria-required=\"true\" aria-invalid=\"false\" ><option value='---' >---<\/option><option value='Less than 1 hour per day on average' >Less than 1 hour per day on average<\/option><option value='1-2 hours per day on average' >1-2 hours per day on average<\/option><option value='2-3 days per week on average' >2-3 days per week on average<\/option><option value='3-6 hours per day on average' >3-6 hours per day on average<\/option><option value='7-10 hours per day on average' >7-10 hours per day on average<\/option><option value='More than 10 hours per day on average' >More than 10 hours per day on average<\/option><\/select><\/div><\/div><div id=\"field_6_17\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-seven-twelfths gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_17'>How much does brain fog affect your functioning?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_17' id='input_6_17' class='large gfield_select' tabindex='27'   aria-required=\"true\" aria-invalid=\"false\" ><option value='---' >---<\/option><option value='Severe \u2013 major impact on daily activities' >Severe \u2013 major impact on daily activities<\/option><option value='Moderate \u2013 some impact on daily activities' >Moderate \u2013 some impact on daily activities<\/option><option value='Mild \u2013 little impact on daily activities' 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