{"id":4489,"date":"2026-02-22T19:42:04","date_gmt":"2026-02-22T18:42:04","guid":{"rendered":"https:\/\/www.beleyurologie.fr\/pdq-score"},"modified":"2026-02-22T19:54:12","modified_gmt":"2026-02-22T18:54:12","slug":"pdq-score","status":"publish","type":"page","link":"https:\/\/www.beleyurologie.fr\/en\/pdq-score","title":{"rendered":"PDQ Score"},"content":{"rendered":"\t<div class=\"beley-pdq-wrap\">\n\t\t<header class=\"beley-pdq-header\" aria-label=\"Title\">\n\t\t\t<h2 class=\"beley-pdq-header-title\">PDQ Questionnaire<\/h2>\n\t\t\t<p class=\"beley-pdq-header-desc\">Questionnaire on Peyronie&#039;s disease<\/p>\n\t\t<\/header>\n\n\t\t<div class=\"beley-pdq\" id=\"beley-pdq\">\n\t\t\t<p class=\"beley-pdq-intro\">\n\t\t\t\tThis questionnaire aims to identify any problems you may have with erections or sexual intercourse involving vaginal penetration. Your answers will remain strictly confidential. \t\t\t<\/p>\n\n\t\t\t<form class=\"beley-pdq-form\" id=\"beley-pdq-form\" novalidate>\n\t\t\t\t<fieldset class=\"beley-pdq-fieldset beley-pdq-fieldset--filter\">\n\t\t\t\t\t<legend class=\"beley-pdq-legend\">Over the past 3 months<\/legend>\n\t\t\t\t\t<ul class=\"beley-pdq-options beley-pdq-options--block\">\n\t\t\t\t\t\t<li>\n\t\t\t\t\t\t\t<label><input type=\"radio\" name=\"beley_pdq_rapports\" value=\"non\" required>\n\t\t\t\t\t\t\t\tNo, I haven&#039;t had any sexual intercourse with vaginal penetration in the last 3 months.\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<li>\n\t\t\t\t\t\t\t<label><input type=\"radio\" name=\"beley_pdq_rapports\" value=\"oui\">\n\t\t\t\t\t\t\t\tYes, I have had sexual intercourse with vaginal penetration in the last 3 months.\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<\/li>\n\t\t\t\t\t<\/ul>\n\t\t\t\t<\/fieldset>\n\n\t\t\t\t<div class=\"beley-pdq-main\" id=\"beley-pdq-main\">\n\t\t\t\t\t<div class=\"beley-pdq-optional\" id=\"beley-pdq-optional\" hidden>\n\t\t\t\t\t\t<p><label for=\"beley_pdq_nb\">Approximately how many times have you had sexual intercourse with vaginal penetration in the last 3 months?<\/label>\n\t\t\t\t\t\t\t<input type=\"number\" id=\"beley_pdq_nb\" name=\"beley_pdq_nb\" min=\"0\" step=\"1\" placeholder=\"Number of times\" class=\"beley-pdq-input-inline\"><\/p>\n\t\t\t\t\t\t<p><label for=\"beley_pdq_date\">On what date did you last have sexual intercourse with vaginal penetration?<\/label>\n\t\t\t\t\t\t\t<input type=\"date\" id=\"beley_pdq_date\" name=\"beley_pdq_date\" class=\"beley-pdq-input-inline\"><\/p>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<p class=\"beley-pdq-section-desc\">For each problem below, indicate the number that best describes how severe the problem was the last time you had vaginal intercourse. If you did not experience this problem, choose 0. <\/p>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<fieldset class=\"beley-pdq-fieldset\">\n\t\t\t\t\t\t\t<legend class=\"beley-pdq-legend\">1. Concern about damaging your penis during vaginal intercourse<\/legend>\n\t\t\t\t\t\t\t<ul class=\"beley-pdq-options beley-pdq-options--inline\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<li><label><input type=\"radio\" name=\"beley_pdq_q1\" value=\"0\"> None<\/label><\/li>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<li><label><input type=\"radio\" name=\"beley_pdq_q1\" value=\"1\"> Light<\/label><\/li>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<li><label><input type=\"radio\" name=\"beley_pdq_q1\" value=\"2\"> Moderate<\/label><\/li>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<li><label><input type=\"radio\" name=\"beley_pdq_q1\" value=\"3\"> Severe<\/label><\/li>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<li><label><input type=\"radio\" name=\"beley_pdq_q1\" value=\"4\"> Very serious<\/label><\/li>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/fieldset>\n\t\t\t\t\t\t\t\t\t\t\t<fieldset class=\"beley-pdq-fieldset\">\n\t\t\t\t\t\t\t<legend class=\"beley-pdq-legend\">2. Deflection or total loss of rigidity of your penis during sexual intercourse with vaginal penetration<\/legend>\n\t\t\t\t\t\t\t<ul class=\"beley-pdq-options beley-pdq-options--inline\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<li><label><input type=\"radio\" name=\"beley_pdq_q2\" value=\"0\"> None<\/label><\/li>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<li><label><input type=\"radio\" name=\"beley_pdq_q2\" value=\"1\"> Light<\/label><\/li>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<li><label><input type=\"radio\" name=\"beley_pdq_q2\" value=\"2\"> Moderate<\/label><\/li>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<li><label><input type=\"radio\" name=\"beley_pdq_q2\" value=\"3\"> Severe<\/label><\/li>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<li><label><input type=\"radio\" name=\"beley_pdq_q2\" value=\"4\"> Very serious<\/label><\/li>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/fieldset>\n\t\t\t\t\t\t\t\t\t\t\t<fieldset class=\"beley-pdq-fieldset\">\n\t\t\t\t\t\t\t<legend class=\"beley-pdq-legend\">3. Difficulty inserting your erect penis into your partner&#039;s vagina<\/legend>\n\t\t\t\t\t\t\t<ul class=\"beley-pdq-options beley-pdq-options--inline\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<li><label><input type=\"radio\" name=\"beley_pdq_q3\" value=\"0\"> None<\/label><\/li>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<li><label><input type=\"radio\" name=\"beley_pdq_q3\" value=\"1\"> Light<\/label><\/li>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<li><label><input type=\"radio\" name=\"beley_pdq_q3\" value=\"2\"> Moderate<\/label><\/li>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<li><label><input type=\"radio\" name=\"beley_pdq_q3\" value=\"3\"> Severe<\/label><\/li>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<li><label><input type=\"radio\" name=\"beley_pdq_q3\" value=\"4\"> Very serious<\/label><\/li>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/fieldset>\n\t\t\t\t\t\t\t\t\t\t\t<fieldset class=\"beley-pdq-fieldset\">\n\t\t\t\t\t\t\t<legend class=\"beley-pdq-legend\">4. Difficulties with certain positions that you used to enjoy during vaginal intercourse<\/legend>\n\t\t\t\t\t\t\t<ul class=\"beley-pdq-options beley-pdq-options--inline\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<li><label><input type=\"radio\" name=\"beley_pdq_q4\" value=\"0\"> None<\/label><\/li>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<li><label><input type=\"radio\" name=\"beley_pdq_q4\" value=\"1\"> Light<\/label><\/li>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<li><label><input type=\"radio\" name=\"beley_pdq_q4\" value=\"2\"> Moderate<\/label><\/li>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<li><label><input type=\"radio\" name=\"beley_pdq_q4\" value=\"3\"> Severe<\/label><\/li>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<li><label><input type=\"radio\" name=\"beley_pdq_q4\" value=\"4\"> Very serious<\/label><\/li>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/fieldset>\n\t\t\t\t\t\t\t\t\t\t\t<fieldset class=\"beley-pdq-fieldset\">\n\t\t\t\t\t\t\t<legend class=\"beley-pdq-legend\">5. Clumsiness when performing certain positions that you used to enjoy during vaginal intercourse.<\/legend>\n\t\t\t\t\t\t\t<ul class=\"beley-pdq-options beley-pdq-options--inline\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<li><label><input type=\"radio\" name=\"beley_pdq_q5\" value=\"0\"> None<\/label><\/li>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<li><label><input type=\"radio\" name=\"beley_pdq_q5\" value=\"1\"> Light<\/label><\/li>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<li><label><input type=\"radio\" name=\"beley_pdq_q5\" value=\"2\"> Moderate<\/label><\/li>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<li><label><input type=\"radio\" name=\"beley_pdq_q5\" value=\"3\"> Severe<\/label><\/li>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<li><label><input type=\"radio\" name=\"beley_pdq_q5\" value=\"4\"> Very serious<\/label><\/li>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/fieldset>\n\t\t\t\t\t\t\t\t\t\t\t<fieldset class=\"beley-pdq-fieldset\">\n\t\t\t\t\t\t\t<legend class=\"beley-pdq-legend\">6. Discomfort when performing certain positions that you used to enjoy during vaginal intercourse<\/legend>\n\t\t\t\t\t\t\t<ul class=\"beley-pdq-options beley-pdq-options--inline\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<li><label><input type=\"radio\" name=\"beley_pdq_q6\" value=\"0\"> None<\/label><\/li>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<li><label><input type=\"radio\" name=\"beley_pdq_q6\" value=\"1\"> Light<\/label><\/li>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<li><label><input type=\"radio\" name=\"beley_pdq_q6\" value=\"2\"> Moderate<\/label><\/li>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<li><label><input type=\"radio\" name=\"beley_pdq_q6\" value=\"3\"> Severe<\/label><\/li>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<li><label><input type=\"radio\" name=\"beley_pdq_q6\" value=\"4\"> Very serious<\/label><\/li>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/fieldset>\n\t\t\t\t\t\n\t\t\t\t\t<p class=\"beley-pdq-section-desc\">Level of pain or discomfort. If you experienced no pain or discomfort, choose 0. <\/p>\n\n\t\t\t\t\t\t\t\t\t\t<fieldset class=\"beley-pdq-fieldset\">\n\t\t\t\t\t\t<legend class=\"beley-pdq-legend\">7. Over the past 24 hours, what level of pain or discomfort have you experienced in your penis when it was NOT erect?<\/legend>\n\t\t\t\t\t\t<div class=\"beley-pdq-scale-row\">\n\t\t\t\t\t\t\t<span class=\"beley-pdq-scale-min\">No pain or discomfort<\/span>\n\t\t\t\t\t\t\t<div class=\"beley-pdq-slider-wrap\">\n\t\t\t\t\t\t\t\t<input type=\"range\" id=\"beley_pdq_q7_slider\" name=\"beley_pdq_q7\" min=\"0\" max=\"10\" value=\"0\" aria-valuemin=\"0\" aria-valuemax=\"10\" aria-valuenow=\"0\">\n\t\t\t\t\t\t\t\t<output for=\"beley_pdq_q7_slider\" class=\"beley-pdq-slider-value\" aria-live=\"polite\">0<\/output>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<span class=\"beley-pdq-scale-max\">Extreme pain or discomfort<\/span>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/fieldset>\n\t\t\t\t\t<fieldset class=\"beley-pdq-fieldset\">\n\t\t\t\t\t\t<legend class=\"beley-pdq-legend\">8. Thinking back to the LAST TIME you had an erection, what level of pain or discomfort did you feel in your penis when it was erect?<\/legend>\n\t\t\t\t\t\t<div class=\"beley-pdq-scale-row\">\n\t\t\t\t\t\t\t<span class=\"beley-pdq-scale-min\">No pain or discomfort<\/span>\n\t\t\t\t\t\t\t<div class=\"beley-pdq-slider-wrap\">\n\t\t\t\t\t\t\t\t<input type=\"range\" id=\"beley_pdq_q8_slider\" name=\"beley_pdq_q8\" min=\"0\" max=\"10\" value=\"0\" aria-valuemin=\"0\" aria-valuemax=\"10\" aria-valuenow=\"0\">\n\t\t\t\t\t\t\t\t<output for=\"beley_pdq_q8_slider\" class=\"beley-pdq-slider-value\" aria-live=\"polite\">0<\/output>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<span class=\"beley-pdq-scale-max\">Extreme pain or discomfort<\/span>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/fieldset>\n\t\t\t\t\t<fieldset class=\"beley-pdq-fieldset\">\n\t\t\t\t\t\t<legend class=\"beley-pdq-legend\">9. Thinking back to the LAST TIME you had vaginal penetrative sex, what level of pain or discomfort did you experience in your penis during those encounters?<\/legend>\n\t\t\t\t\t\t<div class=\"beley-pdq-scale-row\">\n\t\t\t\t\t\t\t<span class=\"beley-pdq-scale-min\">No pain or discomfort<\/span>\n\t\t\t\t\t\t\t<div class=\"beley-pdq-slider-wrap\">\n\t\t\t\t\t\t\t\t<input type=\"range\" id=\"beley_pdq_q9_slider\" name=\"beley_pdq_q9\" min=\"0\" max=\"10\" value=\"0\" aria-valuemin=\"0\" aria-valuemax=\"10\" aria-valuenow=\"0\">\n\t\t\t\t\t\t\t\t<output for=\"beley_pdq_q9_slider\" class=\"beley-pdq-slider-value\" aria-live=\"polite\">0<\/output>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<span class=\"beley-pdq-scale-max\">Extreme pain or discomfort<\/span>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/fieldset>\n\n\t\t\t\t\t\n\t\t\t\t\t<fieldset class=\"beley-pdq-fieldset\">\n\t\t\t\t\t\t<legend class=\"beley-pdq-legend\">10. Thinking back to the LAST TIME you had an erection, how bothered were you by any pain or discomfort in your erect penis?<\/legend>\n\t\t\t\t\t\t<ul class=\"beley-pdq-options beley-pdq-options--block\">\n\t\t\t\t\t\t\t<li><label><input type=\"radio\" name=\"beley_pdq_q10\" value=\"aucun\"> I felt no pain or discomfort of any kind.<\/label><\/li>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<li><label><input type=\"radio\" name=\"beley_pdq_q10\" value=\"pas_du_tout\"> Not embarrassed at all<\/label><\/li>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<li><label><input type=\"radio\" name=\"beley_pdq_q10\" value=\"un_peu\"> Slightly embarrassed<\/label><\/li>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<li><label><input type=\"radio\" name=\"beley_pdq_q10\" value=\"moderement\"> Moderately embarrassed<\/label><\/li>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<li><label><input type=\"radio\" name=\"beley_pdq_q10\" value=\"tres\"> Very embarrassed<\/label><\/li>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<li><label><input type=\"radio\" name=\"beley_pdq_q10\" value=\"extremement\"> Extremely embarrassed<\/label><\/li>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t<\/fieldset>\n\n\t\t\t\t\t<fieldset class=\"beley-pdq-fieldset\">\n\t\t\t\t\t\t<legend class=\"beley-pdq-legend\">11. Thinking back to the LAST TIME you looked at your erect penis, how embarrassed were you by its appearance?<\/legend>\n\t\t\t\t\t\t<ul class=\"beley-pdq-options beley-pdq-options--block\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<li><label><input type=\"radio\" name=\"beley_pdq_q11\" value=\"pas_du_tout\"> Not embarrassed at all<\/label><\/li>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<li><label><input type=\"radio\" name=\"beley_pdq_q11\" value=\"un_peu\"> Slightly embarrassed<\/label><\/li>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<li><label><input type=\"radio\" name=\"beley_pdq_q11\" value=\"moderement\"> Moderately embarrassed<\/label><\/li>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<li><label><input type=\"radio\" name=\"beley_pdq_q11\" value=\"tres\"> Very embarrassed<\/label><\/li>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<li><label><input type=\"radio\" name=\"beley_pdq_q11\" value=\"extremement\"> Extremely embarrassed<\/label><\/li>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t<\/fieldset>\n\n\t\t\t\t\t<fieldset class=\"beley-pdq-fieldset\">\n\t\t\t\t\t\t<legend class=\"beley-pdq-legend\">12. Does your Peyronie&#039;s disease make sexual intercourse with vaginal penetration difficult or impossible?<\/legend>\n\t\t\t\t\t\t<ul class=\"beley-pdq-options beley-pdq-options--inline\">\n\t\t\t\t\t\t\t<li><label><input type=\"radio\" name=\"beley_pdq_q12\" value=\"non\"> No<\/label><\/li>\n\t\t\t\t\t\t\t<li><label><input type=\"radio\" name=\"beley_pdq_q12\" value=\"oui\"> Yes<\/label><\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t<\/fieldset>\n\n\t\t\t\t\t<fieldset class=\"beley-pdq-fieldset beley-pdq-q13-wrap\" id=\"beley-pdq-q13-wrap\" hidden>\n\t\t\t\t\t\t<legend class=\"beley-pdq-legend\">13. Thinking about the LAST TIME you had or attempted to have sexual intercourse with vaginal penetration, how much were you bothered by your Peyronie&#039;s disease?<\/legend>\n\t\t\t\t\t\t<ul class=\"beley-pdq-options beley-pdq-options--block\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<li><label><input type=\"radio\" name=\"beley_pdq_q13\" value=\"pas_du_tout\"> Not embarrassed at all<\/label><\/li>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<li><label><input type=\"radio\" name=\"beley_pdq_q13\" value=\"un_peu\"> Slightly embarrassed<\/label><\/li>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<li><label><input type=\"radio\" name=\"beley_pdq_q13\" value=\"moderement\"> Moderately embarrassed<\/label><\/li>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<li><label><input type=\"radio\" name=\"beley_pdq_q13\" value=\"tres\"> Very embarrassed<\/label><\/li>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<li><label><input type=\"radio\" name=\"beley_pdq_q13\" value=\"extremement\"> Extremely embarrassed<\/label><\/li>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t<\/fieldset>\n\n\t\t\t\t\t<fieldset class=\"beley-pdq-fieldset\">\n\t\t\t\t\t\t<legend class=\"beley-pdq-legend\">14. Are you having sexual intercourse with vaginal penetration LESS OFTEN than before because of your Peyronie&#039;s disease?<\/legend>\n\t\t\t\t\t\t<ul class=\"beley-pdq-options beley-pdq-options--inline\">\n\t\t\t\t\t\t\t<li><label><input type=\"radio\" name=\"beley_pdq_q14\" value=\"non\"> No<\/label><\/li>\n\t\t\t\t\t\t\t<li><label><input type=\"radio\" name=\"beley_pdq_q14\" value=\"oui\"> Yes<\/label><\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t<\/fieldset>\n\n\t\t\t\t\t<fieldset class=\"beley-pdq-fieldset beley-pdq-q15-wrap\" id=\"beley-pdq-q15-wrap\" hidden>\n\t\t\t\t\t\t<legend class=\"beley-pdq-legend\">15. To what extent are you bothered by having less frequent sexual intercourse with vaginal penetration?<\/legend>\n\t\t\t\t\t\t<ul class=\"beley-pdq-options beley-pdq-options--block\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<li><label><input type=\"radio\" name=\"beley_pdq_q15\" value=\"pas_du_tout\"> Not embarrassed at all<\/label><\/li>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<li><label><input type=\"radio\" name=\"beley_pdq_q15\" value=\"un_peu\"> Slightly embarrassed<\/label><\/li>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<li><label><input type=\"radio\" name=\"beley_pdq_q15\" value=\"moderement\"> Moderately embarrassed<\/label><\/li>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<li><label><input type=\"radio\" name=\"beley_pdq_q15\" value=\"tres\"> Very embarrassed<\/label><\/li>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<li><label><input type=\"radio\" name=\"beley_pdq_q15\" value=\"extremement\"> Extremely embarrassed<\/label><\/li>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t<\/fieldset>\n\n\t\t\t\t\t<p class=\"beley-pdq-actions\">\n\t\t\t\t\t\t<button type=\"button\" class=\"beley-pdq-btn beley-pdq-btn--submit\" id=\"beley-pdq-finish\">Complete the questionnaire<\/button>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/form>\n\n\t\t\t<div class=\"beley-pdq-result\" id=\"beley-pdq-result\" hidden>\n\t\t\t\t<h3 class=\"beley-pdq-result-title\">THANKS<\/h3>\n\t\t\t\t<p class=\"beley-pdq-result-text\">You have finished completing this questionnaire. To discuss it with a specialist and consider appropriate treatment, please do not hesitate to make an appointment. <\/p>\n\t\t\t\t<div class=\"beley-pdq-result-cta\">\n\t\t\t\t\t<a href=\"https:\/\/www.doctolib.fr\/chirurgien-urologue\/paris\/sebastien-beley\" class=\"beley-pdq-btn beley-pdq-btn--primary\" target=\"_blank\" rel=\"noopener noreferrer\">Make an appointment (consultation)<\/a>\n\t\t\t\t\t<a href=\"https:\/\/www.beleyurologie.fr\/rdv-chirurgie-urologique-sebastien-beley\" class=\"beley-pdq-btn beley-pdq-btn--secondary\" target=\"_blank\" rel=\"noopener noreferrer\">Urological surgery appointment<\/a>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n\n\t<script>\n\t(function() {\n\t\tvar form = document.getElementById('beley-pdq-form');\n\t\tvar rapports = form.querySelectorAll('input[name=\"beley_pdq_rapports\"]');\n\t\tvar optionalBlock = document.getElementById('beley-pdq-optional');\n\t\tvar q13Wrap = document.getElementById('beley-pdq-q13-wrap');\n\t\tvar q15Wrap = document.getElementById('beley-pdq-q15-wrap');\n\t\tvar q12 = form.querySelectorAll('input[name=\"beley_pdq_q12\"]');\n\t\tvar q14 = form.querySelectorAll('input[name=\"beley_pdq_q14\"]');\n\t\tvar result = document.getElementById('beley-pdq-result');\n\n\t\tfunction setRapports() {\n\t\t\tvar v = form.querySelector('input[name=\"beley_pdq_rapports\"]:checked');\n\t\t\tif (!v || !optionalBlock) return;\n\t\t\toptionalBlock.hidden = v.value !== 'oui';\n\t\t}\n\t\tfunction setQ12() {\n\t\t\tvar v = form.querySelector('input[name=\"beley_pdq_q12\"]:checked');\n\t\t\tq13Wrap.hidden = !v || v.value !== 'oui';\n\t\t}\n\t\tfunction setQ14() {\n\t\t\tvar v = form.querySelector('input[name=\"beley_pdq_q14\"]:checked');\n\t\t\tq15Wrap.hidden = !v || v.value !== 'oui';\n\t\t}\n\t\trapports.forEach(function(r) { r.addEventListener('change', setRapports); });\n\t\tq12.forEach(function(r) { r.addEventListener('change', setQ12); });\n\t\tq14.forEach(function(r) { r.addEventListener('change', setQ14); });\n\t\tsetRapports();\n\n\t\t[ 'beley_pdq_q7_slider', 'beley_pdq_q8_slider', 'beley_pdq_q9_slider' ].forEach(function(id) {\n\t\t\tvar slider = document.getElementById(id);\n\t\t\tvar output = form.querySelector('output[for=\"' + id + '\"]');\n\t\t\tif (slider && output) {\n\t\t\t\tslider.addEventListener('input', function() {\n\t\t\t\t\toutput.textContent = slider.value;\n\t\t\t\t\tslider.setAttribute('aria-valuenow', slider.value);\n\t\t\t\t});\n\t\t\t}\n\t\t});\n\n\t\tdocument.getElementById('beley-pdq-finish').addEventListener('click', function() {\n\t\t\tresult.hidden = false;\n\t\t\tresult.scrollIntoView({ behavior: 'smooth', block: 'nearest' });\n\t\t});\n\t})();\n\t<\/script>\n\t\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_theme","meta":{"footnotes":""},"class_list":["post-4489","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.beleyurologie.fr\/en\/wp-json\/wp\/v2\/pages\/4489","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.beleyurologie.fr\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.beleyurologie.fr\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.beleyurologie.fr\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.beleyurologie.fr\/en\/wp-json\/wp\/v2\/comments?post=4489"}],"version-history":[{"count":1,"href":"https:\/\/www.beleyurologie.fr\/en\/wp-json\/wp\/v2\/pages\/4489\/revisions"}],"predecessor-version":[{"id":4490,"href":"https:\/\/www.beleyurologie.fr\/en\/wp-json\/wp\/v2\/pages\/4489\/revisions\/4490"}],"wp:attachment":[{"href":"https:\/\/www.beleyurologie.fr\/en\/wp-json\/wp\/v2\/media?parent=4489"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}