Hello (before beginning, sorry for my english)
i have some form on my website but one have a big bug. it's a registration form.
When i validate my form (check with js is on), my form doesn't save information and he redirect to an other form.
the code of my form :
do you have any idea to fix it ?
Thanks a lot for your answer😉
i have some form on my website but one have a big bug. it's a registration form.
When i validate my form (check with js is on), my form doesn't save information and he redirect to an other form.
the code of my form :
<div class="ccms_form_element cfdiv_radio" id="gender_container_div" style=""><label for="gender">Civilité*</label><input type="hidden" name="gender" value="" alt="ghost" />
<div style="float:left; clear:none;"><input type="radio" name="gender" id="gender_0" title="" value="M" class="validate['required']" />
<label for="gender_0">M</label>
<input type="radio" name="gender" id="gender_1" title="" value="Mme" class="validate['required']" />
<label for="gender_1">Mme</label>
</div><div class="clear"></div><div id="error-message-gender"></div></div><div class="ccms_form_element cfdiv_radio" id="status_container_div" style=""><label for="status">Statut*</label><input type="hidden" name="status" value="" alt="ghost" />
<div style="float:left; clear:none;"><input type="radio" name="status" id="status_0" title="" value="Dr" class="validate['required']" />
<label for="status_0">Dr</label>
<input type="radio" name="status" id="status_1" title="" value="Pr" class="validate['required']" />
<label for="status_1">Pr</label>
</div><div class="clear"></div><div id="error-message-status"></div></div><div class="ccms_form_element cfdiv_text" id="lastname_container_div" style=""><label for="lastname">Nom*</label><input id="lastname" maxlength="150" size="30" class=" validate['required']" title="" type="text" value="" name="lastname" />
<div class="clear"></div><div id="error-message-lastname"></div></div><div class="ccms_form_element cfdiv_text" id="firstname_container_div" style=""><label for="firstname">Prénom*</label><input id="firstname" maxlength="150" size="30" class=" validate['required']" title="" type="text" value="" name="firstname" />
<div class="clear"></div><div id="error-message-firstname"></div></div><div class="ccms_form_element cfdiv_text" id="rpps_container_div" style=""><label for="rpps">Numéro RPPS</label><input id="rpps" maxlength="150" size="30" class="" title="" type="text" value="" name="rpps" />
<div class="clear"></div><div id="error-message-rpps"></div></div><div class="ccms_form_element cfdiv_text" id="phone_container_div" style=""><label for="phone">Téléphone*</label><input id="phone" maxlength="150" size="30" class=" validate['required','number']" title="" type="text" value="" name="phone" />
<div class="clear"></div><div id="error-message-phone"></div></div><fieldset class="cf_container ccms_form_element " id="cf_container_6"><legend>Adresse du lieu d'exercice</legend><div class="ccms_form_element cfdiv_text" id="street_container_div" style=""><label for="street">Voie</label><input id="street" maxlength="150" size="30" class="" title="" type="text" value="" name="street" />
<div class="clear"></div><div id="error-message-street"></div></div><div class="ccms_form_element cfdiv_text" id="additional_container_div" style=""><label for="additional">Complément</label><input id="additional" maxlength="150" size="30" class="" title="" type="text" value="" name="additional" />
<div class="clear"></div><div id="error-message-additional"></div></div><div class="ccms_form_element cfdiv_text" id="zipcode_container_div" style=""><label for="zipcode">Code postal</label><input id="zipcode" maxlength="150" size="6" class="small validate['alphanum']" title="" type="text" value="" name="zipcode" />
<div class="clear"></div><div id="error-message-zipcode"></div></div><div class="ccms_form_element cfdiv_text" id="city_container_div" style=""><label for="city">Ville*</label><input id="city" maxlength="150" size="30" class=" validate['required','alphanum']" title="" type="text" value="" name="city" />
<div class="clear"></div><div id="error-message-city"></div></div></fieldset><div class="ccms_form_element cfdiv_text" id="email_container_div" style=""><label for="email">E-mail*</label><input id="email" maxlength="150" size="30" class=" validate['required','email']" title="" type="text" value="" name="email" />
<div class="clear"></div><div id="error-message-email"></div></div><div class="ccms_form_element cfdiv_select" id="occupation_container_div" style=""><label for="occupation">Vous êtes*</label><select size="1" id="occupation" class=" validate['required']" title="" name="occupation">
<option value="-- Choisissez --">-- Choisissez --</option>
<option value="médecin ou chirurgien">médecin ou chirurgien</option>
<option value="infirmier(e)">infirmier(e)</option>
<option value="kinésithérapeute">kinésithérapeute</option>
<option value="sage-femme">sage-femme</option>
<option value="pharmacien d'officine">pharmacien d'officine</option>
<option value="autre">autre</option>
</select>
<div class="clear"></div><div id="error-message-occupation"></div></div><div class="ccms_form_element cfdiv_select" id="input_select_271_container_div" style=""><label>Spécialité*</label><select size="1" class=" validate['required']" title="" name="input_select_27">
<option value="">-- Choisissez une spécialité --</option>
<option value="Aucune">Aucune</option>
<option value="Addictologie">Addictologie</option>
<option value="Allergologie">Allergologie</option>
<option value="Anatomie et cytologie pathologiques">Anatomie et cytologie pathologiques</option>
<option value="Anesthésiologie-réanimation chirurgicale">Anesthésiologie-réanimation chirurgicale</option>
<option value="Angiologie">Angiologie</option>
<option value="Biochimie">Biochimie</option>
<option value="Biologie médicale et physiologie">Biologie médicale et physiologie</option>
<option value="Cardiologie">Cardiologie</option>
<option value="Chirurgie">Chirurgie</option>
<option value="Chirurgie infantile">Chirurgie infantile</option>
<option value="Chirurgie maxillo-faciale et stomatologie">Chirurgie maxillo-faciale et stomatologie</option>
<option value="Chirurgie orthopédique et traumatologique">Chirurgie orthopédique et traumatologique</option>
<option value="Chirurgie plastique, reconstructrice et esthétique">Chirurgie plastique, reconstructrice et esthétique</option>
<option value="Chirurgie thoracique et cardio-vasculaire">Chirurgie thoracique et cardio-vasculaire</option>
<option value="Chirurgie urologique">Chirurgie urologique</option>
<option value="Chirurgie vasculaire">Chirurgie vasculaire</option>
<option value="Chirurgie viscérale">Chirurgie viscérale</option>
<option value="Dermatologie et vénéréologie">Dermatologie et vénéréologie</option>
<option value="Endocrinologie et métabolisme">Endocrinologie et métabolisme</option>
<option value="Explorations fonctionnelles">Explorations fonctionnelles</option>
<option value="Gastro-entérologie et hépatologie">Gastro-entérologie et hépatologie</option>
<option value="Génétique">Génétique</option>
<option value="Gériatrie">Gériatrie</option>
<option value="Gynécologie-obstétrique">Gynécologie-obstétrique</option>
<option value="Hématologie">Hématologie</option>
<option value="Hygiène hospitalière">Hygiène hospitalière</option>
<option value="Information médicale">Information médicale</option>
<option value="Maladies infectieuses et tropicales">Maladies infectieuses et tropicales</option>
<option value="Médecine du travail">Médecine du travail</option>
<option value="Médecine générale">Médecine générale</option>
<option value="Médecine interne">Médecine interne</option>
<option value="Médecine légale">Médecine légale</option>
<option value="Médecine nucléaire">Médecine nucléaire</option>
<option value="Médecine physique et de réadaptation">Médecine physique et de réadaptation</option>
<option value="Néphrologie">Néphrologie</option>
<option value="Neurochirurgie">Neurochirurgie</option>
<option value="Neurologie">Neurologie</option>
<option value="Neuropédiatrie">Neuropédiatrie</option>
<option value="Neuropsychiatrie">Neuropsychiatrie</option>
<option value="Odontologie">Odontologie</option>
<option value="Oncologie">Oncologie</option>
<option value="Ophtalmologie">Ophtalmologie</option>
<option value="Orthodontie">Orthodontie</option>
<option value="Orthophonie">Orthophonie</option>
<option value="Orthoptie">Orthoptie</option>
<option value="Ostéopathie">Ostéopathie</option>
<option value="Oto-rhino-laryngologie">Oto-rhino-laryngologie</option>
<option value="Pédiatrie">Pédiatrie</option>
<option value="Pharmacie">Pharmacie</option>
<option value="Pharmacologie">Pharmacologie</option>
<option value="Pneumologie">Pneumologie</option>
<option value="Proctologie">Proctologie</option>
<option value="Psychiatrie">Psychiatrie</option>
<option value="Radiodiagnostic et imagerie médicale">Radiodiagnostic et imagerie médicale</option>
<option value="Radiothérapie">Radiothérapie</option>
<option value="Réanimation médicale">Réanimation médicale</option>
<option value="Rhumatologie">Rhumatologie</option>
<option value="SAMU-SMUR">SAMU-SMUR</option>
<option value="Santé publique et médecine sociale">Santé publique et médecine sociale</option>
<option value="Soins palliatifs">Soins palliatifs</option>
<option value="Urgences">Urgences</option>
<option value="Autre">Autre</option>
</select>
<div class="clear"></div><div id="error-message-input_select_27"></div></div><div class="ccms_form_element cfdiv_radio" id="input_radio_291_container_div" style=""><label>Type d'inscription*</label><input type="hidden" name="input_radio_29" value="" alt="ghost" />
<div style="float:left; clear:none;"><input type="radio" name="input_radio_29" id="input_radio_29_0" title="" value="Générale" checked="checked" class="validate['required']" />
<label for="input_radio_29_0">Générale</label>
<input type="radio" name="input_radio_29" id="input_radio_29_1" title="" value="Réseau Fertidiac" class="validate['required']" />
<label for="input_radio_29_1">Réseau Fertidiac</label>
<input type="radio" name="input_radio_29" id="input_radio_29_2" title="" value="Réseau sages-femmes Est" class="validate['required']" />
<label for="input_radio_29_2">Réseau sages-femmes Est</label>
</div><div class="small-message">Précisez ici si vous inscrivez spécifiquement pour un réseau ville/hôpital.</div><div class="clear"></div><div id="error-message-input_radio_29"></div></div><div class="ccms_form_element cfdiv_checkbox" id="videos_container_div" style=""><input type="hidden" name="videos" value="" alt="ghost" />
<input checked="checked" value="1" id="videos" title="" type="checkbox" name="videos" class="label_right" />
<label for="videos" class="full_label">Je suis chirurgien et je souhaite être informé des formations proposée ou des vidéos mises en ligne</label><div class="clear"></div><div id="error-message-videos"></div></div><div class="ccms_form_element cfdiv_checkbox" id="newsletter_container_div" style=""><input type="hidden" name="newsletter" value="" alt="ghost" />
<input checked="checked" value="1" id="newsletter" title="" type="checkbox" name="newsletter" class="label_right" />
<label for="newsletter" class="full_label">J'accepte de recevoir des informations provenant de l'hôpital (2 à 3 fois par an) (annonces d'EPU, réunions, infos générales)</label><div class="clear"></div><div id="error-message-newsletter"></div></div><div class="ccms_form_element cfdiv_text" id="chrono_verification1_container_div" style=""><label>Code de vérification*</label><input maxlength="5" size="5" class="chrono_captcha_input validate['required']" title="" type="text" value="" name="chrono_verification" />
{chronocaptcha_img}<div class="small-message">* : champ obligatoire</div><div class="clear"></div><div id="error-message-chrono_verification"></div></div><div class="ccms_form_element cfdiv_submit" id="submit_container_div" style="text-align:right"><input name="submit" id="submit" class="" value="S'inscrire" type="submit" />
<div class="clear"></div><div id="error-message-submit"></div></div>
do you have any idea to fix it ?
Thanks a lot for your answer😉