{#<div class="row">
    <div class="col-md-12">
        <div class="form-group">
            <div><label>Pourrions-nous avoir une date, une heure et un lieu vous convenant
                    afin de recevoir l'un de nos commerciaux?</label></div>
            <label class="radio-inline">
                <input type="radio" name="reponserdv" class="reponserdv" value="oui"> OUI
            </label>
            <label class="radio-inline">
                <input type="radio" name="reponserdv" class="reponserdv" value="non" checked> NON
            </label>
        </div>
    </div>
    <div class="col-md-6">

        <div id="refus">
            <div class="form-group">
                <label for="motif_refus" class="control-label">Motif du refus</label>
                <textarea class="form-control" id="motif_refus" placeholder="Motif de refus du client..."
                          name="motif_refus" style="height: 150px"></textarea>
            </div>
        </div>
        <div id="rdv" class="rdv" style="display: none;">
            <div class="form-group">
                <label for="daterdv" class="control-label">Date RDV</label>
                <div class='input-group date' id='daterdv'>
                    <input type="text" id="daterdv" name="daterdv" class="form-control"
                           aria-describedby="daterdv"
                           placeholder="jj/mm/aaaa" readonly style="background: #FFF"/>
                    <span class="input-group-addon">
                            <span class="icon-calendar"></span>
                        </span>
                </div>
            </div>

            <div class="form-group">
                <label for="heurerdv" class="control-label">Heure RDV</label>

                <div class='input-group date' id='heurerdv'>
                    <input type="text" id="heurerdv" name="heurerdv" class="form-control"
                           aria-describedby="heurerdv"
                           placeholder="HH:MM" readonly style="background: #FFF"/>
                    <span class="input-group-addon">
                            <span class="icon-calendar"></span>
                    </span>
                </div>
            </div>

            <div class="form-group">
                <label for="commune">Commune: </label>
                <input type="text" class="form-control" name="commune" id="commune"
                       placeholder="Commune du client...">
            </div>

            <div class="form-group">
                <label for="localisation">Localisation: </label>
                <textarea class="form-control" name="localisation" id="localisation"
                          placeholder="Localisation du client..."></textarea>
            </div>

            <div class="form-group">
                <label for="commentaire" class="control-label">commentaire</label>
                <textarea class="form-control" id="commentaire" placeholder="Commentaire sur la qualification..."
                          name="commentaire"> </textarea>
            </div>
        </div>

        <button class="btn btn-success save-codifications" name="btn-codifications">Enregistrer les
            codifications <i class="icon icon-upload"></i></button>

    </div>

    <div class="col-md-6">
        <div class="rdv" style="display: none;">
            <div class="form-group">
                <label for="nbre-souscripteurs">Nombre de souscripteurs: </label>
                <input type="text" class="form-control" name="nbre-souscripteurs"
                       id="nbre-souscripteurs" value="0" required
                       placeholder="Nombre de souscripteurs..." />
            </div>
        </div>
        <div class="form-group">
            <label for="qualification">Qualification: </label>
            <select class="form-control" name="qualification" id="qualification">
                <option value="0">Choisir...</option>
            </select>
        </div>
        <div class="rappel_infos" style="height: 212px;">
            <h3 class="block-title">Informations de rappel</h3>
            <div class="form-group">
                <label for="date_rap">Date de rappel: </label>
                <div class='input-group date' id='date_rappel'>
                    <input type="text" id="date_rap" name="date_rappel" class="form-control"
                           aria-describedby="date_naissance"
                           placeholder="jj/mm/aaaa"  style="background: #FFF"/>
                    <span class="input-group-addon">
                            <span class="icon-calendar"></span>
                        </span>
                </div>
            </div>
            <div class="form-group">
                <label for="heure_rap">Heure de rappel: </label>
                <div class='input-group date' id='heure_rappel'>
                    <input type="text" id="heure_rap" name="heure_rappel" class="form-control"
                           aria-describedby="heure_rappel"
                           placeholder="hh:mm" style="background: #FFF"/>
                    <span class="input-group-addon">
                            <span class="icon-back-in-time"></span>
                        </span>
                </div>
            </div>
        </div>
    </div>
</div>#}