diff --git a/resources/views/form/rapport-copd/1780297253-4b6e680c-f3a0-47f3-9375-04f5bdf52dd4.blade.php b/resources/views/form/rapport-copd/1780297253-4b6e680c-f3a0-47f3-9375-04f5bdf52dd4.blade.php
index 70bcca48..3c94a4b8 100644
--- a/resources/views/form/rapport-copd/1780297253-4b6e680c-f3a0-47f3-9375-04f5bdf52dd4.blade.php
+++ b/resources/views/form/rapport-copd/1780297253-4b6e680c-f3a0-47f3-9375-04f5bdf52dd4.blade.php
@@ -147,6 +147,14 @@
                                         value="{{isset($question->value)?$question->value:''}}">
                                     @break
                                     @case('text')
+                                    <input type="{{$question->type}}"
+                                        id="field-{{$question->code}}-{{$i}}"
+                                        name="{{$question->code}}[{{$i}}]"
+                                        class="form-control"
+                                        value="{{isset($question->value)?$question->value:''}}"
+                                        {{ in_array($question->code,['legacy_code','speciality']) ? 'readonly' : '' }}>
+                                        @break
+
                                     @case('email')
                                     @case('tel')
                                     @case('date')
@@ -210,6 +218,13 @@
                                             value="{{isset($question->value)?$question->value:''}}">
                                         @break
                                         @case('text')
+                                        <input type="{{$question->type}}"
+                                            id="field-{{$question->code}}-{{$i}}"
+                                            name="{{$question->code}}[{{$i}}]"
+                                            class="form-control"
+                                            value="{{isset($question->value)?$question->value:''}}"
+                                            {{ in_array($question->code,['legacy_code','speciality']) ? 'readonly' : '' }}>
+                                        @break
                                         @case('email')
                                         @case('tel')
                                         @case('date')