{"id":1057,"date":"2021-12-02T21:02:58","date_gmt":"2021-12-02T21:02:58","guid":{"rendered":"https:\/\/fideliscare.gomohealth.care\/evaluacion-del-asma-mensual\/"},"modified":"2021-12-06T14:50:12","modified_gmt":"2021-12-06T14:50:12","slug":"asthma-assessment","status":"publish","type":"page","link":"https:\/\/fideliscare.gomohealth.care\/es\/asthma-assessment\/","title":{"rendered":"Evaluaci\u00f3n del asma (mensual)"},"content":{"rendered":"<script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener(\"DOMContentLoaded\",o):document.addEventListener(\"gform_main_scripts_loaded\",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook(\"action\",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook(\"filter\",o,n,r,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,n){gform.removeHook(\"action\",o,n)},removeFilter:function(o,n,r){gform.removeHook(\"filter\",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var e=gform.hooks[o][n];null==i&&(i=n+\"_\"+e.length),gform.hooks[o][n].push({tag:i,callable:r,priority:t=null==t?10:t})},doHook:function(n,o,r){var t;if(r=Array.prototype.slice.call(r,1),null!=gform.hooks[n][o]&&((o=gform.hooks[n][o]).sort(function(o,n){return o.priority-n.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==n?t.apply(null,r):r[0]=t.apply(null,r)})),\"filter\"==n)return r[0]},removeHook:function(o,n,t,i){var r;null!=gform.hooks[o][n]&&(r=(r=gform.hooks[o][n]).filter(function(o,n,r){return!!(null!=i&&i!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][n]=r)}});<\/script>\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper' id='gform_wrapper_5' style='display:none'><div id='gf_5' class='gform_anchor' tabindex='-1'><\/div>\n                        <div class='gform_heading'>\n                            <h3 class=\"gform_title\">Evaluaci\u00f3n del asma<\/h3>\n                        <\/div><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_5' id='gform_5'  action='\/es\/wp-json\/wp\/v2\/pages\/1057#gf_5' >\n                        <div class='gform_body gform-body'><ul id='gform_fields_5' class='gform_fields top_label form_sublabel_below description_below'><li id=\"field_5_1\"  class=\"gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_1\">Completar esta breve encuesta solo tomar\u00e1 unos minutos y nos ayudar\u00e1 a monitorear tu estado. Si es un cuidador, responda las preguntas relacionadas con el miembro de Fidelis Care identificado a continuaci\u00f3n.<\/li><li id=\"field_5_2\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_2\"><label class='gfield_label gfield_label_before_complex'  >Nombre<\/label><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name' id='input_5_2'>\n                            \n                            <span id='input_5_2_3_container' class='name_first' >\n                                                    <input readonly='readonly' type='text' name='input_2.3' id='input_5_2_3' value=''   aria-required='false'     \/>\n                                                    <label for='input_5_2_3' >Nombre<\/label>\n                                                <\/span>\n                            \n                            <span id='input_5_2_6_container' class='name_last' >\n                                                    <input readonly='readonly' type='text' name='input_2.6' id='input_5_2_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_5_2_6' >Apellidos<\/label>\n                                                <\/span>\n                            \n                        <input type=\"hidden\" id=\"gwro_hidden_capture_5_2_2\" name=\"gwro_hidden_capture_5_2_2\" value=\"\" class=\"gf-default-disabled\" \/><input type=\"hidden\" id=\"gwro_hidden_capture_5_2_3\" name=\"gwro_hidden_capture_5_2_3\" value=\"\" class=\"gf-default-disabled\" \/><input type=\"hidden\" id=\"gwro_hidden_capture_5_2_4\" name=\"gwro_hidden_capture_5_2_4\" value=\"\" class=\"gf-default-disabled\" \/><input type=\"hidden\" id=\"gwro_hidden_capture_5_2_6\" name=\"gwro_hidden_capture_5_2_6\" value=\"\" class=\"gf-default-disabled\" \/><input type=\"hidden\" id=\"gwro_hidden_capture_5_2_8\" name=\"gwro_hidden_capture_5_2_8\" value=\"\" class=\"gf-default-disabled\" \/><\/div><\/li><li id=\"field_5_14\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_14\"><label class='gfield_label'  >\u00bfC\u00f3mo calificar\u00edas tu nivel de salud y bienestar en general?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_5_14'>\n\t\t\t<li class='gchoice gchoice_5_14_0'>\n\t\t\t\t<input name='input_14' type='radio' value='5'  id='choice_5_14_0'    \/>\n\t\t\t\t<label for='choice_5_14_0' id='label_5_14_0'><img src=\"\/wp-content\/uploads\/sites\/11\/2019\/06\/Strongly-Agree.png\" style=\"width:30px;height:30px\" align=\"middle\"> Excelente<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_14_1'>\n\t\t\t\t<input name='input_14' type='radio' value='4'  id='choice_5_14_1'    \/>\n\t\t\t\t<label for='choice_5_14_1' id='label_5_14_1'><img src=\"\/wp-content\/uploads\/sites\/11\/2019\/06\/Agree.png\" style=\"width:30px;height:30px\" align=\"middle\"> Bien<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_14_2'>\n\t\t\t\t<input name='input_14' type='radio' value='3'  id='choice_5_14_2'    \/>\n\t\t\t\t<label for='choice_5_14_2' id='label_5_14_2'><img src=\"\/wp-content\/uploads\/sites\/11\/2019\/06\/Not-Sure-Neutral.png\" style=\"width:30px;height:30px\" align=\"middle\"> Regular<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_14_3'>\n\t\t\t\t<input name='input_14' type='radio' value='2'  id='choice_5_14_3'    \/>\n\t\t\t\t<label for='choice_5_14_3' id='label_5_14_3'><img src=\"\/wp-content\/uploads\/sites\/11\/2019\/06\/Disagree.png\" style=\"width:30px;height:30px\" align=\"middle\"> Mal<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_14_4'>\n\t\t\t\t<input name='input_14' type='radio' value='1'  id='choice_5_14_4'    \/>\n\t\t\t\t<label for='choice_5_14_4' id='label_5_14_4'><img src=\"\/wp-content\/uploads\/sites\/11\/2019\/06\/Strongly-Disagree.png\" style=\"width:30px;height:30px\" align=\"middle\"> Muy mal<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_5_4\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_4\"><label class='gfield_label'  >\u00bfPuedes cuidar de tu afecci\u00f3n seg\u00fan las indicaciones del m\u00e9dico?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_5_4'>\n\t\t\t<li class='gchoice gchoice_5_4_0'>\n\t\t\t\t<input name='input_4' type='radio' value='Yes'  id='choice_5_4_0'    \/>\n\t\t\t\t<label for='choice_5_4_0' id='label_5_4_0'><img src=\"\/wp-content\/uploads\/sites\/11\/2019\/06\/Strongly-Agree.png\" style=\"width:30px;height:30px\" align=\"middle\"> S\u00ed<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_4_1'>\n\t\t\t\t<input name='input_4' type='radio' value='Somewhat'  id='choice_5_4_1'    \/>\n\t\t\t\t<label for='choice_5_4_1' id='label_5_4_1'><img src=\"\/wp-content\/uploads\/sites\/11\/2019\/06\/Not-Sure-Neutral.png\" style=\"width:30px;height:30px\" align=\"middle\"> Un poco<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_4_2'>\n\t\t\t\t<input name='input_4' type='radio' value='No'  id='choice_5_4_2'    \/>\n\t\t\t\t<label for='choice_5_4_2' id='label_5_4_2'><img src=\"\/wp-content\/uploads\/sites\/11\/2019\/06\/Strongly-Disagree.png\" style=\"width:30px;height:30px\" align=\"middle\"> No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_5_5\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_5\"><label class='gfield_label gfield_label_before_complex'  >Indica por qu\u00e9<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_5_5'>(marca todas las que apliquen)<\/div><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_5_5'><li class='gchoice gchoice_5_5_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.1' type='checkbox'  value='I can&#039;t afford the medication'  id='choice_5_5_1'   aria-describedby=\"gfield_description_5_5\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_5_5_1' id='label_5_5_1'>No puedo pagar la medicaci\u00f3n.<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_5_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.2' type='checkbox'  value='I don&#039;t like the side effects'  id='choice_5_5_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_5_2' id='label_5_5_2'>No me gustan los efectos secundarios.<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_5_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.3' type='checkbox'  value='I forget'  id='choice_5_5_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_5_3' id='label_5_5_3'>Me olvido.<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_5_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.4' type='checkbox'  value='No desire'  id='choice_5_5_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_5_4' id='label_5_5_4'>No tengo ganas.<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_5_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.5' type='checkbox'  value='I am having trouble contacting my doctor'  id='choice_5_5_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_5_5' id='label_5_5_5'>Tengo problemas para comunicarme con mi m\u00e9dico.<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_5_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.6' type='checkbox'  value='It will not make a difference in my health state'  id='choice_5_5_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_5_6' id='label_5_5_6'>No har\u00e1 ninguna diferencia en mi estado de salud.<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_5_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.7' type='checkbox'  value='I don&#039;t know what my treatment plan is'  id='choice_5_5_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_5_7' id='label_5_5_7'>No s\u00e9 cual es mi plan de tratamiento.<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_5_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.8' type='checkbox'  value='Other'  id='choice_5_5_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_5_8' id='label_5_5_8'>Otro<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_5_11\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_11\"><label class='gfield_label' for='input_5_11' >\u00bfPor qu\u00e9 m\u00e1s no puede cuidar su condici\u00f3n?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_11' id='input_5_11' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_5_6\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_6\"><label class='gfield_label'  >\u00bfEntiendes qu\u00e9 te provoca un ataque de asma?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_5_6'>\n\t\t\t<li class='gchoice gchoice_5_6_0'>\n\t\t\t\t<input name='input_6' type='radio' value='Yes'  id='choice_5_6_0'    \/>\n\t\t\t\t<label for='choice_5_6_0' id='label_5_6_0'><img src=\"\/wp-content\/uploads\/sites\/11\/2019\/06\/Strongly-Agree.png\" style=\"width:30px;height:30px\" align=\"middle\"> S\u00ed<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_6_1'>\n\t\t\t\t<input name='input_6' type='radio' value='Somewhat'  id='choice_5_6_1'    \/>\n\t\t\t\t<label for='choice_5_6_1' id='label_5_6_1'><img src=\"\/wp-content\/uploads\/sites\/11\/2019\/06\/Not-Sure-Neutral.png\" style=\"width:30px;height:30px\" align=\"middle\"> Un poco<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_6_2'>\n\t\t\t\t<input name='input_6' type='radio' value='No'  id='choice_5_6_2'    \/>\n\t\t\t\t<label for='choice_5_6_2' id='label_5_6_2'><img src=\"\/wp-content\/uploads\/sites\/11\/2019\/06\/Strongly-Disagree.png\" style=\"width:30px;height:30px\" align=\"middle\"> No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_5_7\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_7\"><label class='gfield_label'  >\u00bfSabes qu\u00e9 hacer si tienes problemas para respirar?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_5_7'>\n\t\t\t<li class='gchoice gchoice_5_7_0'>\n\t\t\t\t<input name='input_7' type='radio' value='Yes'  id='choice_5_7_0'    \/>\n\t\t\t\t<label for='choice_5_7_0' id='label_5_7_0'><img src=\"\/wp-content\/uploads\/sites\/11\/2019\/06\/Strongly-Agree.png\" style=\"width:30px;height:30px\" align=\"middle\"> S\u00ed<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_7_1'>\n\t\t\t\t<input name='input_7' type='radio' value='Somewhat'  id='choice_5_7_1'    \/>\n\t\t\t\t<label for='choice_5_7_1' id='label_5_7_1'><img src=\"\/wp-content\/uploads\/sites\/11\/2019\/06\/Not-Sure-Neutral.png\" style=\"width:30px;height:30px\" align=\"middle\"> Un poco<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_7_2'>\n\t\t\t\t<input name='input_7' type='radio' value='No'  id='choice_5_7_2'    \/>\n\t\t\t\t<label for='choice_5_7_2' id='label_5_7_2'><img src=\"\/wp-content\/uploads\/sites\/11\/2019\/06\/Strongly-Disagree.png\" style=\"width:30px;height:30px\" align=\"middle\"> No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_5_8\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_8\"><label class='gfield_label'  >Aseg\u00farate de tomar los medicamentos seg\u00fan lo indicado.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_5_8'>\n\t\t\t<li class='gchoice gchoice_5_8_0'>\n\t\t\t\t<input name='input_8' type='radio' value='Yes'  id='choice_5_8_0'    \/>\n\t\t\t\t<label for='choice_5_8_0' id='label_5_8_0'><img src=\"\/wp-content\/uploads\/sites\/11\/2019\/06\/Strongly-Agree.png\" style=\"width:30px;height:30px\" align=\"middle\"> S\u00ed<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_8_1'>\n\t\t\t\t<input name='input_8' type='radio' value='Somewhat'  id='choice_5_8_1'    \/>\n\t\t\t\t<label for='choice_5_8_1' id='label_5_8_1'><img src=\"\/wp-content\/uploads\/sites\/11\/2019\/06\/Not-Sure-Neutral.png\" style=\"width:30px;height:30px\" align=\"middle\"> Un poco<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_8_2'>\n\t\t\t\t<input name='input_8' type='radio' value='No'  id='choice_5_8_2'    \/>\n\t\t\t\t<label for='choice_5_8_2' id='label_5_8_2'><img src=\"\/wp-content\/uploads\/sites\/11\/2019\/06\/Strongly-Disagree.png\" style=\"width:30px;height:30px\" align=\"middle\"> No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_5_9\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_9\"><label class='gfield_label gfield_label_before_complex'  >Indica por qu\u00e9<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_5_9'>(marca todas las que apliquen)<\/div><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_5_9'><li class='gchoice gchoice_5_9_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.1' type='checkbox'  value='I can&#039;t afford the prescription'  id='choice_5_9_1'   aria-describedby=\"gfield_description_5_9\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_5_9_1' id='label_5_9_1'>No puedo pagar la medicaci\u00f3n.<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_9_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.2' type='checkbox'  value='I don&#039;t like the side effects'  id='choice_5_9_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_9_2' id='label_5_9_2'>No me gustan los efectos secundarios.<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_9_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.3' type='checkbox'  value='I forget'  id='choice_5_9_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_9_3' id='label_5_9_3'>Me olvido.<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_9_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.4' type='checkbox'  value='No desire'  id='choice_5_9_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_9_4' id='label_5_9_4'>No tengo ganas.<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_9_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.5' type='checkbox'  value='I ran out'  id='choice_5_9_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_9_5' id='label_5_9_5'>Se me termin\u00f3.<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_9_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.6' type='checkbox'  value='I am having trouble contacting my doctor'  id='choice_5_9_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_9_6' id='label_5_9_6'>Tengo problemas para comunicarme con mi m\u00e9dico.<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_9_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.7' type='checkbox'  value='It will not make a difference in my health state'  id='choice_5_9_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_9_7' id='label_5_9_7'>No har\u00e1 ninguna diferencia en mi estado de salud.<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_9_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.8' type='checkbox'  value='Other'  id='choice_5_9_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_9_8' id='label_5_9_8'>Otros<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_5_10\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_10\"><label class='gfield_label' for='input_5_10' >\u00bfPor qu\u00e9 m\u00e1s no puede tomar su receta?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_10' id='input_5_10' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_5_12\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_12\"><label class='gfield_label'  >\u00bfPuedes hacer actividad f\u00edsica\/ejercicio con regularidad?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_5_12'>\n\t\t\t<li class='gchoice gchoice_5_12_0'>\n\t\t\t\t<input name='input_12' type='radio' value='Yes'  id='choice_5_12_0'    \/>\n\t\t\t\t<label for='choice_5_12_0' id='label_5_12_0'><img src=\"\/wp-content\/uploads\/sites\/11\/2019\/06\/Strongly-Agree.png\" style=\"width:30px;height:30px\" align=\"middle\"> S\u00ed (de tres a cinco horas por semana o m\u00e1s)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_12_1'>\n\t\t\t\t<input name='input_12' type='radio' value='Somewhat'  id='choice_5_12_1'    \/>\n\t\t\t\t<label for='choice_5_12_1' id='label_5_12_1'><img src=\"\/wp-content\/uploads\/sites\/11\/2019\/06\/Not-Sure-Neutral.png\" style=\"width:30px;height:30px\" align=\"middle\"> Algo (hasta dos horas y media por semana)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_12_2'>\n\t\t\t\t<input name='input_12' type='radio' value='No'  id='choice_5_12_2'    \/>\n\t\t\t\t<label for='choice_5_12_2' id='label_5_12_2'><img src=\"\/wp-content\/uploads\/sites\/11\/2019\/06\/Strongly-Disagree.png\" style=\"width:30px;height:30px\" align=\"middle\"> No (inactivo)<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_5_15\"  class=\"gfield gfield_calculation field_sublabel_below field_description_below gfield_visibility_hidden\"  data-js-reload=\"field_5_15\"><div class='admin-hidden-markup'><i class='gform-icon gform-icon--hidden'><\/i><span>Hidden<\/span><\/div><label class='gfield_label' for='input_5_15' >Health Rating Score<\/label><div class='ginput_container ginput_container_number'><input name='input_15' id='input_5_15' type='text'    value='' class='medium'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_5_13\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_hidden\"  data-js-reload=\"field_5_13\"><div class='admin-hidden-markup'><i class='gform-icon gform-icon--hidden'><\/i><span>Hidden<\/span><\/div><label class='gfield_label' for='input_5_13' >Call CC<\/label><div class='ginput_container ginput_container_text'><input name='input_13' id='input_5_13' type='text' value='YES' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_5_16\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_hidden\"  data-js-reload=\"field_5_16\"><div class='admin-hidden-markup'><i class='gform-icon gform-icon--hidden'><\/i><span>Hidden<\/span><\/div><label class='gfield_label' for='input_5_16' >Call Provider<\/label><div class='ginput_container ginput_container_text'><input name='input_16' id='input_5_16' type='text' value='YES' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_5_17\"  class=\"gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_17\"><div class='ginput_container ginput_container_text'><input name='input_17' id='input_5_17' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/li><li id=\"field_5_18\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_hidden\"  data-js-reload=\"field_5_18\"><div class='admin-hidden-markup'><i class='gform-icon gform-icon--hidden'><\/i><span>Hidden<\/span><\/div><label class='gfield_label' for='input_5_18' >EscalateEmail<\/label><div class='ginput_container ginput_container_text'><input name='input_18' id='input_5_18' type='text' value='Yes' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_5_19\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_hidden\"  data-js-reload=\"field_5_19\"><div class='admin-hidden-markup'><i class='gform-icon gform-icon--hidden'><\/i><span>Hidden<\/span><\/div><label class='gfield_label' for='input_5_19' >region<\/label><div class='ginput_container ginput_container_text'><input name='input_19' id='input_5_19' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_5_20\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_hidden\"  data-js-reload=\"field_5_20\"><div class='admin-hidden-markup'><i class='gform-icon gform-icon--hidden'><\/i><span>Hidden<\/span><\/div><label class='gfield_label' for='input_5_20' >mobile<\/label><div class='ginput_container ginput_container_text'><input name='input_20' id='input_5_20' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_5_21\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_hidden\"  data-js-reload=\"field_5_21\"><div class='admin-hidden-markup'><i class='gform-icon gform-icon--hidden'><\/i><span>Hidden<\/span><\/div><label class='gfield_label' for='input_5_21' >county<\/label><div class='ginput_container ginput_container_text'><input name='input_21' id='input_5_21' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_5_22\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_hidden\"  data-js-reload=\"field_5_22\"><div class='admin-hidden-markup'><i class='gform-icon gform-icon--hidden'><\/i><span>Hidden<\/span><\/div><label class='gfield_label' for='input_5_22' >status<\/label><div class='ginput_container ginput_container_text'><input name='input_22' id='input_5_22' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><\/ul><\/div>\n        <div class='gform_footer top_label'> <input type='submit' id='gform_submit_button_5' class='gform_button button' value='ENVIAR'  onclick='if(window[\"gf_submitting_5\"]){return false;}  window[\"gf_submitting_5\"]=true;  ' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_5\"]){return false;} window[\"gf_submitting_5\"]=true;  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none !important;\"><label>&#916;<textarea name=\"ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"ak_js\" value=\"201\"\/><script>document.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );<\/script><\/p><\/form>\n                        <\/div>\n                <iframe style='display:none;width:0px;height:0px;' src='about:blank' name='gform_ajax_frame_5' id='gform_ajax_frame_5' title='Este iframe contiene la l\u00f3gica necesaria para gestionar formularios con ajax activado.'><\/iframe>\n                <script type=\"text\/javascript\">\ngform.initializeOnLoaded( function() {gformInitSpinner( 5, '\/wp-content\/plugins\/gravityforms\/images\/spinner.svg' );jQuery('#gform_ajax_frame_5').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = 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