{"id":8597,"date":"2022-03-24T18:11:26","date_gmt":"2022-03-24T18:11:26","guid":{"rendered":"https:\/\/drjorgegarcia.com\/?page_id=8597"},"modified":"2023-02-21T03:39:43","modified_gmt":"2023-02-21T03:39:43","slug":"evaluacion","status":"publish","type":"page","link":"https:\/\/drjorgegarcia.com\/es\/","title":{"rendered":"Evaluaci\u00f3n"},"content":{"rendered":"<div data-elementor-type=\"wp-page\" data-elementor-id=\"8597\" class=\"elementor elementor-8597\">\n\t\t\t\t\t\t\t\t\t<section class=\"wd-negative-gap elementor-section elementor-top-section elementor-element elementor-element-82f78f8 elementor-section-boxed elementor-section-height-default elementor-section-height-default wd-section-disabled\" data-id=\"82f78f8\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-98926aa\" data-id=\"98926aa\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1ba5d1f color-scheme-inherit text-left elementor-widget elementor-widget-text-editor\" data-id=\"1ba5d1f\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.11.1 - 15-02-2023 *\/\n.elementor-widget-text-editor.elementor-drop-cap-view-stacked .elementor-drop-cap{background-color:#818a91;color:#fff}.elementor-widget-text-editor.elementor-drop-cap-view-framed .elementor-drop-cap{color:#818a91;border:3px solid;background-color:transparent}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap{margin-top:8px}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap-letter{width:1em;height:1em}.elementor-widget-text-editor .elementor-drop-cap{float:left;text-align:center;line-height:1;font-size:50px}.elementor-widget-text-editor .elementor-drop-cap-letter{display:inline-block}<\/style>\t\t\t\t<p><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 gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_2' style='display:none'><div id='gf_2' class='gform_anchor' tabindex='-1'><\/div><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_2' id='gform_2'  action='\/es\/wp-json\/wp\/v2\/pages\/8597#gf_2' data-formid='2' novalidate data-trp-original-action=\"\/es\/wp-json\/wp\/v2\/pages\/8597#gf_2\">\n                        <div class='gform-body gform_body'><ul id='gform_fields_2' class='gform_fields top_label form_sublabel_below description_below'><li id=\"field_2_16\"  class=\"gfield gfield--type-name gf_left_third hidelabel gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_16\"><label class='gfield_label gform-field-label gfield_label_before_complex'  >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_2_16'>\n                            \n                            <span id='input_2_16_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_16.3' id='input_2_16_3' value=''   aria-required='true'   placeholder='Nombre *'  \/>\n                                                    <label for='input_2_16_3' class='gform-field-label gform-field-label--type-sub'>Nombre<\/label>\n                                                <\/span>\n                            \n                            <span id='input_2_16_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_16.6' id='input_2_16_6' value=''   aria-required='true'   placeholder='Apellidos *'  \/>\n                                                    <label for='input_2_16_6' class='gform-field-label gform-field-label--type-sub'>Apellidos<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_2_73\"  class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-full gf_middle_third gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_73\"><label class='gfield_label gform-field-label' for='input_2_73' >Date of Birth<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_73' id='input_2_73' type='text' value='' class='datepicker gform-datepicker dmy datepicker_no_icon gdatepicker-no-icon'   placeholder='Fecha de Nacimiento *' aria-describedby=\"input_2_73_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_2_73_date_format' class='screen-reader-text'>DD barra MM barra AAAA<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_2_73' class='gform_hidden' value='https:\/\/drjorgegarcia.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_2_59\"  class=\"gfield gfield--type-radio gfield--type-choice gf_right_third gf_list_inline gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_59\"><label class='gfield_label gform-field-label'  >Sex<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_2_59'>\n\t\t\t<li class='gchoice gchoice_2_59_0'>\n\t\t\t\t<input name='input_59' type='radio' value='M'  id='choice_2_59_0'    \/>\n\t\t\t\t<label for='choice_2_59_0' id='label_2_59_0' class='gform-field-label gform-field-label--type-inline'>M<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_59_1'>\n\t\t\t\t<input name='input_59' type='radio' value='F'  id='choice_2_59_1'    \/>\n\t\t\t\t<label for='choice_2_59_1' id='label_2_59_1' class='gform-field-label gform-field-label--type-inline'>F<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_17\"  class=\"gfield gfield--type-email gf_left_third hidelabel gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_17\"><label class='gfield_label gform-field-label' for='input_2_17' >Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_17' id='input_2_17' type='email' value='' class='medium'   placeholder='Email *' aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_2_19\"  class=\"gfield gfield--type-phone gf_middle_third hidelabel gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_19\"><label class='gfield_label gform-field-label' for='input_2_19' >Mobile<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_19' id='input_2_19' type='tel' value='' class='medium'  placeholder='M\u00f3vil \/ Whatsapp *' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_2_14\"  class=\"gfield gfield--type-text gf_right_third hidelabel field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_14\"><label class='gfield_label gform-field-label' for='input_2_14' >Instagram user:<\/label><div class='ginput_container ginput_container_text'><input name='input_14' id='input_2_14' type='text' value='' class='medium'    placeholder='Instagram (usuario)'  aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_2_63\"  class=\"gfield gfield--type-number gfield--width-full gf_left_third hidelabel gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_63\"><label class='gfield_label gform-field-label' for='input_2_63' >Age<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_63' id='input_2_63' type='number' step='any'   value='' class='small'    placeholder='Edad *' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_2_66\"  class=\"gfield gfield--type-select gfield--width-full gf_middle_third hidelabel gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_66\"><label class='gfield_label gform-field-label' for='input_2_66' >Altura *<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_66' id='input_2_66' class='small gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Altura *<\/option><option value='' ><\/option><option value='48' >4 feet<\/option><option value='49' >4\u20191<\/option><option value='50' >4\u20192<\/option><option value='51' >4\u20193<\/option><option value='52' >4\u20194<\/option><option value='53' >4\u20195<\/option><option value='54' >4\u20196<\/option><option value='55' >4\u20197<\/option><option value='56' >4\u20198<\/option><option value='57' >4\u20199<\/option><option value='58' >4\u201910<\/option><option value='59' >4\u201911<\/option><option value='60' >5 feet<\/option><option value='61' >5\u20191<\/option><option value='62' >5\u20192<\/option><option value='63' >5\u20193<\/option><option value='64' >5\u20194<\/option><option value='65' >5\u20195<\/option><option value='66' >5\u20196<\/option><option value='67' >5\u20197<\/option><option value='68' >5\u20198<\/option><option value='69' >5\u20199<\/option><option value='70' >5\u201910<\/option><option value='71' >5\u201911<\/option><option value='72' >6 feet<\/option><option value='73' >6&#039;1<\/option><option value='74' >6&#039;2<\/option><option value='75' >6&#039;3<\/option><option value='76' >6&#039;4<\/option><option value='77' >6&#039;5<\/option><option value='78' >6&#039;6<\/option><option value='79' >6&#039;7<\/option><option value='80' >6&#039;8<\/option><option value='81' >6&#039;9<\/option><option value='82' >6&#039;10<\/option><option value='83' >6&#039;11<\/option><option value='84' >7 feet<\/option><\/select><\/div><\/li><li id=\"field_2_60\"  class=\"gfield gfield--type-number gfield--width-full gf_right_third hidelabel gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_60\"><label class='gfield_label gform-field-label' for='input_2_60' >Current Weight (lbs)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_60' id='input_2_60' type='number' step='any'   value='' class='small'    placeholder='Peso (lbs) *' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_2_65\"  class=\"gfield gfield--type-number gfield--width-full gf_right_third gfield_calculation field_sublabel_below gfield--no-description field_description_below gfield_visibility_hidden\"  data-js-reload=\"field_2_65\"><div class='admin-hidden-markup'><i class='gform-icon gform-icon--hidden'><\/i><span>Hidden<\/span><\/div><label class='gfield_label gform-field-label' for='input_2_65' >BMI<\/label><div class='ginput_container ginput_container_number'><input name='input_65' id='input_2_65' type='text' step='any'   value='' class='small'  readonly=\"readonly\"  placeholder='145'  aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_2_48\"  class=\"gfield gfield--type-radio gfield--type-choice gf_list_inline gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_48\"><label class='gfield_label gform-field-label'  >\u00bfEst\u00e1 tomando alg\u00fan medicamento regular?<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_2_48'>\n\t\t\t<li class='gchoice gchoice_2_48_0'>\n\t\t\t\t<input name='input_48' type='radio' value='Yes'  id='choice_2_48_0'    \/>\n\t\t\t\t<label for='choice_2_48_0' id='label_2_48_0' class='gform-field-label gform-field-label--type-inline'>S\u00ed<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_48_1'>\n\t\t\t\t<input name='input_48' type='radio' value='No'  id='choice_2_48_1'    \/>\n\t\t\t\t<label for='choice_2_48_1' id='label_2_48_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_33\"  class=\"gfield gfield--type-text gf_right_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_33\"><label class='gfield_label gform-field-label' for='input_2_33' >Please specify the medications you take regularly<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_33' id='input_2_33' type='text' value='' class='large'    placeholder='Por favor especifique los medicamentos que toma regularmente *' aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_2_57\"  class=\"gfield gfield--type-radio gfield--type-choice gf_list_inline gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_57\"><label class='gfield_label gform-field-label'  >\u00bfTiene alg\u00fan problema de salud?<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_2_57'>\n\t\t\t<li class='gchoice gchoice_2_57_0'>\n\t\t\t\t<input name='input_57' type='radio' value='Yes'  id='choice_2_57_0'    \/>\n\t\t\t\t<label for='choice_2_57_0' id='label_2_57_0' class='gform-field-label gform-field-label--type-inline'>S\u00ed<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_57_1'>\n\t\t\t\t<input name='input_57' type='radio' value='No'  id='choice_2_57_1'    \/>\n\t\t\t\t<label for='choice_2_57_1' id='label_2_57_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_52\"  class=\"gfield gfield--type-checkbox gfield--type-choice gf_list_2col gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_52\"><label class='gfield_label gform-field-label gfield_label_before_complex'  >\u00bfTiene alguna de las siguientes condiciones de salud?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_2_52'><li class='gchoice gchoice_2_52_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_52.1' type='checkbox'  value='Asma'  id='choice_2_52_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_52_1' id='label_2_52_1' class='gform-field-label gform-field-label--type-inline'>Asma<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_2_52_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_52.2' type='checkbox'  value='High Blood Pressure'  id='choice_2_52_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_52_2' id='label_2_52_2' class='gform-field-label gform-field-label--type-inline'>Hipertensi\u00f3n<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_2_52_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_52.3' type='checkbox'  value='Thyroid Disease or Disorder'  id='choice_2_52_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_52_3' id='label_2_52_3' class='gform-field-label gform-field-label--type-inline'>Enfermedad o trastorno de la tiroides<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_2_52_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_52.4' type='checkbox'  value='Diabetes'  id='choice_2_52_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_52_4' id='label_2_52_4' class='gform-field-label gform-field-label--type-inline'>Diabetes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_2_52_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_52.5' type='checkbox'  value='Other'  id='choice_2_52_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_52_5' id='label_2_52_5' class='gform-field-label gform-field-label--type-inline'>Otro<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_34\"  class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_34\"><label class='gfield_label gform-field-label' for='input_2_34' >Please describe your health condition(s)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_34' id='input_2_34' type='text' value='' class='large'    placeholder='Please describe your health condition(s) *' aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_2_49\"  class=\"gfield gfield--type-radio gfield--type-choice gf_list_inline gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_49\"><label class='gfield_label gform-field-label'  >\u00bfTiene antecedentes familiares de enfermedad \/ dolencia u otras condiciones de salud?<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_2_49'>\n\t\t\t<li class='gchoice gchoice_2_49_0'>\n\t\t\t\t<input name='input_49' type='radio' value='Yes'  id='choice_2_49_0'    \/>\n\t\t\t\t<label for='choice_2_49_0' id='label_2_49_0' class='gform-field-label gform-field-label--type-inline'>S\u00ed<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_49_1'>\n\t\t\t\t<input name='input_49' type='radio' value='No'  id='choice_2_49_1'    \/>\n\t\t\t\t<label for='choice_2_49_1' id='label_2_49_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_45\"  class=\"gfield gfield--type-text gf_right_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_45\"><label class='gfield_label gform-field-label' for='input_2_45' >Please specify family health history<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_45' id='input_2_45' type='text' value='' class='large'    placeholder='Please specify family health history *' aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_2_54\"  class=\"gfield gfield--type-radio gfield--type-choice gf_list_inline gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_54\"><label class='gfield_label gform-field-label'  >\u00bfTienes hijos?<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_2_54'>\n\t\t\t<li class='gchoice gchoice_2_54_0'>\n\t\t\t\t<input name='input_54' type='radio' value='Yes'  id='choice_2_54_0'    \/>\n\t\t\t\t<label for='choice_2_54_0' id='label_2_54_0' class='gform-field-label gform-field-label--type-inline'>S\u00ed<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_54_1'>\n\t\t\t\t<input name='input_54' type='radio' value='No'  id='choice_2_54_1'    \/>\n\t\t\t\t<label for='choice_2_54_1' id='label_2_54_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_53\"  class=\"gfield gfield--type-select gf_right_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_53\"><label class='gfield_label gform-field-label' for='input_2_53' >\u00bfC\u00f3mo fue tu parto?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_53' id='input_2_53' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>\u00bfC\u00f3mo fue tu parto?<\/option><option value='Natural' >Natural<\/option><option value='C-Section' >Ces\u00e1rea<\/option><\/select><\/div><\/li><li id=\"field_2_35\"  class=\"gfield gfield--type-radio gfield--type-choice gf_list_inline gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_35\"><label class='gfield_label gform-field-label'  >\u00bfTienes alergias?<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_2_35'>\n\t\t\t<li class='gchoice gchoice_2_35_0'>\n\t\t\t\t<input name='input_35' type='radio' value='Yes'  id='choice_2_35_0'    \/>\n\t\t\t\t<label for='choice_2_35_0' id='label_2_35_0' class='gform-field-label gform-field-label--type-inline'>S\u00ed<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_35_1'>\n\t\t\t\t<input name='input_35' type='radio' value='No'  id='choice_2_35_1'    \/>\n\t\t\t\t<label for='choice_2_35_1' id='label_2_35_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_56\"  class=\"gfield gfield--type-text gf_right_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_56\"><label class='gfield_label gform-field-label' for='input_2_56' >What are you alergic to?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_56' id='input_2_56' type='text' value='' class='large'    placeholder='\u00bfA qu\u00e9 eres al\u00e9rgico? *' aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_2_36\"  class=\"gfield gfield--type-radio gfield--type-choice gf_list_inline gf_right_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_36\"><label class='gfield_label gform-field-label'  >\u00bfFuma usted?<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_2_36'>\n\t\t\t<li class='gchoice gchoice_2_36_0'>\n\t\t\t\t<input name='input_36' type='radio' value='Yes'  id='choice_2_36_0'    \/>\n\t\t\t\t<label for='choice_2_36_0' id='label_2_36_0' class='gform-field-label gform-field-label--type-inline'>S\u00ed<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_36_1'>\n\t\t\t\t<input name='input_36' type='radio' value='No'  id='choice_2_36_1'    \/>\n\t\t\t\t<label for='choice_2_36_1' id='label_2_36_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_58\"  class=\"gfield gfield--type-text gf_right_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_58\"><label class='gfield_label gform-field-label' for='input_2_58' >How many cigarettes a day do you smoke?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_58' id='input_2_58' type='text' value='' class='large'    placeholder='\u00bfCu\u00e1ntos cigarrillos al d\u00eda fuma? *' aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_2_74\"  class=\"gfield gfield--type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_74\"><label class='gfield_label gform-field-label' for='input_2_74' >Reason for consultation<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_74' id='input_2_74' class='textarea small'    placeholder='Motivo de consulta *' aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_2_72\"  class=\"gfield gfield--type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_72\"><label class='gfield_label gform-field-label' for='input_2_72' >Foods I don&#039;t like<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_72' id='input_2_72' class='textarea small'    placeholder='Alimentos que no me gustan'  aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_2_13\"  class=\"gfield gfield--type-textarea field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_13\"><label class='gfield_label gform-field-label' for='input_2_13' >Comments<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_13' id='input_2_13' class='textarea small'    placeholder='Comentarios adicionales: (Opcional)'  aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_2_68\"  class=\"gfield gfield--type-select field_sublabel_below gfield--no-description field_description_below gfield_visibility_hidden\"  data-js-reload=\"field_2_68\"><div class='admin-hidden-markup'><i class='gform-icon gform-icon--hidden'><\/i><span>Hidden<\/span><\/div><label class='gfield_label gform-field-label' for='input_2_68' >How did you find Dr. Garc\u00eda?<\/label><div class='ginput_container ginput_container_select'><select name='input_68' id='input_2_68' class='large gfield_select'     aria-invalid=\"false\" ><option value='Friends or Family Referral' >Friends or Family Referral<\/option><option value='Doctor Referal' >Doctor Referal<\/option><option value='Influencer' >Influencer<\/option><option value='Instagram' >Instagram<\/option><option value='Facebook' >Facebook<\/option><option value='Google Search' >Google Search<\/option><option value='Other' >Otro<\/option><option value='' ><\/option><option value='' ><\/option><\/select><\/div><\/li><\/ul><\/div>\n        <div class='gform_footer top_label'> <input type='submit' id='gform_submit_button_2' class='gform_button button' value='Enviar'  onclick='if(window[\"gf_submitting_2\"]){return false;}  if( !jQuery(\"#gform_2\")[0].checkValidity || 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*\/\n<\/script>\n<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"","protected":false},"author":2,"featured_media":9740,"parent":0,"menu_order":45,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-8597","page","type-page","status-publish","has-post-thumbnail","hentry"],"_links":{"self":[{"href":"https:\/\/drjorgegarcia.com\/es\/wp-json\/wp\/v2\/pages\/8597","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drjorgegarcia.com\/es\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/drjorgegarcia.com\/es\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/drjorgegarcia.com\/es\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/drjorgegarcia.com\/es\/wp-json\/wp\/v2\/comments?post=8597"}],"version-history":[{"count":5,"href":"https:\/\/drjorgegarcia.com\/es\/wp-json\/wp\/v2\/pages\/8597\/revisions"}],"predecessor-version":[{"id":9742,"href":"https:\/\/drjorgegarcia.com\/es\/wp-json\/wp\/v2\/pages\/8597\/revisions\/9742"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/drjorgegarcia.com\/es\/wp-json\/wp\/v2\/media\/9740"}],"wp:attachment":[{"href":"https:\/\/drjorgegarcia.com\/es\/wp-json\/wp\/v2\/media?parent=8597"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}