{"id":1138,"date":"2017-09-13T18:44:42","date_gmt":"2017-09-13T18:44:42","guid":{"rendered":"http:\/\/babysfirst.gomohealth.care\/community\/edinburgh\/"},"modified":"2019-02-11T20:44:23","modified_gmt":"2019-02-11T20:44:23","slug":"edinburgh","status":"publish","type":"member","link":"https:\/\/babysfirst.gomohealth.care\/es\/community\/edinburgh\/","title":{"rendered":"\u00bfComo te sientes?"},"content":{"rendered":"<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0);background-position: left top;background-repeat: no-repeat;padding-top:20px;padding-right:20px;padding-bottom:0px;padding-left:20px;margin-bottom: 0px;margin-top: 0px;border-width: 0px 0px 0px 0px;border-color:#eae9e9;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last fusion-column-no-min-height\" style=\"margin-top:0px;margin-bottom:0px;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-1\"><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_17' ><div id='gf_17' class='gform_anchor' tabindex='-1'><\/div><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_17' id='gform_17'  action='\/es\/wp-json\/wp\/v2\/member\/1138#gf_17' >\n                        <div class='gform_body gform-body'><ul id='gform_fields_17' class='gform_fields top_label form_sublabel_below description_below'><li id=\"field_17_12\"  class=\"gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_17_12\"><div class='ginput_container ginput_container_text'><input name='input_12' id='input_17_12' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='https:\/\/babysfirst.gomohealth.care\/es\/wp-json\/wp\/v2\/member\/1138' \/><\/div><\/li><li id=\"field_17_13\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_17_13\"><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_17_13'>\n                            \n                            <span id='input_17_13_3_container' class='name_first' >\n                                                    <input type='text' name='input_13.3' id='input_17_13_3' value=''   aria-required='false'     \/>\n                                                    <label for='input_17_13_3' >Nombre<\/label>\n                                                <\/span>\n                            \n                            <span id='input_17_13_6_container' class='name_last' >\n                                                    <input type='text' name='input_13.6' id='input_17_13_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_17_13_6' >Apellido<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_17_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_17_1\"><p>Nos gustar\u00eda saber c\u00f3mo te sientes. Por favor, lea la respuesta que m\u00e1s se acerca a c\u00f3mo se ha sentido en los \u00faltimos 7 d\u00edas, no s\u00f3lo c\u00f3mo se siente hoy. <\/p>\n\n<p><b>En los \u00faltimos 7 d\u00edas: <\/b><\/p><\/li><li id=\"field_17_2\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible gquiz-field \"  data-field-class=\"gquiz-field\" data-js-reload=\"field_17_2\"><label class='gfield_label'  >1. He podido re\u00edr y ver el lado divertido de las cosas<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_17_2'>\n\t\t\t<li class='gchoice gchoice_17_2_0'>\n\t\t\t\t<input name='input_2' type='radio' value='gquiz21233b2f8'  id='choice_17_2_0'    \/>\n\t\t\t\t<label for='choice_17_2_0' id='label_17_2_0'>Tanto como siempre<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_17_2_1'>\n\t\t\t\t<input name='input_2' type='radio' value='gquiz21697bf29'  id='choice_17_2_1'    \/>\n\t\t\t\t<label for='choice_17_2_1' id='label_17_2_1'>Ahora no mucho<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_17_2_2'>\n\t\t\t\t<input name='input_2' type='radio' value='gquiz2ae0b4205'  id='choice_17_2_2'    \/>\n\t\t\t\t<label for='choice_17_2_2' id='label_17_2_2'>Definitivamente ahora no mucho<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_17_2_3'>\n\t\t\t\t<input name='input_2' type='radio' value='gquiz203a15277'  id='choice_17_2_3'    \/>\n\t\t\t\t<label for='choice_17_2_3' id='label_17_2_3'>En absoluto<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_17_3\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible gquiz-field \"  data-field-class=\"gquiz-field\" data-js-reload=\"field_17_3\"><label class='gfield_label'  >2. He mirado adelante disfrutando de las cosas<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_17_3'>\n\t\t\t<li class='gchoice gchoice_17_3_0'>\n\t\t\t\t<input name='input_3' type='radio' value='gquiz21233b2f8'  id='choice_17_3_0'    \/>\n\t\t\t\t<label for='choice_17_3_0' id='label_17_3_0'>Tanto como nunca lo hab\u00eda hecho<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_17_3_1'>\n\t\t\t\t<input name='input_3' type='radio' value='gquiz21697bf29'  id='choice_17_3_1'    \/>\n\t\t\t\t<label for='choice_17_3_1' id='label_17_3_1'>M\u00e1s bien menos de lo que sol\u00eda hacerlo<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_17_3_2'>\n\t\t\t\t<input name='input_3' type='radio' value='gquiz2ae0b4205'  id='choice_17_3_2'    \/>\n\t\t\t\t<label for='choice_17_3_2' id='label_17_3_2'>Definitivamente menos de lo que sol\u00eda hacerlo<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_17_3_3'>\n\t\t\t\t<input name='input_3' type='radio' value='gquiz203a15277'  id='choice_17_3_3'    \/>\n\t\t\t\t<label for='choice_17_3_3' id='label_17_3_3'>Casi nada<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_17_4\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible gquiz-field \"  data-field-class=\"gquiz-field\" data-js-reload=\"field_17_4\"><label class='gfield_label'  >3. Me he culpado innecesariamente cuando las cosas salieron mal<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_17_4'>\n\t\t\t<li class='gchoice gchoice_17_4_0'>\n\t\t\t\t<input name='input_4' type='radio' value='gquiz21233b2f8'  id='choice_17_4_0'    \/>\n\t\t\t\t<label for='choice_17_4_0' id='label_17_4_0'>S\u00ed, la mayor\u00eda de las veces<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_17_4_1'>\n\t\t\t\t<input name='input_4' type='radio' value='gquiz21697bf29'  id='choice_17_4_1'    \/>\n\t\t\t\t<label for='choice_17_4_1' id='label_17_4_1'>S\u00ed, algunas veces<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_17_4_2'>\n\t\t\t\t<input name='input_4' type='radio' value='gquiz2ae0b4205'  id='choice_17_4_2'    \/>\n\t\t\t\t<label for='choice_17_4_2' id='label_17_4_2'>No muy a menudo<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_17_4_3'>\n\t\t\t\t<input name='input_4' type='radio' value='gquiz203a15277'  id='choice_17_4_3'    \/>\n\t\t\t\t<label for='choice_17_4_3' id='label_17_4_3'>No, nunca<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_17_5\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible gquiz-field \"  data-field-class=\"gquiz-field\" data-js-reload=\"field_17_5\"><label class='gfield_label'  >4. He estado ansiosa o preocupada por ninguna buena raz\u00f3n<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_17_5'>\n\t\t\t<li class='gchoice gchoice_17_5_0'>\n\t\t\t\t<input name='input_5' type='radio' value='gquiz21233b2f8'  id='choice_17_5_0'    \/>\n\t\t\t\t<label for='choice_17_5_0' id='label_17_5_0'>No, nunca<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_17_5_1'>\n\t\t\t\t<input name='input_5' type='radio' value='gquiz21697bf29'  id='choice_17_5_1'    \/>\n\t\t\t\t<label for='choice_17_5_1' id='label_17_5_1'>Casi nunca<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_17_5_2'>\n\t\t\t\t<input name='input_5' type='radio' value='gquiz2ae0b4205'  id='choice_17_5_2'    \/>\n\t\t\t\t<label for='choice_17_5_2' id='label_17_5_2'>S\u00ed, a veces<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_17_5_3'>\n\t\t\t\t<input name='input_5' type='radio' value='gquiz203a15277'  id='choice_17_5_3'    \/>\n\t\t\t\t<label for='choice_17_5_3' id='label_17_5_3'>S\u00ed, Muy a menudo<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_17_6\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible gquiz-field \"  data-field-class=\"gquiz-field\" data-js-reload=\"field_17_6\"><label class='gfield_label'  >5.  He estado asustada o llena de p\u00e1nico por ninguna buena raz\u00f3n<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_17_6'>\n\t\t\t<li class='gchoice gchoice_17_6_0'>\n\t\t\t\t<input name='input_6' type='radio' value='gquiz21233b2f8'  id='choice_17_6_0'    \/>\n\t\t\t\t<label for='choice_17_6_0' id='label_17_6_0'>Si, bastante<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_17_6_1'>\n\t\t\t\t<input name='input_6' type='radio' value='gquiz21697bf29'  id='choice_17_6_1'    \/>\n\t\t\t\t<label for='choice_17_6_1' id='label_17_6_1'>Si, a veces<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_17_6_2'>\n\t\t\t\t<input name='input_6' type='radio' value='gquiz2ae0b4205'  id='choice_17_6_2'    \/>\n\t\t\t\t<label for='choice_17_6_2' id='label_17_6_2'>No, no mucho<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_17_6_3'>\n\t\t\t\t<input name='input_6' type='radio' value='gquiz203a15277'  id='choice_17_6_3'    \/>\n\t\t\t\t<label for='choice_17_6_3' id='label_17_6_3'>No, nunca<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_17_7\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible gquiz-field \"  data-field-class=\"gquiz-field\" data-js-reload=\"field_17_7\"><label class='gfield_label'  >6.  Las cosas se han estado volviendo muy pesadas para mi<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_17_7'>\n\t\t\t<li class='gchoice gchoice_17_7_0'>\n\t\t\t\t<input name='input_7' type='radio' value='gquiz21233b2f8'  id='choice_17_7_0'    \/>\n\t\t\t\t<label for='choice_17_7_0' id='label_17_7_0'>S\u00ed, la mayor\u00eda de las veces no he sido capaz de hacer frente a todo<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_17_7_1'>\n\t\t\t\t<input name='input_7' type='radio' value='gquiz21697bf29'  id='choice_17_7_1'    \/>\n\t\t\t\t<label for='choice_17_7_1' id='label_17_7_1'>S\u00ed, a veces no he estado lidiando tan bien con las cosas como de costumbre<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_17_7_2'>\n\t\t\t\t<input name='input_7' type='radio' value='gquiz2ae0b4205'  id='choice_17_7_2'    \/>\n\t\t\t\t<label for='choice_17_7_2' id='label_17_7_2'>No, la mayor\u00eda de las veces he sobrellevado todas las cosas bastante bien<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_17_7_3'>\n\t\t\t\t<input name='input_7' type='radio' value='gquiz203a15277'  id='choice_17_7_3'    \/>\n\t\t\t\t<label for='choice_17_7_3' id='label_17_7_3'>No, he estado lidiando tan bien con las cosas como siempre<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_17_8\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible gquiz-field \"  data-field-class=\"gquiz-field\" data-js-reload=\"field_17_8\"><label class='gfield_label'  >7. He sido tan infeliz que he tenido dificultades para dormir<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_17_8'>\n\t\t\t<li class='gchoice gchoice_17_8_0'>\n\t\t\t\t<input name='input_8' type='radio' value='gquiz21233b2f8'  id='choice_17_8_0'    \/>\n\t\t\t\t<label for='choice_17_8_0' id='label_17_8_0'>S\u00ed, la mayor\u00eda del tiempo<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_17_8_1'>\n\t\t\t\t<input name='input_8' type='radio' value='gquiz21697bf29'  id='choice_17_8_1'    \/>\n\t\t\t\t<label for='choice_17_8_1' id='label_17_8_1'>S\u00ed, a veces<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_17_8_2'>\n\t\t\t\t<input name='input_8' type='radio' value='gquiz2ae0b4205'  id='choice_17_8_2'    \/>\n\t\t\t\t<label for='choice_17_8_2' id='label_17_8_2'>No muy a menudo<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_17_8_3'>\n\t\t\t\t<input name='input_8' type='radio' value='gquiz203a15277'  id='choice_17_8_3'    \/>\n\t\t\t\t<label for='choice_17_8_3' id='label_17_8_3'>No, Nunca<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_17_9\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible gquiz-field \"  data-field-class=\"gquiz-field\" data-js-reload=\"field_17_9\"><label class='gfield_label'  >8. Me he sentido triste o miserable<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_17_9'>\n\t\t\t<li class='gchoice gchoice_17_9_0'>\n\t\t\t\t<input name='input_9' type='radio' value='gquiz21233b2f8'  id='choice_17_9_0'    \/>\n\t\t\t\t<label for='choice_17_9_0' id='label_17_9_0'>S\u00ed, la mayor\u00eda de las veces<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_17_9_1'>\n\t\t\t\t<input name='input_9' type='radio' value='gquiz21697bf29'  id='choice_17_9_1'    \/>\n\t\t\t\t<label for='choice_17_9_1' id='label_17_9_1'>S\u00ed, muy a menudo<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_17_9_2'>\n\t\t\t\t<input name='input_9' type='radio' value='gquiz2ae0b4205'  id='choice_17_9_2'    \/>\n\t\t\t\t<label for='choice_17_9_2' id='label_17_9_2'>S\u00f3lo de vez en cuando<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_17_9_3'>\n\t\t\t\t<input name='input_9' type='radio' value='gquiz203a15277'  id='choice_17_9_3'    \/>\n\t\t\t\t<label for='choice_17_9_3' id='label_17_9_3'>No, nunca<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_17_10\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible gquiz-field \"  data-field-class=\"gquiz-field\" data-js-reload=\"field_17_10\"><label class='gfield_label'  >9. He sido tan infeliz que he estado llorando<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_17_10'>\n\t\t\t<li class='gchoice gchoice_17_10_0'>\n\t\t\t\t<input name='input_10' type='radio' value='gquiz21233b2f8'  id='choice_17_10_0'    \/>\n\t\t\t\t<label for='choice_17_10_0' id='label_17_10_0'>S\u00ed, la mayor\u00eda de las veces<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_17_10_1'>\n\t\t\t\t<input name='input_10' type='radio' value='gquiz21697bf29'  id='choice_17_10_1'    \/>\n\t\t\t\t<label for='choice_17_10_1' id='label_17_10_1'>S\u00ed, muy a menudo<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_17_10_2'>\n\t\t\t\t<input name='input_10' type='radio' value='gquiz2ae0b4205'  id='choice_17_10_2'    \/>\n\t\t\t\t<label for='choice_17_10_2' id='label_17_10_2'>S\u00f3lo de vez en cuando<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_17_10_3'>\n\t\t\t\t<input name='input_10' type='radio' value='gquiz203a15277'  id='choice_17_10_3'    \/>\n\t\t\t\t<label for='choice_17_10_3' id='label_17_10_3'>No, nunca<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_17_11\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible gquiz-field \"  data-field-class=\"gquiz-field\" data-js-reload=\"field_17_11\"><label class='gfield_label'  >10. Se me ha pasado por la mente hacerme da\u00f1o<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_17_11'>\n\t\t\t<li class='gchoice gchoice_17_11_0'>\n\t\t\t\t<input name='input_11' type='radio' value='gquiz21233b2f8'  id='choice_17_11_0'    \/>\n\t\t\t\t<label for='choice_17_11_0' id='label_17_11_0'>Si, muy a menudo<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_17_11_1'>\n\t\t\t\t<input name='input_11' type='radio' value='gquiz21697bf29'  id='choice_17_11_1'    \/>\n\t\t\t\t<label for='choice_17_11_1' id='label_17_11_1'>A veces<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_17_11_2'>\n\t\t\t\t<input name='input_11' type='radio' value='gquiz2ae0b4205'  id='choice_17_11_2'    \/>\n\t\t\t\t<label for='choice_17_11_2' id='label_17_11_2'>Casi nunca<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_17_11_3'>\n\t\t\t\t<input name='input_11' type='radio' value='gquiz203a15277'  id='choice_17_11_3'    \/>\n\t\t\t\t<label for='choice_17_11_3' id='label_17_11_3'>Nunca<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_17_14\"  class=\"gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_17_14\"><div class='ginput_container ginput_container_text'><input name='input_14' id='input_17_14' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='Yes' \/><\/div><\/li><li id=\"field_17_15\"  class=\"gfield field_admin_only field_sublabel_below field_description_below gfield_visibility_administrative\"  data-js-reload=\"field_17_15\"><input name='input_15' id='input_17_15' class='gform_hidden' type='hidden' value=''\/><\/li><li id=\"field_17_16\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_hidden\"  data-js-reload=\"field_17_16\"><div class='admin-hidden-markup'><i class='gform-icon gform-icon--hidden'><\/i><span>Hidden<\/span><\/div><label class='gfield_label' for='input_17_16' >subsid<\/label><div class='ginput_container ginput_container_text'><input name='input_16' id='input_17_16' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_17_17\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_hidden\"  data-js-reload=\"field_17_17\"><div class='admin-hidden-markup'><i class='gform-icon gform-icon--hidden'><\/i><span>Hidden<\/span><\/div><label class='gfield_label' for='input_17_17' >English<\/label><div class='ginput_container ginput_container_text'><input name='input_17' id='input_17_17' type='text' value='No' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_17_18\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_hidden\"  data-js-reload=\"field_17_18\"><div class='admin-hidden-markup'><i class='gform-icon gform-icon--hidden'><\/i><span>Hidden<\/span><\/div><label class='gfield_label' for='input_17_18' >Member<\/label><div class='ginput_container ginput_container_text'><input name='input_18' id='input_17_18' type='text' value='No' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_17_19\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_hidden\"  data-js-reload=\"field_17_19\"><div class='admin-hidden-markup'><i class='gform-icon gform-icon--hidden'><\/i><span>Hidden<\/span><\/div><label class='gfield_label' for='input_17_19' >Date<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_19' id='input_17_19' type='text' value='04\/07\/2026' class='datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/aaaa' aria-describedby=\"input_17_19_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_17_19_date_format' class='screen-reader-text'>MM barra DD barra AAAA<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_17_19' class='gform_hidden' value='\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><\/ul><\/div>\n        <div class='gform_footer top_label'> <input type='submit' id='gform_submit_button_17' class='gform_button button' value='Enviar'  onclick='if(window[\"gf_submitting_17\"]){return false;}  window[\"gf_submitting_17\"]=true; 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