{"id":2046,"date":"2025-02-27T03:22:46","date_gmt":"2025-02-27T02:22:46","guid":{"rendered":"https:\/\/mariapostureinmovement.com\/cuestionario-de-salud\/"},"modified":"2025-03-21T04:12:43","modified_gmt":"2025-03-21T03:12:43","slug":"cuestionario-de-salud","status":"publish","type":"page","link":"https:\/\/mariapostureinmovement.com\/es\/cuestionario-de-salud\/","title":{"rendered":"Cuestionario de salud"},"content":{"rendered":"<p><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container has-pattern-background has-mask-background fusion-parallax-none margintopCuestion nonhundred-percent-fullwidth non-hundred-percent-height-scrolling lazyload fusion-animated\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:9vw;--awb-padding-bottom:9vw;--awb-padding-top-small:20vw;--awb-padding-bottom-small:17vw;--awb-background-color:var(--awb-color6);--awb-background-image:linear-gradient(180deg, hsla(var(--awb-color7-h),var(--awb-color7-s),var(--awb-color7-l),calc(var(--awb-color7-a) - 85%)) 0%,hsla(var(--awb-color7-h),var(--awb-color7-s),var(--awb-color7-l),calc(var(--awb-color7-a) - 55%)) 100%);;--awb-background-size:cover;--awb-flex-wrap:wrap;--awb-animation-color:var(--awb-color7);\" data-bg=\"https:\/\/mariapostureinmovement.com\/wp-content\/uploads\/Maria-Posture-Inmovement_030.jpg\" data-bg-gradient=\"linear-gradient(180deg, hsla(var(--awb-color7-h),var(--awb-color7-s),var(--awb-color7-l),calc(var(--awb-color7-a) - 85%)) 0%,hsla(var(--awb-color7-h),var(--awb-color7-s),var(--awb-color7-l),calc(var(--awb-color7-a) - 55%)) 100%)\" data-animationType=\"revealInLeft\" data-animationDuration=\"1.3\" data-animationOffset=\"top-into-view\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-stretch fusion-flex-justify-content-center fusion-flex-content-wrap\" style=\"max-width:calc( 1200px + 0px );margin-left: calc(-0px \/ 2 );margin-right: calc(-0px \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion-flex-column fusion-animated\" style=\"--awb-bg-size:cover;--awb-width-large:77.24%;--awb-margin-top-large:0px;--awb-spacing-right-large:0px;--awb-margin-bottom-large:0px;--awb-spacing-left-large:0px;--awb-width-medium:77.24%;--awb-order-medium:0;--awb-spacing-right-medium:0px;--awb-spacing-left-medium:0px;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:0px;--awb-spacing-left-small:0px;\" data-animationType=\"fadeInUp\" data-animationDuration=\"1.3\" data-animationDelay=\"1.0\" data-animationOffset=\"top-into-view\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-1 fusion-no-small-visibility fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-one\" style=\"--awb-text-color:var(--awb-color1);--awb-margin-top:0px;--awb-margin-bottom:0px;\"><h1 class=\"fusion-title-heading title-heading-center\" style=\"margin:0;\">Cuestionario de salud<\/h1><\/div><div class=\"fusion-title title fusion-title-2 fusion-no-medium-visibility fusion-no-large-visibility fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-one\" style=\"--awb-text-color:var(--awb-color1);--awb-margin-bottom:60px;--awb-margin-bottom-small:30px;--awb-font-size:40px;\"><h1 class=\"fusion-title-heading title-heading-center\" style=\"margin:0;font-size:1em;line-height:52px;\">Cuestionario de salud<\/h1><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:120px;--awb-padding-bottom:120px;--awb-padding-top-medium:80px;--awb-padding-bottom-medium:80px;--awb-padding-bottom-small:80px;--awb-background-color:var(--awb-color3);--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-justify-content-center fusion-flex-content-wrap\" style=\"max-width:calc( 1200px + 30px );margin-left: calc(-30px \/ 2 );margin-right: calc(-30px \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_1_3 1_3 fusion-flex-column fusion-animated\" style=\"--awb-bg-size:cover;--awb-width-large:33.333333333333%;--awb-margin-top-large:0px;--awb-spacing-right-large:15px;--awb-margin-bottom-large:0px;--awb-spacing-left-large:15px;--awb-width-medium:33.333333333333%;--awb-order-medium:0;--awb-spacing-right-medium:15px;--awb-spacing-left-medium:15px;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:15px;--awb-margin-bottom-small:20px;--awb-spacing-left-small:15px;\" data-animationType=\"fadeInUp\" data-animationDuration=\"1.3\" data-animationOffset=\"top-into-view\" data-scroll-devices=\"small-visibility,medium-visibility,large-visibility\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-1 fusion-text-no-margin\" style=\"--awb-margin-right:10%;--awb-margin-bottom:30px;\"><p class=\"fuentedestacada\">Gracias por elegir trabajar con Mar\u00eda en tu camino hacia una mejora de tu condici\u00f3n f\u00edsica. Para garantizar que tus sesiones sean seguras, eficaces y adaptadas a tus necesidades, t\u00f3mate unos minutos para rellenar este cuestionario de salud.<\/p>\n<\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-2 fusion_builder_column_2_3 2_3 fusion-flex-column fusion-animated\" style=\"--awb-padding-top:20px;--awb-padding-right:20px;--awb-padding-left:20px;--awb-bg-color:var(--awb-color1);--awb-bg-color-hover:var(--awb-color1);--awb-bg-size:cover;--awb-width-large:66.666666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:15px;--awb-margin-bottom-large:0px;--awb-spacing-left-large:15px;--awb-width-medium:66.666666666667%;--awb-order-medium:0;--awb-spacing-right-medium:15px;--awb-spacing-left-medium:15px;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:15px;--awb-spacing-left-small:15px;\" data-animationType=\"fadeInUp\" data-animationDuration=\"1.3\" data-animationDelay=\"0.3\" data-animationOffset=\"top-into-view\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form fusion-form-builder fusion-form-form-wrapper fusion-form-2182\" style=\"--awb-tooltip-text-color:#ffffff;--awb-tooltip-background-color:#333333;\" data-form-id=\"2182\" data-config=\"{&quot;form_id&quot;:2182,&quot;form_post_id&quot;:2182,&quot;post_id&quot;:2046,&quot;form_type&quot;:&quot;ajax&quot;,&quot;confirmation_type&quot;:&quot;message&quot;,&quot;redirect_url&quot;:&quot;&quot;,&quot;field_labels&quot;:{&quot;full_name&quot;:&quot;Nombre completo:&quot;,&quot;date_of_birth&quot;:&quot;Fecha de nacimiento: &quot;,&quot;phone_number&quot;:&quot;Tel\\u00e9fono: &quot;,&quot;email_address&quot;:&quot;Email: &quot;,&quot;emergency_contact_name_&amp;_phone&quot;:&quot;Contacto de emergencia (Nombre y Tel\\u00e9fono): &quot;,&quot;are_you_currently_under_medical_supervision&quot;:&quot;1. \\u00bfEst\\u00e1 actualmente bajo supervisi\\u00f3n m\\u00e9dica?&quot;,&quot;if_yes_please_provide_details&quot;:&quot;Si la respuesta es s\\u00ed, proporcione detalles: &quot;,&quot;chronic-or-recent-injuries-illnesses-surgeries&quot;:&quot;2. \\u00bfTiene alguna lesi\\u00f3n, enfermedad o cirug\\u00eda cr\\u00f3nica o reciente?&quot;,&quot;details&quot;:&quot;Si la respuesta es s\\u00ed, especifique: &quot;,&quot;have_you_been_diagnosed_with_any_of_the_following_conditions&quot;:&quot;3. \\u00bfLe han diagnosticado alguna de los siguientes problemas f\\u00edsicos?:&quot;,&quot;other_conditions&quot;:&quot;Otro: &quot;,&quot;pregnant_postpartum&quot;:&quot;4. \\u00bfEst\\u00e1 actualmente embarazada o en per\\u00edodo posparto? &quot;,&quot;mobility-restrictions&quot;:&quot;5. \\u00bfTiene alguna restricci\\u00f3n de movilidad? &quot;,&quot;details_mobility&quot;:&quot;Si la respuesta es s\\u00ed, explique:&quot;,&quot;medications&quot;:&quot;6. \\u00bfEst\\u00e1 tomando alg\\u00fan medicamento actualmente? &quot;,&quot;list_medications&quot;:&quot;Si la respuesta es s\\u00ed, indique cu\\u00e1les: &quot;,&quot;diagnostico_postura&quot;:&quot;7. \\u00bfTe han diagnosticado alg\\u00fan problema postural? (escoliosis, cifosis postural, lordosis lumbar..):&quot;,&quot;activity_level&quot;:&quot;1. \\u00bfC\\u00f3mo describir\\u00eda su nivel de actividad actual? &quot;,&quot;exercise_physical_activity&quot;:&quot;2. \\u00bfParticipa actualmente en otras formas de ejercicio o actividad f\\u00edsica? &quot;,&quot;list_physical_activity&quot;:&quot;Si la respuesta es s\\u00ed, indique cu\\u00e1les:&quot;,&quot;pilates_before&quot;:&quot;3. \\u00bfHa practicado Pilates antes? &quot;,&quot;style_pilates&quot;:&quot;Si la respuesta es s\\u00ed, \\u00bfdurante cu\\u00e1nto tiempo y qu\\u00e9 estilo? &quot;,&quot;goals_pilates-sessions&quot;:&quot;4. \\u00bfCu\\u00e1les son sus objetivos principales para las sesiones de Pilates? (por ejemplo: fuerza, flexibilidad, alivio del dolor, mejora de la postura):&quot;,&quot;exercises_uncomfortable&quot;:&quot;5. \\u00bfHay movimientos o ejercicios espec\\u00edficos que le resulten dif\\u00edciles o inc\\u00f3modos? &quot;,&quot;uncomfortable_specify&quot;:&quot;Si la respuesta es s\\u00ed, especifique:&quot;,&quot;a-que-te-dedicas&quot;:&quot;6. A qu\\u00e9 te dedicas?:&quot;,&quot;alguna-dificultad&quot;:&quot;7. \\u00bfTienes alguna dificultad con el equilibrio, coordinaci\\u00f3n o movilidad?:&quot;,&quot;horas-sentado-pie&quot;:&quot;8. \\u00bfPasas muchas horas sentado o de pie?:&quot;,&quot;anything_else_effective_session&quot;:&quot;\\u00bfHay algo m\\u00e1s que le gustar\\u00eda que su instructor supiera para garantizar una sesi\\u00f3n segura y efectiva? &quot;},&quot;field_logics&quot;:{&quot;full_name&quot;:&quot;&quot;,&quot;date_of_birth&quot;:&quot;&quot;,&quot;phone_number&quot;:&quot;&quot;,&quot;email_address&quot;:&quot;&quot;,&quot;emergency_contact_name_&amp;_phone&quot;:&quot;&quot;,&quot;are_you_currently_under_medical_supervision&quot;:&quot;&quot;,&quot;if_yes_please_provide_details&quot;:&quot;[{\\&quot;operator\\&quot;:\\&quot;or\\&quot;,\\&quot;comparison\\&quot;:\\&quot;contains\\&quot;,\\&quot;field\\&quot;:\\&quot;are_you_currently_under_medical_supervision\\&quot;,\\&quot;value\\&quot;:\\&quot;S\\u00ed\\&quot;}]&quot;,&quot;chronic-or-recent-injuries-illnesses-surgeries&quot;:&quot;&quot;,&quot;details&quot;:&quot;[{\\&quot;operator\\&quot;:\\&quot;and\\&quot;,\\&quot;comparison\\&quot;:\\&quot;contains\\&quot;,\\&quot;field\\&quot;:\\&quot;chronic-or-recent-injuries-illnesses-surgeries\\&quot;,\\&quot;value\\&quot;:\\&quot;S\\u00ed\\&quot;}]&quot;,&quot;have_you_been_diagnosed_with_any_of_the_following_conditions&quot;:&quot;&quot;,&quot;other_conditions&quot;:&quot;&quot;,&quot;pregnant_postpartum&quot;:&quot;&quot;,&quot;mobility-restrictions&quot;:&quot;&quot;,&quot;details_mobility&quot;:&quot;[{\\&quot;operator\\&quot;:\\&quot;and\\&quot;,\\&quot;comparison\\&quot;:\\&quot;contains\\&quot;,\\&quot;field\\&quot;:\\&quot;mobility-restrictions\\&quot;,\\&quot;value\\&quot;:\\&quot;S\\u00ed\\&quot;}]&quot;,&quot;medications&quot;:&quot;&quot;,&quot;list_medications&quot;:&quot;[{\\&quot;operator\\&quot;:\\&quot;and\\&quot;,\\&quot;comparison\\&quot;:\\&quot;contains\\&quot;,\\&quot;field\\&quot;:\\&quot;medications\\&quot;,\\&quot;value\\&quot;:\\&quot;S\\u00ed\\&quot;}]&quot;,&quot;diagnostico_postura&quot;:&quot;[]&quot;,&quot;activity_level&quot;:&quot;&quot;,&quot;exercise_physical_activity&quot;:&quot;&quot;,&quot;list_physical_activity&quot;:&quot;[{\\&quot;operator\\&quot;:\\&quot;and\\&quot;,\\&quot;comparison\\&quot;:\\&quot;contains\\&quot;,\\&quot;field\\&quot;:\\&quot;exercise_physical_activity\\&quot;,\\&quot;value\\&quot;:\\&quot;S\\u00ed\\&quot;}]&quot;,&quot;pilates_before&quot;:&quot;&quot;,&quot;style_pilates&quot;:&quot;[{\\&quot;operator\\&quot;:\\&quot;and\\&quot;,\\&quot;comparison\\&quot;:\\&quot;contains\\&quot;,\\&quot;field\\&quot;:\\&quot;pilates_before\\&quot;,\\&quot;value\\&quot;:\\&quot;S\\u00ed\\&quot;}]&quot;,&quot;goals_pilates-sessions&quot;:&quot;&quot;,&quot;exercises_uncomfortable&quot;:&quot;&quot;,&quot;uncomfortable_specify&quot;:&quot;[{\\&quot;operator\\&quot;:\\&quot;and\\&quot;,\\&quot;comparison\\&quot;:\\&quot;contains\\&quot;,\\&quot;field\\&quot;:\\&quot;exercises_uncomfortable\\&quot;,\\&quot;value\\&quot;:\\&quot;S\\u00ed\\&quot;}]&quot;,&quot;a-que-te-dedicas&quot;:&quot;[]&quot;,&quot;alguna-dificultad&quot;:&quot;[]&quot;,&quot;horas-sentado-pie&quot;:&quot;[]&quot;,&quot;anything_else_effective_session&quot;:&quot;&quot;,&quot;notice_1&quot;:&quot;&quot;},&quot;field_types&quot;:{&quot;full_name&quot;:&quot;text&quot;,&quot;date_of_birth&quot;:&quot;date&quot;,&quot;phone_number&quot;:&quot;phone_number&quot;,&quot;email_address&quot;:&quot;email&quot;,&quot;emergency_contact_name_&amp;_phone&quot;:&quot;text&quot;,&quot;are_you_currently_under_medical_supervision&quot;:&quot;radio&quot;,&quot;if_yes_please_provide_details&quot;:&quot;text&quot;,&quot;chronic-or-recent-injuries-illnesses-surgeries&quot;:&quot;radio&quot;,&quot;details&quot;:&quot;text&quot;,&quot;have_you_been_diagnosed_with_any_of_the_following_conditions&quot;:&quot;checkbox&quot;,&quot;other_conditions&quot;:&quot;text&quot;,&quot;pregnant_postpartum&quot;:&quot;radio&quot;,&quot;mobility-restrictions&quot;:&quot;radio&quot;,&quot;details_mobility&quot;:&quot;text&quot;,&quot;medications&quot;:&quot;radio&quot;,&quot;list_medications&quot;:&quot;text&quot;,&quot;diagnostico_postura&quot;:&quot;text&quot;,&quot;activity_level&quot;:&quot;radio&quot;,&quot;exercise_physical_activity&quot;:&quot;radio&quot;,&quot;list_physical_activity&quot;:&quot;text&quot;,&quot;pilates_before&quot;:&quot;radio&quot;,&quot;style_pilates&quot;:&quot;text&quot;,&quot;goals_pilates-sessions&quot;:&quot;text&quot;,&quot;exercises_uncomfortable&quot;:&quot;radio&quot;,&quot;uncomfortable_specify&quot;:&quot;text&quot;,&quot;a-que-te-dedicas&quot;:&quot;text&quot;,&quot;alguna-dificultad&quot;:&quot;text&quot;,&quot;horas-sentado-pie&quot;:&quot;text&quot;,&quot;anything_else_effective_session&quot;:&quot;textarea&quot;,&quot;submit_1&quot;:&quot;submit&quot;,&quot;notice_1&quot;:&quot;notice&quot;},&quot;nonce_method&quot;:&quot;ajax&quot;}\"><form action=\"https:\/\/mariapostureinmovement.com\/es\/cuestionario-de-salud\/\" method=\"post\" class=\"fusion-form fusion-form-2182\"><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2-1 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-3 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-3 fusion-sep-none fusion-title-text fusion-title-size-one\"><h1 class=\"fusion-title-heading title-heading-left\" style=\"margin:0;\"><h2 class=\"H2Form\">Informaci\u00f3n Personal<\/h2><\/h1><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-4 fusion_builder_column_3_4 3_4 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:75%;--awb-margin-top-large:0px;--awb-spacing-right-large:2.56%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:2.56%;--awb-width-medium:75%;--awb-order-medium:0;--awb-spacing-right-medium:2.56%;--awb-spacing-left-medium:2.56%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"2182\"><div class=\"fusion-form-label-wrapper\"><label for=\"full_name\">Nombre completo: <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"text\" name=\"full_name\" id=\"full_name\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-5 fusion_builder_column_1_4 1_4 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:25%;--awb-margin-top-large:0px;--awb-spacing-right-large:7.68%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:7.68%;--awb-width-medium:25%;--awb-order-medium:0;--awb-spacing-right-medium:7.68%;--awb-spacing-left-medium:7.68%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-date-field fusion-form-label-above\" style=\"\" data-form-id=\"2182\"><label for=\"date_of_birth\">Fecha de nacimiento:  <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><input autocomplete=\"no\" type=\"date\" data-first-day=\"1\"  data-format=\"\" tabindex=\"\" id=\"date_of_birth\" name=\"date_of_birth\" data-type=\"custom\" value=\"\" data-holds-private-data=\"false\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\"autocomplete=\"no\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-6 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:0px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:3.84%;--awb-width-medium:50%;--awb-order-medium:0;--awb-spacing-right-medium:3.84%;--awb-spacing-left-medium:3.84%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-phone-number-field fusion-form-label-above\" style=\"\" data-form-id=\"2182\"><div class=\"fusion-form-label-wrapper\"><label for=\"phone_number\">Tel\u00e9fono:  <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><div class=\"fusion-form-input-with-icon\"><i class=\"awb-form-icon fa-phone-square-alt fas\"><\/i><input type=\"tel\" name=\"phone_number\" id=\"phone_number\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-7 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:0px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:3.84%;--awb-width-medium:50%;--awb-order-medium:0;--awb-spacing-right-medium:3.84%;--awb-spacing-left-medium:3.84%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-email-field fusion-form-label-above\" style=\"\" data-form-id=\"2182\"><div class=\"fusion-form-label-wrapper\"><label for=\"email_address\">Email:  <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"email\" name=\"email_address\" id=\"email_address\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-8 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"2182\"><div class=\"fusion-form-label-wrapper\"><label for=\"emergency_contact_name_&amp;_phone\">Contacto de emergencia (Nombre y Tel\u00e9fono):  <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"text\" name=\"emergency_contact_name_&amp;_phone\" id=\"emergency_contact_name_&amp;_phone\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2-2 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-9 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-4 fusion-sep-none fusion-title-text fusion-title-size-one\"><h1 class=\"fusion-title-heading title-heading-left\" style=\"margin:0;\"><h2 class=\"H2Form\">Historial M\u00e9dico<\/h2><\/h1><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-10 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-radio-field fusion-form-label-above\" style=\"\" data-form-id=\"2182\"><div class=\"fusion-form-label-wrapper\"><span class=\"label\">1. \u00bfEst\u00e1 actualmente bajo supervisi\u00f3n m\u00e9dica? <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/span><\/div><fieldset><div class=\"fusion-form-radio\"><input tabindex=\"\" id=\"radio-are_you_currently_under_medical_supervision-1-0\" type=\"radio\" value=\"No\" name=\"are_you_currently_under_medical_supervision\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" checked  data-holds-private-data=\"false\"\/><label for=\"radio-are_you_currently_under_medical_supervision-1-0\">No<\/label><\/div><div class=\"fusion-form-radio\"><input tabindex=\"\" id=\"radio-are_you_currently_under_medical_supervision-1-1\" type=\"radio\" value=\"S\u00ed\" name=\"are_you_currently_under_medical_supervision\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"radio-are_you_currently_under_medical_supervision-1-1\">S\u00ed<\/label><\/div><\/fieldset><\/div><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above fusion-form-field-hidden\" style=\"\" data-form-id=\"2182\"><div class=\"fusion-form-label-wrapper\"><label for=\"if_yes_please_provide_details\">Si la respuesta es s\u00ed, proporcione detalles:  <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"text\" name=\"if_yes_please_provide_details\" id=\"if_yes_please_provide_details\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-11 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-radio-field fusion-form-label-above\" style=\"\" data-form-id=\"2182\"><div class=\"fusion-form-label-wrapper\"><span class=\"label\">2. \u00bfTiene alguna lesi\u00f3n, enfermedad o cirug\u00eda cr\u00f3nica o reciente? <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/span><\/div><fieldset><div class=\"fusion-form-radio\"><input tabindex=\"\" id=\"radio-chronic-or-recent-injuries-illnesses-surgeries-2-0\" type=\"radio\" value=\"No\" name=\"chronic-or-recent-injuries-illnesses-surgeries\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" checked  data-holds-private-data=\"false\"\/><label for=\"radio-chronic-or-recent-injuries-illnesses-surgeries-2-0\">No<\/label><\/div><div class=\"fusion-form-radio\"><input tabindex=\"\" id=\"radio-chronic-or-recent-injuries-illnesses-surgeries-2-1\" type=\"radio\" value=\"S\u00ed\" name=\"chronic-or-recent-injuries-illnesses-surgeries\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"radio-chronic-or-recent-injuries-illnesses-surgeries-2-1\">S\u00ed<\/label><\/div><\/fieldset><\/div><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above fusion-form-field-hidden\" style=\"\" data-form-id=\"2182\"><div class=\"fusion-form-label-wrapper\"><label for=\"details\">Si la respuesta es s\u00ed, especifique:  <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"text\" name=\"details\" id=\"details\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-12 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-checkbox-field fusion-form-label-above\" style=\"\" data-form-id=\"2182\"><div class=\"fusion-form-label-wrapper\"><span class=\"label\">3. \u00bfLe han diagnosticado alguna de los siguientes problemas f\u00edsicos?: <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/span><\/div><fieldset><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-have_you_been_diagnosed_with_any_of_the_following_conditions-1-0\" type=\"checkbox\" value=\"Dolor de espalda\" name=\"have_you_been_diagnosed_with_any_of_the_following_conditions[]\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"checkbox-have_you_been_diagnosed_with_any_of_the_following_conditions-1-0\">Dolor de espalda<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-have_you_been_diagnosed_with_any_of_the_following_conditions-1-1\" type=\"checkbox\" value=\"Hernia discal\" name=\"have_you_been_diagnosed_with_any_of_the_following_conditions[]\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"checkbox-have_you_been_diagnosed_with_any_of_the_following_conditions-1-1\">Hernia discal<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-have_you_been_diagnosed_with_any_of_the_following_conditions-1-2\" type=\"checkbox\" value=\"Osteoporosis\/Osteopenia\" name=\"have_you_been_diagnosed_with_any_of_the_following_conditions[]\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"checkbox-have_you_been_diagnosed_with_any_of_the_following_conditions-1-2\">Osteoporosis\/Osteopenia<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-have_you_been_diagnosed_with_any_of_the_following_conditions-1-3\" type=\"checkbox\" value=\"Artritis\" name=\"have_you_been_diagnosed_with_any_of_the_following_conditions[]\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"checkbox-have_you_been_diagnosed_with_any_of_the_following_conditions-1-3\">Artritis<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-have_you_been_diagnosed_with_any_of_the_following_conditions-1-4\" type=\"checkbox\" value=\"Escoliosis\" name=\"have_you_been_diagnosed_with_any_of_the_following_conditions[]\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"checkbox-have_you_been_diagnosed_with_any_of_the_following_conditions-1-4\">Escoliosis<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-have_you_been_diagnosed_with_any_of_the_following_conditions-1-5\" type=\"checkbox\" value=\"Pr\u00f3tesis\" name=\"have_you_been_diagnosed_with_any_of_the_following_conditions[]\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"checkbox-have_you_been_diagnosed_with_any_of_the_following_conditions-1-5\">Pr\u00f3tesis<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-have_you_been_diagnosed_with_any_of_the_following_conditions-1-6\" type=\"checkbox\" value=\"Problema card\u00edaco\" name=\"have_you_been_diagnosed_with_any_of_the_following_conditions[]\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"checkbox-have_you_been_diagnosed_with_any_of_the_following_conditions-1-6\">Problema card\u00edaco<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-have_you_been_diagnosed_with_any_of_the_following_conditions-1-7\" type=\"checkbox\" value=\"Presi\u00f3n arterial alta\/baja\" name=\"have_you_been_diagnosed_with_any_of_the_following_conditions[]\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"checkbox-have_you_been_diagnosed_with_any_of_the_following_conditions-1-7\">Presi\u00f3n arterial alta\/baja<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-have_you_been_diagnosed_with_any_of_the_following_conditions-1-8\" type=\"checkbox\" value=\"Diabetes\" name=\"have_you_been_diagnosed_with_any_of_the_following_conditions[]\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"checkbox-have_you_been_diagnosed_with_any_of_the_following_conditions-1-8\">Diabetes<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-have_you_been_diagnosed_with_any_of_the_following_conditions-1-9\" type=\"checkbox\" value=\"Ninguno de los anteriores\" name=\"have_you_been_diagnosed_with_any_of_the_following_conditions[]\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"checkbox-have_you_been_diagnosed_with_any_of_the_following_conditions-1-9\">Ninguno de los anteriores<\/label><\/div><\/fieldset><\/div><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"2182\"><div class=\"fusion-form-label-wrapper\"><label for=\"other_conditions\">Otro: <\/label><\/div><input type=\"text\" name=\"other_conditions\" id=\"other_conditions\" value=\"\"  class=\"fusion-form-input\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-13 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-radio-field fusion-form-label-above\" style=\"\" data-form-id=\"2182\"><div class=\"fusion-form-label-wrapper\"><span class=\"label\">4. \u00bfEst\u00e1 actualmente embarazada o en per\u00edodo posparto?  <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/span><\/div><fieldset><div class=\"fusion-form-radio\"><input tabindex=\"\" id=\"radio-pregnant_postpartum-3-0\" type=\"radio\" value=\"S\u00ed\" name=\"pregnant_postpartum\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" checked  data-holds-private-data=\"false\"\/><label for=\"radio-pregnant_postpartum-3-0\">S\u00ed<\/label><\/div><div class=\"fusion-form-radio\"><input tabindex=\"\" id=\"radio-pregnant_postpartum-3-1\" type=\"radio\" value=\"No\" name=\"pregnant_postpartum\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"radio-pregnant_postpartum-3-1\">No<\/label><\/div><\/fieldset><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-14 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-radio-field fusion-form-label-above\" style=\"\" data-form-id=\"2182\"><div class=\"fusion-form-label-wrapper\"><span class=\"label\">5. \u00bfTiene alguna restricci\u00f3n de movilidad?  <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/span><\/div><fieldset><div class=\"fusion-form-radio\"><input tabindex=\"\" id=\"radio-mobility-restrictions-4-0\" type=\"radio\" value=\"No\" name=\"mobility-restrictions\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" checked  data-holds-private-data=\"false\"\/><label for=\"radio-mobility-restrictions-4-0\">No<\/label><\/div><div class=\"fusion-form-radio\"><input tabindex=\"\" id=\"radio-mobility-restrictions-4-1\" type=\"radio\" value=\"S\u00ed\" name=\"mobility-restrictions\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"radio-mobility-restrictions-4-1\">S\u00ed<\/label><\/div><\/fieldset><\/div><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above fusion-form-field-hidden\" style=\"\" data-form-id=\"2182\"><div class=\"fusion-form-label-wrapper\"><label for=\"details_mobility\">Si la respuesta es s\u00ed, explique: <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"text\" name=\"details_mobility\" id=\"details_mobility\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-15 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-radio-field fusion-form-label-above\" style=\"\" data-form-id=\"2182\"><div class=\"fusion-form-label-wrapper\"><span class=\"label\">6. \u00bfEst\u00e1 tomando alg\u00fan medicamento actualmente?  <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/span><\/div><fieldset><div class=\"fusion-form-radio\"><input tabindex=\"\" id=\"radio-medications-5-0\" type=\"radio\" value=\"No\" name=\"medications\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" checked  data-holds-private-data=\"false\"\/><label for=\"radio-medications-5-0\">No<\/label><\/div><div class=\"fusion-form-radio\"><input tabindex=\"\" id=\"radio-medications-5-1\" type=\"radio\" value=\"S\u00ed\" name=\"medications\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"radio-medications-5-1\">S\u00ed<\/label><\/div><\/fieldset><\/div><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above fusion-form-field-hidden\" style=\"\" data-form-id=\"2182\"><div class=\"fusion-form-label-wrapper\"><label for=\"list_medications\">Si la respuesta es s\u00ed, indique cu\u00e1les:  <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"text\" name=\"list_medications\" id=\"list_medications\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-16 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"2182\"><div class=\"fusion-form-label-wrapper\"><label for=\"diagnostico_postura\">7. \u00bfTe han diagnosticado alg\u00fan problema postural? (escoliosis, cifosis postural, lordosis lumbar..): <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"text\" name=\"diagnostico_postura\" id=\"diagnostico_postura\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2-3 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-17 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-5 fusion-sep-none fusion-title-text fusion-title-size-one\"><h1 class=\"fusion-title-heading title-heading-left\" style=\"margin:0;\"><h2 class=\"H2Form\">Estilo de Vida e Historial de Ejercicio<\/h2><\/h1><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-18 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-radio-field fusion-form-label-above\" style=\"\" data-form-id=\"2182\"><div class=\"fusion-form-label-wrapper\"><span class=\"label\">1. \u00bfC\u00f3mo describir\u00eda su nivel de actividad actual?  <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/span><\/div><fieldset><div class=\"fusion-form-radio\"><input tabindex=\"\" id=\"radio-activity_level-6-0\" type=\"radio\" value=\"Sedentario\" name=\"activity_level\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" checked  data-holds-private-data=\"false\"\/><label for=\"radio-activity_level-6-0\">Sedentario<\/label><\/div><div class=\"fusion-form-radio\"><input tabindex=\"\" id=\"radio-activity_level-6-1\" type=\"radio\" value=\"Moderado\" name=\"activity_level\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"radio-activity_level-6-1\">Moderado<\/label><\/div><div class=\"fusion-form-radio\"><input tabindex=\"\" id=\"radio-activity_level-6-2\" type=\"radio\" value=\"Activo\" name=\"activity_level\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"radio-activity_level-6-2\">Activo<\/label><\/div><\/fieldset><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-19 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-radio-field fusion-form-label-above\" style=\"\" data-form-id=\"2182\"><div class=\"fusion-form-label-wrapper\"><span class=\"label\">2. \u00bfParticipa actualmente en otras formas de ejercicio o actividad f\u00edsica?  <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/span><\/div><fieldset><div class=\"fusion-form-radio\"><input tabindex=\"\" id=\"radio-exercise_physical_activity-7-0\" type=\"radio\" value=\"No\" name=\"exercise_physical_activity\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" checked  data-holds-private-data=\"false\"\/><label for=\"radio-exercise_physical_activity-7-0\">No<\/label><\/div><div class=\"fusion-form-radio\"><input tabindex=\"\" id=\"radio-exercise_physical_activity-7-1\" type=\"radio\" value=\"S\u00ed\" name=\"exercise_physical_activity\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"radio-exercise_physical_activity-7-1\">S\u00ed<\/label><\/div><\/fieldset><\/div><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above fusion-form-field-hidden\" style=\"\" data-form-id=\"2182\"><div class=\"fusion-form-label-wrapper\"><label for=\"list_physical_activity\">Si la respuesta es s\u00ed, indique cu\u00e1les: <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"text\" name=\"list_physical_activity\" id=\"list_physical_activity\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-20 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-radio-field fusion-form-label-above\" style=\"\" data-form-id=\"2182\"><div class=\"fusion-form-label-wrapper\"><span class=\"label\">3. \u00bfHa practicado Pilates antes?  <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/span><\/div><fieldset><div class=\"fusion-form-radio\"><input tabindex=\"\" id=\"radio-pilates_before-8-0\" type=\"radio\" value=\"No\" name=\"pilates_before\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" checked  data-holds-private-data=\"false\"\/><label for=\"radio-pilates_before-8-0\">No<\/label><\/div><div class=\"fusion-form-radio\"><input tabindex=\"\" id=\"radio-pilates_before-8-1\" type=\"radio\" value=\"S\u00ed\" name=\"pilates_before\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"radio-pilates_before-8-1\">S\u00ed<\/label><\/div><\/fieldset><\/div><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above fusion-form-field-hidden\" style=\"\" data-form-id=\"2182\"><div class=\"fusion-form-label-wrapper\"><label for=\"style_pilates\">Si la respuesta es s\u00ed, \u00bfdurante cu\u00e1nto tiempo y qu\u00e9 estilo?  <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"text\" name=\"style_pilates\" id=\"style_pilates\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-21 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"2182\"><div class=\"fusion-form-label-wrapper\"><label for=\"goals_pilates-sessions\">4. \u00bfCu\u00e1les son sus objetivos principales para las sesiones de Pilates? (por ejemplo: fuerza, flexibilidad, alivio del dolor, mejora de la postura): <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"text\" name=\"goals_pilates-sessions\" id=\"goals_pilates-sessions\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-22 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-radio-field fusion-form-label-above\" style=\"\" data-form-id=\"2182\"><div class=\"fusion-form-label-wrapper\"><span class=\"label\">5. \u00bfHay movimientos o ejercicios espec\u00edficos que le resulten dif\u00edciles o inc\u00f3modos?  <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/span><\/div><fieldset><div class=\"fusion-form-radio\"><input tabindex=\"\" id=\"radio-exercises_uncomfortable-9-0\" type=\"radio\" value=\"No\" name=\"exercises_uncomfortable\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" checked  data-holds-private-data=\"false\"\/><label for=\"radio-exercises_uncomfortable-9-0\">No<\/label><\/div><div class=\"fusion-form-radio\"><input tabindex=\"\" id=\"radio-exercises_uncomfortable-9-1\" type=\"radio\" value=\"S\u00ed\" name=\"exercises_uncomfortable\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"radio-exercises_uncomfortable-9-1\">S\u00ed<\/label><\/div><\/fieldset><\/div><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above fusion-form-field-hidden\" style=\"\" data-form-id=\"2182\"><div class=\"fusion-form-label-wrapper\"><label for=\"uncomfortable_specify\">Si la respuesta es s\u00ed, especifique: <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"text\" name=\"uncomfortable_specify\" id=\"uncomfortable_specify\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-23 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"2182\"><div class=\"fusion-form-label-wrapper\"><label for=\"a-que-te-dedicas\">6. A qu\u00e9 te dedicas?: <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"text\" name=\"a-que-te-dedicas\" id=\"a-que-te-dedicas\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-24 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"2182\"><div class=\"fusion-form-label-wrapper\"><label for=\"alguna-dificultad\">7. \u00bfTienes alguna dificultad con el equilibrio, coordinaci\u00f3n o movilidad?: <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"text\" name=\"alguna-dificultad\" id=\"alguna-dificultad\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-25 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"2182\"><div class=\"fusion-form-label-wrapper\"><label for=\"horas-sentado-pie\">8. \u00bfPasas muchas horas sentado o de pie?: <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"text\" name=\"horas-sentado-pie\" id=\"horas-sentado-pie\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2-4 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-26 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-6 fusion-sep-none fusion-title-text fusion-title-size-one\"><h1 class=\"fusion-title-heading title-heading-left\" style=\"margin:0;\"><h2 class=\"H2Form\">Informaci\u00f3n Adicional<\/h2><\/h1><\/div><div class=\"fusion-form-field fusion-form-textarea-field fusion-form-label-above\" style=\"\" data-form-id=\"2182\"><label for=\"anything_else_effective_session\">\u00bfHay algo m\u00e1s que le gustar\u00eda que su instructor supiera para garantizar una sesi\u00f3n segura y efectiva? <\/label><textarea cols=\"40\"  minlength=\"0\"  rows=\"2\" tabindex=\"\" id=\"anything_else_effective_session\" name=\"anything_else_effective_session\" class=\"fusion-form-input\" data-holds-private-data=\"false\"><\/textarea><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2-5 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-27 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-submit-field fusion-form-label-above\" style=\"\" data-form-id=\"2182\"><div style=\"text-align:center;\"><button type=\"submit\" class=\"fusion-button button-flat fusion-button-default-size button-custom fusion-button-default button-1 fusion-button-span-yes  form-form-submit button-default\" style=\"--button_accent_color:var(--awb-color1);--button_accent_hover_color:var(--awb-color1);--button_border_hover_color:var(--awb-color1);--button_border_width-top:0px;--button_border_width-right:0px;--button_border_width-bottom:0px;--button_border_width-left:0px;--button_gradient_top_color:var(--awb-color5);--button_gradient_bottom_color:var(--awb-color5);--button_gradient_top_color_hover:hsla(var(--awb-color5-h),calc(var(--awb-color5-s) - 5%),calc(var(--awb-color5-l) - 10%),var(--awb-color5-a));--button_gradient_bottom_color_hover:hsla(var(--awb-color5-h),calc(var(--awb-color5-s) - 5%),calc(var(--awb-color5-l) - 10%),var(--awb-color5-a));--button_font_size:20px;--button_line_height:24px;--button_padding-top:18px;--button_padding-right:24px;--button_padding-bottom:18px;--button_padding-left:24px;--button_typography-letter-spacing:0px;--button_typography-font-family:&quot;Work Sans&quot;;--button_typography-font-style:normal;--button_typography-font-weight:700;\" data-form-number=\"2182\" tabindex=\"\"><span class=\"fusion-button-text\">Enviar<\/span><\/button><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-28 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"form-submission-notices data-notice_1\" id=\"fusion-notices-1\"><div class=\"fusion-alert alert success alert-success fusion-alert-center fusion-form-response fusion-form-response-success awb-alert-native-link-color alert-dismissable awb-alert-close-boxed\" style=\"--awb-margin-bottom:10px;\" role=\"alert\"><div class=\"fusion-alert-content-wrapper\"><span class=\"alert-icon\"><i class=\"awb-icon-check-circle\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-alert-content\">Gracias por su cuestionario. 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