{"id":1907,"date":"2025-08-23T11:36:36","date_gmt":"2025-08-23T10:36:36","guid":{"rendered":"https:\/\/transbioma.com\/?page_id=1907"},"modified":"2025-09-08T16:40:51","modified_gmt":"2025-09-08T15:40:51","slug":"formulario-donante-microbiota","status":"publish","type":"page","link":"https:\/\/transbioma.com\/es\/formulario-donante-microbiota\/","title":{"rendered":"\u00bfQuieres colaborar en un estudio innovador sobre microbiota?"},"content":{"rendered":"\n<p>Buscamos voluntarios <strong>SANOS <\/strong>y activos para contribuir a la investigaci\u00f3n y mejorar la salud de muchas personas. Compensaci\u00f3n econ\u00f3mica por cada muestra donada. Tu participaci\u00f3n es confidencial y segura.<\/p>\n\n\n\n<p>\u2714\ufe0f Contribuye al avance de la ciencia<\/p>\n\n\n\n<p>\u2714\ufe0f Ayuda a mejorar la vida de otras personas<\/p>\n\n\n\n<p>\u2714\ufe0f Recibe una <strong>compensaci\u00f3n econ\u00f3mica por cada muestra donada<\/strong>&nbsp;<\/p>\n\n\n\n<p>\u2714\ufe0f Participaci\u00f3n confidencial y segura<\/p>\n\n\n\n<ul class=\"wp-block-list\"><\/ul>\n\n\n<div class=\"forminator-ui forminator-custom-form forminator-custom-form-1904 forminator-design--default  forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-1904\" data-uid=\"69e1df3b55a83\"><br\/><\/div><form\n\t\t\t\tid=\"forminator-module-1904\"\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-1904 forminator-design--default  forminator_ajax\"\n\t\t\t\tmethod=\"post\"\n\t\t\t\tdata-forminator-render=\"0\"\n\t\t\t\tdata-form-id=\"1904\"\n\t\t\t\t data-color-option=\"theme\" data-design=\"default\" data-grid=\"open\" style=\"display: none;\"\n\t\t\t\tdata-uid=\"69e1df3b55a83\"\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div role=\"tablist\" class=\"forminator-pagination-steps\" aria-label=\"Pagination\"><\/div><div\n\t\t\t\ttabindex=\"-1\"\n\t\t\t\trole=\"tabpanel\"\n\t\t\t\tid=\"forminator-custom-form-1904--page-0\"\n\t\t\t\tclass=\"forminator-pagination forminator-pagination-start\"\n\t\t\t\taria-labelledby=\"forminator-custom-form-1904--page-0-label\"\n\t\t\t\tdata-step=\"0\"\n\t\t\t\tdata-label=\"Finalizar\"\n\t\t\t\tdata-actual-label=\"Page 1\"\n\t\t\t\tdata-name=\"page-break-4\"\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-1\" class=\"forminator-field-section forminator-col forminator-col-12 \"><div class=\"forminator-field\"><h2 class=\"forminator-title\">DATOS PERSONALES<\/h2><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-1\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-1_69e1df3b55a83\" id=\"forminator-field-name-1_69e1df3b55a83-label\" class=\"forminator-label\">Nombre y apellidos <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-1\" value=\"\" placeholder=\"\" id=\"forminator-field-name-1_69e1df3b55a83\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"email-1\" class=\"forminator-field-email forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-email-1_69e1df3b55a83\" id=\"forminator-field-email-1_69e1df3b55a83-label\" class=\"forminator-label\">Correo electr\u00f3nico <span class=\"forminator-required\">*<\/span><\/label><input type=\"email\" name=\"email-1\" value=\"\" placeholder=\"\" id=\"forminator-field-email-1_69e1df3b55a83\" class=\"forminator-input forminator-email--field\" data-required=\"1\" aria-required=\"true\" autocomplete=\"email\" \/><\/div><\/div><\/div><\/div><\/div><div\n\t\t\t\ttabindex=\"-1\"\n\t\t\t\trole=\"tabpanel\"\n\t\t\t\tid=\"forminator-custom-form-1904--page-1\"\n\t\t\t\tclass=\"forminator-pagination\"\n\t\t\t\taria-labelledby=\"forminator-custom-form-1904--page-1-label\"\n\t\t\t\taria-hidden=\"true\"\n\t\t\t\tdata-step=\"1\"\n\t\t\t\tdata-label=\"P\u00e1gina 1\"\n\t\t\t\tdata-actual-label=\"Page 2\"\n\t\t\t\tdata-name=\"page-break-1\"\n\t\t\t\thidden\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"address-1\" class=\"forminator-field-address forminator-col forminator-col-12 \"><div class=\"forminator-row\" data-multiple=\"false\"><div id=\"address-1-city\" class=\"forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-address-1-city_69e1df3b55a83\" id=\"forminator-field-address-1-city_69e1df3b55a83-label\" class=\"forminator-label\">Ciudad<\/label><input type=\"text\" name=\"address-1-city\" placeholder=\"\" id=\"forminator-field-address-1-city_69e1df3b55a83\" class=\"forminator-input\" data-required=\"\" aria-required=\"false\" autocomplete=\"address-level2\" value=\"\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"number-1\" class=\"forminator-field-number forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-number-1_69e1df3b55a83\" id=\"forminator-field-number-1_69e1df3b55a83-label\" class=\"forminator-label\">Edad <span class=\"forminator-required\">*<\/span><\/label><input name=\"number-1\" value=\"\" placeholder=\"\" id=\"forminator-field-number-1_69e1df3b55a83\" class=\"forminator-input forminator-number--field\" inputmode=\"decimal\" data-required=\"1\" data-decimals=\"0\" aria-required=\"true\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" data-hidden-behavior=\"zero\" type=\"number\" step=\"any\" min=\"18\" \/><\/div><\/div><\/div><\/div><\/div><div\n\t\t\t\ttabindex=\"-1\"\n\t\t\t\trole=\"tabpanel\"\n\t\t\t\tid=\"forminator-custom-form-1904--page-2\"\n\t\t\t\tclass=\"forminator-pagination\"\n\t\t\t\taria-labelledby=\"forminator-custom-form-1904--page-2-label\"\n\t\t\t\taria-hidden=\"true\"\n\t\t\t\tdata-step=\"2\"\n\t\t\t\tdata-label=\"P\u00e1gina 2\"\n\t\t\t\tdata-actual-label=\"Page 3\"\n\t\t\t\tdata-name=\"page-break-2\"\n\t\t\t\thidden\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-2\" class=\"forminator-field-section forminator-col forminator-col-12 \"><div class=\"forminator-field\"><h2 class=\"forminator-title\">FACTORES DE NACIMIENTO Y DESARROLLO<\/h2><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-1\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-1-69e1df3b55a83-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-1-69e1df3b55a83-label\" class=\"forminator-label\">\u00bfNaci\u00f3 usted por ces\u00e1rea? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-1-1-69e1df3b55a83-label\" for=\"forminator-field-checkbox-1-1-69e1df3b55a83\" class=\"forminator-checkbox\" title=\"S\u00cd\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"one\" id=\"forminator-field-checkbox-1-1-69e1df3b55a83\" aria-labelledby=\"forminator-field-checkbox-1-1-69e1df3b55a83-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">S\u00cd<\/span><\/label><label id=\"forminator-field-checkbox-1-2-69e1df3b55a83-label\" for=\"forminator-field-checkbox-1-2-69e1df3b55a83\" class=\"forminator-checkbox\" title=\"NO\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"two\" id=\"forminator-field-checkbox-1-2-69e1df3b55a83\" aria-labelledby=\"forminator-field-checkbox-1-2-69e1df3b55a83-label\" data-calculation=\"1\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">NO<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-2\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-2-69e1df3b55a83-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-2-69e1df3b55a83-label\" class=\"forminator-label\">Leche de f\u00f3rmula (es decir, que no fue amamantado por leche materna) <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-2-1-69e1df3b55a83-label\" for=\"forminator-field-checkbox-2-1-69e1df3b55a83\" class=\"forminator-checkbox\" title=\"S\u00cd\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"one\" id=\"forminator-field-checkbox-2-1-69e1df3b55a83\" aria-labelledby=\"forminator-field-checkbox-2-1-69e1df3b55a83-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">S\u00cd<\/span><\/label><label id=\"forminator-field-checkbox-2-2-69e1df3b55a83-label\" for=\"forminator-field-checkbox-2-2-69e1df3b55a83\" class=\"forminator-checkbox\" title=\"NO\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"two\" id=\"forminator-field-checkbox-2-2-69e1df3b55a83\" aria-labelledby=\"forminator-field-checkbox-2-2-69e1df3b55a83-label\" data-calculation=\"1\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">NO<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"section-3\" class=\"forminator-field-section forminator-col forminator-col-12 \"><div class=\"forminator-field\"><h2 class=\"forminator-title\">SALUD Y ANTECEDENTES<\/h2><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-3\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-3-69e1df3b55a83-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-3-69e1df3b55a83-label\" class=\"forminator-label\">\u00bfToma alg\u00fan f\u00e1rmaco de forma habitual? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-3-1-69e1df3b55a83-label\" for=\"forminator-field-checkbox-3-1-69e1df3b55a83\" class=\"forminator-checkbox\" title=\"S\u00cd\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"one\" id=\"forminator-field-checkbox-3-1-69e1df3b55a83\" aria-labelledby=\"forminator-field-checkbox-3-1-69e1df3b55a83-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">S\u00cd<\/span><\/label><label id=\"forminator-field-checkbox-3-2-69e1df3b55a83-label\" for=\"forminator-field-checkbox-3-2-69e1df3b55a83\" class=\"forminator-checkbox\" title=\"NO\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"two\" id=\"forminator-field-checkbox-3-2-69e1df3b55a83\" aria-labelledby=\"forminator-field-checkbox-3-2-69e1df3b55a83-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">NO<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-1\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-1_69e1df3b55a83\" id=\"forminator-field-textarea-1_69e1df3b55a83-label\" class=\"forminator-label\">En caso afirmativo, indique cuales<\/label><textarea name=\"textarea-1\" placeholder=\"\" id=\"forminator-field-textarea-1_69e1df3b55a83\" class=\"forminator-textarea\" rows=\"6\" style=\"min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-4\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-4-69e1df3b55a83-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-4-69e1df3b55a83-label\" class=\"forminator-label\">\u00bfTiene alguna enfermedad diagnosticada? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-4-1-69e1df3b55a83-label\" for=\"forminator-field-checkbox-4-1-69e1df3b55a83\" class=\"forminator-checkbox\" title=\"S\u00cd\"><input type=\"checkbox\" name=\"checkbox-4[]\" value=\"one\" id=\"forminator-field-checkbox-4-1-69e1df3b55a83\" aria-labelledby=\"forminator-field-checkbox-4-1-69e1df3b55a83-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">S\u00cd<\/span><\/label><label id=\"forminator-field-checkbox-4-2-69e1df3b55a83-label\" for=\"forminator-field-checkbox-4-2-69e1df3b55a83\" class=\"forminator-checkbox\" title=\"NO\"><input type=\"checkbox\" name=\"checkbox-4[]\" value=\"two\" id=\"forminator-field-checkbox-4-2-69e1df3b55a83\" aria-labelledby=\"forminator-field-checkbox-4-2-69e1df3b55a83-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">NO<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-2\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-2_69e1df3b55a83\" id=\"forminator-field-textarea-2_69e1df3b55a83-label\" class=\"forminator-label\">En caso afirmativo, indique cuales<\/label><textarea name=\"textarea-2\" placeholder=\"\" id=\"forminator-field-textarea-2_69e1df3b55a83\" class=\"forminator-textarea\" rows=\"6\" style=\"min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-3\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-3_69e1df3b55a83\" id=\"forminator-field-textarea-3_69e1df3b55a83-label\" class=\"forminator-label\">\u00bfHa tomado antibi\u00f3ticos? En caso afirmativo indique cu\u00e1ntas veces, cu\u00e1ndo y por qu\u00e9 <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-3\" placeholder=\"\" id=\"forminator-field-textarea-3_69e1df3b55a83\" class=\"forminator-textarea\" rows=\"6\" style=\"min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-5\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-5-69e1df3b55a83-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-5-69e1df3b55a83-label\" class=\"forminator-label\">\u00bfTiene alguna enfermedad autoinmunes o metab\u00f3licas significativas? (obesidad abdominal, presi\u00f3n arterial alta, niveles altos de az\u00facar en sangre y niveles anormales de l\u00edpidos) <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-5-1-69e1df3b55a83-label\" for=\"forminator-field-checkbox-5-1-69e1df3b55a83\" class=\"forminator-checkbox\" title=\"S\u00cd\"><input type=\"checkbox\" name=\"checkbox-5[]\" value=\"one\" id=\"forminator-field-checkbox-5-1-69e1df3b55a83\" aria-labelledby=\"forminator-field-checkbox-5-1-69e1df3b55a83-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">S\u00cd<\/span><\/label><label id=\"forminator-field-checkbox-5-2-69e1df3b55a83-label\" for=\"forminator-field-checkbox-5-2-69e1df3b55a83\" class=\"forminator-checkbox\" title=\"NO\"><input type=\"checkbox\" name=\"checkbox-5[]\" value=\"two\" id=\"forminator-field-checkbox-5-2-69e1df3b55a83\" aria-labelledby=\"forminator-field-checkbox-5-2-69e1df3b55a83-label\" data-calculation=\"1\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">NO<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-6\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-6-69e1df3b55a83-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-6-69e1df3b55a83-label\" class=\"forminator-label\">\u00bfTiene alergias, intolerancias o problemas digestivos frecuentes? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-6-1-69e1df3b55a83-label\" for=\"forminator-field-checkbox-6-1-69e1df3b55a83\" class=\"forminator-checkbox\" title=\"S\u00cd\"><input type=\"checkbox\" name=\"checkbox-6[]\" value=\"one\" id=\"forminator-field-checkbox-6-1-69e1df3b55a83\" aria-labelledby=\"forminator-field-checkbox-6-1-69e1df3b55a83-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">S\u00cd<\/span><\/label><label id=\"forminator-field-checkbox-6-2-69e1df3b55a83-label\" for=\"forminator-field-checkbox-6-2-69e1df3b55a83\" class=\"forminator-checkbox\" title=\"NO\"><input type=\"checkbox\" name=\"checkbox-6[]\" value=\"two\" id=\"forminator-field-checkbox-6-2-69e1df3b55a83\" aria-labelledby=\"forminator-field-checkbox-6-2-69e1df3b55a83-label\" data-calculation=\"1\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">NO<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-4\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-4_69e1df3b55a83\" id=\"forminator-field-textarea-4_69e1df3b55a83-label\" class=\"forminator-label\">En caso afirmativo, indique cuales<\/label><textarea name=\"textarea-4\" placeholder=\"\" id=\"forminator-field-textarea-4_69e1df3b55a83\" class=\"forminator-textarea\" rows=\"6\" style=\"min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-7\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-7-69e1df3b55a83-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-7-69e1df3b55a83-label\" class=\"forminator-label\">\u00bfTiene enfermedades gastrointestinales (S\u00edndrome de intestino irritable, celiaquia, etc).? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-7-1-69e1df3b55a83-label\" for=\"forminator-field-checkbox-7-1-69e1df3b55a83\" class=\"forminator-checkbox\" title=\"S\u00cd\"><input type=\"checkbox\" name=\"checkbox-7[]\" value=\"one\" id=\"forminator-field-checkbox-7-1-69e1df3b55a83\" aria-labelledby=\"forminator-field-checkbox-7-1-69e1df3b55a83-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">S\u00cd<\/span><\/label><label id=\"forminator-field-checkbox-7-2-69e1df3b55a83-label\" for=\"forminator-field-checkbox-7-2-69e1df3b55a83\" class=\"forminator-checkbox\" title=\"NO\"><input type=\"checkbox\" name=\"checkbox-7[]\" value=\"two\" id=\"forminator-field-checkbox-7-2-69e1df3b55a83\" aria-labelledby=\"forminator-field-checkbox-7-2-69e1df3b55a83-label\" data-calculation=\"1\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">NO<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"number-2\" class=\"forminator-field-number forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-number-2_69e1df3b55a83\" id=\"forminator-field-number-2_69e1df3b55a83-label\" class=\"forminator-label\">\u00bfCu\u00e1ntas deposiciones realiza al d\u00eda? <span class=\"forminator-required\">*<\/span><\/label><input name=\"number-2\" value=\"\" placeholder=\"\" id=\"forminator-field-number-2_69e1df3b55a83\" class=\"forminator-input forminator-number--field\" inputmode=\"decimal\" data-required=\"1\" data-decimals=\"0\" aria-required=\"true\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" data-hidden-behavior=\"zero\" type=\"number\" step=\"any\" min=\"1\" max=\"150\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-8\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-8-69e1df3b55a83-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-8-69e1df3b55a83-label\" class=\"forminator-label\">\u00bfTiene tr\u00e1nsito intestinal irregular? (a veces tiene estre\u00f1imiento o puede ir muchas veces al ba\u00f1o) <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-8-1-69e1df3b55a83-label\" for=\"forminator-field-checkbox-8-1-69e1df3b55a83\" class=\"forminator-checkbox\" title=\"S\u00cd\"><input type=\"checkbox\" name=\"checkbox-8[]\" value=\"one\" id=\"forminator-field-checkbox-8-1-69e1df3b55a83\" aria-labelledby=\"forminator-field-checkbox-8-1-69e1df3b55a83-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">S\u00cd<\/span><\/label><label id=\"forminator-field-checkbox-8-2-69e1df3b55a83-label\" for=\"forminator-field-checkbox-8-2-69e1df3b55a83\" class=\"forminator-checkbox\" title=\"NO\"><input type=\"checkbox\" name=\"checkbox-8[]\" value=\"two\" id=\"forminator-field-checkbox-8-2-69e1df3b55a83\" aria-labelledby=\"forminator-field-checkbox-8-2-69e1df3b55a83-label\" data-calculation=\"1\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">NO<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-9\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-9-69e1df3b55a83-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-9-69e1df3b55a83-label\" class=\"forminator-label\">\u00bfSuele tener deposiciones que pueden ser muy sueltas (casi diarrea) o muy duras (casi estre\u00f1imiento)? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-9-1-69e1df3b55a83-label\" for=\"forminator-field-checkbox-9-1-69e1df3b55a83\" class=\"forminator-checkbox\" title=\"S\u00cd\"><input type=\"checkbox\" name=\"checkbox-9[]\" value=\"one\" id=\"forminator-field-checkbox-9-1-69e1df3b55a83\" aria-labelledby=\"forminator-field-checkbox-9-1-69e1df3b55a83-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">S\u00cd<\/span><\/label><label id=\"forminator-field-checkbox-9-2-69e1df3b55a83-label\" for=\"forminator-field-checkbox-9-2-69e1df3b55a83\" class=\"forminator-checkbox\" title=\"NO\"><input type=\"checkbox\" name=\"checkbox-9[]\" value=\"two\" id=\"forminator-field-checkbox-9-2-69e1df3b55a83\" aria-labelledby=\"forminator-field-checkbox-9-2-69e1df3b55a83-label\" data-calculation=\"1\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">NO<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-10\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-10-69e1df3b55a83-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-10-69e1df3b55a83-label\" class=\"forminator-label\">\u00bfTiene enfermedades infecciosas como hepatitis, VIH, VHB, VHC\u2026)? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-10-1-69e1df3b55a83-label\" for=\"forminator-field-checkbox-10-1-69e1df3b55a83\" class=\"forminator-checkbox\" title=\"S\u00cd\"><input type=\"checkbox\" name=\"checkbox-10[]\" value=\"one\" id=\"forminator-field-checkbox-10-1-69e1df3b55a83\" aria-labelledby=\"forminator-field-checkbox-10-1-69e1df3b55a83-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">S\u00cd<\/span><\/label><label id=\"forminator-field-checkbox-10-2-69e1df3b55a83-label\" for=\"forminator-field-checkbox-10-2-69e1df3b55a83\" class=\"forminator-checkbox\" title=\"NO\"><input type=\"checkbox\" name=\"checkbox-10[]\" value=\"two\" id=\"forminator-field-checkbox-10-2-69e1df3b55a83\" aria-labelledby=\"forminator-field-checkbox-10-2-69e1df3b55a83-label\" data-calculation=\"1\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">NO<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-11\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-11-69e1df3b55a83-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-11-69e1df3b55a83-label\" class=\"forminator-label\">\u00bfHa tenido recientemente alg\u00fan tatuaje, piercing o intervenci\u00f3n m\u00e9dica? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-11-1-69e1df3b55a83-label\" for=\"forminator-field-checkbox-11-1-69e1df3b55a83\" class=\"forminator-checkbox\" title=\"S\u00cd\"><input type=\"checkbox\" name=\"checkbox-11[]\" value=\"one\" id=\"forminator-field-checkbox-11-1-69e1df3b55a83\" aria-labelledby=\"forminator-field-checkbox-11-1-69e1df3b55a83-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">S\u00cd<\/span><\/label><label id=\"forminator-field-checkbox-11-2-69e1df3b55a83-label\" for=\"forminator-field-checkbox-11-2-69e1df3b55a83\" class=\"forminator-checkbox\" title=\"NO\"><input type=\"checkbox\" name=\"checkbox-11[]\" value=\"two\" id=\"forminator-field-checkbox-11-2-69e1df3b55a83\" aria-labelledby=\"forminator-field-checkbox-11-2-69e1df3b55a83-label\" data-calculation=\"1\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">NO<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-13\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-13-69e1df3b55a83-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-13-69e1df3b55a83-label\" class=\"forminator-label\">\u00bfTiene mascotas que duermen en su cama? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-13-1-69e1df3b55a83-label\" for=\"forminator-field-checkbox-13-1-69e1df3b55a83\" class=\"forminator-checkbox\" title=\"S\u00cd\"><input type=\"checkbox\" name=\"checkbox-13[]\" value=\"one\" id=\"forminator-field-checkbox-13-1-69e1df3b55a83\" aria-labelledby=\"forminator-field-checkbox-13-1-69e1df3b55a83-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">S\u00cd<\/span><\/label><label id=\"forminator-field-checkbox-13-2-69e1df3b55a83-label\" for=\"forminator-field-checkbox-13-2-69e1df3b55a83\" class=\"forminator-checkbox\" title=\"NO\"><input type=\"checkbox\" name=\"checkbox-13[]\" value=\"two\" id=\"forminator-field-checkbox-13-2-69e1df3b55a83\" aria-labelledby=\"forminator-field-checkbox-13-2-69e1df3b55a83-label\" data-calculation=\"1\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">NO<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-12\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-12-69e1df3b55a83-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-12-69e1df3b55a83-label\" class=\"forminator-label\">\u00bfHa viajado recientemente a zonas tropicales o con saneamiento dudoso? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-12-1-69e1df3b55a83-label\" for=\"forminator-field-checkbox-12-1-69e1df3b55a83\" class=\"forminator-checkbox\" title=\"S\u00cd\"><input type=\"checkbox\" name=\"checkbox-12[]\" value=\"one\" id=\"forminator-field-checkbox-12-1-69e1df3b55a83\" aria-labelledby=\"forminator-field-checkbox-12-1-69e1df3b55a83-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">S\u00cd<\/span><\/label><label id=\"forminator-field-checkbox-12-2-69e1df3b55a83-label\" for=\"forminator-field-checkbox-12-2-69e1df3b55a83\" class=\"forminator-checkbox\" title=\"NO\"><input type=\"checkbox\" name=\"checkbox-12[]\" value=\"two\" id=\"forminator-field-checkbox-12-2-69e1df3b55a83\" aria-labelledby=\"forminator-field-checkbox-12-2-69e1df3b55a83-label\" data-calculation=\"1\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">NO<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-14\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-14-69e1df3b55a83-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-14-69e1df3b55a83-label\" class=\"forminator-label\">\u00bfHa tenido relaciones sexuales de riesgo o consumo de drogas? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-14-1-69e1df3b55a83-label\" for=\"forminator-field-checkbox-14-1-69e1df3b55a83\" class=\"forminator-checkbox\" title=\"S\u00cd\"><input type=\"checkbox\" name=\"checkbox-14[]\" value=\"one\" id=\"forminator-field-checkbox-14-1-69e1df3b55a83\" aria-labelledby=\"forminator-field-checkbox-14-1-69e1df3b55a83-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">S\u00cd<\/span><\/label><label id=\"forminator-field-checkbox-14-2-69e1df3b55a83-label\" for=\"forminator-field-checkbox-14-2-69e1df3b55a83\" class=\"forminator-checkbox\" title=\"NO\"><input type=\"checkbox\" name=\"checkbox-14[]\" value=\"two\" id=\"forminator-field-checkbox-14-2-69e1df3b55a83\" aria-labelledby=\"forminator-field-checkbox-14-2-69e1df3b55a83-label\" data-calculation=\"1\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">NO<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-15\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-15-69e1df3b55a83-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-15-69e1df3b55a83-label\" class=\"forminator-label\">\u00bfHa tenido que usar o deber\u00eda usar ortodoncia? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-15-1-69e1df3b55a83-label\" for=\"forminator-field-checkbox-15-1-69e1df3b55a83\" class=\"forminator-checkbox\" title=\"S\u00cd\"><input type=\"checkbox\" name=\"checkbox-15[]\" value=\"one\" id=\"forminator-field-checkbox-15-1-69e1df3b55a83\" aria-labelledby=\"forminator-field-checkbox-15-1-69e1df3b55a83-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">S\u00cd<\/span><\/label><label id=\"forminator-field-checkbox-15-2-69e1df3b55a83-label\" for=\"forminator-field-checkbox-15-2-69e1df3b55a83\" class=\"forminator-checkbox\" title=\"NO\"><input type=\"checkbox\" name=\"checkbox-15[]\" value=\"two\" id=\"forminator-field-checkbox-15-2-69e1df3b55a83\" aria-labelledby=\"forminator-field-checkbox-15-2-69e1df3b55a83-label\" data-calculation=\"1\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">NO<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div\n\t\t\t\ttabindex=\"-1\"\n\t\t\t\trole=\"tabpanel\"\n\t\t\t\tid=\"forminator-custom-form-1904--page-3\"\n\t\t\t\tclass=\"forminator-pagination\"\n\t\t\t\taria-labelledby=\"forminator-custom-form-1904--page-3-label\"\n\t\t\t\taria-hidden=\"true\"\n\t\t\t\tdata-step=\"3\"\n\t\t\t\tdata-label=\"P\u00e1gina 3\"\n\t\t\t\tdata-actual-label=\"Page 4\"\n\t\t\t\tdata-name=\"page-break-3\"\n\t\t\t\thidden\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-4\" class=\"forminator-field-section forminator-col forminator-col-12 \"><div class=\"forminator-field\"><h2 class=\"forminator-title\">H\u00c1BITOS Y ESTADO DE SALUD<\/h2><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-16\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-16-69e1df3b55a83-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-16-69e1df3b55a83-label\" class=\"forminator-label\">\u00bfLleva una vida sedentaria? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-16-1-69e1df3b55a83-label\" for=\"forminator-field-checkbox-16-1-69e1df3b55a83\" class=\"forminator-checkbox\" title=\"S\u00cd\"><input type=\"checkbox\" name=\"checkbox-16[]\" value=\"one\" id=\"forminator-field-checkbox-16-1-69e1df3b55a83\" aria-labelledby=\"forminator-field-checkbox-16-1-69e1df3b55a83-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">S\u00cd<\/span><\/label><label id=\"forminator-field-checkbox-16-2-69e1df3b55a83-label\" for=\"forminator-field-checkbox-16-2-69e1df3b55a83\" class=\"forminator-checkbox\" title=\"NO\"><input type=\"checkbox\" name=\"checkbox-16[]\" value=\"two\" id=\"forminator-field-checkbox-16-2-69e1df3b55a83\" aria-labelledby=\"forminator-field-checkbox-16-2-69e1df3b55a83-label\" data-calculation=\"1\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">NO<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-5\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-5_69e1df3b55a83\" id=\"forminator-field-textarea-5_69e1df3b55a83-label\" class=\"forminator-label\">\u00bfQu\u00e9 tipo de deporte pr\u00e1ctica? <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-5\" placeholder=\"\" id=\"forminator-field-textarea-5_69e1df3b55a83\" class=\"forminator-textarea\" rows=\"6\" style=\"min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-6\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-6_69e1df3b55a83\" id=\"forminator-field-textarea-6_69e1df3b55a83-label\" class=\"forminator-label\">\u00bfCu\u00e1ntas horas dedica a hacer deporte durante la semana? <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-6\" placeholder=\"\" id=\"forminator-field-textarea-6_69e1df3b55a83\" class=\"forminator-textarea\" rows=\"6\" style=\"min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-17\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-17-69e1df3b55a83-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-17-69e1df3b55a83-label\" class=\"forminator-label\">\u00bfTiene problemas de estr\u00e9s? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-17-1-69e1df3b55a83-label\" for=\"forminator-field-checkbox-17-1-69e1df3b55a83\" class=\"forminator-checkbox\" title=\"S\u00cd\"><input type=\"checkbox\" name=\"checkbox-17[]\" value=\"one\" id=\"forminator-field-checkbox-17-1-69e1df3b55a83\" aria-labelledby=\"forminator-field-checkbox-17-1-69e1df3b55a83-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">S\u00cd<\/span><\/label><label id=\"forminator-field-checkbox-17-2-69e1df3b55a83-label\" for=\"forminator-field-checkbox-17-2-69e1df3b55a83\" class=\"forminator-checkbox\" title=\"NO\"><input type=\"checkbox\" name=\"checkbox-17[]\" value=\"two\" id=\"forminator-field-checkbox-17-2-69e1df3b55a83\" aria-labelledby=\"forminator-field-checkbox-17-2-69e1df3b55a83-label\" data-calculation=\"1\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">NO<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-18\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-18-69e1df3b55a83-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-18-69e1df3b55a83-label\" class=\"forminator-label\">\u00bfDuerme mal, tiene problemas de insomnio o le cuesta dormir? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-18-1-69e1df3b55a83-label\" for=\"forminator-field-checkbox-18-1-69e1df3b55a83\" class=\"forminator-checkbox\" title=\"S\u00cd\"><input type=\"checkbox\" name=\"checkbox-18[]\" value=\"one\" id=\"forminator-field-checkbox-18-1-69e1df3b55a83\" aria-labelledby=\"forminator-field-checkbox-18-1-69e1df3b55a83-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">S\u00cd<\/span><\/label><label id=\"forminator-field-checkbox-18-2-69e1df3b55a83-label\" for=\"forminator-field-checkbox-18-2-69e1df3b55a83\" class=\"forminator-checkbox\" title=\"NO\"><input type=\"checkbox\" name=\"checkbox-18[]\" value=\"two\" id=\"forminator-field-checkbox-18-2-69e1df3b55a83\" aria-labelledby=\"forminator-field-checkbox-18-2-69e1df3b55a83-label\" data-calculation=\"1\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">NO<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-7\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-7_69e1df3b55a83\" id=\"forminator-field-textarea-7_69e1df3b55a83-label\" class=\"forminator-label\">\u00bfCu\u00e1ntas horas suele dormir cada d\u00eda? <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-7\" placeholder=\"\" id=\"forminator-field-textarea-7_69e1df3b55a83\" class=\"forminator-textarea\" rows=\"6\" style=\"min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-8\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-8_69e1df3b55a83\" id=\"forminator-field-textarea-8_69e1df3b55a83-label\" class=\"forminator-label\">Si tiene alg\u00fan problema de sue\u00f1o indiquelo aqui<\/label><textarea name=\"textarea-8\" placeholder=\"\" id=\"forminator-field-textarea-8_69e1df3b55a83\" class=\"forminator-textarea\" rows=\"6\" style=\"min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-19\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-19-69e1df3b55a83-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-19-69e1df3b55a83-label\" class=\"forminator-label\">\u00bfSe levanta y siente como si no hubiera dormido suficiente? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-19-1-69e1df3b55a83-label\" for=\"forminator-field-checkbox-19-1-69e1df3b55a83\" class=\"forminator-checkbox\" title=\"S\u00cd\"><input type=\"checkbox\" name=\"checkbox-19[]\" value=\"one\" id=\"forminator-field-checkbox-19-1-69e1df3b55a83\" aria-labelledby=\"forminator-field-checkbox-19-1-69e1df3b55a83-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">S\u00cd<\/span><\/label><label id=\"forminator-field-checkbox-19-2-69e1df3b55a83-label\" for=\"forminator-field-checkbox-19-2-69e1df3b55a83\" class=\"forminator-checkbox\" title=\"NO\"><input type=\"checkbox\" name=\"checkbox-19[]\" value=\"two\" id=\"forminator-field-checkbox-19-2-69e1df3b55a83\" aria-labelledby=\"forminator-field-checkbox-19-2-69e1df3b55a83-label\" data-calculation=\"1\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">NO<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-20\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-20-69e1df3b55a83-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-20-69e1df3b55a83-label\" class=\"forminator-label\">\u00bfEl resto del d\u00eda siente que le falta energ\u00eda para hacer todo lo que deber\u00eda? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-20-1-69e1df3b55a83-label\" for=\"forminator-field-checkbox-20-1-69e1df3b55a83\" class=\"forminator-checkbox\" title=\"S\u00cd\"><input type=\"checkbox\" name=\"checkbox-20[]\" value=\"one\" id=\"forminator-field-checkbox-20-1-69e1df3b55a83\" aria-labelledby=\"forminator-field-checkbox-20-1-69e1df3b55a83-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">S\u00cd<\/span><\/label><label id=\"forminator-field-checkbox-20-2-69e1df3b55a83-label\" for=\"forminator-field-checkbox-20-2-69e1df3b55a83\" class=\"forminator-checkbox\" title=\"NO\"><input type=\"checkbox\" name=\"checkbox-20[]\" value=\"two\" id=\"forminator-field-checkbox-20-2-69e1df3b55a83\" aria-labelledby=\"forminator-field-checkbox-20-2-69e1df3b55a83-label\" data-calculation=\"1\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">NO<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-21\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-21-69e1df3b55a83-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-21-69e1df3b55a83-label\" class=\"forminator-label\">\u00bfLleva una dieta alta en alimentos procesados y no suele ingerir alimentos como frutas y verduras? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-21-1-69e1df3b55a83-label\" for=\"forminator-field-checkbox-21-1-69e1df3b55a83\" class=\"forminator-checkbox\" title=\"S\u00cd\"><input type=\"checkbox\" name=\"checkbox-21[]\" value=\"one\" id=\"forminator-field-checkbox-21-1-69e1df3b55a83\" aria-labelledby=\"forminator-field-checkbox-21-1-69e1df3b55a83-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">S\u00cd<\/span><\/label><label id=\"forminator-field-checkbox-21-2-69e1df3b55a83-label\" for=\"forminator-field-checkbox-21-2-69e1df3b55a83\" class=\"forminator-checkbox\" title=\"NO\"><input type=\"checkbox\" name=\"checkbox-21[]\" value=\"two\" id=\"forminator-field-checkbox-21-2-69e1df3b55a83\" aria-labelledby=\"forminator-field-checkbox-21-2-69e1df3b55a83-label\" data-calculation=\"1\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">NO<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-9\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-9_69e1df3b55a83\" id=\"forminator-field-textarea-9_69e1df3b55a83-label\" class=\"forminator-label\">Realice una breve lista de los alimentos\/comidas que suele incluir en su dieta diaria (cosas que come habitualmente) <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-9\" placeholder=\"\" id=\"forminator-field-textarea-9_69e1df3b55a83\" class=\"forminator-textarea\" rows=\"6\" style=\"min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-10\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-10_69e1df3b55a83\" id=\"forminator-field-textarea-10_69e1df3b55a83-label\" class=\"forminator-label\">\u00bfEn su dieta suele haber verduras y frutas? \u00bfEn caso afirmativo, qu\u00e9 tipo de frutas y verduras y cantidad semanal o diaria? <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-10\" placeholder=\"\" id=\"forminator-field-textarea-10_69e1df3b55a83\" class=\"forminator-textarea\" rows=\"6\" style=\"min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-11\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-11_69e1df3b55a83\" id=\"forminator-field-textarea-11_69e1df3b55a83-label\" class=\"forminator-label\">Indique qu\u00e9 alimentos le sienta mal o no puede tomar <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-11\" placeholder=\"\" id=\"forminator-field-textarea-11_69e1df3b55a83\" class=\"forminator-textarea\" rows=\"6\" style=\"min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-12\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-12_69e1df3b55a83\" id=\"forminator-field-textarea-12_69e1df3b55a83-label\" class=\"forminator-label\">\u00bfQu\u00e9 suele beber para quitar la sed? \u00bfAgua? \u00bfRefrescos? <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-12\" placeholder=\"\" id=\"forminator-field-textarea-12_69e1df3b55a83\" class=\"forminator-textarea\" rows=\"6\" style=\"min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-13\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-13_69e1df3b55a83\" id=\"forminator-field-textarea-13_69e1df3b55a83-label\" class=\"forminator-label\">\u00bfQu\u00e9 suele beber mientra come? \u00bfAgua, refrescos, vino, cerveza? <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-13\" placeholder=\"\" id=\"forminator-field-textarea-13_69e1df3b55a83\" class=\"forminator-textarea\" rows=\"6\" style=\"min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-22\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-22-69e1df3b55a83-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-22-69e1df3b55a83-label\" class=\"forminator-label\">\u00bfBebe alcohol? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-22-1-69e1df3b55a83-label\" for=\"forminator-field-checkbox-22-1-69e1df3b55a83\" class=\"forminator-checkbox\" title=\"S\u00cd\"><input type=\"checkbox\" name=\"checkbox-22[]\" value=\"one\" id=\"forminator-field-checkbox-22-1-69e1df3b55a83\" aria-labelledby=\"forminator-field-checkbox-22-1-69e1df3b55a83-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">S\u00cd<\/span><\/label><label id=\"forminator-field-checkbox-22-2-69e1df3b55a83-label\" for=\"forminator-field-checkbox-22-2-69e1df3b55a83\" class=\"forminator-checkbox\" title=\"NO\"><input type=\"checkbox\" name=\"checkbox-22[]\" value=\"two\" id=\"forminator-field-checkbox-22-2-69e1df3b55a83\" aria-labelledby=\"forminator-field-checkbox-22-2-69e1df3b55a83-label\" data-calculation=\"1\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">NO<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-14\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-14_69e1df3b55a83\" id=\"forminator-field-textarea-14_69e1df3b55a83-label\" class=\"forminator-label\">En caso afirmativo indique qu\u00e9 alcohol (cerveza, vino, destilados) y cuantas veces a la semana<\/label><textarea name=\"textarea-14\" placeholder=\"\" id=\"forminator-field-textarea-14_69e1df3b55a83\" class=\"forminator-textarea\" rows=\"6\" style=\"min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-23\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-23-69e1df3b55a83-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-23-69e1df3b55a83-label\" class=\"forminator-label\">\u00bfFuma? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-23-1-69e1df3b55a83-label\" for=\"forminator-field-checkbox-23-1-69e1df3b55a83\" class=\"forminator-checkbox\" title=\"S\u00cd\"><input type=\"checkbox\" name=\"checkbox-23[]\" value=\"one\" id=\"forminator-field-checkbox-23-1-69e1df3b55a83\" aria-labelledby=\"forminator-field-checkbox-23-1-69e1df3b55a83-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">S\u00cd<\/span><\/label><label id=\"forminator-field-checkbox-23-2-69e1df3b55a83-label\" for=\"forminator-field-checkbox-23-2-69e1df3b55a83\" class=\"forminator-checkbox\" title=\"NO\"><input type=\"checkbox\" name=\"checkbox-23[]\" value=\"two\" id=\"forminator-field-checkbox-23-2-69e1df3b55a83\" aria-labelledby=\"forminator-field-checkbox-23-2-69e1df3b55a83-label\" data-calculation=\"1\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">NO<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-24\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-24-69e1df3b55a83-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-24-69e1df3b55a83-label\" class=\"forminator-label\">\u00bfSus digestiones son pesadas? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-24-1-69e1df3b55a83-label\" for=\"forminator-field-checkbox-24-1-69e1df3b55a83\" class=\"forminator-checkbox\" title=\"S\u00cd\"><input type=\"checkbox\" name=\"checkbox-24[]\" value=\"one\" id=\"forminator-field-checkbox-24-1-69e1df3b55a83\" aria-labelledby=\"forminator-field-checkbox-24-1-69e1df3b55a83-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">S\u00cd<\/span><\/label><label id=\"forminator-field-checkbox-24-2-69e1df3b55a83-label\" for=\"forminator-field-checkbox-24-2-69e1df3b55a83\" class=\"forminator-checkbox\" title=\"NO\"><input type=\"checkbox\" name=\"checkbox-24[]\" value=\"two\" id=\"forminator-field-checkbox-24-2-69e1df3b55a83\" aria-labelledby=\"forminator-field-checkbox-24-2-69e1df3b55a83-label\" data-calculation=\"1\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">NO<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-25\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-25-69e1df3b55a83-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-25-69e1df3b55a83-label\" class=\"forminator-label\">\u00bfConvive con personas con infecciones activas? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-25-1-69e1df3b55a83-label\" for=\"forminator-field-checkbox-25-1-69e1df3b55a83\" class=\"forminator-checkbox\" title=\"S\u00cd\"><input type=\"checkbox\" name=\"checkbox-25[]\" value=\"one\" id=\"forminator-field-checkbox-25-1-69e1df3b55a83\" aria-labelledby=\"forminator-field-checkbox-25-1-69e1df3b55a83-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">S\u00cd<\/span><\/label><label id=\"forminator-field-checkbox-25-2-69e1df3b55a83-label\" for=\"forminator-field-checkbox-25-2-69e1df3b55a83\" class=\"forminator-checkbox\" title=\"NO\"><input type=\"checkbox\" name=\"checkbox-25[]\" value=\"two\" id=\"forminator-field-checkbox-25-2-69e1df3b55a83\" aria-labelledby=\"forminator-field-checkbox-25-2-69e1df3b55a83-label\" data-calculation=\"1\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">NO<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-26\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-26-69e1df3b55a83-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-26-69e1df3b55a83-label\" class=\"forminator-label\">\u00bfHa consumido recientemente o consume alg\u00fan probi\u00f3ticos y\/o suplemento? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-26-1-69e1df3b55a83-label\" for=\"forminator-field-checkbox-26-1-69e1df3b55a83\" class=\"forminator-checkbox\" title=\"S\u00cd\"><input type=\"checkbox\" name=\"checkbox-26[]\" value=\"one\" id=\"forminator-field-checkbox-26-1-69e1df3b55a83\" aria-labelledby=\"forminator-field-checkbox-26-1-69e1df3b55a83-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">S\u00cd<\/span><\/label><label id=\"forminator-field-checkbox-26-2-69e1df3b55a83-label\" for=\"forminator-field-checkbox-26-2-69e1df3b55a83\" class=\"forminator-checkbox\" title=\"NO\"><input type=\"checkbox\" name=\"checkbox-26[]\" value=\"two\" id=\"forminator-field-checkbox-26-2-69e1df3b55a83\" aria-labelledby=\"forminator-field-checkbox-26-2-69e1df3b55a83-label\" data-calculation=\"1\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">NO<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-15\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-15_69e1df3b55a83\" id=\"forminator-field-textarea-15_69e1df3b55a83-label\" class=\"forminator-label\">En caso afirmativo indique cu\u00e1les y frecuencia<\/label><textarea name=\"textarea-15\" placeholder=\"\" id=\"forminator-field-textarea-15_69e1df3b55a83\" class=\"forminator-textarea\" rows=\"6\" style=\"min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-27\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-27-69e1df3b55a83-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-27-69e1df3b55a83-label\" class=\"forminator-label\">\u00bfTiene alg\u00fan familiar directo con alguna enfermedad? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-27-1-69e1df3b55a83-label\" for=\"forminator-field-checkbox-27-1-69e1df3b55a83\" class=\"forminator-checkbox\" title=\"S\u00cd\"><input type=\"checkbox\" name=\"checkbox-27[]\" value=\"one\" id=\"forminator-field-checkbox-27-1-69e1df3b55a83\" aria-labelledby=\"forminator-field-checkbox-27-1-69e1df3b55a83-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">S\u00cd<\/span><\/label><label id=\"forminator-field-checkbox-27-2-69e1df3b55a83-label\" for=\"forminator-field-checkbox-27-2-69e1df3b55a83\" class=\"forminator-checkbox\" title=\"NO\"><input type=\"checkbox\" name=\"checkbox-27[]\" value=\"two\" id=\"forminator-field-checkbox-27-2-69e1df3b55a83\" aria-labelledby=\"forminator-field-checkbox-27-2-69e1df3b55a83-label\" data-calculation=\"1\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">NO<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-16\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-16_69e1df3b55a83\" id=\"forminator-field-textarea-16_69e1df3b55a83-label\" class=\"forminator-label\">En caso afirmativo indique cu\u00e1l<\/label><textarea name=\"textarea-16\" placeholder=\"\" id=\"forminator-field-textarea-16_69e1df3b55a83\" class=\"forminator-textarea\" rows=\"6\" style=\"min-height:140px;\" ><\/textarea><\/div><\/div><\/div><\/div><\/div><div\n\t\t\t\ttabindex=\"-1\"\n\t\t\t\trole=\"tabpanel\"\n\t\t\t\tid=\"forminator-custom-form-1904--page-4\"\n\t\t\t\tclass=\"forminator-pagination\"\n\t\t\t\taria-labelledby=\"forminator-custom-form-1904--page-4-label\"\n\t\t\t\taria-hidden=\"true\"\n\t\t\t\tdata-step=\"4\"\n\t\t\t\tdata-label=\"P\u00e1gina 4\"\n\t\t\t\tdata-actual-label=\"Page 5\"\n\t\t\t\tdata-name=\"\"\n\t\t\t\thidden\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-5\" class=\"forminator-field-section forminator-col forminator-col-12 \"><div class=\"forminator-field\"><h2 class=\"forminator-title\">CONSENTIMIENTO<\/h2><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-28\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-28-69e1df3b55a83-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-28-69e1df3b55a83-label\" class=\"forminator-label\">Acepto el tratamiento de mis datos con fines de preselecci\u00f3n de donantes seg\u00fan la Pol\u00edtica de Privacidad <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-28-1-69e1df3b55a83-label\" for=\"forminator-field-checkbox-28-1-69e1df3b55a83\" class=\"forminator-checkbox\" title=\"S\u00cd\"><input type=\"checkbox\" name=\"checkbox-28[]\" value=\"one\" id=\"forminator-field-checkbox-28-1-69e1df3b55a83\" aria-labelledby=\"forminator-field-checkbox-28-1-69e1df3b55a83-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">S\u00cd<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"consent-1\" class=\"forminator-field-consent forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-consent-1_69e1df3b55a83\" id=\"forminator-field-consent-1_69e1df3b55a83-label\" class=\"forminator-label\">Consentimiento <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-checkbox__wrapper\"><label id=\"forminator-field-consent-1_69e1df3b55a83__label\" class=\"forminator-checkbox forminator-consent\" aria-labelledby=\"forminator-field-consent-1_69e1df3b55a83-label\"><input type=\"checkbox\" name=\"consent-1\" id=\"forminator-field-consent-1_69e1df3b55a83\" value=\"checked\" aria-labelledby=\"forminator-field-consent-1_69e1df3b55a83-label\" aria-describedby=\"forminator-field-consent-1_69e1df3b55a83__description\" data-required=\"true\" aria-required=\"true\" \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><\/label><div id=\"forminator-field-consent-1_69e1df3b55a83__description\" class=\"forminator-checkbox__label forminator-consent__label\"><p>S\u00ed, estoy de acuerdo con la <a rel=\"noopener\" target=\"_blank\" href=\"https:\/\/transbioma.com\/es\/politica-de-privacidad\/\">pol\u00edtica de privacidad<\/a> y <a rel=\"noopener\" target=\"_blank\" href=\"https:\/\/transbioma.com\/es\/informacion-legal\/\">condiciones generales<\/a>.<\/p><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"calculation-1\" class=\"forminator-field-calculation forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"calculation-1-field_69e1df3b55a83\" id=\"calculation-1-field_69e1df3b55a83-label\" class=\"forminator-label\">PUNTUACI\u00d3N<\/label><input type=\"text\" name=\"calculation-1\" value=\"\" id=\"calculation-1-field_69e1df3b55a83\" class=\"forminator-calculation forminator-input\" data-formula=\"{checkbox-1}+{checkbox-2}+{checkbox-5}+{checkbox-6}+{checkbox-7}+{checkbox-8}+{checkbox-9}+{checkbox-10}+{checkbox-19}+{checkbox-20}+{checkbox-25}\" data-required=\"\" data-decimal-point=\".\" data-precision=\"2\" data-is-hidden=\"1\" disabled=\"disabled\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" data-hidden-behavior=\"zero\" \/><\/div><\/div><\/div><div class=\"forminator-row forminator-hidden\"><input type=\"hidden\" id=\"hidden-1_69e1df3b55a83\" name=\"hidden-1\" value=\"\" \/><\/div><\/div><button class=\"forminator-button forminator-pagination-submit\" style=\"display: none;\" disabled>Submit<\/button><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><input type=\"hidden\" id=\"forminator_nonce\" 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