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{"id":5789,"date":"2021-01-19T00:48:21","date_gmt":"2021-01-19T00:48:21","guid":{"rendered":"https:\/\/www.gauldesign.com\/carbahealth\/?page_id=5789"},"modified":"2021-01-19T00:48:21","modified_gmt":"2021-01-19T00:48:21","slug":"historialclinico","status":"publish","type":"page","link":"https:\/\/www.gauldesign.com\/carbahealth\/historialclinico\/","title":{"rendered":"Historial Clinico"},"content":{"rendered":"<div  class=\"tatsu-Mdzj8AecA tatsu-section    tatsu-clearfix\" data-title=\"\"  data-headerscheme=\"background--dark\"><div class='tatsu-section-pad clearfix' data-padding='{\"d\":\"337px 0px 149px 0px\"}' data-padding-top='337px'><div class=\"tatsu-row-wrap  tatsu-wrap tatsu-row-one-col tatsu-row-has-one-cols tatsu-medium-gutter tatsu-reg-cols  tatsu-clearfix tatsu-a9mkDL7Iov\" ><div  class=\"tatsu-row \" ><div  class=\"tatsu-column  tatsu-column-no-bg tatsu-one-col tatsu-column-image-none tatsu-column-effect-none  tatsu-umcWkK047Q\"  data-parallax-speed=\"0\" style=\"\"><div class=\"tatsu-column-inner \" ><div class=\"tatsu-column-pad-wrap\"><div class=\"tatsu-column-pad\" ><div  class=\"tatsu-module tatsu-inline-text clearfix tatsu-eH_goHxXYn   \" ><style>.tatsu-eH_goHxXYn .tatsu-inline-text-inner{width: 100%;text-align: left;box-shadow: inset 0px 0px 0px 0px rgba(0,0,0,0.94);}<\/style><div class=\"tatsu-inline-text-inner tatsu-align-center\">\n<h1 style=\"text-align: center;\"><span class=\"swatch-green\" style=\"color: #ffffff;\">HISTORIAL CLINICO<\/span><\/h1>\n<\/div><\/div><\/div><\/div><div class = \"tatsu-column-bg-image-wrap\"><div class = \"tatsu-column-bg-image tatsu-bg-lazyload\" data-src = \"\"><\/div><\/div><\/div><style>.tatsu-row > .tatsu-umcWkK047Q.tatsu-column{width: 100%;}.tatsu-umcWkK047Q.tatsu-column > .tatsu-column-inner > .tatsu-column-overlay{mix-blend-mode: none;}.tatsu-umcWkK047Q > .tatsu-column-inner > .tatsu-top-divider{z-index: 9999;}.tatsu-umcWkK047Q > .tatsu-column-inner > .tatsu-bottom-divider{z-index: 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selection_fields\" data-settings=\"s-radios\" id=\"_52630\" style=\"position: relative; top: 0px; left: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12  label_container align_let\"><label class=\"nf_title text-sm\"><span class=\"the_label style_bold\" style=\"color: rgb(65, 90, 119);\">G\u00e9nero:<\/span><\/label><\/div><div class=\"input_holder radio-group no-pre-suffix\"><div class=\"col-sm-12 the-radios input_container error_message\" id=\"the-radios\" data-checked-color=\"\" data-checked-class=\"fa-check\" data-unchecked-class=\"\" data-placement=\"bottom\" data-content=\"Required\" title=\"\"><label class=\"radio-inline text-sm\" for=\"g\u00e9nero:_hombre\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"g\u00e9nero:\" id=\"g\u00e9nero:_hombre\" value=\"Hombre\" style=\"display: none;\"><a class=\"fa ui-state-default\" style=\"border-color: rgb(65, 90, 119);\"><\/a><\/div><span class=\"input-label radio-label\" style=\"color: rgb(65, 90, 119);\">Hombre<\/span><\/span><\/label><label class=\"radio-inline text-sm\" for=\"g\u00e9nero:_mujer\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"g\u00e9nero:\" id=\"g\u00e9nero:_mujer\" value=\"Mujer\" style=\"display: none;\"><a class=\"fa ui-state-default\" style=\"border-color: rgb(65, 90, 119);\"><\/a><\/div><span class=\"input-label radio-label\" style=\"color: rgb(65, 90, 119);\">Mujer<\/span><\/span><\/label><label class=\"radio-inline text-sm\" for=\"g\u00e9nero:_prefiero_no_decirlo\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"g\u00e9nero:\" id=\"g\u00e9nero:_prefiero_no_decirlo\" value=\"Prefiero no decirlo\" style=\"display: none;\"><a class=\"fa ui-state-default\" style=\"border-color: rgb(65, 90, 119);\"><\/a><\/div><span class=\"input-label radio-label\" style=\"color: rgb(65, 90, 119);\">Prefiero no decirlo<\/span><\/span><\/label><\/div><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"form_field all_fields text common_fields\" data-settings=\"s-text\" id=\"_8598\" style=\"position: relative; top: 0px; left: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let col-sm-3\"><label class=\"nf_title text-sm\"><span class=\"the_label style_bold\" style=\"color: rgb(65, 90, 119);\">Fecha de nacimiento:<\/span><\/label><\/div><div class=\"input_container col-sm-9\"><input type=\"text\" name=\"fecha_de_nacimiento:\" class=\"form-control error_message the_input_element  aling_left\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\"><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><div class=\"waves-ripple \" data-hold=\"1610994963715\" data-scale=\"scale(2.8000000000000003)\" data-x=\"7.546875\" data-y=\"18\" style=\"top:18px;left:7.546875px;opacity:0;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);\"><\/div><div class=\"waves-ripple \" data-hold=\"1610994964757\" data-scale=\"scale(2.8000000000000003)\" data-x=\"7.546875\" data-y=\"18\" style=\"top:18px;left:7.546875px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"form_field all_fields text common_fields\" data-settings=\"s-text\" id=\"_26714\" style=\"position: relative; top: 0px; left: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let col-sm-3\"><label class=\"nf_title text-sm\"><span class=\"the_label style_bold\" style=\"color: rgb(65, 90, 119);\">Ocupaci\u00f3n:<\/span><\/label><\/div><div class=\"input_container col-sm-9\"><input type=\"text\" name=\"ocupaci\u00f3n:\" class=\"form-control error_message the_input_element  aling_left\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\"><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><div class=\"waves-ripple \" data-hold=\"1610994961633\" data-scale=\"scale(2.8000000000000003)\" data-x=\"11.546875\" data-y=\"13\" style=\"top:13px;left:11.546875px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><div class=\"waves-ripple \" data-hold=\"1610994962294\" data-scale=\"scale(2.8000000000000003)\" data-x=\"17.546875\" data-y=\"20\" style=\"top:20px;left:17.546875px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder col-sm-6\"><div class=\"form_field all_fields text common_fields\" data-settings=\"s-text\" id=\"_17857\" style=\"position: relative; left: 0px; top: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let col-sm-3\"><label class=\"nf_title text-sm\"><span class=\"the_label style_bold\" style=\"color: rgb(65, 90, 119);\">C\u00f3digo postal:<\/span><\/label><\/div><div class=\"input_container col-sm-9\"><input type=\"text\" name=\"c\u00f3digo_postal:\" class=\"form-control error_message the_input_element  aling_left\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\"><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"form_field all_fields text common_fields\" data-settings=\"s-text\" id=\"_90344\" style=\"position: relative; left: 0px; top: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let col-sm-3\"><label class=\"nf_title text-sm\"><span class=\"the_label style_bold\" style=\"color: rgb(65, 90, 119);\">Estatura<\/span><\/label><\/div><div class=\"input_container col-sm-9\"><input type=\"text\" name=\"estatura\" class=\"form-control error_message the_input_element  aling_left\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\"><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"form_field all_fields text common_fields\" data-settings=\"s-text\" id=\"_50302\" style=\"position: relative; left: 0px; top: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let col-sm-3\"><label class=\"nf_title text-sm\"><span class=\"the_label style_bold\" style=\"color: rgb(65, 90, 119);\">Peso <\/span><\/label><\/div><div class=\"input_container col-sm-9\"><input type=\"text\" name=\"peso_\" class=\"form-control error_message the_input_element  aling_left\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\"><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><div class=\"waves-ripple \" data-hold=\"1610998518505\" data-scale=\"scale(2.8000000000000003)\" data-x=\"10.046875\" data-y=\"14\" style=\"top:14px;left:10.046875px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><div class=\"waves-ripple \" data-hold=\"1610998521896\" data-scale=\"scale(2.8000000000000003)\" data-x=\"14.046875\" data-y=\"17\" style=\"top:17px;left:14.046875px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"form_field all_fields text common_fields\" data-settings=\"s-text\" id=\"_87178\" style=\"position: relative; top: 0px; left: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let col-sm-3\"><label class=\"nf_title text-sm\"><span class=\"the_label style_bold\" style=\"color: rgb(65, 90, 119);\">Circunferencia de cintura<\/span><\/label><\/div><div class=\"input_container col-sm-9\"><input type=\"text\" name=\"circunferencia_de_cintura\" class=\"form-control error_message the_input_element  aling_left\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\"><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><div class=\"waves-ripple \" data-hold=\"1610998518505\" data-scale=\"scale(2.8000000000000003)\" data-x=\"10.046875\" data-y=\"14\" style=\"top:14px;left:10.046875px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><div class=\"waves-ripple \" data-hold=\"1610998520468\" data-scale=\"scale(2.8000000000000003)\" data-x=\"11.046875\" data-y=\"8\" style=\"top:8px;left:11.046875px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"form_field all_fields text common_fields\" data-settings=\"s-text\" id=\"_95890\" style=\"position: relative; left: 0px; top: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let col-sm-3\"><label class=\"nf_title text-sm\"><span class=\"the_label style_bold\" style=\"color: rgb(65, 90, 119);\">Per\u00edmetro Del Cuello<\/span><\/label><\/div><div class=\"input_container col-sm-9\"><input type=\"text\" name=\"per\u00edmetro_del_cuello\" class=\"form-control error_message the_input_element  aling_left\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\"><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><div class=\"waves-ripple \" data-hold=\"1610998518505\" data-scale=\"scale(2.8000000000000003)\" data-x=\"10.046875\" data-y=\"14\" style=\"top:14px;left:10.046875px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><div class=\"waves-ripple \" data-hold=\"1610998520468\" data-scale=\"scale(2.8000000000000003)\" data-x=\"11.046875\" data-y=\"8\" style=\"top:8px;left:11.046875px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"form_field all_fields text common_fields\" data-settings=\"s-text\" id=\"_94472\" style=\"position: relative; left: 0px; top: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let col-sm-3\"><label class=\"nf_title text-sm\"><span class=\"the_label style_bold\" style=\"color: rgb(65, 90, 119);\">Per\u00edmetro De La Mu\u00f1eca<\/span><\/label><\/div><div class=\"input_container col-sm-9\"><input type=\"text\" name=\"per\u00edmetro_de_la_mu\u00f1eca\" class=\"form-control error_message the_input_element  aling_left\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\"><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><div class=\"waves-ripple \" data-hold=\"1610998518505\" data-scale=\"scale(2.8000000000000003)\" data-x=\"10.046875\" data-y=\"14\" style=\"top:14px;left:10.046875px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><div class=\"waves-ripple \" data-hold=\"1610998520468\" data-scale=\"scale(2.8000000000000003)\" data-x=\"11.046875\" data-y=\"8\" style=\"top:8px;left:11.046875px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><div class=\"waves-ripple \" data-hold=\"1610998551073\" data-scale=\"scale(2.8000000000000003)\" data-x=\"16.046875\" data-y=\"16\" style=\"top:16px;left:16.046875px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><div class=\"waves-ripple \" data-hold=\"1610998553661\" data-scale=\"scale(2.8000000000000003)\" data-x=\"15.046875\" data-y=\"14\" style=\"top:14px;left:15.046875px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"field_settings grid\" style=\"display:none\"><div class=\"btn btn-default btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div title=\"Duplicate Field\" class=\"btn btn-default btn-xs duplicate_field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><div class=\"form_field all_fields textarea common_fields has_prefix_icon\" data-settings=\"s-textarea\" id=\"_56456\" style=\"position: relative; top: 0px; left: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let col-sm-3 align_left\" style=\"display: block;\"><label class=\"nf_title text-sm\"><span class=\"the_label style_bold\" style=\"color: rgb(65, 90, 119);\">Motivo de tu consulta:<\/span><\/label><\/div><div class=\"input_container col-sm-9\"><div class=\"input-group\"><span class=\"input-group-addon prefix\" style=\"color: rgb(65, 90, 119);\"><span class=\"fas fa-comment-dots\"><\/span><\/span><textarea name=\"motivo_de_tu_consulta:\" placeholder=\"\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" class=\"error_message the_input_element textarea pre-format form-control  aling_left align_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" style=\"background-repeat: repeat; background-size: auto; background-position: left 0%;\"><\/textarea><\/div><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"form_field all_fields textarea common_fields has_prefix_icon\" data-settings=\"s-textarea\" id=\"_47686\" style=\"position: relative; left: 0px; top: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let col-sm-3 align_left\" style=\"display: block;\"><label class=\"nf_title text-sm\"><span class=\"the_label style_bold\" style=\"color: rgb(65, 90, 119);\">OBJETIVO: (Aqu\u00ed tienes que explicarme lo que quieres lograr con tu cuerpo)<\/span><\/label><\/div><div class=\"input_container col-sm-9\"><div class=\"input-group\"><span class=\"input-group-addon prefix\" style=\"color: rgb(65, 90, 119);\"><span class=\"fas fa-comment-dots\"><\/span><\/span><textarea name=\"objetivo:_aqu\u00ed_tienes_que_explicarme_lo_que_quieres_lograr_con_tu_cuerpo\" placeholder=\"\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" class=\"error_message the_input_element textarea pre-format form-control  aling_left align_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" style=\"background-repeat: repeat; background-size: auto; background-position: left 0%;\"><\/textarea><\/div><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><div class=\"waves-ripple \" data-hold=\"1610995260310\" data-scale=\"scale(2.8000000000000003)\" data-x=\"14.546875\" data-y=\"13\" style=\"top:13px;left:14.546875px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><div class=\"waves-ripple \" data-hold=\"1610995261043\" data-scale=\"scale(2.8000000000000003)\" data-x=\"14.546875\" data-y=\"13\" style=\"top:13px;left:14.546875px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"form_field all_fields textarea common_fields has_prefix_icon\" data-settings=\"s-textarea\" id=\"_52384\" style=\"position: relative; left: 0px; top: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let col-sm-3 align_left\" style=\"display: block;\"><label class=\"nf_title text-sm\"><span class=\"the_label style_bold\" style=\"color: rgb(65, 90, 119);\">Expectativa que tengas:<\/span><\/label><\/div><div class=\"input_container col-sm-9\"><div class=\"input-group\"><span class=\"input-group-addon prefix\" style=\"color: rgb(65, 90, 119);\"><span class=\"fas fa-comment-dots\"><\/span><\/span><textarea name=\"expectativa_que_tengas:\" placeholder=\"\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" class=\"error_message the_input_element textarea pre-format form-control  aling_left align_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" style=\"background-repeat: repeat; background-size: auto; background-position: left 0%;\"><\/textarea><\/div><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><div class=\"waves-ripple \" data-hold=\"1610995260310\" data-scale=\"scale(2.8000000000000003)\" data-x=\"14.546875\" data-y=\"13\" style=\"top:13px;left:14.546875px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><div class=\"waves-ripple \" data-hold=\"1610995261043\" data-scale=\"scale(2.8000000000000003)\" data-x=\"14.546875\" data-y=\"13\" style=\"top:13px;left:14.546875px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"form_field all_fields textarea common_fields has_prefix_icon\" data-settings=\"s-textarea\" id=\"_64726\" style=\"position: relative; left: 0px; top: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let col-sm-3 align_left\" style=\"display: block;\"><label class=\"nf_title text-sm\"><span class=\"the_label style_bold\" style=\"color: rgb(65, 90, 119);\">Alergias:<\/span><\/label><\/div><div class=\"input_container col-sm-9\"><div class=\"input-group\"><span class=\"input-group-addon prefix\" style=\"color: rgb(65, 90, 119);\"><span class=\"fas fa-comment-dots\"><\/span><\/span><textarea name=\"alergias:\" placeholder=\"\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" class=\"error_message the_input_element textarea pre-format form-control  aling_left align_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" style=\"background-repeat: repeat; background-size: auto; background-position: left 0%;\"><\/textarea><\/div><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><div class=\"waves-ripple \" data-hold=\"1610995260310\" data-scale=\"scale(2.8000000000000003)\" data-x=\"14.546875\" data-y=\"13\" style=\"top:13px;left:14.546875px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><div class=\"waves-ripple \" data-hold=\"1610995261043\" data-scale=\"scale(2.8000000000000003)\" data-x=\"14.546875\" data-y=\"13\" style=\"top:13px;left:14.546875px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><div class=\"waves-ripple \" data-hold=\"1610997274904\" data-scale=\"scale(2.8000000000000003)\" data-x=\"13.046875\" data-y=\"18\" style=\"top:18px;left:13.046875px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"form_field all_fields textarea common_fields has_prefix_icon\" data-settings=\"s-textarea\" id=\"_68669\" style=\"position: relative; left: 0px; top: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let col-sm-3 align_left\" style=\"display: block;\"><label class=\"nf_title text-sm\"><span class=\"the_label style_bold\" style=\"color: rgb(65, 90, 119);\">Intolerancias alimentarias:<\/span><\/label><\/div><div class=\"input_container col-sm-9\"><div class=\"input-group\"><span class=\"input-group-addon prefix\" style=\"color: rgb(65, 90, 119);\"><span class=\"fas fa-comment-dots\"><\/span><\/span><textarea name=\"intolerancias_alimentarias:\" placeholder=\"\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" class=\"error_message the_input_element textarea pre-format form-control  aling_left align_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" style=\"background-repeat: repeat; background-size: auto; background-position: left 0%;\"><\/textarea><\/div><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><div class=\"waves-ripple \" data-hold=\"1610995260310\" data-scale=\"scale(2.8000000000000003)\" data-x=\"14.546875\" data-y=\"13\" style=\"top:13px;left:14.546875px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><div class=\"waves-ripple \" data-hold=\"1610995261043\" data-scale=\"scale(2.8000000000000003)\" data-x=\"14.546875\" data-y=\"13\" style=\"top:13px;left:14.546875px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><div class=\"waves-ripple \" data-hold=\"1610997274904\" data-scale=\"scale(2.8000000000000003)\" data-x=\"13.046875\" data-y=\"18\" style=\"top:18px;left:13.046875px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"form_field all_fields textarea common_fields has_prefix_icon\" data-settings=\"s-textarea\" id=\"_53410\" style=\"position: relative; left: 0px; top: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let col-sm-3 align_left\" style=\"display: block;\"><label class=\"nf_title text-sm\"><span class=\"the_label style_bold\" style=\"color: rgb(65, 90, 119);\">Medicaci\u00f3n actual<\/span><br><small class=\"sub-text style_italic\" style=\"color: rgb(65, 90, 119);\"> (si tienes alg\u00fan tratamiento)<\/small><\/label><\/div><div class=\"input_container col-sm-9\"><div class=\"input-group\"><span class=\"input-group-addon prefix\" style=\"color: rgb(65, 90, 119);\"><span class=\"fas fa-comment-dots\"><\/span><\/span><textarea name=\"medicaci\u00f3n_actual\" placeholder=\"\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" class=\"error_message the_input_element textarea pre-format form-control  aling_left align_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" style=\"background-repeat: repeat; background-size: auto; background-position: left 0%;\"><\/textarea><\/div><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><div class=\"waves-ripple \" data-hold=\"1610995260310\" data-scale=\"scale(2.8000000000000003)\" data-x=\"14.546875\" data-y=\"13\" style=\"top:13px;left:14.546875px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><div class=\"waves-ripple \" data-hold=\"1610995261043\" data-scale=\"scale(2.8000000000000003)\" data-x=\"14.546875\" data-y=\"13\" style=\"top:13px;left:14.546875px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><div class=\"waves-ripple \" data-hold=\"1610997274904\" data-scale=\"scale(2.8000000000000003)\" data-x=\"13.046875\" data-y=\"18\" style=\"top:18px;left:13.046875px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><div class=\"waves-ripple \" data-hold=\"1611017748469\" data-scale=\"scale(2.8000000000000003)\" data-x=\"12.09375\" data-y=\"15\" style=\"top:15px;left:12.09375px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"form_field all_fields textarea common_fields has_prefix_icon\" data-settings=\"s-textarea\" id=\"_3546\" style=\"position: relative; left: 0px; top: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let col-sm-3 align_left\" style=\"display: block;\"><label class=\"nf_title text-sm\"><span class=\"the_label style_bold\" style=\"color: rgb(65, 90, 119);\">Antecedentes personales <\/span><br><small class=\"sub-text style_italic\" style=\"color: rgb(65, 90, 119);\">(si has tenido alguna enfermedad)<\/small><\/label><\/div><div class=\"input_container col-sm-9\"><div class=\"input-group\"><span class=\"input-group-addon prefix\" style=\"color: rgb(65, 90, 119);\"><span class=\"fas fa-comment-dots\"><\/span><\/span><textarea name=\"antecedentes_personales_\" placeholder=\"\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" class=\"error_message the_input_element textarea pre-format form-control  aling_left align_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" style=\"background-repeat: repeat; background-size: auto; background-position: left 0%;\"><\/textarea><\/div><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><div class=\"waves-ripple \" data-hold=\"1610995260310\" data-scale=\"scale(2.8000000000000003)\" data-x=\"14.546875\" data-y=\"13\" style=\"top:13px;left:14.546875px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><div class=\"waves-ripple \" data-hold=\"1610995261043\" data-scale=\"scale(2.8000000000000003)\" data-x=\"14.546875\" data-y=\"13\" style=\"top:13px;left:14.546875px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><div class=\"waves-ripple \" data-hold=\"1610997274904\" data-scale=\"scale(2.8000000000000003)\" data-x=\"13.046875\" data-y=\"18\" style=\"top:18px;left:13.046875px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><div class=\"waves-ripple \" data-hold=\"1611017748469\" data-scale=\"scale(2.8000000000000003)\" data-x=\"12.09375\" data-y=\"15\" style=\"top:15px;left:12.09375px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><div class=\"waves-ripple \" data-hold=\"1611017790586\" data-scale=\"scale(2.8000000000000003)\" data-x=\"14.09375\" data-y=\"13\" style=\"top:13px;left:14.09375px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"form_field all_fields textarea common_fields has_prefix_icon\" data-settings=\"s-textarea\" id=\"_36376\" style=\"position: relative; left: 0px; top: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let col-sm-3 align_left\" style=\"display: block;\"><label class=\"nf_title text-sm\"><span class=\"the_label style_bold\" style=\"color: rgb(65, 90, 119);\">Antecedentes familiares<\/span><br><small class=\"sub-text style_italic\" style=\"color: rgb(65, 90, 119);\">(si tu familia padece alguna enfermedad)<\/small><\/label><\/div><div class=\"input_container col-sm-9\"><div class=\"input-group\"><span class=\"input-group-addon prefix\" style=\"color: rgb(65, 90, 119);\"><span class=\"fas fa-comment-dots\"><\/span><\/span><textarea name=\"antecedentes_familiares\" placeholder=\"\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" class=\"error_message the_input_element textarea pre-format form-control  aling_left align_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" style=\"background-repeat: repeat; background-size: auto; background-position: left 0%;\"><\/textarea><\/div><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><div class=\"waves-ripple \" data-hold=\"1610995260310\" data-scale=\"scale(2.8000000000000003)\" data-x=\"14.546875\" data-y=\"13\" style=\"top:13px;left:14.546875px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><div class=\"waves-ripple \" data-hold=\"1610995261043\" data-scale=\"scale(2.8000000000000003)\" data-x=\"14.546875\" data-y=\"13\" style=\"top:13px;left:14.546875px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><div class=\"waves-ripple \" data-hold=\"1610997274904\" data-scale=\"scale(2.8000000000000003)\" data-x=\"13.046875\" data-y=\"18\" style=\"top:18px;left:13.046875px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><div class=\"waves-ripple \" data-hold=\"1611017748469\" data-scale=\"scale(2.8000000000000003)\" data-x=\"12.09375\" data-y=\"15\" style=\"top:15px;left:12.09375px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><div class=\"waves-ripple \" data-hold=\"1611017790586\" data-scale=\"scale(2.8000000000000003)\" data-x=\"14.09375\" data-y=\"13\" style=\"top:13px;left:14.09375px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><div class=\"waves-ripple \" data-hold=\"1611017833607\" data-scale=\"scale(2.8000000000000003)\" data-x=\"12.09375\" data-y=\"15\" style=\"top:15px;left:12.09375px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"form_field all_fields submit-button the_submit button_fields common_fields preset_fields special_fields selection_fields\" id=\"_95390\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container align_right\"><button class=\"nex-submit svg_ready the_input_element btn btn-default btn-sm\" data-ga=\"\" style=\"background-size: auto; background-color: rgb(65, 90, 119); color: rgb(255, 255, 255);\">Enviar<\/button><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"grid-system-2 is_grid\" id=\"_32926\"><div class=\"row grid_row\"><div class=\"grid_input_holder col-sm-6\"><div class=\"form_field all_fields check-group common_fields selection_fields radio-group\" data-settings=\"s-checks\" id=\"_32412\" style=\"position: relative; left: 0px; top: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12  label_container align_let\"><label class=\"nf_title text-sm\"><span class=\"the_label style_bold\" style=\"color: rgb(65, 90, 119);\">Funci\u00f3n intestinal<\/span><\/label><\/div><div class=\"input_holder radio-group\"><div class=\"col-sm-12 the-radios input_container error_message\" id=\"the-radios\" data-checked-color=\"alert-success\" data-checked-class=\"fa-check\" data-unchecked-class=\"\" data-placement=\"bottom\" data-content=\"Required\" title=\"\"><div class=\"input-inner\"><label class=\"checkbox-inline text-sm radio-inline\" for=\"check_boxes_normal\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright blue has-pretty-child\"><input class=\"check the_input_element\" type=\"checkbox\" name=\"funcion_intestinal[]\" id=\"check_boxes_normal\" value=\"Normal\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label check-label\" style=\"color: rgb(65, 90, 119);\">Normal<\/span><\/span><\/label><label class=\"checkbox-inline text-sm radio-inline\" for=\"check_boxes_estre\u00f1imiento\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright blue has-pretty-child\"><input class=\"check the_input_element\" type=\"checkbox\" name=\"funcion_intestinal[]\" id=\"check_boxes_estre\u00f1imiento\" value=\"Estre\u00f1imiento\" style=\"display: none;\"><a class=\"ui-state-default\" style=\"background: rgb(255, 255, 255);\"><\/a><\/div><span class=\"input-label check-label\" style=\"color: rgb(65, 90, 119);\">Estre\u00f1imiento<\/span><\/span><\/label><label class=\"checkbox-inline text-sm radio-inline\" for=\"check_boxes_diarrea\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright blue has-pretty-child\"><input class=\"check the_input_element\" type=\"checkbox\" name=\"funcion_intestinal[]\" id=\"check_boxes_diarrea\" value=\"Diarrea\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label check-label\" style=\"color: rgb(65, 90, 119);\">Diarrea<\/span><\/span><\/label><label class=\"checkbox-inline text-sm radio-inline\" for=\"check_boxes_irregular_\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright blue has-pretty-child\"><input class=\"check the_input_element\" type=\"checkbox\" name=\"funcion_intestinal[]\" id=\"check_boxes_irregular_\" value=\"Irregular \" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label check-label\" style=\"color: rgb(65, 90, 119);\">Irregular <\/span><\/span><\/label><\/div><\/div><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"form_field all_fields check-group common_fields selection_fields radio-group\" data-settings=\"s-checks\" id=\"_99176\" style=\"position: relative; left: 0px; top: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12  label_container align_let\"><label class=\"nf_title text-sm\"><span class=\"the_label style_bold\" style=\"color: rgb(65, 90, 119);\">Fumador<\/span><\/label><\/div><div class=\"input_holder radio-group\"><div class=\"col-sm-12 the-radios input_container error_message\" id=\"the-radios\" data-checked-color=\"alert-success\" data-checked-class=\"fa-check\" data-unchecked-class=\"\" data-placement=\"bottom\" data-content=\"Required\" title=\"\"><div class=\"input-inner\"><label class=\"checkbox-inline radio-inline\" for=\"fumador_si\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright blue has-pretty-child\"><input class=\"check the_input_element\" type=\"checkbox\" name=\"fumador[]\" id=\"fumador_si\" value=\"SI\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label check-label\" style=\"color: rgb(65, 90, 119);\">SI<\/span><\/span><\/label><label class=\"checkbox-inline radio-inline\" for=\"fumador_no\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright blue has-pretty-child\"><input class=\"check the_input_element\" type=\"checkbox\" name=\"fumador[]\" id=\"fumador_no\" value=\"NO\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label check-label\" style=\"color: rgb(65, 90, 119);\">NO<\/span><\/span><\/label><label class=\"checkbox-inline radio-inline\" for=\"fumador_ocacional\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright blue has-pretty-child\"><input class=\"check the_input_element\" type=\"checkbox\" name=\"fumador[]\" id=\"fumador_ocacional\" value=\"Ocacional\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label check-label\" style=\"color: rgb(65, 90, 119);\">Ocacional<\/span><\/span><\/label><label class=\"checkbox-inline radio-inline\" for=\"fumador_ex_fumador\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright blue has-pretty-child\"><input class=\"check the_input_element\" type=\"checkbox\" name=\"fumador[]\" id=\"fumador_ex_fumador\" value=\"Ex Fumador\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label check-label\" style=\"color: rgb(65, 90, 119);\">Ex Fumador<\/span><\/span><\/label><\/div><\/div><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"form_field all_fields check-group common_fields selection_fields radio-group\" data-settings=\"s-checks\" id=\"_38274\" style=\"position: relative; left: 0px; top: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12  label_container align_let\"><label class=\"nf_title text-sm\"><span class=\"the_label style_bold\" style=\"color: rgb(65, 90, 119);\">\u00bfBebes Alcohol?<\/span><\/label><\/div><div class=\"input_holder radio-group\"><div class=\"col-sm-12 the-radios input_container error_message\" id=\"the-radios\" data-checked-color=\"alert-success\" data-checked-class=\"fa-check\" data-unchecked-class=\"\" data-placement=\"bottom\" data-content=\"Required\" title=\"\"><div class=\"input-inner\"><label class=\"checkbox-inline text-sm radio-inline\" for=\"fumador_si_\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright blue has-pretty-child\"><input class=\"check the_input_element\" type=\"checkbox\" name=\"\u00bfbebes_alcohol[]\" id=\"fumador_si_\" value=\"SI \" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label check-label\" style=\"color: rgb(65, 90, 119);\">SI <\/span><\/span><\/label><label class=\"checkbox-inline text-sm radio-inline\" for=\"fumador_no\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright blue has-pretty-child\"><input class=\"check the_input_element\" type=\"checkbox\" name=\"\u00bfbebes_alcohol[]\" id=\"fumador_no\" value=\"NO\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label check-label\" style=\"color: rgb(65, 90, 119);\">NO<\/span><\/span><\/label><label class=\"checkbox-inline text-sm radio-inline\" for=\"fumador_ocacional\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright blue has-pretty-child\"><input class=\"check the_input_element\" type=\"checkbox\" name=\"\u00bfbebes_alcohol[]\" id=\"fumador_ocacional\" value=\"Ocacional\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label check-label\" style=\"color: rgb(65, 90, 119);\">Ocacional<\/span><\/span><\/label><\/div><\/div><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><div class=\"waves-ripple \" data-hold=\"1610995827432\" data-scale=\"scale(2.8000000000000003)\" data-x=\"9.046875\" data-y=\"8\" style=\"top:8px;left:9.046875px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><div class=\"waves-ripple \" data-hold=\"1610996592242\" data-scale=\"scale(2.8000000000000003)\" data-x=\"15.046875\" data-y=\"12\" style=\"top:12px;left:15.046875px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"form_field all_fields check-group common_fields selection_fields radio-group\" data-settings=\"s-checks\" id=\"_63912\" style=\"position: relative; left: 0px; top: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12  label_container align_let\"><label class=\"nf_title text-sm\"><span class=\"the_label style_bold\" style=\"color: rgb(65, 90, 119);\">Comidas al d\u00eda <\/span><\/label><\/div><div class=\"input_holder radio-group\"><div class=\"col-sm-12 the-radios input_container error_message\" id=\"the-radios\" data-checked-color=\"alert-success\" data-checked-class=\"fa-check\" data-unchecked-class=\"\" data-placement=\"bottom\" data-content=\"Required\" title=\"\"><div class=\"input-inner\"><label class=\"checkbox-inline radio-inline\" for=\"comidas_al_d\u00eda__1\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright blue has-pretty-child\"><input class=\"check the_input_element\" type=\"checkbox\" name=\"comidas_al_d\u00eda_[]\" id=\"comidas_al_d\u00eda__1\" value=\"1\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label check-label\">1<\/span><\/span><\/label><label class=\"checkbox-inline radio-inline\" for=\"comidas_al_d\u00eda__2\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright blue has-pretty-child\"><input class=\"check the_input_element\" type=\"checkbox\" name=\"comidas_al_d\u00eda_[]\" id=\"comidas_al_d\u00eda__2\" value=\"2\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label check-label\">2<\/span><\/span><\/label><label class=\"checkbox-inline radio-inline\" for=\"comidas_al_d\u00eda__3\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright blue has-pretty-child\"><input class=\"check the_input_element\" type=\"checkbox\" name=\"comidas_al_d\u00eda_[]\" id=\"comidas_al_d\u00eda__3\" value=\"3\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label check-label\">3<\/span><\/span><\/label><label class=\"checkbox-inline radio-inline\" for=\"comidas_al_d\u00eda__4\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright blue has-pretty-child\"><input class=\"check the_input_element\" type=\"checkbox\" name=\"comidas_al_d\u00eda_[]\" id=\"comidas_al_d\u00eda__4\" value=\"4\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label check-label\">4<\/span><\/span><\/label><label class=\"checkbox-inline radio-inline\" for=\"comidas_al_d\u00eda__5\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright blue has-pretty-child\"><input class=\"check the_input_element\" type=\"checkbox\" name=\"comidas_al_d\u00eda_[]\" id=\"comidas_al_d\u00eda__5\" value=\"5\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label check-label\">5<\/span><\/span><\/label><label class=\"checkbox-inline radio-inline\" for=\"comidas_al_d\u00eda__6\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright blue has-pretty-child\"><input class=\"check the_input_element\" type=\"checkbox\" name=\"comidas_al_d\u00eda_[]\" id=\"comidas_al_d\u00eda__6\" value=\"6\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label check-label\">6<\/span><\/span><\/label><label class=\"checkbox-inline radio-inline\" for=\"comidas_al_d\u00eda__7\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright blue has-pretty-child\"><input class=\"check the_input_element\" type=\"checkbox\" name=\"comidas_al_d\u00eda_[]\" id=\"comidas_al_d\u00eda__7\" value=\"7\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label check-label\">7<\/span><\/span><\/label><label class=\"checkbox-inline radio-inline\" for=\"comidas_al_d\u00eda__8\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright blue has-pretty-child\"><input class=\"check the_input_element\" type=\"checkbox\" name=\"comidas_al_d\u00eda_[]\" id=\"comidas_al_d\u00eda__8\" value=\"8\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label check-label\">8<\/span><\/span><\/label><\/div><\/div><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><div class=\"waves-ripple \" data-hold=\"1610995827432\" data-scale=\"scale(2.8000000000000003)\" data-x=\"9.046875\" data-y=\"8\" style=\"top:8px;left:9.046875px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><div class=\"waves-ripple \" data-hold=\"1610996592242\" data-scale=\"scale(2.8000000000000003)\" data-x=\"15.046875\" data-y=\"12\" style=\"top:12px;left:15.046875px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><div class=\"waves-ripple \" data-hold=\"1611020198551\" data-scale=\"scale(2.8000000000000003)\" data-x=\"12.34375\" data-y=\"14\" style=\"top:14px;left:12.34375px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"form_field all_fields text common_fields\" data-settings=\"s-text\" id=\"_24077\" style=\"position: relative; top: 0px; left: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let col-sm-3\"><label class=\"nf_title text-sm\"><span class=\"the_label style_bold\" style=\"color: rgb(65, 90, 119);\">\u00bfCuanta agua bebes al dia?<\/span><\/label><\/div><div class=\"input_container col-sm-9\"><input type=\"text\" name=\"\u00bfcuanta_agua_bebes_al_dia\" class=\"form-control error_message the_input_element  aling_left\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\"><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder col-sm-6\"><div class=\"form_field all_fields text common_fields\" data-settings=\"s-text\" id=\"_47063\" style=\"position: relative; left: 0px; top: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let col-sm-3\"><label class=\"nf_title text-sm\"><span class=\"the_label style_bold\" style=\"color: rgb(65, 90, 119);\">Calidad de sue\u00f1o <\/span><br><small class=\"sub-text style_italic\" style=\"color: rgb(65, 90, 119);\">horas que duermes aproximadamente al d\u00eda<\/small><\/label><\/div><div class=\"input_container col-sm-9\"><input type=\"text\" name=\"calidad_de_sue\u00f1o_\" class=\"form-control error_message the_input_element  aling_left\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\"><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><div class=\"waves-ripple \" data-hold=\"1610994961633\" data-scale=\"scale(2.8000000000000003)\" data-x=\"11.546875\" data-y=\"13\" style=\"top:13px;left:11.546875px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><div class=\"waves-ripple \" data-hold=\"1610997696978\" data-scale=\"scale(2.8000000000000003)\" data-x=\"13.046875\" data-y=\"11\" style=\"top:11px;left:13.046875px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"form_field all_fields textarea common_fields has_prefix_icon\" data-settings=\"s-textarea\" id=\"_37292\" style=\"position: relative; left: 0px; top: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let col-sm-3 align_left\" style=\"display: block;\"><label class=\"nf_title text-sm\"><span class=\"the_label style_bold\" style=\"color: rgb(65, 90, 119);\">Alimentos favoritos:<\/span><\/label><\/div><div class=\"input_container col-sm-9\"><div class=\"input-group\"><span class=\"input-group-addon prefix\" style=\"color: rgb(65, 90, 119);\"><span class=\"fas fa-comment-dots\"><\/span><\/span><textarea name=\"alimentos_favoritos:\" placeholder=\"\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" class=\"error_message the_input_element textarea pre-format form-control  aling_left align_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" style=\"background-repeat: repeat; background-size: auto; background-position: left 0%;\"><\/textarea><\/div><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"form_field all_fields textarea common_fields has_prefix_icon\" data-settings=\"s-textarea\" id=\"_65318\" style=\"position: relative; top: 0px; left: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let col-sm-3 align_left\" style=\"display: block;\"><label class=\"nf_title text-sm\"><span class=\"the_label style_bold\" style=\"color: rgb(65, 90, 119);\">Alimentos que no te gusten:<\/span><\/label><\/div><div class=\"input_container col-sm-9\"><div class=\"input-group\"><span class=\"input-group-addon prefix\" style=\"color: rgb(65, 90, 119);\"><span class=\"fas fa-comment-dots\"><\/span><\/span><textarea name=\"alimentos_que_no_te_gusten:\" placeholder=\"\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" class=\"error_message the_input_element textarea pre-format form-control  aling_left align_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" style=\"background-repeat: repeat; background-size: auto; background-position: left 0%;\"><\/textarea><\/div><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><div class=\"waves-ripple \" data-hold=\"1610995260310\" data-scale=\"scale(2.8000000000000003)\" data-x=\"14.546875\" data-y=\"13\" style=\"top:13px;left:14.546875px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><div class=\"waves-ripple \" data-hold=\"1610995261043\" data-scale=\"scale(2.8000000000000003)\" data-x=\"14.546875\" data-y=\"13\" style=\"top:13px;left:14.546875px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><div class=\"waves-ripple \" data-hold=\"1610997198799\" data-scale=\"scale(2.8000000000000003)\" data-x=\"10.046875\" data-y=\"17\" style=\"top:17px;left:10.046875px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"field_settings grid\" style=\"display:none\"><div class=\"btn btn-default btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div title=\"Duplicate Field\" class=\"btn btn-default btn-xs duplicate_field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><div class=\"form_field all_fields check-group common_fields selection_fields radio-group\" data-settings=\"s-checks\" id=\"_64689\" style=\"position: relative; top: 0px; left: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12  label_container align_let\"><label class=\"nf_title text-sm\"><span class=\"the_label style_bold\" style=\"color: rgb(65, 90, 119);\">\u00bfEn Donde entrenas?<\/span><\/label><\/div><div class=\"input_holder radio-group\"><div class=\"col-sm-12 the-radios input_container error_message\" id=\"the-radios\" data-checked-color=\"alert-success\" data-checked-class=\"fa-check\" data-unchecked-class=\"\" data-placement=\"bottom\" data-content=\"Required\" title=\"\"><div class=\"input-inner\"><label class=\"checkbox-inline text-sm radio-inline\" for=\"dias_que_puedes_entrenar_casa\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright blue has-pretty-child\"><input class=\"check the_input_element\" type=\"checkbox\" name=\"dias_que_puedes_entrenar[]\" id=\"dias_que_puedes_entrenar_casa\" value=\"Casa\" style=\"display: none;\"><a class=\"ui-state-default\" style=\"background: rgb(255, 255, 255);\"><\/a><\/div><span class=\"input-label check-label\" style=\"color: rgb(65, 90, 119);\">Casa<\/span><\/span><\/label><label class=\"checkbox-inline text-sm radio-inline\" for=\"dias_que_puedes_entrenar_gimnasio\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright blue has-pretty-child\"><input class=\"check the_input_element\" type=\"checkbox\" name=\"dias_que_puedes_entrenar[]\" id=\"dias_que_puedes_entrenar_gimnasio\" value=\"Gimnasio\" style=\"display: none;\"><a class=\"ui-state-default\" style=\"background: rgb(255, 255, 255);\"><\/a><\/div><span class=\"input-label check-label\" style=\"color: rgb(65, 90, 119);\">Gimnasio<\/span><\/span><\/label><\/div><\/div><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"form_field all_fields check-group common_fields selection_fields radio-group\" data-settings=\"s-checks\" id=\"_69342\" style=\"position: relative; left: 0px; top: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12  label_container align_let\"><label class=\"nf_title text-sm\"><span class=\"the_label style_bold\" style=\"color: rgb(65, 90, 119);\">Dias que puedes entrenar<\/span><\/label><\/div><div class=\"input_holder radio-group\"><div class=\"col-sm-12 the-radios input_container error_message\" id=\"the-radios\" data-checked-color=\"alert-success\" data-checked-class=\"fa-check\" data-unchecked-class=\"\" data-placement=\"bottom\" data-content=\"Required\" title=\"\"><div class=\"input-inner\"><label class=\"checkbox-inline text-sm radio-inline\" for=\"dias_que_puedes_entrenar_lunes\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright blue has-pretty-child\"><input class=\"check the_input_element\" type=\"checkbox\" name=\"dias_que_puedes_entrenar[]\" id=\"dias_que_puedes_entrenar_lunes\" value=\"Lunes\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label check-label\" style=\"color: rgb(65, 90, 119);\">Lunes<\/span><\/span><\/label><label class=\"checkbox-inline text-sm radio-inline\" for=\"dias_que_puedes_entrenar_martes\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright blue has-pretty-child\"><input class=\"check the_input_element\" type=\"checkbox\" name=\"dias_que_puedes_entrenar[]\" id=\"dias_que_puedes_entrenar_martes\" value=\"Martes\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label check-label\" style=\"color: rgb(65, 90, 119);\">Martes<\/span><\/span><\/label><label class=\"checkbox-inline text-sm radio-inline\" for=\"dias_que_puedes_entrenar_miercoles\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright blue has-pretty-child\"><input class=\"check the_input_element\" type=\"checkbox\" name=\"dias_que_puedes_entrenar[]\" id=\"dias_que_puedes_entrenar_miercoles\" value=\"Miercoles\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label check-label\" style=\"color: rgb(65, 90, 119);\">Miercoles<\/span><\/span><\/label><label class=\"checkbox-inline text-sm radio-inline\" for=\"dias_que_puedes_entrenar_jueves\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright blue has-pretty-child\"><input class=\"check the_input_element\" type=\"checkbox\" name=\"dias_que_puedes_entrenar[]\" id=\"dias_que_puedes_entrenar_jueves\" value=\"Jueves\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label check-label\" style=\"color: rgb(65, 90, 119);\">Jueves<\/span><\/span><\/label><label class=\"checkbox-inline text-sm radio-inline\" for=\"dias_que_puedes_entrenar_viernes\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright blue has-pretty-child\"><input class=\"check the_input_element\" type=\"checkbox\" name=\"dias_que_puedes_entrenar[]\" id=\"dias_que_puedes_entrenar_viernes\" value=\"Viernes\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label check-label\" style=\"color: rgb(65, 90, 119);\">Viernes<\/span><\/span><\/label><label class=\"checkbox-inline text-sm radio-inline\" for=\"dias_que_puedes_entrenar_sabado\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright blue has-pretty-child\"><input class=\"check the_input_element\" type=\"checkbox\" name=\"dias_que_puedes_entrenar[]\" id=\"dias_que_puedes_entrenar_sabado\" value=\"Sabado\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label check-label\" style=\"color: rgb(65, 90, 119);\">Sabado<\/span><\/span><\/label><label class=\"checkbox-inline text-sm radio-inline\" for=\"dias_que_puedes_entrenar_domingo\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright blue has-pretty-child\"><input class=\"check the_input_element\" type=\"checkbox\" name=\"dias_que_puedes_entrenar[]\" id=\"dias_que_puedes_entrenar_domingo\" value=\"Domingo\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label check-label\" style=\"color: rgb(65, 90, 119);\">Domingo<\/span><\/span><\/label><\/div><\/div><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><div class=\"waves-ripple \" data-hold=\"1610998467661\" data-scale=\"scale(2.8000000000000003)\" data-x=\"6.046875\" data-y=\"13\" style=\"top:13px;left:6.046875px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"form_field all_fields textarea common_fields has_prefix_icon\" data-settings=\"s-textarea\" id=\"_23094\" style=\"position: relative; left: 0px; top: 0px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let col-sm-3 align_left\" style=\"display: block;\"><label class=\"nf_title text-sm\"><span class=\"the_label style_bold\" style=\"color: rgb(65, 90, 119);\">Informaci\u00f3n extra:<\/span><br><small class=\"sub-text style_italic\" style=\"color: rgb(65, 90, 119);\">(si deseas y tienes la posibilidad de decirme un poco sobre tus posibilidades sobre si puedes consumir alimentos, suplementos que ayuden a mejorar tu calidad de vida)<\/small><\/label><\/div><div class=\"input_container col-sm-9\"><div class=\"input-group\"><span class=\"input-group-addon prefix\" style=\"color: rgb(65, 90, 119);\"><span class=\"fas fa-comment-dots\"><\/span><\/span><textarea name=\"informaci\u00f3n_extra:\" placeholder=\"\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" class=\"error_message the_input_element textarea pre-format form-control  aling_left align_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" style=\"background-repeat: repeat; background-size: auto; background-position: left 0%;\"><\/textarea><\/div><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><div class=\"waves-ripple \" data-hold=\"1610995260310\" data-scale=\"scale(2.8000000000000003)\" data-x=\"14.546875\" data-y=\"13\" style=\"top:13px;left:14.546875px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><div class=\"waves-ripple \" data-hold=\"1610995261043\" data-scale=\"scale(2.8000000000000003)\" data-x=\"14.546875\" data-y=\"13\" style=\"top:13px;left:14.546875px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><div class=\"waves-ripple \" data-hold=\"1610997274904\" data-scale=\"scale(2.8000000000000003)\" data-x=\"13.046875\" data-y=\"18\" style=\"top:18px;left:13.046875px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><div class=\"waves-ripple \" data-hold=\"1610997288612\" data-scale=\"scale(2.8000000000000003)\" data-x=\"12.046875\" data-y=\"9\" style=\"top:9px;left:12.046875px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><div class=\"waves-ripple \" data-hold=\"1610998820882\" data-scale=\"scale(2.8000000000000003)\" data-x=\"15.046875\" data-y=\"10\" style=\"top:10px;left:15.046875px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"><\/div><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div class=\"form_field all_fields submit-button the_submit button_fields common_fields preset_fields special_fields selection_fields\" id=\"_19060\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><button class=\"nex-submit svg_ready the_input_element btn btn-default\" data-ga=\"\">Enviar<\/button><\/div><\/div><\/div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"><\/i><\/div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"><\/i><\/div><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><\/form><\/div><\/div><\/div><\/div><style type=\"text\/css\" class=\"nex-forms-custom-css\"><\/style><\/div>\n<\/div>\n<div class=\"row\"><\/div>\n<\/div><\/div><\/div><\/div><div class = \"tatsu-column-bg-image-wrap\"><div class = \"tatsu-column-bg-image tatsu-bg-lazyload\" data-src = \"\"><\/div><\/div><div class=\"tatsu-overlay tatsu-column-overlay tatsu-animate-none\" ><\/div><\/div><style>.tatsu-row > .tatsu-Vq5H1WXHp.tatsu-column{width: 100%;}.tatsu-Vq5H1WXHp.tatsu-column > .tatsu-column-inner > .tatsu-column-overlay{mix-blend-mode: normal;}.tatsu-Vq5H1WXHp > .tatsu-column-inner > .tatsu-top-divider{z-index: 9999;}.tatsu-Vq5H1WXHp > .tatsu-column-inner > .tatsu-bottom-divider{z-index: 9999;}.tatsu-Vq5H1WXHp > .tatsu-column-inner > .tatsu-left-divider{z-index: 9999;}.tatsu-Vq5H1WXHp > .tatsu-column-inner > .tatsu-right-divider{z-index: 9999;}@media only screen and (max-width:1377px) {.tatsu-row > .tatsu-Vq5H1WXHp.tatsu-column{width: 100%;}}@media only screen and (min-width:768px) and (max-width: 1024px) {.tatsu-row > .tatsu-Vq5H1WXHp.tatsu-column{width: 100%;}}@media only screen and (max-width: 767px) {.tatsu-row > .tatsu-Vq5H1WXHp.tatsu-column{width: 100%;}}<\/style><\/div><\/div><\/div><\/div><div class=\"tatsu-section-background-wrap\"><div class = \"tatsu-section-background tatsu-bg-lazyload\" data-src = \"\"><\/div><\/div><div class=\"tatsu-overlay tatsu-section-overlay\"><\/div><style>.tatsu-8LRxSLkqW9 .tatsu-section-pad{padding: 16px 0px 23px 0px;}.tatsu-8LRxSLkqW9 .tatsu-section-offset-wrap{transform: translateY(-0px);}.tatsu-8LRxSLkqW9 > .tatsu-bottom-divider{z-index: 9999;}.tatsu-8LRxSLkqW9 > .tatsu-top-divider{z-index: 9999;}.tatsu-8LRxSLkqW9 .tatsu-section-overlay{mix-blend-mode: normal;}<\/style><\/div><div  class=\"tatsu-v6bZhAVL2r tatsu-section  tatsu-bg-overlay   tatsu-clearfix\" data-title=\"\"  data-headerscheme=\"background--dark\"><div class='tatsu-section-pad clearfix' data-padding='{\"d\":\"4px 0px 90px 0px\"}' data-padding-top='4px'><div class=\"tatsu-row-wrap  tatsu-wrap tatsu-row-one-col tatsu-row-has-one-cols tatsu-medium-gutter tatsu-reg-cols  tatsu-clearfix tatsu-VXQZREXvgB\" ><div  class=\"tatsu-row \" ><div  class=\"tatsu-column  tatsu-bg-overlay 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