{"id":17211,"date":"2022-11-17T09:38:22","date_gmt":"2022-11-17T14:38:22","guid":{"rendered":"https:\/\/fertilitycentermexico.com\/?page_id=17211"},"modified":"2022-11-26T01:06:24","modified_gmt":"2022-11-26T06:06:24","slug":"cuestionario-calidad","status":"publish","type":"page","link":"https:\/\/fertilitycentermexico.com\/es\/cuestionario-calidad\/","title":{"rendered":"Cuestionario de Calidad Espa\u00f1ol"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"17211\" class=\"elementor elementor-17211\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-38d6c39 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"38d6c39\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-0e09540\" data-id=\"0e09540\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-d829204 elementor-widget elementor-widget-image\" data-id=\"d829204\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"1200\" height=\"480\" src=\"https:\/\/fertilitycentermexico.com\/wp-content\/uploads\/2022\/11\/Banner-espanol.jpg\" class=\"attachment-full size-full wp-image-17275\" alt=\"\" srcset=\"https:\/\/fertilitycentermexico.com\/wp-content\/uploads\/2022\/11\/Banner-espanol.jpg 1200w, https:\/\/fertilitycentermexico.com\/wp-content\/uploads\/2022\/11\/Banner-espanol-300x120.jpg 300w, https:\/\/fertilitycentermexico.com\/wp-content\/uploads\/2022\/11\/Banner-espanol-1024x410.jpg 1024w, https:\/\/fertilitycentermexico.com\/wp-content\/uploads\/2022\/11\/Banner-espanol-768x307.jpg 768w, https:\/\/fertilitycentermexico.com\/wp-content\/uploads\/2022\/11\/Banner-espanol-260x104.jpg 260w, https:\/\/fertilitycentermexico.com\/wp-content\/uploads\/2022\/11\/Banner-espanol-50x20.jpg 50w, https:\/\/fertilitycentermexico.com\/wp-content\/uploads\/2022\/11\/Banner-espanol-150x60.jpg 150w\" sizes=\"(max-width: 1200px) 100vw, 1200px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-8456ff7 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"8456ff7\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-8a4b604\" data-id=\"8a4b604\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4970568 elementor-button-align-stretch elementor-widget elementor-widget-form\" data-id=\"4970568\" data-element_type=\"widget\" data-settings=\"{&quot;step_next_label&quot;:&quot;Next&quot;,&quot;step_previous_label&quot;:&quot;Previous&quot;,&quot;button_width&quot;:&quot;100&quot;,&quot;step_type&quot;:&quot;number_text&quot;,&quot;step_icon_shape&quot;:&quot;circle&quot;}\" data-widget_type=\"form.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<form class=\"elementor-form\" method=\"post\" name=\"Encuesta espa\u00f1ol\" aria-label=\"Encuesta espa\u00f1ol\">\n\t\t\t<input type=\"hidden\" name=\"post_id\" value=\"17211\"\/>\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"4970568\"\/>\n\t\t\t<input type=\"hidden\" name=\"referer_title\" value=\"\" \/>\n\n\t\t\t\n\t\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-name elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-name\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tNombre\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[name]\" id=\"form-field-name\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Nombre\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-tel elementor-field-group elementor-column elementor-field-group-field_09ec202 elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_09ec202\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tTel\u00e9fono\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<input size=\"1\" type=\"tel\" name=\"form_fields[field_09ec202]\" id=\"form-field-field_09ec202\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Tel\u00e9fono\" pattern=\"[0-9()#&amp;+*-=.]+\" title=\"Solo se aceptan n\u00fameros y caracteres de tel\u00e9fono (#,-,*,etc).\">\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-email elementor-field-group elementor-column elementor-field-group-email elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-email\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tCorreo electr\u00f3nico \t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"email\" name=\"form_fields[email]\" id=\"form-field-email\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Correo electr\u00f3nico \">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_d839e91 elementor-col-100\">\n\t\t\t\t\t<b>En cuanto a..<\/b>..<br>\nTiempo de espera c\u00f3mo calificar\u00edas\n\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_2ae5caa elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_2ae5caa\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tContacto inicial - recepci\u00f3n\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Muy buena\" id=\"form-field-field_2ae5caa-0\" name=\"form_fields[field_2ae5caa]\" required=\"required\"> <label for=\"form-field-field_2ae5caa-0\">Muy buena <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Buena\" id=\"form-field-field_2ae5caa-1\" name=\"form_fields[field_2ae5caa]\" required=\"required\"> <label for=\"form-field-field_2ae5caa-1\">Buena <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Normal\" id=\"form-field-field_2ae5caa-2\" name=\"form_fields[field_2ae5caa]\" required=\"required\"> <label for=\"form-field-field_2ae5caa-2\">Normal <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Mala\" id=\"form-field-field_2ae5caa-3\" name=\"form_fields[field_2ae5caa]\" required=\"required\"> <label for=\"form-field-field_2ae5caa-3\">Mala <\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_01be487 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_01be487\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tContacto Inicial - medios electr\u00f3nicos\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Muy buena\" id=\"form-field-field_01be487-0\" name=\"form_fields[field_01be487]\" required=\"required\"> <label for=\"form-field-field_01be487-0\">Muy buena <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Buena\" id=\"form-field-field_01be487-1\" name=\"form_fields[field_01be487]\" required=\"required\"> <label for=\"form-field-field_01be487-1\">Buena <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Normal\" id=\"form-field-field_01be487-2\" name=\"form_fields[field_01be487]\" required=\"required\"> <label for=\"form-field-field_01be487-2\">Normal <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Mala\" id=\"form-field-field_01be487-3\" name=\"form_fields[field_01be487]\" required=\"required\"> <label for=\"form-field-field_01be487-3\">Mala <\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_b6db42a elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_b6db42a\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tLaboratorio\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Muy buena\" id=\"form-field-field_b6db42a-0\" name=\"form_fields[field_b6db42a]\" required=\"required\"> <label for=\"form-field-field_b6db42a-0\">Muy buena <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Buena\" id=\"form-field-field_b6db42a-1\" name=\"form_fields[field_b6db42a]\" required=\"required\"> <label for=\"form-field-field_b6db42a-1\">Buena <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Normal\" id=\"form-field-field_b6db42a-2\" name=\"form_fields[field_b6db42a]\" required=\"required\"> <label for=\"form-field-field_b6db42a-2\">Normal <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Mala\" id=\"form-field-field_b6db42a-3\" name=\"form_fields[field_b6db42a]\" required=\"required\"> <label for=\"form-field-field_b6db42a-3\">Mala <\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_21a1732 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_21a1732\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tConsulta M\u00e9dica\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Muy buena\" id=\"form-field-field_21a1732-0\" name=\"form_fields[field_21a1732]\" required=\"required\"> <label for=\"form-field-field_21a1732-0\">Muy buena <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Buena\" id=\"form-field-field_21a1732-1\" name=\"form_fields[field_21a1732]\" required=\"required\"> <label for=\"form-field-field_21a1732-1\">Buena <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Normal\" id=\"form-field-field_21a1732-2\" name=\"form_fields[field_21a1732]\" required=\"required\"> <label for=\"form-field-field_21a1732-2\">Normal <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Mala\" id=\"form-field-field_21a1732-3\" name=\"form_fields[field_21a1732]\" required=\"required\"> <label for=\"form-field-field_21a1732-3\">Mala <\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_1e98b31 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_1e98b31\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tCaja\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Muy buena\" id=\"form-field-field_1e98b31-0\" name=\"form_fields[field_1e98b31]\" required=\"required\"> <label for=\"form-field-field_1e98b31-0\">Muy buena <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Buena\" id=\"form-field-field_1e98b31-1\" name=\"form_fields[field_1e98b31]\" required=\"required\"> <label for=\"form-field-field_1e98b31-1\">Buena <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Normal\" id=\"form-field-field_1e98b31-2\" name=\"form_fields[field_1e98b31]\" required=\"required\"> <label for=\"form-field-field_1e98b31-2\">Normal <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Mala\" id=\"form-field-field_1e98b31-3\" name=\"form_fields[field_1e98b31]\" required=\"required\"> <label for=\"form-field-field_1e98b31-3\">Mala <\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_c20ff76 elementor-col-100\">\n\t\t\t\t\t<br>Limpieza c\u00f3mo calificar\u00eda\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_e2c6f84 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_e2c6f84\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tBa\u00f1os\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Muy buena\" id=\"form-field-field_e2c6f84-0\" name=\"form_fields[field_e2c6f84]\" required=\"required\"> <label for=\"form-field-field_e2c6f84-0\">Muy buena <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Buena\" id=\"form-field-field_e2c6f84-1\" name=\"form_fields[field_e2c6f84]\" required=\"required\"> <label for=\"form-field-field_e2c6f84-1\">Buena <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Normal\" id=\"form-field-field_e2c6f84-2\" name=\"form_fields[field_e2c6f84]\" required=\"required\"> <label for=\"form-field-field_e2c6f84-2\">Normal <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Mala\" id=\"form-field-field_e2c6f84-3\" name=\"form_fields[field_e2c6f84]\" required=\"required\"> <label for=\"form-field-field_e2c6f84-3\">Mala <\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_8a1bbc2 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_8a1bbc2\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tConsultorios\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Muy buena\" id=\"form-field-field_8a1bbc2-0\" name=\"form_fields[field_8a1bbc2]\" required=\"required\"> <label for=\"form-field-field_8a1bbc2-0\">Muy buena <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Buena\" id=\"form-field-field_8a1bbc2-1\" name=\"form_fields[field_8a1bbc2]\" required=\"required\"> <label for=\"form-field-field_8a1bbc2-1\">Buena <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Normal\" id=\"form-field-field_8a1bbc2-2\" name=\"form_fields[field_8a1bbc2]\" required=\"required\"> <label for=\"form-field-field_8a1bbc2-2\">Normal <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Mala\" id=\"form-field-field_8a1bbc2-3\" name=\"form_fields[field_8a1bbc2]\" required=\"required\"> <label for=\"form-field-field_8a1bbc2-3\">Mala <\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_a993d8c elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_a993d8c\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tRecepci\u00f3n\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Muy buena\" id=\"form-field-field_a993d8c-0\" name=\"form_fields[field_a993d8c]\" required=\"required\"> <label for=\"form-field-field_a993d8c-0\">Muy buena <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Buena\" id=\"form-field-field_a993d8c-1\" name=\"form_fields[field_a993d8c]\" required=\"required\"> <label for=\"form-field-field_a993d8c-1\">Buena <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Normal\" id=\"form-field-field_a993d8c-2\" name=\"form_fields[field_a993d8c]\" required=\"required\"> <label for=\"form-field-field_a993d8c-2\">Normal <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Mala\" id=\"form-field-field_a993d8c-3\" name=\"form_fields[field_a993d8c]\" required=\"required\"> <label for=\"form-field-field_a993d8c-3\">Mala <\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_b7ed8bc elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_b7ed8bc\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tPasillos\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Muy buena\" id=\"form-field-field_b7ed8bc-0\" name=\"form_fields[field_b7ed8bc]\" required=\"required\"> <label for=\"form-field-field_b7ed8bc-0\">Muy buena <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Buena\" id=\"form-field-field_b7ed8bc-1\" name=\"form_fields[field_b7ed8bc]\" required=\"required\"> <label for=\"form-field-field_b7ed8bc-1\">Buena <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Normal\" id=\"form-field-field_b7ed8bc-2\" name=\"form_fields[field_b7ed8bc]\" required=\"required\"> <label for=\"form-field-field_b7ed8bc-2\">Normal <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Mala\" id=\"form-field-field_b7ed8bc-3\" name=\"form_fields[field_b7ed8bc]\" required=\"required\"> <label for=\"form-field-field_b7ed8bc-3\">Mala <\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_f454739 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_f454739\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSala de recuperaci\u00f3n\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Muy buena\" id=\"form-field-field_f454739-0\" name=\"form_fields[field_f454739]\" required=\"required\"> <label for=\"form-field-field_f454739-0\">Muy buena <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Buena\" id=\"form-field-field_f454739-1\" name=\"form_fields[field_f454739]\" required=\"required\"> <label for=\"form-field-field_f454739-1\">Buena <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Normal\" id=\"form-field-field_f454739-2\" name=\"form_fields[field_f454739]\" required=\"required\"> <label for=\"form-field-field_f454739-2\">Normal <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Mala\" id=\"form-field-field_f454739-3\" name=\"form_fields[field_f454739]\" required=\"required\"> <label for=\"form-field-field_f454739-3\">Mala <\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_4ac05d8 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_4ac05d8\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tGeneral\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Muy buena\" id=\"form-field-field_4ac05d8-0\" name=\"form_fields[field_4ac05d8]\" required=\"required\"> <label for=\"form-field-field_4ac05d8-0\">Muy buena <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Buena\" id=\"form-field-field_4ac05d8-1\" name=\"form_fields[field_4ac05d8]\" required=\"required\"> <label for=\"form-field-field_4ac05d8-1\">Buena <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Normal\" id=\"form-field-field_4ac05d8-2\" name=\"form_fields[field_4ac05d8]\" required=\"required\"> <label for=\"form-field-field_4ac05d8-2\">Normal <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Mala\" id=\"form-field-field_4ac05d8-3\" name=\"form_fields[field_4ac05d8]\" required=\"required\"> <label for=\"form-field-field_4ac05d8-3\">Mala <\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_c7d7af2 elementor-col-100\">\n\t\t\t\t\t<br>Recepcionista (Atenci\u00f3n presencial o por correo electr\u00f3nico)<\/p>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_33e614e elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_33e614e\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tM\u00e9dico\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Muy buena\" id=\"form-field-field_33e614e-0\" name=\"form_fields[field_33e614e]\" required=\"required\"> <label for=\"form-field-field_33e614e-0\">Muy buena <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Buena\" id=\"form-field-field_33e614e-1\" name=\"form_fields[field_33e614e]\" required=\"required\"> <label for=\"form-field-field_33e614e-1\">Buena <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Normal\" id=\"form-field-field_33e614e-2\" name=\"form_fields[field_33e614e]\" required=\"required\"> <label for=\"form-field-field_33e614e-2\">Normal <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Mala\" id=\"form-field-field_33e614e-3\" name=\"form_fields[field_33e614e]\" required=\"required\"> <label for=\"form-field-field_33e614e-3\">Mala <\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_72ea9c7 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_72ea9c7\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tEnfermera\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Muy buena\" id=\"form-field-field_72ea9c7-0\" name=\"form_fields[field_72ea9c7]\" required=\"required\"> <label for=\"form-field-field_72ea9c7-0\">Muy buena <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Buena\" id=\"form-field-field_72ea9c7-1\" name=\"form_fields[field_72ea9c7]\" required=\"required\"> <label for=\"form-field-field_72ea9c7-1\">Buena <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Normal\" id=\"form-field-field_72ea9c7-2\" name=\"form_fields[field_72ea9c7]\" required=\"required\"> <label for=\"form-field-field_72ea9c7-2\">Normal <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Mala\" id=\"form-field-field_72ea9c7-3\" name=\"form_fields[field_72ea9c7]\" required=\"required\"> <label for=\"form-field-field_72ea9c7-3\">Mala <\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_3b580c1 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_3b580c1\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tQu\u00edmico laboratorio cl\u00ednico\/Androlog\u00eda \t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Muy buena\" id=\"form-field-field_3b580c1-0\" name=\"form_fields[field_3b580c1]\" required=\"required\"> <label for=\"form-field-field_3b580c1-0\">Muy buena <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Buena\" id=\"form-field-field_3b580c1-1\" name=\"form_fields[field_3b580c1]\" required=\"required\"> <label for=\"form-field-field_3b580c1-1\">Buena <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Normal\" id=\"form-field-field_3b580c1-2\" name=\"form_fields[field_3b580c1]\" required=\"required\"> <label for=\"form-field-field_3b580c1-2\">Normal <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Mala\" id=\"form-field-field_3b580c1-3\" name=\"form_fields[field_3b580c1]\" required=\"required\"> <label for=\"form-field-field_3b580c1-3\">Mala <\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_84ff4f9 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_84ff4f9\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t Bi\u00f3loga Lab Fiv (si atiende paciente)\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Muy buena\" id=\"form-field-field_84ff4f9-0\" name=\"form_fields[field_84ff4f9]\" required=\"required\"> <label for=\"form-field-field_84ff4f9-0\">Muy buena <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Buena\" id=\"form-field-field_84ff4f9-1\" name=\"form_fields[field_84ff4f9]\" required=\"required\"> <label for=\"form-field-field_84ff4f9-1\">Buena <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Normal\" id=\"form-field-field_84ff4f9-2\" name=\"form_fields[field_84ff4f9]\" required=\"required\"> <label for=\"form-field-field_84ff4f9-2\">Normal <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Mala\" id=\"form-field-field_84ff4f9-3\" name=\"form_fields[field_84ff4f9]\" required=\"required\"> <label for=\"form-field-field_84ff4f9-3\">Mala <\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_ccb7a4e elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_ccb7a4e\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tLaboratorio\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Muy buena\" id=\"form-field-field_ccb7a4e-0\" name=\"form_fields[field_ccb7a4e]\" required=\"required\"> <label for=\"form-field-field_ccb7a4e-0\">Muy buena <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Buena\" id=\"form-field-field_ccb7a4e-1\" name=\"form_fields[field_ccb7a4e]\" required=\"required\"> <label for=\"form-field-field_ccb7a4e-1\">Buena <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Normal\" id=\"form-field-field_ccb7a4e-2\" name=\"form_fields[field_ccb7a4e]\" required=\"required\"> <label for=\"form-field-field_ccb7a4e-2\">Normal <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Mala\" id=\"form-field-field_ccb7a4e-3\" name=\"form_fields[field_ccb7a4e]\" required=\"required\"> <label for=\"form-field-field_ccb7a4e-3\">Mala <\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_8b8b591 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_8b8b591\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tEjecutivo\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Muy buena\" id=\"form-field-field_8b8b591-0\" name=\"form_fields[field_8b8b591]\" required=\"required\"> <label for=\"form-field-field_8b8b591-0\">Muy buena <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Buena\" id=\"form-field-field_8b8b591-1\" name=\"form_fields[field_8b8b591]\" required=\"required\"> <label for=\"form-field-field_8b8b591-1\">Buena <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Normal\" id=\"form-field-field_8b8b591-2\" name=\"form_fields[field_8b8b591]\" required=\"required\"> <label for=\"form-field-field_8b8b591-2\">Normal <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Mala\" id=\"form-field-field_8b8b591-3\" name=\"form_fields[field_8b8b591]\" required=\"required\"> <label for=\"form-field-field_8b8b591-3\">Mala <\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_71cce76 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_71cce76\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tCorreo electr\u00f3nico \t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Muy buena\" id=\"form-field-field_71cce76-0\" name=\"form_fields[field_71cce76]\" required=\"required\"> <label for=\"form-field-field_71cce76-0\">Muy buena <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Buena\" id=\"form-field-field_71cce76-1\" name=\"form_fields[field_71cce76]\" required=\"required\"> <label for=\"form-field-field_71cce76-1\">Buena <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Normal\" id=\"form-field-field_71cce76-2\" name=\"form_fields[field_71cce76]\" required=\"required\"> <label for=\"form-field-field_71cce76-2\">Normal <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Mala\" id=\"form-field-field_71cce76-3\" name=\"form_fields[field_71cce76]\" required=\"required\"> <label for=\"form-field-field_71cce76-3\">Mala <\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_773ee11 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_773ee11\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tPersonal de estacionamiento\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Muy buena\" id=\"form-field-field_773ee11-0\" name=\"form_fields[field_773ee11]\" required=\"required\"> <label for=\"form-field-field_773ee11-0\">Muy buena <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Buena\" id=\"form-field-field_773ee11-1\" name=\"form_fields[field_773ee11]\" required=\"required\"> <label for=\"form-field-field_773ee11-1\">Buena <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Normal\" id=\"form-field-field_773ee11-2\" name=\"form_fields[field_773ee11]\" required=\"required\"> <label for=\"form-field-field_773ee11-2\">Normal <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Mala\" id=\"form-field-field_773ee11-3\" name=\"form_fields[field_773ee11]\" required=\"required\"> <label for=\"form-field-field_773ee11-3\">Mala <\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_b35d980 elementor-col-100\">\n\t\t\t\t\t<br>Informaci\u00f3n recibida\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_cc1ad47 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_cc1ad47\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tEjecutivo comercial\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Muy buena\" id=\"form-field-field_cc1ad47-0\" name=\"form_fields[field_cc1ad47]\" required=\"required\"> <label for=\"form-field-field_cc1ad47-0\">Muy buena <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Buena\" id=\"form-field-field_cc1ad47-1\" name=\"form_fields[field_cc1ad47]\" required=\"required\"> <label for=\"form-field-field_cc1ad47-1\">Buena <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Normal\" id=\"form-field-field_cc1ad47-2\" name=\"form_fields[field_cc1ad47]\" required=\"required\"> <label for=\"form-field-field_cc1ad47-2\">Normal <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Mala\" id=\"form-field-field_cc1ad47-3\" name=\"form_fields[field_cc1ad47]\" required=\"required\"> <label for=\"form-field-field_cc1ad47-3\">Mala <\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_3e0036c elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_3e0036c\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tRecepci\u00f3n \t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Muy buena\" id=\"form-field-field_3e0036c-0\" name=\"form_fields[field_3e0036c]\" required=\"required\"> <label for=\"form-field-field_3e0036c-0\">Muy buena <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Buena\" id=\"form-field-field_3e0036c-1\" name=\"form_fields[field_3e0036c]\" required=\"required\"> <label for=\"form-field-field_3e0036c-1\">Buena <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Normal\" id=\"form-field-field_3e0036c-2\" name=\"form_fields[field_3e0036c]\" required=\"required\"> <label for=\"form-field-field_3e0036c-2\">Normal <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Mala\" id=\"form-field-field_3e0036c-3\" name=\"form_fields[field_3e0036c]\" required=\"required\"> <label for=\"form-field-field_3e0036c-3\">Mala <\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_d189de7 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_d189de7\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tEnfermer\u00eda\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Muy buena\" id=\"form-field-field_d189de7-0\" name=\"form_fields[field_d189de7]\" required=\"required\"> <label for=\"form-field-field_d189de7-0\">Muy buena <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Buena\" id=\"form-field-field_d189de7-1\" name=\"form_fields[field_d189de7]\" required=\"required\"> <label for=\"form-field-field_d189de7-1\">Buena <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Normal\" id=\"form-field-field_d189de7-2\" name=\"form_fields[field_d189de7]\" required=\"required\"> <label for=\"form-field-field_d189de7-2\">Normal <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Mala\" id=\"form-field-field_d189de7-3\" name=\"form_fields[field_d189de7]\" required=\"required\"> <label for=\"form-field-field_d189de7-3\">Mala <\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_e701d85 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_e701d85\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tM\u00e9dico\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Muy buena\" id=\"form-field-field_e701d85-0\" name=\"form_fields[field_e701d85]\" required=\"required\"> <label for=\"form-field-field_e701d85-0\">Muy buena <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Buena\" id=\"form-field-field_e701d85-1\" name=\"form_fields[field_e701d85]\" required=\"required\"> <label for=\"form-field-field_e701d85-1\">Buena <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Normal\" id=\"form-field-field_e701d85-2\" name=\"form_fields[field_e701d85]\" required=\"required\"> <label for=\"form-field-field_e701d85-2\">Normal <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Mala\" id=\"form-field-field_e701d85-3\" name=\"form_fields[field_e701d85]\" required=\"required\"> <label for=\"form-field-field_e701d85-3\">Mala <\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_9cf0b70 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_9cf0b70\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tQu\u00edmicos, Bi\u00f3logas\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Muy buena\" id=\"form-field-field_9cf0b70-0\" name=\"form_fields[field_9cf0b70]\" required=\"required\"> <label for=\"form-field-field_9cf0b70-0\">Muy buena <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Buena\" id=\"form-field-field_9cf0b70-1\" name=\"form_fields[field_9cf0b70]\" required=\"required\"> <label for=\"form-field-field_9cf0b70-1\">Buena <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Normal\" id=\"form-field-field_9cf0b70-2\" name=\"form_fields[field_9cf0b70]\" required=\"required\"> <label for=\"form-field-field_9cf0b70-2\">Normal <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Mala\" id=\"form-field-field_9cf0b70-3\" name=\"form_fields[field_9cf0b70]\" required=\"required\"> <label for=\"form-field-field_9cf0b70-3\">Mala <\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_8725042 elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_8725042\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tTratamiento realizado\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Fertilizaci\u00f3n in Vitro \" id=\"form-field-field_8725042-0\" name=\"form_fields[field_8725042]\" required=\"required\"> <label for=\"form-field-field_8725042-0\">Fertilizaci\u00f3n in Vitro <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Ovodonaci\u00f3n\" id=\"form-field-field_8725042-1\" name=\"form_fields[field_8725042]\" required=\"required\"> <label for=\"form-field-field_8725042-1\">Ovodonaci\u00f3n <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Inseminaci\u00f3n intrauterina \" id=\"form-field-field_8725042-2\" name=\"form_fields[field_8725042]\" required=\"required\"> <label for=\"form-field-field_8725042-2\">Inseminaci\u00f3n intrauterina <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Coito programado\" id=\"form-field-field_8725042-3\" name=\"form_fields[field_8725042]\" required=\"required\"> <label for=\"form-field-field_8725042-3\">Coito programado <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Laparascopia\" id=\"form-field-field_8725042-4\" name=\"form_fields[field_8725042]\" required=\"required\"> <label for=\"form-field-field_8725042-4\">Laparascopia <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Histeroscopia\" id=\"form-field-field_8725042-5\" name=\"form_fields[field_8725042]\" required=\"required\"> <label for=\"form-field-field_8725042-5\">Histeroscopia <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Preservaci\u00f3n de fertilidad\" id=\"form-field-field_8725042-6\" name=\"form_fields[field_8725042]\" required=\"required\"> <label for=\"form-field-field_8725042-6\">Preservaci\u00f3n de fertilidad <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Laboratorio General\" id=\"form-field-field_8725042-7\" name=\"form_fields[field_8725042]\" required=\"required\"> <label for=\"form-field-field_8725042-7\">Laboratorio General <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Laboratorio de Androlog\u00eda\" id=\"form-field-field_8725042-8\" name=\"form_fields[field_8725042]\" required=\"required\"> <label for=\"form-field-field_8725042-8\">Laboratorio de Androlog\u00eda <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Ginecolog\u00eda - revisi\u00f3n o seguimiento\" id=\"form-field-field_8725042-9\" name=\"form_fields[field_8725042]\" required=\"required\"> <label for=\"form-field-field_8725042-9\">Ginecolog\u00eda - revisi\u00f3n o seguimiento <\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_8e4a3f7 elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_8e4a3f7\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t\u00bfRecomendar\u00eda la cl\u00ednica?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\" Si\" id=\"form-field-field_8e4a3f7-0\" name=\"form_fields[field_8e4a3f7]\" required=\"required\"> <label for=\"form-field-field_8e4a3f7-0\">Si <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\" No\" id=\"form-field-field_8e4a3f7-1\" name=\"form_fields[field_8e4a3f7]\" required=\"required\"> <label for=\"form-field-field_8e4a3f7-1\">No <\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_f88786b elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_f88786b\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tQuejas o Comentarios\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[field_f88786b]\" id=\"form-field-field_f88786b\" rows=\"4\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_043e322 elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_043e322\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSeleccionar una de las opciones por favor.\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_043e322]\" id=\"form-field-field_043e322\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\" \">-- Seleccionar -- <\/option>\n\t\t\t\t\t\t\t\t\t<option value=\" Estoy de acuerdo en compartir mi comentario de manera an\u00f3nima \">Estoy de acuerdo en compartir mi comentario de manera an\u00f3nima <\/option>\n\t\t\t\t\t\t\t\t\t<option value=\" estoy de acuerdo en compartir mi comentario y nombre\">Estoy de acuerdo en compartir mi comentario y nombre <\/option>\n\t\t\t\t\t\t\t\t\t<option value=\" No estoy de acuerdo en compartir mi comentario\">No estoy de acuerdo en compartir mi comentario <\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-acceptance elementor-field-group elementor-column elementor-field-group-field_cda541e elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_cda541e\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tConozco el aviso de confidencialidad\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-subgroup\">\n\t\t\t<span class=\"elementor-field-option\">\n\t\t\t\t<input type=\"checkbox\" name=\"form_fields[field_cda541e]\" id=\"form-field-field_cda541e\" class=\"elementor-field elementor-size-sm  elementor-acceptance-field\" required=\"required\" checked=\"checked\">\n\t\t\t\t<label for=\"form-field-field_cda541e\">\n    <a href=\"https:\/\/fertilitycentermexico.com\/es\/aviso-de-privacidad\/\" target=\"_blank\" rel=\"noopener noreferrer\">Ver Aviso de Privacidad<\/a><\/label>\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-group elementor-column elementor-field-type-submit elementor-col-100 e-form__buttons\">\n\t\t\t\t\t<button class=\"elementor-button elementor-size-sm\" type=\"submit\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Enviar<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/button>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/form>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"_joinchat":[],"footnotes":""},"_links":{"self":[{"href":"https:\/\/fertilitycentermexico.com\/es\/wp-json\/wp\/v2\/pages\/17211"}],"collection":[{"href":"https:\/\/fertilitycentermexico.com\/es\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/fertilitycentermexico.com\/es\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/fertilitycentermexico.com\/es\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/fertilitycentermexico.com\/es\/wp-json\/wp\/v2\/comments?post=17211"}],"version-history":[{"count":86,"href":"https:\/\/fertilitycentermexico.com\/es\/wp-json\/wp\/v2\/pages\/17211\/revisions"}],"predecessor-version":[{"id":17377,"href":"https:\/\/fertilitycentermexico.com\/es\/wp-json\/wp\/v2\/pages\/17211\/revisions\/17377"}],"wp:attachment":[{"href":"https:\/\/fertilitycentermexico.com\/es\/wp-json\/wp\/v2\/media?parent=17211"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}