{"id":998,"date":"2023-10-03T23:18:39","date_gmt":"2023-10-03T23:18:39","guid":{"rendered":"https:\/\/drjorgegreen.com\/?page_id=998"},"modified":"2023-12-05T20:10:21","modified_gmt":"2023-12-05T20:10:21","slug":"cuestionario-medico","status":"publish","type":"page","link":"https:\/\/drjorgegreen.com\/es\/cuestionario-medico\/","title":{"rendered":"Cuestionario M\u00e9dico"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row section_type=&#8221;fullwidth&#8221; padding_top_multiplier=&#8221;&#8221; padding_bottom_multiplier=&#8221;&#8221; rc_bg_type=&#8221;image&#8221; rc_bg_image=&#8221;514&#8243; rc_bg_image_type=&#8221;parallax&#8221; rc_bg_image_size=&#8221;full&#8221; rc_bg_parallax_threshold=&#8221;0.5&#8243; columns_gap=&#8221;none&#8221; equal_column_height=&#8221;equal&#8221; el_class=&#8221;div_titulo_internas&#8221; section_id=&#8221;divs_desktop&#8221;][vc_column vertical_content_position=&#8221;bottom&#8221; full_height=&#8221;yes&#8221; text_align=&#8221;center&#8221;][vc_column_text]<\/p>\n<h1 class=\"texto_verde titulo_internas_01\" style=\"text-align: center;\">Cuestionario M\u00e9dico<\/h1>\n<div class=\"barra_01_texto\" style=\"margin: 0 auto 25px;\"><\/div>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row section_type=&#8221;fullwidth&#8221; padding_top_multiplier=&#8221;&#8221; padding_bottom_multiplier=&#8221;&#8221; rc_bg_type=&#8221;image&#8221; rc_bg_image=&#8221;515&#8243; rc_bg_image_type=&#8221;parallax&#8221; rc_bg_image_size=&#8221;full&#8221; rc_bg_parallax_threshold=&#8221;0.5&#8243; columns_gap=&#8221;none&#8221; equal_column_height=&#8221;equal&#8221; el_class=&#8221;div_titulo_internas&#8221; section_id=&#8221;divs_mobile&#8221;][vc_column vertical_content_position=&#8221;bottom&#8221; full_height=&#8221;yes&#8221; text_align=&#8221;center&#8221;][vc_column_text]<\/p>\n<h2 class=\"texto_verde titulo_internas_01\" style=\"text-align: center;\">Cuestionario M\u00e9dico<\/h2>\n<div class=\"barra_01_texto\" style=\"margin: 0 auto;\"><\/div>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row padding_top_multiplier=&#8221;&#8221; padding_bottom_multiplier=&#8221;&#8221; rc_bg_type=&#8221;color&#8221; columns_gap=&#8221;none&#8221; equal_column_height=&#8221;equal&#8221; rc_bg_color=&#8221;#dcefe7&#8243; el_class=&#8221;div_contenido_formulario_medico&#8221;][vc_column][vc_column_text]<\/p>\n<p class=\"texto_gris_01\" style=\"text-align: center; font-weight: 500;\">La informaci\u00f3n que proporciones nos ayudar\u00e1 a planificar tu tratamiento, por favor compl\u00e9tala cuidadosamente.<\/p>\n<p>[\/vc_column_text]<div class=\"eut-empty-space\" style=\"height: 50px;\"><\/div>\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f997-o1\" lang=\"en-US\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/wp-json\/wp\/v2\/pages\/998#wpcf7-f997-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"997\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.9.4\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f997-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/div>\n<h2 style=\"text-align: left;\">Determina tu candidatura\n<\/h2>\n<div class=\"barra_01_texto\" style=\"margin: 0 0 35px;\">\n<\/div>\n<p><label><span style=\"font-size:16px; color:#666;\">Peso actual<\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"weight\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"weight\" \/><\/span> <\/label>\n<\/p>\n<p><label><span style=\"font-size:16px; color:#666;\">Estatura<\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"height\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"height\" \/><\/span> <\/label>\n<\/p>\n<p style=\"font-size:16px; color:#666;\">Procedimiento de tu inter\u00e9s\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"procedure\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"procedure\" value=\"Manga g\u00e1strica\" \/><span class=\"wpcf7-list-item-label\">Manga g\u00e1strica<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"procedure\" value=\"Bypass g\u00e1strico\" \/><span class=\"wpcf7-list-item-label\">Bypass g\u00e1strico<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"procedure\" value=\"Mini bypass\" \/><span class=\"wpcf7-list-item-label\">Mini bypass<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"procedure\" value=\"Cirug\u00eda de revisi\u00f3n\" \/><span class=\"wpcf7-list-item-label\">Cirug\u00eda de revisi\u00f3n<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p style=\"font-size:16px; color:#666;\">\u00bfHas tenido alguna cirug\u00eda previa?\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"previous-surgeries\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"previous-surgeries\" value=\"Si\" \/><span class=\"wpcf7-list-item-label\">Si<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"previous-surgeries\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><label><span style=\"font-size:16px; color:#666;\">Enumera cualquier condici\u00f3n m\u00e9dica que tengas<\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"message-1\"><textarea cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"message-1\"><\/textarea><\/span> <\/label>\n<\/p>\n<p><label><span style=\"font-size:16px; color:#666;\">Nombre<\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"first-name\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" autocomplete=\"name\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"first-name\" \/><\/span> <\/label>\n<\/p>\n<p><label><span style=\"font-size:16px; color:#666;\">Apellido<\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"last-name\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" autocomplete=\"name\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"last-name\" \/><\/span> <\/label>\n<\/p>\n<p><label><span style=\"font-size:16px; color:#666;\">Email<\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"email\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" autocomplete=\"email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"email\" \/><\/span> <\/label>\n<\/p>\n<p><label><span style=\"font-size:16px; color:#666;\">Tel\u00e9fono<\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"phone\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"phone\" \/><\/span> <\/label>\n<\/p>\n<p><label><span style=\"font-size:16px; color:#666;\">Fecha de nacimiento<\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"date_of_birth\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"date_of_birth\" \/><\/span><\/label>\n<\/p>\n<p><label><span style=\"font-size:16px; color:#666;\">Edad<\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"age\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-required wpcf7-validates-as-number\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"number\" name=\"age\" \/><\/span> <\/label>\n<\/p>\n<p><label><span style=\"font-size:16px; color:#666;\">Pa\u00eds<\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"country\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"country\" \/><\/span> <\/label>\n<\/p>\n<p><label><span style=\"font-size:16px; color:#666;\">Ciudad<\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"city\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"city\" \/><\/span> <\/label>\n<\/p>\n<p><label><span style=\"font-size:16px; color:#666;\">Solicitud de fecha de cirug\u00eda<\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"date-156\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"date-156\" \/><\/span> <\/label>\n<\/p>\n<p><label><span style=\"font-size:16px; color:#666;\">Comentarios adicionales<\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"message-2\"><textarea cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"message-2\"><\/textarea><\/span> <\/label>\n<\/p>\n<p><label><span style=\"font-size:16px; color:#666;\"><div id=\"cf7sr-663b79d54a6f4\" class=\"cf7sr-g-recaptcha\" data-theme=\"light\" data-type=\"image\" data-size=\"normal\" data-sitekey=\"6LdOVMgoAAAAAAlWzfo-NxtNZLUNaM2r9ee7mjMJ\"><\/div><span class=\"wpcf7-form-control-wrap cf7sr-recaptcha\" data-name=\"cf7sr-recaptcha\"><input type=\"hidden\" name=\"cf7sr-recaptcha\" value=\"\" class=\"wpcf7-form-control\"><\/span><\/span><\/label>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"acceptance-1\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"acceptance-1\" value=\"1\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">Acepto los <a href=\"https:\/\/drjorgegreen.com\/es\/terminos-del-servicio\/\" target=\"_blank\">T\u00e9rminos del servicio<\/a><\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Enviar\" \/>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n[\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row section_type=&#8221;fullwidth&#8221; padding_top_multiplier=&#8221;&#8221; padding_bottom_multiplier=&#8221;&#8221; rc_bg_type=&#8221;image&#8221; rc_bg_image=&#8221;514&#8243; rc_bg_image_type=&#8221;parallax&#8221; rc_bg_image_size=&#8221;full&#8221; rc_bg_parallax_threshold=&#8221;0.5&#8243; columns_gap=&#8221;none&#8221; equal_column_height=&#8221;equal&#8221; el_class=&#8221;div_titulo_internas&#8221; section_id=&#8221;divs_desktop&#8221;][vc_column vertical_content_position=&#8221;bottom&#8221; full_height=&#8221;yes&#8221; text_align=&#8221;center&#8221;][vc_column_text] Cuestionario M\u00e9dico [\/vc_column_text][\/vc_column][\/vc_row][vc_row section_type=&#8221;fullwidth&#8221; padding_top_multiplier=&#8221;&#8221; padding_bottom_multiplier=&#8221;&#8221; rc_bg_type=&#8221;image&#8221; rc_bg_image=&#8221;515&#8243; rc_bg_image_type=&#8221;parallax&#8221; rc_bg_image_size=&#8221;full&#8221; rc_bg_parallax_threshold=&#8221;0.5&#8243; columns_gap=&#8221;none&#8221; equal_column_height=&#8221;equal&#8221; el_class=&#8221;div_titulo_internas&#8221; section_id=&#8221;divs_mobile&#8221;][vc_column vertical_content_position=&#8221;bottom&#8221; full_height=&#8221;yes&#8221; text_align=&#8221;center&#8221;][vc_column_text] Cuestionario M\u00e9dico [\/vc_column_text][\/vc_column][\/vc_row][vc_row padding_top_multiplier=&#8221;&#8221; padding_bottom_multiplier=&#8221;&#8221; rc_bg_type=&#8221;color&#8221; columns_gap=&#8221;none&#8221; equal_column_height=&#8221;equal&#8221; rc_bg_color=&#8221;#dcefe7&#8243; el_class=&#8221;div_contenido_formulario_medico&#8221;][vc_column][vc_column_text] La informaci\u00f3n que proporciones nos ayudar\u00e1 a planificar tu tratamiento, por [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"acf":[],"_links":{"self":[{"href":"https:\/\/drjorgegreen.com\/wp-json\/wp\/v2\/pages\/998"}],"collection":[{"href":"https:\/\/drjorgegreen.com\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/drjorgegreen.com\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/drjorgegreen.com\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/drjorgegreen.com\/wp-json\/wp\/v2\/comments?post=998"}],"version-history":[{"count":2,"href":"https:\/\/drjorgegreen.com\/wp-json\/wp\/v2\/pages\/998\/revisions"}],"predecessor-version":[{"id":5509,"href":"https:\/\/drjorgegreen.com\/wp-json\/wp\/v2\/pages\/998\/revisions\/5509"}],"wp:attachment":[{"href":"https:\/\/drjorgegreen.com\/wp-json\/wp\/v2\/media?parent=998"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}