{"id":52396,"date":"2025-08-12T11:11:41","date_gmt":"2025-08-12T09:11:41","guid":{"rendered":"https:\/\/dev.institutchiaribcn.com\/test-enfermedad-filum\/"},"modified":"2026-04-02T10:11:46","modified_gmt":"2026-04-02T08:11:46","slug":"%ec%a2%85%ec%82%ac-%ec%a7%88%eb%b3%91-%ea%b0%80%eb%8a%a5%ec%84%b1-%ed%85%8c%ec%8a%a4%ed%8a%b8","status":"publish","type":"page","link":"https:\/\/institutchiaribcn.com\/ko\/%ec%a2%85%ec%82%ac-%ec%a7%88%eb%b3%91-%ea%b0%80%eb%8a%a5%ec%84%b1-%ed%85%8c%ec%8a%a4%ed%8a%b8\/","title":{"rendered":"Test Institut Chiari"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"52396\" class=\"elementor elementor-52396 elementor-48668\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-261dbdf e-flex e-con-boxed e-con e-parent\" data-id=\"261dbdf\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-f6cd230 e-con-full e-flex e-con e-child\" data-id=\"f6cd230\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-9446ae8 elementor-widget elementor-widget-heading\" data-id=\"9446ae8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">\ucc99\ucd94\uce21\ub9cc\uc99d, \ucc99\uc218\uacf5\ub3d9\uc99d, \uc544\ub180\ub4dc \ud0a4\uc544\ub9ac\uc5d0 \ub300\ud574 \uc54c\uc544 \ud560 \ubaa8\ub4e0 \uac83<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-207b628 elementor-widget elementor-widget-heading\" data-id=\"207b628\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">\uc885\uc0ac \uc9c8\ubcd1 \uac00\ub2a5\uc131 \ud14c\uc2a4\ud2b8<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-3e9ce7d e-flex e-con-boxed e-con e-parent\" data-id=\"3e9ce7d\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3290ef3 elementor-widget elementor-widget-shortcode\" data-id=\"3290ef3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gform-theme gform-theme--foundation gform-theme--framework gform-theme--orbital' data-form-theme='orbital' data-form-index='0' id='gform_wrapper_1' style='display:none'><style>#gform_wrapper_1[data-form-index=\"0\"].gform-theme,[data-parent-form=\"1_0\"]{--gf-color-primary: #204ce5;--gf-color-primary-rgb: 32, 76, 229;--gf-color-primary-contrast: #fff;--gf-color-primary-contrast-rgb: 255, 255, 255;--gf-color-primary-darker: #001AB3;--gf-color-primary-lighter: #527EFF;--gf-color-secondary: #fff;--gf-color-secondary-rgb: 255, 255, 255;--gf-color-secondary-contrast: #112337;--gf-color-secondary-contrast-rgb: 17, 35, 55;--gf-color-secondary-darker: #F5F5F5;--gf-color-secondary-lighter: #FFFFFF;--gf-color-out-ctrl-light: rgba(17, 35, 55, 0.1);--gf-color-out-ctrl-light-rgb: 17, 35, 55;--gf-color-out-ctrl-light-darker: rgba(104, 110, 119, 0.35);--gf-color-out-ctrl-light-lighter: #F5F5F5;--gf-color-out-ctrl-dark: #585e6a;--gf-color-out-ctrl-dark-rgb: 88, 94, 106;--gf-color-out-ctrl-dark-darker: #112337;--gf-color-out-ctrl-dark-lighter: rgba(17, 35, 55, 0.65);--gf-color-in-ctrl: #fff;--gf-color-in-ctrl-rgb: 255, 255, 255;--gf-color-in-ctrl-contrast: #112337;--gf-color-in-ctrl-contrast-rgb: 17, 35, 55;--gf-color-in-ctrl-darker: #F5F5F5;--gf-color-in-ctrl-lighter: #FFFFFF;--gf-color-in-ctrl-primary: #204ce5;--gf-color-in-ctrl-primary-rgb: 32, 76, 229;--gf-color-in-ctrl-primary-contrast: #fff;--gf-color-in-ctrl-primary-contrast-rgb: 255, 255, 255;--gf-color-in-ctrl-primary-darker: #001AB3;--gf-color-in-ctrl-primary-lighter: #527EFF;--gf-color-in-ctrl-light: rgba(17, 35, 55, 0.1);--gf-color-in-ctrl-light-rgb: 17, 35, 55;--gf-color-in-ctrl-light-darker: rgba(104, 110, 119, 0.35);--gf-color-in-ctrl-light-lighter: #F5F5F5;--gf-color-in-ctrl-dark: #585e6a;--gf-color-in-ctrl-dark-rgb: 88, 94, 106;--gf-color-in-ctrl-dark-darker: #112337;--gf-color-in-ctrl-dark-lighter: rgba(17, 35, 55, 0.65);--gf-radius: 3px;--gf-font-size-secondary: 14px;--gf-font-size-tertiary: 13px;--gf-icon-ctrl-number: url(\"data:image\/svg+xml,%3Csvg width='8' height='14' viewBox='0 0 8 14' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'%3E%3Cpath fill-rule='evenodd' clip-rule='evenodd' d='M4 0C4.26522 5.96046e-08 4.51957 0.105357 4.70711 0.292893L7.70711 3.29289C8.09763 3.68342 8.09763 4.31658 7.70711 4.70711C7.31658 5.09763 6.68342 5.09763 6.29289 4.70711L4 2.41421L1.70711 4.70711C1.31658 5.09763 0.683417 5.09763 0.292893 4.70711C-0.0976311 4.31658 -0.097631 3.68342 0.292893 3.29289L3.29289 0.292893C3.48043 0.105357 3.73478 0 4 0ZM0.292893 9.29289C0.683417 8.90237 1.31658 8.90237 1.70711 9.29289L4 11.5858L6.29289 9.29289C6.68342 8.90237 7.31658 8.90237 7.70711 9.29289C8.09763 9.68342 8.09763 10.3166 7.70711 10.7071L4.70711 13.7071C4.31658 14.0976 3.68342 14.0976 3.29289 13.7071L0.292893 10.7071C-0.0976311 10.3166 -0.0976311 9.68342 0.292893 9.29289Z' fill='rgba(17, 35, 55, 0.65)'\/%3E%3C\/svg%3E\");--gf-icon-ctrl-select: url(\"data:image\/svg+xml,%3Csvg width='10' height='6' viewBox='0 0 10 6' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'%3E%3Cpath fill-rule='evenodd' clip-rule='evenodd' d='M0.292893 0.292893C0.683417 -0.097631 1.31658 -0.097631 1.70711 0.292893L5 3.58579L8.29289 0.292893C8.68342 -0.0976311 9.31658 -0.0976311 9.70711 0.292893C10.0976 0.683417 10.0976 1.31658 9.70711 1.70711L5.70711 5.70711C5.31658 6.09763 4.68342 6.09763 4.29289 5.70711L0.292893 1.70711C-0.0976311 1.31658 -0.0976311 0.683418 0.292893 0.292893Z' fill='rgba(17, 35, 55, 0.65)'\/%3E%3C\/svg%3E\");--gf-icon-ctrl-search: url(\"data:image\/svg+xml,%3Csvg width='640' height='640' xmlns='http:\/\/www.w3.org\/2000\/svg'%3E%3Cpath d='M256 128c-70.692 0-128 57.308-128 128 0 70.691 57.308 128 128 128 70.691 0 128-57.309 128-128 0-70.692-57.309-128-128-128zM64 256c0-106.039 85.961-192 192-192s192 85.961 192 192c0 41.466-13.146 79.863-35.498 111.248l154.125 154.125c12.496 12.496 12.496 32.758 0 45.254s-32.758 12.496-45.254 0L367.248 412.502C335.862 434.854 297.467 448 256 448c-106.039 0-192-85.962-192-192z' fill='rgba(17, 35, 55, 0.65)'\/%3E%3C\/svg%3E\");--gf-label-space-y-secondary: var(--gf-label-space-y-md-secondary);--gf-ctrl-border-color: #686e77;--gf-ctrl-size: var(--gf-ctrl-size-md);--gf-ctrl-label-color-primary: #112337;--gf-ctrl-label-color-secondary: #112337;--gf-ctrl-choice-size: var(--gf-ctrl-choice-size-md);--gf-ctrl-checkbox-check-size: var(--gf-ctrl-checkbox-check-size-md);--gf-ctrl-radio-check-size: var(--gf-ctrl-radio-check-size-md);--gf-ctrl-btn-font-size: var(--gf-ctrl-btn-font-size-md);--gf-ctrl-btn-padding-x: var(--gf-ctrl-btn-padding-x-md);--gf-ctrl-btn-size: var(--gf-ctrl-btn-size-md);--gf-ctrl-btn-border-color-secondary: #686e77;--gf-ctrl-file-btn-bg-color-hover: #EBEBEB;--gf-field-img-choice-size: var(--gf-field-img-choice-size-md);--gf-field-img-choice-card-space: var(--gf-field-img-choice-card-space-md);--gf-field-img-choice-check-ind-size: var(--gf-field-img-choice-check-ind-size-md);--gf-field-img-choice-check-ind-icon-size: var(--gf-field-img-choice-check-ind-icon-size-md);--gf-field-pg-steps-number-color: rgba(17, 35, 55, 0.8);}<\/style>\n                        <div class='gform_heading'>\n                            <h2 class=\"gform_title\">Test Filum<\/h2>\n                            <p class='gform_description'><\/p>\n\t\t\t\t\t\t\t<p class='gform_required_legend'>&quot;<span class=\"gfield_required gfield_required_asterisk\">*<\/span>&quot; indicates required fields<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_1'  action='\/ko\/wp-json\/wp\/v2\/pages\/52396' data-formid='1' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_1' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_1_25\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_25'>Company<\/label><div class='ginput_container'><input name='input_25' id='input_1_25' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_1_25'>This field is for validation purposes and should be left unchanged.<\/div><\/div><div id=\"field_1_1\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_1'>\uc131\uba85<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_1_1' type='text' value='' class='large'    placeholder='\uc131\uba85' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_10\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_10'>\uc774\uba54\uc77c<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_10' id='input_1_10' type='email' value='' class='large'   placeholder='\uc774\uba54\uc77c' aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_1_11\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_11'>\uc131\ubcc4<\/label><div class='ginput_container ginput_container_select'><select name='input_11' id='input_1_11' class='large gfield_select'     aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>\uc131\ubcc4<\/option><option value='Femenino' >\uc5ec\uc131<\/option><option value='Masculino' >\ub0a8\uc131<\/option><\/select><\/div><\/div><div id=\"field_1_12\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_12'>\ub098\uc774<\/label><div class='ginput_container ginput_container_select'><select name='input_12' id='input_1_12' class='large gfield_select'     aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>\ub098\uc774<\/option><option value='Menor de 16 a\u00f1os' >16\uc138 \uc774\ud558<\/option><option value='Entre 16 y 30 a\u00f1os' >16\uc138~30\uc138<\/option><option value='Entre 31 y 45 a\u00f1os' >31\uc138~45\uc138<\/option><option value='Entre 46 y 59 a\u00f1os' >46\uc138~59\uc138<\/option><option value='M\u00e1s de 60 a\u00f1os' >60\uc138 \uc774\uc0c1<\/option><\/select><\/div><\/div><fieldset id=\"field_1_21\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >* \ud558\ub2e8 \uc0c1\uc790 \uccb4\ud06c \ud544\uc218<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_21.1' id='input_1_21_1' type='checkbox' value='1'   aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_1_21_1' ><a target=\u201d_blank\u201d href=\"https:\/\/institutchiaribcn.com\/ko\/legal-notice\/\">\uc774\uc6a9 \uc57d\uad00\uc5d0 \ub3d9\uc758\ud558\uba70 EU 2016\/679 \uaddc\uc815\uc5d0 \ub530\ub978 \ubcf8\uc778\uc758 \uac1c\uc778 \uc815\ubcf4 \ucde8\uae09\uc5d0 \uba85\ud655\ud788 \ub3d9\uc758\ud569\ub2c8\ub2e4.<\/a><\/label><input type='hidden' name='input_21.2' value='&lt;a target=\u201d_blank\u201d href=&quot;https:\/\/institutchiaribcn.com\/ko\/legal-notice\/&quot;&gt;\uc774\uc6a9 \uc57d\uad00\uc5d0 \ub3d9\uc758\ud558\uba70 EU 2016\/679 \uaddc\uc815\uc5d0 \ub530\ub978 \ubcf8\uc778\uc758 \uac1c\uc778 \uc815\ubcf4 \ucde8\uae09\uc5d0 \uba85\ud655\ud788 \ub3d9\uc758\ud569\ub2c8\ub2e4.&lt;\/a&gt;' class='gform_hidden' \/><input type='hidden' name='input_21.3' value='1' class='gform_hidden' \/><\/div><\/fieldset><div id=\"field_1_4\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class=\"icseb-section\">\r\n    <h2>\uac1c\uc778\ub825<\/h2>\r\n<\/div>\r\n<p class=\"icseb-section-text\"><strong>\uc544\ub798\uc640 \uac19\uc740 \uc9c8\ubcd1\uc744 \uc9c4\ub2e8 \ubc1b\uc73c\uc168\uc2b5\ub2c8\uae4c?<\/strong><\/p><\/div><fieldset id=\"field_1_6\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Antecedentes personales<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_1_6'><div class='gchoice gchoice_1_6_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_6.1' type='checkbox'  value='200'  id='choice_1_6_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_6_1' id='label_1_6_1' class='gform-field-label gform-field-label--type-inline'>\uc544\ub180\ub4dc \ud0a4\uc544\ub9ac \uc99d\ud6c4\uad70 \uc81c1\ud615<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_6_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_6.2' type='checkbox'  value='600'  id='choice_1_6_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_6_2' id='label_1_6_2' class='gform-field-label gform-field-label--type-inline'>\ud2b9\ubc1c\uc131 \ucc99\uc218\uacf5\ub3d9\uc99d<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_6_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_6.3' type='checkbox'  value='200'  id='choice_1_6_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_6_3' id='label_1_6_3' class='gform-field-label gform-field-label--type-inline'>\ub450\uac1c\uc800 \ud568\uc785, \uce58\uc544\ub3cc\uae30 \ud6c4\uad74, \ub1cc\uac04\uc758 \uaf2c\uc784, \uc57c\ub1e8\uc99d\uc774 \uc788\ub2e4.<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_6_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_6.4' type='checkbox'  value='100'  id='choice_1_6_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_6_4' id='label_1_6_4' class='gform-field-label gform-field-label--type-inline'>\ud2b9\ubc1c\uc131 \ucc99\ucd94\uce21\ub9cc\uc99d \ub610\ub294 \ucc99\ucd94\ud6c4\ub9cc\uc99d<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_6_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_6.5' type='checkbox'  value='10'  id='choice_1_6_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_6_5' id='label_1_6_5' class='gform-field-label gform-field-label--type-inline'>\ucd94\uac04\ud310 \ud0c8\ucd9c\uc99d \ub610\ub294 \ub3cc\ucd9c\uc99d<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_6_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_6.6' type='checkbox'  value='10'  id='choice_1_6_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_6_6' id='label_1_6_6' class='gform-field-label gform-field-label--type-inline'>\ub4f1\uc774 \ud728<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_6_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_6.7' type='checkbox'  value='0'  id='choice_1_6_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_6_7' id='label_1_6_7' class='gform-field-label gform-field-label--type-inline'>\uae30\ud0c0 \uc9c4\ub2e8<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_1_7\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_7'>txtOtrosDiagnosticos<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_7' id='input_1_7' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_1_19\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class=\"icseb-section\">\r\n    <h2>\uac00\uc871\ub825<\/h2>\r\n<\/div>\r\n<p class=\"icseb-section-text\"><strong>\uc9c1\uacc4 \uac00\uc871, \ubd80\uacc4 \ub610\ub294 \ubaa8\uacc4 \uac00\uc871 \uc911 \ub2e4\uc74c\uacfc \uac19\uc740 \ubcd1\uc744 \uc553\ub294 \ubd84\uc774 \uc788\uc2b5\ub2c8\uae4c?<\/strong><\/p><\/div><fieldset id=\"field_1_20\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Antecedentes familiares<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_1_20'><div class='gchoice gchoice_1_20_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_20.1' type='checkbox'  value='4'  id='choice_1_20_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_20_1' id='label_1_20_1' class='gform-field-label gform-field-label--type-inline'>\uc544\ub180\ub4dc \ud0a4\uc544\ub9ac \uc99d\ud6c4\uad70 \uc81c1\ud615<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_20_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_20.2' type='checkbox'  value='4'  id='choice_1_20_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_20_2' id='label_1_20_2' class='gform-field-label gform-field-label--type-inline'>\ud2b9\ubc1c\uc131 \ucc99\uc218\uacf5\ub3d9\uc99d<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_20_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_20.3' type='checkbox'  value='4'  id='choice_1_20_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_20_3' id='label_1_20_3' class='gform-field-label gform-field-label--type-inline'>\ud2b9\ubc1c\uc131 \ucc99\ucd94\uce21\ub9cc\uc99d \ub610\ub294 \ucc99\ucd94\ud6c4\ub9cc\uc99d<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_1_13\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class=\"icseb-section\">\r\n    <h2>\uc99d\uc0c1<\/h2>\r\n<\/div>\r\n<p class=\"icseb-section-text\"><strong>\uc544\ub798\uc758 \ubcf4\uae30 \uc911 \ud558\ub098 \uc774\uc0c1\uc758 \ubd80\ubd84\uc5d0 \ud1b5\uc99d\uc774 \uc788\uc73c\uc2ed\ub2c8\uae4c?<\/strong><\/p><\/div><fieldset id=\"field_1_16\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >S\u00edntomas<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_1_16'><div class='gchoice gchoice_1_16_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.1' type='checkbox'  value='2'  id='choice_1_16_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_16_1' id='label_1_16_1' class='gform-field-label gform-field-label--type-inline'>\uba38\ub9ac<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_16_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.2' type='checkbox'  value='2'  id='choice_1_16_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_16_2' id='label_1_16_2' class='gform-field-label gform-field-label--type-inline'>\ub4b7\ud1b5\uc218<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_16_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.3' type='checkbox'  value='2'  id='choice_1_16_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_16_3' id='label_1_16_3' class='gform-field-label gform-field-label--type-inline'>\ubaa9<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_16_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.4' type='checkbox'  value='1'  id='choice_1_16_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_16_4' id='label_1_16_4' class='gform-field-label gform-field-label--type-inline'>\ub4f1 \uc704\ucabd<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_16_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.5' type='checkbox'  value='1'  id='choice_1_16_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_16_5' id='label_1_16_5' class='gform-field-label gform-field-label--type-inline'>\ub4f1 \uc544\ub798\ucabd<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_16_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.6' type='checkbox'  value='2'  id='choice_1_16_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_16_6' id='label_1_16_6' class='gform-field-label gform-field-label--type-inline'>\ucc9c\uace8 \ub610\ub294 \ubbf8\uace8<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_16_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.7' type='checkbox'  value='1'  id='choice_1_16_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_16_7' id='label_1_16_7' class='gform-field-label gform-field-label--type-inline'>\uc0c1\uc9c0 \uc804\uccb4 \ub610\ub294 \ubd80\ubd84<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_16_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.8' type='checkbox'  value='1'  id='choice_1_16_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_16_8' id='label_1_16_8' class='gform-field-label gform-field-label--type-inline'>\ud558\uc9c0 \uc804\uccb4 \ub610\ub294 \ubd80\ubd84<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_1_15\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p class=\"icseb-section-text\"><strong>\ub2e4\uc74c\uacfc \uac19\uc740 \uc99d\uc0c1\uc774 \uc788\uc2b5\ub2c8\uae4c?<\/strong><\/p><\/div><fieldset id=\"field_1_14\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >S\u00edntomas2<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_1_14'><div class='gchoice gchoice_1_14_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.1' type='checkbox'  value='2'  id='choice_1_14_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_14_1' id='label_1_14_1' class='gform-field-label gform-field-label--type-inline'>\ubab8\uc758 \ud55c \ubd80\ubd84\uc5d0 \uc800\ub9bc\uc774 \uc788\uac70\ub098 \uac10\uac01\uc774 \ub454\ud574\uc9d0<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_14_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.2' type='checkbox'  value='1'  id='choice_1_14_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_14_2' id='label_1_14_2' class='gform-field-label gform-field-label--type-inline'>\uad6c\uc5ed\uc9c8 \ub610\ub294 \uad6c\ud1a0<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_14_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.3' type='checkbox'  value='2'  id='choice_1_14_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_14_3' id='label_1_14_3' class='gform-field-label gform-field-label--type-inline'>\ud604\uae30\uc99d<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_14_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.4' type='checkbox'  value='2'  id='choice_1_14_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_14_4' id='label_1_14_4' class='gform-field-label gform-field-label--type-inline'>\uac00\ub9cc\ud788 \uc11c \uc788\uc744 \ub54c \ub610\ub294 \uac78\uc744 \ub54c \ubd88\uc548\uc815\ud568<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_14_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.5' type='checkbox'  value='2'  id='choice_1_14_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_14_5' id='label_1_14_5' class='gform-field-label gform-field-label--type-inline'>\uc561\uccb4\ub098 \uace0\uccb4\ub97c \uc0bc\ud0a4\uae30 \uc5b4\ub835\uac70\ub098 \ubaa9\uad6c\uba4d\uc5d0 \ud639\uc774 \uc788\ub294 \ub290\ub08c<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_14_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.6' type='checkbox'  value='2'  id='choice_1_14_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_14_6' id='label_1_14_6' class='gform-field-label gform-field-label--type-inline'>\uc2e4\uc2e0<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_14_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.7' type='checkbox'  value='1'  id='choice_1_14_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_14_7' id='label_1_14_7' class='gform-field-label gform-field-label--type-inline'>\ubd88\uba74\uc99d\uc5d0 \uc2dc\ub2ec\ub9bc<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_14_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.8' type='checkbox'  value='2'  id='choice_1_14_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_14_8' id='label_1_14_8' class='gform-field-label gform-field-label--type-inline'>\uc27d\uac8c \uc9c0\uce58\uac70\ub098 \ud56d\uc0c1 \ud53c\ub85c\uac10\uc744 \ub290\ub08c<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_14_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.9' type='checkbox'  value='1'  id='choice_1_14_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_14_9' id='label_1_14_9' class='gform-field-label gform-field-label--type-inline'>\ubcf4\ud589 \uc7a5\uc560 \ub610\ub294 \uc5b4\ub824\uc6c0<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_14_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.11' type='checkbox'  value='2'  id='choice_1_14_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_14_11' id='label_1_14_11' class='gform-field-label gform-field-label--type-inline'>\ud53c\ubd80\uc758 \uc5b4\ub5a4 \ubd80\uc704\uac00 \ud1b5\uac01\uc774\ub098 \ucd09\uac01\uc744 \uc57d\ud558\uac8c \uc778\uc9c0\ud558\uac70\ub098 \uc804\ud600 \uc778\uc9c0\ud558\uc9c0 \ubabb\ud568<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_14_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.12' type='checkbox'  value='4'  id='choice_1_14_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_14_12' id='label_1_14_12' class='gform-field-label gform-field-label--type-inline'>\ud53c\ubd80\uc758 \uc5b4\ub5a4 \ubd80\uc704\uac00 \ucc28\uac00\uc6c0\uc774\ub098 \ub728\uac70\uc6c0\uc744 \uc57d\ud558\uac8c \uc778\uc9c0\ud558\uac70\ub098 \uc804\ud600 \uc778\uc9c0\ud558\uc9c0 \ubabb\ud568<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_1_17\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p class=\"icseb-section-text\"><strong>\ub2e4\uc74c\uacfc \uac19\uc740 \uc0ac\ud56d\uc5d0 \uc5b4\ub824\uc6c0\uc774 \uc788\uc74c<\/strong><\/p><\/div><fieldset id=\"field_1_18\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Dificultades<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_1_18'><div class='gchoice gchoice_1_18_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.1' type='checkbox'  value='2'  id='choice_1_18_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_18_1' id='label_1_18_1' class='gform-field-label gform-field-label--type-inline'>\uc9d1\uc911\ub825<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_18_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.2' type='checkbox'  value='2'  id='choice_1_18_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_18_2' id='label_1_18_2' class='gform-field-label gform-field-label--type-inline'>\uae30\uc5b5\ub825<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_18_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.3' type='checkbox'  value='1'  id='choice_1_18_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_18_3' id='label_1_18_3' class='gform-field-label gform-field-label--type-inline'>\uc5b8\uc5b4 \ub2a5\ub825<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_1_8\" class=\"gfield gfield--type-number gfield--input-type-number gfield_calculation field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_1_8'>N\u00famero<\/label><div class='ginput_container ginput_container_number'><input name='input_8' id='input_1_8' type='text' step='any'   value='' 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