{"id":1219,"date":"2026-04-08T18:02:37","date_gmt":"2026-04-08T18:02:37","guid":{"rendered":"https:\/\/www.barklawfirm.com\/cuestionario\/"},"modified":"2026-04-14T19:51:09","modified_gmt":"2026-04-14T19:51:09","slug":"cuestionario","status":"publish","type":"page","link":"https:\/\/www.barklawfirm.com\/es\/cuestionario\/","title":{"rendered":"Cuestionario"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text module_class=&#8221;intro&#8221; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; header_text_align=&#8221;left&#8221; header_text_color=&#8221;#000000&#8243; header_font_size=&#8221;46px&#8221; header_2_text_align=&#8221;left&#8221; header_2_text_color=&#8221;#000000&#8243; header_2_font_size=&#8221;30px&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<h1>Descubra si es probable que tenga un caso en 30 segundos<\/h1>\n<h2>Sin formularios. Sin presiones. Solo unas cuantas preguntas r\u00e1pidas.  <\/h2>\n<p>[\/et_pb_text][et_pb_button button_url=&#8221;#&#8221; button_text=&#8221;Comenzar&#8221; module_class=&#8221;start&#8221; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_button][et_pb_code module_class=&#8221;questionaire&#8221; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]<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 gppt-has-page-transitions_wrapper gform-theme__no-reset--el_wrapper gppt-no-buttons_wrapper' data-form-theme='orbital' data-form-index='0' id='gform_wrapper_5' style='display:none'><style>#gform_wrapper_5[data-form-index=\"0\"].gform-theme,[data-parent-form=\"5_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                            <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; se\u00f1ala los campos obligatorios<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_5' id='gform_5' class='gppt-has-page-transitions gform-theme__no-reset--el gppt-no-buttons ' action='\/es\/wp-json\/wp\/v2\/pages\/1219' data-formid='5' novalidate>\n        <div id='gf_progressbar_wrapper_5' class='gf_progressbar_wrapper' data-start-at-zero=''>\n        \t<p class=\"gf_progressbar_title\">Paso <span class='gf_step_current_page'>1<\/span> de <span class='gf_step_page_count'>14<\/span><span class='gf_step_page_name'><\/span>\n        \t<\/p>\n            <div class='gf_progressbar gf_progressbar_blue' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_blue percentbar_7' style='width:7%;'><span>7%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_5_1' class='gform_page ' data-js='page-field-id-0' >\n\t\t\t\t\t<div class='gform_page_fields'><div id='gform_fields_5' class='gform_fields top_label form_sublabel_below description_below validation_below'><fieldset id=\"field_5_10\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gppt-auto-progress-field field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u00bfQu\u00e9 pas\u00f3?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_10'>\n\t\t\t<div class='gchoice gchoice_5_10_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='Me lesion\u00e9 en el trabajo'  id='choice_5_10_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_10_0' id='label_5_10_0' class='gform-field-label gform-field-label--type-inline'>Me lesion\u00e9 en el trabajo<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_10_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='Me lesion\u00e9 fuera del trabajo'  id='choice_5_10_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_10_1' id='label_5_10_1' class='gform-field-label gform-field-label--type-inline'>Me lesion\u00e9 fuera del trabajo<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <div class=\"gppt-hide gform-theme__disable-reset\"><input type='button' id='gform_next_button_5_17' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/><\/div> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_5_2' class='gform_page' data-js='page-field-id-17' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_5_2' class='gform_fields top_label form_sublabel_below description_below validation_below'><fieldset id=\"field_5_16\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gppt-auto-progress-field field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u00bfCu\u00e1l describe mejor su situaci\u00f3n?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_16'>\n\t\t\t<div class='gchoice gchoice_5_16_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_16' type='radio' value='Accidente repentino (ca\u00edda, levantar algo, etc.)'  id='choice_5_16_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_16_0' id='label_5_16_0' class='gform-field-label gform-field-label--type-inline'>Accidente repentino (ca\u00edda, levantar algo, etc.)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_16_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_16' type='radio' value='Estr\u00e9s repetitivo (dolor con el tiempo)'  id='choice_5_16_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_16_1' id='label_5_16_1' class='gform-field-label gform-field-label--type-inline'>Estr\u00e9s repetitivo (dolor con el tiempo)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_16_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_16' type='radio' value='Enfermedad o exposici\u00f3n en el trabajo'  id='choice_5_16_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_16_2' id='label_5_16_2' class='gform-field-label gform-field-label--type-inline'>Enfermedad o exposici\u00f3n en el trabajo<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_16_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_16' type='radio' value='Todas las anteriores'  id='choice_5_16_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_16_3' id='label_5_16_3' class='gform-field-label gform-field-label--type-inline'>Todas las anteriores<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <div class=\"gppt-hide gform-theme__disable-reset\"><input type='button' id='gform_previous_button_5_19' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/><\/div> <div class=\"gppt-hide gform-theme__disable-reset\"><input type='button' id='gform_next_button_5_19' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/><\/div> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_5_3' class='gform_page' data-js='page-field-id-19' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_5_3' class='gform_fields top_label form_sublabel_below description_below validation_below'><fieldset id=\"field_5_20\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gppt-auto-progress-field field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u00bfHa recibido atenci\u00f3n m\u00e9dica?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_20'>\n\t\t\t<div class='gchoice gchoice_5_20_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_20' type='radio' value='S\u00ed'  id='choice_5_20_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_20_0' id='label_5_20_0' class='gform-field-label gform-field-label--type-inline'>S\u00ed<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_20_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_20' type='radio' value='Todav\u00eda no'  id='choice_5_20_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_20_1' id='label_5_20_1' class='gform-field-label gform-field-label--type-inline'>Todav\u00eda no<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_20_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_20' type='radio' value='Intent\u00e9, pero me lo negaron'  id='choice_5_20_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_20_2' id='label_5_20_2' class='gform-field-label gform-field-label--type-inline'>Intent\u00e9, pero me lo negaron<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <div class=\"gppt-hide gform-theme__disable-reset\"><input type='button' id='gform_previous_button_5_21' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/><\/div> <div class=\"gppt-hide gform-theme__disable-reset\"><input type='button' id='gform_next_button_5_21' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/><\/div> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_5_4' class='gform_page' data-js='page-field-id-21' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_5_4' class='gform_fields top_label form_sublabel_below description_below validation_below'><fieldset id=\"field_5_22\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gppt-auto-progress-field field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u00bfHa reportado esto a su empleador?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_22'>\n\t\t\t<div class='gchoice gchoice_5_22_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_22' type='radio' value='S\u00ed'  id='choice_5_22_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_22_0' id='label_5_22_0' class='gform-field-label gform-field-label--type-inline'>S\u00ed<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_22_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_22' type='radio' value='No'  id='choice_5_22_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_22_1' id='label_5_22_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <div class=\"gppt-hide gform-theme__disable-reset\"><input type='button' id='gform_previous_button_5_26' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/><\/div> <div class=\"gppt-hide gform-theme__disable-reset\"><input type='button' id='gform_next_button_5_26' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/><\/div> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_5_5' class='gform_page' data-js='page-field-id-26' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_5_5' class='gform_fields top_label form_sublabel_below description_below validation_below'><fieldset id=\"field_5_25\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gppt-auto-progress-field field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u00bfCu\u00e1ndo ocurri\u00f3 esto?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_25'>\n\t\t\t<div class='gchoice gchoice_5_25_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_25' type='radio' value='En los \u00faltimos d\u00edas'  id='choice_5_25_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_25_0' id='label_5_25_0' class='gform-field-label gform-field-label--type-inline'>En los \u00faltimos d\u00edas<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_25_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_25' type='radio' value='Esta semana'  id='choice_5_25_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_25_1' id='label_5_25_1' class='gform-field-label gform-field-label--type-inline'>Esta semana<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_25_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_25' type='radio' value='En los \u00faltimos 30 d\u00edas'  id='choice_5_25_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_25_2' id='label_5_25_2' class='gform-field-label gform-field-label--type-inline'>En los \u00faltimos 30 d\u00edas<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_25_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_25' type='radio' value='Hace 1 a 3 meses'  id='choice_5_25_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_25_3' id='label_5_25_3' class='gform-field-label gform-field-label--type-inline'>Hace 1 a 3 meses<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_25_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_25' type='radio' value='Hace m\u00e1s de 3 meses'  id='choice_5_25_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_25_4' id='label_5_25_4' class='gform-field-label gform-field-label--type-inline'>Hace m\u00e1s de 3 meses<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <div class=\"gppt-hide gform-theme__disable-reset\"><input type='button' id='gform_previous_button_5_28' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/><\/div> <div class=\"gppt-hide gform-theme__disable-reset\"><input type='button' id='gform_next_button_5_28' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/><\/div> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_5_6' class='gform_page' data-js='page-field-id-28' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_5_6' class='gform_fields top_label form_sublabel_below description_below validation_below'><fieldset id=\"field_5_27\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gppt-auto-progress-field field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u00bfAlguien m\u00e1s caus\u00f3 su lesi\u00f3n?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_27'>\n\t\t\t<div class='gchoice gchoice_5_27_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_27' type='radio' value='S\u00ed'  id='choice_5_27_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_27_0' id='label_5_27_0' class='gform-field-label gform-field-label--type-inline'>S\u00ed<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_27_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_27' type='radio' value='No'  id='choice_5_27_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_27_1' id='label_5_27_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <div class=\"gppt-hide gform-theme__disable-reset\"><input type='button' id='gform_previous_button_5_30' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/><\/div> <div class=\"gppt-hide gform-theme__disable-reset\"><input type='button' id='gform_next_button_5_30' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/><\/div> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_5_7' class='gform_page' data-js='page-field-id-30' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_5_7' class='gform_fields top_label form_sublabel_below description_below validation_below'><fieldset id=\"field_5_29\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gppt-auto-progress-field field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u00bfC\u00f3mo se lesion\u00f3?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_29'>\n\t\t\t<div class='gchoice gchoice_5_29_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_29' type='radio' value='Accidente automovil\u00edstico'  id='choice_5_29_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_29_0' id='label_5_29_0' class='gform-field-label gform-field-label--type-inline'>Accidente automovil\u00edstico<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_29_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_29' type='radio' value='Resbal\u00f3n y ca\u00edda'  id='choice_5_29_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_29_1' id='label_5_29_1' class='gform-field-label gform-field-label--type-inline'>Resbal\u00f3n y ca\u00edda<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_29_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_29' type='radio' value='Mordedura de perro'  id='choice_5_29_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_29_2' id='label_5_29_2' class='gform-field-label gform-field-label--type-inline'>Mordedura de perro<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_29_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_29' type='radio' value='Accidente de motocicleta'  id='choice_5_29_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_29_3' id='label_5_29_3' class='gform-field-label gform-field-label--type-inline'>Accidente de motocicleta<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_29_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_29' type='radio' value='Accidente de peat\u00f3n'  id='choice_5_29_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_29_4' id='label_5_29_4' class='gform-field-label gform-field-label--type-inline'>Accidente de peat\u00f3n<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_29_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_29' type='radio' value='Servicios p\u00fablicos'  id='choice_5_29_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_29_5' id='label_5_29_5' class='gform-field-label gform-field-label--type-inline'>Servicios p\u00fablicos<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_29_6'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_29' type='radio' value='Otros'  id='choice_5_29_6' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_29_6' id='label_5_29_6' class='gform-field-label gform-field-label--type-inline'>Otros<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <div class=\"gppt-hide gform-theme__disable-reset\"><input type='button' id='gform_previous_button_5_32' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/><\/div> <div class=\"gppt-hide gform-theme__disable-reset\"><input type='button' id='gform_next_button_5_32' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/><\/div> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_5_8' class='gform_page' data-js='page-field-id-32' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_5_8' class='gform_fields top_label form_sublabel_below description_below validation_below'><fieldset id=\"field_5_31\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gppt-auto-progress-field field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u00bfSe lesion\u00f3?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_31'>\n\t\t\t<div class='gchoice gchoice_5_31_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_31' type='radio' value='S\u00ed, necesit\u00e9 atenci\u00f3n m\u00e9dica'  id='choice_5_31_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_31_0' id='label_5_31_0' class='gform-field-label gform-field-label--type-inline'>S\u00ed, necesit\u00e9 atenci\u00f3n m\u00e9dica<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_31_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_31' type='radio' value='S\u00ed, pero leve'  id='choice_5_31_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_31_1' id='label_5_31_1' class='gform-field-label gform-field-label--type-inline'>S\u00ed, pero leve<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_31_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_31' type='radio' value='En realidad no'  id='choice_5_31_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_31_2' id='label_5_31_2' class='gform-field-label gform-field-label--type-inline'>En realidad no<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <div class=\"gppt-hide gform-theme__disable-reset\"><input type='button' id='gform_previous_button_5_34' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/><\/div> <div class=\"gppt-hide gform-theme__disable-reset\"><input type='button' id='gform_next_button_5_34' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/><\/div> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_5_9' class='gform_page' data-js='page-field-id-34' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_5_9' class='gform_fields top_label form_sublabel_below description_below validation_below'><fieldset id=\"field_5_33\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gppt-auto-progress-field field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u00bfHa visto a un m\u00e9dico?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_33'>\n\t\t\t<div class='gchoice gchoice_5_33_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_33' type='radio' value='S\u00ed'  id='choice_5_33_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_33_0' id='label_5_33_0' class='gform-field-label gform-field-label--type-inline'>S\u00ed<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_33_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_33' type='radio' value='Todav\u00eda no'  id='choice_5_33_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_33_1' id='label_5_33_1' class='gform-field-label gform-field-label--type-inline'>Todav\u00eda no<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_33_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_33' type='radio' value='Cita programada'  id='choice_5_33_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_33_2' id='label_5_33_2' class='gform-field-label gform-field-label--type-inline'>Cita programada<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <div class=\"gppt-hide gform-theme__disable-reset\"><input type='button' id='gform_previous_button_5_49' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/><\/div> <div class=\"gppt-hide gform-theme__disable-reset\"><input type='button' id='gform_next_button_5_49' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/><\/div> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_5_10' class='gform_page' data-js='page-field-id-49' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_5_10' class='gform_fields top_label form_sublabel_below description_below validation_below'><fieldset id=\"field_5_48\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gppt-auto-progress-field field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u00bfTom\u00f3 fotos del da\u00f1o?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_48'>\n\t\t\t<div class='gchoice gchoice_5_48_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_48' type='radio' value='S\u00ed'  id='choice_5_48_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_48_0' id='label_5_48_0' class='gform-field-label gform-field-label--type-inline'>S\u00ed<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_48_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_48' type='radio' value='No'  id='choice_5_48_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_48_1' id='label_5_48_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <div class=\"gppt-hide gform-theme__disable-reset\"><input type='button' id='gform_previous_button_5_46' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/><\/div> <div class=\"gppt-hide gform-theme__disable-reset\"><input type='button' id='gform_next_button_5_46' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/><\/div> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_5_11' class='gform_page' data-js='page-field-id-46' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_5_11' class='gform_fields top_label form_sublabel_below description_below validation_below'><fieldset id=\"field_5_47\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gppt-auto-progress-field field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u00bfIntercambi\u00f3 informaci\u00f3n de contacto?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_47'>\n\t\t\t<div class='gchoice gchoice_5_47_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_47' type='radio' value='S\u00ed'  id='choice_5_47_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_47_0' id='label_5_47_0' class='gform-field-label gform-field-label--type-inline'>S\u00ed<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_47_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_47' type='radio' value='No'  id='choice_5_47_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_47_1' id='label_5_47_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <div class=\"gppt-hide gform-theme__disable-reset\"><input type='button' id='gform_previous_button_5_36' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/><\/div> <div class=\"gppt-hide gform-theme__disable-reset\"><input type='button' id='gform_next_button_5_36' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/><\/div> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_5_12' class='gform_page' data-js='page-field-id-36' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_5_12' class='gform_fields top_label form_sublabel_below description_below validation_below'><fieldset id=\"field_5_35\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gppt-auto-progress-field field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u00bfUna compa\u00f1\u00eda de seguros se ha comunicado con usted?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_35'>\n\t\t\t<div class='gchoice gchoice_5_35_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_35' type='radio' value='S\u00ed'  id='choice_5_35_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_35_0' id='label_5_35_0' class='gform-field-label gform-field-label--type-inline'>S\u00ed<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_35_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_35' type='radio' value='No'  id='choice_5_35_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_35_1' id='label_5_35_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <div class=\"gppt-hide gform-theme__disable-reset\"><input type='button' id='gform_previous_button_5_38' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/><\/div> <div class=\"gppt-hide gform-theme__disable-reset\"><input type='button' id='gform_next_button_5_38' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/><\/div> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_5_13' class='gform_page' data-js='page-field-id-38' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_5_13' class='gform_fields top_label form_sublabel_below description_below validation_below'><fieldset id=\"field_5_52\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gppt-auto-progress-field field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u00bfCu\u00e1ndo ocurri\u00f3 esto?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_52'>\n\t\t\t<div class='gchoice gchoice_5_52_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_52' type='radio' value='En los \u00faltimos d\u00edas'  id='choice_5_52_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_52_0' id='label_5_52_0' class='gform-field-label gform-field-label--type-inline'>En los \u00faltimos d\u00edas<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_52_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_52' type='radio' value='Esta semana'  id='choice_5_52_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_52_1' id='label_5_52_1' class='gform-field-label gform-field-label--type-inline'>Esta semana<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_52_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_52' type='radio' value='En los \u00faltimos 30 d\u00edas'  id='choice_5_52_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_52_2' id='label_5_52_2' class='gform-field-label gform-field-label--type-inline'>En los \u00faltimos 30 d\u00edas<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_52_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_52' type='radio' value='Hace 1 a 3 meses'  id='choice_5_52_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_52_3' id='label_5_52_3' class='gform-field-label gform-field-label--type-inline'>Hace 1 a 3 meses<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_52_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_52' type='radio' value='Hace m\u00e1s de 3 meses'  id='choice_5_52_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_52_4' id='label_5_52_4' class='gform-field-label gform-field-label--type-inline'>Hace m\u00e1s de 3 meses<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <div class=\"gppt-hide gform-theme__disable-reset\"><input type='button' id='gform_previous_button_5_39' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/><\/div> <div class=\"gppt-hide gform-theme__disable-reset\"><input type='button' id='gform_next_button_5_39' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/><\/div> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_5_14' class='gform_page' data-js='page-field-id-39' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_5_14' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_5_51\" 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\"  ><h2 style=\"font-size: 24px; text-align: center;\">\u00a1<strong>Ya casi terminas!<\/strong> Solo ingresa tus datos de contacto a continuaci\u00f3n para ver tu resultado al instante en la siguiente pantalla.<\/h2><\/div><fieldset id=\"field_5_41\" class=\"gfield gfield--type-name gfield--input-type-name 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' >Nombre<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_5_41'>\n                            \n                            <span id='input_5_41_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_41.3' id='input_5_41_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_5_41_3' class='gform-field-label gform-field-label--type-sub '>de pila<\/label>\n                                                <\/span>\n                            \n                            <span id='input_5_41_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_41.6' id='input_5_41_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_5_41_6' class='gform-field-label gform-field-label--type-sub '>apellido<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_5_42\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_42'>Email<\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_42' id='input_5_42' type='email' value='' class='large'     aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_5_43\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-half 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_5_43'>Numero Telefonico<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_43' id='input_5_43' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_44\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gppt-auto-progress-field field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_44'>\u00bfC\u00f3mo se enter\u00f3 de nosotros?<\/label><div class='ginput_container ginput_container_select'><select name='input_44' id='input_5_44' class='large gfield_select'     aria-invalid=\"false\" ><option value='Seleccionar' >Seleccionar<\/option><option value='Google' >Google<\/option><option value='Facebook' >Facebook<\/option><option value='Instagram' >Instagram<\/option><option value='TikTok' >TikTok<\/option><option value='YouTube' >YouTube<\/option><option value='Correo' >Correo<\/option><option value='Bolet\u00edn Por Correo Electr\u00f3nico' >Bolet\u00edn Por Correo Electr\u00f3nico<\/option><option value='Cliente Anterior' >Cliente Anterior<\/option><option value='Referencias' >Referencias<\/option><option value='TV' >TV<\/option><option value='Otro' >Otro<\/option><\/select><\/div><\/div><div id=\"field_5_57\" class=\"gfield gfield--type-text gfield--input-type-text 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_5_57'>Otro<\/label><div class='ginput_container ginput_container_text'><input name='input_57' id='input_5_57' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_53\" class=\"gfield gfield--type-hidden gfield--input-type-hidden gfield--width-full gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_53' id='input_5_53' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='utm_source' \/><\/div><\/div><div id=\"field_5_54\" class=\"gfield gfield--type-hidden gfield--input-type-hidden gfield--width-full gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_54' id='input_5_54' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='utm_medium' \/><\/div><\/div><div id=\"field_5_55\" class=\"gfield gfield--type-hidden gfield--input-type-hidden gfield--width-full gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_55' id='input_5_55' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='utm_campaign' \/><\/div><\/div><div id=\"field_5_56\" 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 style=\"font-size: 13px; line-height: 1;\" class=\"legal\">\n<p>Al proporcionar su n\u00famero de tel\u00e9fono, usted acepta recibir mensajes de texto, llamadas y\/o correos electr\u00f3nicos de Bark Law Firm. Pueden aplicarse tarifas por mensajes y datos. La frecuencia de los mensajes puede variar. Responda STOP en cualquier momento para dejar de recibirlos.<\/p>\n\n<p>Las consultas realizadas a trav\u00e9s de este formulario no establecen una relaci\u00f3n abogado-cliente.<\/p>\n\n<p>Al enviar este formulario, usted acepta nuestros t\u00e9rminos de servicio y nuestra <a href=\"https:\/\/www.barklawfirm.com\/es\/contactenos\/\">pol\u00edtica de privacidad<\/a>.<\/p><\/div><\/div><\/div>\n        <div class='gform-page-footer gform_page_footer top_label'><div class=\"gppt-hide gform-theme__disable-reset\"><input type='submit' id='gform_previous_button_5' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/><\/div> <input type='submit' id='gform_submit_button_5' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Submit'  \/> <input type='hidden' name='gform_ajax' value='form_id=5&amp;title=&amp;description=1&amp;tabindex=0&amp;theme=orbital&amp;styles=[]&amp;hash=fab8659cc609db031a728a63bd83127a' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_5' value='iframe' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_5' id='gform_theme_5' value='orbital' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_5' id='gform_style_settings_5' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_5' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='5' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='USD' value='rkp6aYQYT7MSwX3YZxI\/LgEsYzi0dppnQ9uyun7LrpK6TN\/3SI3LINOqAxK5sVvFAsgLQjlA2wiNxFWMeC5\/W86mPQ2\/5CVahHownNek2z7RSj4=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_5' value='WyJ7XCIxMFwiOltcIjZmMjAwMDAyMmQwNWViYTNkOTI3ZWRkZDQ0NGMzZmRlXCIsXCI4ZjI1MWI2ZmI5N2RkNjcyM2NjYzFkY2M0ZjcyMzQ3OFwiXSxcIjE2XCI6W1wiN2ZjZGMwMDJmYTU2NzMzOWYxMGZhNDhkMzlkYzVlNzdcIixcImQ1YzkzODExM2U2YzY2ZGM4YTYyOGViODg5OGQ0MmMyXCIsXCI1NmFiM2IxODg3MTkyM2Y0ZjFiOWMwZDEwYjAzY2U2OVwiLFwiZDE3MmYyOGViYzVhYzUwOTFlZjgyMDYyZjI2MmZkY2VcIl0sXCIyMFwiOltcImIxMTc5MWM2NDA1MmFiMDlmMjc2YjI5NDMzMTI3MDZmXCIsXCIxOTFmODQzNjdlMjdhYjgwZDU4ZTAxYWI3Y2E3YmNiNVwiLFwiZTk5OGY0ODNkOTJjYmFkMjU0MmU3OWQ2MDFjOTJmMzhcIl0sXCIyMlwiOltcImIxMTc5MWM2NDA1MmFiMDlmMjc2YjI5NDMzMTI3MDZmXCIsXCIyMThmMWM2MGY3MDA0ZmYyOWZkNWEyNjFjMDJiMmJkYVwiXSxcIjI1XCI6W1wiZDc2OGE1YjlkYzY4OWYzNmM1NzNkYjVhYmU1Y2E5ODZcIixcIjU4YmQ5OGQ4MzdmMWM4MDBhOGFiYjhmMzQwYWJiODc0XCIsXCIyOWZjMWY4ZWQ2Y2I0ODBjYjY0M2YxN2U5NWQyOGZmNVwiLFwiMjlhODY5YWVkY2VkNjBjOTUzMTk2YzhmNDBmMWVlMzZcIixcImNhNjAyZWYwOTE5NzBkMjQzNzY3MDdkYWI3OGNlZmY0XCJdLFwiMjdcIjpbXCJiMTE3OTFjNjQwNTJhYjA5ZjI3NmIyOTQzMzEyNzA2ZlwiLFwiMjE4ZjFjNjBmNzAwNGZmMjlmZDVhMjYxYzAyYjJiZGFcIl0sXCIyOVwiOltcIjA1N2ZjYzhlZDBmMGIyNGUwOTkyOWE0ZGUxMDc1YTFhXCIsXCIyY2Q2NGMzNmNlNWU3MWUyNWNjY2QzYTU2ODM4MzNjM1wiLFwiYTc3M2Y3ZDYxNzFmN2NmYzRlNTc2YTg4OTM4YzVkZTFcIixcIjFiMmZhOWQ4ZTE5NjQ0NWU4ZDJkNmUzMTU1NWVmYmFjXCIsXCJhMTM5NzNkZTMwNTVkYmU4MzIwYmRiMWUyOTNhYTI3NVwiLFwiOTEwZDk1NTRkOWRlYmUxNzBkZjU2NjM1OWQyYzE3NzNcIixcImE4ZjU1NzViYWUzMzc2NmQ4M2NkZGE5YzQ3ZDg0ZGNlXCJdLFwiMzFcIjpbXCIxZWQ4NGM5Njg0NjA2MzJjNjkwMDQxMWMyYTNjMGM1MVwiLFwiYjJiYTRlNTQ5MTcyNzNkMWQ3M2I4ZDY4NWIxYjBhODZcIixcImQ4YzI5M2Q3ZTNlZjU4YzZkYWY4MjFmZmY5ZjY5ODJjXCJdLFwiMzNcIjpbXCJiMTE3OTFjNjQwNTJhYjA5ZjI3NmIyOTQzMzEyNzA2ZlwiLFwiMTkxZjg0MzY3ZTI3YWI4MGQ1OGUwMWFiN2NhN2JjYjVcIixcIjMzZDkwOGVjZTE5ZDk3MTI5MTgyMGNjN2Y0NDA3MDNmXCJdLFwiNDhcIjpbXCJiMTE3OTFjNjQwNTJhYjA5ZjI3NmIyOTQzMzEyNzA2ZlwiLFwiMjE4ZjFjNjBmNzAwNGZmMjlmZDVhMjYxYzAyYjJiZGFcIl0sXCI0N1wiOltcImIxMTc5MWM2NDA1MmFiMDlmMjc2YjI5NDMzMTI3MDZmXCIsXCIyMThmMWM2MGY3MDA0ZmYyOWZkNWEyNjFjMDJiMmJkYVwiXSxcIjM1XCI6W1wiYjExNzkxYzY0MDUyYWIwOWYyNzZiMjk0MzMxMjcwNmZcIixcIjIxOGYxYzYwZjcwMDRmZjI5ZmQ1YTI2MWMwMmIyYmRhXCJdLFwiNTJcIjpbXCJkNzY4YTViOWRjNjg5ZjM2YzU3M2RiNWFiZTVjYTk4NlwiLFwiNThiZDk4ZDgzN2YxYzgwMGE4YWJiOGYzNDBhYmI4NzRcIixcIjI5ZmMxZjhlZDZjYjQ4MGNiNjQzZjE3ZTk1ZDI4ZmY1XCIsXCIyOWE4NjlhZWRjZWQ2MGM5NTMxOTZjOGY0MGYxZWUzNlwiLFwiY2E2MDJlZjA5MTk3MGQyNDM3NjcwN2RhYjc4Y2VmZjRcIl0sXCI0NFwiOltcImUyNzZlZTk5ZDEyZmQzMmQzN2JmNjRjYjEyZDQ3MDIyXCIsXCJkMDFhMTkyNWM1NTg5MjIyODU0YzU0OTk2NzI4ZjYxZlwiLFwiNTc3MGRlZjMyNTViMDBkYjA2ZGI1N2ViOWZmZTI3YjZcIixcImUyMzE3MmYwYzBiZTk3NjE5MGVkNmUzMmVkOWNhZDgzXCIsXCI4Yjc0YTZmZTk1MGVkMWZlODAwM2JmNzkwYzJjNTBjN1wiLFwiZmI2NThlOThhYjE4Mzc1MDY3Mjg2YTNhOGNmZTc1YThcIixcImVjNzZiZDVmYjcxMjY1ZTY4MmYyMWFlYzI2MmQ2NGE1XCIsXCI3YzQxOWEwYjcwZmRmOTJkY2M2N2JlYzFmNDZmMmFmNVwiLFwiMmQ4OTNhMGZkNDJkNzE1Zjk0MThjNGYyNzAzZjc1ZGFcIixcImY3Mjc5NWE0MWIxZGViZDdjOWVmZTgzZTFkODk5ZDRiXCIsXCIzODRjZjliNzFkMTg4ZjcxMDVhOGI1NWNhNTQ3ZmU4YlwiLFwiNDgzOWVlNWY3ODMwMzY2OGYzOWMxZjhlMDUxMDcxNmNcIl19IiwiYjlmMDU3NzBhNGQyNWNiNjAyYjVmMzJiNTI0NzRlZGYiXQ==' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_5' id='gform_target_page_number_5' value='2' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_5' id='gform_source_page_number_5' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n             <\/div><\/div>\n                        <\/form>\n                        <\/div>\n\t\t                <iframe style='display:none;width:0px;height:0px;' src='about:blank' name='gform_ajax_frame_5' id='gform_ajax_frame_5' title='Este iframe contiene la l\u00f3gica necesaria para gestionar formularios con ajax activado.'><\/iframe>\n\t\t                <script>\ngform.initializeOnLoaded( function() {gformInitSpinner( 5, 'https:\/\/www.barklawfirm.com\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', false );jQuery('#gform_ajax_frame_5').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_5');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_5').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 && ! is_redirect && ! is_confirmation;var mt = parseInt(jQuery('html').css('margin-top'), 10) + parseInt(jQuery('body').css('margin-top'), 10) + 100;if(is_form){form_content.find('form').css('opacity', 0);jQuery('#gform_wrapper_5').html(form_content.html());if(form_content.hasClass('gform_validation_error')){jQuery('#gform_wrapper_5').addClass('gform_validation_error');} else {jQuery('#gform_wrapper_5').removeClass('gform_validation_error');}setTimeout( function() { \/* delay the scroll by 50 milliseconds to fix a bug in chrome *\/  }, 50 );if(window['gformInitDatepicker']) {gformInitDatepicker();}if(window['gformInitPriceFields']) {gformInitPriceFields();}var current_page = jQuery('#gform_source_page_number_5').val();gformInitSpinner( 5, 'https:\/\/www.barklawfirm.com\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', false );jQuery(document).trigger('gform_page_loaded', [5, current_page]);window['gf_submitting_5'] = false;}else if(!is_redirect){var confirmation_content = jQuery(this).contents().find('.GF_AJAX_POSTBACK').html();if(!confirmation_content){confirmation_content = contents;}jQuery('#gform_wrapper_5').replaceWith(confirmation_content);jQuery(document).trigger('gform_confirmation_loaded', [5]);window['gf_submitting_5'] = false;wp.a11y.speak(jQuery('#gform_confirmation_message_5').text());}else{jQuery('#gform_5').append(contents);if(window['gformRedirect']) {gformRedirect();}}jQuery(document).trigger(\"gform_pre_post_render\", [{ formId: \"5\", currentPage: \"current_page\", abort: function() { this.preventDefault(); } }]);        if (event && event.defaultPrevented) {                return;        }        const gformWrapperDiv = document.getElementById( \"gform_wrapper_5\" );        if ( gformWrapperDiv ) {            const visibilitySpan = document.createElement( \"span\" );            visibilitySpan.id = \"gform_visibility_test_5\";            gformWrapperDiv.insertAdjacentElement( \"afterend\", visibilitySpan );        }        const visibilityTestDiv = document.getElementById( \"gform_visibility_test_5\" );        let postRenderFired = false;        function triggerPostRender() {            if ( postRenderFired ) {                return;            }            postRenderFired = true;            gform.core.triggerPostRenderEvents( 5, current_page );            if ( visibilityTestDiv ) {                visibilityTestDiv.parentNode.removeChild( visibilityTestDiv );            }        }        function debounce( func, wait, immediate ) {            var timeout;            return function() {                var context = this, args = arguments;                var later = function() {                    timeout = null;                    if ( !immediate ) func.apply( context, args );                };                var callNow = immediate && !timeout;                clearTimeout( timeout );                timeout = setTimeout( later, wait );                if ( callNow ) func.apply( context, args );            };        }        const debouncedTriggerPostRender = debounce( function() {            triggerPostRender();        }, 200 );        if ( visibilityTestDiv && visibilityTestDiv.offsetParent === null ) {            const observer = new MutationObserver( ( mutations ) => {                mutations.forEach( ( mutation ) => {                    if ( mutation.type === 'attributes' && visibilityTestDiv.offsetParent !== null ) {                        debouncedTriggerPostRender();                        observer.disconnect();                    }                });            });            observer.observe( document.body, {                attributes: true,                childList: false,                subtree: true,                attributeFilter: [ 'style', 'class' ],            });        } else {            triggerPostRender();        }    } );} );\n<\/script>\n[\/et_pb_code][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Descubra si es probable que tenga un caso en 30 segundos Sin formularios. Sin presiones. Solo unas cuantas preguntas r\u00e1pidas. \n                <div class='gf_browser_gecko gform_wrapper gform-theme gform-theme--foundation gform-theme--framework gform-theme--orbital gppt-has-page-transitions_wrapper gform-theme__no-reset--el_wrapper gppt-no-buttons_wrapper' data-form-theme='orbital' data-form-index='0' id='gform_wrapper_5' style='display:none'><style>#gform_wrapper_5[data-form-index=\"0\"].gform-theme,[data-parent-form=\"5_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                            <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; se\u00f1ala los campos obligatorios<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_5' id='gform_5' class='gppt-has-page-transitions gform-theme__no-reset--el gppt-no-buttons ' action='\/es\/wp-json\/wp\/v2\/pages\/1219' data-formid='5' novalidate>\n        <div id='gf_progressbar_wrapper_5' class='gf_progressbar_wrapper' data-start-at-zero=''>\n        \t<p class=\"gf_progressbar_title\">Paso <span class='gf_step_current_page'>1<\/span> de <span class='gf_step_page_count'>14<\/span><span class='gf_step_page_name'><\/span>\n        \t<\/p>\n            <div class='gf_progressbar gf_progressbar_blue' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_blue percentbar_7' style='width:7%;'><span>7%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_5_1' class='gform_page ' data-js='page-field-id-0' >\n\t\t\t\t\t<div class='gform_page_fields'><div id='gform_fields_5' class='gform_fields top_label form_sublabel_below description_below validation_below'><fieldset id=\"field_5_10\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gppt-auto-progress-field field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u00bfQu\u00e9 pas\u00f3?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_10'>\n\t\t\t<div class='gchoice gchoice_5_10_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='Me lesion\u00e9 en el trabajo'  id='choice_5_10_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_10_0' id='label_5_10_0' class='gform-field-label gform-field-label--type-inline'>Me lesion\u00e9 en el trabajo<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_10_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='Me lesion\u00e9 fuera del trabajo'  id='choice_5_10_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_10_1' id='label_5_10_1' class='gform-field-label gform-field-label--type-inline'>Me lesion\u00e9 fuera del trabajo<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <div class=\"gppt-hide gform-theme__disable-reset\"><input type='button' id='gform_next_button_5_17' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/><\/div> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_5_2' class='gform_page' data-js='page-field-id-17' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_5_2' class='gform_fields top_label form_sublabel_below description_below validation_below'><fieldset id=\"field_5_16\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gppt-auto-progress-field field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u00bfCu\u00e1l describe mejor su situaci\u00f3n?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_16'>\n\t\t\t<div class='gchoice gchoice_5_16_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_16' type='radio' value='Accidente repentino (ca\u00edda, levantar algo, etc.)'  id='choice_5_16_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_16_0' id='label_5_16_0' class='gform-field-label gform-field-label--type-inline'>Accidente repentino (ca\u00edda, levantar algo, etc.)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_16_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_16' type='radio' value='Estr\u00e9s repetitivo (dolor con el tiempo)'  id='choice_5_16_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_16_1' id='label_5_16_1' class='gform-field-label gform-field-label--type-inline'>Estr\u00e9s repetitivo (dolor con el tiempo)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_16_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_16' type='radio' value='Enfermedad o exposici\u00f3n en el trabajo'  id='choice_5_16_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_16_2' id='label_5_16_2' class='gform-field-label gform-field-label--type-inline'>Enfermedad o exposici\u00f3n en el trabajo<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_16_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_16' type='radio' value='Todas las anteriores'  id='choice_5_16_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_16_3' id='label_5_16_3' class='gform-field-label gform-field-label--type-inline'>Todas las anteriores<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <div class=\"gppt-hide gform-theme__disable-reset\"><input type='button' id='gform_previous_button_5_19' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/><\/div> <div class=\"gppt-hide gform-theme__disable-reset\"><input type='button' id='gform_next_button_5_19' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/><\/div> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_5_3' class='gform_page' data-js='page-field-id-19' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_5_3' class='gform_fields top_label form_sublabel_below description_below validation_below'><fieldset id=\"field_5_20\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gppt-auto-progress-field field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u00bfHa recibido atenci\u00f3n m\u00e9dica?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_20'>\n\t\t\t<div class='gchoice gchoice_5_20_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_20' type='radio' value='S\u00ed'  id='choice_5_20_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_20_0' id='label_5_20_0' class='gform-field-label gform-field-label--type-inline'>S\u00ed<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_20_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_20' type='radio' value='Todav\u00eda no'  id='choice_5_20_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_20_1' id='label_5_20_1' class='gform-field-label gform-field-label--type-inline'>Todav\u00eda no<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_20_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_20' type='radio' value='Intent\u00e9, pero me lo negaron'  id='choice_5_20_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_20_2' id='label_5_20_2' class='gform-field-label gform-field-label--type-inline'>Intent\u00e9, pero me lo negaron<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <div class=\"gppt-hide gform-theme__disable-reset\"><input type='button' id='gform_previous_button_5_21' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/><\/div> <div class=\"gppt-hide gform-theme__disable-reset\"><input type='button' id='gform_next_button_5_21' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/><\/div> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_5_4' class='gform_page' data-js='page-field-id-21' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_5_4' class='gform_fields top_label form_sublabel_below description_below validation_below'><fieldset id=\"field_5_22\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gppt-auto-progress-field field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u00bfHa reportado esto a su empleador?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_22'>\n\t\t\t<div class='gchoice gchoice_5_22_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_22' type='radio' value='S\u00ed'  id='choice_5_22_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_22_0' id='label_5_22_0' class='gform-field-label gform-field-label--type-inline'>S\u00ed<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_22_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_22' type='radio' value='No'  id='choice_5_22_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_22_1' id='label_5_22_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <div class=\"gppt-hide gform-theme__disable-reset\"><input type='button' id='gform_previous_button_5_26' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/><\/div> <div class=\"gppt-hide gform-theme__disable-reset\"><input type='button' id='gform_next_button_5_26' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/><\/div> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_5_5' class='gform_page' data-js='page-field-id-26' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_5_5' class='gform_fields top_label form_sublabel_below description_below validation_below'><fieldset id=\"field_5_25\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gppt-auto-progress-field field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u00bfCu\u00e1ndo ocurri\u00f3 esto?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_25'>\n\t\t\t<div class='gchoice gchoice_5_25_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_25' type='radio' value='En los \u00faltimos d\u00edas'  id='choice_5_25_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_25_0' id='label_5_25_0' class='gform-field-label gform-field-label--type-inline'>En los \u00faltimos d\u00edas<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_25_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_25' type='radio' value='Esta semana'  id='choice_5_25_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_25_1' id='label_5_25_1' class='gform-field-label gform-field-label--type-inline'>Esta semana<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_25_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_25' type='radio' value='En los \u00faltimos 30 d\u00edas'  id='choice_5_25_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_25_2' id='label_5_25_2' class='gform-field-label gform-field-label--type-inline'>En los \u00faltimos 30 d\u00edas<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_25_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_25' type='radio' value='Hace 1 a 3 meses'  id='choice_5_25_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_25_3' id='label_5_25_3' class='gform-field-label gform-field-label--type-inline'>Hace 1 a 3 meses<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_25_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_25' type='radio' value='Hace m\u00e1s de 3 meses'  id='choice_5_25_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_25_4' id='label_5_25_4' class='gform-field-label gform-field-label--type-inline'>Hace m\u00e1s de 3 meses<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <div class=\"gppt-hide gform-theme__disable-reset\"><input type='button' id='gform_previous_button_5_28' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/><\/div> <div class=\"gppt-hide gform-theme__disable-reset\"><input type='button' id='gform_next_button_5_28' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/><\/div> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_5_6' class='gform_page' data-js='page-field-id-28' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_5_6' class='gform_fields top_label form_sublabel_below description_below validation_below'><fieldset id=\"field_5_27\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gppt-auto-progress-field field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u00bfAlguien m\u00e1s caus\u00f3 su lesi\u00f3n?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_27'>\n\t\t\t<div class='gchoice gchoice_5_27_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_27' type='radio' value='S\u00ed'  id='choice_5_27_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_27_0' id='label_5_27_0' class='gform-field-label gform-field-label--type-inline'>S\u00ed<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_27_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_27' type='radio' value='No'  id='choice_5_27_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_27_1' id='label_5_27_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <div class=\"gppt-hide gform-theme__disable-reset\"><input type='button' id='gform_previous_button_5_30' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/><\/div> <div class=\"gppt-hide gform-theme__disable-reset\"><input type='button' id='gform_next_button_5_30' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/><\/div> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_5_7' class='gform_page' data-js='page-field-id-30' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_5_7' class='gform_fields top_label form_sublabel_below description_below validation_below'><fieldset id=\"field_5_29\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gppt-auto-progress-field field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u00bfC\u00f3mo se lesion\u00f3?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_29'>\n\t\t\t<div class='gchoice gchoice_5_29_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_29' type='radio' value='Accidente automovil\u00edstico'  id='choice_5_29_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_29_0' id='label_5_29_0' class='gform-field-label gform-field-label--type-inline'>Accidente automovil\u00edstico<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_29_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_29' type='radio' value='Resbal\u00f3n y ca\u00edda'  id='choice_5_29_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_29_1' id='label_5_29_1' class='gform-field-label gform-field-label--type-inline'>Resbal\u00f3n y ca\u00edda<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_29_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_29' type='radio' value='Mordedura de perro'  id='choice_5_29_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_29_2' id='label_5_29_2' class='gform-field-label gform-field-label--type-inline'>Mordedura de perro<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_29_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_29' type='radio' value='Accidente de motocicleta'  id='choice_5_29_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_29_3' id='label_5_29_3' class='gform-field-label gform-field-label--type-inline'>Accidente de motocicleta<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_29_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_29' type='radio' value='Accidente de peat\u00f3n'  id='choice_5_29_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_29_4' id='label_5_29_4' class='gform-field-label gform-field-label--type-inline'>Accidente de peat\u00f3n<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_29_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_29' type='radio' value='Servicios p\u00fablicos'  id='choice_5_29_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_29_5' id='label_5_29_5' class='gform-field-label gform-field-label--type-inline'>Servicios p\u00fablicos<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_29_6'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_29' type='radio' value='Otros'  id='choice_5_29_6' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_29_6' id='label_5_29_6' class='gform-field-label gform-field-label--type-inline'>Otros<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <div class=\"gppt-hide gform-theme__disable-reset\"><input type='button' id='gform_previous_button_5_32' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/><\/div> <div class=\"gppt-hide gform-theme__disable-reset\"><input type='button' id='gform_next_button_5_32' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/><\/div> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_5_8' class='gform_page' data-js='page-field-id-32' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_5_8' class='gform_fields top_label form_sublabel_below description_below validation_below'><fieldset id=\"field_5_31\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gppt-auto-progress-field field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u00bfSe lesion\u00f3?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_31'>\n\t\t\t<div class='gchoice gchoice_5_31_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_31' type='radio' value='S\u00ed, necesit\u00e9 atenci\u00f3n m\u00e9dica'  id='choice_5_31_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_31_0' id='label_5_31_0' class='gform-field-label gform-field-label--type-inline'>S\u00ed, necesit\u00e9 atenci\u00f3n m\u00e9dica<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_31_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_31' type='radio' value='S\u00ed, pero leve'  id='choice_5_31_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_31_1' id='label_5_31_1' class='gform-field-label gform-field-label--type-inline'>S\u00ed, pero leve<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_31_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_31' type='radio' value='En realidad no'  id='choice_5_31_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_31_2' id='label_5_31_2' class='gform-field-label gform-field-label--type-inline'>En realidad no<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <div class=\"gppt-hide gform-theme__disable-reset\"><input type='button' id='gform_previous_button_5_34' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/><\/div> <div class=\"gppt-hide gform-theme__disable-reset\"><input type='button' id='gform_next_button_5_34' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/><\/div> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_5_9' class='gform_page' data-js='page-field-id-34' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_5_9' class='gform_fields top_label form_sublabel_below description_below validation_below'><fieldset id=\"field_5_33\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gppt-auto-progress-field field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u00bfHa visto a un m\u00e9dico?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_33'>\n\t\t\t<div class='gchoice gchoice_5_33_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_33' type='radio' value='S\u00ed'  id='choice_5_33_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_33_0' id='label_5_33_0' class='gform-field-label gform-field-label--type-inline'>S\u00ed<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_33_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_33' type='radio' value='Todav\u00eda no'  id='choice_5_33_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_33_1' id='label_5_33_1' class='gform-field-label gform-field-label--type-inline'>Todav\u00eda no<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_33_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_33' type='radio' value='Cita programada'  id='choice_5_33_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_33_2' id='label_5_33_2' class='gform-field-label gform-field-label--type-inline'>Cita programada<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <div class=\"gppt-hide gform-theme__disable-reset\"><input type='button' id='gform_previous_button_5_49' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/><\/div> <div class=\"gppt-hide gform-theme__disable-reset\"><input type='button' id='gform_next_button_5_49' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/><\/div> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_5_10' class='gform_page' data-js='page-field-id-49' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_5_10' class='gform_fields top_label form_sublabel_below description_below validation_below'><fieldset id=\"field_5_48\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gppt-auto-progress-field field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u00bfTom\u00f3 fotos del da\u00f1o?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_48'>\n\t\t\t<div class='gchoice gchoice_5_48_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_48' type='radio' value='S\u00ed'  id='choice_5_48_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_48_0' id='label_5_48_0' class='gform-field-label gform-field-label--type-inline'>S\u00ed<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_48_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_48' type='radio' value='No'  id='choice_5_48_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_48_1' id='label_5_48_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <div class=\"gppt-hide gform-theme__disable-reset\"><input type='button' id='gform_previous_button_5_46' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/><\/div> <div class=\"gppt-hide gform-theme__disable-reset\"><input type='button' id='gform_next_button_5_46' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/><\/div> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_5_11' class='gform_page' data-js='page-field-id-46' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_5_11' class='gform_fields top_label form_sublabel_below description_below validation_below'><fieldset id=\"field_5_47\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gppt-auto-progress-field field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u00bfIntercambi\u00f3 informaci\u00f3n de contacto?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_47'>\n\t\t\t<div class='gchoice gchoice_5_47_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_47' type='radio' value='S\u00ed'  id='choice_5_47_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_47_0' id='label_5_47_0' class='gform-field-label gform-field-label--type-inline'>S\u00ed<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_47_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_47' type='radio' value='No'  id='choice_5_47_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_47_1' id='label_5_47_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <div class=\"gppt-hide gform-theme__disable-reset\"><input type='button' id='gform_previous_button_5_36' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/><\/div> <div class=\"gppt-hide gform-theme__disable-reset\"><input type='button' id='gform_next_button_5_36' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/><\/div> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_5_12' class='gform_page' data-js='page-field-id-36' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_5_12' class='gform_fields top_label form_sublabel_below description_below validation_below'><fieldset id=\"field_5_35\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gppt-auto-progress-field field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u00bfUna compa\u00f1\u00eda de seguros se ha comunicado con usted?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_35'>\n\t\t\t<div class='gchoice gchoice_5_35_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_35' type='radio' value='S\u00ed'  id='choice_5_35_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_35_0' id='label_5_35_0' class='gform-field-label gform-field-label--type-inline'>S\u00ed<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_35_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_35' type='radio' value='No'  id='choice_5_35_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_35_1' id='label_5_35_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <div class=\"gppt-hide gform-theme__disable-reset\"><input type='button' id='gform_previous_button_5_38' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/><\/div> <div class=\"gppt-hide gform-theme__disable-reset\"><input type='button' id='gform_next_button_5_38' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/><\/div> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_5_13' class='gform_page' data-js='page-field-id-38' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_5_13' class='gform_fields top_label form_sublabel_below description_below validation_below'><fieldset id=\"field_5_52\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gppt-auto-progress-field field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u00bfCu\u00e1ndo ocurri\u00f3 esto?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_52'>\n\t\t\t<div class='gchoice gchoice_5_52_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_52' type='radio' value='En los \u00faltimos d\u00edas'  id='choice_5_52_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_52_0' id='label_5_52_0' class='gform-field-label gform-field-label--type-inline'>En los \u00faltimos d\u00edas<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_52_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_52' type='radio' value='Esta semana'  id='choice_5_52_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_52_1' id='label_5_52_1' class='gform-field-label gform-field-label--type-inline'>Esta semana<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_52_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_52' type='radio' value='En los \u00faltimos 30 d\u00edas'  id='choice_5_52_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_52_2' id='label_5_52_2' class='gform-field-label gform-field-label--type-inline'>En los \u00faltimos 30 d\u00edas<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_52_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_52' type='radio' value='Hace 1 a 3 meses'  id='choice_5_52_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_52_3' id='label_5_52_3' class='gform-field-label gform-field-label--type-inline'>Hace 1 a 3 meses<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_52_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_52' type='radio' value='Hace m\u00e1s de 3 meses'  id='choice_5_52_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_52_4' id='label_5_52_4' class='gform-field-label gform-field-label--type-inline'>Hace m\u00e1s de 3 meses<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <div class=\"gppt-hide gform-theme__disable-reset\"><input type='button' id='gform_previous_button_5_39' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/><\/div> <div class=\"gppt-hide gform-theme__disable-reset\"><input type='button' id='gform_next_button_5_39' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/><\/div> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_5_14' class='gform_page' data-js='page-field-id-39' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_5_14' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_5_51\" 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\"  ><h2 style=\"font-size: 24px; text-align: center;\">\u00a1<strong>Ya casi terminas!<\/strong> Solo ingresa tus datos de contacto a continuaci\u00f3n para ver tu resultado al instante en la siguiente pantalla.<\/h2><\/div><fieldset id=\"field_5_41\" class=\"gfield gfield--type-name gfield--input-type-name 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' >Nombre<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_5_41'>\n                            \n                            <span id='input_5_41_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_41.3' id='input_5_41_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_5_41_3' class='gform-field-label gform-field-label--type-sub '>de pila<\/label>\n                                                <\/span>\n                            \n                            <span id='input_5_41_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_41.6' id='input_5_41_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_5_41_6' class='gform-field-label gform-field-label--type-sub '>apellido<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_5_42\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_42'>Email<\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_42' id='input_5_42' type='email' value='' class='large'     aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_5_43\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-half 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_5_43'>Numero Telefonico<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_43' id='input_5_43' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_44\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gppt-auto-progress-field field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_44'>\u00bfC\u00f3mo se enter\u00f3 de nosotros?<\/label><div class='ginput_container ginput_container_select'><select name='input_44' id='input_5_44' class='large gfield_select'     aria-invalid=\"false\" ><option value='Seleccionar' >Seleccionar<\/option><option value='Google' >Google<\/option><option value='Facebook' >Facebook<\/option><option value='Instagram' >Instagram<\/option><option value='TikTok' >TikTok<\/option><option value='YouTube' >YouTube<\/option><option value='Correo' >Correo<\/option><option value='Bolet\u00edn Por Correo Electr\u00f3nico' >Bolet\u00edn Por Correo Electr\u00f3nico<\/option><option value='Cliente Anterior' >Cliente Anterior<\/option><option value='Referencias' >Referencias<\/option><option value='TV' >TV<\/option><option value='Otro' >Otro<\/option><\/select><\/div><\/div><div id=\"field_5_57\" class=\"gfield gfield--type-text gfield--input-type-text 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_5_57'>Otro<\/label><div class='ginput_container ginput_container_text'><input name='input_57' id='input_5_57' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_53\" class=\"gfield gfield--type-hidden gfield--input-type-hidden gfield--width-full gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_53' id='input_5_53' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='utm_source' \/><\/div><\/div><div id=\"field_5_54\" class=\"gfield gfield--type-hidden gfield--input-type-hidden gfield--width-full gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_54' id='input_5_54' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='utm_medium' \/><\/div><\/div><div id=\"field_5_55\" class=\"gfield gfield--type-hidden gfield--input-type-hidden gfield--width-full gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_55' id='input_5_55' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='utm_campaign' \/><\/div><\/div><div id=\"field_5_56\" 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 style=\"font-size: 13px; line-height: 1;\" class=\"legal\">\n<p>Al proporcionar su n\u00famero de tel\u00e9fono, usted acepta recibir mensajes de texto, llamadas y\/o correos electr\u00f3nicos de Bark Law Firm. Pueden aplicarse tarifas por mensajes y datos. La frecuencia de los mensajes puede variar. Responda STOP en cualquier momento para dejar de recibirlos.<\/p>\n\n<p>Las consultas realizadas a trav\u00e9s de este formulario no establecen una relaci\u00f3n abogado-cliente.<\/p>\n\n<p>Al enviar este formulario, usted acepta nuestros t\u00e9rminos de servicio y nuestra <a href=\"https:\/\/www.barklawfirm.com\/es\/contactenos\/\">pol\u00edtica de privacidad<\/a>.<\/p><\/div><\/div><\/div>\n        <div class='gform-page-footer gform_page_footer top_label'><div class=\"gppt-hide gform-theme__disable-reset\"><input type='submit' id='gform_previous_button_5' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/><\/div> <input type='submit' id='gform_submit_button_5' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Submit'  \/> <input type='hidden' name='gform_ajax' value='form_id=5&amp;title=&amp;description=1&amp;tabindex=0&amp;theme=orbital&amp;styles=[]&amp;hash=fab8659cc609db031a728a63bd83127a' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_5' value='iframe' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_5' id='gform_theme_5' value='orbital' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_5' id='gform_style_settings_5' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_5' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='5' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='USD' value='VbDzeJqvVk\/pJwcOZEwnbjwB\/iM1izGIe0WGIN956dUnlydfQw8Iw6R8YdUR9NcobIT8OejpxyPlvcAbnbqwpfGksuqsHjwgP\/j9IozaWIgs1VE=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_5' value='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' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_5' id='gform_target_page_number_5' value='2' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_5' id='gform_source_page_number_5' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n             <\/div><\/div>\n                        <\/form>\n                        <\/div>\n\t\t                <iframe style='display:none;width:0px;height:0px;' src='about:blank' name='gform_ajax_frame_5' id='gform_ajax_frame_5' title='Este iframe contiene la l\u00f3gica necesaria para gestionar formularios con ajax activado.'><\/iframe>\n\t\t                <script>\ngform.initializeOnLoaded( function() {gformInitSpinner( 5, 'https:\/\/www.barklawfirm.com\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', false );jQuery('#gform_ajax_frame_5').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_5');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_5').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 && ! is_redirect && ! is_confirmation;var mt = parseInt(jQuery('html').css('margin-top'), 10) + parseInt(jQuery('body').css('margin-top'), 10) + 100;if(is_form){form_content.find('form').css('opacity', 0);jQuery('#gform_wrapper_5').html(form_content.html());if(form_content.hasClass('gform_validation_error')){jQuery('#gform_wrapper_5').addClass('gform_validation_error');} else {jQuery('#gform_wrapper_5').removeClass('gform_validation_error');}setTimeout( function() { \/* delay the scroll by 50 milliseconds to fix a bug in chrome *\/  }, 50 );if(window['gformInitDatepicker']) {gformInitDatepicker();}if(window['gformInitPriceFields']) {gformInitPriceFields();}var current_page = jQuery('#gform_source_page_number_5').val();gformInitSpinner( 5, 'https:\/\/www.barklawfirm.com\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', false );jQuery(document).trigger('gform_page_loaded', [5, current_page]);window['gf_submitting_5'] = false;}else if(!is_redirect){var confirmation_content = jQuery(this).contents().find('.GF_AJAX_POSTBACK').html();if(!confirmation_content){confirmation_content = contents;}jQuery('#gform_wrapper_5').replaceWith(confirmation_content);jQuery(document).trigger('gform_confirmation_loaded', [5]);window['gf_submitting_5'] = false;wp.a11y.speak(jQuery('#gform_confirmation_message_5').text());}else{jQuery('#gform_5').append(contents);if(window['gformRedirect']) {gformRedirect();}}jQuery(document).trigger(\"gform_pre_post_render\", [{ formId: \"5\", currentPage: \"current_page\", abort: function() { this.preventDefault(); } }]);        if (event && event.defaultPrevented) {                return;        }        const gformWrapperDiv = document.getElementById( \"gform_wrapper_5\" );        if ( gformWrapperDiv ) {            const visibilitySpan = document.createElement( \"span\" );            visibilitySpan.id = \"gform_visibility_test_5\";            gformWrapperDiv.insertAdjacentElement( \"afterend\", visibilitySpan );        }        const visibilityTestDiv = document.getElementById( \"gform_visibility_test_5\" );        let postRenderFired = false;        function triggerPostRender() {            if ( postRenderFired ) {                return;            }            postRenderFired = true;            gform.core.triggerPostRenderEvents( 5, current_page );            if ( visibilityTestDiv ) {                visibilityTestDiv.parentNode.removeChild( visibilityTestDiv );            }        }        function debounce( func, wait, immediate ) {            var timeout;            return function() {                var context = this, args = arguments;                var later = function() {                    timeout = null;                    if ( !immediate ) func.apply( context, args );                };                var callNow = immediate && !timeout;                clearTimeout( timeout );                timeout = setTimeout( later, wait );                if ( callNow ) func.apply( context, args );            };        }        const debouncedTriggerPostRender = debounce( function() {            triggerPostRender();        }, 200 );        if ( visibilityTestDiv && visibilityTestDiv.offsetParent === null ) {            const observer = new MutationObserver( ( mutations ) => {                mutations.forEach( ( mutation ) => {                    if ( mutation.type === 'attributes' && visibilityTestDiv.offsetParent !== null ) {                        debouncedTriggerPostRender();                        observer.disconnect();                    }                });            });            observer.observe( document.body, {                attributes: true,                childList: false,                subtree: true,                attributeFilter: [ 'style', 'class' ],            });        } else {            triggerPostRender();        }    } );} );\n<\/script>\n<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"class_list":["post-1219","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Cuestionario - Bark Law Firm<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.barklawfirm.com\/es\/cuestionario\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Cuestionario - Bark Law Firm\" \/>\n<meta property=\"og:description\" content=\"Descubra si es probable que tenga un caso en 30 segundos Sin formularios. Sin presiones. Solo unas cuantas preguntas r\u00e1pidas.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.barklawfirm.com\/es\/cuestionario\/\" \/>\n<meta property=\"og:site_name\" content=\"Bark Law Firm\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/workinjurytidbits\/\" \/>\n<meta property=\"article:modified_time\" content=\"2026-04-14T19:51:09+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Tiempo de lectura\" \/>\n\t<meta name=\"twitter:data1\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.barklawfirm.com\\\/es\\\/cuestionario\\\/\",\"url\":\"https:\\\/\\\/www.barklawfirm.com\\\/es\\\/cuestionario\\\/\",\"name\":\"Cuestionario - Bark Law Firm\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.barklawfirm.com\\\/#website\"},\"datePublished\":\"2026-04-08T18:02:37+00:00\",\"dateModified\":\"2026-04-14T19:51:09+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/www.barklawfirm.com\\\/es\\\/cuestionario\\\/#breadcrumb\"},\"inLanguage\":\"es-ES\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/www.barklawfirm.com\\\/es\\\/cuestionario\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/www.barklawfirm.com\\\/es\\\/cuestionario\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/www.barklawfirm.com\\\/es\\\/inicio\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Cuestionario\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/www.barklawfirm.com\\\/#website\",\"url\":\"https:\\\/\\\/www.barklawfirm.com\\\/\",\"name\":\"Bark Law Firm\",\"description\":\"\",\"publisher\":{\"@id\":\"https:\\\/\\\/www.barklawfirm.com\\\/#organization\"},\"alternateName\":\"Barkhordarian Law\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/www.barklawfirm.com\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"es-ES\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/www.barklawfirm.com\\\/#organization\",\"name\":\"Bark Law Firm\",\"alternateName\":\"Barkhordarian Law\",\"url\":\"https:\\\/\\\/www.barklawfirm.com\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"es-ES\",\"@id\":\"https:\\\/\\\/www.barklawfirm.com\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/www.barklawfirm.com\\\/wp-content\\\/uploads\\\/2025\\\/12\\\/294453382_1401149460363256_4317620745549306834_n.png\",\"contentUrl\":\"https:\\\/\\\/www.barklawfirm.com\\\/wp-content\\\/uploads\\\/2025\\\/12\\\/294453382_1401149460363256_4317620745549306834_n.png\",\"width\":1200,\"height\":628,\"caption\":\"Bark Law Firm\"},\"image\":{\"@id\":\"https:\\\/\\\/www.barklawfirm.com\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.facebook.com\\\/workinjurytidbits\\\/\",\"https:\\\/\\\/www.linkedin.com\\\/in\\\/richard-barkhordarian-3a5132186\\\/\"]}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Cuestionario - Bark Law Firm","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.barklawfirm.com\/es\/cuestionario\/","og_locale":"es_ES","og_type":"article","og_title":"Cuestionario - Bark Law Firm","og_description":"Descubra si es probable que tenga un caso en 30 segundos Sin formularios. Sin presiones. Solo unas cuantas preguntas r\u00e1pidas.","og_url":"https:\/\/www.barklawfirm.com\/es\/cuestionario\/","og_site_name":"Bark Law Firm","article_publisher":"https:\/\/www.facebook.com\/workinjurytidbits\/","article_modified_time":"2026-04-14T19:51:09+00:00","twitter_card":"summary_large_image","twitter_misc":{"Tiempo de lectura":"2 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/www.barklawfirm.com\/es\/cuestionario\/","url":"https:\/\/www.barklawfirm.com\/es\/cuestionario\/","name":"Cuestionario - Bark Law Firm","isPartOf":{"@id":"https:\/\/www.barklawfirm.com\/#website"},"datePublished":"2026-04-08T18:02:37+00:00","dateModified":"2026-04-14T19:51:09+00:00","breadcrumb":{"@id":"https:\/\/www.barklawfirm.com\/es\/cuestionario\/#breadcrumb"},"inLanguage":"es-ES","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.barklawfirm.com\/es\/cuestionario\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/www.barklawfirm.com\/es\/cuestionario\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/www.barklawfirm.com\/es\/inicio\/"},{"@type":"ListItem","position":2,"name":"Cuestionario"}]},{"@type":"WebSite","@id":"https:\/\/www.barklawfirm.com\/#website","url":"https:\/\/www.barklawfirm.com\/","name":"Bark Law Firm","description":"","publisher":{"@id":"https:\/\/www.barklawfirm.com\/#organization"},"alternateName":"Barkhordarian Law","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.barklawfirm.com\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"es-ES"},{"@type":"Organization","@id":"https:\/\/www.barklawfirm.com\/#organization","name":"Bark Law Firm","alternateName":"Barkhordarian Law","url":"https:\/\/www.barklawfirm.com\/","logo":{"@type":"ImageObject","inLanguage":"es-ES","@id":"https:\/\/www.barklawfirm.com\/#\/schema\/logo\/image\/","url":"https:\/\/www.barklawfirm.com\/wp-content\/uploads\/2025\/12\/294453382_1401149460363256_4317620745549306834_n.png","contentUrl":"https:\/\/www.barklawfirm.com\/wp-content\/uploads\/2025\/12\/294453382_1401149460363256_4317620745549306834_n.png","width":1200,"height":628,"caption":"Bark Law Firm"},"image":{"@id":"https:\/\/www.barklawfirm.com\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/workinjurytidbits\/","https:\/\/www.linkedin.com\/in\/richard-barkhordarian-3a5132186\/"]}]}},"_links":{"self":[{"href":"https:\/\/www.barklawfirm.com\/es\/wp-json\/wp\/v2\/pages\/1219","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.barklawfirm.com\/es\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.barklawfirm.com\/es\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.barklawfirm.com\/es\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.barklawfirm.com\/es\/wp-json\/wp\/v2\/comments?post=1219"}],"version-history":[{"count":0,"href":"https:\/\/www.barklawfirm.com\/es\/wp-json\/wp\/v2\/pages\/1219\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.barklawfirm.com\/es\/wp-json\/wp\/v2\/media?parent=1219"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}