{"id":394,"date":"2021-05-05T14:39:15","date_gmt":"2021-05-05T14:39:15","guid":{"rendered":"https:\/\/driscoll.gomohealth.care\/parenting-experience-survey\/"},"modified":"2021-05-05T14:39:15","modified_gmt":"2021-05-05T14:39:15","slug":"parenting-experience-survey","status":"publish","type":"page","link":"https:\/\/driscoll.gomohealth.care\/es\/ppp\/parenting-experience-survey\/","title":{"rendered":"Parenting Experience Survey"},"content":{"rendered":"<script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener(\"DOMContentLoaded\",o):document.addEventListener(\"gform_main_scripts_loaded\",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook(\"action\",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook(\"filter\",o,n,r,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,n){gform.removeHook(\"action\",o,n)},removeFilter:function(o,n,r){gform.removeHook(\"filter\",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var e=gform.hooks[o][n];null==i&&(i=n+\"_\"+e.length),gform.hooks[o][n].push({tag:i,callable:r,priority:t=null==t?10:t})},doHook:function(n,o,r){var t;if(r=Array.prototype.slice.call(r,1),null!=gform.hooks[n][o]&&((o=gform.hooks[n][o]).sort(function(o,n){return o.priority-n.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==n?t.apply(null,r):r[0]=t.apply(null,r)})),\"filter\"==n)return r[0]},removeHook:function(o,n,t,i){var r;null!=gform.hooks[o][n]&&(r=(r=gform.hooks[o][n]).filter(function(o,n,r){return!!(null!=i&&i!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][n]=r)}});<\/script>\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper' id='gform_wrapper_21' style='display:none'><form method='post' enctype='multipart\/form-data'  id='gform_21'  action='\/es\/wp-json\/wp\/v2\/pages\/394' ><input type=\"hidden\" value=\"0\" name=\"gpps_page_progression_21\" \/>\n                        <div class='gform_body gform-body'><ul id='gform_fields_21' class='gform_fields top_label form_sublabel_below description_below'><li id=\"field_21_15\"  class=\"gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_15\"><div class='ginput_container ginput_container_text'><input name='input_15' id='input_21_15' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/li><li id=\"field_21_17\"  class=\"gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_17\"><div class='ginput_container ginput_container_text'><input name='input_17' id='input_21_17' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='https:\/\/driscoll.gomohealth.care\/es\/wp-json\/wp\/v2\/pages\/394' \/><\/div><\/li><li id=\"field_21_1\"  class=\"gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_1\"><p>A continuaci\u00f3n se muestra una lista de cuestiones relacionadas con ser padre. Por favor, seleccione la respuesta, que mejor describe c\u00f3mo se siente honestamente. Todos los datos recopilados est\u00e1n protegidos por la ley de privacidad hippa.<\/p>\n\n<p>* = requerido<\/p><\/li><li id=\"field_21_2\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_2\"><label class='gfield_label' for='input_21_2' >Date<\/label><div class='ginput_container ginput_container_date'>\n                            <input readonly='readonly' name='input_2' id='input_21_2' type='text' value='04\/30\/2026' class='gpro-disabled-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/aaaa' aria-describedby=\"input_21_2_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_21_2_date_format' class='screen-reader-text'>MM barra DD barra AAAA<\/span>\n                        <input type=\"hidden\" id=\"gwro_hidden_capture_21_2\" name=\"gwro_hidden_capture_21_2\" value=\"04\/30\/2026\" class=\"gf-default-disabled\" \/><\/div>\n                        <input readonly='readonly' type='hidden' id='gforms_calendar_icon_input_21_2' class='gform_hidden' value='\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_21_3\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_3\"><label class='gfield_label' for='input_21_3' >\u00bfQu\u00e9 seminario complet\u00f3 hoy?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_3' id='input_21_3' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>- Seleccione -<\/option><option value='Triple P Seminar 1: Power of Positive Parenting' >Seminario 1 de Triple P: El poder de la Crianza Positive<\/option><option value='Triple P Seminar 3: Raising Resilient Children' >Seminario 3 de Triple P: Criar ni\u00f1os y ni\u00f1as Resilientes<\/option><option value='Triple P Teen Seminar 1: Raising Responsible Teenagers' >Seminario 1 de Triple P para Padres y Madres de Adolescentes: Criando adolescentes responsables<\/option><option value='Triple P Teen Seminar 3: Getting Teenagers Connected' >Seminario 3 de Triple P para Padres y Madres de Adolescentes: Conectando a los y las adolescentes<\/option><\/select><\/div><\/li><li id=\"field_21_4\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_4\"><label class='gfield_label' for='input_21_4' >\u00bfCu\u00e1l es su n\u00famero de participaci\u00f3n?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_4' id='input_21_4' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_21_5\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_5\"><label class='gfield_label' for='input_21_5' >Edad actual del ni\u00f1o\/ni\u00f1a<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_5' id='input_21_5' type='text' value='' class='small'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_21_6\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_6\"><label class='gfield_label' for='input_21_6' >\u00bfEn qu\u00e9 c\u00f3digo postal vives?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_6' id='input_21_6' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_21_7\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_7\"><label class='gfield_label'  >En general, \u00bfqu\u00e9 tan dif\u00edcil ha sido la conducta de su hijo\/a en las \u00faltimas 6 semanas?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_21_7'>\n\t\t\t<li class='gchoice gchoice_21_7_0'>\n\t\t\t\t<input name='input_7' type='radio' value='Not at all'  id='choice_21_7_0'    \/>\n\t\t\t\t<label for='choice_21_7_0' id='label_21_7_0'>Nada<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_7_1'>\n\t\t\t\t<input name='input_7' type='radio' value='Slightly'  id='choice_21_7_1'    \/>\n\t\t\t\t<label for='choice_21_7_1' id='label_21_7_1'>Un poco<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_7_2'>\n\t\t\t\t<input name='input_7' type='radio' value='Moderately'  id='choice_21_7_2'    \/>\n\t\t\t\t<label for='choice_21_7_2' id='label_21_7_2'>Moderadamente<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_7_3'>\n\t\t\t\t<input name='input_7' type='radio' value='Very'  id='choice_21_7_3'    \/>\n\t\t\t\t<label for='choice_21_7_3' id='label_21_7_3'>Bastante<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_7_4'>\n\t\t\t\t<input name='input_7' type='radio' value='Extremely'  id='choice_21_7_4'    \/>\n\t\t\t\t<label for='choice_21_7_4' id='label_21_7_4'>Extremadamente<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_21_8\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible gsurvey-survey-field \"  data-field-class=\"gsurvey-survey-field\" data-js-reload=\"field_21_8\"><label class='gfield_label gfield_label_before_complex'  >\u00bfEn qu\u00e9 medida las siguientes afirmaciones describen su experiencia como padre\/madre en las \u00faltimas 6 semanas?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_likert'><table class='gsurvey-likert' id='input_21_8'><thead><tr><th scope='col' class='gsurvey-likert-row-label'><\/th><th scope='col' class='gsurvey-likert-choice-label'>Nada<\/th><th scope='col' class='gsurvey-likert-choice-label'>Un poco<\/th><th scope='col' class='gsurvey-likert-choice-label'>Moderadamente<\/th><th scope='col' class='gsurvey-likert-choice-label'>Bastante<\/th><th scope='col' class='gsurvey-likert-choice-label'>Extremadamente<\/th><\/tr><\/thead><tbody><tr><td data-label='' class='gsurvey-likert-row-label'>La parentalidad es gratificante<\/td><td data-label='Nada' class='gsurvey-likert-choice'><input name='input_8.1' type='radio' value='glikertrow4aeb6685:Not at all'  id='choice_21_8_1_1'   \/><\/td><td data-label='Un poco' class='gsurvey-likert-choice'><input name='input_8.1' type='radio' value='glikertrow4aeb6685:Slightly'  id='choice_21_8_1_2'   \/><\/td><td data-label='Moderadamente' class='gsurvey-likert-choice'><input name='input_8.1' type='radio' value='glikertrow4aeb6685:Moderately'  id='choice_21_8_1_3'   \/><\/td><td data-label='Bastante' class='gsurvey-likert-choice'><input name='input_8.1' type='radio' value='glikertrow4aeb6685:Very'  id='choice_21_8_1_4'   \/><\/td><td data-label='Extremadamente' class='gsurvey-likert-choice'><input name='input_8.1' type='radio' value='glikertrow4aeb6685:Extremely'  id='choice_21_8_1_5'   \/><\/td><\/tr><tr><td data-label='' class='gsurvey-likert-row-label'>La parentalidad es demandante<\/td><td data-label='Nada' class='gsurvey-likert-choice'><input name='input_8.2' type='radio' value='glikertrow42122c6f:Not at all'  id='choice_21_8_2_1'   \/><\/td><td data-label='Un poco' class='gsurvey-likert-choice'><input name='input_8.2' type='radio' value='glikertrow42122c6f:Slightly'  id='choice_21_8_2_2'   \/><\/td><td data-label='Moderadamente' class='gsurvey-likert-choice'><input name='input_8.2' type='radio' value='glikertrow42122c6f:Moderately'  id='choice_21_8_2_3'   \/><\/td><td data-label='Bastante' class='gsurvey-likert-choice'><input name='input_8.2' type='radio' value='glikertrow42122c6f:Very'  id='choice_21_8_2_4'   \/><\/td><td data-label='Extremadamente' class='gsurvey-likert-choice'><input name='input_8.2' type='radio' value='glikertrow42122c6f:Extremely'  id='choice_21_8_2_5'   \/><\/td><\/tr><tr><td data-label='' class='gsurvey-likert-row-label'>La parentalidad es estresante<\/td><td data-label='Nada' class='gsurvey-likert-choice'><input name='input_8.3' type='radio' value='glikertrow6d8af8ed:Not at all'  id='choice_21_8_3_1'   \/><\/td><td data-label='Un poco' class='gsurvey-likert-choice'><input name='input_8.3' type='radio' value='glikertrow6d8af8ed:Slightly'  id='choice_21_8_3_2'   \/><\/td><td data-label='Moderadamente' class='gsurvey-likert-choice'><input name='input_8.3' type='radio' value='glikertrow6d8af8ed:Moderately'  id='choice_21_8_3_3'   \/><\/td><td data-label='Bastante' class='gsurvey-likert-choice'><input name='input_8.3' type='radio' value='glikertrow6d8af8ed:Very'  id='choice_21_8_3_4'   \/><\/td><td data-label='Extremadamente' class='gsurvey-likert-choice'><input name='input_8.3' type='radio' value='glikertrow6d8af8ed:Extremely'  id='choice_21_8_3_5'   \/><\/td><\/tr><tr><td data-label='' class='gsurvey-likert-row-label'>La parentalidad es satisfactoria<\/td><td data-label='Nada' class='gsurvey-likert-choice'><input name='input_8.4' type='radio' value='glikertrowc2cf9c31:Not at all'  id='choice_21_8_4_1'   \/><\/td><td data-label='Un poco' class='gsurvey-likert-choice'><input name='input_8.4' type='radio' value='glikertrowc2cf9c31:Slightly'  id='choice_21_8_4_2'   \/><\/td><td data-label='Moderadamente' class='gsurvey-likert-choice'><input name='input_8.4' type='radio' value='glikertrowc2cf9c31:Moderately'  id='choice_21_8_4_3'   \/><\/td><td data-label='Bastante' class='gsurvey-likert-choice'><input name='input_8.4' type='radio' value='glikertrowc2cf9c31:Very'  id='choice_21_8_4_4'   \/><\/td><td data-label='Extremadamente' class='gsurvey-likert-choice'><input name='input_8.4' type='radio' value='glikertrowc2cf9c31:Extremely'  id='choice_21_8_4_5'   \/><\/td><\/tr><tr><td data-label='' class='gsurvey-likert-row-label'>La parentalidad es deprimente<\/td><td data-label='Nada' class='gsurvey-likert-choice'><input name='input_8.5' type='radio' value='glikertrow78e71d26:Not at all'  id='choice_21_8_5_1'   \/><\/td><td data-label='Un poco' class='gsurvey-likert-choice'><input name='input_8.5' type='radio' value='glikertrow78e71d26:Slightly'  id='choice_21_8_5_2'   \/><\/td><td data-label='Moderadamente' class='gsurvey-likert-choice'><input name='input_8.5' type='radio' value='glikertrow78e71d26:Moderately'  id='choice_21_8_5_3'   \/><\/td><td data-label='Bastante' class='gsurvey-likert-choice'><input name='input_8.5' type='radio' value='glikertrow78e71d26:Very'  id='choice_21_8_5_4'   \/><\/td><td data-label='Extremadamente' class='gsurvey-likert-choice'><input name='input_8.5' type='radio' value='glikertrow78e71d26:Extremely'  id='choice_21_8_5_5'   \/><\/td><\/tr><\/tbody><\/table><\/div><\/li><li id=\"field_21_9\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_9\"><label class='gfield_label'  >En las \u00faltimas 6 semanas, \u00bfqu\u00e9 tan confiado se ha sentido en poder realizar sus responsabilidades como padre\/madre?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_21_9'>\n\t\t\t<li class='gchoice gchoice_21_9_0'>\n\t\t\t\t<input name='input_9' type='radio' value='Not at all'  id='choice_21_9_0'    \/>\n\t\t\t\t<label for='choice_21_9_0' id='label_21_9_0'>Nada<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_9_1'>\n\t\t\t\t<input name='input_9' type='radio' value='Slightly'  id='choice_21_9_1'    \/>\n\t\t\t\t<label for='choice_21_9_1' id='label_21_9_1'>Un poco<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_9_2'>\n\t\t\t\t<input name='input_9' type='radio' value='Moderately'  id='choice_21_9_2'    \/>\n\t\t\t\t<label for='choice_21_9_2' id='label_21_9_2'>Moderadamente<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_9_3'>\n\t\t\t\t<input name='input_9' type='radio' value='Very'  id='choice_21_9_3'    \/>\n\t\t\t\t<label for='choice_21_9_3' id='label_21_9_3'>Bastante<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_9_4'>\n\t\t\t\t<input name='input_9' type='radio' value='Extremely'  id='choice_21_9_4'    \/>\n\t\t\t\t<label for='choice_21_9_4' id='label_21_9_4'>Extremadamente<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_21_10\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_10\"><label class='gfield_label'  >\u00bfQu\u00e9 tan apoyado se ha sentido en su papel como padre\/madre en las \u00faltimas 6 semanas?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_21_10'>\n\t\t\t<li class='gchoice gchoice_21_10_0'>\n\t\t\t\t<input name='input_10' type='radio' value='Not at all'  id='choice_21_10_0'    \/>\n\t\t\t\t<label for='choice_21_10_0' id='label_21_10_0'>Nada<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_10_1'>\n\t\t\t\t<input name='input_10' type='radio' value='Slightly'  id='choice_21_10_1'    \/>\n\t\t\t\t<label for='choice_21_10_1' id='label_21_10_1'>Un poco<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_10_2'>\n\t\t\t\t<input name='input_10' type='radio' value='Moderately'  id='choice_21_10_2'    \/>\n\t\t\t\t<label for='choice_21_10_2' id='label_21_10_2'>Moderadamente<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_10_3'>\n\t\t\t\t<input name='input_10' type='radio' value='Very'  id='choice_21_10_3'    \/>\n\t\t\t\t<label for='choice_21_10_3' id='label_21_10_3'>Bastante<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_10_4'>\n\t\t\t\t<input name='input_10' type='radio' value='Extremely'  id='choice_21_10_4'    \/>\n\t\t\t\t<label for='choice_21_10_4' id='label_21_10_4'>Extremadamente<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_21_11\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_11\"><label class='gfield_label'  >\u00bfTiene una pareja o c\u00f3nyuge que vive con usted o le ayuda a criar a sus hijos?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_21_11'>\n\t\t\t<li class='gchoice gchoice_21_11_0'>\n\t\t\t\t<input name='input_11' type='radio' value='Yes'  id='choice_21_11_0'    \/>\n\t\t\t\t<label for='choice_21_11_0' id='label_21_11_0'>S\u00ed<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_11_1'>\n\t\t\t\t<input name='input_11' type='radio' value='No'  id='choice_21_11_1'    \/>\n\t\t\t\t<label for='choice_21_11_1' id='label_21_11_1'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_21_12\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_12\"><label class='gfield_label'  >\u00bfHasta qu\u00e9 punto est\u00e1n ambos de acuerdo sobre los m\u00e9todos para disciplinar a su hijo\/a?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_21_12'>\n\t\t\t<li class='gchoice gchoice_21_12_0'>\n\t\t\t\t<input name='input_12' type='radio' value='Not at all'  id='choice_21_12_0'    \/>\n\t\t\t\t<label for='choice_21_12_0' id='label_21_12_0'>Nada<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_12_1'>\n\t\t\t\t<input name='input_12' type='radio' value='Slightly'  id='choice_21_12_1'    \/>\n\t\t\t\t<label for='choice_21_12_1' id='label_21_12_1'>Un poco<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_12_2'>\n\t\t\t\t<input name='input_12' type='radio' value='Moderately'  id='choice_21_12_2'    \/>\n\t\t\t\t<label for='choice_21_12_2' id='label_21_12_2'>Moderadamente<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_12_3'>\n\t\t\t\t<input name='input_12' type='radio' value='Very'  id='choice_21_12_3'    \/>\n\t\t\t\t<label for='choice_21_12_3' id='label_21_12_3'>Bastante<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_12_4'>\n\t\t\t\t<input name='input_12' type='radio' value='Extremely'  id='choice_21_12_4'    \/>\n\t\t\t\t<label for='choice_21_12_4' id='label_21_12_4'>Extremadamente<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_21_13\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_13\"><label class='gfield_label'  >\u00bfQu\u00e9 tan comprensiva ha sido su pareja para con usted en su papel como padre\/ madre en las \u00faltimas 6 semanas?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_21_13'>\n\t\t\t<li class='gchoice gchoice_21_13_0'>\n\t\t\t\t<input name='input_13' type='radio' value='Not at all'  id='choice_21_13_0'    \/>\n\t\t\t\t<label for='choice_21_13_0' id='label_21_13_0'>Nada<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_13_1'>\n\t\t\t\t<input name='input_13' type='radio' value='Slightly'  id='choice_21_13_1'    \/>\n\t\t\t\t<label for='choice_21_13_1' id='label_21_13_1'>Un poco<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_13_2'>\n\t\t\t\t<input name='input_13' type='radio' value='Moderately'  id='choice_21_13_2'    \/>\n\t\t\t\t<label for='choice_21_13_2' id='label_21_13_2'>Moderadamente<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_13_3'>\n\t\t\t\t<input name='input_13' type='radio' value='Very'  id='choice_21_13_3'    \/>\n\t\t\t\t<label for='choice_21_13_3' id='label_21_13_3'>Bastante<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_13_4'>\n\t\t\t\t<input name='input_13' type='radio' value='Extremely'  id='choice_21_13_4'    \/>\n\t\t\t\t<label for='choice_21_13_4' id='label_21_13_4'>Extremadamente<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_21_14\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_above gfield_visibility_visible\"  data-js-reload=\"field_21_14\"><label class='gfield_label'  >En un sentido general, \u00bfqu\u00e9 tan feliz se siente con su relaci\u00f3n con su pareja?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_21_14'>(Nota: el punto medio, 'feliz' representa el grado de felicidad de la mayor\u00eda de las relaciones; indique el\npunto que mejor describe el grado de felicidad, considerando todos los aspectos, de su relaci\u00f3n)<\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_21_14'>\n\t\t\t<li class='gchoice gchoice_21_14_0'>\n\t\t\t\t<input name='input_14' type='radio' value='Extremely unhappy'  id='choice_21_14_0'    \/>\n\t\t\t\t<label for='choice_21_14_0' id='label_21_14_0'>Extremadamente infeliz<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_14_1'>\n\t\t\t\t<input name='input_14' type='radio' value='Fairly unhappy'  id='choice_21_14_1'    \/>\n\t\t\t\t<label for='choice_21_14_1' id='label_21_14_1'>Bastante infeliz<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_14_2'>\n\t\t\t\t<input name='input_14' type='radio' value='A little unhappy'  id='choice_21_14_2'    \/>\n\t\t\t\t<label for='choice_21_14_2' id='label_21_14_2'>Un poco infeliz<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_14_3'>\n\t\t\t\t<input name='input_14' type='radio' value='Happy'  id='choice_21_14_3'    \/>\n\t\t\t\t<label for='choice_21_14_3' id='label_21_14_3'>Feliz<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_14_4'>\n\t\t\t\t<input name='input_14' type='radio' value='Very Happy'  id='choice_21_14_4'    \/>\n\t\t\t\t<label for='choice_21_14_4' id='label_21_14_4'>Muy feliz<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_14_5'>\n\t\t\t\t<input name='input_14' type='radio' value='Extremely Happy'  id='choice_21_14_5'    \/>\n\t\t\t\t<label for='choice_21_14_5' id='label_21_14_5'>Extremadamente feliz<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_14_6'>\n\t\t\t\t<input name='input_14' type='radio' value='Perfect'  id='choice_21_14_6'    \/>\n\t\t\t\t<label for='choice_21_14_6' id='label_21_14_6'>Perfecta<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_21_18\"  class=\"gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_18\"><div class='ginput_container ginput_container_text'><input name='input_18' id='input_21_18' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' 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