{"id":660,"date":"2022-01-19T08:46:10","date_gmt":"2022-01-19T08:46:10","guid":{"rendered":"https:\/\/driscoll.gomohealth.care\/evaluacion-del-asma\/"},"modified":"2022-01-19T08:48:41","modified_gmt":"2022-01-19T08:48:41","slug":"asthma-assessment","status":"publish","type":"page","link":"https:\/\/driscoll.gomohealth.care\/es\/asthma-assessment\/","title":{"rendered":"Evaluaci\u00f3n del asma"},"content":{"rendered":"<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#eae9e9;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1064.96px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><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_38' style='display:none'><div id='gf_38' class='gform_anchor' tabindex='-1'><\/div><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_38' id='gform_38'  action='\/es\/wp-json\/wp\/v2\/pages\/660#gf_38' ><input type=\"hidden\" value=\"0\" name=\"gpps_page_progression_38\" \/>\n                        <div class='gform_body gform-body'><ul id='gform_fields_38' class='gform_fields top_label form_sublabel_below description_below'><li id=\"field_38_32\"  class=\"gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_38_32\"><div class='ginput_container ginput_container_text'><input name='input_32' id='input_38_32' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/li><li id=\"field_38_62\"  class=\"gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_38_62\"><div class='ginput_container ginput_container_text'><input name='input_62' id='input_38_62' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/li><li id=\"field_38_33\"  class=\"gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_38_33\"><div class='ginput_container ginput_container_text'><input name='input_33' id='input_38_33' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='https:\/\/driscoll.gomohealth.care\/es\/wp-json\/wp\/v2\/pages\/660' \/><\/div><\/li><li id=\"field_38_63\"  class=\"gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_38_63\"><div class='ginput_container ginput_container_text'><input name='input_63' id='input_38_63' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/li><li id=\"field_38_1\"  class=\"gfield mt_25 gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_38_1\"><p><b>Completar esta breve encuesta solo le tomar\u00e1 unos minutos y nos ayudar\u00e1 a controlar c\u00f3mo les est\u00e1 yendo a usted o a sus hijos. Todas las preguntas deben corresponder al miembro de su familia con asma mencionado a continuaci\u00f3n. Si desea completar formularios para m\u00e1s de un miembro de su familia, podr\u00e1 hacerlo al finalizar la encuesta.<\/b><\/p>\n \n<p><b style=\"color: #790000;\">*<\/b> = requerido<\/p><\/li><li id=\"field_38_82\"  class=\"gfield gfield_contains_required field_sublabel_above field_description_below gfield_visibility_visible\"  data-js-reload=\"field_38_82\"><label class='gfield_label gfield_label_before_complex'  >Nombre<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name' id='input_38_82'>\n                            \n                            <span id='input_38_82_3_container' class='name_first' >\n                                                    <label for='input_38_82_3' >Nombre<\/label>\n                                                    <input type='text' name='input_82.3' id='input_38_82_3' value=''   aria-required='true'     \/>\n                                                <\/span>\n                            \n                            <span id='input_38_82_6_container' class='name_last' >\n                                                            <label for='input_38_82_6' >Apellido<\/label>\n                                                            <input type='text' name='input_82.6' id='input_38_82_6' value=''   aria-required='true'     \/>\n                                                        <\/span>\n                            \n                        <\/div><\/li><li id=\"field_38_83\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_38_83\"><label class='gfield_label' for='input_38_83' >Fecha de nacimiento<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_83' id='input_38_83' type='text' value='' class='datepicker mdy datepicker_with_icon gdatepicker_with_icon'   placeholder='mm\/dd\/aaaa' aria-describedby=\"input_38_83_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_38_83_date_format' class='screen-reader-text'>MM barra DD barra AAAA<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_38_83' class='gform_hidden' value='\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_38_36\"  class=\"gfield mt_25 gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_38_36\"><label class='gfield_label'  >Creo que puedo tomar medidas para ayudar a prevenir o minimizar algunos s\u00edntomas o problemas asociados con el asma.<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_38_36'>\n\t\t\t<li class='gchoice gchoice_38_36_0'>\n\t\t\t\t<input name='input_36' type='radio' value='0'  id='choice_38_36_0'    \/>\n\t\t\t\t<label for='choice_38_36_0' id='label_38_36_0'>Muy de acuerdo<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_38_36_1'>\n\t\t\t\t<input name='input_36' type='radio' value='1'  id='choice_38_36_1'    \/>\n\t\t\t\t<label for='choice_38_36_1' id='label_38_36_1'>De acuerdo<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_38_36_2'>\n\t\t\t\t<input name='input_36' type='radio' value='2'  id='choice_38_36_2'    \/>\n\t\t\t\t<label for='choice_38_36_2' id='label_38_36_2'>No estoy seguro<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_38_36_3'>\n\t\t\t\t<input name='input_36' type='radio' value='3'  id='choice_38_36_3'    \/>\n\t\t\t\t<label for='choice_38_36_3' id='label_38_36_3'>En desacuerdo<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_38_36_4'>\n\t\t\t\t<input name='input_36' type='radio' value='4'  id='choice_38_36_4'    \/>\n\t\t\t\t<label for='choice_38_36_4' id='label_38_36_4'>Muy en desacuerdo<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_38_64\"  class=\"gfield mt_25 gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_38_64\"><label class='gfield_label'  >Tengo la seguridad de que sabr\u00e9 cu\u00e1ndo pedir atenci\u00f3n m\u00e9dica y cu\u00e1ndo manejar sin ayuda un problema de salud.<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_38_64'>\n\t\t\t<li class='gchoice gchoice_38_64_0'>\n\t\t\t\t<input name='input_64' type='radio' value='0'  id='choice_38_64_0'    \/>\n\t\t\t\t<label for='choice_38_64_0' id='label_38_64_0'>Muy de acuerdo<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_38_64_1'>\n\t\t\t\t<input name='input_64' type='radio' value='1'  id='choice_38_64_1'    \/>\n\t\t\t\t<label for='choice_38_64_1' id='label_38_64_1'>De acuerdo<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_38_64_2'>\n\t\t\t\t<input name='input_64' type='radio' value='2'  id='choice_38_64_2'    \/>\n\t\t\t\t<label for='choice_38_64_2' id='label_38_64_2'>No estoy seguro<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_38_64_3'>\n\t\t\t\t<input name='input_64' type='radio' value='3'  id='choice_38_64_3'    \/>\n\t\t\t\t<label for='choice_38_64_3' id='label_38_64_3'>En desacuerdo<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_38_64_4'>\n\t\t\t\t<input name='input_64' type='radio' value='4'  id='choice_38_64_4'    \/>\n\t\t\t\t<label for='choice_38_64_4' id='label_38_64_4'>Muy en desacuerdo<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_38_65\"  class=\"gfield mt_25 field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_38_65\"><label class='gfield_label'  >\u00bfAlguien en el hogar fuma o vapea o est\u00e1 expuesto al humo de segunda mano?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_38_65'>\n\t\t\t<li class='gchoice gchoice_38_65_0'>\n\t\t\t\t<input name='input_65' type='radio' value='Yes, regularly'  id='choice_38_65_0'    \/>\n\t\t\t\t<label for='choice_38_65_0' id='label_38_65_0'>S\u00ed, regularmente<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_38_65_1'>\n\t\t\t\t<input name='input_65' type='radio' value='Occasionally'  id='choice_38_65_1'    \/>\n\t\t\t\t<label for='choice_38_65_1' id='label_38_65_1'>Ocasionalmente<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_38_65_2'>\n\t\t\t\t<input name='input_65' type='radio' value='I used to smoke but I quit'  id='choice_38_65_2'    \/>\n\t\t\t\t<label for='choice_38_65_2' id='label_38_65_2'>Yo sol\u00eda fumar, ya no<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_38_65_3'>\n\t\t\t\t<input name='input_65' type='radio' value='Never'  id='choice_38_65_3'    \/>\n\t\t\t\t<label for='choice_38_65_3' id='label_38_65_3'>No, nunca<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_38_66\"  class=\"gfield mt_25 gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_38_66\"><label class='gfield_label'  >\u00bfCon qu\u00e9 frecuencia tiene esa persona ataques de asma?<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_38_66'>\n\t\t\t<li class='gchoice gchoice_38_66_0'>\n\t\t\t\t<input name='input_66' type='radio' value='Every day'  id='choice_38_66_0'    \/>\n\t\t\t\t<label for='choice_38_66_0' id='label_38_66_0'>Todos los d\u00edas<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_38_66_1'>\n\t\t\t\t<input name='input_66' type='radio' value='2-3 times\/week'  id='choice_38_66_1'    \/>\n\t\t\t\t<label for='choice_38_66_1' id='label_38_66_1'>2-3 veces por semana<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_38_66_2'>\n\t\t\t\t<input name='input_66' type='radio' value='Around once\/week'  id='choice_38_66_2'    \/>\n\t\t\t\t<label for='choice_38_66_2' id='label_38_66_2'>Alrededor de una vez por semana<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_38_66_3'>\n\t\t\t\t<input name='input_66' type='radio' value='2-3 times\/month'  id='choice_38_66_3'    \/>\n\t\t\t\t<label for='choice_38_66_3' id='label_38_66_3'>2-3 veces por mes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_38_66_4'>\n\t\t\t\t<input name='input_66' type='radio' value='Around once\/month'  id='choice_38_66_4'    \/>\n\t\t\t\t<label for='choice_38_66_4' id='label_38_66_4'>Alrededor de una vez por mes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_38_66_5'>\n\t\t\t\t<input name='input_66' type='radio' value='Less than twice a year'  id='choice_38_66_5'    \/>\n\t\t\t\t<label for='choice_38_66_5' id='label_38_66_5'>Menos de dos veces al a\u00f1o<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_38_66_6'>\n\t\t\t\t<input name='input_66' type='radio' value='Never'  id='choice_38_66_6'    \/>\n\t\t\t\t<label for='choice_38_66_6' id='label_38_66_6'>No, nunca<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_38_67\"  class=\"gfield mt_25 gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_38_67\"><label class='gfield_label'  >\u00bfEsa persona ha asistido a sus citas m\u00e9dicas?<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_38_67'>\n\t\t\t<li class='gchoice gchoice_38_67_0'>\n\t\t\t\t<input name='input_67' type='radio' value='Yes'  id='choice_38_67_0'    \/>\n\t\t\t\t<label for='choice_38_67_0' id='label_38_67_0'>S\u00ed<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_38_67_1'>\n\t\t\t\t<input name='input_67' type='radio' value='Most of the time'  id='choice_38_67_1'    \/>\n\t\t\t\t<label for='choice_38_67_1' id='label_38_67_1'>La mayor parte del tiempo<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_38_67_2'>\n\t\t\t\t<input name='input_67' type='radio' value='Sometimes'  id='choice_38_67_2'    \/>\n\t\t\t\t<label for='choice_38_67_2' id='label_38_67_2'>A veces<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_38_67_3'>\n\t\t\t\t<input name='input_67' type='radio' value='No'  id='choice_38_67_3'    \/>\n\t\t\t\t<label for='choice_38_67_3' id='label_38_67_3'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_38_68\"  class=\"gfield mt_25 gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_38_68\"><label class='gfield_label gfield_label_before_complex'  >D\u00edganos por qu\u00e9<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_38_68'><li class='gchoice gchoice_38_68_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_68.1' type='checkbox'  value='Transportation issues'  id='choice_38_68_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_38_68_1' id='label_38_68_1'>Problemas de transporte<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_38_68_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_68.2' type='checkbox'  value='Childcare issues'  id='choice_38_68_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_38_68_2' id='label_38_68_2'>Problemas de cuidado de ni\u00f1os<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_38_68_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_68.3' type='checkbox'  value='I forget'  id='choice_38_68_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_38_68_3' id='label_38_68_3'>No recuerdo<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_38_68_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_68.4' type='checkbox'  value='I cannot get off from work'  id='choice_38_68_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_38_68_4' id='label_38_68_4'>No puedo salir del trabajo<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_38_68_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_68.5' type='checkbox'  value='I have problems making appointments'  id='choice_38_68_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_38_68_5' id='label_38_68_5'>Tengo problemas para programar las citas<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_38_68_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_68.6' type='checkbox'  value='Other'  id='choice_38_68_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_38_68_6' id='label_38_68_6'>Otro<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_38_69\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_38_69\"><label class='gfield_label' for='input_38_69' >Seleccion\u00f3 &quot;Otro&quot;, por favor describa:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_69' id='input_38_69' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_38_70\"  class=\"gfield mt_25 gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_38_70\"><label class='gfield_label'  >\u00bfTiene esa persona un medicamento de control y otro de rescate, y sabe cu\u00e1ndo usar cada uno?<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_38_70'>\n\t\t\t<li class='gchoice gchoice_38_70_0'>\n\t\t\t\t<input name='input_70' type='radio' value='Yes'  id='choice_38_70_0'    \/>\n\t\t\t\t<label for='choice_38_70_0' id='label_38_70_0'>S\u00ed<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_38_70_1'>\n\t\t\t\t<input name='input_70' type='radio' value='Somewhat'  id='choice_38_70_1'    \/>\n\t\t\t\t<label for='choice_38_70_1' id='label_38_70_1'>Algo<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_38_70_2'>\n\t\t\t\t<input name='input_70' type='radio' value='No'  id='choice_38_70_2'    \/>\n\t\t\t\t<label for='choice_38_70_2' id='label_38_70_2'>No<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_38_70_3'>\n\t\t\t\t<input name='input_70' type='radio' value='Not sure'  id='choice_38_70_3'    \/>\n\t\t\t\t<label for='choice_38_70_3' id='label_38_70_3'>No estoy seguro<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_38_71\"  class=\"gfield mt_25 gfield_contains_required field_sublabel_below field_description_above gfield_visibility_visible\"  data-js-reload=\"field_38_71\"><label class='gfield_label'  >\u00bfEl miembro toma sus medicamentos para el asma como se los recetaron?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_38_71'>(por ejemplo, un inhalador)<\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_38_71'>\n\t\t\t<li class='gchoice gchoice_38_71_0'>\n\t\t\t\t<input name='input_71' type='radio' value='Yes'  id='choice_38_71_0'    \/>\n\t\t\t\t<label for='choice_38_71_0' id='label_38_71_0'>S\u00ed<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_38_71_1'>\n\t\t\t\t<input name='input_71' type='radio' value='Somewhat'  id='choice_38_71_1'    \/>\n\t\t\t\t<label for='choice_38_71_1' id='label_38_71_1'>Algo<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_38_71_2'>\n\t\t\t\t<input name='input_71' type='radio' value='No'  id='choice_38_71_2'    \/>\n\t\t\t\t<label for='choice_38_71_2' id='label_38_71_2'>No<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_38_71_3'>\n\t\t\t\t<input name='input_71' type='radio' value='Not sure'  id='choice_38_71_3'    \/>\n\t\t\t\t<label for='choice_38_71_3' id='label_38_71_3'>No estoy seguro<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_38_72\"  class=\"gfield mt_25 gfield_contains_required field_sublabel_below field_description_above gfield_visibility_visible\"  data-js-reload=\"field_38_72\"><label class='gfield_label gfield_label_before_complex'  >D\u00edganos por qu\u00e9.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_38_72'>Marque todas las opciones que correspondan:<\/div><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_38_72'><li class='gchoice gchoice_38_72_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_72.1' type='checkbox'  value='I can&#039;t afford the prescription'  id='choice_38_72_1'   aria-describedby=\"gfield_description_38_72\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_38_72_1' id='label_38_72_1'>No puedo pagar la receta<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_38_72_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_72.2' type='checkbox'  value='Unpleasant side effects'  id='choice_38_72_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_38_72_2' id='label_38_72_2'>Efectos secundarios molestos<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_38_72_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_72.3' type='checkbox'  value='I forget'  id='choice_38_72_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_38_72_3' id='label_38_72_3'>No recuerdo<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_38_72_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_72.4' type='checkbox'  value='I ran out'  id='choice_38_72_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_38_72_4' id='label_38_72_4'>Se me acab\u00f3<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_38_72_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_72.5' type='checkbox'  value='I am having trouble contacting my provider'  id='choice_38_72_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_38_72_5' id='label_38_72_5'>Tengo problemas para comunicarme con mi proveedor<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_38_72_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_72.6' type='checkbox'  value='It doesn\u2019t help'  id='choice_38_72_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_38_72_6' id='label_38_72_6'>No me ayuda<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_38_72_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_72.7' type='checkbox'  value='Other'  id='choice_38_72_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_38_72_7' id='label_38_72_7'>Otro<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_38_73\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_38_73\"><label class='gfield_label' for='input_38_73' >Seleccion\u00f3 &quot;Otro&quot;, por favor describa:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_73' id='input_38_73' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_38_84\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_38_84\"><label class='gfield_label' for='input_38_84' >Comments<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_84' id='input_38_84' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_38_34\"  class=\"gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_38_34\"><div class='ginput_container ginput_container_text'><input name='input_34' id='input_38_34' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/li><li id=\"field_38_74\"  class=\"gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_38_74\"><div class='ginput_container ginput_container_text'><input name='input_74' id='input_38_74' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/li><li id=\"field_38_75\"  class=\"gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_38_75\"><div class='ginput_container ginput_container_text'><input name='input_75' id='input_38_75' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/li><li id=\"field_38_76\"  class=\"gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_38_76\"><div class='ginput_container ginput_container_text'><input name='input_76' id='input_38_76' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' 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