{"id":690,"date":"2022-02-28T12:52:39","date_gmt":"2022-02-28T12:52:39","guid":{"rendered":"https:\/\/driscoll.gomohealth.care\/behavioral-health-assessment\/"},"modified":"2022-03-18T14:55:07","modified_gmt":"2022-03-18T14:55:07","slug":"behavioral-health-assessment","status":"publish","type":"page","link":"https:\/\/driscoll.gomohealth.care\/es\/behavioral-health-assessment\/","title":{"rendered":"Evaluaci\u00f3n de salud conductual"},"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_39' style='display:none'><form method='post' enctype='multipart\/form-data'  id='gform_39'  action='\/es\/wp-json\/wp\/v2\/pages\/690' ><input type=\"hidden\" value=\"0\" name=\"gpps_page_progression_39\" \/>\n                        <div class='gform_body gform-body'><ul id='gform_fields_39' class='gform_fields top_label form_sublabel_below description_below'><li id=\"field_39_32\"  class=\"gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_39_32\"><div class='ginput_container ginput_container_text'><input name='input_32' id='input_39_32' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/li><li id=\"field_39_62\"  class=\"gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_39_62\"><div class='ginput_container ginput_container_text'><input name='input_62' id='input_39_62' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/li><li id=\"field_39_33\"  class=\"gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_39_33\"><div class='ginput_container ginput_container_text'><input name='input_33' id='input_39_33' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='https:\/\/driscoll.gomohealth.care\/es\/wp-json\/wp\/v2\/pages\/690' \/><\/div><\/li><li id=\"field_39_63\"  class=\"gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_39_63\"><div class='ginput_container ginput_container_text'><input name='input_63' id='input_39_63' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/li><li id=\"field_39_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_39_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 problemas de salud conductual 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_39_82\"  class=\"gfield gfield_contains_required field_sublabel_above field_description_below gfield_visibility_visible\"  data-js-reload=\"field_39_82\"><label class='gfield_label gfield_label_before_complex'  >Name<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_39_82'>\n                            \n                            <span id='input_39_82_3_container' class='name_first' >\n                                                    <label for='input_39_82_3' >Nombre<\/label>\n                                                    <input type='text' name='input_82.3' id='input_39_82_3' value=''   aria-required='true'     \/>\n                                                <\/span>\n                            \n                            <span id='input_39_82_6_container' class='name_last' >\n                                                            <label for='input_39_82_6' >Apellido<\/label>\n                                                            <input type='text' name='input_82.6' id='input_39_82_6' value=''   aria-required='true'     \/>\n                                                        <\/span>\n                            \n                        <\/div><\/li><li id=\"field_39_83\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_39_83\"><label class='gfield_label' for='input_39_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_39_83' type='text' value='' class='datepicker mdy datepicker_with_icon gdatepicker_with_icon'   placeholder='mm\/dd\/aaaa' aria-describedby=\"input_39_83_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_39_83_date_format' class='screen-reader-text'>MM barra DD barra AAAA<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_39_83' class='gform_hidden' value='\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_39_85\"  class=\"gfield gf_list_inline radio_btns_inline_style_one mt_20 custom_rating_style gfield_contains_required field_sublabel_below field_description_above gfield_visibility_visible\"  data-js-reload=\"field_39_85\"><label class='gfield_label'  >En una escala de 1 a 10, \u00bfc\u00f3mo calificar\u00eda su nivel de salud y su bienestar general (o los de su hijo o hija)?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_39_85'><span style=\"color: #29a08a;font-weight: 700;\">1 - Mi nivel de salud\/bienestar es excelente<\/span><span class=\"desc_rating_right\" style=\"color: #cd3c27;font-weight: 700; text-align: right; display: inline; float: right;\">10 \u2013 Mi nivel de salud\/bienestar es pobre<\/span><\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_39_85'>\n\t\t\t<li class='gchoice gchoice_39_85_0'>\n\t\t\t\t<input name='input_85' type='radio' value='1'  id='choice_39_85_0'    \/>\n\t\t\t\t<label for='choice_39_85_0' id='label_39_85_0'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_39_85_1'>\n\t\t\t\t<input name='input_85' type='radio' value='2'  id='choice_39_85_1'    \/>\n\t\t\t\t<label for='choice_39_85_1' id='label_39_85_1'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_39_85_2'>\n\t\t\t\t<input name='input_85' type='radio' value='3'  id='choice_39_85_2'    \/>\n\t\t\t\t<label for='choice_39_85_2' id='label_39_85_2'>3<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_39_85_3'>\n\t\t\t\t<input name='input_85' type='radio' value='4'  id='choice_39_85_3'    \/>\n\t\t\t\t<label for='choice_39_85_3' id='label_39_85_3'>4<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_39_85_4'>\n\t\t\t\t<input name='input_85' type='radio' value='5'  id='choice_39_85_4'    \/>\n\t\t\t\t<label for='choice_39_85_4' id='label_39_85_4'>5<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_39_85_5'>\n\t\t\t\t<input name='input_85' type='radio' value='6'  id='choice_39_85_5'    \/>\n\t\t\t\t<label for='choice_39_85_5' id='label_39_85_5'>6<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_39_85_6'>\n\t\t\t\t<input name='input_85' type='radio' value='7'  id='choice_39_85_6'    \/>\n\t\t\t\t<label for='choice_39_85_6' id='label_39_85_6'>7<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_39_85_7'>\n\t\t\t\t<input name='input_85' type='radio' value='8'  id='choice_39_85_7'    \/>\n\t\t\t\t<label for='choice_39_85_7' id='label_39_85_7'>8<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_39_85_8'>\n\t\t\t\t<input name='input_85' type='radio' value='9'  id='choice_39_85_8'    \/>\n\t\t\t\t<label for='choice_39_85_8' id='label_39_85_8'>9<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_39_85_9'>\n\t\t\t\t<input name='input_85' type='radio' value='10'  id='choice_39_85_9'    \/>\n\t\t\t\t<label for='choice_39_85_9' id='label_39_85_9'>10<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_39_86\"  class=\"gfield gfield_html gfield_html_formatted field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_39_86\"><h2>\u00bfCon qu\u00e9 frecuencia ha tenido cada uno de los siguientes problemas durante las \u00faltimas 2 semanas?<\/h2><\/li><li id=\"field_39_87\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_39_87\"><label class='gfield_label'  >Nerviosismo, ansiedad o intolerancia<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_39_87'>\n\t\t\t<li class='gchoice gchoice_39_87_0'>\n\t\t\t\t<input name='input_87' type='radio' value='0'  id='choice_39_87_0'    \/>\n\t\t\t\t<label for='choice_39_87_0' id='label_39_87_0'>Nunca<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_39_87_1'>\n\t\t\t\t<input name='input_87' type='radio' value='1'  id='choice_39_87_1'    \/>\n\t\t\t\t<label for='choice_39_87_1' id='label_39_87_1'>Varios d\u00edas<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_39_87_2'>\n\t\t\t\t<input name='input_87' type='radio' value='2'  id='choice_39_87_2'    \/>\n\t\t\t\t<label for='choice_39_87_2' id='label_39_87_2'>M\u00e1s de la mitad de los d\u00edas<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_39_87_3'>\n\t\t\t\t<input name='input_87' type='radio' value='3'  id='choice_39_87_3'    \/>\n\t\t\t\t<label for='choice_39_87_3' id='label_39_87_3'>Casi todos los d\u00edas<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_39_88\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_39_88\"><label class='gfield_label'  >Imposibilidad para evitar o controlar la preocupaci\u00f3n<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_39_88'>\n\t\t\t<li class='gchoice gchoice_39_88_0'>\n\t\t\t\t<input name='input_88' type='radio' value='0'  id='choice_39_88_0'    \/>\n\t\t\t\t<label for='choice_39_88_0' id='label_39_88_0'>Nunca<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_39_88_1'>\n\t\t\t\t<input name='input_88' type='radio' value='1'  id='choice_39_88_1'    \/>\n\t\t\t\t<label for='choice_39_88_1' id='label_39_88_1'>Varios d\u00edas<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_39_88_2'>\n\t\t\t\t<input name='input_88' type='radio' value='2'  id='choice_39_88_2'    \/>\n\t\t\t\t<label for='choice_39_88_2' id='label_39_88_2'>M\u00e1s de la mitad de los d\u00edas<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_39_88_3'>\n\t\t\t\t<input name='input_88' type='radio' value='3'  id='choice_39_88_3'    \/>\n\t\t\t\t<label for='choice_39_88_3' id='label_39_88_3'>Casi todos los d\u00edas<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_39_89\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_39_89\"><label class='gfield_label'  >Poco inter\u00e9s o placer por hacer las cosas<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_39_89'>\n\t\t\t<li class='gchoice gchoice_39_89_0'>\n\t\t\t\t<input name='input_89' type='radio' value='0'  id='choice_39_89_0'    \/>\n\t\t\t\t<label for='choice_39_89_0' id='label_39_89_0'>Nunca<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_39_89_1'>\n\t\t\t\t<input name='input_89' type='radio' value='1'  id='choice_39_89_1'    \/>\n\t\t\t\t<label for='choice_39_89_1' id='label_39_89_1'>Varios d\u00edas<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_39_89_2'>\n\t\t\t\t<input name='input_89' type='radio' value='2'  id='choice_39_89_2'    \/>\n\t\t\t\t<label for='choice_39_89_2' id='label_39_89_2'>M\u00e1s de la mitad de los d\u00edas<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_39_89_3'>\n\t\t\t\t<input name='input_89' type='radio' value='3'  id='choice_39_89_3'    \/>\n\t\t\t\t<label for='choice_39_89_3' id='label_39_89_3'>Casi todos los d\u00edas<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_39_90\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_39_90\"><label class='gfield_label'  >Sentirse deca\u00eddo, deprimido o sin esperanza<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_39_90'>\n\t\t\t<li class='gchoice gchoice_39_90_0'>\n\t\t\t\t<input name='input_90' type='radio' value='0'  id='choice_39_90_0'    \/>\n\t\t\t\t<label for='choice_39_90_0' id='label_39_90_0'>Nunca<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_39_90_1'>\n\t\t\t\t<input name='input_90' type='radio' value='1'  id='choice_39_90_1'    \/>\n\t\t\t\t<label for='choice_39_90_1' id='label_39_90_1'>Varios d\u00edas<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_39_90_2'>\n\t\t\t\t<input name='input_90' type='radio' value='2'  id='choice_39_90_2'    \/>\n\t\t\t\t<label for='choice_39_90_2' id='label_39_90_2'>M\u00e1s de la mitad de los d\u00edas<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_39_90_3'>\n\t\t\t\t<input name='input_90' type='radio' value='3'  id='choice_39_90_3'    \/>\n\t\t\t\t<label for='choice_39_90_3' id='label_39_90_3'>Casi todos los d\u00edas<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_39_91\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_39_91\"><label class='gfield_label'  >Piensa que ser\u00eda mejor morirse o lastimarse de alguna manera<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_39_91'>\n\t\t\t<li class='gchoice gchoice_39_91_0'>\n\t\t\t\t<input name='input_91' type='radio' value='Nunca'  id='choice_39_91_0'    \/>\n\t\t\t\t<label for='choice_39_91_0' id='label_39_91_0'>Nunca<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_39_91_1'>\n\t\t\t\t<input name='input_91' type='radio' value='Several Days'  id='choice_39_91_1'    \/>\n\t\t\t\t<label for='choice_39_91_1' id='label_39_91_1'>Varios d\u00edas<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_39_91_2'>\n\t\t\t\t<input name='input_91' type='radio' value='More than half the days'  id='choice_39_91_2'    \/>\n\t\t\t\t<label for='choice_39_91_2' id='label_39_91_2'>M\u00e1s de la mitad de los d\u00edas<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_39_91_3'>\n\t\t\t\t<input name='input_91' type='radio' value='Nearly every day'  id='choice_39_91_3'    \/>\n\t\t\t\t<label for='choice_39_91_3' id='label_39_91_3'>Casi todos los d\u00edas<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_39_92\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_39_92\"><label class='gfield_label'  >\u00bfTiene medicamentos para ayudarle con su salud mental?<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_39_92'>\n\t\t\t<li class='gchoice gchoice_39_92_0'>\n\t\t\t\t<input name='input_92' type='radio' value='Yes'  id='choice_39_92_0'    \/>\n\t\t\t\t<label for='choice_39_92_0' id='label_39_92_0'>S\u00ed<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_39_92_1'>\n\t\t\t\t<input name='input_92' type='radio' value='No'  id='choice_39_92_1'    \/>\n\t\t\t\t<label for='choice_39_92_1' id='label_39_92_1'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_39_93\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_39_93\"><label class='gfield_label'  >\u00bfToma esos medicamentos?<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_39_93'>\n\t\t\t<li class='gchoice gchoice_39_93_0'>\n\t\t\t\t<input name='input_93' type='radio' value='Yes, I take it as prescribed'  id='choice_39_93_0'    \/>\n\t\t\t\t<label for='choice_39_93_0' id='label_39_93_0'>S\u00ed, los tomo seg\u00fan las indicaciones del m\u00e9dico<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_39_93_1'>\n\t\t\t\t<input name='input_93' type='radio' value='I take it most of the time'  id='choice_39_93_1'    \/>\n\t\t\t\t<label for='choice_39_93_1' id='label_39_93_1'>Los tomo la mayor parte del tiempo<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_39_93_2'>\n\t\t\t\t<input name='input_93' type='radio' value='I take it when I feel bad'  id='choice_39_93_2'    \/>\n\t\t\t\t<label for='choice_39_93_2' id='label_39_93_2'>Los tomo cuando me siento mal<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_39_93_3'>\n\t\t\t\t<input name='input_93' type='radio' value='I don&#039;t take it'  id='choice_39_93_3'    \/>\n\t\t\t\t<label for='choice_39_93_3' id='label_39_93_3'>No los tomo<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_39_94\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_39_94\"><label class='gfield_label'  >\u00bfLe gustar\u00eda obtener m\u00e1s informaci\u00f3n sobre los diferentes recursos y grupos de apoyo que est\u00e1n disponibles para ayudarle a controlar su condici\u00f3n m\u00e9dica?<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_39_94'>\n\t\t\t<li class='gchoice gchoice_39_94_0'>\n\t\t\t\t<input name='input_94' type='radio' value='Yes'  id='choice_39_94_0'    \/>\n\t\t\t\t<label for='choice_39_94_0' id='label_39_94_0'>S\u00ed<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_39_94_1'>\n\t\t\t\t<input name='input_94' type='radio' value='No'  id='choice_39_94_1'    \/>\n\t\t\t\t<label for='choice_39_94_1' id='label_39_94_1'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_39_95\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_39_95\"><label class='gfield_label' for='input_39_95' >Comentarios<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_95' id='input_39_95' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'>.<\/textarea><\/div><\/li><li id=\"field_39_34\"  class=\"gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_39_34\"><div class='ginput_container ginput_container_text'><input name='input_34' id='input_39_34' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/li><li id=\"field_39_74\"  class=\"gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_39_74\"><div class='ginput_container ginput_container_text'><input name='input_74' id='input_39_74' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/li><li id=\"field_39_75\"  class=\"gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_39_75\"><div class='ginput_container ginput_container_text'><input name='input_75' id='input_39_75' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/li><li id=\"field_39_76\"  class=\"gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_39_76\"><div class='ginput_container ginput_container_text'><input name='input_76' id='input_39_76' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/li><li id=\"field_39_77\"  class=\"gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_39_77\"><div class='ginput_container ginput_container_text'><input name='input_77' id='input_39_77' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/li><li id=\"field_39_78\"  class=\"gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_39_78\"><div class='ginput_container ginput_container_text'><input name='input_78' id='input_39_78' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/li><li id=\"field_39_80\"  class=\"gfield gfield_calculation field_sublabel_below field_description_below gfield_visibility_hidden\"  data-js-reload=\"field_39_80\"><div class='admin-hidden-markup'><i class='gform-icon gform-icon--hidden'><\/i><span>Hidden<\/span><\/div><label class='gfield_label' for='input_39_80' >PHQ-2 Score<\/label><div class='ginput_container ginput_container_number'><input name='input_80' id='input_39_80' type='text'    value='' class='medium'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_39_96\"  class=\"gfield gfield_calculation field_sublabel_below field_description_below gfield_visibility_hidden\"  data-js-reload=\"field_39_96\"><div class='admin-hidden-markup'><i class='gform-icon gform-icon--hidden'><\/i><span>Hidden<\/span><\/div><label class='gfield_label' for='input_39_96' >GAD-2 Score<\/label><div class='ginput_container ginput_container_number'><input name='input_96' id='input_39_96' type='text'    value='' class='medium'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_39_81\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_hidden\"  data-js-reload=\"field_39_81\"><div class='admin-hidden-markup'><i class='gform-icon gform-icon--hidden'><\/i><span>Hidden<\/span><\/div><label class='gfield_label' for='input_39_81' >Escalate<\/label><div class='ginput_container ginput_container_text'><input name='input_81' id='input_39_81' type='text' value='S\u00ed' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_39_97\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_hidden\"  data-js-reload=\"field_39_97\"><div class='admin-hidden-markup'><i class='gform-icon gform-icon--hidden'><\/i><span>Hidden<\/span><\/div><label class='gfield_label' for='input_39_97' >MemberID<\/label><div class='ginput_container ginput_container_text'><input name='input_97' id='input_39_97' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><\/ul><\/div>\n        <div class='gform_footer top_label'> <input type='submit' id='gform_submit_button_39' class='gform_button button' value='Enviar'  onclick='if(window[\"gf_submitting_39\"]){return false;}  window[\"gf_submitting_39\"]=true;  ' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_39\"]){return false;} window[\"gf_submitting_39\"]=true;  jQuery(\"#gform_39\").trigger(\"submit\",[true]); }' \/> \n            <input type='hidden' class='gform_hidden' name='is_submit_39' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='39' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_39' value='WyJbXSIsIjI4OGJiZjIyYWI5ZDFhYjgzOTIwYTUwODNlODQ2YzBlIl0=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_target_page_number_39' id='gform_target_page_number_39' value='0' \/>\n            <input type='hidden' class='gform_hidden' name='gform_source_page_number_39' id='gform_source_page_number_39' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n                        <p style=\"display: none !important;\"><label>&#916;<textarea name=\"ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"ak_js\" value=\"14\"\/><script>document.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );<\/script><\/p><\/form>\n                        <\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-0{width:100% !important;margin-top : 0px;margin-bottom : 20px;}.fusion-builder-column-0 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 1.92%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 1.92%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-0{width:100% !important;order : 0;}.fusion-builder-column-0 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-0{width:100% !important;order : 0;}.fusion-builder-column-0 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-1{ padding-top : 0px;margin-top : 0px;padding-right : 0px;padding-bottom : 0px;margin-bottom : 0px;padding-left : 0px;}<\/style><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":19,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v19.10 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Evaluaci\u00f3n de salud conductual | Driscoll Health Plan<\/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:\/\/driscoll.gomohealth.care\/es\/behavioral-health-assessment\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Evaluaci\u00f3n de salud conductual | Driscoll Health Plan\" \/>\n<meta property=\"og:url\" content=\"https:\/\/driscoll.gomohealth.care\/es\/behavioral-health-assessment\/\" \/>\n<meta property=\"og:site_name\" content=\"Driscoll HRAs\" \/>\n<meta property=\"article:modified_time\" content=\"2022-03-18T14:55:07+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=\"3 minutos\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/driscoll.gomohealth.care\/es\/behavioral-health-assessment\/\",\"url\":\"https:\/\/driscoll.gomohealth.care\/es\/behavioral-health-assessment\/\",\"name\":\"Evaluaci\u00f3n de salud conductual | Driscoll Health Plan\",\"isPartOf\":{\"@id\":\"https:\/\/driscoll.gomohealth.care\/es\/#website\"},\"datePublished\":\"2022-02-28T12:52:39+00:00\",\"dateModified\":\"2022-03-18T14:55:07+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/driscoll.gomohealth.care\/es\/behavioral-health-assessment\/#breadcrumb\"},\"inLanguage\":\"es\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/driscoll.gomohealth.care\/es\/behavioral-health-assessment\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/driscoll.gomohealth.care\/es\/behavioral-health-assessment\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/driscoll.gomohealth.care\/es\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Evaluaci\u00f3n de salud conductual\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/driscoll.gomohealth.care\/es\/#website\",\"url\":\"https:\/\/driscoll.gomohealth.care\/es\/\",\"name\":\"Driscoll HRAs\",\"description\":\"Just another GoMo Health Sites site\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/driscoll.gomohealth.care\/es\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"es\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Evaluaci\u00f3n de salud conductual | Driscoll Health Plan","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:\/\/driscoll.gomohealth.care\/es\/behavioral-health-assessment\/","og_locale":"es_ES","og_type":"article","og_title":"Evaluaci\u00f3n de salud conductual | Driscoll Health Plan","og_url":"https:\/\/driscoll.gomohealth.care\/es\/behavioral-health-assessment\/","og_site_name":"Driscoll HRAs","article_modified_time":"2022-03-18T14:55:07+00:00","twitter_card":"summary_large_image","twitter_misc":{"Tiempo de lectura":"3 minutos"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/driscoll.gomohealth.care\/es\/behavioral-health-assessment\/","url":"https:\/\/driscoll.gomohealth.care\/es\/behavioral-health-assessment\/","name":"Evaluaci\u00f3n de salud conductual | Driscoll Health Plan","isPartOf":{"@id":"https:\/\/driscoll.gomohealth.care\/es\/#website"},"datePublished":"2022-02-28T12:52:39+00:00","dateModified":"2022-03-18T14:55:07+00:00","breadcrumb":{"@id":"https:\/\/driscoll.gomohealth.care\/es\/behavioral-health-assessment\/#breadcrumb"},"inLanguage":"es","potentialAction":[{"@type":"ReadAction","target":["https:\/\/driscoll.gomohealth.care\/es\/behavioral-health-assessment\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/driscoll.gomohealth.care\/es\/behavioral-health-assessment\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/driscoll.gomohealth.care\/es\/"},{"@type":"ListItem","position":2,"name":"Evaluaci\u00f3n de salud conductual"}]},{"@type":"WebSite","@id":"https:\/\/driscoll.gomohealth.care\/es\/#website","url":"https:\/\/driscoll.gomohealth.care\/es\/","name":"Driscoll HRAs","description":"Just another GoMo Health Sites site","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/driscoll.gomohealth.care\/es\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"es"}]}},"_links":{"self":[{"href":"https:\/\/driscoll.gomohealth.care\/es\/wp-json\/wp\/v2\/pages\/690"}],"collection":[{"href":"https:\/\/driscoll.gomohealth.care\/es\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/driscoll.gomohealth.care\/es\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/driscoll.gomohealth.care\/es\/wp-json\/wp\/v2\/users\/19"}],"replies":[{"embeddable":true,"href":"https:\/\/driscoll.gomohealth.care\/es\/wp-json\/wp\/v2\/comments?post=690"}],"version-history":[{"count":3,"href":"https:\/\/driscoll.gomohealth.care\/es\/wp-json\/wp\/v2\/pages\/690\/revisions"}],"predecessor-version":[{"id":695,"href":"https:\/\/driscoll.gomohealth.care\/es\/wp-json\/wp\/v2\/pages\/690\/revisions\/695"}],"wp:attachment":[{"href":"https:\/\/driscoll.gomohealth.care\/es\/wp-json\/wp\/v2\/media?parent=690"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}