{"id":270,"date":"2025-09-07T07:53:30","date_gmt":"2025-09-07T07:53:30","guid":{"rendered":"https:\/\/www.tuporaki.com\/?page_id=270"},"modified":"2025-09-14T07:01:35","modified_gmt":"2025-09-14T07:01:35","slug":"bienvenido2con-todos-visual","status":"publish","type":"page","link":"https:\/\/www.tuporaki.com\/","title":{"rendered":"EntradaBienvenidos"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"270\" class=\"elementor elementor-270\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-0ff1808 e-flex e-con-boxed e-con e-parent\" data-id=\"0ff1808\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b658386 elementor-widget elementor-widget-html\" data-id=\"b658386\" data-element_type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t\t<script>window.enableEventObserver=true<\/script>\r\n<script src=\"https:\/\/cdn.jotfor.ms\/s\/static\/fc361869311\/static\/prototype.forms.js\" type=\"text\/javascript\"><\/script>\r\n<script src=\"https:\/\/cdn.jotfor.ms\/s\/static\/fc361869311\/static\/jotform.forms.js\" type=\"text\/javascript\"><\/script>\r\n<script src=\"https:\/\/cdn.jotfor.ms\/s\/static\/fc361869311\/js\/punycode-1.4.1.min.js\" type=\"text\/javascript\" defer><\/script>\r\n<script src=\"https:\/\/cdn.jotfor.ms\/s\/umd\/7c3ae82dc3f\/for-widgets-server.js\" type=\"text\/javascript\"><\/script>\r\n<script src=\"https:\/\/cdn.jotfor.ms\/s\/static\/fc361869311\/static\/encryptedForms.js\" type=\"text\/javascript\"><\/script>\r\n<script src=\"https:\/\/cdn.jotfor.ms\/s\/umd\/7c3ae82dc3f\/for-form-encryption.js\" type=\"text\/javascript\"><\/script>\r\n<script src=\"https:\/\/cdn.jotfor.ms\/s\/umd\/7c3ae82dc3f\/for-form-branding-footer.js\" type=\"text\/javascript\" defer><\/script>\r\n<script src=\"https:\/\/cdn.jotfor.ms\/s\/static\/fc361869311\/js\/vendor\/smoothscroll.min.js\" type=\"text\/javascript\"><\/script>\r\n<script src=\"https:\/\/cdn.jotfor.ms\/s\/static\/fc361869311\/js\/errorNavigation.js\" type=\"text\/javascript\"><\/script>\r\n<script type=\"text\/javascript\">\tJotForm.newDefaultTheme = true;\r\n\tJotForm.extendsNewTheme = false;\r\n\tJotForm.singleProduct = false;\r\n\tJotForm.newPaymentUIForNewCreatedForms = false;\r\n\tJotForm.texts = {\"confirmEmail\":\"E-mail does not match\",\"pleaseWait\":\"Please wait...\",\"validateEmail\":\"You need to validate this e-mail\",\"confirmClearForm\":\"Are you sure you want to clear the form\",\"lessThan\":\"Your score should be less than or equal to\",\"incompleteFields\":\"There are incomplete required fields. 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Please enter the address manually.\",\"geoNotAvailableTitle\":\"Position Unavailable\",\"geoPermissionDesc\":\"Check your browser's privacy settings.\",\"geoPermissionTitle\":\"Permission Denied\",\"geoTimeoutDesc\":\"Please check your internet connection and try again.\",\"geoTimeoutTitle\":\"Timeout\",\"gradingScoreError\":\"El puntaje total deber\u00eda ser s\u00f3lo &amp;quot;menos que&amp;quot; o &amp;quot;igual que&amp;quot;\",\"incompleteFields\":\"Existen campos requeridos incompletos. 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Solo est\u00e1n permitidas las extensiones {extensions}.\",\"multipleFileUploads_uploadFailed\":\"Carga de archivo fallida, favor remover y cargar de nuevo.\",\"nextButtonText\":\"Seguir\",\"noSlotsAvailable\":\"No hay cupos disponibles\",\"notEnoughStock\":\"No hay suficientes existencias para la selecci\u00f3n actual\",\"notEnoughStock_remainedItems\":\"No hay suficientes existencias para la selecci\u00f3n actual (quedan {count} art\u00edculos)\",\"noUploadExtensions\":\"File has no extension file type (e.g. .txt, .png, .jpeg)\",\"numeric\":\"Este campo s\u00f3lo admite valores num\u00e9ricos.\",\"oneError\":\"Hay {count} error en esta p\u00e1gina. 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S\u00f3lo se permite una entrada. &lt;br&gt; Los env\u00edos m\u00faltiples est\u00e1n deshabilitados para este formulario.\",\"submitButtonText\":\"Enviar\",\"subProductItemsLeft\":\"(quedan {count} productos)\",\"uploadExtensions\":\"Solo puede subir los siguientes archivos:\",\"uploadFilesize\":\"Tama\u00f1o del archivo no puede ser mayor que:\",\"uploadFilesizemin\":\"Tama\u00f1ao de archivo no puede ser menos de:\",\"url\":\"Este campo solo contiene una URL v\u00e1lida.\",\"validateEmail\":\"Usted necesita validar este e-mail\",\"wordLimitError\":\"Demasiadas palabras. El l\u00edmite es\",\"wordMinLimitError\":\"Muy pocas palabras. El m\u00ednimo es\"});\r\n\t\/*INIT-END*\/\r\n\t});\r\n\r\n   setTimeout(function() {\r\nJotForm.paymentExtrasOnTheFly([null,{\"name\":\"q1_header\",\"qid\":\"1\",\"text\":\"Formulario de Registro\",\"type\":\"control_head\"},{\"description\":\"\",\"name\":\"q2_fullname0\",\"qid\":\"2\",\"text\":\"Nombre Completo\",\"type\":\"control_fullname\"},{\"description\":\"\",\"name\":\"q3_email1\",\"qid\":\"3\",\"subLabel\":\"ejemplo@ejemplo.com\",\"text\":\"Correo Electronico\",\"type\":\"control_email\"},{\"description\":\"\",\"name\":\"q4_phone2\",\"qid\":\"4\",\"text\":\"Numero de Telefono\",\"type\":\"control_phone\"},{\"description\":\"\",\"name\":\"q5_textbox3\",\"qid\":\"5\",\"subLabel\":\"\",\"text\":\"Contrasena\",\"type\":\"control_textbox\"},null,null,{\"description\":\"\",\"name\":\"q8_radio6\",\"qid\":\"8\",\"text\":\"\u00bfComo te enteraste de 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!important;}.form-section{display:inline!important}.form-pagebreak{display:none!important}.form-section-closed{height:auto!important}.page-section{position:initial!important}}<\/style>\r\n<link id=\"custom-font\" type=\"text\/css\" rel=\"stylesheet\" href=\"\/\/cdn.jotfor.ms\/fonts\/?family=Inter\" \/>\r\n<link type=\"text\/css\" rel=\"stylesheet\" href=\"https:\/\/cdn.jotfor.ms\/themes\/CSS\/5e6b428acc8c4e222d1beb91.css?v=3.3.65449&themeRevisionID=65660e4b326633110492e01a\"\/>\r\n<link type=\"text\/css\" rel=\"stylesheet\" href=\"https:\/\/cdn.jotfor.ms\/css\/styles\/payment\/payment_styles.css?3.3.65449\" \/>\r\n<link type=\"text\/css\" rel=\"stylesheet\" href=\"https:\/\/cdn.jotfor.ms\/css\/styles\/payment\/payment_feature.css?3.3.65449\" \/>\r\n<form class=\"jotform-form\" onsubmit=\"return typeof testSubmitFunction !== 'undefined' && testSubmitFunction();\" action=\"https:\/\/eu-submit.jotform.com\/submit\/252561186666061\" method=\"post\" name=\"form_252561186666061\" id=\"252561186666061\" accept-charset=\"utf-8\" autocomplete=\"on\"><input type=\"hidden\" name=\"formID\" value=\"252561186666061\" \/><input type=\"hidden\" id=\"JWTContainer\" value=\"\" \/><input type=\"hidden\" id=\"cardinalOrderNumber\" value=\"\" \/><input type=\"hidden\" id=\"jsExecutionTracker\" name=\"jsExecutionTracker\" value=\"build-date-1757831812767\" \/><input type=\"hidden\" id=\"submitSource\" name=\"submitSource\" value=\"unknown\" \/><input type=\"hidden\" id=\"submitDate\" name=\"submitDate\" value=\"undefined\" \/><input type=\"hidden\" id=\"buildDate\" name=\"buildDate\" value=\"1757831812767\" \/><input type=\"hidden\" name=\"uploadServerUrl\" value=\"https:\/\/upload.jotform.com\/upload\" \/><input type=\"hidden\" name=\"eventObserver\" value=\"1\" \/>\r\n  <div id=\"formCoverLogo\" style=\"margin-bottom:32px\" class=\"form-cover-wrapper form-has-cover form-page-cover-image-align-center\">\r\n    <div class=\"form-page-cover-image-wrapper\" style=\"max-width:752px\"><img decoding=\"async\" src=\"https:\/\/www.jotform.com\/uploads\/josenextline\/form_files\/e0a8d2a1978c8eeae49fdc9cde3ce8fd.68be8efc9e83a0.04208631.png\" class=\"form-page-cover-image\" width=\"210\" height=\"140\" alt=\"Formulario de Registro Logo\" style=\"aspect-ratio:210\/140\" \/><\/div>\r\n  <\/div>\r\n  <div role=\"main\" class=\"form-all\">\r\n    <ul class=\"form-section page-section\" role=\"presentation\">\r\n      <li id=\"cid_1\" class=\"form-input-wide\" data-type=\"control_head\">\r\n        <div style=\"display:table;width:100%\">\r\n          <div class=\"form-header-group hasImage header-large\" data-imagealign=\"Default\">\r\n            <div class=\"header-logo\"><\/div>\r\n            <div class=\"header-text httal htvam\">\r\n              <h1 id=\"header_1\" class=\"form-header\" data-component=\"header\">Formulario de Registro<\/h1>\r\n              <div id=\"subHeader_1\" class=\"form-subHeader\">Por favor, completa el siguiente formulario para registrarte.<\/div>\r\n            <\/div>\r\n          <\/div>\r\n        <\/div>\r\n      <\/li>\r\n      <li class=\"form-line jf-required\" data-type=\"control_fullname\" id=\"id_2\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_2\" for=\"first_2\" aria-hidden=\"false\"> Nombre Completo<span class=\"form-required\">*<\/span> <\/label>\r\n        <div id=\"cid_2\" class=\"form-input-wide jf-required\" data-layout=\"full\">\r\n          <div data-wrapper-react=\"true\"><span class=\"form-sub-label-container\" style=\"vertical-align:top\" data-input-type=\"first\"><input type=\"text\" id=\"first_2\" name=\"q2_q2_fullname0[first]\" class=\"form-textbox validate[required]\" data-defaultvalue=\"\" autoComplete=\"section-input_2 given-name\" size=\"10\" data-component=\"first\" aria-labelledby=\"label_2 sublabel_2_first\" required=\"\" value=\"\" \/><label class=\"form-sub-label\" for=\"first_2\" id=\"sublabel_2_first\" style=\"min-height:13px\">Nombre<\/label><\/span><span class=\"form-sub-label-container\" style=\"vertical-align:top\" data-input-type=\"last\"><input type=\"text\" id=\"last_2\" name=\"q2_q2_fullname0[last]\" class=\"form-textbox validate[required]\" data-defaultvalue=\"\" autoComplete=\"section-input_2 family-name\" size=\"15\" data-component=\"last\" aria-labelledby=\"label_2 sublabel_2_last\" required=\"\" value=\"\" \/><label class=\"form-sub-label\" for=\"last_2\" id=\"sublabel_2_last\" style=\"min-height:13px\">Apellido<\/label><\/span><\/div>\r\n        <\/div>\r\n      <\/li>\r\n      <li class=\"form-line jf-required\" data-type=\"control_email\" id=\"id_3\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_3\" for=\"input_3\" aria-hidden=\"false\"> Correo Electr\u00f3nico<span class=\"form-required\">*<\/span> <\/label>\r\n        <div id=\"cid_3\" class=\"form-input-wide jf-required\" data-layout=\"half\"> <span class=\"form-sub-label-container\" style=\"vertical-align:top\"><input type=\"email\" id=\"input_3\" name=\"q3_q3_email1\" class=\"form-textbox validate[required, Email]\" data-defaultvalue=\"\" autoComplete=\"section-input_3 email\" style=\"width:310px\" size=\"310\" data-component=\"email\" aria-labelledby=\"label_3 sublabel_input_3\" required=\"\" value=\"\" \/><label class=\"form-sub-label\" for=\"input_3\" id=\"sublabel_input_3\" style=\"min-height:13px\">ejemplo@ejemplo.com<\/label><\/span> <\/div>\r\n      <\/li>\r\n      <li class=\"form-line jf-required\" data-type=\"control_phone\" id=\"id_4\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_4\" for=\"input_4_full\"> N\u00famero de Tel\u00e9fono<span class=\"form-required\">*<\/span> <\/label>\r\n        <div id=\"cid_4\" class=\"form-input-wide jf-required\" data-layout=\"half\"> <span class=\"form-sub-label-container\" style=\"vertical-align:top\"><input type=\"tel\" id=\"input_4_full\" name=\"q4_q4_phone2[full]\" data-type=\"mask-number\" class=\"mask-phone-number form-textbox validate[required, Fill Mask]\" data-defaultvalue=\"\" autoComplete=\"section-input_4 tel-national\" style=\"width:310px\" data-masked=\"true\" placeholder=\"(000) 000-0000\" data-component=\"phone\" aria-labelledby=\"label_4 sublabel_4_masked\" required=\"\" value=\"\" \/><label class=\"form-sub-label\" for=\"input_4_full\" id=\"sublabel_4_masked\" style=\"min-height:13px\">Favor ingrese un n\u00famero de tel\u00e9fono v\u00e1lido.<\/label><\/span> <\/div>\r\n      <\/li>\r\n      <li class=\"form-line jf-required\" data-type=\"control_textbox\" id=\"id_5\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_5\" for=\"input_5\" aria-hidden=\"false\"> Contrase\u00f1a<span class=\"form-required\">*<\/span> <\/label>\r\n        <div id=\"cid_5\" class=\"form-input-wide jf-required\" data-layout=\"half\"> <input type=\"text\" id=\"input_5\" name=\"q5_q5_textbox3\" data-type=\"input-textbox\" class=\"form-textbox validate[required]\" data-defaultvalue=\"\" style=\"width:310px\" size=\"310\" data-component=\"textbox\" aria-labelledby=\"label_5\" required=\"\" value=\"\" \/> <\/div>\r\n      <\/li>\r\n      <li class=\"form-line jf-required\" data-type=\"control_textbox\" id=\"id_12\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_12\" for=\"input_12\" aria-hidden=\"false\"> Repetir Contrase\u00f1a<span class=\"form-required\">*<\/span> <\/label>\r\n        <div id=\"cid_12\" class=\"form-input-wide jf-required\" data-layout=\"half\"> <input type=\"text\" id=\"input_12\" name=\"q12_repetirContrasena\" data-type=\"input-textbox\" class=\"form-textbox validate[required]\" data-defaultvalue=\"\" style=\"width:310px\" size=\"310\" data-component=\"textbox\" aria-labelledby=\"label_12\" required=\"\" value=\"\" \/> <\/div>\r\n      <\/li>\r\n      <li class=\"form-line jf-required\" data-type=\"control_radio\" id=\"id_8\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_8\" aria-hidden=\"false\"> \u00bfC\u00f3mo te enteraste de nosotros?<span class=\"form-required\">*<\/span> <\/label>\r\n        <div id=\"cid_8\" class=\"form-input-wide jf-required\" data-layout=\"full\">\r\n          <div class=\"form-single-column\" role=\"group\" aria-labelledby=\"label_8\" data-component=\"radio\"><span class=\"form-radio-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input aria-describedby=\"label_8\" type=\"radio\" class=\"form-radio validate[required]\" id=\"input_8_0\" name=\"q8_q8_radio6\" required=\"\" value=\"Amigo\" \/><label id=\"label_input_8_0\" for=\"input_8_0\">Amigo<\/label><\/span><span class=\"form-radio-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input aria-describedby=\"label_8\" type=\"radio\" class=\"form-radio validate[required]\" id=\"input_8_1\" name=\"q8_q8_radio6\" required=\"\" value=\"Redes Sociales\" \/><label id=\"label_input_8_1\" for=\"input_8_1\">Redes Sociales<\/label><\/span><span class=\"form-radio-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input aria-describedby=\"label_8\" type=\"radio\" class=\"form-radio validate[required]\" id=\"input_8_2\" name=\"q8_q8_radio6\" required=\"\" value=\"Anuncio en Internet\" \/><label id=\"label_input_8_2\" for=\"input_8_2\">Anuncio en Internet<\/label><\/span><span class=\"form-radio-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input aria-describedby=\"label_8\" type=\"radio\" class=\"form-radio validate[required]\" id=\"input_8_3\" name=\"q8_q8_radio6\" required=\"\" value=\"Otro\" \/><label id=\"label_input_8_3\" for=\"input_8_3\">Otro<\/label><\/span><\/div>\r\n        <\/div>\r\n      <\/li>\r\n      <li class=\"form-line jf-required\" data-type=\"control_checkbox\" id=\"id_9\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_9\" aria-hidden=\"false\"> Intereses<span class=\"form-required\">*<\/span> <\/label>\r\n        <div id=\"cid_9\" class=\"form-input-wide jf-required\" data-layout=\"full\">\r\n          <div class=\"form-single-column\" role=\"group\" aria-labelledby=\"label_9\" data-component=\"checkbox\"><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input aria-describedby=\"label_9\" type=\"checkbox\" class=\"form-checkbox validate[required]\" id=\"input_9_0\" name=\"q9_q9_checkbox7[]\" required=\"\" value=\"Deportes\" \/><label id=\"label_input_9_0\" for=\"input_9_0\">Deportes<\/label><\/span><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input aria-describedby=\"label_9\" type=\"checkbox\" class=\"form-checkbox validate[required]\" id=\"input_9_1\" name=\"q9_q9_checkbox7[]\" required=\"\" value=\"M\u00fasica\" \/><label id=\"label_input_9_1\" for=\"input_9_1\">M\u00fasica<\/label><\/span><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input aria-describedby=\"label_9\" type=\"checkbox\" class=\"form-checkbox validate[required]\" id=\"input_9_2\" name=\"q9_q9_checkbox7[]\" required=\"\" value=\"Arte\" \/><label id=\"label_input_9_2\" for=\"input_9_2\">Arte<\/label><\/span><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input aria-describedby=\"label_9\" type=\"checkbox\" class=\"form-checkbox validate[required]\" id=\"input_9_3\" name=\"q9_q9_checkbox7[]\" required=\"\" value=\"Tecnolog\u00eda\" \/><label id=\"label_input_9_3\" for=\"input_9_3\">Tecnolog\u00eda<\/label><\/span><\/div>\r\n        <\/div>\r\n      <\/li>\r\n      <li class=\"form-line jf-required\" data-type=\"control_textarea\" id=\"id_10\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_10\" for=\"input_10\" aria-hidden=\"false\"> Comentarios Adicionales<span class=\"form-required\">*<\/span> <\/label>\r\n        <div id=\"cid_10\" class=\"form-input-wide jf-required\" data-layout=\"full\"> <textarea id=\"input_10\" class=\"form-textarea validate[required]\" name=\"q10_q10_textarea8\" style=\"width:648px;height:163px\" data-component=\"textarea\" required=\"\" aria-labelledby=\"label_10\"><\/textarea> <\/div>\r\n      <\/li>\r\n      <li class=\"form-line\" data-type=\"control_button\" id=\"id_11\">\r\n        <div id=\"cid_11\" class=\"form-input-wide\" data-layout=\"full\">\r\n          <div data-align=\"auto\" class=\"form-buttons-wrapper form-buttons-auto   jsTest-button-wrapperField\"><button id=\"input_11\" type=\"submit\" class=\"form-submit-button submit-button jf-form-buttons jsTest-submitField legacy-submit\" data-component=\"button\" data-content=\"\">Registrarse<\/button><\/div>\r\n        <\/div>\r\n      <\/li>\r\n      <li style=\"display:none\">Should be Empty: <input type=\"text\" name=\"website\" value=\"\" type=\"hidden\" \/><\/li>\r\n    <\/ul>\r\n  <\/div>\r\n  <script>\r\n    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data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3442286 elementor-widget elementor-widget-heading\" data-id=\"3442286\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Que necesitas saber?<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7a2ba19 elementor-widget elementor-widget-html\" data-id=\"7a2ba19\" data-element_type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t\t<iframe id=\"JotFormIFrame-0198d0f345367d1ea8cf0f8c80b3b8eeeee1\" title=\"Luc\u00eda: Enfermera Oncol\u00f3gica\"\r\n  onload=\"window.parent.scrollTo(0,0)\" allowtransparency=\"true\"\r\n  allow=\"geolocation; microphone; camera; fullscreen\"\r\n  src=\"https:\/\/eu.jotform.com\/agent\/0198d0f345367d1ea8cf0f8c80b3b8eeeee1?embedMode=iframe&background=1&shadow=1\"\r\n  frameborder=\"0\" style=\"\r\n    max-width:100%;\r\n    height:688px;\r\n    border:none;\r\n    \r\n    width:100%;\r\n  \" scrolling=\"no\">\r\n<\/iframe>\r\n<script src='https:\/\/cdn.jotfor.ms\/s\/umd\/latest\/for-form-embed-handler.js'><\/script>\r\n<script>\r\n  window.jotformEmbedHandler(\"iframe[id='JotFormIFrame-0198d0f345367d1ea8cf0f8c80b3b8eeeee1']\",\r\n    \"https:\/\/eu.jotform.com\")\r\n<\/script>\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-4d6e10b e-flex e-con-boxed e-con e-parent\" data-id=\"4d6e10b\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ceac287 elementor-widget elementor-widget-heading\" data-id=\"ceac287\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Tu Seguimiento!<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-bb25096 elementor-widget elementor-widget-html\" data-id=\"bb25096\" data-element_type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t\t<!DOCTYPE html>\r\n<html lang=\"es\">\r\n<head>\r\n  <meta charset=\"UTF-8\">\r\n  <meta http-equiv=\"Content-Type\" content=\"text\/html; charset=UTF-8\">\r\n  <meta name=\"viewport\" content=\"width=device-width, initial-scale=1.0\">\r\n  <title>Encuesta Oncol\u00f3gica - Seguimiento Post-Tratamiento<\/title>\r\n  <style>\r\n    * { margin: 0; padding: 0; box-sizing: border-box; }\r\n    body {\r\n      font-family: 'Segoe UI', Tahoma, Geneva, Verdana, sans-serif;\r\n      background: linear-gradient(135deg, #667eea 0%, #764ba2 100%);\r\n      min-height: 100vh; padding: 20px;\r\n    }\r\n    .container {\r\n      max-width: 1200px; margin: 0 auto; background: white; border-radius: 20px;\r\n      box-shadow: 0 20px 60px rgba(0,0,0,0.15); overflow: hidden;\r\n      display: grid; grid-template-rows: auto minmax(0, 1fr);\r\n      height: 85vh; position: relative;\r\n    }\r\n    .header {\r\n      background: linear-gradient(135deg, #2c3e50 0%, #3498db 100%);\r\n      color: white; padding: 40px; text-align: center;\r\n    }\r\n    .header h1 { font-size: 2.5em; margin-bottom: 15px; font-weight: 700; }\r\n    .header p { font-size: 1.2em; opacity: 0.9; max-width: 800px; margin: 0 auto; line-height: 1.6; }\r\n    .content { padding: 40px; overflow: auto; -webkit-overflow-scrolling: touch; position: relative; }\r\n\r\n    \/* Scrollbar personalizada *\/\r\n    .content::-webkit-scrollbar{ width: 10px; }\r\n    .content::-webkit-scrollbar-thumb{ background:#c4b5fd; border-radius:999px; }\r\n    .content::-webkit-scrollbar-track{ background:#f1f1f1; }\r\n\r\n    .section {\r\n      margin-bottom: 40px; background: #f8f9fa; padding: 30px; border-radius: 15px; border-left: 5px solid #3498db;\r\n    }\r\n    .section h2 {\r\n      color: #2c3e50; font-size: 1.8em; margin-bottom: 20px; display: flex; align-items: center; gap: 15px;\r\n    }\r\n    .section-icon {\r\n      font-size: 1.2em; background: linear-gradient(135deg, #3498db, #2980b9); color: white;\r\n      padding: 10px; border-radius: 50%; width: 50px; height: 50px; display: flex; align-items: center; justify-content: center;\r\n    }\r\n    .question-grid {\r\n      display: grid; grid-template-columns: repeat(auto-fit, minmax(350px, 1fr));\r\n      gap: 20px; margin-top: 20px;\r\n    }\r\n    .question-card {\r\n      background: white; padding: 25px; border-radius: 12px; box-shadow: 0 8px 25px rgba(0,0,0,0.08);\r\n      border: 2px solid #e9ecef; transition: all 0.3s ease;\r\n    }\r\n    .question-card:hover { transform: translateY(-5px); box-shadow: 0 15px 35px rgba(52, 152, 219, 0.15); border-color: #3498db; }\r\n    .question-title { font-weight: 600; color: #2c3e50; margin-bottom: 15px; font-size: 1.1em; }\r\n    .scale-options { display: flex; justify-content: space-between; margin: 15px 0; padding: 15px; background: #f8f9fa; border-radius: 8px; }\r\n    .scale-option { display: flex; flex-direction: column; align-items: center; gap: 5px; cursor: pointer; padding: 10px; border-radius: 8px; transition: all 0.3s ease; }\r\n    .scale-option:hover { background: #e3f2fd; }\r\n    .scale-option input[type=\"radio\"] {\r\n      appearance: none; width: 20px; height: 20px; border: 2px solid #3498db; border-radius: 50%;\r\n      cursor: pointer; transition: all 0.3s ease;\r\n    }\r\n    .scale-option input[type=\"radio\"]:checked { background: #3498db; box-shadow: inset 0 0 0 4px white; }\r\n    .scale-label { font-size: 0.9em; color: #666; text-align: center; }\r\n    .text-input {\r\n      width: 100%; padding: 15px; border: 2px solid #e9ecef; border-radius: 8px; font-size: 1em;\r\n      transition: border-color 0.3s ease; resize: vertical; min-height: 100px;\r\n    }\r\n    .text-input:focus { outline: none; border-color: #3498db; box-shadow: 0 0 0 3px rgba(52, 152, 219, 0.1); }\r\n    .timeline-section {\r\n      background: linear-gradient(135deg, #f093fb 0%, #f5576c 100%); color: white; padding: 30px; border-radius: 15px; margin: 30px 0;\r\n    }\r\n    .timeline-grid { display: grid; grid-template-columns: repeat(auto-fit, minmax(200px, 1fr)); gap: 20px; margin-top: 20px; }\r\n    .day-card { background: rgba(255,255,255,0.1); padding: 20px; border-radius: 10px; text-align: center; border: 2px solid rgba(255,255,255,0.2); }\r\n    .day-card h4 { font-size: 1.2em; margin-bottom: 10px; }\r\n    .symptom-checklist { display: grid; grid-template-columns: repeat(auto-fit, minmax(250px, 1fr)); gap: 15px; margin-top: 15px; }\r\n    .checkbox-item {\r\n      display: flex; align-items: center; gap: 10px; padding: 10px; background: white; border-radius: 8px;\r\n      box-shadow: 0 4px 10px rgba(0,0,0,0.05); transition: all 0.3s ease;\r\n    }\r\n    .checkbox-item:hover { transform: translateX(5px); box-shadow: 0 6px 15px rgba(0,0,0,0.1); }\r\n    .checkbox-item input[type=\"checkbox\"] { width: 18px; height: 18px; accent-color: #3498db; }\r\n    .medication-tracker {\r\n      background: linear-gradient(135deg, #a8edea 0%, #fed6e3 100%); padding: 25px; border-radius: 15px; margin: 20px 0;\r\n    }\r\n    .submit-section {\r\n      text-align: center; padding: 40px;\r\n      background: linear-gradient(135deg, #667eea 0%, #764ba2 100%); margin-top: 40px; border-radius: 15px;\r\n    }\r\n    .submit-btn {\r\n      background: linear-gradient(135deg, #2c3e50 0%, #3498db 100%); color: white; padding: 15px 40px; border: none;\r\n      border-radius: 25px; font-size: 1.2em; font-weight: 600; cursor: pointer; transition: all 0.3s ease;\r\n      box-shadow: 0 8px 25px rgba(0,0,0,0.2);\r\n    }\r\n    .submit-btn:hover { transform: translateY(-3px); box-shadow: 0 15px 35px rgba(0,0,0,0.3); }\r\n    .info-box { background: #e8f5e8; border-left: 4px solid #27ae60; padding: 20px; margin: 20px 0; border-radius: 8px; }\r\n    .warning-box { background: #fef5e7; border-left: 4px solid #f39c12; padding: 20px; margin: 20px 0; border-radius: 8px; }\r\n\r\n    \/* Fades arriba y abajo *\/\r\n    .content::before,\r\n    .content::after {\r\n      content:\"\";\r\n      position:absolute;\r\n      left:0;\r\n      right:0;\r\n      height:40px;\r\n      pointer-events:none;\r\n      z-index:10;\r\n    }\r\n    .content::before {\r\n      top:0;\r\n      background:linear-gradient(to bottom, rgba(255,255,255,1), rgba(255,255,255,0));\r\n    }\r\n    .content::after {\r\n      bottom:0;\r\n      background:linear-gradient(to top, rgba(255,255,255,1), rgba(255,255,255,0));\r\n    }\r\n\r\n    \/* OPTIMIZACIONES PARA M\u00d3VIL *\/\r\n    @media (max-width: 768px) {\r\n      body { padding: 10px; }\r\n      .container { height: 90vh; }\r\n      .header { padding: 20px; }\r\n      .header h1 { font-size: 1.8em; margin-bottom: 10px; }\r\n      .header p { font-size: 1em; }\r\n      .content { padding: 20px; }\r\n      \r\n      \/* Hacer las preguntas m\u00e1s compactas *\/\r\n      .question-grid { \r\n        grid-template-columns: 1fr; \r\n        gap: 15px; \r\n      }\r\n      .question-card { \r\n        padding: 15px; \r\n        margin-bottom: 10px;\r\n      }\r\n      .question-title { \r\n        font-size: 0.95em; \r\n        margin-bottom: 10px; \r\n        line-height: 1.3;\r\n      }\r\n      \r\n      \/* Hacer los campos de entrada m\u00e1s grandes *\/\r\n      .text-input { \r\n        min-height: 120px; \r\n        padding: 12px; \r\n        font-size: 16px; \/* Evita zoom en iOS *\/\r\n      }\r\n      \r\n      \/* Optimizar escalas de opciones *\/\r\n      .scale-options { \r\n        flex-wrap: wrap; \r\n        gap: 8px; \r\n        padding: 10px; \r\n      }\r\n      .scale-option { \r\n        flex: 1 1 auto; \r\n        min-width: 60px; \r\n        padding: 8px 4px; \r\n      }\r\n      .scale-label { \r\n        font-size: 0.8em; \r\n        line-height: 1.2; \r\n      }\r\n      \r\n      \/* Timeline m\u00e1s compacto *\/\r\n      .timeline-grid { \r\n        grid-template-columns: 1fr; \r\n        gap: 15px; \r\n      }\r\n      .day-card { \r\n        padding: 15px; \r\n      }\r\n      .day-card textarea { \r\n        min-height: 80px; \r\n      }\r\n      \r\n      \/* Checklist m\u00e1s compacto *\/\r\n      .symptom-checklist { \r\n        grid-template-columns: 1fr; \r\n        gap: 8px; \r\n      }\r\n      .checkbox-item { \r\n        padding: 8px; \r\n        font-size: 0.9em; \r\n      }\r\n      \r\n      \/* Secciones m\u00e1s compactas *\/\r\n      .section { \r\n        padding: 20px 15px; \r\n        margin-bottom: 20px; \r\n      }\r\n      .section h2 { \r\n        font-size: 1.4em; \r\n        margin-bottom: 15px; \r\n        gap: 10px; \r\n      }\r\n      .section-icon { \r\n        width: 40px; \r\n        height: 40px; \r\n        padding: 8px; \r\n        font-size: 1em; \r\n      }\r\n      \r\n      \/* Timeline section m\u00f3vil *\/\r\n      .timeline-section { \r\n        padding: 20px 15px; \r\n        margin: 20px 0; \r\n      }\r\n      .timeline-section h2 { \r\n        font-size: 1.3em; \r\n        margin-bottom: 15px; \r\n      }\r\n      .timeline-section p { \r\n        font-size: 0.9em; \r\n        margin-bottom: 15px; \r\n      }\r\n      \r\n      \/* Medication tracker m\u00f3vil *\/\r\n      .medication-tracker { \r\n        padding: 20px 15px; \r\n        margin: 15px 0; \r\n      }\r\n      \r\n      \/* Submit section m\u00f3vil *\/\r\n      .submit-section { \r\n        padding: 25px 15px; \r\n        margin-top: 25px; \r\n      }\r\n      .submit-btn { \r\n        padding: 12px 30px; \r\n        font-size: 1em; \r\n        width: 100%; \r\n        max-width: 300px; \r\n      }\r\n      \r\n      \/* Info y warning boxes m\u00f3vil *\/\r\n      .info-box, .warning-box { \r\n        padding: 15px; \r\n        margin: 15px 0; \r\n        font-size: 0.9em; \r\n      }\r\n    }\r\n\r\n    \/* Para m\u00f3viles muy peque\u00f1os *\/\r\n    @media (max-width: 480px) {\r\n      .container { height: 95vh; }\r\n      .header h1 { font-size: 1.5em; }\r\n      .content { padding: 15px; }\r\n      .question-card { padding: 12px; }\r\n      .question-title { font-size: 0.9em; }\r\n      .text-input { \r\n        min-height: 100px; \r\n        padding: 10px; \r\n      }\r\n      .scale-options { \r\n        flex-direction: column; \r\n        gap: 5px; \r\n      }\r\n      .scale-option { \r\n        flex-direction: row; \r\n        justify-content: flex-start; \r\n        gap: 10px; \r\n      }\r\n    }\r\n  <\/style>\r\n<\/head>\r\n<body>\r\n  <div class=\"container\">\r\n    <div class=\"header\">\r\n      <h1>\ud83c\udfc5 Encuesta de Seguimiento Oncol\u00f3gico<\/h1>\r\n      <p>Seguimiento de s\u00edntomas y efectos secundarios durante los 15 d\u00edas posteriores al tratamiento de quimioterapia y nanoterapia<\/p>\r\n    <\/div>\r\n\r\n    <div class=\"content\">\r\n      <div class=\"info-box\">\r\n        <strong>\ud83d\udcd3 Instrucciones:<\/strong> Esta encuesta le ayudar\u00e1 a documentar su experiencia durante los 15 d\u00edas despu\u00e9s de recibir su tratamiento. Sus respuestas son confidenciales y ayudar\u00e1n a su equipo m\u00e9dico a brindarle el mejor cuidado posible.\r\n      <\/div>\r\n\r\n      <!-- Informaci\u00f3n del Paciente -->\r\n      <div class=\"section\">\r\n        <h2><div class=\"section-icon\">\ud83d\udc64<\/div>Informaci\u00f3n del Paciente<\/h2>\r\n        <div class=\"question-grid\">\r\n          <div class=\"question-card\">\r\n            <div class=\"question-title\">Nombre del Paciente<\/div>\r\n            <input type=\"text\" class=\"text-input\" style=\"min-height: 40px;\" placeholder=\"Escriba su nombre completo\">\r\n          <\/div>\r\n          <div class=\"question-card\">\r\n            <div class=\"question-title\">Edad<\/div>\r\n            <input type=\"number\" class=\"text-input\" style=\"min-height: 40px;\" placeholder=\"Edad en a\u00f1os\">\r\n          <\/div>\r\n          <div class=\"question-card\">\r\n            <div class=\"question-title\">Fecha del \u00faltimo tratamiento<\/div>\r\n            <input type=\"date\" class=\"text-input\" style=\"min-height: 40px;\">\r\n          <\/div>\r\n          <div class=\"question-card\">\r\n            <div class=\"question-title\">Tipo de tratamiento recibido<\/div>\r\n            <textarea class=\"text-input\" placeholder=\"Ej: Quimioterapia con [nombre del medicamento], Nanoterapia, etc.\"><\/textarea>\r\n          <\/div>\r\n        <\/div>\r\n      <\/div>\r\n\r\n      <!-- S\u00edntomas y Efectos Secundarios -->\r\n      <div class=\"section\">\r\n        <h2><div class=\"section-icon\">\ud83c\udf0d<\/div>S\u00edntomas y Efectos Secundarios<\/h2>\r\n\r\n        <div class=\"warning-box\">\r\n          <strong>\u26a0\ufe0f Importante:<\/strong> Si experimenta s\u00edntomas graves como fiebre alta (>38.5 \u00b0C), dificultad para respirar, dolor severo o sangrado, contacte inmediatamente a su equipo m\u00e9dico.\r\n        <\/div>\r\n\r\n        <div class=\"symptom-checklist\">\r\n          <div class=\"checkbox-item\"><input type=\"checkbox\" id=\"fatiga\"><label for=\"fatiga\">Fatiga \/ Cansancio extremo<\/label><\/div>\r\n          <div class=\"checkbox-item\"><input type=\"checkbox\" id=\"nauseas\"><label for=\"nauseas\">N\u00e1useas \/ V\u00f3mitos<\/label><\/div>\r\n          <div class=\"checkbox-item\"><input type=\"checkbox\" id=\"diarrea\"><label for=\"diarrea\">Diarrea \/ Problemas digestivos<\/label><\/div>\r\n          <div class=\"checkbox-item\"><input type=\"checkbox\" id=\"dolor\"><label for=\"dolor\">Dolor (cabeza, m\u00fasculos, articulaciones)<\/label><\/div>\r\n          <div class=\"checkbox-item\"><input type=\"checkbox\" id=\"fiebre\"><label for=\"fiebre\">Fiebre \/ Escalofr\u00edos<\/label><\/div>\r\n          <div class=\"checkbox-item\"><input type=\"checkbox\" id=\"apetito\"><label for=\"apetito\">P\u00e9rdida de apetito<\/label><\/div>\r\n          <div class=\"checkbox-item\"><input type=\"checkbox\" id=\"piel\"><label for=\"piel\">Cambios en la piel \/ Erupciones<\/label><\/div>\r\n          <div class=\"checkbox-item\"><input type=\"checkbox\" id=\"sueno\"><label for=\"sueno\">Problemas para dormir<\/label><\/div>\r\n          <div class=\"checkbox-item\"><input type=\"checkbox\" id=\"concentracion\"><label for=\"concentracion\">Problemas de concentraci\u00f3n<\/label><\/div>\r\n          <div class=\"checkbox-item\"><input type=\"checkbox\" id=\"boca\"><label for=\"boca\">\u00dalceras en la boca \/ Sequedad<\/label><\/div>\r\n          <div class=\"checkbox-item\"><input type=\"checkbox\" id=\"neuropatia\"><label for=\"neuropatia\">Hormigueo en manos \/ pies<\/label><\/div>\r\n          <div class=\"checkbox-item\"><input type=\"checkbox\" id=\"cabello\"><label for=\"cabello\">Ca\u00edda del cabello<\/label><\/div>\r\n        <\/div>\r\n      <\/div>\r\n\r\n      <!-- Evoluci\u00f3n Temporal -->\r\n      <div class=\"timeline-section\">\r\n        <h2 style=\"color: white; margin-bottom: 20px;\">\ud83d\uddd3 Evoluci\u00f3n de los S\u00edntomas en el Tiempo<\/h2>\r\n        <p style=\"margin-bottom: 20px; opacity: 0.9;\">Indique c\u00f3mo han cambiado sus s\u00edntomas durante los 15 d\u00edas:<\/p>\r\n\r\n        <div class=\"timeline-grid\">\r\n          <div class=\"day-card\">\r\n            <h4>D\u00edas 1\u20133<\/h4>\r\n            <p>S\u00edntomas inmediatos post-tratamiento<\/p>\r\n            <textarea class=\"text-input\" style=\"margin-top: 10px; background: rgba(255,255,255,0.9);\" placeholder=\"Describa c\u00f3mo se sinti\u00f3...\"><\/textarea>\r\n          <\/div>\r\n          <div class=\"day-card\">\r\n            <h4>D\u00edas 4\u20137<\/h4>\r\n            <p>Primera semana completa<\/p>\r\n            <textarea class=\"text-input\" style=\"margin-top: 10px; background: rgba(255,255,255,0.9);\" placeholder=\"Describa c\u00f3mo se sinti\u00f3...\"><\/textarea>\r\n          <\/div>\r\n          <div class=\"day-card\">\r\n            <h4>D\u00edas 8\u201311<\/h4>\r\n            <p>Segunda semana inicial<\/p>\r\n            <textarea class=\"text-input\" style=\"margin-top: 10px; background: rgba(255,255,255,0.9);\" placeholder=\"Describa c\u00f3mo se sinti\u00f3...\"><\/textarea>\r\n          <\/div>\r\n          <div class=\"day-card\">\r\n            <h4>D\u00edas 12\u201315<\/h4>\r\n            <p>Preparaci\u00f3n para siguiente ciclo<\/p>\r\n            <textarea class=\"text-input\" style=\"margin-top: 10px; background: rgba(255,255,255,0.9);\" placeholder=\"Describa c\u00f3mo se sinti\u00f3...\"><\/textarea>\r\n          <\/div>\r\n        <\/div>\r\n      <\/div>\r\n\r\n      <!-- Intensidad de S\u00edntomas -->\r\n      <div class=\"section\">\r\n        <h2><div class=\"section-icon\">\ud83d\udcca<\/div>Intensidad de los S\u00edntomas<\/h2>\r\n        <p style=\"margin-bottom: 20px; color: #666;\">Califique la intensidad de cada s\u00edntoma del 0 (sin s\u00edntomas) al 10 (s\u00edntomas severos):<\/p>\r\n\r\n        <div class=\"question-grid\">\r\n          <div class=\"question-card\">\r\n            <div class=\"question-title\">Fatiga \/ Cansancio<\/div>\r\n            <div class=\"scale-options\">\r\n              <label class=\"scale-option\"><input type=\"radio\" name=\"fatiga_scale\" value=\"0\"><div class=\"scale-label\">0<br>Ninguna<\/div><\/label>\r\n              <label class=\"scale-option\"><input type=\"radio\" name=\"fatiga_scale\" value=\"3\"><div class=\"scale-label\">3<br>Leve<\/div><\/label>\r\n              <label class=\"scale-option\"><input type=\"radio\" name=\"fatiga_scale\" value=\"5\"><div class=\"scale-label\">5<br>Moderada<\/div><\/label>\r\n              <label class=\"scale-option\"><input type=\"radio\" name=\"fatiga_scale\" value=\"7\"><div class=\"scale-label\">7<br>Fuerte<\/div><\/label>\r\n              <label class=\"scale-option\"><input type=\"radio\" name=\"fatiga_scale\" value=\"10\"><div class=\"scale-label\">10<br>Severa<\/div><\/label>\r\n            <\/div>\r\n          <\/div>\r\n\r\n          <div class=\"question-card\">\r\n            <div class=\"question-title\">N\u00e1useas \/ V\u00f3mitos<\/div>\r\n            <div class=\"scale-options\">\r\n              <label class=\"scale-option\"><input type=\"radio\" name=\"nauseas_scale\" value=\"0\"><div class=\"scale-label\">0<br>Ninguna<\/div><\/label>\r\n              <label class=\"scale-option\"><input type=\"radio\" name=\"nauseas_scale\" value=\"3\"><div class=\"scale-label\">3<br>Leve<\/div><\/label>\r\n              <label class=\"scale-option\"><input type=\"radio\" name=\"nauseas_scale\" value=\"5\"><div class=\"scale-label\">5<br>Moderada<\/div><\/label>\r\n              <label class=\"scale-option\"><input type=\"radio\" name=\"nauseas_scale\" value=\"7\"><div class=\"scale-label\">7<br>Fuerte<\/div><\/label>\r\n              <label class=\"scale-option\"><input type=\"radio\" name=\"nauseas_scale\" value=\"10\"><div class=\"scale-label\">10<br>Severa<\/div><\/label>\r\n            <\/div>\r\n          <\/div>\r\n\r\n          <div class=\"question-card\">\r\n            <div class=\"question-title\">Dolor General<\/div>\r\n            <div class=\"scale-options\">\r\n              <label class=\"scale-option\"><input type=\"radio\" name=\"dolor_scale\" value=\"0\"><div class=\"scale-label\">0<br>Sin dolor<\/div><\/label>\r\n              <label class=\"scale-option\"><input type=\"radio\" name=\"dolor_scale\" value=\"3\"><div class=\"scale-label\">3<br>Leve<\/div><\/label>\r\n              <label class=\"scale-option\"><input type=\"radio\" name=\"dolor_scale\" value=\"5\"><div class=\"scale-label\">5<br>Moderado<\/div><\/label>\r\n              <label class=\"scale-option\"><input type=\"radio\" name=\"dolor_scale\" value=\"7\"><div class=\"scale-label\">7<br>Fuerte<\/div><\/label>\r\n              <label class=\"scale-option\"><input type=\"radio\" name=\"dolor_scale\" value=\"10\"><div class=\"scale-label\">10<br>Severo<\/div><\/label>\r\n            <\/div>\r\n          <\/div>\r\n\r\n          <div class=\"question-card\">\r\n            <div class=\"question-title\">Calidad del Sue\u00f1o<\/div>\r\n            <div class=\"scale-options\">\r\n              <label class=\"scale-option\"><input type=\"radio\" name=\"sueno_scale\" value=\"10\"><div class=\"scale-label\">10<br>Excelente<\/div><\/label>\r\n              <label class=\"scale-option\"><input type=\"radio\" name=\"sueno_scale\" value=\"7\"><div class=\"scale-label\">7<br>Buena<\/div><\/label>\r\n              <label class=\"scale-option\"><input type=\"radio\" name=\"sueno_scale\" value=\"5\"><div class=\"scale-label\">5<br>Regular<\/div><\/label>\r\n              <label class=\"scale-option\"><input type=\"radio\" name=\"sueno_scale\" value=\"3\"><div class=\"scale-label\">3<br>Mala<\/div><\/label>\r\n              <label class=\"scale-option\"><input type=\"radio\" name=\"sueno_scale\" value=\"0\"><div class=\"scale-label\">0<br>P\u00e9sima<\/div><\/label>\r\n            <\/div>\r\n          <\/div>\r\n        <\/div>\r\n      <\/div>\r\n\r\n      <!-- Medicaciones Adicionales -->\r\n      <div class=\"medication-tracker\">\r\n        <h2 style=\"color: #2c3e50; margin-bottom: 20px;\">\ud83d\udc8a Medicaciones Adicionales<\/h2>\r\n        <div class=\"question-grid\">\r\n          <div class=\"question-card\"><div class=\"question-title\">Medicamentos para n\u00e1useas<\/div><textarea class=\"text-input\" placeholder=\"Nombre, dosis, frecuencia y efectividad...\"><\/textarea><\/div>\r\n          <div class=\"question-card\"><div class=\"question-title\">Medicamentos para el dolor<\/div><textarea class=\"text-input\" placeholder=\"Nombre, dosis, frecuencia y efectividad...\"><\/textarea><\/div>\r\n          <div class=\"question-card\"><div class=\"question-title\">Medicamentos para dormir<\/div><textarea class=\"text-input\" placeholder=\"Nombre, dosis, frecuencia y efectividad...\"><\/textarea><\/div>\r\n          <div class=\"question-card\"><div class=\"question-title\">Otros medicamentos \/ suplementos<\/div><textarea class=\"text-input\" placeholder=\"Incluya vitaminas, medicamentos de venta libre, etc.\"><\/textarea><\/div>\r\n        <\/div>\r\n      <\/div>\r\n\r\n      <!-- Actividades Diarias -->\r\n      <div class=\"section\">\r\n        <h2><div class=\"section-icon\">\ud83c\udfc3<\/div>Capacidad para Actividades Diarias<\/h2>\r\n        <div class=\"question-grid\">\r\n          <div class=\"question-card\">\r\n            <div class=\"question-title\">\u00bfPudo realizar actividades normales del hogar?<\/div>\r\n            <div class=\"scale-options\">\r\n              <label class=\"scale-option\"><input type=\"radio\" name=\"hogar\" value=\"completo\"><div class=\"scale-label\">Completamente<\/div><\/label>\r\n              <label class=\"scale-option\"><input type=\"radio\" name=\"hogar\" value=\"mayoria\"><div class=\"scale-label\">La mayor\u00eda<\/div><\/label>\r\n              <label class=\"scale-option\"><input type=\"radio\" name=\"hogar\" value=\"algunas\"><div class=\"scale-label\">Algunas<\/div><\/label>\r\n              <label class=\"scale-option\"><input type=\"radio\" name=\"hogar\" value=\"pocas\"><div class=\"scale-label\">Muy pocas<\/div><\/label>\r\n              <label class=\"scale-option\"><input type=\"radio\" name=\"hogar\" value=\"ninguna\"><div class=\"scale-label\">Ninguna<\/div><\/label>\r\n            <\/div>\r\n          <\/div>\r\n          <div class=\"question-card\">\r\n            <div class=\"question-title\">\u00bfPudo trabajar o realizar actividades sociales?<\/div>\r\n            <div class=\"scale-options\">\r\n              <label class=\"scale-option\"><input type=\"radio\" name=\"trabajo\" value=\"completo\"><div class=\"scale-label\">Completamente<\/div><\/label>\r\n              <label class=\"scale-option\"><input type=\"radio\" name=\"trabajo\" value=\"parcial\"><div class=\"scale-label\">Parcialmente<\/div><\/label>\r\n              <label class=\"scale-option\"><input type=\"radio\" name=\"trabajo\" value=\"limitado\"><div class=\"scale-label\">Muy limitado<\/div><\/label>\r\n              <label class=\"scale-option\"><input type=\"radio\" name=\"trabajo\" value=\"nada\"><div class=\"scale-label\">Nada<\/div><\/label>\r\n            <\/div>\r\n          <\/div>\r\n          <div class=\"question-card\">\r\n            <div class=\"question-title\">D\u00edas en cama por efectos del tratamiento<\/div>\r\n            <input type=\"number\" class=\"text-input\" style=\"min-height: 40px;\" placeholder=\"N\u00famero de d\u00edas\" min=\"0\" max=\"15\">\r\n          <\/div>\r\n          <div class=\"question-card\">\r\n            <div class=\"question-title\">\u00bfNecesit\u00f3 ayuda adicional de familiares\/cuidadores?<\/div>\r\n            <textarea class=\"text-input\" placeholder=\"Describa qu\u00e9 tipo de ayuda necesit\u00f3 y por cu\u00e1nto tiempo...\"><\/textarea>\r\n          <\/div>\r\n        <\/div>\r\n      <\/div>\r\n\r\n      <!-- Estado Emocional -->\r\n      <div class=\"section\">\r\n        <h2><div class=\"section-icon\">\ud83d\udcad<\/div>Estado Emocional y Psicol\u00f3gico<\/h2>\r\n        <div class=\"question-grid\">\r\n          <div class=\"question-card\">\r\n            <div class=\"question-title\">\u00bfC\u00f3mo se sinti\u00f3 emocionalmente durante estos 15 d\u00edas?<\/div>\r\n            <textarea class=\"text-input\" placeholder=\"Describa sus sentimientos: ansiedad, tristeza, esperanza, miedo, etc.\"><\/textarea>\r\n          <\/div>\r\n          <div class=\"question-card\">\r\n            <div class=\"question-title\">\u00bfRecibi\u00f3 apoyo emocional?<\/div>\r\n            <textarea class=\"text-input\" placeholder=\"De familia, amigos, grupos de apoyo, psic\u00f3logo, etc.\"><\/textarea>\r\n          <\/div>\r\n          <div class=\"question-card\">\r\n            <div class=\"question-title\">Nivel de ansiedad (0\u201310)<\/div>\r\n            <div class=\"scale-options\">\r\n              <label class=\"scale-option\"><input type=\"radio\" name=\"ansiedad\" value=\"0\"><div class=\"scale-label\">0<br>Ninguna<\/div><\/label>\r\n              <label class=\"scale-option\"><input type=\"radio\" name=\"ansiedad\" value=\"5\"><div class=\"scale-label\">5<br>Moderada<\/div><\/label>\r\n              <label class=\"scale-option\"><input type=\"radio\" name=\"ansiedad\" value=\"10\"><div class=\"scale-label\">10<br>Severa<\/div><\/label>\r\n            <\/div>\r\n          <\/div>\r\n          <div class=\"question-card\">\r\n            <div class=\"question-title\">Nivel de esperanza \/ optimismo (0\u201310)<\/div>\r\n            <div class=\"scale-options\">\r\n              <label class=\"scale-option\"><input type=\"radio\" name=\"esperanza\" value=\"0\"><div class=\"scale-label\">0<br>Ninguna<\/div><\/label>\r\n              <label class=\"scale-option\"><input type=\"radio\" name=\"esperanza\" value=\"5\"><div class=\"scale-label\">5<br>Moderada<\/div><\/label>\r\n              <label class=\"scale-option\"><input type=\"radio\" name=\"esperanza\" value=\"10\"><div class=\"scale-label\">10<br>Mucha<\/div><\/label>\r\n            <\/div>\r\n          <\/div>\r\n        <\/div>\r\n      <\/div>\r\n\r\n      <!-- Alimentaci\u00f3n y Nutrici\u00f3n -->\r\n      <div class=\"section\">\r\n        <h2><div class=\"section-icon\">\ud83c\udf7d\ufe0f<\/div>Alimentaci\u00f3n y Nutrici\u00f3n<\/h2>\r\n        <div class=\"question-grid\">\r\n          <div class=\"question-card\">\r\n            <div class=\"question-title\">\u00bfC\u00f3mo estuvo su apetito?<\/div>\r\n            <div class=\"scale-options\">\r\n              <label class=\"scale-option\"><input type=\"radio\" name=\"apetito_nivel\" value=\"excelente\"><div class=\"scale-label\">Excelente<\/div><\/label>\r\n              <label class=\"scale-option\"><input type=\"radio\" name=\"apetito_nivel\" value=\"bueno\"><div class=\"scale-label\">Bueno<\/div><\/label>\r\n              <label class=\"scale-option\"><input type=\"radio\" name=\"apetito_nivel\" value=\"regular\"><div class=\"scale-label\">Regular<\/div><\/label>\r\n              <label class=\"scale-option\"><input type=\"radio\" name=\"apetito_nivel\" value=\"malo\"><div class=\"scale-label\">Malo<\/div><\/label>\r\n              <label class=\"scale-option\"><input type=\"radio\" name=\"apetito_nivel\" value=\"nulo\"><div class=\"scale-label\">Sin apetito<\/div><\/label>\r\n            <\/div>\r\n          <\/div>\r\n          <div class=\"question-card\">\r\n            <div class=\"question-title\">\u00bfTuvo cambios en el peso?<\/div>\r\n            <input type=\"text\" class=\"text-input\" style=\"min-height: 40px;\" placeholder=\"Ej: Perd\u00ed 2 kg, Sub\u00ed 1 kg, Sin cambios\">\r\n          <\/div>\r\n          <div class=\"question-card\">\r\n            <div class=\"question-title\">\u00bfPudo mantener una dieta equilibrada?<\/div>\r\n            <textarea class=\"text-input\" placeholder=\"Describa qu\u00e9 alimentos pudo o no pudo consumir...\"><\/textarea>\r\n          <\/div>\r\n          <div class=\"question-card\">\r\n            <div class=\"question-title\">Problemas para tragar o sabor met\u00e1lico<\/div>\r\n            <div class=\"checkbox-item\"><input type=\"checkbox\" id=\"sabor_metalico\"><label for=\"sabor_metalico\">Sabor met\u00e1lico<\/label><\/div>\r\n            <div class=\"checkbox-item\"><input type=\"checkbox\" id=\"dificultad_tragar\"><label for=\"dificultad_tragar\">Dificultad para tragar<\/label><\/div>\r\n          <\/div>\r\n        <\/div>\r\n      <\/div>\r\n\r\n      <!-- Espacio de Expresi\u00f3n Libre -->\r\n      <div class=\"section\" style=\"background: linear-gradient(135deg, #ffecd2 0%, #fcb69f 100%); border-left: 5px solid #ff6b6b;\">\r\n        <h2 style=\"color: #d63031;\"><div class=\"section-icon\" style=\"background: linear-gradient(135deg, #ff6b6b, #ee5a52);\">\u270d\ufe0f<\/div>Espacio de Expresi\u00f3n Libre<\/h2>\r\n        <p style=\"color: #2d3436; margin-bottom: 25px; font-size: 1.1em; line-height: 1.6;\">\r\n          Este es su espacio personal para compartir libremente cualquier experiencia, sentimiento o reflexi\u00f3n que haya tenido durante estos 15 d\u00edas. No hay l\u00edmites ni estructuras: simplemente exprese lo que considere importante.\r\n        <\/p>\r\n        <div class=\"question-grid\">\r\n          <div class=\"question-card\" style=\"grid-column: 1 \/ -1; background: #fff8e1; border: 2px solid #ffb74d;\">\r\n            <div class=\"question-title\" style=\"color: #e65100; font-size: 1.3em;\">\u00bfC\u00f3mo ha sido realmente esta experiencia para usted?<\/div>\r\n            <p style=\"color: #666; margin-bottom: 15px; font-style: italic;\">\r\n              Cu\u00e9ntenos todo lo que sienta necesario: sus miedos, esperanzas, momentos dif\u00edciles, peque\u00f1as victorias, cambios en su perspectiva, reflexiones sobre la vida, relaciones familiares, preocupaciones, gratitudes...\r\n            <\/p>\r\n            <textarea class=\"text-input\" style=\"min-height: 200px; font-size: 1.1em;\" placeholder=\"Escriba aqu\u00ed todo lo que desee compartir. No hay respuestas correctas o incorrectas, solo su experiencia personal...\"><\/textarea>\r\n          <\/div>\r\n          <div class=\"question-card\" style=\"background: #e8f5e8; border: 2px solid #4caf50;\">\r\n            <div class=\"question-title\" style=\"color: #2e7d32;\">\u00bfQu\u00e9 le ha dado fuerza durante estos d\u00edas?<\/div>\r\n            <textarea class=\"text-input\" placeholder=\"Personas, actividades, pensamientos, fe, m\u00fasica, naturaleza... cualquier cosa que le haya ayudado\"><\/textarea>\r\n          <\/div>\r\n          <div class=\"question-card\" style=\"background: #fff3e0; border: 2px solid #ff9800;\">\r\n            <div class=\"question-title\" style=\"color: #f57c00;\">\u00bfHay algo que le gustar\u00eda que su equipo m\u00e9dico supiera?<\/div>\r\n            <textarea class=\"text-input\" placeholder=\"Inquietudes, sugerencias, agradecimientos, necesidades no cubiertas...\"><\/textarea>\r\n          <\/div>\r\n          <div class=\"question-card\" style=\"background: #f3e5f5; border: 2px solid #9c27b0;\">\r\n            <div class=\"question-title\" style=\"color: #7b1fa2;\">\u00bfC\u00f3mo se imagina o espera que sea el pr\u00f3ximo ciclo?<\/div>\r\n            <textarea class=\"text-input\" placeholder=\"Sus expectativas, planes, estrategias, objetivos...\"><\/textarea>\r\n          <\/div>\r\n          <div class=\"question-card\" style=\"background: #e1f5fe; border: 2px solid #03a9f4;\">\r\n            <div class=\"question-title\" style=\"color: #0277bd;\">\u00bfHay algo m\u00e1s que considere importante mencionar?<\/div>\r\n            <textarea class=\"text-input\" placeholder=\"Cualquier detalle, observaci\u00f3n o comentario que no haya mencionado antes...\"><\/textarea>\r\n          <\/div>\r\n          <div class=\"question-card\" style=\"grid-column: 1 \/ -1; background: #fce4ec; border: 2px solid #e91e63;\">\r\n            <div class=\"question-title\" style=\"color: #c2185b; font-size: 1.2em;\">Mensaje para usted mismo en el futuro<\/div>\r\n            <p style=\"color: #666; margin-bottom: 15px; font-style: italic;\">\r\n              Escriba un mensaje que le gustar\u00eda leer cuando mire esta encuesta en el futuro. Puede ser de aliento, recordatorio de su fortaleza, o cualquier reflexi\u00f3n personal.\r\n            <\/p>\r\n            <textarea class=\"text-input\" style=\"min-height: 150px;\" placeholder=\"Querido yo del futuro...\"><\/textarea>\r\n          <\/div>\r\n        <\/div>\r\n      <\/div>\r\n\r\n      <!-- Seguimiento M\u00e9dico -->\r\n      <div class=\"section\">\r\n        <h2><div class=\"section-icon\">\ud83d\udc69\u200d\u2695\ufe0f<\/div>Comunicaci\u00f3n con el Equipo M\u00e9dico<\/h2>\r\n        <div class=\"question-grid\">\r\n          <div class=\"question-card\">\r\n            <div class=\"question-title\">\u00bfSe comunic\u00f3 con su equipo m\u00e9dico durante estos 15 d\u00edas?<\/div>\r\n            <div class=\"checkbox-item\"><input type=\"checkbox\" id=\"llamada_medico\"><label for=\"llamada_medico\">S\u00ed, por tel\u00e9fono<\/label><\/div>\r\n            <div class=\"checkbox-item\"><input type=\"checkbox\" id=\"visita_urgencia\"><label for=\"visita_urgencia\">S\u00ed, visita a urgencias<\/label><\/div>\r\n            <div class=\"checkbox-item\"><input type=\"checkbox\" id=\"cita_programada\"><label for=\"cita_programada\">S\u00ed, cita programada<\/label><\/div>\r\n            <div class=\"checkbox-item\"><input type=\"checkbox\" id=\"no_comunicacion\"><label for=\"no_comunicacion\">No fue necesario<\/label><\/div>\r\n          <\/div>\r\n          <div class=\"question-card\">\r\n            <div class=\"question-title\">\u00bfQu\u00e9 tan preparado se sinti\u00f3 para manejar los efectos secundarios?<\/div>\r\n            <div class=\"scale-options\">\r\n              <label class=\"scale-option\"><input type=\"radio\" name=\"preparacion\" value=\"muy_preparado\"><div class=\"scale-label\">Muy preparado<\/div><\/label>\r\n              <label class=\"scale-option\"><input type=\"radio\" name=\"preparacion\" value=\"preparado\"><div class=\"scale-label\">Preparado<\/div><\/label>\r\n              <label class=\"scale-option\"><input type=\"radio\" name=\"preparacion\" value=\"poco_preparado\"><div class=\"scale-label\">Poco preparado<\/div><\/label>\r\n              <label class=\"scale-option\"><input type=\"radio\" name=\"preparacion\" value=\"no_preparado\"><div class=\"scale-label\">No preparado<\/div><\/label>\r\n            <\/div>\r\n          <\/div>\r\n          <div class=\"question-card\">\r\n            <div class=\"question-title\">\u00bfSe siente listo para el siguiente ciclo de tratamiento?<\/div>\r\n            <textarea class=\"text-input\" placeholder=\"Explique c\u00f3mo se siente respecto al pr\u00f3ximo tratamiento...\"><\/textarea>\r\n          <\/div>\r\n          <div class=\"question-card\">\r\n            <div class=\"question-title\">Sugerencias para mejorar la atenci\u00f3n<\/div>\r\n            <textarea class=\"text-input\" placeholder=\"\u00bfQu\u00e9 podr\u00eda mejorar en la informaci\u00f3n, apoyo o seguimiento que recibe?\"><\/textarea>\r\n          <\/div>\r\n        <\/div>\r\n      <\/div>\r\n\r\n      <div class=\"submit-section\">\r\n        <h2 style=\"color: white; margin-bottom: 20px;\">\ud83d\udce8 Completar Encuesta<\/h2>\r\n        <p style=\"color: rgba(255,255,255,0.9); margin-bottom: 30px; font-size: 1.1em;\">\r\n          Gracias por tomarse el tiempo de completar esta encuesta. 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Si no tiene una cuenta, reg\u00edstrese a continuaci\u00f3n. Correo Electr\u00f3nico* ejemplo@ejemplo.com Contrase\u00f1a* Enlace al Formulario de Registro: [Enlace aqu\u00ed]* Acceder Should be Empty: Formulario de Registro Por favor, completa el siguiente formulario para registrarte. 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