{"id":47,"date":"2025-02-17T14:15:58","date_gmt":"2025-02-17T09:15:58","guid":{"rendered":"https:\/\/equipoxadani.com\/login\/register\/"},"modified":"2025-07-11T21:57:19","modified_gmt":"2025-07-11T16:57:19","slug":"register","status":"publish","type":"page","link":"https:\/\/equipoxadani.com\/login\/register\/","title":{"rendered":"Registro"},"content":{"rendered":"\n\n\n\n<div class=\"um um-register um-36\">\n\t<div class=\"um-form\" data-mode=\"register\">\n\t\t<form method=\"post\" action=\"\">\n\t\t\t<div class=\"um-row _um_row_1 \" style=\"padding: 0px 0px 0px 0px;margin: 0px 0px 30px 0px;border-width: 0px 0px 0px 0px;border-style: solid;border-radius: 0px;\"><div class=\"um-col-121\"><div  class=\"um-field um-field-block  um-field-block um-field-type_block\" data-key=\"um_block_36_18\"><h1 style=\"color: #f5a716\"><strong>Datos Generales<\/strong><\/h1>\r\n\u00a0<\/div><div  id=\"um_field_36_user_login\" class=\"um-field um-field-text  um-field-user_login um-field-text um-field-type_text\" data-key=\"user_login\"><div class=\"um-field-label\"><label for=\"user_login-36\">Nombre de usuario<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><div class=\"um-field-icon\"><i class=\"fas fa-circle-user\"><\/i><\/div><input  autocomplete=\"off\" class=\"um-form-field valid um-iconed \" type=\"text\" name=\"user_login-36\" id=\"user_login-36\" value=\"\" placeholder=\"\" data-validate=\"unique_username\" data-key=\"user_login\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_36_first_name\" class=\"um-field um-field-text  um-field-first_name um-field-text um-field-type_text\" data-key=\"first_name\"><div class=\"um-field-label\"><label for=\"first_name-36\">Nombre<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><div class=\"um-field-icon\"><i class=\"fas fa-circle-user\"><\/i><\/div><input  autocomplete=\"off\" class=\"um-form-field valid not-required um-iconed \" type=\"text\" name=\"first_name-36\" id=\"first_name-36\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"first_name\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_36_last_name\" class=\"um-field um-field-text  um-field-last_name um-field-text um-field-type_text\" data-key=\"last_name\"><div class=\"um-field-label\"><label for=\"last_name-36\">Apellidos<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><div class=\"um-field-icon\"><i class=\"fas fa-circle-user\"><\/i><\/div><input  autocomplete=\"off\" class=\"um-form-field valid not-required um-iconed \" type=\"text\" name=\"last_name-36\" id=\"last_name-36\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"last_name\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_36_user_email\" class=\"um-field um-field-text  um-field-user_email um-field-text um-field-type_text\" data-key=\"user_email\"><div class=\"um-field-label\"><label for=\"user_email-36\">Direcci\u00f3n de correo electr\u00f3nico<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><div class=\"um-field-icon\"><i class=\"fas fa-envelope\"><\/i><\/div><input  autocomplete=\"off\" class=\"um-form-field valid not-required um-iconed \" type=\"text\" name=\"user_email-36\" id=\"user_email-36\" value=\"\" placeholder=\"\" data-validate=\"unique_email\" data-key=\"user_email\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_36_user_password\" class=\"um-field um-field-password  um-field-user_password um-field-password um-field-type_password\" data-key=\"user_password\"><div class=\"um-field-label\"><label for=\"user_password-36\">Contrase\u00f1a<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><div class=\"um-field-icon\"><i class=\"fas fa-key\"><\/i><\/div><input class=\"um-form-field valid um-iconed \" type=\"password\" name=\"user_password-36\" id=\"user_password-36\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"user_password\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_36_confirm_user_password\" class=\"um-field um-field-password  um-field-user_password um-field-password um-field-type_password\" data-key=\"confirm_user_password\"><div class=\"um-field-label\"><label for=\"confirm_user_password-36\">Confirmar Contrase\u00f1a<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><div class=\"um-field-icon\"><i class=\"fas fa-key\"><\/i><\/div><input class=\"um-form-field valid um-iconed \" type=\"password\" name=\"confirm_user_password-36\" id=\"confirm_user_password-36\" value=\"\" placeholder=\"Confirmar Contrase\u00f1a\" data-validate=\"\" data-key=\"confirm_user_password\"  aria-invalid=\"false\" \/><\/div><\/div><div  id=\"um_field_36_birth_date\" class=\"um-field um-field-date  um-field-birth_date um-field-date um-field-type_date\" data-key=\"birth_date\"><div class=\"um-field-label\"><label for=\"birth_date-36\">Fecha de nacimiento<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><div class=\"um-field-icon\"><i class=\"far fa-calendar-days\"><\/i><\/div><input   class=\"um-form-field valid um-datepicker um-iconed \" type=\"text\" name=\"birth_date-36\" id=\"birth_date-36\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"birth_date\" data-range=\"years\" data-years=\"115\" data-years_x=\"past\" data-disabled_weekdays=\"\" data-date_min=\"1911,6,03\" data-date_max=\"2026,6,03\" data-format=\"d mmm yyyy\" data-value=\"\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_36_phone_number\" class=\"um-field um-field-tel  um-field-phone_number um-field-tel um-field-type_tel\" data-key=\"phone_number\"><div class=\"um-field-label\"><label for=\"phone_number-36\">N\u00famero de tel\u00e9fono<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><div class=\"um-field-icon\"><i class=\"fas fa-phone\"><\/i><\/div><input  autocomplete=\"off\" class=\"um-form-field valid um-iconed \" type=\"tel\" name=\"phone_number-36\" id=\"phone_number-36\" value=\"\" placeholder=\"\" data-validate=\"phone_number\" data-key=\"phone_number\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_36_perfil_strava\" class=\"um-field um-field-url  um-field-perfil_strava um-field-url um-field-type_url\" data-key=\"perfil_strava\"><div class=\"um-field-label\"><label for=\"perfil_strava-36\">Perfil Strava<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><div class=\"um-field-icon\"><i class=\"fab fa-strava\"><\/i><\/div><input    class=\"um-form-field valid not-required um-iconed \" type=\"text\" name=\"perfil_strava-36\" id=\"perfil_strava-36\" value=\"\" placeholder=\"\" data-validate=\"url\" data-key=\"perfil_strava\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_36_domicilio\" class=\"um-field um-field-text  um-field-domicilio um-field-text um-field-type_text\" data-key=\"domicilio\"><div class=\"um-field-label\"><label for=\"domicilio-36\">Domicilio en caso de emergencia<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><div class=\"um-field-icon\"><i class=\"fas fa-house\"><\/i><\/div><input  autocomplete=\"off\" class=\"um-form-field valid not-required um-iconed \" type=\"text\" name=\"domicilio-36\" id=\"domicilio-36\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"domicilio\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_36_emergencia\" class=\"um-field um-field-text  um-field-emergencia um-field-text um-field-type_text\" data-key=\"emergencia\"><div class=\"um-field-label\"><label for=\"emergencia-36\">Contacto en caso de emergencia (nombre, tel\u00e9fono y parentesco)<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><div class=\"um-field-icon\"><i class=\"fas fa-truck-medical\"><\/i><\/div><input  autocomplete=\"off\" class=\"um-form-field valid not-required um-iconed \" type=\"text\" name=\"emergencia-36\" id=\"emergencia-36\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"emergencia\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><\/div><div class=\"um-col-122\"><div  class=\"um-field um-field-block  um-field-block um-field-type_block\" data-key=\"um_block_36_19\"><h1 style=\"color: #f5a716\"><strong>Datos fisiol\u00f3gicos<\/strong><\/h1>\r\n\u00a0<\/div><div  id=\"um_field_36_gender\" class=\"um-field um-field-radio  um-field-gender um-field-radio um-field-type_radio\" data-key=\"gender\"  aria-invalid=\"false\" ><div class=\"um-field-label\"><label for=\"gender-36\">G\u00e9nero<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><label class=\"um-field-radio  um-field-half \"><input  type=\"radio\" name=\"gender[]\" value=\"Masculino\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Masculino<\/span><\/label><label class=\"um-field-radio  um-field-half  right \"><input  type=\"radio\" name=\"gender[]\" value=\"Femenino\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Femenino<\/span><\/label><div class=\"um-clear\"><\/div><div class=\"um-clear\"><\/div><\/div><\/div><div  id=\"um_field_36_estatura\" class=\"um-field um-field-text  um-field-estatura um-field-text um-field-type_text\" data-key=\"estatura\"><div class=\"um-field-label\"><label for=\"estatura-36\">Estatura<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><div class=\"um-field-icon\"><i class=\"fas fa-ruler-vertical\"><\/i><\/div><input  autocomplete=\"off\" class=\"um-form-field valid not-required um-iconed \" type=\"text\" name=\"estatura-36\" id=\"estatura-36\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"estatura\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_36_peso\" class=\"um-field um-field-text  um-field-peso um-field-text um-field-type_text\" data-key=\"peso\"><div class=\"um-field-label\"><label for=\"peso-36\">Peso<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><div class=\"um-field-icon\"><i class=\"fas fa-weight-scale\"><\/i><\/div><input  autocomplete=\"off\" class=\"um-form-field valid not-required um-iconed \" type=\"text\" name=\"peso-36\" id=\"peso-36\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"peso\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_36_grasa\" class=\"um-field um-field-text  um-field-grasa um-field-text um-field-type_text\" data-key=\"grasa\"><div class=\"um-field-label\"><label for=\"grasa-36\">% de grasa<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid not-required \" type=\"text\" name=\"grasa-36\" id=\"grasa-36\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"grasa\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_36_tipo_sangre\" class=\"um-field um-field-text  um-field-tipo_sangre um-field-text um-field-type_text\" data-key=\"tipo_sangre\"><div class=\"um-field-label\"><label for=\"tipo_sangre-36\">Tipo de sangre<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><div class=\"um-field-icon\"><i class=\"fas fa-droplet\"><\/i><\/div><input  autocomplete=\"off\" class=\"um-form-field valid not-required um-iconed \" type=\"text\" name=\"tipo_sangre-36\" id=\"tipo_sangre-36\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"tipo_sangre\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  class=\"um-field um-field-spacing  um-field-spacing um-field-type_spacing\" data-key=\"um_spacing_36_45\" style=\"height:20px;\"><\/div><div  class=\"um-field um-field-spacing  um-field-spacing um-field-type_spacing\" data-key=\"um_spacing_36_45_46\" style=\"height:20px;\"><\/div><div  class=\"um-field um-field-block  um-field-block um-field-type_block\" data-key=\"um_block_36_20\"><h1 style=\"color: #f5a716\"><strong>Pulsaciones<\/strong><\/h1>\r\n\u00a0<\/div><div  id=\"um_field_36_pulsaciones_reposo\" class=\"um-field um-field-text  um-field-pulsaciones_reposo um-field-text um-field-type_text\" data-key=\"pulsaciones_reposo\"><div class=\"um-field-label\"><label for=\"pulsaciones_reposo-36\">Pulsaciones en reposo<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><div class=\"um-field-icon\"><i class=\"fas fa-heart-circle-check\"><\/i><\/div><input  autocomplete=\"off\" class=\"um-form-field valid not-required um-iconed \" type=\"text\" name=\"pulsaciones_reposo-36\" id=\"pulsaciones_reposo-36\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"pulsaciones_reposo\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_36_pulsacion_teorica\" class=\"um-field um-field-text  um-field-pulsacion_teorica um-field-text um-field-type_text\" data-key=\"pulsacion_teorica\"><div class=\"um-field-label\"><label for=\"pulsacion_teorica-36\">Pulsaci\u00f3n M\u00e1xima te\u00f3rica<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><div class=\"um-field-icon\"><i class=\"fas fa-heart-circle-bolt\"><\/i><\/div><input  autocomplete=\"off\" class=\"um-form-field valid not-required um-iconed \" type=\"text\" name=\"pulsacion_teorica-36\" id=\"pulsacion_teorica-36\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"pulsacion_teorica\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_36_pulsacion_pruebas\" class=\"um-field um-field-text  um-field-pulsacion_pruebas um-field-text um-field-type_text\" data-key=\"pulsacion_pruebas\"><div class=\"um-field-label\"><label for=\"pulsacion_pruebas-36\">Pulsaci\u00f3n M\u00e1xima pruebas<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><div class=\"um-field-icon\"><i class=\"fas fa-heart-pulse\"><\/i><\/div><input  autocomplete=\"off\" class=\"um-form-field valid not-required um-iconed \" type=\"text\" name=\"pulsacion_pruebas-36\" id=\"pulsacion_pruebas-36\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"pulsacion_pruebas\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><\/div><div class=\"um-clear\"><\/div><\/div><div class=\"um-row _um_row_2 \" style=\"margin: 0 0 30px 0;\"><div class=\"um-col-1\"><div  class=\"um-field um-field-spacing  um-field-spacing um-field-type_spacing\" data-key=\"um_spacing_36_45_46_46\" style=\"height:20px;\"><\/div><div  class=\"um-field um-field-block  um-field-block um-field-type_block\" data-key=\"um_block_36_22\"><h1 style=\"color: #f5a716;text-align: left\"><strong>Datos de Salud<\/strong><\/h1><\/div><div  id=\"um_field_36_alergia\" class=\"um-field um-field-text  um-field-alergia um-field-text um-field-type_text\" data-key=\"alergia\"><div class=\"um-field-label\"><label for=\"alergia-36\">\u00bfTienes alguna alergia? En caso de ser afirmativo especificar cu\u00e1l.<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><div class=\"um-field-icon\"><i class=\"fas fa-shrimp\"><\/i><\/div><input  autocomplete=\"off\" class=\"um-form-field valid not-required um-iconed \" type=\"text\" name=\"alergia-36\" id=\"alergia-36\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"alergia\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_36_operado\" class=\"um-field um-field-text  um-field-operado um-field-text um-field-type_text\" data-key=\"operado\"><div class=\"um-field-label\"><label for=\"operado-36\">\u00bfTe han operado? En caso de ser afirmativo, especificar qu\u00e9 intervenci\u00f3n y cu\u00e1ndo:<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><div class=\"um-field-icon\"><i class=\"far fa-hospital\"><\/i><\/div><input  autocomplete=\"off\" class=\"um-form-field valid not-required um-iconed \" type=\"text\" name=\"operado-36\" id=\"operado-36\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"operado\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_36_fumas\" class=\"um-field um-field-radio  um-field-fumas um-field-radio um-field-type_radio\" data-key=\"fumas\"  aria-invalid=\"false\" ><div class=\"um-field-label\"><label for=\"fumas-36\">\u00bfFumas tabaco?<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><label class=\"um-field-radio  um-field-half \"><input  type=\"radio\" name=\"fumas[]\" value=\"Si\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Si<\/span><\/label><label class=\"um-field-radio  um-field-half  right \"><input  type=\"radio\" name=\"fumas[]\" value=\"No\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">No<\/span><\/label><div class=\"um-clear\"><\/div><div class=\"um-clear\"><\/div><\/div><\/div><div  id=\"um_field_36_Cardiobascular\" class=\"um-field um-field-radio  um-field-Cardiobascular um-field-radio um-field-type_radio\" data-key=\"Cardiobascular\"  aria-invalid=\"false\" ><div class=\"um-field-label\"><label for=\"Cardiobascular-36\">\u00bfAlguna vez tu m\u00e9dico le ha indicado que tiene un problema cardiovascular?<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><label class=\"um-field-radio  um-field-half \"><input  type=\"radio\" name=\"Cardiobascular[]\" value=\"Si\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Si<\/span><\/label><label class=\"um-field-radio  um-field-half  right \"><input  type=\"radio\" name=\"Cardiobascular[]\" value=\"No\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">No<\/span><\/label><div class=\"um-clear\"><\/div><div class=\"um-clear\"><\/div><\/div><\/div><div  id=\"um_field_36_dolorpecho\" class=\"um-field um-field-radio  um-field-dolorpecho um-field-radio um-field-type_radio\" data-key=\"dolorpecho\"  aria-invalid=\"false\" ><div class=\"um-field-label\"><label for=\"dolorpecho-36\">\u00bfSufres dolores frecuentes en el pecho cuando realizas alg\u00fan tipo de actividad f\u00edsica?<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><label class=\"um-field-radio  um-field-half \"><input  type=\"radio\" name=\"dolorpecho[]\" value=\"Si\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Si<\/span><\/label><label class=\"um-field-radio  um-field-half  right \"><input  type=\"radio\" name=\"dolorpecho[]\" value=\"No\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">No<\/span><\/label><div class=\"um-clear\"><\/div><label class=\"um-field-radio  um-field-half \"><input  type=\"radio\" name=\"dolorpecho[]\" value=\"A veces\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">A veces<\/span><\/label><div class=\"um-clear\"><\/div><\/div><\/div><div  id=\"um_field_36_equilibrio\" class=\"um-field um-field-radio  um-field-equilibrio um-field-radio um-field-type_radio\" data-key=\"equilibrio\"  aria-invalid=\"false\" ><div class=\"um-field-label\"><label for=\"equilibrio-36\">\u00bfCon qu\u00e9 frecuencia haz perdido el equilibrio debido a mareos?<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><label class=\"um-field-radio  um-field-half \"><input  type=\"radio\" name=\"equilibrio[]\" value=\"Al realizar alguna actividad f\u00edsica\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Al realizar alguna actividad f\u00edsica<\/span><\/label><label class=\"um-field-radio  um-field-half  right \"><input  type=\"radio\" name=\"equilibrio[]\" value=\"De vez en cuando\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">De vez en cuando<\/span><\/label><div class=\"um-clear\"><\/div><label class=\"um-field-radio  um-field-half \"><input  type=\"radio\" name=\"equilibrio[]\" value=\"Constantemente\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Constantemente<\/span><\/label><label class=\"um-field-radio  um-field-half  right \"><input  type=\"radio\" name=\"equilibrio[]\" value=\"Nunca\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Nunca<\/span><\/label><div class=\"um-clear\"><\/div><div class=\"um-clear\"><\/div><\/div><\/div><div  id=\"um_field_36_ejercicio\" class=\"um-field um-field-text  um-field-ejercicio um-field-text um-field-type_text\" data-key=\"ejercicio\"><div class=\"um-field-label\"><label for=\"ejercicio-36\">Existe alguna raz\u00f3n por la cu\u00e1l te han recomendado no hacer actividad f\u00edsica:<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><div class=\"um-field-icon\"><i class=\"fas fa-person-walking\"><\/i><\/div><input  autocomplete=\"off\" class=\"um-form-field valid not-required um-iconed \" type=\"text\" name=\"ejercicio-36\" id=\"ejercicio-36\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"ejercicio\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_36_covid\" class=\"um-field um-field-text  um-field-covid um-field-text um-field-type_text\" data-key=\"covid\"><div class=\"um-field-label\"><label for=\"covid-36\">\u00bfTuviste COVID? En caso de contestar s\u00ed, especificar cuando<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><div class=\"um-field-icon\"><i class=\"fas fa-biohazard\"><\/i><\/div><input  autocomplete=\"off\" class=\"um-form-field valid not-required um-iconed \" type=\"text\" name=\"covid-36\" id=\"covid-36\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"covid\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_36_Covid2\" class=\"um-field um-field-text  um-field-Covid2 um-field-text um-field-type_text\" data-key=\"Covid2\"><div class=\"um-field-label\"><label for=\"Covid2-36\">En caso de contestar s\u00ed, tuviste alguna complicaci\u00f3n? (hospitalizaci\u00f3n, ox\u00edgeno suplementario, etc.)<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><div class=\"um-field-icon\"><i class=\"fas fa-bed-pulse\"><\/i><\/div><input  autocomplete=\"off\" class=\"um-form-field valid not-required um-iconed \" type=\"text\" name=\"Covid2-36\" id=\"Covid2-36\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"Covid2\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_36_dormir\" class=\"um-field um-field-radio  um-field-dormir um-field-radio um-field-type_radio\" data-key=\"dormir\"  aria-invalid=\"false\" ><div class=\"um-field-label\"><label for=\"dormir-36\">En promedio, \u00bfcu\u00e1ntas horas duermes al d\u00eda?<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><label class=\"um-field-radio  um-field-half \"><input  type=\"radio\" name=\"dormir[]\" value=\"Menos de 5 horas\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Menos de 5 horas<\/span><\/label><label class=\"um-field-radio  um-field-half  right \"><input  type=\"radio\" name=\"dormir[]\" value=\"De 5-8 horas\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">De 5-8 horas<\/span><\/label><div class=\"um-clear\"><\/div><label class=\"um-field-radio  um-field-half \"><input  type=\"radio\" name=\"dormir[]\" value=\"M\u00e1s de 8 horas\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">M\u00e1s de 8 horas<\/span><\/label><div class=\"um-clear\"><\/div><\/div><\/div><div  id=\"um_field_36_nutriologo\" class=\"um-field um-field-radio  um-field-nutriologo um-field-radio um-field-type_radio\" data-key=\"nutriologo\"  aria-invalid=\"false\" ><div class=\"um-field-label\"><label for=\"nutriologo-36\">\u00bfCuentas con nutri\u00f3logo?<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><label class=\"um-field-radio  um-field-half \"><input  type=\"radio\" name=\"nutriologo[]\" value=\"Si\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Si<\/span><\/label><label class=\"um-field-radio  um-field-half  right \"><input  type=\"radio\" name=\"nutriologo[]\" value=\"No\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">No<\/span><\/label><div class=\"um-clear\"><\/div><div class=\"um-clear\"><\/div><\/div><\/div><div  id=\"um_field_36_agua\" class=\"um-field um-field-radio  um-field-agua um-field-radio um-field-type_radio\" data-key=\"agua\"  aria-invalid=\"false\" ><div class=\"um-field-label\"><label for=\"agua-36\">\u00bfCu\u00e1ntos litros de agua tomas al d\u00eda?<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><label class=\"um-field-radio  um-field-half \"><input  type=\"radio\" name=\"agua[]\" value=\"Menos de 1 litro\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Menos de 1 litro<\/span><\/label><label class=\"um-field-radio  um-field-half  right \"><input  type=\"radio\" name=\"agua[]\" value=\"Entre 1-2 litros\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Entre 1-2 litros<\/span><\/label><div class=\"um-clear\"><\/div><label class=\"um-field-radio  um-field-half \"><input  type=\"radio\" name=\"agua[]\" value=\"M\u00e1s de 2 litros\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">M\u00e1s de 2 litros<\/span><\/label><div class=\"um-clear\"><\/div><\/div><\/div><div  id=\"um_field_36_comida\" class=\"um-field um-field-radio  um-field-comida um-field-radio um-field-type_radio\" data-key=\"comida\"  aria-invalid=\"false\" ><div class=\"um-field-label\"><label for=\"comida-36\">\u00bfCu\u00e1ntas comidas realizas al d\u00eda? Incluyendo colaciones<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><label class=\"um-field-radio  um-field-half \"><input  type=\"radio\" name=\"comida[]\" value=\"Menos de 3\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Menos de 3<\/span><\/label><label class=\"um-field-radio  um-field-half  right \"><input  type=\"radio\" name=\"comida[]\" value=\"Entre 3-4\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Entre 3-4<\/span><\/label><div class=\"um-clear\"><\/div><label class=\"um-field-radio  um-field-half \"><input  type=\"radio\" name=\"comida[]\" value=\"M\u00e1s de 4\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">M\u00e1s de 4<\/span><\/label><div class=\"um-clear\"><\/div><\/div><\/div><div  id=\"um_field_36_fisio\" class=\"um-field um-field-radio  um-field-fisio um-field-radio um-field-type_radio\" data-key=\"fisio\"  aria-invalid=\"false\" ><div class=\"um-field-label\"><label for=\"fisio-36\">\u00bfAcostumbras ir al fisioterapeuta?<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><label class=\"um-field-radio  um-field-half \"><input  type=\"radio\" name=\"fisio[]\" value=\"S\u00ed, cuando surge una lesi\u00f3n\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">S\u00ed, cuando surge una lesi\u00f3n<\/span><\/label><label class=\"um-field-radio  um-field-half  right \"><input  type=\"radio\" name=\"fisio[]\" value=\"S\u00ed, como prevenci\u00f3n\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">S\u00ed, como prevenci\u00f3n<\/span><\/label><div class=\"um-clear\"><\/div><label class=\"um-field-radio  um-field-half \"><input  type=\"radio\" name=\"fisio[]\" value=\"Solo a descarga periodicamente\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Solo a descarga periodicamente<\/span><\/label><label class=\"um-field-radio  um-field-half  right \"><input  type=\"radio\" name=\"fisio[]\" value=\"No acostumbro\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">No acostumbro<\/span><\/label><div class=\"um-clear\"><\/div><div class=\"um-clear\"><\/div><\/div><\/div><div  id=\"um_field_36_lesion\" class=\"um-field um-field-radio  um-field-lesion um-field-radio um-field-type_radio\" data-key=\"lesion\"  aria-invalid=\"false\" ><div class=\"um-field-label\"><label for=\"lesion-36\">\u00bfHaz tenido alguna lesi\u00f3n que te impida realizar ejercicio por m\u00e1s de 3 semanas?<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><label class=\"um-field-radio  um-field-half \"><input  type=\"radio\" name=\"lesion[]\" value=\"Si\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Si<\/span><\/label><label class=\"um-field-radio  um-field-half  right \"><input  type=\"radio\" name=\"lesion[]\" value=\"No\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">No<\/span><\/label><div class=\"um-clear\"><\/div><div class=\"um-clear\"><\/div><\/div><\/div><div  id=\"um_field_36_lesion2\" class=\"um-field um-field-text  um-field-lesion2 um-field-text um-field-type_text\" data-key=\"lesion2\"><div class=\"um-field-label\"><label for=\"lesion2-36\">En caso de contestar s\u00ed, especifica cu\u00e1l y hace cu\u00e1nto:<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><div class=\"um-field-icon\"><i class=\"fas fa-crutch\"><\/i><\/div><input  autocomplete=\"off\" class=\"um-form-field valid not-required um-iconed \" type=\"text\" name=\"lesion2-36\" id=\"lesion2-36\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"lesion2\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_36_lesion3\" class=\"um-field um-field-radio  um-field-lesion3 um-field-radio um-field-type_radio\" data-key=\"lesion3\"  aria-invalid=\"false\" ><div class=\"um-field-label\"><label for=\"lesion3-36\">\u00bfActualmente tienes una lesi\u00f3n?<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><label class=\"um-field-radio  um-field-half \"><input  type=\"radio\" name=\"lesion3[]\" value=\"Si\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Si<\/span><\/label><label class=\"um-field-radio  um-field-half  right \"><input  type=\"radio\" name=\"lesion3[]\" value=\"No\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">No<\/span><\/label><div class=\"um-clear\"><\/div><div class=\"um-clear\"><\/div><\/div><\/div><div  id=\"um_field_36_lesion4\" class=\"um-field um-field-text  um-field-lesion4 um-field-text um-field-type_text\" data-key=\"lesion4\"><div class=\"um-field-label\"><label for=\"lesion4-36\">En caso de ser afirmativo, especifica:<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><div class=\"um-field-icon\"><i class=\"fas fa-crutch\"><\/i><\/div><input  autocomplete=\"off\" class=\"um-form-field valid not-required um-iconed \" type=\"text\" name=\"lesion4-36\" id=\"lesion4-36\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"lesion4\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_36_tobillo\" class=\"um-field um-field-radio  um-field-tobillo um-field-radio um-field-type_radio\" data-key=\"tobillo\"  aria-invalid=\"false\" ><div class=\"um-field-label\"><label for=\"tobillo-36\">\u00bfHaz tenido esguince de tobillo?<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><label class=\"um-field-radio  um-field-half \"><input  type=\"radio\" name=\"tobillo[]\" value=\"S\u00ed, tobillo derecho\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">S\u00ed, tobillo derecho<\/span><\/label><label class=\"um-field-radio  um-field-half  right \"><input  type=\"radio\" name=\"tobillo[]\" value=\"S\u00ed, tobillo izquierdo\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">S\u00ed, tobillo izquierdo<\/span><\/label><div class=\"um-clear\"><\/div><label class=\"um-field-radio  um-field-half \"><input  type=\"radio\" name=\"tobillo[]\" value=\"S\u00ed, ambos tobillos\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">S\u00ed, ambos tobillos<\/span><\/label><label class=\"um-field-radio  um-field-half  right \"><input  type=\"radio\" name=\"tobillo[]\" value=\"Nunca\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Nunca<\/span><\/label><div class=\"um-clear\"><\/div><div class=\"um-clear\"><\/div><\/div><\/div><\/div><\/div><div class=\"um-row _um_row_3 \" style=\"margin: 0 0 30px 0;\"><div class=\"um-col-1\"><div  class=\"um-field um-field-block  um-field-block um-field-type_block\" data-key=\"um_block_36_22_48\"><h1 style=\"color: #f5a716;text-align: left\">Datos de Entrenamiento<\/h1><\/div><div  id=\"um_field_36_entrenamiento\" class=\"um-field um-field-radio  um-field-entrenamiento um-field-radio um-field-type_radio\" data-key=\"entrenamiento\"  aria-invalid=\"false\" ><div class=\"um-field-label\"><label for=\"entrenamiento-36\">\u00bfHaz recibido alg\u00fan tipo de entrenamiento personalizado antes?<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><label class=\"um-field-radio  um-field-half \"><input  type=\"radio\" name=\"entrenamiento[]\" value=\"Si\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Si<\/span><\/label><label class=\"um-field-radio  um-field-half  right \"><input  type=\"radio\" name=\"entrenamiento[]\" value=\"No\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">No<\/span><\/label><div class=\"um-clear\"><\/div><div class=\"um-clear\"><\/div><\/div><\/div><div  id=\"um_field_36_deporte\" class=\"um-field um-field-text  um-field-deporte um-field-text um-field-type_text\" data-key=\"deporte\"><div class=\"um-field-label\"><label for=\"deporte-36\">En caso de contestar s\u00ed, especifica el deporte y el tiempo que duro:<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><div class=\"um-field-icon\"><i class=\"fas fa-volleyball\"><\/i><\/div><input  autocomplete=\"off\" class=\"um-form-field valid not-required um-iconed \" type=\"text\" name=\"deporte-36\" id=\"deporte-36\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"deporte\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_36_deporte2\" class=\"um-field um-field-radio  um-field-deporte2 um-field-radio um-field-type_radio\" data-key=\"deporte2\"  aria-invalid=\"false\" ><div class=\"um-field-label\"><label for=\"deporte2-36\">\u00bfCu\u00e1l es tu deporte principal?<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><label class=\"um-field-radio  um-field-half \"><input  type=\"radio\" name=\"deporte2[]\" value=\"Corredor de trail\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Corredor de trail<\/span><\/label><label class=\"um-field-radio  um-field-half  right \"><input  type=\"radio\" name=\"deporte2[]\" value=\"Corredor de calle\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Corredor de calle<\/span><\/label><div class=\"um-clear\"><\/div><label class=\"um-field-radio  um-field-half \"><input  type=\"radio\" name=\"deporte2[]\" value=\"Corredor de pista\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Corredor de pista<\/span><\/label><label class=\"um-field-radio  um-field-half  right \"><input  type=\"radio\" name=\"deporte2[]\" value=\"Duatl\u00f3n\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Duatl\u00f3n<\/span><\/label><div class=\"um-clear\"><\/div><label class=\"um-field-radio  um-field-half \"><input  type=\"radio\" name=\"deporte2[]\" value=\"Triatl\u00f3n\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Triatl\u00f3n<\/span><\/label><label class=\"um-field-radio  um-field-half  right \"><input  type=\"radio\" name=\"deporte2[]\" value=\"Ciclismo MTB\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Ciclismo MTB<\/span><\/label><div class=\"um-clear\"><\/div><label class=\"um-field-radio  um-field-half \"><input  type=\"radio\" name=\"deporte2[]\" value=\"Otro\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Otro<\/span><\/label><div class=\"um-clear\"><\/div><\/div><\/div><div  id=\"um_field_36_deporte3\" class=\"um-field um-field-radio  um-field-deporte3 um-field-radio um-field-type_radio\" data-key=\"deporte3\"  aria-invalid=\"false\" ><div class=\"um-field-label\"><label for=\"deporte3-36\">\u00bfCu\u00e1nto tiempo llevas practicando tu deporte principal?<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><label class=\"um-field-radio  um-field-half \"><input  type=\"radio\" name=\"deporte3[]\" value=\"Menos de 1 a\u00f1o\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Menos de 1 a\u00f1o<\/span><\/label><label class=\"um-field-radio  um-field-half  right \"><input  type=\"radio\" name=\"deporte3[]\" value=\"1-3 a\u00f1os\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">1-3 a\u00f1os<\/span><\/label><div class=\"um-clear\"><\/div><label class=\"um-field-radio  um-field-half \"><input  type=\"radio\" name=\"deporte3[]\" value=\"3-6 a\u00f1os\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">3-6 a\u00f1os<\/span><\/label><label class=\"um-field-radio  um-field-half  right \"><input  type=\"radio\" name=\"deporte3[]\" value=\"M\u00e1s de 6 a\u00f1os\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">M\u00e1s de 6 a\u00f1os<\/span><\/label><div class=\"um-clear\"><\/div><div class=\"um-clear\"><\/div><\/div><\/div><div  id=\"um_field_36_deporte4\" class=\"um-field um-field-radio  um-field-deporte4 um-field-radio um-field-type_radio\" data-key=\"deporte4\"  aria-invalid=\"false\" ><div class=\"um-field-label\"><label for=\"deporte4-36\">\u00bfPracticas alg\u00fan otro deporte o actividad f\u00edsica?<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><label class=\"um-field-radio  um-field-half \"><input  type=\"radio\" name=\"deporte4[]\" value=\"Si\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Si<\/span><\/label><label class=\"um-field-radio  um-field-half  right \"><input  type=\"radio\" name=\"deporte4[]\" value=\"No\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">No<\/span><\/label><div class=\"um-clear\"><\/div><div class=\"um-clear\"><\/div><\/div><\/div><div  id=\"um_field_36_deporte5\" class=\"um-field um-field-text  um-field-deporte5 um-field-text um-field-type_text\" data-key=\"deporte5\"><div class=\"um-field-label\"><label for=\"deporte5-36\">En caso de ser afirmativo, especifica:<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><div class=\"um-field-icon\"><i class=\"fas fa-volleyball\"><\/i><\/div><input  autocomplete=\"off\" class=\"um-form-field valid not-required um-iconed \" type=\"text\" name=\"deporte5-36\" id=\"deporte5-36\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"deporte5\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_36_objetivos\" class=\"um-field um-field-radio  um-field-objetivos um-field-radio um-field-type_radio\" data-key=\"objetivos\"  aria-invalid=\"false\" ><div class=\"um-field-label\"><label for=\"objetivos-36\">\u00bfHacia d\u00f3nde se dirigen mayormente tus objetivos?<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><label class=\"um-field-radio  um-field-half \"><input  type=\"radio\" name=\"objetivos[]\" value=\"Mejorar rendimiento\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Mejorar rendimiento<\/span><\/label><label class=\"um-field-radio  um-field-half  right \"><input  type=\"radio\" name=\"objetivos[]\" value=\"Salud y prevenci\u00f3n de lesiones\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Salud y prevenci\u00f3n de lesiones<\/span><\/label><div class=\"um-clear\"><\/div><label class=\"um-field-radio  um-field-half \"><input  type=\"radio\" name=\"objetivos[]\" value=\"Mejorar composici\u00f3n corporal\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Mejorar composici\u00f3n corporal<\/span><\/label><div class=\"um-clear\"><\/div><\/div><\/div><div  id=\"um_field_36_reloj\" class=\"um-field um-field-radio  um-field-reloj um-field-radio um-field-type_radio\" data-key=\"reloj\"  aria-invalid=\"false\" ><div class=\"um-field-label\"><label for=\"reloj-36\">\u00bfCuentas con reloj deportivo para medir tus entrenamientos?<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><label class=\"um-field-radio  um-field-half \"><input  type=\"radio\" name=\"reloj[]\" value=\"Si\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Si<\/span><\/label><label class=\"um-field-radio  um-field-half  right \"><input  type=\"radio\" name=\"reloj[]\" value=\"No\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">No<\/span><\/label><div class=\"um-clear\"><\/div><div class=\"um-clear\"><\/div><\/div><\/div><div  id=\"um_field_36_reloj2\" class=\"um-field um-field-radio  um-field-reloj2 um-field-radio um-field-type_radio\" data-key=\"reloj2\"  aria-invalid=\"false\" ><div class=\"um-field-label\"><label for=\"reloj2-36\">\u00bfDe qu\u00e9 marca es tu reloj?<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><label class=\"um-field-radio  um-field-half \"><input  type=\"radio\" name=\"reloj2[]\" value=\"Garmin\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Garmin<\/span><\/label><label class=\"um-field-radio  um-field-half  right \"><input  type=\"radio\" name=\"reloj2[]\" value=\"Coros\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Coros<\/span><\/label><div class=\"um-clear\"><\/div><label class=\"um-field-radio  um-field-half \"><input  type=\"radio\" name=\"reloj2[]\" value=\"Polar\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Polar<\/span><\/label><label class=\"um-field-radio  um-field-half  right \"><input  type=\"radio\" name=\"reloj2[]\" value=\"Apple watch\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Apple watch<\/span><\/label><div class=\"um-clear\"><\/div><label class=\"um-field-radio  um-field-half \"><input  type=\"radio\" name=\"reloj2[]\" value=\"Huawei\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Huawei<\/span><\/label><label class=\"um-field-radio  um-field-half  right \"><input  type=\"radio\" name=\"reloj2[]\" value=\"Otro\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Otro<\/span><\/label><div class=\"um-clear\"><\/div><div class=\"um-clear\"><\/div><\/div><\/div><div  id=\"um_field_36_carrera\" class=\"um-field um-field-text  um-field-carrera um-field-text um-field-type_text\" data-key=\"carrera\"><div class=\"um-field-label\"><label for=\"carrera-36\">\u00bfCu\u00e1l fue la \u00faltima carrera que corriste y qu\u00e9 distancia?<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><div class=\"um-field-icon\"><i class=\"fas fa-person-running\"><\/i><\/div><input  autocomplete=\"off\" class=\"um-form-field valid not-required um-iconed \" type=\"text\" name=\"carrera-36\" id=\"carrera-36\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"carrera\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_36_inscrito\" class=\"um-field um-field-text  um-field-inscrito um-field-text um-field-type_text\" data-key=\"inscrito\"><div class=\"um-field-label\"><label for=\"inscrito-36\">\u00bfCu\u00e1les son las carreras a las que ya estas inscrito en este a\u00f1o?<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><div class=\"um-field-icon\"><i class=\"far fa-calendar-check\"><\/i><\/div><input  autocomplete=\"off\" class=\"um-form-field valid not-required um-iconed \" type=\"text\" name=\"inscrito-36\" id=\"inscrito-36\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"inscrito\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_36_gym\" class=\"um-field um-field-radio  um-field-gym um-field-radio um-field-type_radio\" data-key=\"gym\"  aria-invalid=\"false\" ><div class=\"um-field-label\"><label for=\"gym-36\">\u00bfTienes acceso a gimnasio?<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><label class=\"um-field-radio  um-field-half \"><input  type=\"radio\" name=\"gym[]\" value=\"Si\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Si<\/span><\/label><label class=\"um-field-radio  um-field-half  right \"><input  type=\"radio\" name=\"gym[]\" value=\"No\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">No<\/span><\/label><div class=\"um-clear\"><\/div><div class=\"um-clear\"><\/div><\/div><\/div><div  id=\"um_field_36_playera\" class=\"um-field um-field-radio  um-field-playera um-field-radio um-field-type_radio\" data-key=\"playera\"  aria-invalid=\"false\" ><div class=\"um-field-label\"><label for=\"playera-36\">Talla de playera:<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><label class=\"um-field-radio  um-field-half \"><input  type=\"radio\" name=\"playera[]\" value=\"XS\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">XS<\/span><\/label><label class=\"um-field-radio  um-field-half  right \"><input  type=\"radio\" name=\"playera[]\" value=\"S\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">S<\/span><\/label><div class=\"um-clear\"><\/div><label class=\"um-field-radio  um-field-half \"><input  type=\"radio\" name=\"playera[]\" value=\"M\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">M<\/span><\/label><label class=\"um-field-radio  um-field-half  right \"><input  type=\"radio\" name=\"playera[]\" value=\"L\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">L<\/span><\/label><div class=\"um-clear\"><\/div><label class=\"um-field-radio  um-field-half \"><input  type=\"radio\" name=\"playera[]\" value=\"XL\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">XL<\/span><\/label><div class=\"um-clear\"><\/div><\/div><\/div><div  id=\"um_field_36_numero\" class=\"um-field um-field-text  um-field-numero um-field-text um-field-type_text\" data-key=\"numero\"><div class=\"um-field-label\"><label for=\"numero-36\">\u00bfDe qu\u00e9 n\u00famero calzas?<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><div class=\"um-field-icon\"><i class=\"fas fa-shoe-prints\"><\/i><\/div><input  autocomplete=\"off\" class=\"um-form-field valid not-required um-iconed \" type=\"text\" name=\"numero-36\" id=\"numero-36\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"numero\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><\/div><\/div>\t<input type=\"hidden\" name=\"form_id\" id=\"form_id_36\" value=\"36\" \/>\n\t\t<p class=\"um_request_name\">\n\t\t<label for=\"um_request_36\">Only fill in if you are not human<\/label>\n\t\t<input type=\"hidden\" name=\"um_request\" id=\"um_request_36\" class=\"input\" value=\"\" size=\"25\" autocomplete=\"off\" \/>\n\t<\/p>\n\t<input type=\"hidden\" id=\"_wpnonce\" name=\"_wpnonce\" value=\"9e2ff3398d\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/login\/wp-json\/wp\/v2\/pages\/47\" \/>\n<div class=\"um-field\">\n\t<div class=\"g-recaptcha\" id=\"um-36\" data-type=\"image\" data-size=\"normal\" data-theme=\"light\" data-sitekey=\"6Lf07ZosAAAAANUW2s10rZwzEl_l2-xfpnV8f7AY\"><\/div>\n<\/div>\n\n\n<script type=\"text\/javascript\">\n\t\n\t\tvar onloadCallback = function () {\n\t\t\tjQuery('.g-recaptcha').each( function (i) {\n\t\t\t\tgrecaptcha.render( jQuery(this).attr('id'), {\n\t\t\t\t\t'sitekey': jQuery(this).attr('data-sitekey'),\n\t\t\t\t\t'theme': jQuery(this).attr('data-theme')\n\t\t\t\t});\n\t\t\t});\n\t\t};\n\n\t\tfunction um_recaptcha_refresh() {\n\t\t\tjQuery('.g-recaptcha').html('');\n\t\t\tgrecaptcha.reset();\n\t\t\tonloadCallback();\n\t\t}\n\n\t<\/script>\n\n\t<div class=\"um-col-alt\">\n\n\t\t\n\t\t\t<div class=\"um-center\">\n\t\t\t\t<input type=\"submit\" value=\"Registro\" class=\"um-button\" id=\"um-submit-btn\" \/>\n\t\t\t<\/div>\n\n\t\t\n\t\t<div class=\"um-clear\"><\/div>\n\n\t<\/div>\n\n\t\t\t<\/form>\n\t<\/div>\n<\/div>\n<style>\n\t\t\t.um-36.um {\n\t\t\tmax-width: 450px;\n\t\t}\n\t\t<\/style>\n\n\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"nf_dc_page":"","om_disable_all_campaigns":false,"pagelayer_contact_templates":[],"_pagelayer_content":"","footnotes":""},"class_list":["post-47","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/equipoxadani.com\/login\/wp-json\/wp\/v2\/pages\/47","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/equipoxadani.com\/login\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/equipoxadani.com\/login\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/equipoxadani.com\/login\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/equipoxadani.com\/login\/wp-json\/wp\/v2\/comments?post=47"}],"version-history":[{"count":5,"href":"https:\/\/equipoxadani.com\/login\/wp-json\/wp\/v2\/pages\/47\/revisions"}],"predecessor-version":[{"id":1037,"href":"https:\/\/equipoxadani.com\/login\/wp-json\/wp\/v2\/pages\/47\/revisions\/1037"}],"wp:attachment":[{"href":"https:\/\/equipoxadani.com\/login\/wp-json\/wp\/v2\/media?parent=47"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}