{"id":6838,"date":"2025-02-20T16:01:00","date_gmt":"2025-02-20T22:01:00","guid":{"rendered":"https:\/\/topsmile.mx\/?page_id=6838"},"modified":"2025-02-20T16:01:01","modified_gmt":"2025-02-20T22:01:01","slug":"seguimiento","status":"publish","type":"page","link":"https:\/\/topsmile.mx\/en\/seguimiento\/","title":{"rendered":"Encuesta de seguimiento"},"content":{"rendered":"<div class=\"wpforms-container wpforms-container-full wpforms-container-save-resume wpforms-block wpforms-block-c19c282c-beb6-457e-bc2a-952cacf85dd5 wpforms-render-modern\" id=\"wpforms-6833\"><form id=\"wpforms-form-6833\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"6833\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/en\/wp-json\/wp\/v2\/pages\/6838\" data-token=\"56e4914cd1744c0f277a288f87010b19\" data-token-time=\"1793355785\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div id=\"wpforms-error-noscript\" style=\"display: none;\">Please enable JavaScript in your browser to complete this form.<\/div><div class=\"wpforms-field-container\"><div id=\"wpforms-6833-field_1-container\" class=\"wpforms-field wpforms-field-name\" data-field-type=\"name\" data-field-id=\"1\"><fieldset><legend class=\"wpforms-field-label\">Nombre <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-6833-field_1\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][1][first]\" aria-errormessage=\"wpforms-6833-field_1-error\" required><label for=\"wpforms-6833-field_1\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-6833-field_1-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][1][last]\" aria-errormessage=\"wpforms-6833-field_1-last-error\" required><label for=\"wpforms-6833-field_1-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-6833-field_13-container\" class=\"wpforms-field wpforms-field-phone\" data-field-type=\"phone\" data-field-id=\"13\"><label class=\"wpforms-field-label\" for=\"wpforms-6833-field_13\">Telefono de contacto <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-6833-field_13\" class=\"wpforms-field-small wpforms-field-required wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][13]\" aria-label=\"Telefono de contacto\" aria-errormessage=\"wpforms-6833-field_13-error\" required><\/div><div id=\"wpforms-6833-field_2-container\" class=\"wpforms-field wpforms-field-email\" data-field-type=\"email\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-6833-field_2\">Correo electr\u00f3nico <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"email\" id=\"wpforms-6833-field_2\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][2]\" spellcheck=\"false\" aria-errormessage=\"wpforms-6833-field_2-error\" required><\/div><div id=\"wpforms-6833-field_4-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-list-2-columns\" data-field-type=\"checkbox\" data-field-id=\"4\"><fieldset><legend class=\"wpforms-field-label\">Por cual de nuestros tratamientos nos contactaste ? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-6833-field_4\" class=\"wpforms-field-required\" data-choice-limit=\"1\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-6833-field_4_1\" data-rule-check-limit=\"true\" name=\"wpforms[fields][4][]\" value=\"Medicina est\u00e9tica\" aria-errormessage=\"wpforms-6833-field_4_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6833-field_4_1\">Medicina est\u00e9tica<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-6833-field_4_2\" data-rule-check-limit=\"true\" name=\"wpforms[fields][4][]\" value=\"Ortodoncia convencional\" aria-errormessage=\"wpforms-6833-field_4_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6833-field_4_2\">Ortodoncia convencional<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-6833-field_4_5\" data-rule-check-limit=\"true\" name=\"wpforms[fields][4][]\" value=\"Alineadores Invisibles TopSmile Align\" aria-errormessage=\"wpforms-6833-field_4_5-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6833-field_4_5\">Alineadores Invisibles TopSmile Align<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-6833-field_4_3\" data-rule-check-limit=\"true\" name=\"wpforms[fields][4][]\" value=\"Implantes dentales\" aria-errormessage=\"wpforms-6833-field_4_3-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6833-field_4_3\">Implantes dentales<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-6833-field_4_4\" data-rule-check-limit=\"true\" name=\"wpforms[fields][4][]\" value=\"Otro tratamiento\" aria-errormessage=\"wpforms-6833-field_4_4-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6833-field_4_4\">Otro tratamiento<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-6833-field_5-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-list-2-columns\" data-field-type=\"checkbox\" data-field-id=\"5\"><fieldset><legend class=\"wpforms-field-label\">\u00bfQu\u00e9 tan clara  fue  la informaci\u00f3n que recibiste sobre nuestros tratamientos y promociones? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-6833-field_5\" class=\"wpforms-field-required\" data-choice-limit=\"1\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-6833-field_5_1\" data-rule-check-limit=\"true\" name=\"wpforms[fields][5][]\" value=\"Muy clara\" aria-errormessage=\"wpforms-6833-field_5_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6833-field_5_1\">Muy clara<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-6833-field_5_2\" data-rule-check-limit=\"true\" name=\"wpforms[fields][5][]\" value=\"Algo clara\" aria-errormessage=\"wpforms-6833-field_5_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6833-field_5_2\">Algo clara<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-6833-field_5_3\" data-rule-check-limit=\"true\" name=\"wpforms[fields][5][]\" value=\"Poco clara\" aria-errormessage=\"wpforms-6833-field_5_3-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6833-field_5_3\">Poco clara<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-6833-field_5_4\" data-rule-check-limit=\"true\" name=\"wpforms[fields][5][]\" value=\"No obtuve suficiente informaci\u00f3n\" aria-errormessage=\"wpforms-6833-field_5_4-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6833-field_5_4\">No obtuve suficiente informaci\u00f3n<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-6833-field_6-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-list-inline wpforms-conditional-trigger\" data-field-type=\"checkbox\" data-field-id=\"6\"><fieldset><legend class=\"wpforms-field-label\"> Agendaste una cita de valoraci\u00f3n ? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-6833-field_6\" class=\"wpforms-field-required wpforms-icon-choices wpforms-icon-choices-default wpforms-icon-choices-large\" data-choice-limit=\"1\" style=\"--wpforms-icon-choices-color: #066aab;\"><li class=\"choice-1 depth-1 wpforms-icon-choices-item\"><label class=\"wpforms-field-label-inline\" for=\"wpforms-6833-field_6_1\">\n\t\t\t\t<span class=\"wpforms-icon-choices-icon\">\n\t\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"80\" height=\"64\" viewBox=\"0 0 512 512\"><!--! Font Awesome Free 6.4.0 by @fontawesome - https:\/\/fontawesome.com License - https:\/\/fontawesome.com\/license\/free (Icons: CC BY 4.0, Fonts: SIL OFL 1.1, Code: MIT License) Copyright 2023 Fonticons, Inc. --><path d=\"M256 48a208 208 0 1 1 0 416 208 208 0 1 1 0-416zm0 464A256 256 0 1 0 256 0a256 256 0 1 0 0 512zM369 209c9.4-9.4 9.4-24.6 0-33.9s-24.6-9.4-33.9 0l-111 111-47-47c-9.4-9.4-24.6-9.4-33.9 0s-9.4 24.6 0 33.9l64 64c9.4 9.4 24.6 9.4 33.9 0L369 209z\"\/><\/svg>\n\t\t\t\t\t<span class=\"wpforms-icon-choices-icon-bg\"><\/span>\n\t\t\t\t<\/span>\n\t\t\t\t<input type=\"checkbox\" id=\"wpforms-6833-field_6_1\" class=\"wpforms-screen-reader-element\" data-rule-check-limit=\"true\" name=\"wpforms[fields][6][]\" value=\"Si\" aria-errormessage=\"wpforms-6833-field_6_1-error\" required >\n\t\t\t\t<span class=\"wpforms-icon-choices-label\">Si<\/span>\n\t\t\t<\/label><\/li><li class=\"choice-2 depth-1 wpforms-icon-choices-item\"><label class=\"wpforms-field-label-inline\" for=\"wpforms-6833-field_6_2\">\n\t\t\t\t<span class=\"wpforms-icon-choices-icon\">\n\t\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"80\" height=\"64\" viewBox=\"0 0 512 512\"><!--! Font Awesome Free 6.4.0 by @fontawesome - https:\/\/fontawesome.com License - https:\/\/fontawesome.com\/license\/free (Icons: CC BY 4.0, Fonts: SIL OFL 1.1, Code: MIT License) Copyright 2023 Fonticons, Inc. --><path d=\"M256 48a208 208 0 1 1 0 416 208 208 0 1 1 0-416zm0 464A256 256 0 1 0 256 0a256 256 0 1 0 0 512zM175 175c-9.4 9.4-9.4 24.6 0 33.9l47 47-47 47c-9.4 9.4-9.4 24.6 0 33.9s24.6 9.4 33.9 0l47-47 47 47c9.4 9.4 24.6 9.4 33.9 0s9.4-24.6 0-33.9l-47-47 47-47c9.4-9.4 9.4-24.6 0-33.9s-24.6-9.4-33.9 0l-47 47-47-47c-9.4-9.4-24.6-9.4-33.9 0z\"\/><\/svg>\n\t\t\t\t\t<span class=\"wpforms-icon-choices-icon-bg\"><\/span>\n\t\t\t\t<\/span>\n\t\t\t\t<input type=\"checkbox\" id=\"wpforms-6833-field_6_2\" class=\"wpforms-screen-reader-element\" data-rule-check-limit=\"true\" name=\"wpforms[fields][6][]\" value=\"No\" aria-errormessage=\"wpforms-6833-field_6_2-error\" required >\n\t\t\t\t<span class=\"wpforms-icon-choices-label\">No<\/span>\n\t\t\t<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-6833-field_15-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-list-inline wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-type=\"checkbox\" data-field-id=\"15\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\"> Acudiste a la cita de valoraci\u00f3n ? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-6833-field_15\" class=\"wpforms-field-required wpforms-icon-choices wpforms-icon-choices-default wpforms-icon-choices-large\" data-choice-limit=\"1\" style=\"--wpforms-icon-choices-color: #066aab;\"><li class=\"choice-1 depth-1 wpforms-icon-choices-item\"><label class=\"wpforms-field-label-inline\" for=\"wpforms-6833-field_15_1\">\n\t\t\t\t<span class=\"wpforms-icon-choices-icon\">\n\t\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"80\" height=\"64\" viewBox=\"0 0 512 512\"><!--! Font Awesome Free 6.4.0 by @fontawesome - https:\/\/fontawesome.com License - https:\/\/fontawesome.com\/license\/free (Icons: CC BY 4.0, Fonts: SIL OFL 1.1, Code: MIT License) Copyright 2023 Fonticons, Inc. --><path d=\"M256 48a208 208 0 1 1 0 416 208 208 0 1 1 0-416zm0 464A256 256 0 1 0 256 0a256 256 0 1 0 0 512zM369 209c9.4-9.4 9.4-24.6 0-33.9s-24.6-9.4-33.9 0l-111 111-47-47c-9.4-9.4-24.6-9.4-33.9 0s-9.4 24.6 0 33.9l64 64c9.4 9.4 24.6 9.4 33.9 0L369 209z\"\/><\/svg>\n\t\t\t\t\t<span class=\"wpforms-icon-choices-icon-bg\"><\/span>\n\t\t\t\t<\/span>\n\t\t\t\t<input type=\"checkbox\" id=\"wpforms-6833-field_15_1\" class=\"wpforms-screen-reader-element\" data-rule-check-limit=\"true\" name=\"wpforms[fields][15][]\" value=\"Si\" aria-errormessage=\"wpforms-6833-field_15_1-error\" required >\n\t\t\t\t<span class=\"wpforms-icon-choices-label\">Si<\/span>\n\t\t\t<\/label><\/li><li class=\"choice-2 depth-1 wpforms-icon-choices-item\"><label class=\"wpforms-field-label-inline\" for=\"wpforms-6833-field_15_2\">\n\t\t\t\t<span class=\"wpforms-icon-choices-icon\">\n\t\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"80\" height=\"64\" viewBox=\"0 0 512 512\"><!--! Font Awesome Free 6.4.0 by @fontawesome - https:\/\/fontawesome.com License - https:\/\/fontawesome.com\/license\/free (Icons: CC BY 4.0, Fonts: SIL OFL 1.1, Code: MIT License) Copyright 2023 Fonticons, Inc. --><path d=\"M256 48a208 208 0 1 1 0 416 208 208 0 1 1 0-416zm0 464A256 256 0 1 0 256 0a256 256 0 1 0 0 512zM175 175c-9.4 9.4-9.4 24.6 0 33.9l47 47-47 47c-9.4 9.4-9.4 24.6 0 33.9s24.6 9.4 33.9 0l47-47 47 47c9.4 9.4 24.6 9.4 33.9 0s9.4-24.6 0-33.9l-47-47 47-47c9.4-9.4 9.4-24.6 0-33.9s-24.6-9.4-33.9 0l-47 47-47-47c-9.4-9.4-24.6-9.4-33.9 0z\"\/><\/svg>\n\t\t\t\t\t<span class=\"wpforms-icon-choices-icon-bg\"><\/span>\n\t\t\t\t<\/span>\n\t\t\t\t<input type=\"checkbox\" id=\"wpforms-6833-field_15_2\" class=\"wpforms-screen-reader-element\" data-rule-check-limit=\"true\" name=\"wpforms[fields][15][]\" value=\"No\" aria-errormessage=\"wpforms-6833-field_15_2-error\" required >\n\t\t\t\t<span class=\"wpforms-icon-choices-label\">No<\/span>\n\t\t\t<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-6833-field_7-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-list-inline wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-type=\"checkbox\" data-field-id=\"7\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">Iniciaste el tratamiento por el cual fuiste a la cita de valoraci\u00f3n? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-6833-field_7\" class=\"wpforms-field-required wpforms-icon-choices wpforms-icon-choices-default wpforms-icon-choices-large\" data-choice-limit=\"1\" style=\"--wpforms-icon-choices-color: #066aab;\"><li class=\"choice-1 depth-1 wpforms-icon-choices-item\"><label class=\"wpforms-field-label-inline\" for=\"wpforms-6833-field_7_1\">\n\t\t\t\t<span class=\"wpforms-icon-choices-icon\">\n\t\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"80\" height=\"64\" viewBox=\"0 0 512 512\"><!--! Font Awesome Free 6.4.0 by @fontawesome - https:\/\/fontawesome.com License - https:\/\/fontawesome.com\/license\/free (Icons: CC BY 4.0, Fonts: SIL OFL 1.1, Code: MIT License) Copyright 2023 Fonticons, Inc. --><path d=\"M256 48a208 208 0 1 1 0 416 208 208 0 1 1 0-416zm0 464A256 256 0 1 0 256 0a256 256 0 1 0 0 512zM369 209c9.4-9.4 9.4-24.6 0-33.9s-24.6-9.4-33.9 0l-111 111-47-47c-9.4-9.4-24.6-9.4-33.9 0s-9.4 24.6 0 33.9l64 64c9.4 9.4 24.6 9.4 33.9 0L369 209z\"\/><\/svg>\n\t\t\t\t\t<span class=\"wpforms-icon-choices-icon-bg\"><\/span>\n\t\t\t\t<\/span>\n\t\t\t\t<input type=\"checkbox\" id=\"wpforms-6833-field_7_1\" class=\"wpforms-screen-reader-element\" data-rule-check-limit=\"true\" name=\"wpforms[fields][7][]\" value=\"Si\" aria-errormessage=\"wpforms-6833-field_7_1-error\" required >\n\t\t\t\t<span class=\"wpforms-icon-choices-label\">Si<\/span>\n\t\t\t<\/label><\/li><li class=\"choice-2 depth-1 wpforms-icon-choices-item\"><label class=\"wpforms-field-label-inline\" for=\"wpforms-6833-field_7_2\">\n\t\t\t\t<span class=\"wpforms-icon-choices-icon\">\n\t\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"80\" height=\"64\" viewBox=\"0 0 512 512\"><!--! Font Awesome Free 6.4.0 by @fontawesome - https:\/\/fontawesome.com License - https:\/\/fontawesome.com\/license\/free (Icons: CC BY 4.0, Fonts: SIL OFL 1.1, Code: MIT License) Copyright 2023 Fonticons, Inc. --><path d=\"M256 48a208 208 0 1 1 0 416 208 208 0 1 1 0-416zm0 464A256 256 0 1 0 256 0a256 256 0 1 0 0 512zM175 175c-9.4 9.4-9.4 24.6 0 33.9l47 47-47 47c-9.4 9.4-9.4 24.6 0 33.9s24.6 9.4 33.9 0l47-47 47 47c9.4 9.4 24.6 9.4 33.9 0s9.4-24.6 0-33.9l-47-47 47-47c9.4-9.4 9.4-24.6 0-33.9s-24.6-9.4-33.9 0l-47 47-47-47c-9.4-9.4-24.6-9.4-33.9 0z\"\/><\/svg>\n\t\t\t\t\t<span class=\"wpforms-icon-choices-icon-bg\"><\/span>\n\t\t\t\t<\/span>\n\t\t\t\t<input type=\"checkbox\" id=\"wpforms-6833-field_7_2\" class=\"wpforms-screen-reader-element\" data-rule-check-limit=\"true\" name=\"wpforms[fields][7][]\" value=\"No\" aria-errormessage=\"wpforms-6833-field_7_2-error\" required >\n\t\t\t\t<span class=\"wpforms-icon-choices-label\">No<\/span>\n\t\t\t<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-6833-field_8-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-list-2-columns wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-type=\"checkbox\" data-field-id=\"8\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">\u00bfQu\u00e9 factor consideraste m\u00e1s importante al decidir NO agendar una cita en TopSmile Medical Center ? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-6833-field_8\" class=\"wpforms-field-required\" data-choice-limit=\"1\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-6833-field_8_1\" data-rule-check-limit=\"true\" name=\"wpforms[fields][8][]\" value=\"El precio de los tratamientos\" aria-errormessage=\"wpforms-6833-field_8_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6833-field_8_1\">El precio de los tratamientos<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-6833-field_8_2\" data-rule-check-limit=\"true\" name=\"wpforms[fields][8][]\" value=\"Falta de informaci\u00f3n o informaci\u00f3n incompleta\" aria-errormessage=\"wpforms-6833-field_8_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6833-field_8_2\">Falta de informaci\u00f3n o informaci\u00f3n incompleta<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-6833-field_8_6\" data-rule-check-limit=\"true\" name=\"wpforms[fields][8][]\" value=\"Decid\u00ed acudir a otro consultorio, o cl\u00ednica\" aria-errormessage=\"wpforms-6833-field_8_6-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6833-field_8_6\">Decid\u00ed acudir a otro consultorio, o cl\u00ednica<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-6833-field_8_5\" data-rule-check-limit=\"true\" name=\"wpforms[fields][8][]\" value=\"La ubicaci\u00f3n de TopSmile Medical Center\" aria-errormessage=\"wpforms-6833-field_8_5-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6833-field_8_5\">La ubicaci\u00f3n de TopSmile Medical Center<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"checkbox\" id=\"wpforms-6833-field_8_7\" data-rule-check-limit=\"true\" name=\"wpforms[fields][8][]\" value=\"Otra razon\" aria-errormessage=\"wpforms-6833-field_8_7-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6833-field_8_7\">Otra razon<\/label><\/li><\/ul><\/fieldset><\/div>\t\t<div id=\"wpforms-6833-field_3-container\"\n\t\t\tclass=\"wpforms-field wpforms-field-text\"\n\t\t\tdata-field-type=\"text\"\n\t\t\tdata-field-id=\"3\"\n\t\t\t>\n\t\t\t<label class=\"wpforms-field-label\" for=\"wpforms-6833-field_3\" >por te dediciste<\/label>\n\t\t\t<input type=\"text\" id=\"wpforms-6833-field_3\" class=\"wpforms-field-medium\" name=\"wpforms[fields][3]\" >\n\t\t<\/div>\n\t\t<div id=\"wpforms-6833-field_10-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-list-2-columns wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-type=\"checkbox\" data-field-id=\"10\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">Cual fue la principal raz\u00f3n por la cual NO iniciaste el tratamiento en TopSmile Medical Center <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-6833-field_10\" class=\"wpforms-field-required\" data-choice-limit=\"1\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-6833-field_10_1\" data-rule-check-limit=\"true\" name=\"wpforms[fields][10][]\" value=\"Temor al tratamiento\" aria-errormessage=\"wpforms-6833-field_10_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6833-field_10_1\">Temor al tratamiento<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-6833-field_10_2\" data-rule-check-limit=\"true\" name=\"wpforms[fields][10][]\" value=\"Tiempo de duraci\u00f3n del tratamiento\" aria-errormessage=\"wpforms-6833-field_10_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6833-field_10_2\">Tiempo de duraci\u00f3n del tratamiento<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-6833-field_10_6\" data-rule-check-limit=\"true\" name=\"wpforms[fields][10][]\" value=\"Costo del tratamiento\" aria-errormessage=\"wpforms-6833-field_10_6-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6833-field_10_6\">Costo del tratamiento<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-6833-field_10_5\" data-rule-check-limit=\"true\" name=\"wpforms[fields][10][]\" value=\"La ubicaci\u00f3n de TopSmile Medical Center\" aria-errormessage=\"wpforms-6833-field_10_5-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6833-field_10_5\">La ubicaci\u00f3n de TopSmile Medical Center<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"checkbox\" id=\"wpforms-6833-field_10_7\" data-rule-check-limit=\"true\" name=\"wpforms[fields][10][]\" value=\"Otra razon\" aria-errormessage=\"wpforms-6833-field_10_7-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6833-field_10_7\">Otra razon<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-6833-field_12-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-list-inline wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-type=\"checkbox\" data-field-id=\"12\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">En caso de existir algun promoci\u00f3n o descuento en el tratamiento de tu inter\u00e9s te gustar\u00eda que te avisemos ? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-6833-field_12\" class=\"wpforms-field-required wpforms-icon-choices wpforms-icon-choices-default wpforms-icon-choices-large\" data-choice-limit=\"1\" style=\"--wpforms-icon-choices-color: #066aab;\"><li class=\"choice-1 depth-1 wpforms-icon-choices-item\"><label class=\"wpforms-field-label-inline\" for=\"wpforms-6833-field_12_1\">\n\t\t\t\t<span class=\"wpforms-icon-choices-icon\">\n\t\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"80\" height=\"64\" viewBox=\"0 0 512 512\"><!--! Font Awesome Free 6.4.0 by @fontawesome - https:\/\/fontawesome.com License - https:\/\/fontawesome.com\/license\/free (Icons: CC BY 4.0, Fonts: SIL OFL 1.1, Code: MIT License) Copyright 2023 Fonticons, Inc. --><path d=\"M464 256A208 208 0 1 0 48 256a208 208 0 1 0 416 0zM0 256a256 256 0 1 1 512 0A256 256 0 1 1 0 256zm177.6 62.1C192.8 334.5 218.8 352 256 352s63.2-17.5 78.4-33.9c9-9.7 24.2-10.4 33.9-1.4s10.4 24.2 1.4 33.9c-22 23.8-60 49.4-113.6 49.4s-91.7-25.5-113.6-49.4c-9-9.7-8.4-24.9 1.4-33.9s24.9-8.4 33.9 1.4zM144.4 208a32 32 0 1 1 64 0 32 32 0 1 1 -64 0zm192-32a32 32 0 1 1 0 64 32 32 0 1 1 0-64z\"\/><\/svg>\n\t\t\t\t\t<span class=\"wpforms-icon-choices-icon-bg\"><\/span>\n\t\t\t\t<\/span>\n\t\t\t\t<input type=\"checkbox\" id=\"wpforms-6833-field_12_1\" class=\"wpforms-screen-reader-element\" data-rule-check-limit=\"true\" name=\"wpforms[fields][12][]\" value=\"Si\" aria-errormessage=\"wpforms-6833-field_12_1-error\" required >\n\t\t\t\t<span class=\"wpforms-icon-choices-label\">Si<\/span>\n\t\t\t<\/label><\/li><li class=\"choice-2 depth-1 wpforms-icon-choices-item\"><label class=\"wpforms-field-label-inline\" for=\"wpforms-6833-field_12_2\">\n\t\t\t\t<span class=\"wpforms-icon-choices-icon\">\n\t\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"80\" height=\"64\" viewBox=\"0 0 512 512\"><!--! Font Awesome Free 6.4.0 by @fontawesome - https:\/\/fontawesome.com License - https:\/\/fontawesome.com\/license\/free (Icons: CC BY 4.0, Fonts: SIL OFL 1.1, Code: MIT License) Copyright 2023 Fonticons, Inc. --><path d=\"M256 48a208 208 0 1 1 0 416 208 208 0 1 1 0-416zm0 464A256 256 0 1 0 256 0a256 256 0 1 0 0 512zM168 376c0 13.3 10.7 24 24 24H320c13.3 0 24-10.7 24-24s-10.7-24-24-24H192c-13.3 0-24 10.7-24 24zm-8-104c-26.5 0-48-21.5-48-48c0-14.3 6.3-27.2 16.2-36c-.2 1.3-.2 2.6-.2 4c0 17.7 14.3 32 32 32s32-14.3 32-32c0-1.4-.1-2.7-.2-4c10 8.8 16.2 21.7 16.2 36c0 26.5-21.5 48-48 48zm0 32a80 80 0 1 0 0-160 80 80 0 1 0 0 160zm192-32c-26.5 0-48-21.5-48-48c0-14.3 6.3-27.2 16.2-36c-.2 1.3-.2 2.6-.2 4c0 17.7 14.3 32 32 32s32-14.3 32-32c0-1.4-.1-2.7-.2-4c10 8.8 16.2 21.7 16.2 36c0 26.5-21.5 48-48 48zm0 32a80 80 0 1 0 0-160 80 80 0 1 0 0 160z\"\/><\/svg>\n\t\t\t\t\t<span class=\"wpforms-icon-choices-icon-bg\"><\/span>\n\t\t\t\t<\/span>\n\t\t\t\t<input type=\"checkbox\" id=\"wpforms-6833-field_12_2\" class=\"wpforms-screen-reader-element\" data-rule-check-limit=\"true\" name=\"wpforms[fields][12][]\" value=\"No\" aria-errormessage=\"wpforms-6833-field_12_2-error\" required >\n\t\t\t\t<span class=\"wpforms-icon-choices-label\">No<\/span>\n\t\t\t<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-6833-field_14-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"checkbox\" data-field-id=\"14\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">En cuanto tiempo te gustaria iniciar el tratamiento ? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-6833-field_14\" class=\"wpforms-field-required\" data-choice-limit=\"1\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-6833-field_14_1\" data-rule-check-limit=\"true\" name=\"wpforms[fields][14][]\" value=\"De inmediato\" aria-errormessage=\"wpforms-6833-field_14_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6833-field_14_1\">De inmediato<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-6833-field_14_2\" data-rule-check-limit=\"true\" name=\"wpforms[fields][14][]\" value=\"1 a 3 meses\" aria-errormessage=\"wpforms-6833-field_14_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6833-field_14_2\">1 a 3 meses<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-6833-field_14_6\" data-rule-check-limit=\"true\" name=\"wpforms[fields][14][]\" value=\"3 a 6 meses\" aria-errormessage=\"wpforms-6833-field_14_6-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6833-field_14_6\">3 a 6 meses<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"checkbox\" id=\"wpforms-6833-field_14_7\" data-rule-check-limit=\"true\" name=\"wpforms[fields][14][]\" value=\"Mas de 6 meses\" aria-errormessage=\"wpforms-6833-field_14_7-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6833-field_14_7\">Mas de 6 meses<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-6833-field_9-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"text\" data-field-id=\"9\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-6833-field_9\">Porqu\u00e9 raz\u00f3n dediciste NO agendar en TopSmile Medical  Center<\/label><input type=\"text\" id=\"wpforms-6833-field_9\" class=\"wpforms-field-medium\" name=\"wpforms[fields][9]\" aria-errormessage=\"wpforms-6833-field_9-error\" ><\/div><div id=\"wpforms-6833-field_11-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"text\" data-field-id=\"11\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-6833-field_11\">Porqu\u00e9 raz\u00f3n dediciste NO iniciar tu tratamiento en TopSmile Medical  Center<\/label><input type=\"text\" id=\"wpforms-6833-field_11\" class=\"wpforms-field-medium\" name=\"wpforms[fields][11]\" aria-errormessage=\"wpforms-6833-field_11-error\" ><\/div><script>\n\t\t\t\t( function() {\n\t\t\t\t\tconst style = document.createElement( 'style' );\n\t\t\t\t\tstyle.appendChild( document.createTextNode( '#wpforms-6833-field_3-container { position: absolute !important; overflow: hidden !important; display: inline !important; height: 1px !important; width: 1px !important; z-index: -1000 !important; padding: 0 !important; } #wpforms-6833-field_3-container input { visibility: hidden; } #wpforms-conversational-form-page #wpforms-6833-field_3-container label { counter-increment: none; }' ) );\n\t\t\t\t\tdocument.head.appendChild( style );\n\t\t\t\t\tdocument.currentScript?.remove();\n\t\t\t\t} )();\n\t\t\t<\/script><\/div><!-- .wpforms-field-container --><div class=\"wpforms-recaptcha-container wpforms-is-recaptcha wpforms-is-recaptcha-type-v3\" ><input type=\"hidden\" name=\"wpforms[recaptcha]\" value=\"\"><\/div><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"6833\"><input type=\"hidden\" name=\"wpforms[time_token]\" value=\"1793355785.d0e9ccba27f8e1c75c1c40347f743ae99f86cf9ec5b62260f457bb111f51315a\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/topsmile.mx\/en\/wp-json\/wp\/v2\/pages\/6838\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-6833\" class=\"wpforms-submit\" data-alt-text=\"Enviando...\" data-submit-text=\"Enviar\" aria-live=\"assertive\" value=\"wpforms-submit\">Enviar<\/button><img decoding=\"async\" src=\"https:\/\/topsmile.mx\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/div><\/form><\/div>  <!-- .wpforms-container -->","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_joinchat":[],"footnotes":""},"class_list":["post-6838","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/topsmile.mx\/en\/wp-json\/wp\/v2\/pages\/6838","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/topsmile.mx\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/topsmile.mx\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/topsmile.mx\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/topsmile.mx\/en\/wp-json\/wp\/v2\/comments?post=6838"}],"version-history":[{"count":1,"href":"https:\/\/topsmile.mx\/en\/wp-json\/wp\/v2\/pages\/6838\/revisions"}],"predecessor-version":[{"id":6839,"href":"https:\/\/topsmile.mx\/en\/wp-json\/wp\/v2\/pages\/6838\/revisions\/6839"}],"wp:attachment":[{"href":"https:\/\/topsmile.mx\/en\/wp-json\/wp\/v2\/media?parent=6838"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}