{"id":101185,"date":"2025-01-10T09:57:32","date_gmt":"2025-01-10T09:57:32","guid":{"rendered":"https:\/\/decacoaching.es\/abonnement-a-vitalfit\/"},"modified":"2026-05-04T08:53:40","modified_gmt":"2026-05-04T08:53:40","slug":"abonnement-a-vitalfit","status":"publish","type":"page","link":"https:\/\/decacoaching.es\/fr\/abonnement-a-vitalfit\/","title":{"rendered":"Abonnement \u00e0 VitalFit"},"content":{"rendered":"<p>[et_pb_section fb_built=\u00a0\u00bb1&Prime; fullwidth=\u00a0\u00bbon\u00a0\u00bb admin_label=\u00a0\u00bbHeader\u00a0\u00bb _builder_version=\u00a0\u00bb4.17.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_fullwidth_header title=\u00a0\u00bbAbonnement \u00e0 VitalFit\u00a0\u00bb text_orientation=\u00a0\u00bbcenter\u00a0\u00bb logo_image_url=\u00a0\u00bbhttps:\/\/decacoaching.es\/wp-content\/uploads\/2026\/05\/logo-vitalfit-fr.webp\u00a0\u00bb admin_label=\u00a0\u00bbVitaledad Logo\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.5&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb background_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb hover_enabled=\u00a0\u00bb0&Prime; global_colors_info=\u00a0\u00bb{}\u00a0\u00bb content_max_width=\u00a0\u00bb55%\u00a0\u00bb sticky_enabled=\u00a0\u00bb0&Prime;][\/et_pb_fullwidth_header][\/et_pb_section][et_pb_section fb_built=\u00a0\u00bb1&Prime; admin_label=\u00a0\u00bbInstructions\u00a0\u00bb _builder_version=\u00a0\u00bb4.17.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row admin_label=\u00a0\u00bbRow\u00a0\u00bb _builder_version=\u00a0\u00bb4.17.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4&Prime; _builder_version=\u00a0\u00bb4.17.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text admin_label=\u00a0\u00bbM\u00e9dical recomendation\u00a0\u00bb _builder_version=\u00a0\u00bb4.20.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<p>Si vous \u00eates sur cette page, c&rsquo;est parce que vous avez pris conscience de l&rsquo;importance de l&rsquo;activit\u00e9 physique pour la sant\u00e9, et vous avez choisi VitalFit pour vous aider \u00e0 vous sentir mieux. Suivez ces instructions pour faire fonctionner VitalFit sur votre t\u00e9l\u00e9phone. <\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=\u00a0\u00bb1_3,1_3,1_3&Prime; _builder_version=\u00a0\u00bb4.17.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb1_3&Prime; _builder_version=\u00a0\u00bb4.17.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_blurb title=\u00a0\u00bbInscrivez-vous\u00a0\u00bb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb&#xf044;||fa||900&Prime; admin_label=\u00a0\u00bbSign in\u00a0\u00bb _builder_version=\u00a0\u00bb4.17.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]Inscrivez-vous sur cette page<br \/>\n[\/et_pb_blurb][\/et_pb_column][et_pb_column type=\u00a0\u00bb1_3&Prime; _builder_version=\u00a0\u00bb4.17.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_blurb title=\u00a0\u00bbT\u00e9l\u00e9chargez l&rsquo;application\u00a0\u00bb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb&#xf3ab;||fa||400&Prime; admin_label=\u00a0\u00bbDownload\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<p>T\u00e9l\u00e9chargez l&rsquo;application sur <a href=\"https:\/\/play.google.com\/store\/apps\/details?id=es.decacoaching.vitalfit\" target=\"_blank\" rel=\"noopener\">Google Play Store<\/a> ou sur <a href=\"https:\/\/apps.apple.com\/us\/app\/vitalfit-tu-salud-en-forma\/id6737974721\" target=\"_blank\" rel=\"noopener\">Apple App Store<\/a><\/p>\n<p>[\/et_pb_blurb][\/et_pb_column][et_pb_column type=\u00a0\u00bb1_3&Prime; _builder_version=\u00a0\u00bb4.17.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_blurb title=\u00a0\u00bbFaites de l&rsquo;exercice chaque jour.\u00a0\u00bb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb&#xf70c;||fa||900&Prime; admin_label=\u00a0\u00bbStart\u00a0\u00bb _builder_version=\u00a0\u00bb4.17.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]Une fois que vous aurez saisi votre nom d&rsquo;utilisateur et votre mot de passe, votre plan d&rsquo;exercices vous attendra chaque jour.<br \/>\n[\/et_pb_blurb][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00a0\u00bb1&Prime; admin_label=\u00a0\u00bbPayment Half year\u00a0\u00bb _builder_version=\u00a0\u00bb4.17.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row _builder_version=\u00a0\u00bb4.20.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4&Prime; _builder_version=\u00a0\u00bb4.20.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=\u00a0\u00bb1_2,1_2&Prime; _builder_version=\u00a0\u00bb4.20.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb1_2&Prime; _builder_version=\u00a0\u00bb4.20.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_image src=\u00a0\u00bbhttps:\/\/decacoaching.es\/wp-content\/uploads\/2022\/05\/bg-e1671492110722.png\u00a0\u00bb title_text=\u00a0\u00bbbg\u00a0\u00bb _builder_version=\u00a0\u00bb4.20.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb background_enable_image=\u00a0\u00bboff\u00a0\u00bb background_blend=\u00a0\u00bbcolor\u00a0\u00bb min_height=\u00a0\u00bb1000px\u00a0\u00bb filter_saturate=\u00a0\u00bb82%\u00a0\u00bb filter_brightness=\u00a0\u00bb62%\u00a0\u00bb filter_opacity=\u00a0\u00bb67%\u00a0\u00bb filter_blur=\u00a0\u00bb2px\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_image][\/et_pb_column][et_pb_column type=\u00a0\u00bb1_2&Prime; _builder_version=\u00a0\u00bb4.20.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text admin_label=\u00a0\u00bbPayment form 6m\u00a0\u00bb _builder_version=\u00a0\u00bb4.17.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<div id=\"simpay-embedded-form-wrap-193\" data-id=\"simpay-form-193-wrap\" class=\"simpay-form-wrap simpay-embedded-form-wrap\"><div class=\"simpay-embedded-heading simpay-styled\"><h3 class=\"simpay-form-title\">Suscripci\u00f3n a Vitalfit<\/h3><p class=\"simpay-form-description\">Suscripci\u00f3n a la app Vitalfit, creada por Decacoaching S.L.<\/p><\/div><form action=\"\" method=\"post\" class=\"simpay-checkout-form simpay-form-193 simpay-styled simpay-checkout-form--embedded\" id=\"simpay-form-193\" data-simpay-form-id=\"193\" ><div class=\"simpay-conditional-field\" data-conditional-enabled=\"no\" data-conditional-action=\"show\" data-conditional-logic=\"all\" data-conditional-rules=\"[]\" data-field-uid=\"11\" data-field-type=\"heading\">\n<div id=\"11\" class=\"simpay-form-control\">\n\t<h2>\n\t\tDatos personales\t<\/h2>\n<\/div>\n\n\t\t<\/div><div class=\"simpay-conditional-field\" data-conditional-enabled=\"no\" data-conditional-action=\"show\" data-conditional-logic=\"all\" data-conditional-rules=\"[]\" data-field-uid=\"14\" data-field-type=\"recurring_amount_toggle\">\n\t\t<div\n\t\t\tclass=\"simpay-form-control simpay-recurring-amount-toggle-container\"\n\t\t\tstyle=\"display: none;\"\n\t\t>\n\t\t\t<div class=\"simpay-checkbox-wrap simpay-field-wrap\">\n\t\t\t\t<label for=\"537\">\n\t\t\t\t<input\n\t\t\t\t\ttype=\"checkbox\"\n\t\t\t\t\t\t\t\t\t\tname=\"recurring_amount_toggle_537\"\n\t\t\t\t\tid=\"537\"\n\t\t\t\t\tclass=\"simpay-recurring-amount-toggle\"\n\t\t\t\t\/>\n\t\t\t\tMake this a recurring amount\t\t\t\t<\/label>\n\t\t\t<\/div>\n\t\t<\/div>\n\n\t\t<\/div><div class=\"simpay-conditional-field\" data-conditional-enabled=\"no\" data-conditional-action=\"show\" data-conditional-logic=\"all\" data-conditional-rules=\"[]\" data-field-uid=\"17\" data-field-type=\"text\">\n\t\t<div class=\"simpay-form-control simpay-text-container\">\n\t\t\t\n\t\t<div class=\"simpay-text-label simpay-label-wrap\">\n\t\t\t<label for=\"simpay-form-193-field-17\" class=\"\">\n\t\t\t\tNombre\t\t\t\t\t\t\t<\/label>\n\t\t<\/div>\n\n\t\t\t\t\t<div class=\"simpay-text-wrap simpay-field-wrap\">\n\t\t\t\t\t\t\t\t\t<input\n\t\t\t\t\t\ttype=\"text\"\n\t\t\t\t\t\tname=\"simpay_field[first_name]\"\n\t\t\t\t\t\tid=\"simpay-form-193-field-17\"\n\t\t\t\t\t\tplaceholder=\"\"\n\t\t\t\t\t\tvalue=\"\"\n\t\t\t\t\t\tmaxlength=\"500\"\n\t\t\t\t\t\t\t\t\t\t\t\t\trequired\n\t\t\t\t\t\t\t\t\t\t\t\/>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\n\t\t<\/div><div class=\"simpay-conditional-field\" data-conditional-enabled=\"no\" data-conditional-action=\"show\" data-conditional-logic=\"all\" data-conditional-rules=\"[]\" data-field-uid=\"18\" data-field-type=\"text\">\n\t\t<div class=\"simpay-form-control simpay-text-container\">\n\t\t\t\n\t\t<div class=\"simpay-text-label simpay-label-wrap\">\n\t\t\t<label for=\"simpay-form-193-field-18\" class=\"\">\n\t\t\t\tApellidos\t\t\t\t\t\t\t<\/label>\n\t\t<\/div>\n\n\t\t\t\t\t<div class=\"simpay-text-wrap simpay-field-wrap\">\n\t\t\t\t\t\t\t\t\t<input\n\t\t\t\t\t\ttype=\"text\"\n\t\t\t\t\t\tname=\"simpay_field[last_name]\"\n\t\t\t\t\t\tid=\"simpay-form-193-field-18\"\n\t\t\t\t\t\tplaceholder=\"\"\n\t\t\t\t\t\tvalue=\"\"\n\t\t\t\t\t\tmaxlength=\"500\"\n\t\t\t\t\t\t\t\t\t\t\t\t\trequired\n\t\t\t\t\t\t\t\t\t\t\t\/>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\n\t\t<\/div><div class=\"simpay-conditional-field\" data-conditional-enabled=\"no\" data-conditional-action=\"show\" data-conditional-logic=\"all\" data-conditional-rules=\"[]\" data-field-uid=\"14\" data-field-type=\"radio\">\n\t\t<fieldset class=\"simpay-form-control simpay-radio-container\">\n\t\t\t<div class=\"simpay-radio-label simpay-label-wrap\">\n\t\t\t\t<legend class=\"\">\n\t\t\t\t\tSexo\t\t\t\t<legend>\n\t\t\t<\/div>\n\t\t\t<div class=\"simpay-radio-wrap simpay-field-wrap\">\n\t\t\t\t<ul>\n\t\t\t\t\t<li><label><input type=\"radio\" name=\"simpay_field[sex]\" value=\"Hombre\"  checked='checked' \/>Hombre<\/label><\/li><li><label><input type=\"radio\" name=\"simpay_field[sex]\" value=\"Mujer\"  \/>Mujer<\/label><\/li>\t\t\t\t<\/ul>\n\t\t\t<\/div>\n\t\t<\/fieldset>\n\n\t\t<\/div><div class=\"simpay-conditional-field\" data-conditional-enabled=\"no\" data-conditional-action=\"show\" data-conditional-logic=\"all\" data-conditional-rules=\"[]\" data-field-uid=\"10\" data-field-type=\"date\">\n\t\t<div class=\"simpay-form-control simpay-date-container\">\n\t\t\t<div class=\"simpay-date-label simpay-label-wrap\">\n\t\t\t\t\n\t\t<div class=\"simpay-date-label simpay-label-wrap\">\n\t\t\t<label for=\"simpay-form-193-field-10\" class=\"\">\n\t\t\t\tFecha de nacimiento\t\t\t\t\t\t\t<\/label>\n\t\t<\/div>\n\n\t\t\t\t\t\t<div class=\"simpay-date-wrap simpay-field-wrap\">\n\t\t\t\t\t<input\n\t\t\t\t\t\ttype=\"text\"\n\t\t\t\t\t\tname=\"simpay_field[birth_date]\"\n\t\t\t\t\t\tclass=\"simpay-date-input\"\n\t\t\t\t\t\tid=\"simpay-form-193-field-10\"\n\t\t\t\t\t\tplaceholder=\"\"\n\t\t\t\t\t\tvalue=\"\"\n\t\t\t\t\t\t\t\t\t\t\t\t\trequired\n\t\t\t\t\t\t\t\t\t\t\t\/>\n\n\t\t\t\t\t<script type=\"text\/javascript\">\n\t\t\t\t\t\tdocument.addEventListener( 'DOMContentLoaded', function() {\n\t\t\t\t\t\t\tflatpickr( '#simpay-form-193-field-10', {\n\t\t\t\t\t\t\t\tdateFormat: 'd-m-Y',\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t} );\n\t\t\t\t\t\t} );\n\t\t\t\t\t<\/script>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\n\t\t<\/div><div class=\"simpay-conditional-field\" data-conditional-enabled=\"no\" data-conditional-action=\"show\" data-conditional-logic=\"all\" data-conditional-rules=\"[]\" data-field-uid=\"15\" data-field-type=\"telephone\">\n\t\t<div class=\"simpay-form-control simpay-telephone-container\">\n\t\t\t\n\t\t<div class=\"simpay-telephone-label simpay-label-wrap\">\n\t\t\t<label for=\"simpay-form-193-field-15\" class=\"\">\n\t\t\t\tTel\u00e9fono\t\t\t\t<span class=\"simpay-optional-indicator\"> (facultatif)<\/span>\t\t\t<\/label>\n\t\t<\/div>\n\n\t\t\t\t\t<div class=\"simpay-telephone-wrap simpay-telephone-field simpay-field-wrap\">\n\t\t\t\t<input\n\t\t\t\t\ttype=\"tel\"\n\t\t\t\t\t\t\t\t\t\t\tname=\"simpay_telephone\"\n\t\t\t\t\t\t\t\t\t\tid=\"simpay-form-193-field-15\"\n\t\t\t\t\tclass=\"simpay-telephone\"\n\t\t\t\t\tvalue=\"\"\n\t\t\t\t\tplaceholder=\"\"\n\t\t\t\t\t\t\t\t\t\/>\n\t\t\t<\/div>\n\t\t<\/div>\n\n\t\t<\/div><div class=\"simpay-conditional-field\" data-conditional-enabled=\"no\" data-conditional-action=\"show\" data-conditional-logic=\"all\" data-conditional-rules=\"[]\" data-field-uid=\"1\" data-field-type=\"email\">\n\t\t\t\t\t<div class=\"simpay-form-control simpay-email-container\">\n\t\t\t\t\n\t\t<div class=\"simpay-email-label simpay-label-wrap\">\n\t\t\t<label for=\"simpay-form-193-field-1\" class=\"\">\n\t\t\t\tDirecci\u00f3n de correo electr\u00f3nico\t\t\t\t\t\t\t<\/label>\n\t\t<\/div>\n\n\t\t\t\t\t\t<div class=\"simpay-email-wrap simpay-field-wrap\">\n\t\t\t\t\t<input\n\t\t\t\t\t\ttype=\"email\"\n\t\t\t\t\t\tname=\"simpay_email\"\n\t\t\t\t\t\tid=\"simpay-form-193-field-1\"\n\t\t\t\t\t\tclass=\"simpay-email\"\n\t\t\t\t\t\tvalue=\"\"\n\t\t\t\t\t\tplaceholder=\"\"\n\t\t\t\t\t\trequired\n\t\t\t\t\t\/>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\n\t\t<\/div><div class=\"simpay-conditional-field\" data-conditional-enabled=\"no\" data-conditional-action=\"show\" data-conditional-logic=\"all\" data-conditional-rules=\"[]\" data-field-uid=\"16\" data-field-type=\"tax_id\">\n\t\t<div class=\"simpay-form-control simpay-tax-id-container\">\n\t\t\t\n\t\t<div class=\"simpay-tax_id-label simpay-label-wrap\">\n\t\t\t<label for=\"simpay-form-193-field-16\" class=\"\">\n\t\t\t\tNIF\t\t\t\t<span class=\"simpay-optional-indicator\"> (facultatif)<\/span>\t\t\t<\/label>\n\t\t<\/div>\n\n\t\t\t\t\t<div class=\"simpay-tax-id-wrap simpay-tax-id-field simpay-field-wrap\">\n\t\t\t\t<select\n\t\t\t\t\tname=\"simpay_tax_id_type\"\n\t\t\t\t\tclass=\"simpay-tax-id-type\"\n\t\t\t\t>\n\t\t\t\t\t<option value=\"\"  selected='selected'>S\u00e9lectionner le type d\u2019ID&hellip;<\/option><option value=\"ae_trn\" >TRN - \u00c9mirats arabes unis<\/option><option value=\"au_abn\" >ABN- Num\u00e9ro d\u2019entreprise australien<\/option><option value=\"br_cnpj\" >CNPJ- Num\u00e9ro d\u2019identification br\u00e9silien<\/option><option value=\"br_cpf\" >CPF - document br\u00e9silien<\/option><option value=\"ca_bn\" >BN canadien<\/option><option value=\"ca_qst\" >Num\u00e9ro de la TVQ canadienne<\/option><option value=\"ch_vat\" >Suisse - Num\u00e9ro de TVA<\/option><option value=\"cl_tin\" >NIF chilien<\/option><option value=\"es_cif\" >Num\u00e9ro CIF espagnol<\/option><option value=\"eu_vat\" >Num\u00e9ro de TVA europ\u00e9en<\/option><option value=\"gb_vat\" >Num\u00e9ro de TVA du Royaume-Uni<\/option><option value=\"hk_br\" >Num\u00e9ro du BR de Hong Kong<\/option><option value=\"id_npwp\" >Num\u00e9ro NPWP indon\u00e9sien<\/option><option value=\"id_gst\" >Num\u00e9ro GST indien<\/option><option value=\"jp_cn\" >Num\u00e9ro d\u2019entreprise japonais<\/option><option value=\"jp_rn\" >Num\u00e9ro d\u2019inscription des entreprises \u00e9trang\u00e8res enregistr\u00e9es au Japon<\/option><option value=\"kr_brn\" >BRN cor\u00e9en<\/option><option value=\"li_uid\" >Num\u00e9ro UID du Liechtenstein<\/option><option value=\"mx_rfc\" >Num\u00e9ro RFC mexicain<\/option><option value=\"my_frp\" >Num\u00e9ro de FRP malaisien<\/option><option value=\"my_itn\" >ITN malaisien<\/option><option value=\"my_sst\" >Nombre de SST en Malaisie<\/option><option value=\"no_vat\" >Num\u00e9ro de TVA norv\u00e9gien<\/option><option value=\"nz_gst\" >Num\u00e9ro de GST de la Nouvelle-Z\u00e9lande<\/option><option value=\"ru_inn\" >INN russe<\/option><option value=\"ru_kpp\" >KPP russe<\/option><option value=\"sa_vat\" >Arabie Saoudite TVA<\/option><option value=\"sg_gst\" >TPS de Singapour<\/option><option value=\"sg_uen\" >UEN de Singapour<\/option><option value=\"th_vat\" >TVA tha\u00eflandaise<\/option><option value=\"tw_vat\" >TVA ta\u00efwanaise<\/option><option value=\"us_ein\" >\u00c9tats-Unis EIN<\/option><option value=\"za_vat\" >Num\u00e9ro de TVA sud-africain<\/option>\t\t\t\t<\/select>\n\n\t\t\t\t<input\n\t\t\t\t\ttype=\"text\"\n\t\t\t\t\tname=\"simpay_tax_id\"\n\t\t\t\t\tid=\"simpay-form-193-field-16\"\n\t\t\t\t\tclass=\"simpay-tax-id\"\n\t\t\t\t\tplaceholder=\"\"\n\t\t\t\t\tvalue=\"\"\n\t\t\t\t\t\t\t\t\t\/>\n\t\t\t<\/div>\n\t\t<\/div>\n\n\t\t<\/div><div class=\"simpay-conditional-field\" data-conditional-enabled=\"no\" data-conditional-action=\"show\" data-conditional-logic=\"all\" data-conditional-rules=\"[]\" data-field-uid=\"19\" data-field-type=\"heading\">\n<div id=\"19\" class=\"simpay-form-control\">\n\t<h2>\n\t\tCuestionario de salud para la prescripci\u00f3n del plan\t<\/h2>\n<\/div>\n\n\t\t<\/div><div class=\"simpay-conditional-field\" data-conditional-enabled=\"no\" data-conditional-action=\"show\" data-conditional-logic=\"all\" data-conditional-rules=\"[]\" data-field-uid=\"20\" data-field-type=\"heading\">\n<div id=\"20\" class=\"simpay-form-control\">\n\t<h3>\n\t\tDatos antropom\u00e9tricos\t<\/h3>\n<\/div>\n\n\t\t<\/div><div class=\"simpay-conditional-field\" data-conditional-enabled=\"no\" data-conditional-action=\"show\" data-conditional-logic=\"all\" data-conditional-rules=\"[]\" data-field-uid=\"23\" data-field-type=\"number\">\n\t\t<div class=\"simpay-form-control simpay-number-container\">\n\t\t\t<div class=\"simpay-number-label simpay-label-wrap\">\n\t\t\t\t\n\t\t<div class=\"simpay-number-label simpay-label-wrap\">\n\t\t\t<label for=\"simpay-form-193-field-23\" class=\"\">\n\t\t\t\tPeso en Kg.\t\t\t\t\t\t\t<\/label>\n\t\t<\/div>\n\n\t\t\t\t\t\t<div class=\"simpay-number-wrap simpay-field-wrap\">\n\t\t\t\t\t<input\n\t\t\t\t\t\ttype=\"number\"\n\t\t\t\t\t\tname=\"simpay_field[weight_in_kg]\"\n\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\tid=\"simpay-form-193-field-23\"\n\t\t\t\t\t\tplaceholder=\"\"\n\t\t\t\t\t\tvalue=\"\"\n\t\t\t\t\t\tstep=\"1\"\n\t\t\t\t\t\t\t\t\t\t\t\t\tmin=\"10\"\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tmax=\"300\"\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\trequired\n\t\t\t\t\t\t\t\t\t\t\t\/>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\n\t\t\n\t\t<\/div><div class=\"simpay-conditional-field\" data-conditional-enabled=\"no\" data-conditional-action=\"show\" data-conditional-logic=\"all\" data-conditional-rules=\"[]\" data-field-uid=\"24\" data-field-type=\"number\">\n\t\t<div class=\"simpay-form-control simpay-number-container\">\n\t\t\t<div class=\"simpay-number-label simpay-label-wrap\">\n\t\t\t\t\n\t\t<div class=\"simpay-number-label simpay-label-wrap\">\n\t\t\t<label for=\"simpay-form-193-field-24\" class=\"\">\n\t\t\t\tTalla en cm.\t\t\t\t\t\t\t<\/label>\n\t\t<\/div>\n\n\t\t\t\t\t\t<div class=\"simpay-number-wrap simpay-field-wrap\">\n\t\t\t\t\t<input\n\t\t\t\t\t\ttype=\"number\"\n\t\t\t\t\t\tname=\"simpay_field[height_in_centimetres]\"\n\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\tid=\"simpay-form-193-field-24\"\n\t\t\t\t\t\tplaceholder=\"\"\n\t\t\t\t\t\tvalue=\"\"\n\t\t\t\t\t\tstep=\"1\"\n\t\t\t\t\t\t\t\t\t\t\t\t\tmin=\"40\"\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tmax=\"280\"\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\trequired\n\t\t\t\t\t\t\t\t\t\t\t\/>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\n\t\t\n\t\t<\/div><div class=\"simpay-conditional-field\" data-conditional-enabled=\"no\" data-conditional-action=\"show\" data-conditional-logic=\"all\" data-conditional-rules=\"[]\" data-field-uid=\"21\" data-field-type=\"heading\">\n<div id=\"21\" class=\"simpay-form-control\">\n\t<h3>\n\t\tH\u00e1bitos personales\t<\/h3>\n<\/div>\n\n\t\t<\/div><div class=\"simpay-conditional-field\" data-conditional-enabled=\"no\" data-conditional-action=\"show\" data-conditional-logic=\"all\" data-conditional-rules=\"[]\" data-field-uid=\"27\" data-field-type=\"radio\">\n\t\t<fieldset class=\"simpay-form-control simpay-radio-container\">\n\t\t\t<div class=\"simpay-radio-label simpay-label-wrap\">\n\t\t\t\t<legend class=\"\">\n\t\t\t\t\tConsumo de tabaco\t\t\t\t<legend>\n\t\t\t<\/div>\n\t\t\t<div class=\"simpay-radio-wrap simpay-field-wrap\">\n\t\t\t\t<ul>\n\t\t\t\t\t<li><label><input type=\"radio\" name=\"simpay_field[tobacco_consumption]\" value=\"No consumo\"  checked='checked' \/>No consumo<\/label><\/li><li><label><input type=\"radio\" name=\"simpay_field[tobacco_consumption]\" value=\"Consumo espor\u00e1dico\"  \/>Consumo espor\u00e1dico<\/label><\/li><li><label><input type=\"radio\" name=\"simpay_field[tobacco_consumption]\" value=\"Consumo regular\"  \/>Consumo regular<\/label><\/li>\t\t\t\t<\/ul>\n\t\t\t<\/div>\n\t\t<\/fieldset>\n\n\t\t<\/div><div class=\"simpay-conditional-field\" data-conditional-enabled=\"no\" data-conditional-action=\"show\" data-conditional-logic=\"all\" data-conditional-rules=\"[]\" data-field-uid=\"28\" data-field-type=\"dropdown\">\n\t\t<div class=\"simpay-form-control simpay-dropdown-container\">\n\t\t\t<div class=\"simpay-dropdown-label simpay-label-wrap\">\n\t\t\t\t\n\t\t<div class=\"simpay-dropdown-label simpay-label-wrap\">\n\t\t\t<label for=\"simpay-form-193-field-28\" class=\"\">\n\t\t\t\tConsumo de alcohol\t\t\t\t\t\t\t<\/label>\n\t\t<\/div>\n\n\t\t\t\t\t\t<div class=\"simpay-dropdown-wrap simpay-field-wrap\">\n\t\t\t\t\t<select name=\"simpay_field[alcohol_consumption]\" id=\"simpay-form-193-field-28\" required><option value=\"A diario\"  selected='selected' >A diario<\/option><option value=\"Algunos d\u00edas de diario\"  >Algunos d\u00edas de diario<\/option><option value=\"En fin de semana\"  >En fin de semana<\/option><option value=\"Con menor frecuencia\"  >Con menor frecuencia<\/option><option value=\"Nunca\"  >Nunca<\/option><\/select>\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\n\t\t<\/div><div class=\"simpay-conditional-field\" data-conditional-enabled=\"no\" data-conditional-action=\"show\" data-conditional-logic=\"all\" data-conditional-rules=\"[]\" data-field-uid=\"62\" data-field-type=\"heading\">\n<div id=\"62\" class=\"simpay-form-control\">\n\t<h3>\n\t\tH\u00e1bitos de actividad f\u00edsica\t<\/h3>\n<\/div>\n\n\t\t<\/div><div class=\"simpay-conditional-field\" data-conditional-enabled=\"no\" data-conditional-action=\"show\" data-conditional-logic=\"all\" data-conditional-rules=\"[]\" data-field-uid=\"64\" data-field-type=\"dropdown\">\n\t\t<div class=\"simpay-form-control simpay-dropdown-container\">\n\t\t\t<div class=\"simpay-dropdown-label simpay-label-wrap\">\n\t\t\t\t\n\t\t<div class=\"simpay-dropdown-label simpay-label-wrap\">\n\t\t\t<label for=\"simpay-form-193-field-64\" class=\"\">\n\t\t\t\t\u00bfRealiza alg\u00fan tipo de ejercicio f\u00edsico?\t\t\t\t\t\t\t<\/label>\n\t\t<\/div>\n\n\t\t\t\t\t\t<div class=\"simpay-dropdown-wrap simpay-field-wrap\">\n\t\t\t\t\t<select name=\"simpay_field[do_you_practice_any_physical_exercise]\" id=\"simpay-form-193-field-64\" required><option value=\"S\u00ed. A diario\"  selected='selected' >S\u00ed. A diario<\/option><option value=\"S\u00ed. Entre dos y cinco d\u00edas a la semana\"  >S\u00ed. Entre dos y cinco d\u00edas a la semana<\/option><option value=\"S\u00ed. Un d\u00eda a la semana\"  >S\u00ed. Un d\u00eda a la semana<\/option><option value=\"S\u00ed. Quincenalmente\"  >S\u00ed. Quincenalmente<\/option><option value=\"S\u00ed. Con menor frecuencia\"  >S\u00ed. Con menor frecuencia<\/option><option value=\"No. No suelo realizar nunca ejercicio f\u00edsico\"  >No. No suelo realizar nunca ejercicio f\u00edsico<\/option><\/select>\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\n\t\t<\/div><div class=\"simpay-conditional-field\" data-conditional-enabled=\"no\" data-conditional-action=\"show\" data-conditional-logic=\"all\" data-conditional-rules=\"[]\" data-field-uid=\"31\" data-field-type=\"heading\">\n<div id=\"31\" class=\"simpay-form-control\">\n\t<h4>\n\t\tRealizo este ejercicio habitualmente:\t<\/h4>\n<\/div>\n\n\t\t<\/div><div class=\"simpay-conditional-field\" data-conditional-enabled=\"no\" data-conditional-action=\"show\" data-conditional-logic=\"all\" data-conditional-rules=\"[]\" data-field-uid=\"32\" data-field-type=\"checkbox\">\n\t\t<div class=\"simpay-form-control simpay-checkbox-container\">\n\t\t\t<div class=\"simpay-checkbox-label simpay-label-wrap\">\n\t\t\t\t<div class=\"simpay-checkbox-wrap simpay-field-wrap\">\n\t\t\t\t\t<input\n\t\t\t\t\t\ttype=\"checkbox\"\n\t\t\t\t\t\tname=\"simpay_field[walk]\"\n\t\t\t\t\t\tclass=\"simpay-checkbox\"\n\t\t\t\t\t\tid=\"simpay-form-193-field-32\"\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\/>\n\t\t\t\t\t\n\t\t<div class=\"simpay-checkbox-label simpay-label-wrap\">\n\t\t\t<label for=\"simpay-form-193-field-32\" class=\"\">\n\t\t\t\tCaminar\t\t\t\t<span class=\"simpay-optional-indicator\"> (facultatif)<\/span>\t\t\t<\/label>\n\t\t<\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\n\t\t<\/div><div class=\"simpay-conditional-field\" data-conditional-enabled=\"no\" data-conditional-action=\"show\" data-conditional-logic=\"all\" data-conditional-rules=\"[]\" data-field-uid=\"29\" data-field-type=\"checkbox\">\n\t\t<div class=\"simpay-form-control simpay-checkbox-container\">\n\t\t\t<div class=\"simpay-checkbox-label simpay-label-wrap\">\n\t\t\t\t<div class=\"simpay-checkbox-wrap simpay-field-wrap\">\n\t\t\t\t\t<input\n\t\t\t\t\t\ttype=\"checkbox\"\n\t\t\t\t\t\tname=\"simpay_field[running]\"\n\t\t\t\t\t\tclass=\"simpay-checkbox\"\n\t\t\t\t\t\tid=\"simpay-form-193-field-29\"\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\/>\n\t\t\t\t\t\n\t\t<div class=\"simpay-checkbox-label simpay-label-wrap\">\n\t\t\t<label for=\"simpay-form-193-field-29\" class=\"\">\n\t\t\t\tCorrer\t\t\t\t<span class=\"simpay-optional-indicator\"> (facultatif)<\/span>\t\t\t<\/label>\n\t\t<\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\n\t\t<\/div><div class=\"simpay-conditional-field\" data-conditional-enabled=\"no\" data-conditional-action=\"show\" data-conditional-logic=\"all\" data-conditional-rules=\"[]\" data-field-uid=\"34\" data-field-type=\"checkbox\">\n\t\t<div class=\"simpay-form-control simpay-checkbox-container\">\n\t\t\t<div class=\"simpay-checkbox-label simpay-label-wrap\">\n\t\t\t\t<div class=\"simpay-checkbox-wrap simpay-field-wrap\">\n\t\t\t\t\t<input\n\t\t\t\t\t\ttype=\"checkbox\"\n\t\t\t\t\t\tname=\"simpay_field[swimming]\"\n\t\t\t\t\t\tclass=\"simpay-checkbox\"\n\t\t\t\t\t\tid=\"simpay-form-193-field-34\"\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\/>\n\t\t\t\t\t\n\t\t<div class=\"simpay-checkbox-label simpay-label-wrap\">\n\t\t\t<label for=\"simpay-form-193-field-34\" class=\"\">\n\t\t\t\tNataci\u00f3n\t\t\t\t<span class=\"simpay-optional-indicator\"> (facultatif)<\/span>\t\t\t<\/label>\n\t\t<\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\n\t\t<\/div><div class=\"simpay-conditional-field\" data-conditional-enabled=\"no\" data-conditional-action=\"show\" data-conditional-logic=\"all\" data-conditional-rules=\"[]\" data-field-uid=\"33\" data-field-type=\"checkbox\">\n\t\t<div class=\"simpay-form-control simpay-checkbox-container\">\n\t\t\t<div class=\"simpay-checkbox-label simpay-label-wrap\">\n\t\t\t\t<div class=\"simpay-checkbox-wrap simpay-field-wrap\">\n\t\t\t\t\t<input\n\t\t\t\t\t\ttype=\"checkbox\"\n\t\t\t\t\t\tname=\"simpay_field[bike]\"\n\t\t\t\t\t\tclass=\"simpay-checkbox\"\n\t\t\t\t\t\tid=\"simpay-form-193-field-33\"\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\/>\n\t\t\t\t\t\n\t\t<div class=\"simpay-checkbox-label simpay-label-wrap\">\n\t\t\t<label for=\"simpay-form-193-field-33\" class=\"\">\n\t\t\t\tBicicleta\t\t\t\t<span class=\"simpay-optional-indicator\"> (facultatif)<\/span>\t\t\t<\/label>\n\t\t<\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\n\t\t<\/div><div class=\"simpay-conditional-field\" data-conditional-enabled=\"no\" data-conditional-action=\"show\" data-conditional-logic=\"all\" data-conditional-rules=\"[]\" data-field-uid=\"35\" data-field-type=\"checkbox\">\n\t\t<div class=\"simpay-form-control simpay-checkbox-container\">\n\t\t\t<div class=\"simpay-checkbox-label simpay-label-wrap\">\n\t\t\t\t<div class=\"simpay-checkbox-wrap simpay-field-wrap\">\n\t\t\t\t\t<input\n\t\t\t\t\t\ttype=\"checkbox\"\n\t\t\t\t\t\tname=\"simpay_field[gym_strength]\"\n\t\t\t\t\t\tclass=\"simpay-checkbox\"\n\t\t\t\t\t\tid=\"simpay-form-193-field-35\"\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\/>\n\t\t\t\t\t\n\t\t<div class=\"simpay-checkbox-label simpay-label-wrap\">\n\t\t\t<label for=\"simpay-form-193-field-35\" class=\"\">\n\t\t\t\tGimnasio (fuerza)\t\t\t\t<span class=\"simpay-optional-indicator\"> (facultatif)<\/span>\t\t\t<\/label>\n\t\t<\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\n\t\t<\/div><div class=\"simpay-conditional-field\" data-conditional-enabled=\"no\" data-conditional-action=\"show\" data-conditional-logic=\"all\" data-conditional-rules=\"[]\" data-field-uid=\"36\" data-field-type=\"checkbox\">\n\t\t<div class=\"simpay-form-control simpay-checkbox-container\">\n\t\t\t<div class=\"simpay-checkbox-label simpay-label-wrap\">\n\t\t\t\t<div class=\"simpay-checkbox-wrap simpay-field-wrap\">\n\t\t\t\t\t<input\n\t\t\t\t\t\ttype=\"checkbox\"\n\t\t\t\t\t\tname=\"simpay_field[gym_cardio]\"\n\t\t\t\t\t\tclass=\"simpay-checkbox\"\n\t\t\t\t\t\tid=\"simpay-form-193-field-36\"\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\/>\n\t\t\t\t\t\n\t\t<div class=\"simpay-checkbox-label simpay-label-wrap\">\n\t\t\t<label for=\"simpay-form-193-field-36\" class=\"\">\n\t\t\t\tGimnasio (cardio)\t\t\t\t<span class=\"simpay-optional-indicator\"> (facultatif)<\/span>\t\t\t<\/label>\n\t\t<\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\n\t\t<\/div><div class=\"simpay-conditional-field\" data-conditional-enabled=\"no\" data-conditional-action=\"show\" data-conditional-logic=\"all\" data-conditional-rules=\"[]\" data-field-uid=\"66\" data-field-type=\"checkbox\">\n\t\t<div class=\"simpay-form-control simpay-checkbox-container\">\n\t\t\t<div class=\"simpay-checkbox-label simpay-label-wrap\">\n\t\t\t\t<div class=\"simpay-checkbox-wrap simpay-field-wrap\">\n\t\t\t\t\t<input\n\t\t\t\t\t\ttype=\"checkbox\"\n\t\t\t\t\t\tname=\"simpay_field[Yoga]\"\n\t\t\t\t\t\tclass=\"simpay-checkbox\"\n\t\t\t\t\t\tid=\"simpay-form-193-field-66\"\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\/>\n\t\t\t\t\t\n\t\t<div class=\"simpay-checkbox-label simpay-label-wrap\">\n\t\t\t<label for=\"simpay-form-193-field-66\" class=\"\">\n\t\t\t\tYoga\t\t\t\t<span class=\"simpay-optional-indicator\"> (facultatif)<\/span>\t\t\t<\/label>\n\t\t<\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\n\t\t<\/div><div class=\"simpay-conditional-field\" data-conditional-enabled=\"no\" data-conditional-action=\"show\" data-conditional-logic=\"all\" data-conditional-rules=\"[]\" data-field-uid=\"37\" data-field-type=\"checkbox\">\n\t\t<div class=\"simpay-form-control simpay-checkbox-container\">\n\t\t\t<div class=\"simpay-checkbox-label simpay-label-wrap\">\n\t\t\t\t<div class=\"simpay-checkbox-wrap simpay-field-wrap\">\n\t\t\t\t\t<input\n\t\t\t\t\t\ttype=\"checkbox\"\n\t\t\t\t\t\tname=\"simpay_field[pilates]\"\n\t\t\t\t\t\tclass=\"simpay-checkbox\"\n\t\t\t\t\t\tid=\"simpay-form-193-field-37\"\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\/>\n\t\t\t\t\t\n\t\t<div class=\"simpay-checkbox-label simpay-label-wrap\">\n\t\t\t<label for=\"simpay-form-193-field-37\" class=\"\">\n\t\t\t\tPilates\t\t\t\t<span class=\"simpay-optional-indicator\"> (facultatif)<\/span>\t\t\t<\/label>\n\t\t<\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\n\t\t<\/div><div class=\"simpay-conditional-field\" data-conditional-enabled=\"no\" data-conditional-action=\"show\" data-conditional-logic=\"all\" data-conditional-rules=\"[]\" data-field-uid=\"65\" data-field-type=\"checkbox\">\n\t\t<div class=\"simpay-form-control simpay-checkbox-container\">\n\t\t\t<div class=\"simpay-checkbox-label simpay-label-wrap\">\n\t\t\t\t<div class=\"simpay-checkbox-wrap simpay-field-wrap\">\n\t\t\t\t\t<input\n\t\t\t\t\t\ttype=\"checkbox\"\n\t\t\t\t\t\tname=\"simpay_field[team_or_competition_sport]\"\n\t\t\t\t\t\tclass=\"simpay-checkbox\"\n\t\t\t\t\t\tid=\"simpay-form-193-field-65\"\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\/>\n\t\t\t\t\t\n\t\t<div class=\"simpay-checkbox-label simpay-label-wrap\">\n\t\t\t<label for=\"simpay-form-193-field-65\" class=\"\">\n\t\t\t\tDeporte de equipo o de competici\u00f3n (f\u00fatbol, tenis, baloncesto\u2026)\t\t\t\t<span class=\"simpay-optional-indicator\"> (facultatif)<\/span>\t\t\t<\/label>\n\t\t<\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\n\t\t<\/div><div class=\"simpay-conditional-field\" data-conditional-enabled=\"no\" data-conditional-action=\"show\" data-conditional-logic=\"all\" data-conditional-rules=\"[]\" data-field-uid=\"38\" data-field-type=\"text\">\n\t\t<div class=\"simpay-form-control simpay-text-container\">\n\t\t\t\n\t\t<div class=\"simpay-text-label simpay-label-wrap\">\n\t\t\t<label for=\"simpay-form-193-field-38\" class=\"\">\n\t\t\t\tOtros ejercicios\t\t\t\t<span class=\"simpay-optional-indicator\"> (facultatif)<\/span>\t\t\t<\/label>\n\t\t<\/div>\n\n\t\t\t\t\t<div class=\"simpay-text-wrap simpay-field-wrap\">\n\t\t\t\t\t\t\t\t\t<input\n\t\t\t\t\t\ttype=\"text\"\n\t\t\t\t\t\tname=\"simpay_field[other_exercises]\"\n\t\t\t\t\t\tid=\"simpay-form-193-field-38\"\n\t\t\t\t\t\tplaceholder=\"\"\n\t\t\t\t\t\tvalue=\"\"\n\t\t\t\t\t\tmaxlength=\"500\"\n\t\t\t\t\t\t\t\t\t\t\t\/>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\n\t\t<\/div><div class=\"simpay-conditional-field\" data-conditional-enabled=\"no\" data-conditional-action=\"show\" data-conditional-logic=\"all\" data-conditional-rules=\"[]\" data-field-uid=\"30\" data-field-type=\"dropdown\">\n\t\t<div class=\"simpay-form-control simpay-dropdown-container\">\n\t\t\t<div class=\"simpay-dropdown-label simpay-label-wrap\">\n\t\t\t\t\n\t\t<div class=\"simpay-dropdown-label simpay-label-wrap\">\n\t\t\t<label for=\"simpay-form-193-field-30\" class=\"\">\n\t\t\t\tTipo de actividad laboral\t\t\t\t\t\t\t<\/label>\n\t\t<\/div>\n\n\t\t\t\t\t\t<div class=\"simpay-dropdown-wrap simpay-field-wrap\">\n\t\t\t\t\t<select name=\"simpay_field[work_activity]\" id=\"simpay-form-193-field-30\" required><option value=\"Sedentario\"  selected='selected' >Sedentario<\/option><option value=\"Ligeramente activo\"  >Ligeramente activo<\/option><option value=\"Moderadamente activo\"  >Moderadamente activo<\/option><option value=\"Muy activo\"  >Muy activo<\/option><option value=\"Sin actividad laboral\"  >Sin actividad laboral<\/option><\/select>\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\n\t\t<\/div><div class=\"simpay-conditional-field\" data-conditional-enabled=\"no\" data-conditional-action=\"show\" data-conditional-logic=\"all\" data-conditional-rules=\"[]\" data-field-uid=\"22\" data-field-type=\"heading\">\n<div id=\"22\" class=\"simpay-form-control\">\n\t<h3>\n\t\tDatos m\u00e9dicos\t<\/h3>\n<\/div>\n\n\t\t<\/div><div class=\"simpay-conditional-field\" data-conditional-enabled=\"no\" data-conditional-action=\"show\" data-conditional-logic=\"all\" data-conditional-rules=\"[]\" data-field-uid=\"39\" data-field-type=\"text\">\n\t\t<div class=\"simpay-form-control simpay-text-container\">\n\t\t\t\n\t\t<div class=\"simpay-text-label simpay-label-wrap\">\n\t\t\t<label for=\"simpay-form-193-field-39\" class=\"\">\n\t\t\t\tTension arterial en reposo\t\t\t\t<span class=\"simpay-optional-indicator\"> (facultatif)<\/span>\t\t\t<\/label>\n\t\t<\/div>\n\n\t\t\t\t\t<div class=\"simpay-text-wrap simpay-field-wrap\">\n\t\t\t\t\t\t\t\t\t<input\n\t\t\t\t\t\ttype=\"text\"\n\t\t\t\t\t\tname=\"simpay_field[resting_blood_pressure]\"\n\t\t\t\t\t\tid=\"simpay-form-193-field-39\"\n\t\t\t\t\t\tplaceholder=\"\"\n\t\t\t\t\t\tvalue=\"\"\n\t\t\t\t\t\tmaxlength=\"500\"\n\t\t\t\t\t\t\t\t\t\t\t\/>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\n\t\t<\/div><div class=\"simpay-conditional-field\" data-conditional-enabled=\"no\" data-conditional-action=\"show\" data-conditional-logic=\"all\" data-conditional-rules=\"[]\" data-field-uid=\"40\" data-field-type=\"number\">\n\t\t<div class=\"simpay-form-control simpay-number-container\">\n\t\t\t<div class=\"simpay-number-label simpay-label-wrap\">\n\t\t\t\t\n\t\t<div class=\"simpay-number-label simpay-label-wrap\">\n\t\t\t<label for=\"simpay-form-193-field-40\" class=\"\">\n\t\t\t\tPulsaciones  por minuto en reposo\t\t\t\t<span class=\"simpay-optional-indicator\"> (facultatif)<\/span>\t\t\t<\/label>\n\t\t<\/div>\n\n\t\t\t\t\t\t<div class=\"simpay-number-wrap simpay-field-wrap\">\n\t\t\t\t\t<input\n\t\t\t\t\t\ttype=\"number\"\n\t\t\t\t\t\tname=\"simpay_field[resting_heart_rate]\"\n\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\tid=\"simpay-form-193-field-40\"\n\t\t\t\t\t\tplaceholder=\"\"\n\t\t\t\t\t\tvalue=\"\"\n\t\t\t\t\t\tstep=\"1\"\n\t\t\t\t\t\t\t\t\t\t\t\t\tmin=\"10\"\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tmax=\"200\"\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\/>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\n\t\t\n\t\t<\/div><div class=\"simpay-conditional-field\" data-conditional-enabled=\"no\" data-conditional-action=\"show\" data-conditional-logic=\"all\" data-conditional-rules=\"[]\" data-field-uid=\"50\" data-field-type=\"heading\">\n<div id=\"50\" class=\"simpay-form-control\">\n\t<h5>\n\t\t\u00bfEst\u00e1 en tratamiento por alguna enfermedad?\t<\/h5>\n<\/div>\n\n\t\t<\/div><div class=\"simpay-conditional-field\" data-conditional-enabled=\"no\" data-conditional-action=\"show\" data-conditional-logic=\"all\" data-conditional-rules=\"[]\" data-field-uid=\"63\" data-field-type=\"text\">\n\t\t<div class=\"simpay-form-control simpay-text-container\">\n\t\t\t\n\t\t<div class=\"simpay-text-label simpay-label-wrap\">\n\t\t\t<label for=\"simpay-form-193-field-63\" class=\"\">\n\t\t\t\tEn caso afirmativo, indique cu\u00e1l o cu\u00e1les y el tratamiento que sigue:\t\t\t\t<span class=\"simpay-optional-indicator\"> (facultatif)<\/span>\t\t\t<\/label>\n\t\t<\/div>\n\n\t\t\t\t\t<div class=\"simpay-text-wrap simpay-field-wrap\">\n\t\t\t\t\t\t\t\t\t<textarea\n\t\t\t\t\t\tname=\"simpay_field[pathologies]\"\n\t\t\t\t\t\tid=\"simpay-form-193-field-63\"\n\t\t\t\t\t\tplaceholder=\"\"\n\t\t\t\t\t\trows=\"5\"\n\t\t\t\t\t\tmaxlength=\"500\"\n\t\t\t\t\t\t\t\t\t\t\t\t><\/textarea>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\n\t\t<\/div><div class=\"simpay-conditional-field\" data-conditional-enabled=\"no\" data-conditional-action=\"show\" data-conditional-logic=\"all\" data-conditional-rules=\"[]\" data-field-uid=\"41\" data-field-type=\"heading\">\n<div id=\"41\" class=\"simpay-form-control\">\n\t<h5>\n\t\t\u00bfTiene alguna lesi\u00f3n o cirug\u00eda de aparato locomotor que le limite para la realizaci\u00f3n de ejercicio?.\t<\/h5>\n<\/div>\n\n\t\t<\/div><div class=\"simpay-conditional-field\" data-conditional-enabled=\"no\" data-conditional-action=\"show\" data-conditional-logic=\"all\" data-conditional-rules=\"[]\" data-field-uid=\"42\" data-field-type=\"text\">\n\t\t<div class=\"simpay-form-control simpay-text-container\">\n\t\t\t\n\t\t<div class=\"simpay-text-label simpay-label-wrap\">\n\t\t\t<label for=\"simpay-form-193-field-42\" class=\"\">\n\t\t\t\tEn caso afirmativo, indique cu\u00e1l o cu\u00e1les y si sigue alg\u00fan tratamiento:\t\t\t\t<span class=\"simpay-optional-indicator\"> (facultatif)<\/span>\t\t\t<\/label>\n\t\t<\/div>\n\n\t\t\t\t\t<div class=\"simpay-text-wrap simpay-field-wrap\">\n\t\t\t\t\t\t\t\t\t<textarea\n\t\t\t\t\t\tname=\"simpay_field[injuries]\"\n\t\t\t\t\t\tid=\"simpay-form-193-field-42\"\n\t\t\t\t\t\tplaceholder=\"\"\n\t\t\t\t\t\trows=\"5\"\n\t\t\t\t\t\tmaxlength=\"500\"\n\t\t\t\t\t\t\t\t\t\t\t\t><\/textarea>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\n\t\t<\/div><div class=\"simpay-conditional-field\" data-conditional-enabled=\"no\" data-conditional-action=\"show\" data-conditional-logic=\"all\" data-conditional-rules=\"[]\" data-field-uid=\"2\" data-field-type=\"plan_select\">\n\t\t<div\n\t\t\tclass=\"simpay-form-control simpay-plan-select-container\"\n\t\t\tdata-display-type=\"dropdown\"\n\t\t\tstyle=\"display: block\"\n\t\t>\n\t\t\t\n\t\t<div class=\"simpay-plan_select-label simpay-label-wrap\">\n\t\t\t<label for=\"simpay-form-193-field-2\" class=\"\">\n\t\t\t\tOpciones de suscripci\u00f3n\t\t\t\t\t\t\t<\/label>\n\t\t<\/div>\n\n\t\t\t\t\t<div class=\"simpay-plan-wrapper simpay-field-wrap simpay-dropdown-wrap\">\n\t\t\t\t<select id=\"simpay-form-193-field-2\" name=\"simpay_price\">\n\t\t\t\t\t\t\t\t\t<option\n\t\t\t\t\t\t\n\t\t\tid=\"\"\n\t\t\tclass=\"simpay-multi-sub simpay-price-option-price_1TTHL7KPefRz1uQtwCJ9ypBV\"\n\t\t\tdata-price='{\"instance_id\":\"442bb849-3c83-4b92-b141-a24c8f67269f\",\"product_id\":\"prod_NiDiuEqcLeNROW\",\"id\":\"price_1TTHL7KPefRz1uQtwCJ9ypBV\",\"default\":false,\"required\":false,\"label\":\"Suscripci\\u00f3n mensual (20\\u20ac mes)\",\"currency\":\"eur\",\"currency_symbol\":\"&euro;\",\"is_zero_decimal\":false,\"unit_amount\":2000,\"unit_amount_min\":null,\"unit_amount_max\":null,\"can_recur\":false,\"can_recur_selected_by_default\":false,\"recurring\":{\"interval\":\"month\",\"interval_count\":1},\"line_items\":null,\"quantity_toggle\":null,\"quantity_label\":null,\"quantity_minimum\":null,\"quantity_maximum\":null,\"recurring_amount_toggle_label\":null,\"__unstable_unsaved\":null,\"generated_label\":\"20,00&euro; chaque 1 mois\",\"simplified_label\":\"Suscripci\\u00f3n mensual (20\\u20ac mes)\",\"currency_min_amount\":100}'\n\t\t\t\n\t\t\t\n\t\t\t\n\t\t\t\n\t\t\tvalue=\"price_1TTHL7KPefRz1uQtwCJ9ypBV\"\n\t\t\tdata-plan-id=\"price_1TTHL7KPefRz1uQtwCJ9ypBV\"\n\t\t\tdata-plan-amount=\"20\"\n\t\t\t\n\t\t\tdata-plan-setup-fee=\"\"\n\t\t\tdata-plan-interval=\"month\"\n\t\t\tdata-plan-interval-count=\"1\"\n\t\t\tdata-plan-max-charges=\"0\"\n\t\t\tdata-plan-trial=\"\"\n\t\t\t\n\t\t\t\t\t\t\t\t>\n\t\t\t\t\t\tSuscripci\u00f3n mensual (20\u20ac mes)\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t<option\n\t\t\t\t\t\t\n\t\t\tid=\"\"\n\t\t\tclass=\"simpay-multi-sub simpay-price-option-price_1QuLdeKPefRz1uQtmKSTy3N4\"\n\t\t\tdata-price='{\"instance_id\":\"9c736361-8366-41ce-8982-c4094c24f069\",\"product_id\":\"prod_NiDiuEqcLeNROW\",\"id\":\"price_1QuLdeKPefRz1uQtmKSTy3N4\",\"default\":true,\"required\":false,\"label\":\"Suscripci\\u00f3n trimestral (54\\u20ac en un solo pago, 18\\u20ac mes)\",\"currency\":\"eur\",\"currency_symbol\":\"&euro;\",\"is_zero_decimal\":false,\"unit_amount\":5400,\"unit_amount_min\":null,\"unit_amount_max\":null,\"can_recur\":false,\"can_recur_selected_by_default\":false,\"recurring\":{\"interval\":\"month\",\"interval_count\":3},\"line_items\":null,\"quantity_toggle\":null,\"quantity_label\":null,\"quantity_minimum\":null,\"quantity_maximum\":null,\"recurring_amount_toggle_label\":null,\"__unstable_unsaved\":null,\"generated_label\":\"54,00&euro; chaque 3 mois\",\"simplified_label\":\"Suscripci\\u00f3n trimestral (54\\u20ac en un solo pago, 18\\u20ac mes)\",\"currency_min_amount\":100}'\n\t\t\t\n\t\t\t selected='selected'\n\t\t\t\n\t\t\t\n\t\t\tvalue=\"price_1QuLdeKPefRz1uQtmKSTy3N4\"\n\t\t\tdata-plan-id=\"price_1QuLdeKPefRz1uQtmKSTy3N4\"\n\t\t\tdata-plan-amount=\"54\"\n\t\t\t\n\t\t\tdata-plan-setup-fee=\"\"\n\t\t\tdata-plan-interval=\"month\"\n\t\t\tdata-plan-interval-count=\"3\"\n\t\t\tdata-plan-max-charges=\"0\"\n\t\t\tdata-plan-trial=\"\"\n\t\t\t\n\t\t\t\t\t\t\t\t>\n\t\t\t\t\t\tSuscripci\u00f3n trimestral (54\u20ac en un solo pago, 18\u20ac mes)\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t<option\n\t\t\t\t\t\t\n\t\t\tid=\"\"\n\t\t\tclass=\"simpay-multi-sub simpay-price-option-price_1QuLdfKPefRz1uQtb8eXuCLc\"\n\t\t\tdata-price='{\"instance_id\":\"b590599b-2727-46f0-8de7-40795497a289\",\"product_id\":\"prod_NiDiuEqcLeNROW\",\"id\":\"price_1QuLdfKPefRz1uQtb8eXuCLc\",\"default\":false,\"required\":false,\"label\":\"Suscripci\\u00f3n semestral (99,00\\u20ac en un solo pago, 16,50\\u20ac mes)\",\"currency\":\"eur\",\"currency_symbol\":\"&euro;\",\"is_zero_decimal\":false,\"unit_amount\":9900,\"unit_amount_min\":null,\"unit_amount_max\":null,\"can_recur\":true,\"can_recur_selected_by_default\":false,\"recurring\":{\"id\":\"price_1QuLdfKPefRz1uQt5N47mdyy\",\"interval\":\"month\",\"interval_count\":6},\"line_items\":null,\"quantity_toggle\":null,\"quantity_label\":null,\"quantity_minimum\":null,\"quantity_maximum\":null,\"recurring_amount_toggle_label\":null,\"__unstable_unsaved\":null,\"generated_label\":\"99,00&euro;\",\"simplified_label\":\"Suscripci\\u00f3n semestral (99,00\\u20ac en un solo pago, 16,50\\u20ac mes)\",\"currency_min_amount\":100}'\n\t\t\t\n\t\t\t\n\t\t\t\n\t\t\t\n\t\t\tvalue=\"price_1QuLdfKPefRz1uQtb8eXuCLc\"\n\t\t\tdata-plan-id=\"price_1QuLdfKPefRz1uQtb8eXuCLc\"\n\t\t\tdata-plan-amount=\"99\"\n\t\t\t\n\t\t\t\t\t\t\t\t>\n\t\t\t\t\t\tSuscripci\u00f3n semestral (99,00\u20ac en un solo pago, 16,50\u20ac mes)\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t<option\n\t\t\t\t\t\t\n\t\t\tid=\"\"\n\t\t\tclass=\"simpay-multi-sub simpay-price-option-price_1QuLdfKPefRz1uQtTIAGq01s\"\n\t\t\tdata-price='{\"instance_id\":\"5af1b37b-43db-4451-a0ed-820d4386a98d\",\"product_id\":\"prod_NiDiuEqcLeNROW\",\"id\":\"price_1QuLdfKPefRz1uQtTIAGq01s\",\"default\":false,\"required\":false,\"label\":\"Suscripci\\u00f3n anual (180\\u20ac en un solo pago: 15\\u20ac mes)\",\"currency\":\"eur\",\"currency_symbol\":\"&euro;\",\"is_zero_decimal\":false,\"unit_amount\":18000,\"unit_amount_min\":null,\"unit_amount_max\":null,\"can_recur\":true,\"can_recur_selected_by_default\":false,\"recurring\":{\"id\":\"price_1QuLdfKPefRz1uQtvq19OLQf\",\"interval\":\"month\",\"interval_count\":12},\"line_items\":null,\"quantity_toggle\":null,\"quantity_label\":null,\"quantity_minimum\":null,\"quantity_maximum\":null,\"recurring_amount_toggle_label\":null,\"__unstable_unsaved\":null,\"generated_label\":\"180,00&euro;\",\"simplified_label\":\"Suscripci\\u00f3n anual (180\\u20ac en un solo pago: 15\\u20ac mes)\",\"currency_min_amount\":100}'\n\t\t\t\n\t\t\t\n\t\t\t\n\t\t\t\n\t\t\tvalue=\"price_1QuLdfKPefRz1uQtTIAGq01s\"\n\t\t\tdata-plan-id=\"price_1QuLdfKPefRz1uQtTIAGq01s\"\n\t\t\tdata-plan-amount=\"180\"\n\t\t\t\n\t\t\t\t\t\t\t\t>\n\t\t\t\t\t\tSuscripci\u00f3n anual (180\u20ac en un solo pago: 15\u20ac mes)\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<\/select>\n\t\t\t<\/div>\n\t\t<\/div>\n\n\t\t<\/div><div class=\"simpay-conditional-field\" data-conditional-enabled=\"no\" data-conditional-action=\"show\" data-conditional-logic=\"all\" data-conditional-rules=\"[]\" data-field-uid=\"3\" data-field-type=\"card\">\n        <div class=\"simpay-form-control simpay-form-control--card simpay-card-container\"\n             data-payment-method-display-type=\"tabs\"\n             data-visible-accordion-items=\"5\"\n             data-default-collapsed=\"false\">\n                        \n\t\t<div\n\t\t\tid=\"simpay-upe-element-simpay-form-193-field-3\"\n\t\t\tclass=\"simpay-upe-wrap simpay-field-wrap\"\n\t\t>\n\t\t<\/div>\n\n\t\t\t        <\/div>\n\n\n\t\t<div class=\"simpay-payment-method-error simpay-errors\" aria-live=\"assertive\" aria-relevant=\"additions text\" aria-atomic=\"true\"><\/div>\n\n\t\t<\/div><div class=\"simpay-conditional-field\" data-conditional-enabled=\"no\" data-conditional-action=\"show\" data-conditional-logic=\"all\" data-conditional-rules=\"[]\" data-field-uid=\"8\" data-field-type=\"coupon\">\n\t\t<div class=\"simpay-form-control simpay-coupon-container\">\n\t\t\t\n\t\t<div class=\"simpay-coupon-label simpay-label-wrap\">\n\t\t\t<label for=\"simpay-form-193-field-8\" class=\"\">\n\t\t\t\tCup\u00f3n de descuento\t\t\t\t<span class=\"simpay-optional-indicator\"> (facultatif)<\/span>\t\t\t<\/label>\n\t\t<\/div>\n\n\t\t\t\t\t<div class=\"simpay-coupon-wrap simpay-field-wrap\">\n\t\t\t\t<input\n\t\t\t\t\ttype=\"text\"\n\t\t\t\t\tid=\"simpay-form-193-field-8\"\n\t\t\t\t\tclass=\"simpay-coupon-field\"\n\t\t\t\t\tplaceholder=\"\"\n\t\t\t\t\tvalue=\"\"\n\t\t\t\t\/>\n\n\t\t\t\t<button\n\t\t\t\t\ttype=\"button\"\n\t\t\t\t\tclass=\"simpay-apply-coupon simpay-btn \"\n\t\t\t\t>\n\t\t\t\t\t<span>Appliquer<\/span>\n\t\t\t\t<\/button>\n\t\t\t<\/div>\n\n\t\t\t<div\n\t\t\t\tclass=\"simpay-coupon-info\"\n\t\t\t\tstyle=\"display: none;\"\n\t\t\t\taria-live=\"polite\"\n\t\t\t\taria-relevant=\"additions text\"\n\t\t\t\taria-atomic=\"true\"\n\t\t\t>\n\t\t\t\t<span class=\"simpay-coupon-message\"><\/span>\n\t\t\t\t<a href=\"#\" class=\"simpay-remove-coupon\">\n\t\t\t\t\t<span class=\"screen-reader-text\">\n\t\t\t\t\t\tretirer\t\t\t\t\t<\/span>\n\t\t\t\t\t&times;\n\t\t\t\t<\/a>\n\t\t\t<\/div>\n\t\t<\/div>\n\n\t\t<div\n\t\t\tclass=\"simpay-errors simpay-coupon-error\"\n\t\t\taria-live=\"assertive\"\n\t\t\taria-relevant=\"additions text\"\n\t\t\taria-atomic=\"true\"\n\t\t><\/div>\n\n\t\t<\/div><div class=\"simpay-conditional-field\" data-conditional-enabled=\"no\" data-conditional-action=\"show\" data-conditional-logic=\"all\" data-conditional-rules=\"[]\" data-field-uid=\"9\" data-field-type=\"checkbox\">\n\t\t<div class=\"simpay-form-control simpay-checkbox-container\">\n\t\t\t<div class=\"simpay-checkbox-label simpay-label-wrap\">\n\t\t\t\t<div class=\"simpay-checkbox-wrap simpay-field-wrap\">\n\t\t\t\t\t<input\n\t\t\t\t\t\ttype=\"checkbox\"\n\t\t\t\t\t\tname=\"simpay_field[authorization_personal_and_medical_data]\"\n\t\t\t\t\t\tclass=\"simpay-checkbox\"\n\t\t\t\t\t\tid=\"simpay-form-193-field-9\"\n\t\t\t\t\t\t\t\t\t\t\t\t\trequired\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\/>\n\t\t\t\t\t\n\t\t<div class=\"simpay-checkbox-label simpay-label-wrap\">\n\t\t\t<label for=\"simpay-form-193-field-9\" class=\"\">\n\t\t\t\tHe le\u00eddo la informaci\u00f3n contenida \"Solicitud de autorizaci\u00f3n para recogida de datos personales y sanitarios\" (en el pie de la p\u00e1gina) y declaro haber entendido su contenido y tener resueltas todas mis dudas respecto a los datos personales que se van a recoger, as\u00ed como el uso que se va a dar a los mismos.\t\t\t\t\t\t\t<\/label>\n\t\t<\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\n\t\t<\/div><div class=\"simpay-conditional-field\" data-conditional-enabled=\"no\" data-conditional-action=\"show\" data-conditional-logic=\"all\" data-conditional-rules=\"[]\" data-field-uid=\"5\" data-field-type=\"checkbox\">\n\t\t<div class=\"simpay-form-control simpay-checkbox-container\">\n\t\t\t<div class=\"simpay-checkbox-label simpay-label-wrap\">\n\t\t\t\t<div class=\"simpay-checkbox-wrap simpay-field-wrap\">\n\t\t\t\t\t<input\n\t\t\t\t\t\ttype=\"checkbox\"\n\t\t\t\t\t\tname=\"simpay_field[authorization_medical_data]\"\n\t\t\t\t\t\tclass=\"simpay-checkbox\"\n\t\t\t\t\t\tid=\"simpay-form-193-field-5\"\n\t\t\t\t\t\t\t\t\t\t\t\t\trequired\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\/>\n\t\t\t\t\t\n\t\t<div class=\"simpay-checkbox-label simpay-label-wrap\">\n\t\t\t<label for=\"simpay-form-193-field-5\" class=\"\">\n\t\t\t\tAutorizo al equipo de VitalFit (Decacoaching S.L.) a utilizar mis datos sanitarios y personales en las condiciones que se describen.\t\t\t\t\t\t\t<\/label>\n\t\t<\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\n\t\t<\/div><div class=\"simpay-conditional-field\" data-conditional-enabled=\"no\" data-conditional-action=\"show\" data-conditional-logic=\"all\" data-conditional-rules=\"[]\" data-field-uid=\"6\" data-field-type=\"checkbox\">\n\t\t<div class=\"simpay-form-control simpay-checkbox-container\">\n\t\t\t<div class=\"simpay-checkbox-label simpay-label-wrap\">\n\t\t\t\t<div class=\"simpay-checkbox-wrap simpay-field-wrap\">\n\t\t\t\t\t<input\n\t\t\t\t\t\ttype=\"checkbox\"\n\t\t\t\t\t\tname=\"simpay_field[authorization_phisical_tests]\"\n\t\t\t\t\t\tclass=\"simpay-checkbox\"\n\t\t\t\t\t\tid=\"simpay-form-193-field-6\"\n\t\t\t\t\t\t\t\t\t\t\t\t\trequired\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\/>\n\t\t\t\t\t\n\t\t<div class=\"simpay-checkbox-label simpay-label-wrap\">\n\t\t\t<label for=\"simpay-form-193-field-6\" class=\"\">\n\t\t\t\tAutorizo al equipo de VitalFit (Decacoaching S.L.) a realizarme los test f\u00edsicos descritos en este documento.\t\t\t\t\t\t\t<\/label>\n\t\t<\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\n\t\t<\/div><div class=\"simpay-conditional-field\" data-conditional-enabled=\"no\" data-conditional-action=\"show\" data-conditional-logic=\"all\" data-conditional-rules=\"[]\" data-field-uid=\"7\" data-field-type=\"checkbox\">\n\t\t<div class=\"simpay-form-control simpay-checkbox-container\">\n\t\t\t<div class=\"simpay-checkbox-label simpay-label-wrap\">\n\t\t\t\t<div class=\"simpay-checkbox-wrap simpay-field-wrap\">\n\t\t\t\t\t<input\n\t\t\t\t\t\ttype=\"checkbox\"\n\t\t\t\t\t\tname=\"simpay_field[authorization_comparison]\"\n\t\t\t\t\t\tclass=\"simpay-checkbox\"\n\t\t\t\t\t\tid=\"simpay-form-193-field-7\"\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\/>\n\t\t\t\t\t\n\t\t<div class=\"simpay-checkbox-label simpay-label-wrap\">\n\t\t\t<label for=\"simpay-form-193-field-7\" class=\"\">\n\t\t\t\tAutorizo al equipo de VitalFit (Decacoaching S.L.) a utilizar los resultados de mis test previos al inicio del programa y su comparaci\u00f3n con los resultados obtenidos en futuras valoraciones.\t\t\t\t<span class=\"simpay-optional-indicator\"> (facultatif)<\/span>\t\t\t<\/label>\n\t\t<\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\n\t\t<\/div><div class=\"simpay-conditional-field\" data-conditional-enabled=\"no\" data-conditional-action=\"show\" data-conditional-logic=\"all\" data-conditional-rules=\"[]\" data-field-uid=\"4\" data-field-type=\"checkout_button\"><div class=\"simpay-form-control cf-turnstile\" data-sitekey=\"0x4AAAAAADIwy8mnv7HLm1xW\" data-action=\"simpay-form-193\"><\/div>\n\t\t<div\n\t\t\tclass=\"simpay-form-control simpay-checkout-btn-container\"\n\t\t>\n\t\t\t<button\n\t\t\t\tid=\"simpay-form-193-field-4\"\n\t\t\t\tclass=\"simpay-btn simpay-checkout-btn\"\n\t\t\t\ttype=\"submit\"\n\t\t\t\tdisabled\n\t\t\t>\n\t\t\t\t<span>\n\t\t\t\t\tEstamos procesando tu pago ...\t\t\t\t<\/span>\n\t\t\t<\/button>\n\t\t<\/div>\n\t\t<\/div><div class=\"simpay-generic-error simpay-errors\" id=\"simpay-form-193-error\" aria-live=\"assertive\" aria-relevant=\"additions text\" aria-atomic=\"true\"><\/div><input type=\"hidden\" name=\"simpay_form_id\" value=\"193\" \/><input type=\"hidden\" name=\"simpay_amount\" value=\"\" class=\"simpay-amount\" \/><input type=\"hidden\" name=\"simpay_multi_plan_id\" value=\"\" class=\"simpay-multi-plan-id\" \/><input type=\"hidden\" name=\"simpay_multi_plan_setup_fee\" value=\"\" class=\"simpay-multi-plan-setup-fee\" \/><input type=\"hidden\" name=\"simpay_max_charges\" value=\"\" class=\"simpay-max-charges\" \/><input type=\"hidden\" name=\"simpay_has_custom_plan\" class=\"simpay-has-custom-plan\" value=\"\" \/><input type=\"hidden\" name=\"simpay_tax_amount\" value=\"\" class=\"simpay-tax-amount\" \/><input type=\"hidden\" id=\"_wpnonce\" name=\"_wpnonce\" value=\"eccf63f13a\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/fr\/wp-json\/wp\/v2\/pages\/101185\" \/><\/form><\/div><br \/>\n[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00a0\u00bb1&Prime; admin_label=\u00a0\u00bbDisclaimer\u00a0\u00bb _builder_version=\u00a0\u00bb4.17.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row _builder_version=\u00a0\u00bb4.17.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4&Prime; _builder_version=\u00a0\u00bb4.17.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text admin_label=\u00a0\u00bbDisclaimer Text\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<p class=\"western\" lang=\"en-US\" align=\"center\"><span style=\"font-size: medium;\"><span lang=\"es-ES\"><b>DEMANDE D&rsquo;AUTORISATION POUR LA COLLECTE DE DONN\u00c9ES PERSONNELLES ET SANITAIRES<\/b><\/span><\/span><\/p>\n<p class=\"western\" lang=\"en-US\" align=\"center\"><span style=\"font-size: small;\"><span lang=\"es-ES\"><b>PROGRAMME <\/b><\/span><\/span><span style=\"font-size: small;\"><span lang=\"es-ES\"><i><b>VitalFit<\/b><\/i><\/span><\/span><span style=\"font-size: small;\"><span lang=\"es-ES\"><b>POUR LA PRESCRIPTION D&rsquo;UN PLAN D&rsquo;EXERCICE PHYSIQUE PERSONNALIS\u00c9<\/b><\/span><\/span><\/p>\n<p class=\"western\" lang=\"en-US\"><span style=\"font-size: medium;\"><span lang=\"es-ES\">Ce document a pour objet de vous informer de la proc\u00e9dure de collecte de certaines donn\u00e9es personnelles et sanitaires n\u00e9cessaires \u00e0 la conception d&rsquo;un plan personnalis\u00e9 de prescription d&rsquo;exercice physique, ainsi que de vous informer des tests physiques pr\u00e9alables \u00e0 r\u00e9aliser, afin de <b>vous demander votre autorisation<\/b><\/span><\/span><span style=\"font-size: medium;\"><span lang=\"es-ES\"> \u00e0 cet effet.<\/span><\/span><\/p>\n<p class=\"western\" lang=\"en-US\"><span style=\"font-size: medium;\"><span lang=\"es-ES\">Avant de signer votre autorisation, vous devez lire ce document et poser toutes les questions n\u00e9cessaires pour en comprendre les d\u00e9tails.  <\/span><\/span>La d\u00e9cision est volontaire et peut \u00eatre r\u00e9voqu\u00e9e par vous \u00e0 tout moment au cours de ce programme.<\/p>\n<p class=\"western\" lang=\"en-US\"><span style=\"font-size: medium;\"><span lang=\"es-ES\">Les r\u00e9sultats des tests m\u00e9dicaux et physiques pourront \u00eatre utilis\u00e9s pour la r\u00e9alisation d&rsquo;\u00e9tudes \u00e9pid\u00e9miologiques servant \u00e0 \u00e9valuer le nombre d&rsquo;utilisateurs du programme, les diff\u00e9rences de performance par sexe et\/ou groupes d&rsquo;\u00e2ge, ainsi que le degr\u00e9 d&rsquo;am\u00e9lioration de la condition physique des participants qui rejoignent le plan. Les valeurs de ces r\u00e9sultats seront analys\u00e9es de mani\u00e8re anonyme, c&rsquo;est-\u00e0-dire sans aucune donn\u00e9e \u00e0 caract\u00e8re personnel permettant d&rsquo;identifier \u00e0 qui elles appartiennent. Elles pourront \u00eatre pr\u00e9sent\u00e9es et\/ou publi\u00e9es dans des revues scientifiques, des congr\u00e8s sous tout format (conf\u00e9rence, poster, communication) ou des activit\u00e9s d&rsquo;enseignement.  <\/span><\/span><\/p>\n<p class=\"western\" lang=\"en-US\"><span style=\"font-size: medium;\"><span lang=\"es-ES\"><b>Donn\u00e9es personnelles, biom\u00e9triques et m\u00e9dicales <\/b><\/span><\/span>: Nom et pr\u00e9nom, sexe, \u00e2ge, num\u00e9ro de t\u00e9l\u00e9phone, adresse \u00e9lectronique, poids, taille, tension art\u00e9rielle, fr\u00e9quence cardiaque, blessures et\/ou maladies d&rsquo;int\u00e9r\u00eat, anthropom\u00e9trie.<\/p>\n<p class=\"western\" lang=\"en-US\"><span style=\"font-size: medium;\"><span lang=\"es-ES\">Tests physiques pouvant \u00eatre r\u00e9alis\u00e9s <\/span><\/span>(1, 2) : \u00c9quilibre, vitesse de marche, force et\/ou mobilit\u00e9 des membres sup\u00e9rieurs et inf\u00e9rieurs, force et\/ou mobilit\u00e9 du tronc, r\u00e9sistance \u00e0 l&rsquo;effort.<\/p>\n<p class=\"western\" lang=\"en-US\"><span style=\"font-size: medium;\"><span lang=\"es-ES\">Seul le personnel de notre entit\u00e9 d\u00fbment autoris\u00e9 pourra avoir connaissance des informations que nous vous demandons. De m\u00eame, pourront avoir connaissance de vos informations les entit\u00e9s qui auront besoin d&rsquo;y acc\u00e9der pour que nous puissions vous fournir nos services, ou les entit\u00e9s auxquelles nous sommes tenus de communiquer vos donn\u00e9es personnelles en vertu du respect d&rsquo;une loi. Le transfert de vos informations personnelles en dehors de l&rsquo;Espace \u00c9conomique Europ\u00e9en n&rsquo;est pas pr\u00e9vu.  <\/span><\/span><\/p>\n<p class=\"western\" lang=\"en-US\"><span style=\"font-size: medium;\"><span lang=\"es-ES\">Nous conserverons vos donn\u00e9es pendant toute la dur\u00e9e de notre relation et aussi longtemps que la loi nous y oblige. Une fois les d\u00e9lais l\u00e9gaux applicables expir\u00e9s, nous proc\u00e9derons \u00e0 leur suppression de mani\u00e8re s\u00e9curis\u00e9e.  <\/span><\/span><\/p>\n<p class=\"western\" lang=\"en-US\"><span style=\"font-size: medium;\"><span lang=\"es-ES\">Vous pouvez exercer vos droits en mati\u00e8re de protection des donn\u00e9es en adressant une demande \u00e9crite \u00e0 notre adresse, accompagn\u00e9e d&rsquo;une photocopie de votre pi\u00e8ce d&rsquo;identit\u00e9 : DECACOACHING, S.L., dont le si\u00e8ge est situ\u00e9 C\/ TERCIOS SEGOVIANOS 9, CP 40004, SEGOVIA. Plus d&rsquo;informations sur notre site web.  <\/span><\/span><span style=\"color: #0563c1;\"><u><a href=\"https:\/\/decacoaching.es\/fr\/\"><span style=\"font-size: medium;\"><span lang=\"es-ES\">https:\/\/decacoaching.es.<\/span><\/span><\/a><\/u><\/span><\/p>\n<p lang=\"en-US\">(1) En fonction de la situation fonctionnelle individuelle de chaque participant, avec un avis m\u00e9dical pr\u00e9alable et\/ou l&rsquo;\u00e9volution de sa condition physique.<br \/>(2) En fonction de l&rsquo;\u00e9volution du programme, cette liste de tests physiques pourra \u00eatre modifi\u00e9e afin de la rendre plus adapt\u00e9e aux besoins de celui-ci.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Si vous \u00eates sur cette page, c&rsquo;est parce que vous avez pris conscience de l&rsquo;importance de l&rsquo;activit\u00e9 physique pour la sant\u00e9, et vous avez choisi VitalFit pour vous aider \u00e0 vous sentir mieux. Suivez ces instructions pour faire fonctionner VitalFit sur votre t\u00e9l\u00e9phone. Inscrivez-vous sur cette page T\u00e9l\u00e9chargez l&rsquo;application sur Google Play Store ou sur [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":106,"comment_status":"closed","ping_status":"closed","template":"page-template-blank.php","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","inline_featured_image":false,"footnotes":""},"class_list":["post-101185","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/decacoaching.es\/fr\/wp-json\/wp\/v2\/pages\/101185","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/decacoaching.es\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/decacoaching.es\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/decacoaching.es\/fr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/decacoaching.es\/fr\/wp-json\/wp\/v2\/comments?post=101185"}],"version-history":[{"count":5,"href":"https:\/\/decacoaching.es\/fr\/wp-json\/wp\/v2\/pages\/101185\/revisions"}],"predecessor-version":[{"id":101196,"href":"https:\/\/decacoaching.es\/fr\/wp-json\/wp\/v2\/pages\/101185\/revisions\/101196"}],"wp:attachment":[{"href":"https:\/\/decacoaching.es\/fr\/wp-json\/wp\/v2\/media?parent=101185"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}