{"id":13656,"date":"2022-02-16T17:28:56","date_gmt":"2022-02-16T16:28:56","guid":{"rendered":"https:\/\/comt.cat\/?page_id=13656"},"modified":"2022-02-16T18:16:31","modified_gmt":"2022-02-16T17:16:31","slug":"agresiones","status":"publish","type":"page","link":"https:\/\/comt.cat\/es\/agresiones\/","title":{"rendered":"Agresiones"},"content":{"rendered":"\n\n  <div class=\"banner has-hover\" id=\"banner-1297987191\">\n          <div class=\"banner-inner fill\">\n        <div class=\"banner-bg fill\" >\n            <img loading=\"lazy\" decoding=\"async\" width=\"2560\" height=\"1239\" src=\"https:\/\/comt.cat\/wp-content\/uploads\/2022\/01\/covid-19-coronavirus-disease-healthcare-workers-concept-serious-looking-displeased-asian-doctor-nurse-in-scrubs-stopping-you-show-prohibit-warning-gesture-forbid-patient-1-min-scaled.jpg\" class=\"bg attachment-original size-original\" alt=\"\" \/>                        <div class=\"overlay\"><\/div>            \n                    <\/div>\n\t\t\n        <div class=\"banner-layers container\">\n            <div class=\"fill banner-link\"><\/div>            \n\n   <div id=\"text-box-429464139\" class=\"text-box banner-layer x50 md-x50 lg-x50 y50 md-y50 lg-y50 res-text\">\n                                <div class=\"text-box-content text dark\">\n              \n              <div class=\"text-inner text-center\">\n                  \n\n\t<div id=\"text-1327758534\" class=\"text\">\n\t\t\n\n<h1><span style=\"color: #ffffff; font-size: 100%;\" data-text-color=\"\">\u00bfHas sido v\u00edctima de una agresi\u00f3n? \u00a1Den\u00fancialo!<\/span><\/h1>\n\n\t\t\n<style>\n#text-1327758534 {\n  font-size: 0.9rem;\n}\n<\/style>\n\t<\/div>\n\t\n\n              <\/div>\n           <\/div>\n                            \n<style>\n#text-box-429464139 {\n  width: 90%;\n}\n#text-box-429464139 .text-box-content {\n  font-size: 55%;\n}\n@media (min-width:550px) {\n  #text-box-429464139 {\n    width: 60%;\n  }\n  #text-box-429464139 .text-box-content {\n    font-size: 100%;\n  }\n}\n<\/style>\n    <\/div>\n \n\n        <\/div>\n      <\/div>\n\n            \n<style>\n#banner-1297987191 {\n  padding-top: 400px;\n  background-color: rgb(252, 248, 243);\n}\n#banner-1297987191 .overlay {\n  background-color: rgba(0, 0, 0, 0.483);\n}\n#banner-1297987191 .banner-bg img {\n  object-position: 33% 35%;\n}\n<\/style>\n  <\/div>\n\n\n\n\t<section class=\"section\" id=\"section_147676355\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n\n<div class=\"row row-large align-bottom align-center\"  id=\"row-552900671\">\n\n\n\t<div id=\"col-1789636528\" class=\"col medium-10 small-12 large-8\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n\n<p><span style=\"font-size: 110%;\">Tras la reforma del C\u00f3digo Penal del a\u00f1o 2015, agredir o intimidar de forma grave a un profesional sanitario se considera delito de atentado. Los agresores podr\u00edan cumplir penas de prisi\u00f3n de entre 6 meses y 3 a\u00f1os.<\/span><\/p>\n<p><span style=\"font-size: 110%;\"><strong>Si has sido v\u00edctima de una agresi\u00f3n, rellena el formulario que encontrar\u00e1s en este espacio y nos pondremos en contacto contigo. Recuerda que <\/strong><\/span><strong style=\"font-size: 110%;\">el COMT te asignar\u00e1 un letrado para formalizar la denuncia o, en su caso, personarse en el procedimiento judicial, asistiendo hasta la finalizaci\u00f3n del proceso con sentencia firme.<\/strong><\/p>\n<p><strong style=\"font-size: 110%;\">IMPORTANTE:&nbsp;<\/strong><span style=\"font-size: 110%;\">Si ya has notificado en tu centro de trabajo la agresi\u00f3n, NO es necesario que rellenes el formulario. Sin embargo, ponte en contacto con nosotros para dejar constancia mediante el correo secretari@comt.org.<\/span><\/p>\n\n<div class=\"is-divider divider clearfix\" ><\/div>\n\n\t<div id=\"gap-585592995\" class=\"gap-element clearfix\" style=\"display:block; height:auto;\">\n\t\t\n<style>\n#gap-585592995 {\n  padding-top: 10px;\n}\n<\/style>\n\t<\/div>\n\t\n\n\t<div id=\"text-3348295360\" class=\"text\">\n\t\t\n\n<h2 style=\"text-align: left;\">\u00bfHAS SUFRIDO UNA AGRESI\u00d3N?<\/h2>\n<p style=\"text-align: left;\">Rellena el formulario y nos pondremos en contacto contigo<\/p>\n<p style=\"text-align: left;\"><div data-uniq='69e8f66f98953' class='uniq-69e8f66f98953 formcraft-css form-live align-left'><script> window.formcraftLogic = window.formcraftLogic || {}; window.formcraftLogic[13] = [[[[\"field40\",\"equal_to\",\"S\\u00ed\"]],[[\"show_fields\",\"field41\"]],\"and\"],[[[\"field37\",\"equal_to\",\"Telem\\u00e1tico y Otros 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.fc-form.fc-form-13 .form-element .star-cover label,\n\t\t\thtml .formcraft-css .fc-form.label-floating .form-element .field-cover.has-focus>span,\n\t\t\t.formcraft-css .fc-form.fc-form-13 .form-element .customText-cover a,\n\t\t\t.formcraft-css .prev-next>div span:hover\n\t\t\t{\n\t\t\t\tcolor: #4488ee;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-13 .form-element .customText-cover a:hover\n\t\t\t{\n\t\t\t\tcolor: #3b77d1;\n\t\t\t}\n\t\t\thtml .formcraft-css .fc-form.fc-form-13.label-floating .form-element .field-cover > span\n\t\t\t{\n\t\t\t\tcolor: #666666;\n\t\t\t}\n\t\t\thtml .formcraft-css .fc-form .final-success .final-success-check {\n\t\t\t\tborder: 2px solid #666666;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-13 .form-element .field-cover input[type=\"text\"],\n\t\t\t.formcraft-css .fc-form.fc-form-13 .form-element .field-cover input[type=\"email\"],\n\t\t\t.formcraft-css .fc-form.fc-form-13 .form-element .field-cover input[type=\"password\"],\n\t\t\t.formcraft-css 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none;\n\t\t\t\t}\n\t\t\t}\n\t\t<\/style>\n\t\t<div class=\"form-cover\">\n\t\t\t<form data-auto-scroll=\"\" data-no-message-redirect=\"\" data-thousand=\"\" data-decimal=\".\" data-delay=\"\" data-id=\"13\" class=\"fc-form fc-form-13 align- fc-temp-class save-form- dont-submit-hidden- remove-asterisk- icons-hide- disable-enter- label-placeholder field-border-visible frame-hidden field-alignment-left   options-fade\" style=\"width: 800px; color: #666666; font-size: 100%; background: none\">\n\t\t\t\t<!-- ngRepeat: page in Builder.FormElements track by $index --><div class=\"form-page form-page-0\" data-index=\"0\">\n\t\t\t\t\t\n\t\t\t\t\t<div class=\"form-page-content      ng-not-empty\">\n\t\t\t\t\t\t<div data-identifier=\"field23\" data-index=\"0\" style=\"width: 100%\" class=\" form-element form-element-field23 options-false form-element-0 default-false form-element-type-customText is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: ;right: ;bottom: ;color: #666666 !important; background-color:\"><div class=\"full\" style=\"text-align: left\"><p ><\/p><h3 style=\"font-size: 1.5em;text-align: left\" >DATOS DEL M\u00c9DICO<\/h3><p ><\/p><\/div><input type=\"hidden\" name=\"field23\" data-field-id=\"field23\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field2\" data-index=\"1\" style=\"width: 75%\" class=\" even form-element form-element-field2 options-false form-element-1 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover  \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Nombre y apellidos<\/span><\/span><span class=\"sub-label\"><span >your full name<\/span><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"Nombre y apellidos\" make-read-only=\"false\" data-field-id=\"field2\" name=\"field2[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field49\" data-index=\"2\" style=\"width: 25%\" class=\" form-element form-element-field49 options-false form-element-2 default-false form-element-type-checkbox is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Sexo<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field49\" type=\"radio\" data-is-required=\"true\" name=\"field49[]\" value=\"Masculino\" class=\"validation-lenient\"><span><span >Masculino<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field49\" type=\"radio\" data-is-required=\"true\" name=\"field49[]\" value=\"Femenino\" class=\"validation-lenient\"><span><span >Femenino<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field13\" data-index=\"3\" style=\"width: 50%\" class=\" even form-element form-element-field13 options-false form-element-3 default-false form-element-type-email is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"email-cover field-cover  \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Email<\/span><\/span><span class=\"sub-label\"><span >a valid email<\/span><\/span><\/span><div><span class=\"error\"><\/span><input placeholder=\"Email\" data-field-id=\"field13\" type=\"text\" data-val-type=\"email\" make-read-only=\"\" data-is-required=\"true\" name=\"field13\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\"><i class=\"formcraft-icon\">email<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field18\" data-index=\"4\" style=\"width: 50%\" class=\" form-element form-element-field18 options-false form-element-4 default-false form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover  \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >DNI<\/span><\/span><span class=\"sub-label\"><span >your full name<\/span><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"DNI\" make-read-only=\"false\" data-field-id=\"field18\" name=\"field18[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field11\" data-index=\"5\" style=\"width: 50%\" class=\" even form-element form-element-field11 options-false form-element-5 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover  \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Num colegiado<\/span><\/span><span class=\"sub-label\"><span >your full name<\/span><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"Num colegiado\" make-read-only=\"false\" data-field-id=\"field11\" name=\"field11[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field9\" data-index=\"6\" style=\"width: 50%\" class=\" form-element form-element-field9 options-false form-element-6 default-false form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover  \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Tel\u00e9fono<\/span><\/span><span class=\"sub-label\"><span >your full name<\/span><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"Tel\u00e9fono\" make-read-only=\"false\" data-field-id=\"field9\" name=\"field9[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field19\" data-index=\"7\" style=\"width: 100%\" class=\" even form-element form-element-field19 options-false form-element-7 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover  \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Centro de trabajo<\/span><\/span><span class=\"sub-label\"><span >your full name<\/span><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"Centro de trabajo\" make-read-only=\"false\" data-field-id=\"field19\" name=\"field19[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field20\" data-index=\"8\" style=\"width: 50%\" class=\" form-element form-element-field20 options-false form-element-8 default-false form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover  \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Poblaci\u00f3n de trabajo<\/span><\/span><span class=\"sub-label\"><span >your full name<\/span><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"Poblaci\u00f3n de trabajo\" make-read-only=\"false\" data-field-id=\"field20\" name=\"field20[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field21\" data-index=\"9\" style=\"width: 50%\" class=\" even form-element form-element-field21 options-false form-element-9 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover  \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Servicio<\/span><\/span><span class=\"sub-label\"><span >your full name<\/span><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"Servicio\" make-read-only=\"false\" data-field-id=\"field21\" name=\"field21[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field22\" data-index=\"10\" style=\"width: 100%\" class=\" form-element form-element-field22 options-false form-element-10 default-false form-element-type-customText is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: 0px;right: ;bottom: 0px;color: #666666 !important; background-color:\"><div class=\"full\" style=\"text-align: left\"><div ><h3><br><\/h3><\/div><h3 >RELATO DE LOS HECHOS Y TESTIMONIOS<\/h3><div ><p>Hay que omitir cualquier dato sobre el estado de salud o detalles espec\u00edficos de la asistencia m\u00e9dica prestada<\/p><\/div><p ><span style=\"font-size: 13px;text-align: left;float: none\"><\/span><\/p><\/div><input type=\"hidden\" name=\"field22\" data-field-id=\"field22\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field24\" data-index=\"11\" style=\"width: 100%\" class=\" even form-element form-element-field24 options-false form-element-11 default-false form-element-type-textarea is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"textarea-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><textarea data-field-id=\"field24\" placeholder=\"\" class=\"validation-lenient\" name=\"field24\" value=\"\" rows=\"5\" data-min-char=\"\" data-max-char=\"\" data-is-required=\"true\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\" style=\"min-height: 110.781px\"><\/textarea><div class=\"count-\"><span class=\"current-count\">0<\/span> \/ <span class=\"max-count \"><\/span><\/div><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field28\" data-index=\"12\" style=\"width: 100%\" class=\" form-element form-element-field28 options-false form-element-12 default-false form-element-type-customText is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: ;right: ;bottom: ;color: #666666 !important; background-color:\"><div class=\"full\" style=\"text-align: left\"><div ><h3 style=\"font-size: 1.5em;text-align: left\"><br><\/h3><\/div><p ><\/p><h3 style=\"font-size: 1.5em;text-align: left\" >DATOS DE LOS TESTIGOS<\/h3><div style=\"font-size: 13px;text-align: left\" ><p style=\"font-size: inherit;padding: 0px\"><\/p><\/div><p ><\/p><div ><p>Solicitando su consentimiento verbal<br><\/p><\/div><\/div><input type=\"hidden\" name=\"field28\" data-field-id=\"field28\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field25\" data-index=\"13\" style=\"width: 30%\" class=\" even form-element form-element-field25 options-false form-element-13 default-false form-element-type-checkbox is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >\u00bfHubo testigos?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field25\" type=\"checkbox\" data-is-required=\"true\" name=\"field25[]\" value=\"S\u00ed\" class=\"validation-lenient\"><span><span >S\u00ed<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field25\" type=\"checkbox\" data-is-required=\"true\" name=\"field25[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field26\" data-index=\"14\" style=\"width: 70%\" class=\" form-element form-element-field26 options-false form-element-14 default-false form-element-type-textarea is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"textarea-cover field-cover  \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Nombre y tel\u00e9fono del testigo<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><textarea data-field-id=\"field26\" placeholder=\"Nombre y tel\u00e9fono del testigo\" class=\"validation-lenient\" name=\"field26\" value=\"\" rows=\"5\" data-min-char=\"\" data-max-char=\"\" data-is-required=\"true\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\" style=\"min-height: 110.781px\"><\/textarea><div class=\"count-\"><span class=\"current-count\">0<\/span> \/ <span class=\"max-count \"><\/span><\/div><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field30\" data-index=\"15\" style=\"width: 100%\" class=\" even form-element form-element-field30 options-false form-element-15 default-false form-element-type-customText is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: ;right: ;bottom: ;color: #666666 !important; background-color:\"><div class=\"full\" style=\"text-align: left\"><div ><h3 style=\"font-size: 1.5em;text-align: left\"><br><\/h3><\/div><p ><\/p><h3 style=\"font-size: 1.5em;text-align: left\" >DATOS DE LA AGRESI\u00d3N<\/h3><p ><\/p><\/div><input type=\"hidden\" name=\"field30\" data-field-id=\"field30\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field32\" data-index=\"16\" style=\"width: 50%\" class=\" form-element form-element-field32 options-false form-element-16 default-false form-element-type-datepicker is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"datepicker-cover field-cover  \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Fecha<\/span><\/span><span class=\"sub-label\"><span >of appointment<\/span><\/span><\/span><div><span class=\"error\"><\/span><input autocomplete=\"off\" data-field-id=\"field32\" placeholder=\"Fecha\" type=\"text\" class=\"validation-lenient   hasDatepicker ng-empty  \" data-is-required=\"true\" datepicker=\"\" data-date-min-range=\"\" data-date-format=\"dd\/mm\/yy\" data-date-days=\"{&quot;0&quot;:true,&quot;1&quot;:true,&quot;2&quot;:true,&quot;3&quot;:true,&quot;4&quot;:true,&quot;5&quot;:true,&quot;6&quot;:true}\" data-date-min=\"\" data-date-min-alt=\"\" data-date-max-alt=\"\" data-date-max=\"\" data-date-lang=\"es\" name=\"field32\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\"><i class=\"formcraft-icon\">date_range<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field34\" data-index=\"17\" style=\"width: 50%\" class=\" even form-element form-element-field34 options-false form-element-17 default-false form-element-type-timepicker is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"timepicker-cover field-cover \"><span class=\"sub-label-\"><span class=\"main-label\"><span >Hora<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><span class=\"time-fields-cover hide-meridian-true\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><select update-hours=\"\" hrs-min=\"0\" hrs-max=\"24\" hrs-step=\"1\"><!-- ngRepeat: hours in element.elementDefaults.hoursRange --><option value=\"00\" class=\" \">00<\/option><!-- end ngRepeat: hours in element.elementDefaults.hoursRange --><option value=\"01\" class=\" \">01<\/option><!-- end ngRepeat: hours in element.elementDefaults.hoursRange --><option value=\"02\" class=\" \">02<\/option><!-- end ngRepeat: hours in element.elementDefaults.hoursRange --><option value=\"03\" class=\" \">03<\/option><!-- end ngRepeat: hours in element.elementDefaults.hoursRange --><option value=\"04\" class=\" \">04<\/option><!-- end ngRepeat: hours in element.elementDefaults.hoursRange --><option value=\"05\" class=\" \">05<\/option><!-- end ngRepeat: hours in element.elementDefaults.hoursRange --><option value=\"06\" class=\" \">06<\/option><!-- end ngRepeat: hours in element.elementDefaults.hoursRange --><option value=\"07\" class=\" \">07<\/option><!-- end ngRepeat: hours in element.elementDefaults.hoursRange --><option value=\"08\" class=\" \">08<\/option><!-- end ngRepeat: hours in element.elementDefaults.hoursRange --><option value=\"09\" class=\" \">09<\/option><!-- end ngRepeat: hours in element.elementDefaults.hoursRange --><option value=\"10\" class=\" \">10<\/option><!-- end ngRepeat: hours in element.elementDefaults.hoursRange --><option value=\"11\" class=\" \">11<\/option><!-- end ngRepeat: hours in element.elementDefaults.hoursRange --><option value=\"12\" class=\" \">12<\/option><!-- end ngRepeat: hours in element.elementDefaults.hoursRange --><option value=\"13\" class=\" \">13<\/option><!-- end ngRepeat: hours in element.elementDefaults.hoursRange --><option value=\"14\" class=\" \">14<\/option><!-- end ngRepeat: hours in element.elementDefaults.hoursRange --><option value=\"15\" class=\" \">15<\/option><!-- end ngRepeat: hours in element.elementDefaults.hoursRange --><option value=\"16\" class=\" \">16<\/option><!-- end ngRepeat: hours in element.elementDefaults.hoursRange --><option value=\"17\" class=\" \">17<\/option><!-- end ngRepeat: hours in element.elementDefaults.hoursRange --><option value=\"18\" class=\" \">18<\/option><!-- end ngRepeat: hours in element.elementDefaults.hoursRange --><option value=\"19\" class=\" \">19<\/option><!-- end ngRepeat: hours in element.elementDefaults.hoursRange --><option value=\"20\" class=\" \">20<\/option><!-- end ngRepeat: hours in element.elementDefaults.hoursRange --><option value=\"21\" class=\" \">21<\/option><!-- end ngRepeat: hours in element.elementDefaults.hoursRange --><option value=\"22\" class=\" \">22<\/option><!-- end ngRepeat: hours in element.elementDefaults.hoursRange --><option value=\"23\" class=\" \">23<\/option><!-- end ngRepeat: hours in element.elementDefaults.hoursRange --><\/select><select update-minutes=\"\" minute-step=\"\"><!-- ngRepeat: minute in element.elementDefaults.minute_range --><option value=\"00\" class=\" \">00<\/option><!-- end ngRepeat: minute in element.elementDefaults.minute_range --><option value=\"30\" class=\" \">30<\/option><!-- end ngRepeat: minute in element.elementDefaults.minute_range --><\/select><input type=\"text\" class=\"meridian-picker\" value=\"am\"><\/span><input type=\"hidden\" name=\"field34\" data-field-id=\"field34\"><i class=\"formcraft-icon\">access_time<\/i><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field35\" data-index=\"18\" style=\"width: 100%\" class=\" form-element form-element-field35 options-false form-element-18 default-false form-element-type-checkbox is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Tipo de agresi\u00f3n<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field35\" type=\"checkbox\" data-is-required=\"true\" name=\"field35[]\" value=\"Insultos\" class=\"validation-lenient\"><span><span >Insultos<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field35\" type=\"checkbox\" data-is-required=\"true\" name=\"field35[]\" value=\"Amenazas\" class=\"validation-lenient\"><span><span >Amenazas<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field35\" type=\"checkbox\" data-is-required=\"true\" name=\"field35[]\" value=\"Difamaciones \" class=\"validation-lenient\"><span><span >Difamaciones <\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field35\" type=\"checkbox\" data-is-required=\"true\" name=\"field35[]\" value=\"F\u00edsica\" class=\"validation-lenient\"><span><span >F\u00edsica<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field35\" type=\"checkbox\" data-is-required=\"true\" name=\"field35[]\" value=\"Da\u00f1os materiales\" class=\"validation-lenient\"><span><span >Da\u00f1os materiales<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field35\" type=\"checkbox\" data-is-required=\"true\" name=\"field35[]\" value=\"Otros (especificar)\" class=\"validation-lenient\"><span><span >Otros (especificar)<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field36\" data-index=\"19\" style=\"width: 100%\" class=\" even form-element form-element-field36 options-false form-element-19 default-true form-element-type-textarea is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"textarea-cover field-cover  \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Otros tipos de agresi\u00f3n<\/span><\/span><span class=\"sub-label\"><span >more details<\/span><\/span><\/span><div><span class=\"error\"><\/span><textarea data-field-id=\"field36\" placeholder=\"Otros tipos de agresi\u00f3n\" class=\"validation-lenient\" name=\"field36\" value=\"\" rows=\"5\" data-min-char=\"\" data-max-char=\"\" data-is-required=\"true\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\" style=\"min-height: 110.781px\"><\/textarea><div class=\"count-\"><span class=\"current-count\">0<\/span> \/ <span class=\"max-count \"><\/span><\/div><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field37\" data-index=\"20\" style=\"width: 100%\" class=\" form-element form-element-field37 options-false form-element-20 default-false form-element-type-checkbox is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Centro en el que se ha producido la agresi\u00f3n<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field37\" type=\"checkbox\" data-is-required=\"true\" name=\"field37[]\" value=\"P\u00fablico\" class=\"validation-lenient\"><span><span >P\u00fablico<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field37\" type=\"checkbox\" data-is-required=\"true\" name=\"field37[]\" value=\"Privado\" class=\"validation-lenient\"><span><span >Privado<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field37\" type=\"checkbox\" data-is-required=\"true\" name=\"field37[]\" value=\"Centro Salud\" class=\"validation-lenient\"><span><span >Centro Salud<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field37\" type=\"checkbox\" data-is-required=\"true\" name=\"field37[]\" value=\"Hospital\" class=\"validation-lenient\"><span><span >Hospital<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field37\" type=\"checkbox\" data-is-required=\"true\" name=\"field37[]\" value=\"Centro Especialidades\" class=\"validation-lenient\"><span><span >Centro Especialidades<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field37\" type=\"checkbox\" data-is-required=\"true\" name=\"field37[]\" value=\"Urgencias Hospital\t\" class=\"validation-lenient\"><span><span >Urgencias Hospital\t<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field37\" type=\"checkbox\" data-is-required=\"true\" name=\"field37[]\" value=\"Urgencias no hospitalarias\" class=\"validation-lenient\"><span><span >Urgencias no hospitalarias<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field37\" type=\"checkbox\" data-is-required=\"true\" name=\"field37[]\" value=\"Domicilio paciente\t\" class=\"validation-lenient\"><span><span >Domicilio paciente\t<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field37\" type=\"checkbox\" data-is-required=\"true\" name=\"field37[]\" value=\"In itinere\" class=\"validation-lenient\"><span><span >In itinere<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field37\" type=\"checkbox\" data-is-required=\"true\" name=\"field37[]\" value=\"Telem\u00e1tico y Otros (especificar)\" class=\"validation-lenient\"><span><span >Telem\u00e1tico y Otros (especificar)<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field38\" data-index=\"21\" style=\"width: 100%\" class=\" even form-element form-element-field38 options-false form-element-21 default-true form-element-type-textarea is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"textarea-cover field-cover  \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Telem\u00e1tico y Otros<\/span><\/span><span class=\"sub-label\"><span >more details<\/span><\/span><\/span><div><span class=\"error\"><\/span><textarea data-field-id=\"field38\" placeholder=\"Telem\u00e1tico y Otros\" class=\"validation-lenient\" name=\"field38\" value=\"\" rows=\"5\" data-min-char=\"\" data-max-char=\"\" data-is-required=\"true\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\" style=\"min-height: 110.781px\"><\/textarea><div class=\"count-\"><span class=\"current-count\">0<\/span> \/ <span class=\"max-count \"><\/span><\/div><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field39\" data-index=\"22\" style=\"width: 50%\" class=\" form-element form-element-field39 options-false form-element-22 default-false form-element-type-checkbox is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >\u00bfHa necesitado atenci\u00f3n sanitaria?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field39\" type=\"checkbox\" data-is-required=\"true\" name=\"field39[]\" value=\"S\u00ed\" class=\"validation-lenient\"><span><span >S\u00ed<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field39\" type=\"checkbox\" data-is-required=\"true\" name=\"field39[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field40\" data-index=\"23\" style=\"width: 50%\" class=\" even form-element form-element-field40 options-false form-element-23 default-false form-element-type-checkbox is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >\u00bfSe le ha prescrito tratamiento?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field40\" type=\"checkbox\" data-is-required=\"true\" name=\"field40[]\" value=\"S\u00ed\" class=\"validation-lenient\"><span><span >S\u00ed<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field40\" type=\"checkbox\" data-is-required=\"true\" name=\"field40[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field41\" data-index=\"24\" style=\"width: 100%\" class=\" form-element form-element-field41 options-false form-element-24 default-true form-element-type-checkbox is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Tipo de tratamiento<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field41\" type=\"checkbox\" data-is-required=\"true\" name=\"field41[]\" value=\"Farmacol\u00f3gico\" class=\"validation-lenient\"><span><span >Farmacol\u00f3gico<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field41\" type=\"checkbox\" data-is-required=\"true\" name=\"field41[]\" value=\"Quir\u00fargico\" class=\"validation-lenient\"><span><span >Quir\u00fargico<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field41\" type=\"checkbox\" data-is-required=\"true\" name=\"field41[]\" value=\"Psiqui\u00e1trico\" class=\"validation-lenient\"><span><span >Psiqui\u00e1trico<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field41\" type=\"checkbox\" data-is-required=\"true\" name=\"field41[]\" value=\"Psicol\u00f3gico\" class=\"validation-lenient\"><span><span >Psicol\u00f3gico<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field42\" data-index=\"25\" style=\"width: 100%\" class=\" even form-element form-element-field42 options-false form-element-25 default-false form-element-type-checkbox is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Tratamiento por<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field42\" type=\"checkbox\" data-is-required=\"true\" name=\"field42[]\" value=\"Atenci\u00f3n Primaria\t\t\" class=\"validation-lenient\"><span><span >Atenci\u00f3n Primaria\t\t<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field42\" type=\"checkbox\" data-is-required=\"true\" name=\"field42[]\" value=\"Hospital\t\" class=\"validation-lenient\"><span><span >Hospital\t<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field42\" type=\"checkbox\" data-is-required=\"true\" name=\"field42[]\" value=\"Consulta Privada\" class=\"validation-lenient\"><span><span >Consulta Privada<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field42\" type=\"checkbox\" data-is-required=\"true\" name=\"field42[]\" value=\"PAIME\t\t\" class=\"validation-lenient\"><span><span >PAIME\t\t<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field42\" type=\"checkbox\" data-is-required=\"true\" name=\"field42[]\" value=\"Otros (especificar)\" class=\"validation-lenient\"><span><span >Otros (especificar)<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field43\" data-index=\"26\" style=\"width: 100%\" class=\" form-element form-element-field43 options-false form-element-26 default-true form-element-type-textarea is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"textarea-cover field-cover  \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Tratamiento por<\/span><\/span><span class=\"sub-label\"><span >more details<\/span><\/span><\/span><div><span class=\"error\"><\/span><textarea data-field-id=\"field43\" placeholder=\"Tratamiento por\" class=\"validation-lenient\" name=\"field43\" value=\"\" rows=\"5\" data-min-char=\"\" data-max-char=\"\" data-is-required=\"false\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\" style=\"min-height: 110.781px\"><\/textarea><div class=\"count-\"><span class=\"current-count\">0<\/span> \/ <span class=\"max-count \"><\/span><\/div><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field44\" data-index=\"27\" style=\"width: 50%\" class=\" even form-element form-element-field44 options-false form-element-27 default-false form-element-type-checkbox is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >\u00bfExiste parte de lesiones?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field44\" type=\"radio\" data-is-required=\"true\" name=\"field44[]\" value=\"S\u00ed\" class=\"validation-lenient\"><span><span >S\u00ed<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field44\" type=\"radio\" data-is-required=\"true\" name=\"field44[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field46\" data-index=\"28\" style=\"width: 50%\" class=\" form-element form-element-field46 options-false form-element-28 default-false form-element-type-checkbox is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >\u00bfHa acudido a Salud Laboral?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field46\" type=\"radio\" data-is-required=\"true\" name=\"field46[]\" value=\"S\u00ed\" class=\"validation-lenient\"><span><span >S\u00ed<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field46\" type=\"radio\" data-is-required=\"true\" name=\"field46[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field45\" data-index=\"29\" style=\"width: 100%\" class=\" even form-element form-element-field45 options-false form-element-29 default-true form-element-type-checkbox is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field45\" type=\"checkbox\" data-is-required=\"false\" name=\"field45[]\" value=\"F\u00edsicas\" class=\"validation-lenient\"><span><span >F\u00edsicas<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field45\" type=\"checkbox\" data-is-required=\"false\" name=\"field45[]\" value=\"Ps\u00edquicas\t\" class=\"validation-lenient\"><span><span >Ps\u00edquicas\t<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field45\" type=\"checkbox\" data-is-required=\"false\" name=\"field45[]\" value=\"Ambas\" class=\"validation-lenient\"><span><span >Ambas<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field47\" data-index=\"30\" style=\"width: 50%\" class=\" form-element form-element-field47 options-false form-element-30 default-false form-element-type-checkbox is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >\u00bfDonde ha comunicado la agresi\u00f3n?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field47\" type=\"radio\" data-is-required=\"true\" name=\"field47[]\" value=\"Colegio\" class=\"validation-lenient\"><span><span >Colegio<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field47\" type=\"radio\" data-is-required=\"true\" name=\"field47[]\" value=\"Centro de trabajo\t\" class=\"validation-lenient\"><span><span >Centro de trabajo\t<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field47\" type=\"radio\" data-is-required=\"true\" name=\"field47[]\" value=\"Ambos\" class=\"validation-lenient\"><span><span >Ambos<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field48\" data-index=\"31\" style=\"width: 50%\" class=\" even form-element form-element-field48 options-false form-element-31 default-false form-element-type-checkbox is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Da\u00f1os materiales<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field48\" type=\"radio\" data-is-required=\"true\" name=\"field48[]\" value=\"Si\" class=\"validation-lenient\"><span><span >Si<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field48\" type=\"radio\" data-is-required=\"true\" name=\"field48[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field51\" data-index=\"32\" style=\"width: 100%\" class=\" form-element form-element-field51 options-false form-element-32 default-false form-element-type-customText is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: ;right: ;bottom: ;color: #666666 !important; background-color:\"><div class=\"full\" style=\"text-align: left\"><p ><\/p><h3 style=\"font-size: 1.5em;text-align: left\" ><br><\/h3><p ><\/p><p ><\/p><h3 style=\"font-size: 1.5em;text-align: left\" ><p class=\"Default\"><b><span style=\"color: windowtext\">DATOS DEL AGRESOR<\/span><\/b><\/p><\/h3><p ><\/p><\/div><input type=\"hidden\" name=\"field51\" data-field-id=\"field51\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field52\" data-index=\"33\" style=\"width: 40%\" class=\" even form-element form-element-field52 options-false form-element-33 default-false form-element-type-checkbox is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >\u00bfEl\/los agresores est\u00e1n identificados?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field52\" type=\"radio\" data-is-required=\"true\" name=\"field52[]\" value=\"S\u00ed\" class=\"validation-lenient\"><span><span >S\u00ed<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field52\" type=\"radio\" data-is-required=\"true\" name=\"field52[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field53\" data-index=\"34\" style=\"width: 60%\" class=\" form-element form-element-field53 options-false form-element-34 default-false form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover  \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Localidad<\/span><\/span><span class=\"sub-label\"><span >\u00a1<\/span><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"Localidad\" make-read-only=\"false\" data-field-id=\"field53\" name=\"field53[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field54\" data-index=\"35\" style=\"width: 30%\" class=\" even form-element form-element-field54 options-false form-element-35 default-false form-element-type-checkbox is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Sexo<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field54\" type=\"checkbox\" data-is-required=\"true\" name=\"field54[]\" value=\"Masculino\" class=\"validation-lenient\"><span><span >Masculino<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field54\" type=\"checkbox\" data-is-required=\"true\" name=\"field54[]\" value=\"Femenino\" class=\"validation-lenient\"><span><span >Femenino<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field55\" data-index=\"36\" style=\"width: 70%\" class=\" form-element form-element-field55 options-false form-element-36 default-false form-element-type-checkbox is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Edad del agresor\/a<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field55\" type=\"radio\" data-is-required=\"true\" name=\"field55[]\" value=\"<40 a\u00f1os\t\" class=\"validation-lenient\"><span><span >&lt;40 a\u00f1os\t<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field55\" type=\"radio\" data-is-required=\"true\" name=\"field55[]\" value=\"40-60 a\u00f1os    \" class=\"validation-lenient\"><span><span >40-60 a\u00f1os    <\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field55\" type=\"radio\" data-is-required=\"true\" name=\"field55[]\" value=\"> 60 a\u00f1os\" class=\"validation-lenient\"><span><span >&gt; 60 a\u00f1os<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field56\" data-index=\"37\" style=\"width: 100%\" class=\" even form-element form-element-field56 options-false form-element-37 default-false form-element-type-checkbox is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Tipolog\u00eda<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field56\" type=\"radio\" data-is-required=\"true\" name=\"field56[]\" value=\"Paciente programado\t\" class=\"validation-lenient\"><span><span >Paciente programado\t<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field56\" type=\"radio\" data-is-required=\"true\" name=\"field56[]\" value=\"Paciente no programado\t\t\" class=\"validation-lenient\"><span><span >Paciente no programado\t\t<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field56\" type=\"radio\" data-is-required=\"true\" name=\"field56[]\" value=\"Paciente Urgente\t\t\" class=\"validation-lenient\"><span><span >Paciente Urgente\t\t<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field56\" type=\"radio\" data-is-required=\"true\" name=\"field56[]\" value=\"Usuario del centro\t\" class=\"validation-lenient\"><span><span >Usuario del centro\t<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field56\" type=\"radio\" data-is-required=\"true\" name=\"field56[]\" value=\"Desplazado\t\t\" class=\"validation-lenient\"><span><span >Desplazado\t\t<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field56\" type=\"radio\" data-is-required=\"true\" name=\"field56[]\" value=\"Familiar\t\t\" class=\"validation-lenient\"><span><span >Familiar\t\t<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field56\" type=\"radio\" data-is-required=\"true\" name=\"field56[]\" value=\"Acompa\u00f1ante\" class=\"validation-lenient\"><span><span >Acompa\u00f1ante<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field57\" data-index=\"38\" style=\"width: 100%\" class=\" form-element form-element-field57 options-false form-element-38 default-false form-element-type-checkbox is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Antecedentes<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field57\" type=\"radio\" data-is-required=\"true\" name=\"field57[]\" value=\"Paciente con toxicoman\u00eda        \t\t\" class=\"validation-lenient\"><span><span >Paciente con toxicoman\u00eda        \t\t<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field57\" type=\"radio\" data-is-required=\"true\" name=\"field57[]\" value=\"Paciente psiqui\u00e1trico\" class=\"validation-lenient\"><span><span >Paciente psiqui\u00e1trico<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field57\" type=\"radio\" data-is-required=\"true\" name=\"field57[]\" value=\"Paciente con enfermedad org\u00e1nica \t\" class=\"validation-lenient\"><span><span >Paciente con enfermedad org\u00e1nica \t<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field57\" type=\"radio\" data-is-required=\"true\" name=\"field57[]\" value=\"Otros (especificar)\" class=\"validation-lenient\"><span><span >Otros (especificar)<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field58\" data-index=\"39\" style=\"width: 100%\" class=\" even form-element form-element-field58 options-false form-element-39 default-true form-element-type-textarea is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"textarea-cover field-cover  \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Especificar<\/span><\/span><span class=\"sub-label\"><span >more details<\/span><\/span><\/span><div><span class=\"error\"><\/span><textarea data-field-id=\"field58\" placeholder=\"Especificar\" class=\"validation-lenient\" name=\"field58\" value=\"\" rows=\"5\" data-min-char=\"\" data-max-char=\"\" data-is-required=\"true\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\" style=\"min-height: 110.781px\"><\/textarea><div class=\"count-\"><span class=\"current-count\">0<\/span> \/ <span class=\"max-count \"><\/span><\/div><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field59\" data-index=\"40\" style=\"width: 100%\" class=\" form-element form-element-field59 options-false form-element-40 default-false form-element-type-checkbox is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Causas<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field59\" type=\"checkbox\" data-is-required=\"true\" name=\"field59[]\" value=\"No recetar medicaci\u00f3n requerida por paciente. \" class=\"validation-lenient\"><span><span >No recetar medicaci\u00f3n requerida por paciente. <\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field59\" type=\"checkbox\" data-is-required=\"true\" name=\"field59[]\" value=\"Demora en la atenci\u00f3n. \" class=\"validation-lenient\"><span><span >Demora en la atenci\u00f3n. <\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field59\" type=\"checkbox\" data-is-required=\"true\" name=\"field59[]\" value=\"Discrepancias en la atenci\u00f3n m\u00e9dica. \" class=\"validation-lenient\"><span><span >Discrepancias en la atenci\u00f3n m\u00e9dica. <\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field59\" type=\"checkbox\" data-is-required=\"true\" name=\"field59[]\" value=\"Discrepancias en el trato. \" class=\"validation-lenient\"><span><span >Discrepancias en el trato. <\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field59\" type=\"checkbox\" data-is-required=\"true\" name=\"field59[]\" value=\"Malestar con el funcionamiento interno del centro. \" class=\"validation-lenient\"><span><span >Malestar con el funcionamiento interno del centro. <\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field59\" type=\"checkbox\" data-is-required=\"true\" name=\"field59[]\" value=\"En relaci\u00f3n con la incapacidad laboral. \" class=\"validation-lenient\"><span><span >En relaci\u00f3n con la incapacidad laboral. <\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field59\" type=\"checkbox\" data-is-required=\"true\" name=\"field59[]\" value=\"Emitir informes m\u00e9dicos en desacuerdo a sus exigencias. \" class=\"validation-lenient\"><span><span >Emitir informes m\u00e9dicos en desacuerdo a sus exigencias. <\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field59\" type=\"checkbox\" data-is-required=\"true\" name=\"field59[]\" value=\"Otros (especificar)\" class=\"validation-lenient\"><span><span >Otros (especificar)<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field60\" data-index=\"41\" style=\"width: 100%\" class=\" even form-element form-element-field60 options-false form-element-41 default-true form-element-type-textarea is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"textarea-cover field-cover  \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Especificar<\/span><\/span><span class=\"sub-label\"><span >more details<\/span><\/span><\/span><div><span class=\"error\"><\/span><textarea data-field-id=\"field60\" placeholder=\"Especificar\" class=\"validation-lenient\" name=\"field60\" value=\"\" rows=\"5\" data-min-char=\"\" data-max-char=\"\" data-is-required=\"true\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\" style=\"min-height: 110.781px\"><\/textarea><div class=\"count-\"><span class=\"current-count\">0<\/span> \/ <span class=\"max-count \"><\/span><\/div><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field62\" data-index=\"42\" style=\"width: 100%\" class=\" form-element form-element-field62 options-false form-element-42 default-false form-element-type-customText is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: ;right: ;bottom: ;color: #666666 !important; background-color:\"><div class=\"full\" style=\"text-align: left\"><div ><h3><br><\/h3><\/div><h3 >ACTUACIONES<\/h3><\/div><input type=\"hidden\" name=\"field62\" data-field-id=\"field62\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field63\" data-index=\"43\" style=\"width: 50%\" class=\" even form-element form-element-field63 options-false form-element-43 default-false form-element-type-checkbox is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >\u00bfHa presentado denuncia?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field63\" type=\"radio\" data-is-required=\"true\" name=\"field63[]\" value=\"S\u00ed\" class=\"validation-lenient\"><span><span >S\u00ed<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field63\" type=\"radio\" data-is-required=\"true\" name=\"field63[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field64\" data-index=\"44\" style=\"width: 40%\" class=\" form-element form-element-field64 form-element-44 default-false form-element-type-checkbox odd -handle options-true is-required-false\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >\u00bfD\u00f3nde ha presentado denuncia?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field64\" type=\"radio\" data-is-required=\"false\" name=\"field64[]\" value=\"Mossos\" class=\"validation-lenient\"><span><span >Mossos<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field64\" type=\"radio\" data-is-required=\"false\" name=\"field64[]\" value=\"Polic\u00eda\" class=\"validation-lenient\"><span><span >Polic\u00eda<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field64\" type=\"radio\" data-is-required=\"false\" name=\"field64[]\" value=\"Guardia Civil\" class=\"validation-lenient\"><span><span >Guardia Civil<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field65\" data-index=\"45\" style=\"width: 500%\" class=\" even form-element form-element-field65 options-false form-element-45 default-false form-element-type-checkbox is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >\u00bfQuiere que le ayudemos a presentar denuncia?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field65\" type=\"radio\" data-is-required=\"true\" name=\"field65[]\" value=\"S\u00ed\" class=\"validation-lenient\"><span><span >S\u00ed<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field65\" type=\"radio\" data-is-required=\"true\" name=\"field65[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field66\" data-index=\"46\" style=\"width: 50%\" class=\" form-element form-element-field66 options-false form-element-46 default-false form-element-type-checkbox is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >\u00bfHa sufrido agresiones previas?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field66\" type=\"radio\" data-is-required=\"true\" name=\"field66[]\" value=\"S\u00ed\" class=\"validation-lenient\"><span><span >S\u00ed<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field66\" type=\"radio\" data-is-required=\"true\" name=\"field66[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field67\" data-index=\"47\" style=\"width: 50%\" class=\" even form-element form-element-field67 options-false form-element-47 default-false form-element-type-checkbox is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >\u00bfHay constancia de anteriores agresiones en el Centro?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field67\" type=\"radio\" data-is-required=\"true\" name=\"field67[]\" value=\"S\u00ed\" class=\"validation-lenient\"><span><span >S\u00ed<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field67\" type=\"radio\" data-is-required=\"true\" name=\"field67[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field68\" data-index=\"48\" style=\"width: 30%\" class=\" form-element form-element-field68 options-false form-element-48 default-false form-element-type-checkbox is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >\u00bfPor el mismo agresor?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field68\" type=\"radio\" data-is-required=\"true\" name=\"field68[]\" value=\"S\u00ed\" class=\"validation-lenient\"><span><span >S\u00ed<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field68\" type=\"radio\" data-is-required=\"true\" name=\"field68[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field69\" data-index=\"49\" style=\"width: 30%\" class=\" even form-element form-element-field69 options-false form-element-49 default-false form-element-type-checkbox is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >\u00bfSe tramit\u00f3 baja laboral?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field69\" type=\"radio\" data-is-required=\"true\" name=\"field69[]\" value=\"S\u00ed\" class=\"validation-lenient\"><span><span >S\u00ed<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field69\" type=\"radio\" data-is-required=\"true\" name=\"field69[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field70\" data-index=\"50\" style=\"width: 40%\" class=\" form-element form-element-field70 options-false form-element-50 default-true form-element-type-checkbox is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >\u00bfComo accidente de trabajo?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field70\" type=\"radio\" data-is-required=\"true\" name=\"field70[]\" value=\"S\u00ed\" class=\"validation-lenient\"><span><span >S\u00ed<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field70\" type=\"radio\" data-is-required=\"true\" name=\"field70[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field71\" data-index=\"51\" style=\"width: 100%\" class=\" even form-element form-element-field71 options-false form-element-51 default-true form-element-type-textarea is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"textarea-cover field-cover  \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Motivo baja laboral<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><textarea data-field-id=\"field71\" placeholder=\"Motivo baja laboral\" class=\"validation-lenient\" name=\"field71\" value=\"\" rows=\"5\" data-min-char=\"\" data-max-char=\"\" data-is-required=\"true\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\" style=\"min-height: 110.781px\"><\/textarea><div class=\"count-\"><span class=\"current-count\">0<\/span> \/ <span class=\"max-count \"><\/span><\/div><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field72\" data-index=\"52\" style=\"width: 100%\" class=\" form-element form-element-field72 options-false form-element-52 default-false form-element-type-checkbox is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >\u00bfHay Vigilantes de Seguridad en el Centro?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field72\" type=\"radio\" data-is-required=\"true\" name=\"field72[]\" value=\"S\u00ed\" class=\"validation-lenient\"><span><span >S\u00ed<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field72\" type=\"radio\" data-is-required=\"true\" name=\"field72[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field73\" data-index=\"53\" style=\"width: 100%\" class=\" even form-element form-element-field73 options-false form-element-53 default-true form-element-type-checkbox is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >\u00bfIntervinieron?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field73\" type=\"radio\" data-is-required=\"true\" name=\"field73[]\" value=\"S\u00ed\" class=\"validation-lenient\"><span><span >S\u00ed<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field73\" type=\"radio\" data-is-required=\"true\" name=\"field73[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field74\" data-index=\"54\" style=\"width: 100%\" class=\" form-element form-element-field74 options-false form-element-54 default-false form-element-type-checkbox is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >\u00bfSe aviso a las Fuerzas de Seguridad?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field74\" type=\"radio\" data-is-required=\"true\" name=\"field74[]\" value=\"S\u00ed\" class=\"validation-lenient\"><span><span >S\u00ed<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field74\" type=\"radio\" data-is-required=\"true\" name=\"field74[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field76\" data-index=\"55\" style=\"width: 100%\" class=\" even form-element form-element-field76 options-false form-element-55 default-true form-element-type-textarea is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"textarea-cover field-cover  \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >\u00bfCu\u00e1nto tiempo tardaron en acudir?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><textarea data-field-id=\"field76\" placeholder=\"\u00bfCu\u00e1nto tiempo tardaron en acudir?\" class=\"validation-lenient\" name=\"field76\" value=\"\" rows=\"5\" data-min-char=\"\" data-max-char=\"\" data-is-required=\"true\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\" style=\"min-height: 110.781px\"><\/textarea><div class=\"count-\"><span class=\"current-count\">0<\/span> \/ <span class=\"max-count \"><\/span><\/div><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field77\" data-index=\"56\" style=\"width: 100%\" class=\" form-element form-element-field77 options-false form-element-56 default-false form-element-type-checkbox is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >\u00bfLlegaron a tiempo para intervenir?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field77\" type=\"radio\" data-is-required=\"true\" name=\"field77[]\" value=\"S\u00ed\" class=\"validation-lenient\"><span><span >S\u00ed<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field77\" type=\"radio\" data-is-required=\"true\" name=\"field77[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field78\" data-index=\"57\" style=\"width: 100%\" class=\" even form-element form-element-field78 options-false form-element-57 default-false form-element-type-checkbox is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >\u00bfRecibi\u00f3 apoyo o asesoramiento por parte de su empresa?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field78\" type=\"radio\" data-is-required=\"true\" name=\"field78[]\" value=\"S\u00ed\" class=\"validation-lenient\"><span><span >S\u00ed<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field78\" type=\"radio\" data-is-required=\"true\" name=\"field78[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field80\" data-index=\"58\" style=\"width: 100%\" class=\" form-element form-element-field80 options-false form-element-58 default-true form-element-type-checkbox is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >\u00bfDe qu\u00e9 tipo?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field80\" type=\"radio\" data-is-required=\"true\" name=\"field80[]\" value=\"Legal\t\" class=\"validation-lenient\"><span><span >Legal\t<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field80\" type=\"radio\" data-is-required=\"true\" name=\"field80[]\" value=\"Psicol\u00f3gico\t\" class=\"validation-lenient\"><span><span >Psicol\u00f3gico\t<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field80\" type=\"radio\" data-is-required=\"true\" name=\"field80[]\" value=\"Ambos\" class=\"validation-lenient\"><span><span >Ambos<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field81\" data-index=\"59\" style=\"width: 100%\" class=\" even form-element form-element-field81 options-false form-element-59 default-false form-element-type-checkbox is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >\u00bfRecibi\u00f3 apoyo de otros organismos?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field81\" type=\"radio\" data-is-required=\"true\" name=\"field81[]\" value=\"S\u00ed\" class=\"validation-lenient\"><span><span >S\u00ed<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field81\" type=\"radio\" data-is-required=\"true\" name=\"field81[]\" value=\"No\" class=\"validation-lenient\"><span><span >No<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field82\" data-index=\"60\" style=\"width: 100%\" class=\" form-element form-element-field82 options-false form-element-60 default-true form-element-type-textarea is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"textarea-cover field-cover  \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Especificar<\/span><\/span><span class=\"sub-label\"><span >more details<\/span><\/span><\/span><div><span class=\"error\"><\/span><textarea data-field-id=\"field82\" placeholder=\"Especificar\" class=\"validation-lenient\" name=\"field82\" value=\"\" rows=\"5\" data-min-char=\"\" data-max-char=\"\" data-is-required=\"true\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\" style=\"min-height: 110.781px\"><\/textarea><div class=\"count-\"><span class=\"current-count\">0<\/span> \/ <span class=\"max-count \"><\/span><\/div><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field83\" data-index=\"61\" style=\"width: 100%\" class=\" even form-element form-element-field83 options-false form-element-61 default-false form-element-type-textarea is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"textarea-cover field-cover  \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >\u00bfCu\u00e1les cree que ser\u00edan las medidas m\u00e1s adecuadas a tomar?<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><textarea data-field-id=\"field83\" placeholder=\"\u00bfCu\u00e1les cree que ser\u00edan las medidas m\u00e1s adecuadas a tomar?\" class=\"validation-lenient\" name=\"field83\" value=\"\" rows=\"5\" data-min-char=\"\" data-max-char=\"\" data-is-required=\"true\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\" style=\"min-height: 110.781px\"><\/textarea><div class=\"count-\"><span class=\"current-count\">0<\/span> \/ <span class=\"max-count \"><\/span><\/div><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field84\" data-index=\"62\" style=\"width: 100%\" class=\" form-element form-element-field84 options-false form-element-62 default-false form-element-type-customText is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: ;right: ;bottom: ;color: #666666 !important; background-color:\"><div class=\"full\" style=\"text-align: left\"><p ><\/p><p style=\"font-size: small\" >En virtud de la normativa vigente en materia de protecci\u00f3n de datos le informamos que los datos personales facilitados ser\u00e1n tratados bajo la responsabilidad del Colegio Oficial de M\u00e9dicos de Tarragona, con domicilio en Via de l \u0301Imperi Rom\u00e0 11Bis, 43003 (Tarragona).<u><\/u><u><\/u><\/p><p style=\"font-size: small\" >En cualquier caso, podr\u00e1 indicar la revocaci\u00f3n del consentimiento otorgado, as\u00ed como ejercitar los derechos de acceso, rectificaci\u00f3n, supresi\u00f3n, limitaci\u00f3n, oposici\u00f3n o de portabilidad de los datos. Estas peticiones deber\u00e1n dirigirse al Delegado de Protecci\u00f3n de datos del Col\u00b7legi Oficial de Metges de Tarragona con domicilio Via de l \u0301Imperi Rom\u00e0 11Bis, 43003 (Tarragona), o bien por medio de&nbsp;<a href=\"mailto:comt@comt.cat\" target=\"_blank\">comt@comt.cat<\/a>. Asimismo, si lo considera, podr\u00e1 presentar una reclamaci\u00f3n ante la Autoridad Catalana de Protecci\u00f3n de Datos (<a href=\"http:\/\/www.apdcat.cat\/\" target=\"_blank\">www.apdcat.cat<\/a>).<\/p><p ><br><\/p><p ><\/p><\/div><input type=\"hidden\" name=\"field84\" data-field-id=\"field84\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field85\" data-index=\"63\" style=\"width: 100%\" class=\" even form-element form-element-field85 options-false form-element-63 default-false form-element-type-checkbox is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field85\" type=\"checkbox\" data-is-required=\"true\" name=\"field85[]\" value=\"He le\u00eddo y acepto la pol\u00edtica de privacidad\" class=\"validation-lenient\"><span><span >He le\u00eddo y acepto la pol\u00edtica de privacidad<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field86\" data-index=\"64\" style=\"width: 100%\" class=\" form-element form-element-field86 options-false form-element-64 default-false form-element-type-submit is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"align-right wide-true submit-cover field-cover\"><button type=\"submit\" class=\"button submit-button\"><span class=\"text \">Enviar<\/span><span class=\"spin-cover\"><i style=\"color:\" class=\"loading-icon icon-cog animate-spin\"><\/i><\/span><\/button><\/div><div class=\"submit-response \"><\/div><label ><input type=\"text\" class=\"required_field\" name=\"website\" autocomplete=\"maple-syrup-pot\"><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div><!-- end ngRepeat: page in Builder.FormElements track by $index -->\n\t\t\t<\/form>\n\t\t\t<div class=\"prev-next prev-next-1\" style=\"width: 800px; color: #666666; font-size: 100%; background: none\">\n\t\t\t\t<div>\n\t\t\t\t\t\n\t\t\t\t\t<span class=\"inactive page-prev \"><i class=\"formcraft-icon\">keyboard_arrow_left<\/i>Previous<\/span><\/div>\n\t\t\t\t<div>\n\t\t\t\t\t\n\t\t\t\t\t<span class=\"page-next \">Next<i class=\"formcraft-icon\">keyboard_arrow_right<\/i><\/span><\/div>\n\t\t\t<\/div>\n\t\t<\/div><a class=\"powered-by\" target=\"_blank\" href=\"http:\/\/formcraft-wp.com?source=pb\"\/>FormCraft - WordPress form builder<\/a><\/div>\n\n\t\t\n<style>\n#text-3348295360 {\n  text-align: left;\n}\n<\/style>\n\t<\/div>\n\t\n\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n\n<\/div>\n\n\t\t<\/div>\n\n\t\t\n<style>\n#section_147676355 {\n  padding-top: 40px;\n  padding-bottom: 40px;\n}\n<\/style>\n\t<\/section>\n\t\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-blank.php","meta":{"footnotes":""},"class_list":["post-13656","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Agresiones - COMT<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/comt.cat\/agressions\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Agresiones - COMT\" \/>\n<meta property=\"og:url\" content=\"https:\/\/comt.cat\/agressions\/\" \/>\n<meta property=\"og:site_name\" content=\"COMT\" \/>\n<meta property=\"article:modified_time\" content=\"2022-02-16T17:16:31+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Tiempo de lectura\" \/>\n\t<meta name=\"twitter:data1\" content=\"2 minutos\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/comt.cat\\\/agressions\\\/\",\"url\":\"https:\\\/\\\/comt.cat\\\/agressions\\\/\",\"name\":\"Agresiones - COMT\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/comt.cat\\\/#website\"},\"datePublished\":\"2022-02-16T16:28:56+00:00\",\"dateModified\":\"2022-02-16T17:16:31+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/comt.cat\\\/agressions\\\/#breadcrumb\"},\"inLanguage\":\"es\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/comt.cat\\\/agressions\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/comt.cat\\\/agressions\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/comt.cat\\\/es\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Agresiones\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/comt.cat\\\/#website\",\"url\":\"https:\\\/\\\/comt.cat\\\/\",\"name\":\"COMT\",\"description\":\"Col\u00b7legi de Metges de Tarragona\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/comt.cat\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"es\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Agresiones - 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