{"id":51576,"date":"2026-04-22T11:54:00","date_gmt":"2026-04-22T11:54:00","guid":{"rendered":"https:\/\/www.lacala.com\/la-cala-spa-formularios\/health-questionnaire\/"},"modified":"2026-05-21T13:04:09","modified_gmt":"2026-05-21T13:04:09","slug":"health-questionnaire","status":"publish","type":"page","link":"https:\/\/www.lacala.com\/es\/spa-forms\/health-questionnaire\/","title":{"rendered":"Cuestionario de Salud"},"content":{"rendered":"\n<figure class=\"wp-block-image aligncenter size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"152\" src=\"https:\/\/www.lacala.com\/wp-content\/uploads\/2025\/04\/lacala-logofull-300x152.png.webp\" alt=\"\" class=\"wp-image-46112\" style=\"width:203px;height:auto\"\/><\/figure>\n<script>\nvar 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class=\"gfield_required gfield_required_asterisk\">*<\/span>&quot; se\u00f1ala los campos obligatorios<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_33'  action='\/es\/wp-json\/wp\/v2\/pages\/51576' data-formid='33' novalidate><div class='gf_invisible ginput_recaptchav3' data-sitekey='6LdlZikrAAAAAK8bstlbMan4sk7lMaHZCcWWYDdR' data-tabindex='0'><input id=\"input_14b3a2e7fde2c6d1e9b0a98b11e3bfc0\" class=\"gfield_recaptcha_response\" type=\"hidden\" name=\"input_14b3a2e7fde2c6d1e9b0a98b11e3bfc0\" value=\"\"\/><\/div>\n                        <div class='gform-body gform_body'><div id='gform_fields_33' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_33_107\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_33_107'><span class='gform-field-label__text'>Comments<\/span><\/label><div class='gfield_description' id='gfield_description_33_107'>Este campo es un campo de validaci\u00f3n y debe quedar sin cambios.<\/div><div class='ginput_container'><input name='input_107' id='input_33_107' type='text' value='' autocomplete='new-password'\/><\/div><\/div><div id=\"field_33_22\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Detalles personales<\/h3><\/div><fieldset id=\"field_33_25\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-quarter gfield_contains_required field_sublabel_hidden_label gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Nombre<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name no_last_name no_suffix gf_name_has_1 ginput_container_name gform-grid-row' id='input_33_25'>\n                            \n                            <span id='input_33_25_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_25.3' id='input_33_25_3' value=''   aria-required='true'    autocomplete=\"given-name\" \/>\n                                                    <label for='input_33_25_3' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Nombre<\/label>\n                                                <\/span>\n                            \n                            \n                            \n                        <\/div><\/fieldset><fieldset id=\"field_33_80\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-quarter gfield_contains_required field_sublabel_hidden_label gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Apellido<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix no_first_name no_middle_name has_last_name no_suffix gf_name_has_1 ginput_container_name gform-grid-row' id='input_33_80'>\n                            \n                            \n                            \n                            <span id='input_33_80_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_80.6' id='input_33_80_6' value=''   aria-required='true'    autocomplete=\"family-name\" \/>\n                                                    <label for='input_33_80_6' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Apellido<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><fieldset id=\"field_33_105\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-quarter gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>G\u00e9nero<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_33_105'>\n\t\t\t<div class='gchoice gchoice_33_105_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_105' type='radio' value='Femenino'  id='choice_33_105_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_33_105_0' id='label_33_105_0' class='gform-field-label gform-field-label--type-inline'>Femenino<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_33_105_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_105' type='radio' value='Masculino'  id='choice_33_105_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_33_105_1' id='label_33_105_1' class='gform-field-label gform-field-label--type-inline'>Masculino<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_33_106\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-quarter field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_33_106'><span class='gform-field-label__text'>N\u00famero de habitaci\u00f3n<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_106' id='input_33_106' type='number' step='any'   value='' class='large'      aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_33_87\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--phone-format-international gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_33_87'><span class='gform-field-label__text'>Tel\u00e9fono<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_87' id='input_33_87' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"    \/><\/div><\/div><div id=\"field_33_30\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_33_30'><span class='gform-field-label__text'>Email<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_30' id='input_33_30' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_33_79\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Para garantizar un tratamiento adecuado, marque las casillas correspondientes<\/h3><\/div><fieldset id=\"field_33_85\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gf_list_5col gfield--width-half gf_list_inline gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-columns\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Enfermedades o infecciones cut\u00e1neas<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_33_85'>\n\t\t\t<div class='gchoice gchoice_33_85_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_85' type='radio' value='Si'  id='choice_33_85_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_33_85_0' id='label_33_85_0' class='gform-field-label gform-field-label--type-inline'>Si<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_33_85_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_85' type='radio' value='No'  id='choice_33_85_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_33_85_1' id='label_33_85_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_33_88\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gf_list_5col gfield--width-half gf_list_inline gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-columns\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Cicatrices o cirug\u00eda reciente (menos de seis meses)<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_33_88'>\n\t\t\t<div class='gchoice gchoice_33_88_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_88' type='radio' value='Si'  id='choice_33_88_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_33_88_0' id='label_33_88_0' class='gform-field-label gform-field-label--type-inline'>Si<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_33_88_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_88' type='radio' value='No'  id='choice_33_88_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_33_88_1' id='label_33_88_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_33_90\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gf_list_5col gfield--width-half gf_list_inline gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-columns\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Claustrofobia<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_33_90'>\n\t\t\t<div class='gchoice gchoice_33_90_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_90' type='radio' value='Si'  id='choice_33_90_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_33_90_0' id='label_33_90_0' class='gform-field-label gform-field-label--type-inline'>Si<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_33_90_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_90' type='radio' value='No'  id='choice_33_90_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_33_90_1' id='label_33_90_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_33_91\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gf_list_5col gfield--width-half gf_list_inline gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-columns\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Embarazada<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_33_91'>\n\t\t\t<div class='gchoice gchoice_33_91_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_91' type='radio' value='Si'  id='choice_33_91_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_33_91_0' id='label_33_91_0' class='gform-field-label gform-field-label--type-inline'>Si<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_33_91_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_91' type='radio' value='No'  id='choice_33_91_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_33_91_1' id='label_33_91_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_33_98\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gf_list_5col gfield--width-half gf_list_inline gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-columns\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Cortes o abrasiones abiertas<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_33_98'>\n\t\t\t<div class='gchoice gchoice_33_98_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_98' type='radio' value='Si'  id='choice_33_98_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_33_98_0' id='label_33_98_0' class='gform-field-label gform-field-label--type-inline'>Si<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_33_98_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_98' type='radio' value='No'  id='choice_33_98_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_33_98_1' id='label_33_98_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_33_100\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gf_list_5col gfield--width-half gf_list_inline gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-columns\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Tratamientos anti-acn\u00e9 con roactut\u00e1n<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_33_100'>\n\t\t\t<div class='gchoice gchoice_33_100_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_100' type='radio' value='Si'  id='choice_33_100_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_33_100_0' id='label_33_100_0' class='gform-field-label gform-field-label--type-inline'>Si<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_33_100_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_100' type='radio' value='No'  id='choice_33_100_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_33_100_1' id='label_33_100_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_33_93\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gf_list_2col gfield--width-quarter gf_list_inline gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-columns\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Reacci\u00f3n al\u00e9rgica.<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_33_93'>\n\t\t\t<div class='gchoice gchoice_33_93_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_93' type='radio' value='Si'  id='choice_33_93_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_33_93_0' id='label_33_93_0' class='gform-field-label gform-field-label--type-inline'>Si<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_33_93_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_93' type='radio' value='No'  id='choice_33_93_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_33_93_1' id='label_33_93_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_33_96\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-three-quarter field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_33_96'><span class='gform-field-label__text'>Indicar cu\u00e1l<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_96' id='input_33_96' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_33_94\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gf_list_2col gfield--width-quarter gf_list_inline gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-columns\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Recibe tratamientos de &quot;peeling&quot;.<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_33_94'>\n\t\t\t<div class='gchoice gchoice_33_94_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_94' type='radio' value='Si'  id='choice_33_94_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_33_94_0' id='label_33_94_0' class='gform-field-label gform-field-label--type-inline'>Si<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_33_94_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_94' type='radio' value='No'  id='choice_33_94_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_33_94_1' id='label_33_94_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_33_97\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-three-quarter field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_33_97'><span class='gform-field-label__text'>\u00bfM\u00e9dico o abrasivo?<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_97' id='input_33_97' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_33_99\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gf_list_2col gfield--width-quarter gf_list_inline gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-columns\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Cualquier otro problema<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_33_99'>\n\t\t\t<div class='gchoice gchoice_33_99_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_99' type='radio' value='Si'  id='choice_33_99_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_33_99_0' id='label_33_99_0' class='gform-field-label gform-field-label--type-inline'>Si<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_33_99_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_99' type='radio' value='No'  id='choice_33_99_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_33_99_1' id='label_33_99_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_33_101\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-three-quarter field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_33_101'><span class='gform-field-label__text'>Indicate here, please<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_101' id='input_33_101' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_33_92\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><div class='gsection_description' id='gfield_description_33_92'><p align=\"left\">Se recomienda no usar lentes de contacto durante su visita al spa.<\/p>\n\n<p align=\"left\">El firmante asegura que la informaci\u00f3n facilitada a La Cala Spa respecto a su persona es veraz y que no se han omitido datos cuya observancia tendr\u00eda que tenerse en cuenta para usar los servicios, instalaciones y tratamientos del Spa.<\/p>\n\n<p align=\"left\">La Cala Spa por tanto no ser\u00e1 responsable de los da\u00f1os o perjuicios que pudiera sufrir el cliente durante o despu\u00e9s del uso de los servicios instalaciones y\/o tratamientos del Spa y que pudieran ser causa de errores, deficiencias u omisiones en el cuestionario de salud firmado por el cliente.<\/p><\/div><\/div><div id=\"field_33_75\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_hidden\"  ><h3 class=\"gsection_title\">Section Break<\/h3><\/div><div id=\"field_33_89\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_33_89'><span class='gform-field-label__text'>Fecha<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n\t\t\t\t\t<input\n\t\t\t\t\tplaceholder='dd\/mm\/aaaa'\n\t\t\t\t\tid='input_33_89'\n\t\t\t\t\tclass='datepicker gform-datepicker dmy datepicker_with_icon gdatepicker_with_icon'\n\t\t\t\t\ttype='text'\n\t\t\t\t\tname='input_89'\n\t\t\t\t\tvalue='04\/10\/2026'\n\t\t\t\t\t \n\t\t\t\t\taria-invalid=\"false\" \n\t\t\t\t\taria-required=\"true\"\n\t\t\t\t\t \n\t\t\t\t\t\n\t\t\t\t\tdata-mask=\"99\/99\/9999\"\n\t\t\t\t\t\/>\n\t\t\t\t<kbd id='keyboardHint_input_33_89' hidden class='down'><\/kbd>\n\t\t\t\t<button type='button' id='datepicker_toggle_input_33_89' class='gform-datepicker-toggle gform-datepicker-toggle--default accCalendar aria-date-picker gform-button gform-theme-button gform-theme-button--simple gform-theme-button--simple-in-ctrl' aria-expanded='false' aria-controls='input_33_89' aria-label='Fecha: Choose date on calendar' >\n\t\t\t\t\t\t\t<span class=\"gform-calendar-icon gform-datepicker-toggle-icon gform-datepicker-toggle-icon--default dashicons dashicons-calendar-alt\" aria-hidden=\"true\"><\/span>\n\t\t\t\t\t\t<\/button>\n\t\t\t<\/div><\/div><fieldset id=\"field_33_86\" class=\"gfield gfield--type-signature gfield--input-type-signature gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Firma<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class=\"ginput_container ginput_container_signature\"><input type='hidden' value='' name='input_86' id='input_33_86_signature_filename' class='gfield_signature_filename'\/><div class='gfield_signature_ui_container gform-theme__no-reset--children' ><div id='input_33_86_Container' class='gfield_signature_container' style='height:90px; width:300px; ' ><input type='hidden' id='input_33_86_data' name='input_33_86_data' class='gfield_signature_data' \/><canvas id=\"input_33_86\" width=\"300\" height=\"90\" style=\"border-style: Dashed; border-width: 2px; border-color: #757575; background-color:#FFFFFF; cursor: url(https:\/\/www.lacala.com\/wp-content\/plugins\/gravityformssignature\/assets\/img\/pen.cur), pointer;\" tabindex=\"0\" aria-label=\"Signature pad\" ><\/canvas><input type='text' id='input_33_86_textinput' name='input_33_86_textinput' class='gfield_signature_text_input' style='text-indent:10px;display:none;width:300px;height:90px;border-style:Dashed;border-width:2px;border-color:#757575;background-color:#FFFFFF;font-family:&quot;Snell Roundhand&quot;, &quot;Segoe Script&quot;, cursive;font-size:2em;padding:0 12px;box-sizing:border-box;color:#000000;' placeholder='Type your signature' autocomplete='off' aria-label='Type your signature' \/><style type='text\/css'>\n                #input_33_86_textinput::placeholder {\n                    font-size: 1.5rem;\n                    font-family: Arial;\n                    opacity: 0.8;\n                }\n            <\/style><\/div><div id='input_33_86_toolbar' class='gfield_signature_toolbar' dir='ltr' style='margin:5px 0;position:relative;height:35px;width:300px;max-width:100%;display:flex;align-items:center;'><div id='input_33_86_status' class='gfield_signature_status gform-visually-hidden' role='status' aria-live='polite' aria-atomic='true' style='position:absolute;width:1px;height:1px;padding:0;margin:-1px;overflow:hidden;clip:rect(0,0,0,0);white-space:nowrap;border:0;'><\/div><input type='hidden' id='input_33_86_font_select' class='gfield_signature_font_select' value='script' \/><div id='input_33_86_font_dropdown' class='gfield_signature_font_dropdown'><span class='gform-common-icon gform-common-icon--chevron-down gfield_signature_font_dropdown_icon'><\/span><button type='button' id='input_33_86_font_select_button' class='gfield_signature_font_select_button gform-theme__disable' tabindex='0' aria-haspopup='listbox' aria-expanded='false' aria-label='Font Options' style='width:100%;box-sizing:border-box;overflow:hidden;text-overflow:ellipsis;white-space:nowrap;font-family:\"Snell Roundhand\", \"Segoe Script\", cursive;color:#000000'>Your Name<\/button><ul id='input_33_86_font_select_list' class='gfield_signature_font_select_list' role='listbox' tabindex='-1' style='display:none;position:absolute;top:100%;left:0;right:0;margin:0;padding:0;list-style:none;background:#fff;border:1px solid #ccc;z-index:10;max-height:200px;overflow-y:auto;box-sizing:border-box;'><li class='gfield_signature_font_option' role='option' data-value='script' tabindex='0' style='font-family:&quot;Snell Roundhand&quot;, &quot;Segoe Script&quot;, cursive; color:#000000' aria-label='Your Name, Script style'>Your Name<\/li><li class='gfield_signature_font_option' role='option' data-value='handwritten' tabindex='0' style='font-family:&quot;Bradley Hand&quot;, &quot;Comic Sans MS&quot;, cursive; color:#000000' aria-label='Your Name, Handwritten style'>Your Name<\/li><li class='gfield_signature_font_option' role='option' data-value='print' tabindex='0' style='font-family:&quot;Noteworthy&quot;, &quot;Segoe Print&quot;, cursive; color:#000000' aria-label='Your Name, Print style'>Your Name<\/li><\/ul><\/div><div class='gfield_signature_toolbar_icons' style='margin-left:auto;display:flex;align-items:center;'><button type='button' id='input_33_86_textbutton' class='gform-common-icon gform-common-icon--text-field gfield_signature_text_button gform-theme-no-framework' tabindex='0' style='background:none;border:0;padding:0;margin:0;appearance:none;-webkit-appearance:none;cursor:pointer;' alt='Text Signature' aria-label='Text Signature'><\/button><button type='button' id='input_33_86_drawbutton' class='gform-common-icon gform-common-icon--pencil gfield_signature_draw_button gform-theme-no-framework' tabindex='0' style='display:none;background:none;border:0;padding:0;margin:0;appearance:none;-webkit-appearance:none;cursor:pointer;' alt='Draw Signature' aria-label='Draw Signature'><\/button><button type='button' id='input_33_86_resetbutton' class='gform-common-icon gform-common-icon--arrow-path gfield_signature_reset_button gform-theme-no-framework' tabindex='0' style='background:none;border:0;padding:0;margin:0;appearance:none;-webkit-appearance:none;cursor:pointer;' alt='Clear Signature' aria-label='Clear Signature'><\/button><\/div><\/div><\/div><\/div><\/fieldset><fieldset id=\"field_33_103\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>T\u00e9rminos y condiciones<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_103.1' id='input_33_103_1' type='checkbox' value='1'   aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_33_103_1' ><span class='gform-field-label__text'>He leido y estoy de acuerdo con los <a href=\"https:\/\/www.lacala.com\/privacy-policy\/\">T\u00e9rminos y condiciones y la pol\u00edtica de privacidad<\/a><\/b><\/span><\/label><input type='hidden' name='input_103.2' value='He leido y estoy de acuerdo con los &lt;a href=&quot;https:\/\/www.lacala.com\/privacy-policy\/&quot;&gt;T\u00e9rminos y condiciones y la pol\u00edtica de privacidad&lt;\/a&gt;&lt;\/b&gt;' class='gform_hidden' \/><input type='hidden' name='input_103.3' value='12' class='gform_hidden' \/><\/div><\/fieldset><fieldset id=\"field_33_104\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gf_list_2col gfield--width-half gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-columns\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Comunicaciones comerciales<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_33_104'><p style=\"font-size:0.75em\">\n*Al hacer clic en el bot\u00f3n \u00abS\u00ed\u00bb, acepto que La Cala Resort me env\u00ede informaci\u00f3n comercial y autorizo el uso de mi direcci\u00f3n de correo electr\u00f3nico y mis datos personales para este fin. La recogida y el tratamiento de esta informaci\u00f3n se realizar\u00e1n de conformidad con la legislaci\u00f3n aplicable, la Ley Org\u00e1nica 15\/1999, de 13 de diciembre, de Protecci\u00f3n de Datos de Car\u00e1cter Personal. Los datos se incorporar\u00e1n y tratar\u00e1n en una base de datos que le otorga el derecho a rectificar la informaci\u00f3n o a solicitar su eliminaci\u00f3n de la base de datos. La Cala Resort es el responsable de esta base de datos.    <\/p><\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_33_104'>\n\t\t\t<div class='gchoice gchoice_33_104_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_104' type='radio' value='Si'  id='choice_33_104_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_33_104\"   \/>\n\t\t\t\t\t<label for='choice_33_104_0' id='label_33_104_0' class='gform-field-label gform-field-label--type-inline'>Si<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_33_104_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_104' type='radio' value='No'  id='choice_33_104_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_33_104_1' id='label_33_104_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div><\/div>\n        <div class='gform-footer gform_footer 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