{"id":84999,"date":"2024-04-15T10:09:34","date_gmt":"2024-04-15T10:09:34","guid":{"rendered":"https:\/\/www.scoan.org\/cuestionario\/"},"modified":"2024-04-18T13:43:21","modified_gmt":"2024-04-18T13:43:21","slug":"cuestionario","status":"publish","type":"page","link":"https:\/\/www.scoan.org\/es\/cuestionario\/","title":{"rendered":"Cuestionario"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"84999\" class=\"elementor elementor-84999\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5b186843 e-flex e-con-boxed e-con e-parent\" data-id=\"5b186843\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4c5f08d6 elementor-button-align-stretch elementor-widget elementor-widget-form\" data-id=\"4c5f08d6\" data-element_type=\"widget\" data-settings=\"{&quot;button_width&quot;:&quot;40&quot;,&quot;step_next_label&quot;:&quot;Siguiente&quot;,&quot;step_previous_label&quot;:&quot;Anterior&quot;,&quot;step_type&quot;:&quot;number_text&quot;,&quot;step_icon_shape&quot;:&quot;circle&quot;}\" data-widget_type=\"form.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<form class=\"elementor-form\" method=\"post\" name=\"Cuestionario\" aria-label=\"Cuestionario\">\n\t\t\t<input type=\"hidden\" name=\"post_id\" value=\"84999\"\/>\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"4c5f08d6\"\/>\n\t\t\t<input type=\"hidden\" name=\"referer_title\" value=\"The Synagogue, Church Of All Nations &#8211; SCOAN &#8211; Prophet T.B. 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value=\"Burundi\">Burundi<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Camboya\">Camboya<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Camer\u00fan\">Camer\u00fan<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Canad\u00e1\">Canad\u00e1<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Cabo Verde\">Cabo Verde<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Rep\u00fablica Centroafricana\">Rep\u00fablica Centroafricana<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Chad\">Chad<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Chile\">Chile<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"China\">China<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Colombia\">Colombia<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Comoras\">Comoras<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Congo\">Congo<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Rep\u00fablica Democr\u00e1tica del Congo\">Rep\u00fablica Democr\u00e1tica del Congo<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Costa Rica\">Costa 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value=\"Guinea-Bissau\">Guinea-Bissau<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Guyana\">Guyana<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Hait\u00ed\">Hait\u00ed<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Honduras\">Honduras<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Hungr\u00eda\">Hungr\u00eda<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Islandia\">Islandia<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"India\">India<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Indonesia\">Indonesia<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Ir\u00e1n\">Ir\u00e1n<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Iraq\">Iraq<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Irlanda {Rep\u00fablica}\">Irlanda {Rep\u00fablica}<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Israel\">Israel<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Italia\">Italia<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Costa de Marfil\">Costa de Marfil<\/option>\n\t\t\t\t\t\t\t\t\t<option 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value=\"Mauricio\">Mauricio<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"M\u00e9xico\">M\u00e9xico<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Micronesia\">Micronesia<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Moldavia\">Moldavia<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"M\u00f3naco\">M\u00f3naco<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Mongolia\">Mongolia<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Montenegro\">Montenegro<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Marruecos\">Marruecos<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Mozambique\">Mozambique<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Myanmar, {Birmania}\">Myanmar, {Birmania}<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Namibia\">Namibia<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Nauru\">Nauru<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Nepal\">Nepal<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Pa\u00edses Bajos\">Pa\u00edses Bajos<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"N\u00edger\">N\u00edger<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Nicaragua\">Nicaragua<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"N\u00edger\">N\u00edger<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Nigeria\">Nigeria<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Noruega\">Noruega<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Om\u00e1n\">Om\u00e1n<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Pakist\u00e1n\">Pakist\u00e1n<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Palau\">Palau<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Panam\u00e1\">Panam\u00e1<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Pap\u00faa Nueva Guinea\">Pap\u00faa Nueva Guinea<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Paraguay\">Paraguay<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Per\u00fa\">Per\u00fa<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Filipinas\">Filipinas<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Polonia\">Polonia<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Portugal\">Portugal<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Qatar\">Qatar<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Ruman\u00eda\">Ruman\u00eda<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Rep\u00fablica Checa\">Rep\u00fablica Checa<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Ruanda\">Ruanda<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"San Crist\u00f3bal y Nieves\">San Crist\u00f3bal y Nieves<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Santa Luc\u00eda\">Santa Luc\u00eda<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"San Vicente y las Granadinas\">San Vicente y las Granadinas<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Samoa\">Samoa<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"San Marino\">San Marino<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Santo Tom\u00e9 y Pr\u00edncipe\">Santo Tom\u00e9 y Pr\u00edncipe<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Santo Tom\u00e9 y Pr\u00edncipe\">Santo Tom\u00e9 y Pr\u00edncipe<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Senegal\">Senegal<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Serbia\">Serbia<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Seychelles\">Seychelles<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Sierra Leona\">Sierra Leona<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Singapur\">Singapur<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Eslovaquia\">Eslovaquia<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Eslovenia\">Eslovenia<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Islas Salom\u00f3n\">Islas Salom\u00f3n<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Somalia\">Somalia<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Sud\u00e1n del Sur\">Sud\u00e1n del Sur<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Sud\u00e1n del Sur\">Sud\u00e1n del Sur<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Espa\u00f1a\">Espa\u00f1a<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Sri Lanka\">Sri Lanka<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Sud\u00e1n\">Sud\u00e1n<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Surinam\">Surinam<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Suazilandia\">Suazilandia<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Suecia\">Suecia<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Suiza\">Suiza<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Siria\">Siria<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Taiw\u00e1n\">Taiw\u00e1n<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Tayikist\u00e1n\">Tayikist\u00e1n<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Tanzania\">Tanzania<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Tailandia\">Tailandia<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Togo\">Togo<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Tonga\">Tonga<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Trinidad y Tobago\">Trinidad y Tobago<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"T\u00fanez\">T\u00fanez<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Turqu\u00eda\">Turqu\u00eda<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Turkmenist\u00e1n\">Turkmenist\u00e1n<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Tuvalu\">Tuvalu<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Uganda\">Uganda<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Ucrania\">Ucrania<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Emiratos \u00c1rabes Unidos\">Emiratos \u00c1rabes Unidos<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Reino Unido\">Reino Unido<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Uruguay\">Uruguay<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Uruguay\">Uruguay<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Uzbekist\u00e1n\">Uzbekist\u00e1n<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Vanuatu\">Vanuatu<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Ciudad del Vaticano\">Ciudad del Vaticano<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Venezuela\">Venezuela<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Vietnam\">Vietnam<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Yemen\">Yemen<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Zambia\">Zambia<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Zimbabue\">Zimbabue<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_a01e902 elementor-col-60\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_a01e902\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tProfesi\u00f3n\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_a01e902]\" id=\"form-field-field_a01e902\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-email elementor-field-group elementor-column elementor-field-group-email elementor-col-60 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-email\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tCorreo electr\u00f3nico\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"email\" name=\"form_fields[email]\" id=\"form-field-email\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_c643aeb elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_c643aeb\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tTel\u00e9fono\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_c643aeb]\" id=\"form-field-field_c643aeb\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Introducir tel\u00e9fono con c\u00f3digo de pa\u00eds\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_019e966 elementor-col-60\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_019e966\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tNombre de un pariente\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_019e966]\" id=\"form-field-field_019e966\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_ae81fbc elementor-col-60\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_ae81fbc\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tTel\u00e9fono de un pariente\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_ae81fbc]\" id=\"form-field-field_ae81fbc\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_0e91d00 elementor-col-60\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_0e91d00\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tCorreo electr\u00f3nico de un pariente\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_0e91d00]\" id=\"form-field-field_0e91d00\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_e0f8e48 elementor-col-20 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_e0f8e48\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t\u00bfTiene alguna enfermedad? \t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-eicon-caret-down\" viewBox=\"0 0 571.4 571.4\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M571 393Q571 407 561 418L311 668Q300 679 286 679T261 668L11 418Q0 407 0 393T11 368 36 357H536Q550 357 561 368T571 393Z\"><\/path><\/svg>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_e0f8e48]\" id=\"form-field-field_e0f8e48\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"S\u00cd \">S\u00cd <\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"NO\">NO<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_05c9ad6 elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_05c9ad6\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tPor favor, indique la naturaleza del problema que tiene y todos los s\u00edntomas. Especifique detalladamente \t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[field_05c9ad6]\" id=\"form-field-field_05c9ad6\" rows=\"4\" required=\"required\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_00a387e elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_00a387e\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t\u00bfPor cu\u00e1nto tiempo ha tenido este problema? \t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[field_00a387e]\" id=\"form-field-field_00a387e\" rows=\"4\" required=\"required\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_f4997b7 elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_f4997b7\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tMencione todos los medicamentos que est\u00e1 tomando o que ha tomado debido a este problema\/condici\u00f3n \t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[field_f4997b7]\" id=\"form-field-field_f4997b7\" rows=\"4\" required=\"required\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_0fad8a3 elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_0fad8a3\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t\u00bfC\u00f3mo ha afectado el problema a su vida diaria? \t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_0fad8a3]\" id=\"form-field-field_0fad8a3\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_7feb422 elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_7feb422\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t\u00bfHa estado hospitalizado alguna vez? En caso afirmativo, \u00bfcu\u00e1ndo? \t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[field_7feb422]\" id=\"form-field-field_7feb422\" rows=\"4\" required=\"required\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_5780941 elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_5780941\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSi es VIH positivo, indique su estado \t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-eicon-caret-down\" viewBox=\"0 0 571.4 571.4\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M571 393Q571 407 561 418L311 668Q300 679 286 679T261 668L11 418Q0 407 0 393T11 368 36 357H536Q550 357 561 368T571 393Z\"><\/path><\/svg>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_5780941]\" id=\"form-field-field_5780941\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"Ninguno\">Ninguno<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"VIH1\">VIH1<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"VIH2\">VIH2<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"VIH3\">VIH3<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_fb1bd32 elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_fb1bd32\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t*Todos los pacientes con VIH tienen que venir con su informe confirmatorio de VIH impreso original m\u00e1s reciente cuando se confirme su visita. Tenga en cuenta que no se aceptar\u00e1 ning\u00fan informe de cribado, s\u00f3lo un informe confirmatorio que indique claramente que este paciente es VIH I, II O III positivo, y debe estar escrito a m\u00e1quina en papel con membrete del hospital. Debe ser un hospital reconocido por el gobierno de su pa\u00eds. No puede venir sin el informe m\u00e9dico correcto. \u00bfUtiliza alg\u00fan tipo de aparato ortop\u00e9dico? \t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-eicon-caret-down\" viewBox=\"0 0 571.4 571.4\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M571 393Q571 407 561 418L311 668Q300 679 286 679T261 668L11 418Q0 407 0 393T11 368 36 357H536Q550 357 561 368T571 393Z\"><\/path><\/svg>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_fb1bd32]\" id=\"form-field-field_fb1bd32\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"S\u00cd \">S\u00cd <\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"NO\">NO<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_1f62420 elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_1f62420\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t\u00bfUtiliza alg\u00fan tipo de ayuda para caminar (muleta, bast\u00f3n, etc.) o silla de ruedas? \t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-eicon-caret-down\" viewBox=\"0 0 571.4 571.4\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M571 393Q571 407 561 418L311 668Q300 679 286 679T261 668L11 418Q0 407 0 393T11 368 36 357H536Q550 357 561 368T571 393Z\"><\/path><\/svg>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_1f62420]\" id=\"form-field-field_1f62420\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"S\u00cd \">S\u00cd <\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"NO\">NO<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_1fab9df elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_1fab9df\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t\u00bfUtiliza alg\u00fan dispositivo m\u00e9dico como apoyo para su estado de salud? \t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-eicon-caret-down\" viewBox=\"0 0 571.4 571.4\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M571 393Q571 407 561 418L311 668Q300 679 286 679T261 668L11 418Q0 407 0 393T11 368 36 357H536Q550 357 561 368T571 393Z\"><\/path><\/svg>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_1fab9df]\" id=\"form-field-field_1fab9df\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"S\u00cd \">S\u00cd <\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"NO\">NO<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_dc8346c elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_dc8346c\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t\u00bfEst\u00e1 cojeando? \t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-eicon-caret-down\" viewBox=\"0 0 571.4 571.4\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M571 393Q571 407 561 418L311 668Q300 679 286 679T261 668L11 418Q0 407 0 393T11 368 36 357H536Q550 357 561 368T571 393Z\"><\/path><\/svg>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_dc8346c]\" id=\"form-field-field_dc8346c\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"S\u00cd \">S\u00cd <\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"NO\">NO<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_6f461b7 elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_6f461b7\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t\u00bfSigue realizando sus actividades diarias con normalidad sin utilizar ning\u00fan tipo de ayuda o asistencia de otras personas? \t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-eicon-caret-down\" viewBox=\"0 0 571.4 571.4\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M571 393Q571 407 561 418L311 668Q300 679 286 679T261 668L11 418Q0 407 0 393T11 368 36 357H536Q550 357 561 368T571 393Z\"><\/path><\/svg>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_6f461b7]\" id=\"form-field-field_6f461b7\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"S\u00cd \">S\u00cd <\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"NO\">NO<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_4f417f4 elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_4f417f4\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t\u00bfPuede caminar con normalidad\/subir escaleras sin ayuda? \t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-eicon-caret-down\" viewBox=\"0 0 571.4 571.4\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M571 393Q571 407 561 418L311 668Q300 679 286 679T261 668L11 418Q0 407 0 393T11 368 36 357H536Q550 357 561 368T571 393Z\"><\/path><\/svg>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_4f417f4]\" id=\"form-field-field_4f417f4\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"S\u00cd \">S\u00cd <\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"NO\">NO<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_6968675 elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_6968675\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t\u00bfExperimenta debilidad corporal? \t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-eicon-caret-down\" viewBox=\"0 0 571.4 571.4\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M571 393Q571 407 561 418L311 668Q300 679 286 679T261 668L11 418Q0 407 0 393T11 368 36 357H536Q550 357 561 368T571 393Z\"><\/path><\/svg>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_6968675]\" id=\"form-field-field_6968675\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"S\u00cd \">S\u00cd <\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"NO\">NO<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_894e725 elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_894e725\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t\u00bfSe ha sometido a alguna intervenci\u00f3n quir\u00fargica u otro tipo de terapia como consecuencia del problema\/afecci\u00f3n? En caso afirmativo, indique los detalles. \t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[field_894e725]\" id=\"form-field-field_894e725\" rows=\"4\" required=\"required\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_ababf89 elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_ababf89\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t\u00bfTiene alguna parte del cuerpo hinchada? Si es as\u00ed, \u00bfd\u00f3nde? \t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[field_ababf89]\" id=\"form-field-field_ababf89\" rows=\"4\" required=\"required\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_538b9cb elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_538b9cb\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t\u00bfTiene alguna herida abierta? Si es as\u00ed, \u00bfd\u00f3nde? \t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[field_538b9cb]\" id=\"form-field-field_538b9cb\" rows=\"4\" required=\"required\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_804581d elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_804581d\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t\u00bfEst\u00e1 siguiendo una dieta especial como consecuencia de su enfermedad\/problema? En caso afirmativo, indique los detalles \t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[field_804581d]\" id=\"form-field-field_804581d\" rows=\"4\" required=\"required\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_e5c43b9 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_e5c43b9\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t \u00bfTiene alguna otra enfermedad o problema? En caso afirmativo, indique todos los s\u00edntomas, tratamientos y medicamentos\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[field_e5c43b9]\" id=\"form-field-field_e5c43b9\" rows=\"4\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_e69f4f3 elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_e69f4f3\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t\u00bfTiene intenci\u00f3n de venir s\u00f3lo o acompa\u00f1ado? (Si va a venir acompa\u00f1ado, pida a cada una de las personas que le acompa\u00f1en que env\u00eden tambi\u00e9n este cuestionario, indicando en la secci\u00f3n de comentarios que tienen intenci\u00f3n de venir con usted) \t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-eicon-caret-down\" viewBox=\"0 0 571.4 571.4\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M571 393Q571 407 561 418L311 668Q300 679 286 679T261 668L11 418Q0 407 0 393T11 368 36 357H536Q550 357 561 368T571 393Z\"><\/path><\/svg>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_e69f4f3]\" id=\"form-field-field_e69f4f3\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"S\u00f3lo\">S\u00f3lo<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Acompa\u00f1ado\">Acompa\u00f1ado<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_8a8c2e7 elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_8a8c2e7\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t\u00bfC\u00f3mo se enter\u00f3 de la existencia de La Sinagoga, Iglesia De Todas Las Naciones? \t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[field_8a8c2e7]\" id=\"form-field-field_8a8c2e7\" rows=\"4\" required=\"required\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_5c21f6b elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_5c21f6b\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tComentarios \t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[field_5c21f6b]\" id=\"form-field-field_5c21f6b\" rows=\"4\" required=\"required\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-group elementor-column elementor-field-type-submit elementor-col-40 e-form__buttons\">\n\t\t\t\t\t<button class=\"elementor-button elementor-size-md\" type=\"submit\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Enviar Cuestionario<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/button>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/form>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"","protected":false},"author":73,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_vp_format_video_url":"","_vp_image_focal_point":[],"footnotes":""},"class_list":["post-84999","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v25.3.1 (Yoast SEO v27.6) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Cuestionario - The Synagogue, Church Of All Nations - SCOAN - Prophet T.B. Joshua<\/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:\/\/www.scoan.org\/es\/cuestionario\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Cuestionario\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.scoan.org\/es\/cuestionario\/\" \/>\n<meta property=\"og:site_name\" content=\"The Synagogue, Church Of All Nations - SCOAN - Prophet T.B. 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