{"id":2915,"date":"2022-11-29T17:46:12","date_gmt":"2022-11-29T20:46:12","guid":{"rendered":"https:\/\/draanapaulapucci.com.br\/?page_id=2915"},"modified":"2022-11-29T18:23:48","modified_gmt":"2022-11-29T21:23:48","slug":"dtm-e-dor-orofacial-reabilitacao-oral","status":"publish","type":"page","link":"https:\/\/draanapaulapucci.com.br\/?page_id=2915","title":{"rendered":"DTM e Dor Orofacial &#8211; Reabilita\u00e7\u00e3o Oral"},"content":{"rendered":"<div data-colibri-id=\"2915-c1\" class=\"style-1228 style-local-2915-c1 position-relative\">\n  <!---->\n  <div data-colibri-component=\"section\" data-colibri-id=\"2915-c2\" id=\"custom\" class=\"h-section h-section-global-spacing d-flex align-items-lg-center align-items-md-center align-items-center style-1229 style-local-2915-c2 position-relative\">\n    <!---->\n    <!---->\n    <div class=\"h-section-grid-container h-section-boxed-container\">\n      <!---->\n      <div data-colibri-id=\"2915-c5\" class=\"h-row-container gutters-row-lg-2 gutters-row-md-2 gutters-row-0 gutters-row-v-lg-2 gutters-row-v-md-2 gutters-row-v-2 style-1232 style-local-2915-c5 position-relative\">\n        <!---->\n        <div class=\"h-row justify-content-lg-center justify-content-md-center justify-content-center align-items-lg-stretch align-items-md-stretch align-items-stretch gutters-col-lg-2 gutters-col-md-2 gutters-col-0 gutters-col-v-lg-2 gutters-col-v-md-2 gutters-col-v-2\">\n          <!---->\n          <div class=\"h-column h-column-container d-flex h-col-lg-auto h-col-md-auto h-col-auto style-1233-outer style-local-2915-c6-outer\">\n            <div data-colibri-id=\"2915-c6\" class=\"d-flex h-flex-basis h-column__inner h-px-lg-2 h-px-md-2 h-px-2 v-inner-lg-2 v-inner-md-2 v-inner-2 style-1233 style-local-2915-c6 position-relative\">\n              <!---->\n              <!---->\n              <div class=\"w-100 h-y-container h-column__content h-column__v-align flex-basis-100 align-self-lg-start align-self-md-start align-self-start\">\n                <!---->\n                <div data-colibri-id=\"2915-c7\" class=\"h-global-transition-all h-heading style-1234 style-local-2915-c7 position-relative h-element\">\n                  <!---->\n                  <div class=\"h-heading__outer style-1234 style-local-2915-c7\">\n                    <!---->\n                    <!---->\n                    <h3 class=\"\">Essas informa\u00e7\u00f5es s\u00e3o de extrema import\u00e2ncia para o seu diagn\u00f3stico.<\/h3>\n                  <\/div>\n                <\/div>\n              <\/div>\n            <\/div>\n          <\/div>\n        <\/div>\n      <\/div>\n      <div data-colibri-id=\"2915-c8\" class=\"h-row-container gutters-row-lg-1 gutters-row-md-1 gutters-row-0 gutters-row-v-lg-1 gutters-row-v-md-1 gutters-row-v-1 style-1235 style-local-2915-c8 position-relative\">\n        <!---->\n        <div class=\"h-row justify-content-lg-center justify-content-md-center justify-content-center align-items-lg-stretch align-items-md-stretch align-items-stretch gutters-col-lg-1 gutters-col-md-1 gutters-col-0 gutters-col-v-lg-1 gutters-col-v-md-1 gutters-col-v-1\">\n          <!---->\n          <div class=\"h-column h-column-container d-flex h-col-lg-auto h-col-md-auto h-col-auto style-1236-outer style-local-2915-c9-outer\">\n            <div data-colibri-id=\"2915-c9\" class=\"d-flex h-flex-basis h-column__inner h-px-lg-1 h-px-md-1 h-px-1 v-inner-lg-1 v-inner-md-1 v-inner-1 style-1236 style-local-2915-c9 position-relative\">\n              <!---->\n              <!---->\n              <div class=\"w-100 h-y-container h-column__content h-column__v-align flex-basis-100 align-self-lg-start align-self-md-start align-self-start\">\n                <!---->\n                <div data-colibri-id=\"2915-c10\" class=\"h-text h-text-component style-1237 style-local-2915-c10 position-relative h-element\">\n                  <!---->\n                  <!---->\n                  <div class=\"\">\n                    <div class=\"forminator-ui forminator-custom-form forminator-custom-form-2938 forminator-design--material  forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-2938\" data-uid=\"69e0bb435ff62\"><br\/><\/div><form\n\t\t\t\tid=\"forminator-module-2938\"\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-2938 forminator-design--material  forminator_ajax\"\n\t\t\t\tmethod=\"post\"\n\t\t\t\tdata-forminator-render=\"0\"\n\t\t\t\tdata-form-id=\"2938\"\n\t\t\t\t data-color-option=\"default\" data-design=\"material\" data-grid=\"open\" style=\"display: none;\"\n\t\t\t\tdata-uid=\"69e0bb435ff62\"\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div class=\"forminator-row\"><div id=\"name-1\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-1_69e0bb435ff62\" id=\"forminator-field-name-1_69e0bb435ff62-label\" class=\"forminator-label\">Qual seu nome completo? <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-1\" value=\"\" placeholder=\"Sua resposta\" id=\"forminator-field-name-1_69e0bb435ff62\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-2\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-2_69e0bb435ff62\" id=\"forminator-field-name-2_69e0bb435ff62-label\" class=\"forminator-label\">N\u00famero de telefone e Whatsapp com DDD <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-2\" value=\"\" placeholder=\"Sua resposta\" id=\"forminator-field-name-2_69e0bb435ff62\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-3\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-3_69e0bb435ff62\" id=\"forminator-field-name-3_69e0bb435ff62-label\" class=\"forminator-label\">Qual sua cidade? <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-3\" value=\"\" placeholder=\"Sua resposta\" id=\"forminator-field-name-3_69e0bb435ff62\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-4\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-4_69e0bb435ff62\" id=\"forminator-field-name-4_69e0bb435ff62-label\" class=\"forminator-label\">Qual sua data de nascimento? <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-4\" value=\"\" placeholder=\"Sua resposta\" id=\"forminator-field-name-4_69e0bb435ff62\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-5\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-5_69e0bb435ff62\" id=\"forminator-field-name-5_69e0bb435ff62-label\" class=\"forminator-label\">Explique o que est\u00e1 te incomodando: <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-5\" value=\"\" placeholder=\"Sua resposta\" id=\"forminator-field-name-5_69e0bb435ff62\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"section-1\" class=\"forminator-field-section forminator-col forminator-col-12 \"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Assinale quais sinais e sintomas voc\u00ea sente:<\/h2><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-1\" class=\"forminator-field-checkbox forminator-col forminator-col-3 \"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-1-69e0bb435ff62-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-1-69e0bb435ff62-label\" class=\"forminator-label\">Dor no rosto<\/span><label id=\"forminator-field-checkbox-1-1-69e0bb435ff62-label\" for=\"forminator-field-checkbox-1-1-69e0bb435ff62\" class=\"forminator-checkbox\" title=\"lado direito\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"one\" id=\"forminator-field-checkbox-1-1-69e0bb435ff62\" aria-labelledby=\"forminator-field-checkbox-1-1-69e0bb435ff62-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">lado direito<\/span><\/label><label id=\"forminator-field-checkbox-1-2-69e0bb435ff62-label\" for=\"forminator-field-checkbox-1-2-69e0bb435ff62\" class=\"forminator-checkbox\" title=\"lado esquerdo\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"two\" id=\"forminator-field-checkbox-1-2-69e0bb435ff62\" aria-labelledby=\"forminator-field-checkbox-1-2-69e0bb435ff62-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">lado esquerdo<\/span><\/label><\/div><\/div><div id=\"checkbox-4\" class=\"forminator-field-checkbox forminator-col forminator-col-3 \"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-4-69e0bb435ff62-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-4-69e0bb435ff62-label\" class=\"forminator-label\">Dor na cabe\u00e7a<\/span><label id=\"forminator-field-checkbox-4-1-69e0bb435ff62-label\" for=\"forminator-field-checkbox-4-1-69e0bb435ff62\" class=\"forminator-checkbox\" title=\"lado direito\"><input type=\"checkbox\" name=\"checkbox-4[]\" value=\"one\" id=\"forminator-field-checkbox-4-1-69e0bb435ff62\" aria-labelledby=\"forminator-field-checkbox-4-1-69e0bb435ff62-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">lado direito<\/span><\/label><label id=\"forminator-field-checkbox-4-2-69e0bb435ff62-label\" for=\"forminator-field-checkbox-4-2-69e0bb435ff62\" class=\"forminator-checkbox\" title=\"lado esquerdo\"><input type=\"checkbox\" name=\"checkbox-4[]\" value=\"two\" id=\"forminator-field-checkbox-4-2-69e0bb435ff62\" aria-labelledby=\"forminator-field-checkbox-4-2-69e0bb435ff62-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">lado esquerdo<\/span><\/label><\/div><\/div><div id=\"checkbox-3\" class=\"forminator-field-checkbox forminator-col forminator-col-3 \"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-3-69e0bb435ff62-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-3-69e0bb435ff62-label\" class=\"forminator-label\">Dor ou desconforto quando mastiga<\/span><label id=\"forminator-field-checkbox-3-1-69e0bb435ff62-label\" for=\"forminator-field-checkbox-3-1-69e0bb435ff62\" class=\"forminator-checkbox\" title=\"lado direito\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"one\" id=\"forminator-field-checkbox-3-1-69e0bb435ff62\" aria-labelledby=\"forminator-field-checkbox-3-1-69e0bb435ff62-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">lado direito<\/span><\/label><label id=\"forminator-field-checkbox-3-2-69e0bb435ff62-label\" for=\"forminator-field-checkbox-3-2-69e0bb435ff62\" class=\"forminator-checkbox\" title=\"lado esquerdo\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"two\" id=\"forminator-field-checkbox-3-2-69e0bb435ff62\" aria-labelledby=\"forminator-field-checkbox-3-2-69e0bb435ff62-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">lado esquerdo<\/span><\/label><\/div><\/div><div id=\"checkbox-2\" class=\"forminator-field-checkbox forminator-col forminator-col-3 \"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-2-69e0bb435ff62-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-2-69e0bb435ff62-label\" class=\"forminator-label\">Dor no dente<\/span><label id=\"forminator-field-checkbox-2-1-69e0bb435ff62-label\" for=\"forminator-field-checkbox-2-1-69e0bb435ff62\" class=\"forminator-checkbox\" title=\"lado direito\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"one\" id=\"forminator-field-checkbox-2-1-69e0bb435ff62\" aria-labelledby=\"forminator-field-checkbox-2-1-69e0bb435ff62-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">lado direito<\/span><\/label><label id=\"forminator-field-checkbox-2-2-69e0bb435ff62-label\" for=\"forminator-field-checkbox-2-2-69e0bb435ff62\" class=\"forminator-checkbox\" title=\"lado esquerdo\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"two\" id=\"forminator-field-checkbox-2-2-69e0bb435ff62\" aria-labelledby=\"forminator-field-checkbox-2-2-69e0bb435ff62-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">lado esquerdo<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-8\" class=\"forminator-field-checkbox forminator-col forminator-col-3 \"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-8-69e0bb435ff62-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-8-69e0bb435ff62-label\" class=\"forminator-label\">Estalos na articula\u00e7\u00e3o<\/span><label id=\"forminator-field-checkbox-8-1-69e0bb435ff62-label\" for=\"forminator-field-checkbox-8-1-69e0bb435ff62\" class=\"forminator-checkbox\" title=\"lado direito\"><input type=\"checkbox\" name=\"checkbox-8[]\" value=\"one\" id=\"forminator-field-checkbox-8-1-69e0bb435ff62\" aria-labelledby=\"forminator-field-checkbox-8-1-69e0bb435ff62-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">lado direito<\/span><\/label><label id=\"forminator-field-checkbox-8-2-69e0bb435ff62-label\" for=\"forminator-field-checkbox-8-2-69e0bb435ff62\" class=\"forminator-checkbox\" title=\"lado esquerdo\"><input type=\"checkbox\" name=\"checkbox-8[]\" value=\"two\" id=\"forminator-field-checkbox-8-2-69e0bb435ff62\" aria-labelledby=\"forminator-field-checkbox-8-2-69e0bb435ff62-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">lado esquerdo<\/span><\/label><\/div><\/div><div id=\"checkbox-7\" class=\"forminator-field-checkbox forminator-col forminator-col-3 \"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-7-69e0bb435ff62-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-7-69e0bb435ff62-label\" class=\"forminator-label\">Barulho de areia na articula\u00e7\u00e3o<\/span><label id=\"forminator-field-checkbox-7-1-69e0bb435ff62-label\" for=\"forminator-field-checkbox-7-1-69e0bb435ff62\" class=\"forminator-checkbox\" title=\"lado direito\"><input type=\"checkbox\" name=\"checkbox-7[]\" value=\"one\" id=\"forminator-field-checkbox-7-1-69e0bb435ff62\" aria-labelledby=\"forminator-field-checkbox-7-1-69e0bb435ff62-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">lado direito<\/span><\/label><label id=\"forminator-field-checkbox-7-2-69e0bb435ff62-label\" for=\"forminator-field-checkbox-7-2-69e0bb435ff62\" class=\"forminator-checkbox\" title=\"lado esquerdo\"><input type=\"checkbox\" name=\"checkbox-7[]\" value=\"two\" id=\"forminator-field-checkbox-7-2-69e0bb435ff62\" aria-labelledby=\"forminator-field-checkbox-7-2-69e0bb435ff62-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">lado esquerdo<\/span><\/label><\/div><\/div><div id=\"checkbox-6\" class=\"forminator-field-checkbox forminator-col forminator-col-3 \"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-6-69e0bb435ff62-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-6-69e0bb435ff62-label\" class=\"forminator-label\">Dor no pesco\u00e7o<\/span><label id=\"forminator-field-checkbox-6-1-69e0bb435ff62-label\" for=\"forminator-field-checkbox-6-1-69e0bb435ff62\" class=\"forminator-checkbox\" title=\"lado direito\"><input type=\"checkbox\" name=\"checkbox-6[]\" value=\"one\" id=\"forminator-field-checkbox-6-1-69e0bb435ff62\" aria-labelledby=\"forminator-field-checkbox-6-1-69e0bb435ff62-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">lado direito<\/span><\/label><label id=\"forminator-field-checkbox-6-2-69e0bb435ff62-label\" for=\"forminator-field-checkbox-6-2-69e0bb435ff62\" class=\"forminator-checkbox\" title=\"lado esquerdo\"><input type=\"checkbox\" name=\"checkbox-6[]\" value=\"two\" id=\"forminator-field-checkbox-6-2-69e0bb435ff62\" aria-labelledby=\"forminator-field-checkbox-6-2-69e0bb435ff62-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">lado esquerdo<\/span><\/label><\/div><\/div><div id=\"checkbox-5\" class=\"forminator-field-checkbox forminator-col forminator-col-3 \"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-5-69e0bb435ff62-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-5-69e0bb435ff62-label\" class=\"forminator-label\">Dor nos ombros<\/span><label id=\"forminator-field-checkbox-5-1-69e0bb435ff62-label\" for=\"forminator-field-checkbox-5-1-69e0bb435ff62\" class=\"forminator-checkbox\" title=\"lado direito\"><input type=\"checkbox\" name=\"checkbox-5[]\" value=\"one\" id=\"forminator-field-checkbox-5-1-69e0bb435ff62\" aria-labelledby=\"forminator-field-checkbox-5-1-69e0bb435ff62-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">lado direito<\/span><\/label><label id=\"forminator-field-checkbox-5-2-69e0bb435ff62-label\" for=\"forminator-field-checkbox-5-2-69e0bb435ff62\" class=\"forminator-checkbox\" title=\"lado esquerdo\"><input type=\"checkbox\" name=\"checkbox-5[]\" value=\"two\" id=\"forminator-field-checkbox-5-2-69e0bb435ff62\" aria-labelledby=\"forminator-field-checkbox-5-2-69e0bb435ff62-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">lado esquerdo<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-10\" class=\"forminator-field-checkbox forminator-col forminator-col-4 \"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-10-69e0bb435ff62-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-10-69e0bb435ff62-label\" class=\"forminator-label\">Zumbido<\/span><label id=\"forminator-field-checkbox-10-1-69e0bb435ff62-label\" for=\"forminator-field-checkbox-10-1-69e0bb435ff62\" class=\"forminator-checkbox\" title=\"lado direito\"><input type=\"checkbox\" name=\"checkbox-10[]\" value=\"one\" id=\"forminator-field-checkbox-10-1-69e0bb435ff62\" aria-labelledby=\"forminator-field-checkbox-10-1-69e0bb435ff62-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">lado direito<\/span><\/label><label id=\"forminator-field-checkbox-10-2-69e0bb435ff62-label\" for=\"forminator-field-checkbox-10-2-69e0bb435ff62\" class=\"forminator-checkbox\" title=\"lado esquerdo\"><input type=\"checkbox\" name=\"checkbox-10[]\" value=\"two\" id=\"forminator-field-checkbox-10-2-69e0bb435ff62\" aria-labelledby=\"forminator-field-checkbox-10-2-69e0bb435ff62-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">lado esquerdo<\/span><\/label><\/div><\/div><div id=\"checkbox-11\" class=\"forminator-field-checkbox forminator-col forminator-col-4 \"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-11-69e0bb435ff62-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-11-69e0bb435ff62-label\" class=\"forminator-label\">Sensa\u00e7\u00e3o de ouvido entupido<\/span><label id=\"forminator-field-checkbox-11-1-69e0bb435ff62-label\" for=\"forminator-field-checkbox-11-1-69e0bb435ff62\" class=\"forminator-checkbox\" title=\"lado direito\"><input type=\"checkbox\" name=\"checkbox-11[]\" value=\"one\" id=\"forminator-field-checkbox-11-1-69e0bb435ff62\" aria-labelledby=\"forminator-field-checkbox-11-1-69e0bb435ff62-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">lado direito<\/span><\/label><label id=\"forminator-field-checkbox-11-2-69e0bb435ff62-label\" for=\"forminator-field-checkbox-11-2-69e0bb435ff62\" class=\"forminator-checkbox\" title=\"lado esquerdo\"><input type=\"checkbox\" name=\"checkbox-11[]\" value=\"two\" id=\"forminator-field-checkbox-11-2-69e0bb435ff62\" aria-labelledby=\"forminator-field-checkbox-11-2-69e0bb435ff62-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">lado esquerdo<\/span><\/label><\/div><\/div><div id=\"checkbox-9\" class=\"forminator-field-checkbox forminator-col forminator-col-4 \"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-9-69e0bb435ff62-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-9-69e0bb435ff62-label\" class=\"forminator-label\">Dor nos olhos ou ao redor<\/span><label id=\"forminator-field-checkbox-9-1-69e0bb435ff62-label\" for=\"forminator-field-checkbox-9-1-69e0bb435ff62\" class=\"forminator-checkbox\" title=\"lado direito\"><input type=\"checkbox\" name=\"checkbox-9[]\" value=\"one\" id=\"forminator-field-checkbox-9-1-69e0bb435ff62\" aria-labelledby=\"forminator-field-checkbox-9-1-69e0bb435ff62-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">lado direito<\/span><\/label><label id=\"forminator-field-checkbox-9-2-69e0bb435ff62-label\" for=\"forminator-field-checkbox-9-2-69e0bb435ff62\" class=\"forminator-checkbox\" title=\"lado esquerdo\"><input type=\"checkbox\" name=\"checkbox-9[]\" value=\"two\" id=\"forminator-field-checkbox-9-2-69e0bb435ff62\" aria-labelledby=\"forminator-field-checkbox-9-2-69e0bb435ff62-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">lado esquerdo<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-1\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-1-69e0bb435ff62-label\"><span id=\"forminator-radiogroup-radio-1-69e0bb435ff62-label\" class=\"forminator-label\">Qual a intensidade da sua dor agora?<\/span><label id=\"forminator-field-radio-1-label-1\" for=\"forminator-field-radio-1-1-69e0bb435ff62\" class=\"forminator-radio forminator-radio-inline\" title=\"0\"><input type=\"radio\" name=\"radio-1\" value=\"one\" id=\"forminator-field-radio-1-1-69e0bb435ff62\" aria-labelledby=\"forminator-field-radio-1-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">0<\/span><\/label><label id=\"forminator-field-radio-1-label-2\" for=\"forminator-field-radio-1-2-69e0bb435ff62\" class=\"forminator-radio forminator-radio-inline\" title=\"1\"><input type=\"radio\" name=\"radio-1\" value=\"two\" id=\"forminator-field-radio-1-2-69e0bb435ff62\" aria-labelledby=\"forminator-field-radio-1-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">1<\/span><\/label><label id=\"forminator-field-radio-1-label-3\" for=\"forminator-field-radio-1-3-69e0bb435ff62\" class=\"forminator-radio forminator-radio-inline\" title=\"2\"><input type=\"radio\" name=\"radio-1\" value=\"2\" id=\"forminator-field-radio-1-3-69e0bb435ff62\" aria-labelledby=\"forminator-field-radio-1-label-3\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">2<\/span><\/label><label id=\"forminator-field-radio-1-label-4\" for=\"forminator-field-radio-1-4-69e0bb435ff62\" class=\"forminator-radio forminator-radio-inline\" title=\"3\"><input type=\"radio\" name=\"radio-1\" value=\"3\" id=\"forminator-field-radio-1-4-69e0bb435ff62\" aria-labelledby=\"forminator-field-radio-1-label-4\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">3<\/span><\/label><label id=\"forminator-field-radio-1-label-5\" for=\"forminator-field-radio-1-5-69e0bb435ff62\" class=\"forminator-radio forminator-radio-inline\" title=\"4\"><input type=\"radio\" name=\"radio-1\" value=\"4\" id=\"forminator-field-radio-1-5-69e0bb435ff62\" aria-labelledby=\"forminator-field-radio-1-label-5\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">4<\/span><\/label><label id=\"forminator-field-radio-1-label-6\" for=\"forminator-field-radio-1-6-69e0bb435ff62\" class=\"forminator-radio forminator-radio-inline\" title=\"5\"><input type=\"radio\" name=\"radio-1\" value=\"5\" id=\"forminator-field-radio-1-6-69e0bb435ff62\" aria-labelledby=\"forminator-field-radio-1-label-6\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">5<\/span><\/label><label id=\"forminator-field-radio-1-label-7\" for=\"forminator-field-radio-1-7-69e0bb435ff62\" class=\"forminator-radio forminator-radio-inline\" title=\"6\"><input type=\"radio\" name=\"radio-1\" value=\"6\" id=\"forminator-field-radio-1-7-69e0bb435ff62\" aria-labelledby=\"forminator-field-radio-1-label-7\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">6<\/span><\/label><label id=\"forminator-field-radio-1-label-8\" for=\"forminator-field-radio-1-8-69e0bb435ff62\" class=\"forminator-radio forminator-radio-inline\" title=\"7\"><input type=\"radio\" name=\"radio-1\" value=\"7\" id=\"forminator-field-radio-1-8-69e0bb435ff62\" aria-labelledby=\"forminator-field-radio-1-label-8\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">7<\/span><\/label><label id=\"forminator-field-radio-1-label-9\" for=\"forminator-field-radio-1-9-69e0bb435ff62\" class=\"forminator-radio forminator-radio-inline\" title=\"8\"><input type=\"radio\" name=\"radio-1\" value=\"8\" id=\"forminator-field-radio-1-9-69e0bb435ff62\" aria-labelledby=\"forminator-field-radio-1-label-9\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">8<\/span><\/label><label id=\"forminator-field-radio-1-label-10\" for=\"forminator-field-radio-1-10-69e0bb435ff62\" class=\"forminator-radio forminator-radio-inline\" title=\"9\"><input type=\"radio\" name=\"radio-1\" value=\"9\" id=\"forminator-field-radio-1-10-69e0bb435ff62\" aria-labelledby=\"forminator-field-radio-1-label-10\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">9<\/span><\/label><label id=\"forminator-field-radio-1-label-11\" for=\"forminator-field-radio-1-11-69e0bb435ff62\" class=\"forminator-radio forminator-radio-inline\" title=\"10\"><input type=\"radio\" name=\"radio-1\" value=\"10\" id=\"forminator-field-radio-1-11-69e0bb435ff62\" aria-labelledby=\"forminator-field-radio-1-label-11\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">10<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-3\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-3-69e0bb435ff62-label\"><span id=\"forminator-radiogroup-radio-3-69e0bb435ff62-label\" class=\"forminator-label\">Qual a intensidade m\u00e9dia da sua dor dos \u00faltimos 30 dias?<\/span><label id=\"forminator-field-radio-3-label-1\" for=\"forminator-field-radio-3-1-69e0bb435ff62\" class=\"forminator-radio forminator-radio-inline\" title=\"0\"><input type=\"radio\" name=\"radio-3\" value=\"one\" id=\"forminator-field-radio-3-1-69e0bb435ff62\" aria-labelledby=\"forminator-field-radio-3-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">0<\/span><\/label><label id=\"forminator-field-radio-3-label-2\" for=\"forminator-field-radio-3-2-69e0bb435ff62\" class=\"forminator-radio forminator-radio-inline\" title=\"1\"><input type=\"radio\" name=\"radio-3\" value=\"two\" id=\"forminator-field-radio-3-2-69e0bb435ff62\" aria-labelledby=\"forminator-field-radio-3-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">1<\/span><\/label><label id=\"forminator-field-radio-3-label-3\" for=\"forminator-field-radio-3-3-69e0bb435ff62\" class=\"forminator-radio forminator-radio-inline\" title=\"2\"><input type=\"radio\" name=\"radio-3\" value=\"2\" id=\"forminator-field-radio-3-3-69e0bb435ff62\" aria-labelledby=\"forminator-field-radio-3-label-3\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">2<\/span><\/label><label id=\"forminator-field-radio-3-label-4\" for=\"forminator-field-radio-3-4-69e0bb435ff62\" class=\"forminator-radio forminator-radio-inline\" title=\"3\"><input type=\"radio\" name=\"radio-3\" value=\"3\" id=\"forminator-field-radio-3-4-69e0bb435ff62\" aria-labelledby=\"forminator-field-radio-3-label-4\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">3<\/span><\/label><label id=\"forminator-field-radio-3-label-5\" for=\"forminator-field-radio-3-5-69e0bb435ff62\" class=\"forminator-radio forminator-radio-inline\" title=\"4\"><input type=\"radio\" name=\"radio-3\" value=\"4\" id=\"forminator-field-radio-3-5-69e0bb435ff62\" aria-labelledby=\"forminator-field-radio-3-label-5\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">4<\/span><\/label><label id=\"forminator-field-radio-3-label-6\" for=\"forminator-field-radio-3-6-69e0bb435ff62\" class=\"forminator-radio forminator-radio-inline\" title=\"5\"><input type=\"radio\" name=\"radio-3\" value=\"5\" id=\"forminator-field-radio-3-6-69e0bb435ff62\" aria-labelledby=\"forminator-field-radio-3-label-6\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">5<\/span><\/label><label id=\"forminator-field-radio-3-label-7\" for=\"forminator-field-radio-3-7-69e0bb435ff62\" class=\"forminator-radio forminator-radio-inline\" title=\"6\"><input type=\"radio\" name=\"radio-3\" value=\"6\" id=\"forminator-field-radio-3-7-69e0bb435ff62\" aria-labelledby=\"forminator-field-radio-3-label-7\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">6<\/span><\/label><label id=\"forminator-field-radio-3-label-8\" for=\"forminator-field-radio-3-8-69e0bb435ff62\" class=\"forminator-radio forminator-radio-inline\" title=\"7\"><input type=\"radio\" name=\"radio-3\" value=\"7\" id=\"forminator-field-radio-3-8-69e0bb435ff62\" aria-labelledby=\"forminator-field-radio-3-label-8\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">7<\/span><\/label><label id=\"forminator-field-radio-3-label-9\" for=\"forminator-field-radio-3-9-69e0bb435ff62\" class=\"forminator-radio forminator-radio-inline\" title=\"8\"><input type=\"radio\" name=\"radio-3\" value=\"8\" id=\"forminator-field-radio-3-9-69e0bb435ff62\" aria-labelledby=\"forminator-field-radio-3-label-9\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">8<\/span><\/label><label id=\"forminator-field-radio-3-label-10\" for=\"forminator-field-radio-3-10-69e0bb435ff62\" class=\"forminator-radio forminator-radio-inline\" title=\"9\"><input type=\"radio\" name=\"radio-3\" value=\"9\" id=\"forminator-field-radio-3-10-69e0bb435ff62\" aria-labelledby=\"forminator-field-radio-3-label-10\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">9<\/span><\/label><label id=\"forminator-field-radio-3-label-11\" for=\"forminator-field-radio-3-11-69e0bb435ff62\" class=\"forminator-radio forminator-radio-inline\" title=\"10\"><input type=\"radio\" name=\"radio-3\" value=\"10\" id=\"forminator-field-radio-3-11-69e0bb435ff62\" aria-labelledby=\"forminator-field-radio-3-label-11\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">10<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-2\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-2-69e0bb435ff62-label\"><span id=\"forminator-radiogroup-radio-2-69e0bb435ff62-label\" class=\"forminator-label\">Qual a intensidade da sua pior dor dos \u00faltimos 30 dias?<\/span><label id=\"forminator-field-radio-2-label-1\" for=\"forminator-field-radio-2-1-69e0bb435ff62\" class=\"forminator-radio forminator-radio-inline\" title=\"0\"><input type=\"radio\" name=\"radio-2\" value=\"one\" id=\"forminator-field-radio-2-1-69e0bb435ff62\" aria-labelledby=\"forminator-field-radio-2-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">0<\/span><\/label><label id=\"forminator-field-radio-2-label-2\" for=\"forminator-field-radio-2-2-69e0bb435ff62\" class=\"forminator-radio forminator-radio-inline\" title=\"1\"><input type=\"radio\" name=\"radio-2\" value=\"two\" id=\"forminator-field-radio-2-2-69e0bb435ff62\" aria-labelledby=\"forminator-field-radio-2-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">1<\/span><\/label><label id=\"forminator-field-radio-2-label-3\" for=\"forminator-field-radio-2-3-69e0bb435ff62\" class=\"forminator-radio forminator-radio-inline\" title=\"2\"><input type=\"radio\" name=\"radio-2\" value=\"2\" id=\"forminator-field-radio-2-3-69e0bb435ff62\" aria-labelledby=\"forminator-field-radio-2-label-3\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">2<\/span><\/label><label id=\"forminator-field-radio-2-label-4\" for=\"forminator-field-radio-2-4-69e0bb435ff62\" class=\"forminator-radio forminator-radio-inline\" title=\"3\"><input type=\"radio\" name=\"radio-2\" value=\"3\" id=\"forminator-field-radio-2-4-69e0bb435ff62\" aria-labelledby=\"forminator-field-radio-2-label-4\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">3<\/span><\/label><label id=\"forminator-field-radio-2-label-5\" for=\"forminator-field-radio-2-5-69e0bb435ff62\" class=\"forminator-radio forminator-radio-inline\" title=\"4\"><input type=\"radio\" name=\"radio-2\" value=\"4\" id=\"forminator-field-radio-2-5-69e0bb435ff62\" aria-labelledby=\"forminator-field-radio-2-label-5\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">4<\/span><\/label><label id=\"forminator-field-radio-2-label-6\" for=\"forminator-field-radio-2-6-69e0bb435ff62\" class=\"forminator-radio forminator-radio-inline\" title=\"5\"><input type=\"radio\" name=\"radio-2\" value=\"5\" id=\"forminator-field-radio-2-6-69e0bb435ff62\" aria-labelledby=\"forminator-field-radio-2-label-6\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">5<\/span><\/label><label id=\"forminator-field-radio-2-label-7\" for=\"forminator-field-radio-2-7-69e0bb435ff62\" class=\"forminator-radio forminator-radio-inline\" title=\"6\"><input type=\"radio\" name=\"radio-2\" value=\"6\" id=\"forminator-field-radio-2-7-69e0bb435ff62\" aria-labelledby=\"forminator-field-radio-2-label-7\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">6<\/span><\/label><label id=\"forminator-field-radio-2-label-8\" for=\"forminator-field-radio-2-8-69e0bb435ff62\" class=\"forminator-radio forminator-radio-inline\" title=\"7\"><input type=\"radio\" name=\"radio-2\" value=\"7\" id=\"forminator-field-radio-2-8-69e0bb435ff62\" aria-labelledby=\"forminator-field-radio-2-label-8\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">7<\/span><\/label><label id=\"forminator-field-radio-2-label-9\" for=\"forminator-field-radio-2-9-69e0bb435ff62\" class=\"forminator-radio forminator-radio-inline\" title=\"8\"><input type=\"radio\" name=\"radio-2\" value=\"8\" id=\"forminator-field-radio-2-9-69e0bb435ff62\" aria-labelledby=\"forminator-field-radio-2-label-9\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">8<\/span><\/label><label id=\"forminator-field-radio-2-label-10\" for=\"forminator-field-radio-2-10-69e0bb435ff62\" class=\"forminator-radio forminator-radio-inline\" title=\"9\"><input type=\"radio\" name=\"radio-2\" value=\"9\" id=\"forminator-field-radio-2-10-69e0bb435ff62\" aria-labelledby=\"forminator-field-radio-2-label-10\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">9<\/span><\/label><label id=\"forminator-field-radio-2-label-11\" for=\"forminator-field-radio-2-11-69e0bb435ff62\" class=\"forminator-radio forminator-radio-inline\" title=\"10\"><input type=\"radio\" name=\"radio-2\" value=\"10\" id=\"forminator-field-radio-2-11-69e0bb435ff62\" aria-labelledby=\"forminator-field-radio-2-label-11\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">10<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-13\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-13-69e0bb435ff62-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-13-69e0bb435ff62-label\" class=\"forminator-label\">Quantos dias no m\u00eas voc\u00ea sente dor?<\/span><label id=\"forminator-field-checkbox-13-1-69e0bb435ff62-label\" for=\"forminator-field-checkbox-13-1-69e0bb435ff62\" class=\"forminator-checkbox\" title=\"1 - 5 dias por m\u00eas\"><input type=\"checkbox\" name=\"checkbox-13[]\" value=\"one\" id=\"forminator-field-checkbox-13-1-69e0bb435ff62\" aria-labelledby=\"forminator-field-checkbox-13-1-69e0bb435ff62-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">1 - 5 dias por m\u00eas<\/span><\/label><label id=\"forminator-field-checkbox-13-2-69e0bb435ff62-label\" for=\"forminator-field-checkbox-13-2-69e0bb435ff62\" class=\"forminator-checkbox\" title=\"5  - 15 dias por m\u00eas\"><input type=\"checkbox\" name=\"checkbox-13[]\" value=\"two\" id=\"forminator-field-checkbox-13-2-69e0bb435ff62\" aria-labelledby=\"forminator-field-checkbox-13-2-69e0bb435ff62-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">5  - 15 dias por m\u00eas<\/span><\/label><label id=\"forminator-field-checkbox-13-3-69e0bb435ff62-label\" for=\"forminator-field-checkbox-13-3-69e0bb435ff62\" class=\"forminator-checkbox\" title=\"mais que 15 dias nos m\u00eas\"><input type=\"checkbox\" name=\"checkbox-13[]\" value=\"mais-que-15-dias-nos-m\u00eas\" id=\"forminator-field-checkbox-13-3-69e0bb435ff62\" aria-labelledby=\"forminator-field-checkbox-13-3-69e0bb435ff62-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">mais que 15 dias nos m\u00eas<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-7\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-7_69e0bb435ff62\" id=\"forminator-field-name-7_69e0bb435ff62-label\" class=\"forminator-label\">H\u00e1 quanto tempo come\u00e7aram os sintomas? <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-7\" value=\"\" placeholder=\"Sua resposta\" id=\"forminator-field-name-7_69e0bb435ff62\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-4\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-4-69e0bb435ff62-label\"><span id=\"forminator-radiogroup-radio-4-69e0bb435ff62-label\" class=\"forminator-label\">Desde que come\u00e7ou os sintomas, eles:<\/span><label id=\"forminator-field-radio-4-label-1\" for=\"forminator-field-radio-4-1-69e0bb435ff62\" class=\"forminator-radio\" title=\"melhoraram\"><input type=\"radio\" name=\"radio-4\" value=\"one\" id=\"forminator-field-radio-4-1-69e0bb435ff62\" aria-labelledby=\"forminator-field-radio-4-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">melhoraram<\/span><\/label><label id=\"forminator-field-radio-4-label-2\" for=\"forminator-field-radio-4-2-69e0bb435ff62\" class=\"forminator-radio\" title=\"pioraram\"><input type=\"radio\" name=\"radio-4\" value=\"two\" id=\"forminator-field-radio-4-2-69e0bb435ff62\" aria-labelledby=\"forminator-field-radio-4-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">pioraram<\/span><\/label><label id=\"forminator-field-radio-4-label-3\" for=\"forminator-field-radio-4-3-69e0bb435ff62\" class=\"forminator-radio\" title=\"est\u00e1veis\"><input type=\"radio\" name=\"radio-4\" value=\"est\u00e1veis\" id=\"forminator-field-radio-4-3-69e0bb435ff62\" aria-labelledby=\"forminator-field-radio-4-label-3\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">est\u00e1veis<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-12\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-12-69e0bb435ff62-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-12-69e0bb435ff62-label\" class=\"forminator-label\">Quando os sintomas s\u00e3o piores?<\/span><label id=\"forminator-field-checkbox-12-1-69e0bb435ff62-label\" for=\"forminator-field-checkbox-12-1-69e0bb435ff62\" class=\"forminator-checkbox\" title=\"logo ao acordar\"><input type=\"checkbox\" name=\"checkbox-12[]\" value=\"one\" id=\"forminator-field-checkbox-12-1-69e0bb435ff62\" aria-labelledby=\"forminator-field-checkbox-12-1-69e0bb435ff62-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">logo ao acordar<\/span><\/label><label id=\"forminator-field-checkbox-12-2-69e0bb435ff62-label\" for=\"forminator-field-checkbox-12-2-69e0bb435ff62\" class=\"forminator-checkbox\" title=\"durante a manh\u00e3\"><input type=\"checkbox\" name=\"checkbox-12[]\" value=\"two\" id=\"forminator-field-checkbox-12-2-69e0bb435ff62\" aria-labelledby=\"forminator-field-checkbox-12-2-69e0bb435ff62-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">durante a manh\u00e3<\/span><\/label><label id=\"forminator-field-checkbox-12-3-69e0bb435ff62-label\" for=\"forminator-field-checkbox-12-3-69e0bb435ff62\" class=\"forminator-checkbox\" title=\"final da tarde\"><input type=\"checkbox\" name=\"checkbox-12[]\" value=\"mais-que-15-dias-nos-m\u00eas\" id=\"forminator-field-checkbox-12-3-69e0bb435ff62\" aria-labelledby=\"forminator-field-checkbox-12-3-69e0bb435ff62-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">final da tarde<\/span><\/label><label id=\"forminator-field-checkbox-12-4-69e0bb435ff62-label\" for=\"forminator-field-checkbox-12-4-69e0bb435ff62\" class=\"forminator-checkbox\" title=\"de noite\"><input type=\"checkbox\" name=\"checkbox-12[]\" value=\"de-noite\" id=\"forminator-field-checkbox-12-4-69e0bb435ff62\" aria-labelledby=\"forminator-field-checkbox-12-4-69e0bb435ff62-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">de noite<\/span><\/label><label id=\"forminator-field-checkbox-12-5-69e0bb435ff62-label\" for=\"forminator-field-checkbox-12-5-69e0bb435ff62\" class=\"forminator-checkbox\" title=\"ao mastigar\"><input type=\"checkbox\" name=\"checkbox-12[]\" value=\"ao-mastigar\" id=\"forminator-field-checkbox-12-5-69e0bb435ff62\" aria-labelledby=\"forminator-field-checkbox-12-5-69e0bb435ff62-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">ao mastigar<\/span><\/label><label id=\"forminator-field-checkbox-12-6-69e0bb435ff62-label\" for=\"forminator-field-checkbox-12-6-69e0bb435ff62\" class=\"forminator-checkbox\" title=\"durante o sono\"><input type=\"checkbox\" name=\"checkbox-12[]\" value=\"durante-o-sono\" id=\"forminator-field-checkbox-12-6-69e0bb435ff62\" aria-labelledby=\"forminator-field-checkbox-12-6-69e0bb435ff62-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">durante o sono<\/span><\/label><label id=\"forminator-field-checkbox-12-7-69e0bb435ff62-label\" for=\"forminator-field-checkbox-12-7-69e0bb435ff62\" class=\"forminator-checkbox\" title=\"s\u00e3o constantes\"><input type=\"checkbox\" name=\"checkbox-12[]\" value=\"s\u00e3o-constantes\" id=\"forminator-field-checkbox-12-7-69e0bb435ff62\" aria-labelledby=\"forminator-field-checkbox-12-7-69e0bb435ff62-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">s\u00e3o constantes<\/span><\/label><\/div><\/div><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><div class=\"forminator-row forminator-row-last\"><div class=\"forminator-col\"><div class=\"forminator-field\"><button class=\"forminator-button forminator-button-submit\"><span>Enviar mensagem<\/span><span aria-hidden=\"true\"><\/span><\/button><\/div><\/div><\/div><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"1d9f8b4126\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F2915\" \/><input type=\"hidden\" name=\"form_id\" value=\"2938\"><input type=\"hidden\" name=\"page_id\" value=\"2915\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/draanapaulapucci.com.br\/?page_id=2915\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><\/form>\n                  <\/div>\n                <\/div>\n              <\/div>\n            <\/div>\n          <\/div>\n        <\/div>\n      <\/div>\n    <\/div>\n  <\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Essas informa\u00e7\u00f5es s\u00e3o de extrema import\u00e2ncia para o seu diagn\u00f3stico.<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-templates\/full-width-page.php","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"class_list":["post-2915","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/draanapaulapucci.com.br\/index.php?rest_route=\/wp\/v2\/pages\/2915","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/draanapaulapucci.com.br\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/draanapaulapucci.com.br\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/draanapaulapucci.com.br\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/draanapaulapucci.com.br\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=2915"}],"version-history":[{"count":16,"href":"https:\/\/draanapaulapucci.com.br\/index.php?rest_route=\/wp\/v2\/pages\/2915\/revisions"}],"predecessor-version":[{"id":3018,"href":"https:\/\/draanapaulapucci.com.br\/index.php?rest_route=\/wp\/v2\/pages\/2915\/revisions\/3018"}],"wp:attachment":[{"href":"https:\/\/draanapaulapucci.com.br\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2915"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}