{"id":17759,"date":"2025-04-09T16:02:21","date_gmt":"2025-04-09T14:02:21","guid":{"rendered":"https:\/\/gezonde-darmflora.nl\/diventare-donatore\/"},"modified":"2025-05-08T17:11:11","modified_gmt":"2025-05-08T15:11:11","slug":"diventare-donatore","status":"publish","type":"page","link":"https:\/\/gezonde-darmflora.nl\/it\/diventare-donatore\/","title":{"rendered":"Diventare donatore"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row full_width=&#8221;stretch_row_content_no_spaces&#8221;][vc_column]\r\n    <div class=\"page-title\">\r\n        <div class=\"container\">\r\n            <div class=\"row\">\r\n                <div class=\"col\">\r\n                    <h1>Diventare donatore<\/h1>\r\n                <\/div>\r\n            <\/div>\r\n        <\/div>\r\n    <\/div>\r\n\r\n    [\/vc_column][\/vc_row][vc_row][vc_column]<style id=\"wpforms-css-vars-17733\">\n\t\t\t\t#wpforms-17733 {\n\t\t\t\t\n\t\t\t}\n\t\t\t<\/style><div class=\"wpforms-container wpforms-container-full wpforms-render-modern\" id=\"wpforms-17733\"><form id=\"wpforms-form-17733\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"17733\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/it\/wp-json\/wp\/v2\/pages\/17759\" data-token=\"2c9cc4ac0b637cb2487daa390b398236\" data-token-time=\"1776705500\"><noscript class=\"wpforms-error-noscript\">Abilita JavaScript nel browser per completare questo modulo.<\/noscript><div id=\"wpforms-error-noscript\" style=\"display: none;\">Abilita JavaScript nel browser per completare questo modulo.<\/div><div class=\"wpforms-page-indicator progress\" data-indicator=\"progress\" data-indicator-color=\"#066aab\" data-scroll=\"1\" role=\"progressbar\" aria-valuenow=\"1\" aria-valuemin=\"1\" aria-valuemax=\"12\" tabindex=\"-1\"><span class=\"wpforms-page-indicator-page-title\" ><\/span><span class=\"wpforms-page-indicator-page-title-sep\" style=\"display:none;\"> - <\/span><span class=\"wpforms-page-indicator-steps\">Passo <span class=\"wpforms-page-indicator-steps-current\">1<\/span> di 12<\/span><div class=\"wpforms-page-indicator-page-progress-wrap\"><div class=\"wpforms-page-indicator-page-progress\" style=\"width:8.3333333333333%;background-color:#066aab\"><\/div><\/div><\/div><div class=\"wpforms-field-container\"><div class=\"wpforms-page wpforms-page-1 \" data-page=\"1\"><div id=\"wpforms-17733-field_1-container\" class=\"wpforms-field wpforms-field-content\" data-field-id=\"1\"><div id=\"wpforms-17733-field_1\" class=\"wpforms-field-medium wpforms-field-row\" aria-errormessage=\"wpforms-17733-field_1-error\"><h4>Dati personali<\/h4>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-17733-field_152-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"152\"><fieldset><legend class=\"wpforms-field-label\">Nome <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-17733-field_152\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][152][first]\" aria-errormessage=\"wpforms-17733-field_152-error\" required><label for=\"wpforms-17733-field_152\" class=\"wpforms-field-sublabel after\">Nome<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-17733-field_152-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][152][last]\" aria-errormessage=\"wpforms-17733-field_152-last-error\" required><label for=\"wpforms-17733-field_152-last\" class=\"wpforms-field-sublabel after\">Cognome<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-17733-field_2-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-17733-field_2\">Data di nascita <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-17733-field_2\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][2][date]\" aria-errormessage=\"wpforms-17733-field_2-error\" required><a title=\"Cancella la data\" data-clear role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Cancella la data\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-17733-field_153-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"153\"><label class=\"wpforms-field-label\" for=\"wpforms-17733-field_153\">E-mail <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"email\" id=\"wpforms-17733-field_153\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][153]\" spellcheck=\"false\" aria-errormessage=\"wpforms-17733-field_153-error\" required><\/div><div id=\"wpforms-17733-field_4-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-17733-field_4\">Telefono cellulare <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-17733-field_4\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][4]\" aria-errormessage=\"wpforms-17733-field_4-error\" required><\/div><div id=\"wpforms-17733-field_154-container\" class=\"wpforms-field wpforms-field-address\" data-field-id=\"154\"><fieldset><legend class=\"wpforms-field-label\">Indirizzo<\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-17733-field_154\" class=\"wpforms-field-address-address1\" name=\"wpforms[fields][154][address1]\" aria-errormessage=\"wpforms-17733-field_154-error\" ><label for=\"wpforms-17733-field_154\" class=\"wpforms-field-sublabel after\">Indirizzo (linea 1)<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-17733-field_154-city\" class=\"wpforms-field-address-city\" name=\"wpforms[fields][154][city]\" aria-errormessage=\"wpforms-17733-field_154-city-error\" ><label for=\"wpforms-17733-field_154-city\" class=\"wpforms-field-sublabel after\">Citt\u00e0<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-17733-field_154-state\" class=\"wpforms-field-address-state\" name=\"wpforms[fields][154][state]\" aria-errormessage=\"wpforms-17733-field_154-state-error\" ><label for=\"wpforms-17733-field_154-state\" class=\"wpforms-field-sublabel after\">Stato \/ Provincia \/ Regione<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-17733-field_154-postal\" class=\"wpforms-field-address-postal\" name=\"wpforms[fields][154][postal]\" aria-errormessage=\"wpforms-17733-field_154-postal-error\" ><label for=\"wpforms-17733-field_154-postal\" class=\"wpforms-field-sublabel after\">Codice postale<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><select id=\"wpforms-17733-field_154-country\" class=\"wpforms-field-address-country\" name=\"wpforms[fields][154][country]\" aria-errormessage=\"wpforms-17733-field_154-country-error\" ><option class=\"placeholder\" value=\"\" selected disabled>--- Seleziona country ---<\/option><option value=\"AF\" >Afghanistan<\/option><option value=\"AL\" >Albania<\/option><option value=\"DZ\" >Algeria<\/option><option value=\"AD\" >Andorra<\/option><option value=\"AO\" >Angola<\/option><option value=\"AI\" >Anguilla<\/option><option value=\"AQ\" >Antartide<\/option><option value=\"AG\" >Antigua e Barbuda<\/option><option value=\"SA\" >Arabia Saudita<\/option><option value=\"AR\" >Argentina<\/option><option value=\"AM\" >Armenia<\/option><option value=\"AW\" >Aruba<\/option><option value=\"AU\" >Australia<\/option><option value=\"AT\" >Austria<\/option><option value=\"AZ\" >Azerbaijan<\/option><option value=\"BS\" >Bahamas<\/option><option value=\"BH\" >Bahrain<\/option><option value=\"BD\" >Bangladesh<\/option><option value=\"BB\" >Barbados<\/option><option value=\"BE\" >Belgio<\/option><option value=\"BZ\" >Belize<\/option><option value=\"BJ\" >Benin<\/option><option value=\"BM\" >Bermuda<\/option><option value=\"BT\" >Bhutan<\/option><option value=\"BY\" >Bielorussia<\/option><option value=\"MM\" >Birmania<\/option><option value=\"BO\" >Bolivia (Stato plurinazionale della)<\/option><option value=\"BQ\" >Bonaire, Saint Eustatius and Saba<\/option><option value=\"BA\" >Bosnia-Erzegovina<\/option><option value=\"BW\" >Botswana<\/option><option value=\"BR\" >Brasile<\/option><option value=\"BN\" >Brunei Darrussalam<\/option><option value=\"BG\" >Bulgaria<\/option><option value=\"BF\" >Burkina Faso<\/option><option value=\"BI\" >Burundi<\/option><option value=\"KH\" >Cambogia<\/option><option value=\"CM\" >Camerun<\/option><option value=\"CA\" >Canada<\/option><option value=\"CV\" >Capo Verde<\/option><option value=\"TD\" >Chad<\/option><option value=\"CL\" >Cile<\/option><option value=\"CN\" >Cina<\/option><option value=\"CY\" >Cipro<\/option><option value=\"CO\" >Colombia<\/option><option value=\"KM\" >Comore<\/option><option value=\"CG\" >Congo<\/option><option value=\"CD\" >Congo (Repubblica Democratica del)<\/option><option value=\"CR\" >Costa Rica<\/option><option value=\"CI\" >Costa d&#039;Avorio<\/option><option value=\"HR\" >Croazia<\/option><option value=\"CU\" >Cuba<\/option><option value=\"CW\" >Cura\u00e7ao<\/option><option value=\"DK\" >Danimarca<\/option><option value=\"DM\" >Dominica<\/option><option value=\"EC\" >Ecuador<\/option><option value=\"EG\" >Egitto<\/option><option value=\"SV\" >El Salvador<\/option><option value=\"AE\" >Emirati Arabi Uniti<\/option><option value=\"ER\" >Eritrea<\/option><option value=\"EE\" >Estonia<\/option><option value=\"ET\" >Etiopia<\/option><option value=\"RU\" >Federazione Russa<\/option><option value=\"FJ\" >Fiji<\/option><option value=\"PH\" >Filippine<\/option><option value=\"FI\" >Finlandia<\/option><option value=\"FR\" >Francia<\/option><option value=\"GA\" >Gabon<\/option><option value=\"GM\" >Gambia<\/option><option value=\"GE\" >Georgia<\/option><option value=\"GS\" >Georgia del Sud e Isole Sandwich Australi<\/option><option value=\"DE\" >Germania<\/option><option value=\"GH\" >Ghana<\/option><option value=\"JM\" >Giamaica<\/option><option value=\"JP\" >Giappone<\/option><option value=\"GI\" >Gibilterra<\/option><option value=\"DJ\" >Gibuti<\/option><option value=\"JO\" >Giordania<\/option><option value=\"GR\" >Grecia<\/option><option value=\"GD\" >Grenada<\/option><option value=\"GL\" >Groenlandia<\/option><option value=\"GP\" >Guadalupa<\/option><option value=\"GU\" >Guam<\/option><option value=\"GT\" >Guatemala<\/option><option value=\"GG\" >Guernsey<\/option><option value=\"GF\" >Guiana Francese<\/option><option value=\"GN\" >Guinea<\/option><option value=\"GQ\" >Guinea Equatoriale<\/option><option value=\"GW\" >Guinea-Bissau<\/option><option value=\"GY\" >Guyana<\/option><option value=\"HT\" >Haiti<\/option><option value=\"HN\" >Honduras<\/option><option value=\"HK\" >Hong Kong<\/option><option value=\"IN\" >India<\/option><option value=\"ID\" >Indonesia<\/option><option value=\"IR\" >Iran (Repubblica Islamica dell&#039;)<\/option><option value=\"IQ\" >Iraq<\/option><option value=\"IE\" >Irlanda (Repubblica dell&#039;)<\/option><option value=\"IS\" >Islanda<\/option><option value=\"BV\" >Isola di Bouvet<\/option><option value=\"IM\" >Isola di Man<\/option><option value=\"CX\" >Isola di Natale<\/option><option value=\"BL\" >Isola di Saint Barth\u00e9lemy<\/option><option value=\"AX\" >Isole Aland<\/option><option value=\"KY\" >Isole Cayman<\/option><option value=\"CC\" >Isole Cocos (Keeling)<\/option><option value=\"CK\" >Isole Cook<\/option><option value=\"FK\" >Isole Falkland (Malvinas)<\/option><option value=\"FO\" >Isole Faroe<\/option><option value=\"HM\" >Isole Heard e McDonald<\/option><option value=\"MP\" >Isole Marianne Settentrionali<\/option><option value=\"MH\" >Isole Marshall<\/option><option value=\"NF\" >Isole Norfolk<\/option><option value=\"PM\" >Isole Saint Pierre e Miquelon<\/option><option value=\"SB\" >Isole Salomone<\/option><option value=\"SJ\" >Isole Svalbard e Jan Mayen<\/option><option value=\"TC\" >Isole Turks e Caicos<\/option><option value=\"VI\" >Isole Vergini (americane)<\/option><option value=\"VG\" >Isole Vergini (britanniche)<\/option><option value=\"UM\" >Isole minori esterne degli Stati Uniti d&#039;America<\/option><option value=\"IL\" >Israele<\/option><option value=\"IT\" >Italia<\/option><option value=\"KZ\" >Kazakistan<\/option><option value=\"KE\" >Kenya<\/option><option value=\"KG\" >Kirghizistan<\/option><option value=\"KI\" >Kiribati<\/option><option value=\"KP\" >Korea (Repubblica Democratica del Popolo della)<\/option><option value=\"KR\" >Korea (Repubblica della)<\/option><option value=\"XK\" >Kosovo<\/option><option value=\"KW\" >Kuwait<\/option><option value=\"LS\" >Lesotho<\/option><option value=\"LV\" >Lettonia<\/option><option value=\"LB\" >Libano<\/option><option value=\"LR\" >Liberia<\/option><option value=\"LY\" >Libia<\/option><option value=\"LI\" >Liechtenstein<\/option><option value=\"LT\" >Lituania<\/option><option value=\"LU\" >Lussemburgo<\/option><option value=\"MO\" >Macao<\/option><option value=\"MK\" >Macedonia del nord (Repubblica di)<\/option><option value=\"MG\" >Madagascar<\/option><option value=\"JE\" >Maglia<\/option><option value=\"MW\" >Malawi<\/option><option value=\"MV\" >Maldive<\/option><option value=\"MY\" >Malesia<\/option><option value=\"ML\" >Mali<\/option><option value=\"MT\" >Malta<\/option><option value=\"MA\" >Marocco<\/option><option value=\"MQ\" >Martinica<\/option><option value=\"MR\" >Mauritania<\/option><option value=\"MU\" >Mauritius<\/option><option value=\"YT\" >Mayotte<\/option><option value=\"MX\" >Messico<\/option><option value=\"FM\" >Micronesia (Confederazione di stati della)<\/option><option value=\"MD\" >Moldova (Repubblica della)<\/option><option value=\"MC\" >Monaco<\/option><option value=\"MN\" >Mongolia<\/option><option value=\"ME\" >Montenegro<\/option><option value=\"MS\" >Montserrat<\/option><option value=\"MZ\" >Mozambico<\/option><option value=\"NA\" >Namibia<\/option><option value=\"NR\" >Nauru<\/option><option value=\"NP\" >Nepal<\/option><option value=\"NI\" >Nicaragua<\/option><option value=\"NE\" >Niger<\/option><option value=\"NG\" >Nigeria<\/option><option value=\"NU\" >Niue<\/option><option value=\"NO\" >Norvegia<\/option><option value=\"NC\" >Nuova Caledonia<\/option><option value=\"NZ\" >Nuova Zelanda<\/option><option value=\"OM\" >Oman<\/option><option value=\"NL\" >Paesi Bassi<\/option><option value=\"PK\" >Pakistan<\/option><option value=\"PW\" >Palau<\/option><option value=\"PS\" >Palestina (Stato della)<\/option><option value=\"PA\" >Panama<\/option><option value=\"PG\" >Papua Nuova Guinea<\/option><option value=\"PY\" >Paraguay<\/option><option value=\"PE\" >Per\u00f9<\/option><option value=\"PN\" >Pitcairn<\/option><option value=\"PL\" >Polonia<\/option><option value=\"PF\" >Polynesia Francese<\/option><option value=\"PR\" >Porto Rico<\/option><option value=\"PT\" >Portogallo<\/option><option value=\"QA\" >Qatar<\/option><option value=\"GB\" >Regno Unito della Gran Bretagna e dell&#039;Irlanda del Nord<\/option><option value=\"SY\" >Repubblica Araba della Siria<\/option><option value=\"CZ\" >Repubblica Ceca<\/option><option value=\"CF\" >Repubblica Centrafricana<\/option><option value=\"LA\" >Repubblica Democratica Popolare del Laos<\/option><option value=\"DO\" >Repubblica Dominicana<\/option><option value=\"RE\" >Riunione (Isola della)<\/option><option value=\"RO\" >Romania<\/option><option value=\"RW\" >Ruanda<\/option><option value=\"EH\" >Sahara Occidentale<\/option><option value=\"KN\" >Saint Kitts e Nevis<\/option><option value=\"VC\" >Saint Vincent e Grenadine<\/option><option value=\"MF\" >Saint-Martin (parte Francese)<\/option><option value=\"WS\" >Samoa<\/option><option value=\"AS\" >Samoa americane<\/option><option value=\"SM\" >San Marino<\/option><option value=\"SH\" >Sant&#039;Elena, Ascensione e Tristan da Cunha<\/option><option value=\"LC\" >Santa Lucia<\/option><option value=\"ST\" >Sao Tome e Pr\u00edncipe<\/option><option value=\"SN\" >Senegal<\/option><option value=\"RS\" >Serbia<\/option><option value=\"SC\" >Seychelles<\/option><option value=\"SL\" >Sierra Leone<\/option><option value=\"SG\" >Singapore<\/option><option value=\"SX\" >Sint Maarten (parte dei Paesi Bassi)<\/option><option value=\"SK\" >Slovacchia<\/option><option value=\"SI\" >Slovenia<\/option><option value=\"SO\" >Somalia<\/option><option value=\"ES\" >Spagna<\/option><option value=\"LK\" >Sri Lanka<\/option><option value=\"US\" >Stati Uniti d&#039;America<\/option><option value=\"VA\" >Stato della Citt\u00e0 del Vaticano<\/option><option value=\"ZA\" >Sudafrica<\/option><option value=\"SD\" >Sudan<\/option><option value=\"SS\" >Sudan del Sud<\/option><option value=\"SR\" >Suriname<\/option><option value=\"SE\" >Svezia<\/option><option value=\"CH\" >Svizzera<\/option><option value=\"TJ\" >Tagikistan<\/option><option value=\"TW\" >Taiwan, Repubblica di Cina<\/option><option value=\"TZ\" >Tanzania (Repubblica Unita della)<\/option><option value=\"TF\" >Territori Meridionali Francesi<\/option><option value=\"IO\" >Territorio Britannico nell&#039;Oceano Indiano<\/option><option value=\"TH\" >Thailandia<\/option><option value=\"TL\" >Timor Est<\/option><option value=\"TG\" >Togo<\/option><option value=\"TK\" >Tokelau<\/option><option value=\"TO\" >Tonga<\/option><option value=\"TT\" >Trinidad e Tobago<\/option><option value=\"TN\" >Tunisia<\/option><option value=\"TR\" >Turchia<\/option><option value=\"TM\" >Turkmenistan<\/option><option value=\"TV\" >Tuvalu<\/option><option value=\"UA\" >Ucraina<\/option><option value=\"UG\" >Uganda<\/option><option value=\"HU\" >Ungheria<\/option><option value=\"UY\" >Uruguay<\/option><option value=\"UZ\" >Uzbekistan<\/option><option value=\"VU\" >Vanuatu<\/option><option value=\"VE\" >Venezuela (Repubblica Bolliviana del)<\/option><option value=\"VN\" >Vietnam<\/option><option value=\"WF\" >Wallis e Futuna<\/option><option value=\"YE\" >Yemen<\/option><option value=\"ZM\" >Zambia<\/option><option value=\"ZW\" >Zimbabwe<\/option><option value=\"SZ\" >eSwatini (Regno di)<\/option><\/select><label for=\"wpforms-17733-field_154-country\" class=\"wpforms-field-sublabel after\">Nazione<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-17733-field_6-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"6\"><fieldset><legend class=\"wpforms-field-label\">Genere <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-17733-field_6\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_6_1\" name=\"wpforms[fields][6]\" value=\"Uomo\" aria-errormessage=\"wpforms-17733-field_6_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_6_1\">Uomo<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_6_2\" name=\"wpforms[fields][6]\" value=\"Donna\" aria-errormessage=\"wpforms-17733-field_6_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_6_2\">Donna<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-17733-field_7-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"7\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-next wpforms-disabled\"\n\t\t\t\t\tdata-action=\"next\" data-page=\"1\" data-formid=\"17733\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">Avanti<\/button><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-2  \" data-page=\"2\" style=\"display:none;\"><div id=\"wpforms-17733-field_8-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"8\"><\/div><div id=\"wpforms-17733-field_10-container\" class=\"wpforms-field wpforms-field-content\" data-field-id=\"10\"><div id=\"wpforms-17733-field_10\" class=\"wpforms-field-medium wpforms-field-row\" aria-errormessage=\"wpforms-17733-field_10-error\"><h4>Dati corporei e salute generale<\/h4>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-17733-field_11-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-17733-field_11\">Qual \u00e8 il suo peso? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-17733-field_11\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][11]\" aria-errormessage=\"wpforms-17733-field_11-error\" aria-describedby=\"wpforms-17733-field_11-description\" required><div id=\"wpforms-17733-field_11-description\" class=\"wpforms-field-description\">In chili<\/div><\/div><div id=\"wpforms-17733-field_12-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"12\"><label class=\"wpforms-field-label\" for=\"wpforms-17733-field_12\">Qual \u00e8 la sua altezza? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-17733-field_12\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][12]\" aria-errormessage=\"wpforms-17733-field_12-error\" aria-describedby=\"wpforms-17733-field_12-description\" required><div id=\"wpforms-17733-field_12-description\" class=\"wpforms-field-description\">In CM<\/div><\/div><div id=\"wpforms-17733-field_13-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"13\"><label class=\"wpforms-field-label\" for=\"wpforms-17733-field_13\">Qual \u00e8 il vostro IMC? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-17733-field_13\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][13]\" aria-errormessage=\"wpforms-17733-field_13-error\" aria-describedby=\"wpforms-17733-field_13-description\" required><div id=\"wpforms-17733-field_13-description\" class=\"wpforms-field-description\">In cm\/kg2<\/div><\/div><div id=\"wpforms-17733-field_14-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"14\"><label class=\"wpforms-field-label\" for=\"wpforms-17733-field_14\">Qual \u00e8 la sua professione\/studio? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-17733-field_14\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][14]\" aria-errormessage=\"wpforms-17733-field_14-error\" required><\/div><div id=\"wpforms-17733-field_15-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"15\"><label class=\"wpforms-field-label\" for=\"wpforms-17733-field_15\">Qual \u00e8 il suo livello di istruzione? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-17733-field_15\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][15]\" aria-errormessage=\"wpforms-17733-field_15-error\" required><\/div><div id=\"wpforms-17733-field_16-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"16\"><label class=\"wpforms-field-label\" for=\"wpforms-17733-field_16\">Qual \u00e8 la composizione della sua famiglia? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-17733-field_16\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][16]\" aria-errormessage=\"wpforms-17733-field_16-error\" required><\/div><div id=\"wpforms-17733-field_17-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"17\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-prev wpforms-disabled\"\n\t\t\t\t\tdata-action=\"prev\" data-page=\"2\" data-formid=\"17733\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">Precedente<\/button><button class=\"wpforms-page-button wpforms-page-next wpforms-disabled\"\n\t\t\t\t\tdata-action=\"next\" data-page=\"2\" data-formid=\"17733\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">Avanti<\/button><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-3  \" data-page=\"3\" style=\"display:none;\"><div id=\"wpforms-17733-field_18-container\" class=\"wpforms-field wpforms-field-content\" data-field-id=\"18\"><div id=\"wpforms-17733-field_18\" class=\"wpforms-field-medium wpforms-field-row\" aria-errormessage=\"wpforms-17733-field_18-error\"><h4>Storia medica<\/h4>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-17733-field_19-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"19\"><fieldset><legend class=\"wpforms-field-label\">\u00c8 nata naturalmente o con parto cesareo? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-17733-field_19\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_19_1\" name=\"wpforms[fields][19]\" value=\"Naturalmente\" aria-errormessage=\"wpforms-17733-field_19_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_19_1\">Naturalmente<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_19_2\" name=\"wpforms[fields][19]\" value=\"Parto cesareo\" aria-errormessage=\"wpforms-17733-field_19_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_19_2\">Parto cesareo<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-17733-field_20-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"20\"><fieldset><legend class=\"wpforms-field-label\">Ha dei figli? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-17733-field_20\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_20_1\" name=\"wpforms[fields][20]\" value=\"S\u00ec\" aria-errormessage=\"wpforms-17733-field_20_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_20_1\">S\u00ec<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_20_2\" name=\"wpforms[fields][20]\" value=\"No\" aria-errormessage=\"wpforms-17733-field_20_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_20_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-17733-field_22-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-trigger\" data-field-id=\"22\"><fieldset><legend class=\"wpforms-field-label\">\u00c8 mai stato respinto durante un esame (come donatore o altro)?  <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-17733-field_22\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_22_1\" name=\"wpforms[fields][22]\" value=\"S\u00ec\" aria-errormessage=\"wpforms-17733-field_22_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_22_1\">S\u00ec<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_22_2\" name=\"wpforms[fields][22]\" value=\"No\" aria-errormessage=\"wpforms-17733-field_22_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_22_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-17733-field_23-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"23\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-17733-field_23\">Perch\u00e9 <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><textarea id=\"wpforms-17733-field_23\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][23]\" aria-errormessage=\"wpforms-17733-field_23-error\" required><\/textarea><\/div><div id=\"wpforms-17733-field_24-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-trigger\" data-field-id=\"24\"><fieldset><legend class=\"wpforms-field-label\">Avete mai donato il sangue?     <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-17733-field_24\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_24_1\" name=\"wpforms[fields][24]\" value=\"S\u00ec\" aria-errormessage=\"wpforms-17733-field_24_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_24_1\">S\u00ec<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_24_2\" name=\"wpforms[fields][24]\" value=\"No\" aria-errormessage=\"wpforms-17733-field_24_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_24_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-17733-field_27-container\" class=\"wpforms-field wpforms-field-date-time wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"27\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-17733-field_27\">Se s\u00ec, quando \u00e8 stata l&#039;ultima volta? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-17733-field_27\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][27][date]\" aria-errormessage=\"wpforms-17733-field_27-error\" required><a title=\"Cancella la data\" data-clear role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Cancella la data\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-17733-field_28-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-trigger\" data-field-id=\"28\"><fieldset><legend class=\"wpforms-field-label\">\u00c8 mai stato da uno specialista (medico in ospedale)?          <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-17733-field_28\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_28_1\" name=\"wpforms[fields][28]\" value=\"S\u00ec\" aria-errormessage=\"wpforms-17733-field_28_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_28_1\">S\u00ec<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_28_2\" name=\"wpforms[fields][28]\" value=\"No\" aria-errormessage=\"wpforms-17733-field_28_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_28_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-17733-field_29-container\" class=\"wpforms-field wpforms-field-date-time wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"29\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-17733-field_29\">Quando? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-17733-field_29\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][29][date]\" aria-errormessage=\"wpforms-17733-field_29-error\" required><a title=\"Cancella la data\" data-clear role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Cancella la data\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-17733-field_30-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-trigger\" data-field-id=\"30\"><fieldset><legend class=\"wpforms-field-label\">Siete vaccinati per il covid-19? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-17733-field_30\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_30_1\" name=\"wpforms[fields][30]\" value=\"S\u00ec\" aria-errormessage=\"wpforms-17733-field_30_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_30_1\">S\u00ec<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_30_2\" name=\"wpforms[fields][30]\" value=\"No\" aria-errormessage=\"wpforms-17733-field_30_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_30_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-17733-field_31-container\" class=\"wpforms-field wpforms-field-number wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"31\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-17733-field_31\">Quante volte? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"number\" id=\"wpforms-17733-field_31\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][31]\" step=\"any\" aria-errormessage=\"wpforms-17733-field_31-error\" required><\/div><div id=\"wpforms-17733-field_32-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"32\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-17733-field_32\">Quale produttore? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-17733-field_32\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][32]\" aria-errormessage=\"wpforms-17733-field_32-error\" required><\/div><div id=\"wpforms-17733-field_33-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-trigger\" data-field-id=\"33\"><fieldset><legend class=\"wpforms-field-label\">Assume farmaci?     <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-17733-field_33\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_33_1\" name=\"wpforms[fields][33]\" value=\"S\u00ec\" aria-errormessage=\"wpforms-17733-field_33_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_33_1\">S\u00ec<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_33_2\" name=\"wpforms[fields][33]\" value=\"No\" aria-errormessage=\"wpforms-17733-field_33_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_33_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-17733-field_34-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"34\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-17733-field_34\">Se s\u00ec, quali farmaci ha ricevuto? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-17733-field_34\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][34]\" aria-errormessage=\"wpforms-17733-field_34-error\" required><\/div><div id=\"wpforms-17733-field_35-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"35\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-17733-field_35\">In quale anno \u00e8 stato iniziato il trattamento?      <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-17733-field_35\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][35]\" aria-errormessage=\"wpforms-17733-field_35-error\" required><\/div><div id=\"wpforms-17733-field_36-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-trigger\" data-field-id=\"36\"><fieldset><legend class=\"wpforms-field-label\">Siete stati depressi in passato?        <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-17733-field_36\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_36_1\" name=\"wpforms[fields][36]\" value=\"S\u00ec\" aria-errormessage=\"wpforms-17733-field_36_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_36_1\">S\u00ec<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_36_2\" name=\"wpforms[fields][36]\" value=\"No\" aria-errormessage=\"wpforms-17733-field_36_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_36_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-17733-field_37-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"37\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-17733-field_37\">Quando \u00e8 iniziata e per quanto tempo?          <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-17733-field_37\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][37]\" aria-errormessage=\"wpforms-17733-field_37-error\" required><\/div><div id=\"wpforms-17733-field_38-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"38\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-17733-field_38\">Ha preso qualche farmaco per questo problema?  <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-17733-field_38\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][38]\" aria-errormessage=\"wpforms-17733-field_38-error\" required><\/div><div id=\"wpforms-17733-field_39-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"39\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-prev wpforms-disabled\"\n\t\t\t\t\tdata-action=\"prev\" data-page=\"3\" data-formid=\"17733\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">Precedente<\/button><button class=\"wpforms-page-button wpforms-page-next wpforms-disabled\"\n\t\t\t\t\tdata-action=\"next\" data-page=\"3\" data-formid=\"17733\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">Avanti<\/button><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-4  \" data-page=\"4\" style=\"display:none;\"><div id=\"wpforms-17733-field_40-container\" class=\"wpforms-field wpforms-field-content\" data-field-id=\"40\"><div id=\"wpforms-17733-field_40\" class=\"wpforms-field-medium wpforms-field-row\" aria-errormessage=\"wpforms-17733-field_40-error\"><h4>Disturbi cronici ed ereditariet\u00e0<\/h4>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-17733-field_41-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"41\"><fieldset><legend class=\"wpforms-field-label\">Siete stati trattati per l&#039;autismo?      <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-17733-field_41\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_41_1\" name=\"wpforms[fields][41]\" value=\"S\u00ec\" aria-errormessage=\"wpforms-17733-field_41_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_41_1\">S\u00ec<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_41_2\" name=\"wpforms[fields][41]\" value=\"No\" aria-errormessage=\"wpforms-17733-field_41_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_41_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-17733-field_42-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-trigger\" data-field-id=\"42\"><fieldset><legend class=\"wpforms-field-label\">Avete mai fatto il test del diabete?          <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-17733-field_42\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_42_1\" name=\"wpforms[fields][42]\" value=\"S\u00ec\" aria-errormessage=\"wpforms-17733-field_42_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_42_1\">S\u00ec<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_42_2\" name=\"wpforms[fields][42]\" value=\"No\" aria-errormessage=\"wpforms-17733-field_42_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_42_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-17733-field_43-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"43\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-17733-field_43\">Qual \u00e8 stato il risultato? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-17733-field_43\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][43]\" aria-errormessage=\"wpforms-17733-field_43-error\" required><\/div><div id=\"wpforms-17733-field_44-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"44\"><fieldset><legend class=\"wpforms-field-label\">Il diabete \u00e8 un problema di famiglia?   <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-17733-field_44\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_44_1\" name=\"wpforms[fields][44]\" value=\"S\u00ec\" aria-errormessage=\"wpforms-17733-field_44_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_44_1\">S\u00ec<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_44_2\" name=\"wpforms[fields][44]\" value=\"No\" aria-errormessage=\"wpforms-17733-field_44_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_44_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-17733-field_45-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"45\"><fieldset><legend class=\"wpforms-field-label\">C&#039;\u00e8 una storia familiare di schizofrenia\/bipolare o di disturbi d&#039;ansia?      <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-17733-field_45\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_45_1\" name=\"wpforms[fields][45]\" value=\"S\u00ec\" aria-errormessage=\"wpforms-17733-field_45_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_45_1\">S\u00ec<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_45_2\" name=\"wpforms[fields][45]\" value=\"No\" aria-errormessage=\"wpforms-17733-field_45_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_45_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-17733-field_46-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"46\"><fieldset><legend class=\"wpforms-field-label\">La malattia di Creuzfeldt Jakob \u00e8 presente nella sua famiglia?  <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-17733-field_46\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_46_1\" name=\"wpforms[fields][46]\" value=\"S\u00ec\" aria-errormessage=\"wpforms-17733-field_46_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_46_1\">S\u00ec<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_46_2\" name=\"wpforms[fields][46]\" value=\"No\" aria-errormessage=\"wpforms-17733-field_46_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_46_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-17733-field_47-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"47\"><fieldset><legend class=\"wpforms-field-label\">La demenza \u00e8 presente nella vostra famiglia prima dei 60 anni?                <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-17733-field_47\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_47_1\" name=\"wpforms[fields][47]\" value=\"S\u00ec\" aria-errormessage=\"wpforms-17733-field_47_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_47_1\">S\u00ec<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_47_2\" name=\"wpforms[fields][47]\" value=\"No\" aria-errormessage=\"wpforms-17733-field_47_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_47_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-17733-field_48-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"48\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-prev wpforms-disabled\"\n\t\t\t\t\tdata-action=\"prev\" data-page=\"4\" data-formid=\"17733\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">Precedente<\/button><button class=\"wpforms-page-button wpforms-page-next wpforms-disabled\"\n\t\t\t\t\tdata-action=\"next\" data-page=\"4\" data-formid=\"17733\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">Avanti<\/button><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-5  \" data-page=\"5\" style=\"display:none;\"><div id=\"wpforms-17733-field_49-container\" class=\"wpforms-field wpforms-field-content\" data-field-id=\"49\"><div id=\"wpforms-17733-field_49\" class=\"wpforms-field-medium wpforms-field-row\" aria-errormessage=\"wpforms-17733-field_49-error\"><h4>Ambiente e aree di rischio<\/h4>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-17733-field_50-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"50\"><fieldset><legend class=\"wpforms-field-label\">Avete animali domestici? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-17733-field_50\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_50_1\" name=\"wpforms[fields][50]\" value=\"S\u00ec\" aria-errormessage=\"wpforms-17733-field_50_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_50_1\">S\u00ec<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_50_2\" name=\"wpforms[fields][50]\" value=\"No\" aria-errormessage=\"wpforms-17733-field_50_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_50_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-17733-field_51-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-trigger\" data-field-id=\"51\"><fieldset><legend class=\"wpforms-field-label\">Siete nati in un paese extraeuropeo o avete vissuto per 5 anni in un paese extraeuropeo?      <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-17733-field_51\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_51_1\" name=\"wpforms[fields][51]\" value=\"S\u00ec\" aria-errormessage=\"wpforms-17733-field_51_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_51_1\">S\u00ec<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_51_2\" name=\"wpforms[fields][51]\" value=\"No\" aria-errormessage=\"wpforms-17733-field_51_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_51_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-17733-field_52-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"52\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-17733-field_52\">Dove e quando? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-17733-field_52\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][52]\" aria-errormessage=\"wpforms-17733-field_52-error\" required><\/div><div id=\"wpforms-17733-field_53-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"53\"><fieldset><legend class=\"wpforms-field-label\">Ha soggiornato nel Regno Unito per pi\u00f9 di 6 mesi tra il 1980 e il 1996? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-17733-field_53\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_53_1\" name=\"wpforms[fields][53]\" value=\"S\u00ec\" aria-errormessage=\"wpforms-17733-field_53_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_53_1\">S\u00ec<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_53_2\" name=\"wpforms[fields][53]\" value=\"No\" aria-errormessage=\"wpforms-17733-field_53_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_53_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-17733-field_54-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-trigger\" data-field-id=\"54\"><fieldset><legend class=\"wpforms-field-label\">Siete stati ai tropici negli ultimi due anni? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-17733-field_54\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_54_1\" name=\"wpforms[fields][54]\" value=\"S\u00ec\" aria-errormessage=\"wpforms-17733-field_54_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_54_1\">S\u00ec<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_54_2\" name=\"wpforms[fields][54]\" value=\"No\" aria-errormessage=\"wpforms-17733-field_54_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_54_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-17733-field_55-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"55\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-17733-field_55\">Dove e in quale anno? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-17733-field_55\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][55]\" aria-errormessage=\"wpforms-17733-field_55-error\" required><\/div><div id=\"wpforms-17733-field_56-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-trigger\" data-field-id=\"56\"><fieldset><legend class=\"wpforms-field-label\">Ha mai avuto la malaria?         <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-17733-field_56\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_56_1\" name=\"wpforms[fields][56]\" value=\"S\u00ec\" aria-errormessage=\"wpforms-17733-field_56_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_56_1\">S\u00ec<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_56_2\" name=\"wpforms[fields][56]\" value=\"No\" aria-errormessage=\"wpforms-17733-field_56_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_56_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-17733-field_57-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"57\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-17733-field_57\">In quale anno? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-17733-field_57\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][57]\" aria-errormessage=\"wpforms-17733-field_57-error\" required><\/div><div id=\"wpforms-17733-field_58-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"58\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-17733-field_58\">Sapete quale tipo? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-17733-field_58\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][58]\" aria-errormessage=\"wpforms-17733-field_58-error\" required><\/div><div id=\"wpforms-17733-field_59-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-trigger\" data-field-id=\"59\"><fieldset><legend class=\"wpforms-field-label\">Ha mai avuto malattie infettive particolari?                   <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-17733-field_59\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_59_1\" name=\"wpforms[fields][59]\" value=\"S\u00ec\" aria-errormessage=\"wpforms-17733-field_59_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_59_1\">S\u00ec<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_59_2\" name=\"wpforms[fields][59]\" value=\"No\" aria-errormessage=\"wpforms-17733-field_59_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_59_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-17733-field_60-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"60\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-17733-field_60\">Quali malattie infettive? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-17733-field_60\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][60]\" aria-errormessage=\"wpforms-17733-field_60-error\" required><\/div><div id=\"wpforms-17733-field_61-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"61\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-prev wpforms-disabled\"\n\t\t\t\t\tdata-action=\"prev\" data-page=\"5\" data-formid=\"17733\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">Precedente<\/button><button class=\"wpforms-page-button wpforms-page-next wpforms-disabled\"\n\t\t\t\t\tdata-action=\"next\" data-page=\"5\" data-formid=\"17733\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">Avanti<\/button><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-6  \" data-page=\"6\" style=\"display:none;\"><div id=\"wpforms-17733-field_62-container\" class=\"wpforms-field wpforms-field-content\" data-field-id=\"62\"><div id=\"wpforms-17733-field_62\" class=\"wpforms-field-medium wpforms-field-row\" aria-errormessage=\"wpforms-17733-field_62-error\"><h4>Rischio professionale e di esposizione<\/h4>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-17733-field_63-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-trigger\" data-field-id=\"63\"><fieldset><legend class=\"wpforms-field-label\">Avete un rischio professionale di malattie infettive trasmesse per via ematica?  (attualmente contatto quotidiano con i pazienti) <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-17733-field_63\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_63_1\" name=\"wpforms[fields][63]\" value=\"S\u00ec\" aria-errormessage=\"wpforms-17733-field_63_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_63_1\">S\u00ec<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_63_2\" name=\"wpforms[fields][63]\" value=\"No\" aria-errormessage=\"wpforms-17733-field_63_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_63_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-17733-field_64-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"64\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-17733-field_64\">Se s\u00ec, in particolare? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-17733-field_64\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][64]\" aria-errormessage=\"wpforms-17733-field_64-error\" required><\/div><div id=\"wpforms-17733-field_65-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"65\"><fieldset><legend class=\"wpforms-field-label\">Avete mai avuto una ferita da aghi? (per esempio, una ferita con un ago spalmato di sangue da qualcun altro, o un altro oggetto appuntito spalmato di sangue)?      <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-17733-field_65\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_65_1\" name=\"wpforms[fields][65]\" value=\"S\u00ec\" aria-errormessage=\"wpforms-17733-field_65_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_65_1\">S\u00ec<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_65_2\" name=\"wpforms[fields][65]\" value=\"No\" aria-errormessage=\"wpforms-17733-field_65_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_65_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-17733-field_66-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-trigger\" data-field-id=\"66\"><fieldset><legend class=\"wpforms-field-label\">Le sono mai stati somministrati prodotti ematici nel flusso sanguigno?   (ad esempio, trasfusioni di sangue)? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-17733-field_66\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_66_1\" name=\"wpforms[fields][66]\" value=\"S\u00ec\" aria-errormessage=\"wpforms-17733-field_66_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_66_1\">S\u00ec<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_66_2\" name=\"wpforms[fields][66]\" value=\"No\" aria-errormessage=\"wpforms-17733-field_66_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_66_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-17733-field_67-container\" class=\"wpforms-field wpforms-field-date-time wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"67\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-17733-field_67\">Quando? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-17733-field_67\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][67][date]\" aria-errormessage=\"wpforms-17733-field_67-error\" required><a title=\"Cancella la data\" data-clear role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Cancella la data\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-17733-field_68-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"68\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-prev wpforms-disabled\"\n\t\t\t\t\tdata-action=\"prev\" data-page=\"6\" data-formid=\"17733\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">Precedente<\/button><button class=\"wpforms-page-button wpforms-page-next wpforms-disabled\"\n\t\t\t\t\tdata-action=\"next\" data-page=\"6\" data-formid=\"17733\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">Avanti<\/button><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-7  \" data-page=\"7\" style=\"display:none;\"><div id=\"wpforms-17733-field_69-container\" class=\"wpforms-field wpforms-field-content\" data-field-id=\"69\"><div id=\"wpforms-17733-field_69\" class=\"wpforms-field-medium wpforms-field-row\" aria-errormessage=\"wpforms-17733-field_69-error\"><h4>Comportamento a rischio<\/h4>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-17733-field_70-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"70\"><fieldset><legend class=\"wpforms-field-label\">Si \u00e8 mai iniettato farmaci nelle vene (per via endovenosa)?    <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-17733-field_70\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_70_1\" name=\"wpforms[fields][70]\" value=\"S\u00ec\" aria-errormessage=\"wpforms-17733-field_70_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_70_1\">S\u00ec<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_70_2\" name=\"wpforms[fields][70]\" value=\"No\" aria-errormessage=\"wpforms-17733-field_70_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_70_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-17733-field_71-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"71\"><fieldset><legend class=\"wpforms-field-label\">Ha mai sniffato droghe?     <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-17733-field_71\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_71_1\" name=\"wpforms[fields][71]\" value=\"S\u00ec\" aria-errormessage=\"wpforms-17733-field_71_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_71_1\">S\u00ec<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_71_2\" name=\"wpforms[fields][71]\" value=\"No\" aria-errormessage=\"wpforms-17733-field_71_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_71_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-17733-field_72-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-trigger\" data-field-id=\"72\"><fieldset><legend class=\"wpforms-field-label\">Ha mai fatto un tatuaggio?      <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-17733-field_72\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_72_1\" name=\"wpforms[fields][72]\" value=\"S\u00ec\" aria-errormessage=\"wpforms-17733-field_72_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_72_1\">S\u00ec<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_72_2\" name=\"wpforms[fields][72]\" value=\"No\" aria-errormessage=\"wpforms-17733-field_72_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_72_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-17733-field_73-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"73\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-17733-field_73\">Se s\u00ec, in quale Paese \u00e8 stato collocato e quando? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-17733-field_73\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][73]\" aria-errormessage=\"wpforms-17733-field_73-error\" required><\/div>\t\t<div id=\"wpforms-17733-field_3-container\"\n\t\t\tclass=\"wpforms-field wpforms-field-text\"\n\t\t\tdata-field-type=\"text\"\n\t\t\tdata-field-id=\"3\"\n\t\t\t>\n\t\t\t<label class=\"wpforms-field-label\" for=\"wpforms-17733-field_3\" >Qual Ha Le<\/label>\n\t\t\t<input type=\"text\" id=\"wpforms-17733-field_3\" class=\"wpforms-field-medium\" name=\"wpforms[fields][3]\" >\n\t\t<\/div>\n\t\t<div id=\"wpforms-17733-field_74-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-trigger\" data-field-id=\"74\"><fieldset><legend class=\"wpforms-field-label\">Vi siete mai fatti fare un piercing\/orecchini?          <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-17733-field_74\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_74_1\" name=\"wpforms[fields][74]\" value=\"S\u00ec\" aria-errormessage=\"wpforms-17733-field_74_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_74_1\">S\u00ec<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_74_2\" name=\"wpforms[fields][74]\" value=\"No\" aria-errormessage=\"wpforms-17733-field_74_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_74_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-17733-field_76-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"76\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-17733-field_76\">Se s\u00ec, in quale paese \u00e8 stato ambientato?     <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-17733-field_76\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][76]\" aria-errormessage=\"wpforms-17733-field_76-error\" required><\/div><div id=\"wpforms-17733-field_75-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-trigger\" data-field-id=\"75\"><fieldset><legend class=\"wpforms-field-label\">Ha mai fatto l&#039;agopuntura?   <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-17733-field_75\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_75_1\" name=\"wpforms[fields][75]\" value=\"S\u00ec\" aria-errormessage=\"wpforms-17733-field_75_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_75_1\">S\u00ec<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_75_2\" name=\"wpforms[fields][75]\" value=\"No\" aria-errormessage=\"wpforms-17733-field_75_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_75_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-17733-field_77-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"77\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-17733-field_77\">Se s\u00ec, in quale paese? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-17733-field_77\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][77]\" aria-errormessage=\"wpforms-17733-field_77-error\" required><\/div><div id=\"wpforms-17733-field_78-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"78\"><fieldset><legend class=\"wpforms-field-label\">Ha mai fatto un trattamento con l&#039;ormone della crescita?       <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-17733-field_78\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_78_1\" name=\"wpforms[fields][78]\" value=\"S\u00ec\" aria-errormessage=\"wpforms-17733-field_78_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_78_1\">S\u00ec<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_78_2\" name=\"wpforms[fields][78]\" value=\"No\" aria-errormessage=\"wpforms-17733-field_78_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_78_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-17733-field_79-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"79\"><fieldset><legend class=\"wpforms-field-label\">Ha mai fatto una donazione di tessuto? (es. cornea)             <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-17733-field_79\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_79_1\" name=\"wpforms[fields][79]\" value=\"S\u00ec\" aria-errormessage=\"wpforms-17733-field_79_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_79_1\">S\u00ec<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_79_2\" name=\"wpforms[fields][79]\" value=\"No\" aria-errormessage=\"wpforms-17733-field_79_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_79_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-17733-field_80-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"80\"><fieldset><legend class=\"wpforms-field-label\">Ha mai subito un trapianto di capelli?    <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-17733-field_80\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_80_1\" name=\"wpforms[fields][80]\" value=\"S\u00ec\" aria-errormessage=\"wpforms-17733-field_80_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_80_1\">S\u00ec<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_80_2\" name=\"wpforms[fields][80]\" value=\"No\" aria-errormessage=\"wpforms-17733-field_80_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_80_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-17733-field_81-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-trigger\" data-field-id=\"81\"><fieldset><legend class=\"wpforms-field-label\">Ha mai subito un intervento chirurgico o un trattamento clinico all&#039;estero?       <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-17733-field_81\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_81_1\" name=\"wpforms[fields][81]\" value=\"S\u00ec\" aria-errormessage=\"wpforms-17733-field_81_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_81_1\">S\u00ec<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_81_2\" name=\"wpforms[fields][81]\" value=\"No\" aria-errormessage=\"wpforms-17733-field_81_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_81_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-17733-field_82-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"82\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-17733-field_82\">Se s\u00ec, dove e quando? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-17733-field_82\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][82]\" aria-errormessage=\"wpforms-17733-field_82-error\" required><\/div><div id=\"wpforms-17733-field_83-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"83\"><fieldset><legend class=\"wpforms-field-label\">Ha avuto un nuovo partner sessuale nell&#039;ultimo anno? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-17733-field_83\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_83_1\" name=\"wpforms[fields][83]\" value=\"S\u00ec\" aria-errormessage=\"wpforms-17733-field_83_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_83_1\">S\u00ec<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_83_2\" name=\"wpforms[fields][83]\" value=\"No\" aria-errormessage=\"wpforms-17733-field_83_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_83_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-17733-field_84-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"84\"><fieldset><legend class=\"wpforms-field-label\">Ha mai avuto contatti sessuali con un consumatore di droghe per via endovenosa? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-17733-field_84\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_84_1\" name=\"wpforms[fields][84]\" value=\"S\u00ec\" aria-errormessage=\"wpforms-17733-field_84_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_84_1\">S\u00ec<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_84_2\" name=\"wpforms[fields][84]\" value=\"No\" aria-errormessage=\"wpforms-17733-field_84_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_84_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-17733-field_85-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-trigger\" data-field-id=\"85\"><fieldset><legend class=\"wpforms-field-label\">Ha mai avuto contatti sessuali con qualcuno che in seguito \u00e8 risultato infetto da HIV\/HTLV\/epatite\/LS? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-17733-field_85\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_85_1\" name=\"wpforms[fields][85]\" value=\"S\u00ec\" aria-errormessage=\"wpforms-17733-field_85_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_85_1\">S\u00ec<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_85_2\" name=\"wpforms[fields][85]\" value=\"No\" aria-errormessage=\"wpforms-17733-field_85_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_85_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-17733-field_86-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-id=\"86\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\"> Con cosa? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-17733-field_86\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_86_1\" name=\"wpforms[fields][86]\" value=\"HIV\" aria-errormessage=\"wpforms-17733-field_86_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_86_1\">HIV<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_86_2\" name=\"wpforms[fields][86]\" value=\"Lues\" aria-errormessage=\"wpforms-17733-field_86_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_86_2\">Lues<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_86_3\" name=\"wpforms[fields][86]\" value=\"Epatite\" aria-errormessage=\"wpforms-17733-field_86_3-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_86_3\">Epatite<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_86_4\" name=\"wpforms[fields][86]\" value=\"HTLV\" aria-errormessage=\"wpforms-17733-field_86_4-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_86_4\">HTLV<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_86_5\" name=\"wpforms[fields][86]\" value=\"Altro:\" aria-errormessage=\"wpforms-17733-field_86_5-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_86_5\">Altro:<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-17733-field_87-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"87\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-17733-field_87\"> Altro: <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-17733-field_87\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][87]\" aria-errormessage=\"wpforms-17733-field_87-error\" required><\/div><div id=\"wpforms-17733-field_88-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-trigger\" data-field-id=\"88\"><fieldset><legend class=\"wpforms-field-label\"> Ha mai avuto una malattia a trasmissione sessuale (STD)? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-17733-field_88\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_88_1\" name=\"wpforms[fields][88]\" value=\"S\u00ec\" aria-errormessage=\"wpforms-17733-field_88_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_88_1\">S\u00ec<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_88_2\" name=\"wpforms[fields][88]\" value=\"No\" aria-errormessage=\"wpforms-17733-field_88_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_88_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-17733-field_89-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"89\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-17733-field_89\"> Quale? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-17733-field_89\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][89]\" aria-errormessage=\"wpforms-17733-field_89-error\" required><\/div><div id=\"wpforms-17733-field_90-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"90\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-prev wpforms-disabled\"\n\t\t\t\t\tdata-action=\"prev\" data-page=\"7\" data-formid=\"17733\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">Precedente<\/button><button class=\"wpforms-page-button wpforms-page-next wpforms-disabled\"\n\t\t\t\t\tdata-action=\"next\" data-page=\"7\" data-formid=\"17733\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">Avanti<\/button><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-8  \" data-page=\"8\" style=\"display:none;\"><div id=\"wpforms-17733-field_91-container\" class=\"wpforms-field wpforms-field-content\" data-field-id=\"91\"><div id=\"wpforms-17733-field_91\" class=\"wpforms-field-medium wpforms-field-row\" aria-errormessage=\"wpforms-17733-field_91-error\"><h4>Vaccinazioni<\/h4>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-17733-field_92-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-trigger\" data-field-id=\"92\"><fieldset><legend class=\"wpforms-field-label\">\u00c8 stato vaccinato (cio\u00e8 non ha fatto una sola iniezione di immunoglobuline) per l&#039;epatite A? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-17733-field_92\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_92_1\" name=\"wpforms[fields][92]\" value=\"S\u00ec\" aria-errormessage=\"wpforms-17733-field_92_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_92_1\">S\u00ec<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_92_2\" name=\"wpforms[fields][92]\" value=\"No\" aria-errormessage=\"wpforms-17733-field_92_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_92_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-17733-field_94-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"94\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">Il titolo era sufficiente? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-17733-field_94\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_94_1\" name=\"wpforms[fields][94]\" value=\"S\u00ec\" aria-errormessage=\"wpforms-17733-field_94_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_94_1\">S\u00ec<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_94_2\" name=\"wpforms[fields][94]\" value=\"No\" aria-errormessage=\"wpforms-17733-field_94_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_94_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-17733-field_95-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-trigger\" data-field-id=\"95\"><fieldset><legend class=\"wpforms-field-label\">\u00c8 stato vaccinato (cio\u00e8 non ha fatto una sola iniezione di immunoglobuline) per l&#039;epatite B? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-17733-field_95\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_95_1\" name=\"wpforms[fields][95]\" value=\"S\u00ec\" aria-errormessage=\"wpforms-17733-field_95_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_95_1\">S\u00ec<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_95_2\" name=\"wpforms[fields][95]\" value=\"No\" aria-errormessage=\"wpforms-17733-field_95_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_95_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-17733-field_96-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"96\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">Il titolo era sufficiente? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-17733-field_96\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_96_1\" name=\"wpforms[fields][96]\" value=\"S\u00ec\" aria-errormessage=\"wpforms-17733-field_96_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_96_1\">S\u00ec<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_96_2\" name=\"wpforms[fields][96]\" value=\"No\" aria-errormessage=\"wpforms-17733-field_96_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_96_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-17733-field_97-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-trigger\" data-field-id=\"97\"><fieldset><legend class=\"wpforms-field-label\">Le malattie ereditarie sono presenti in famiglia? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-17733-field_97\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_97_1\" name=\"wpforms[fields][97]\" value=\"S\u00ec\" aria-errormessage=\"wpforms-17733-field_97_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_97_1\">S\u00ec<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_97_2\" name=\"wpforms[fields][97]\" value=\"No\" aria-errormessage=\"wpforms-17733-field_97_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_97_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-17733-field_98-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"98\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-17733-field_98\">Quali? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-17733-field_98\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][98]\" aria-errormessage=\"wpforms-17733-field_98-error\" required><\/div><div id=\"wpforms-17733-field_99-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"99\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-prev wpforms-disabled\"\n\t\t\t\t\tdata-action=\"prev\" data-page=\"8\" data-formid=\"17733\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">Precedente<\/button><button class=\"wpforms-page-button wpforms-page-next wpforms-disabled\"\n\t\t\t\t\tdata-action=\"next\" data-page=\"8\" data-formid=\"17733\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">Avanti<\/button><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-9  \" data-page=\"9\" style=\"display:none;\"><div id=\"wpforms-17733-field_100-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"100\"><fieldset><legend class=\"wpforms-field-label\">Che tipo di feci ha? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-17733-field_100\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_100_1\" name=\"wpforms[fields][100]\" value=\"Tipo 1\" aria-errormessage=\"wpforms-17733-field_100_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_100_1\">Tipo 1<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_100_2\" name=\"wpforms[fields][100]\" value=\"Tipo 2\" aria-errormessage=\"wpforms-17733-field_100_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_100_2\">Tipo 2<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_100_3\" name=\"wpforms[fields][100]\" value=\"Tipo 3\" aria-errormessage=\"wpforms-17733-field_100_3-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_100_3\">Tipo 3<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_100_4\" name=\"wpforms[fields][100]\" value=\"Tipo 4\" aria-errormessage=\"wpforms-17733-field_100_4-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_100_4\">Tipo 4<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_100_5\" name=\"wpforms[fields][100]\" value=\"Tipo 5\" aria-errormessage=\"wpforms-17733-field_100_5-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_100_5\">Tipo 5<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_100_6\" name=\"wpforms[fields][100]\" value=\"Tipo 6\" aria-errormessage=\"wpforms-17733-field_100_6-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_100_6\">Tipo 6<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_100_7\" name=\"wpforms[fields][100]\" value=\"Tipo 7\" aria-errormessage=\"wpforms-17733-field_100_7-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_100_7\">Tipo 7<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-17733-field_101-container\" class=\"wpforms-field wpforms-field-content\" data-field-id=\"101\"><div id=\"wpforms-17733-field_101\" class=\"wpforms-field-medium wpforms-field-row\" aria-errormessage=\"wpforms-17733-field_101-error\"><h4>Salute dell'intestino<\/h4>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-17733-field_102-container\" class=\"wpforms-field wpforms-field-content\" data-field-id=\"102\"><div id=\"wpforms-17733-field_102\" class=\"wpforms-field-medium wpforms-field-row\" aria-errormessage=\"wpforms-17733-field_102-error\"><p><img decoding=\"async\" height=\"568\" width=\"440\" alt=\"\" src=\"https:\/\/gezonde-darmflora.nl\/wp-content\/uploads\/2024\/04\/Picture-1.jpg\" class=\"alignnone wp-image-17408 size-full\" srcset=\"https:\/\/gezonde-darmflora.nl\/wp-content\/uploads\/2024\/04\/Picture-1.jpg 440w, https:\/\/gezonde-darmflora.nl\/wp-content\/uploads\/2024\/04\/Picture-1-232x300.jpg 232w\" sizes=\"(max-width: 440px) 100vw, 440px\" \/><\/p>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-17733-field_103-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"103\"><label class=\"wpforms-field-label\" for=\"wpforms-17733-field_103\">Quante volte al giorno ha in media movimenti intestinali? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"number\" id=\"wpforms-17733-field_103\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][103]\" step=\"any\" aria-errormessage=\"wpforms-17733-field_103-error\" required><\/div><div id=\"wpforms-17733-field_105-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"105\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">Ha un andamento regolare delle feci? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-17733-field_105\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_105_1\" name=\"wpforms[fields][105]\" value=\"S\u00ec\" aria-errormessage=\"wpforms-17733-field_105_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_105_1\">S\u00ec<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_105_2\" name=\"wpforms[fields][105]\" value=\"No\" aria-errormessage=\"wpforms-17733-field_105_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_105_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-17733-field_106-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-id=\"106\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">Soffrite di eccessiva flatulenza quotidiana (meteorismo)? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-17733-field_106\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_106_1\" name=\"wpforms[fields][106]\" value=\"S\u00ec\" aria-errormessage=\"wpforms-17733-field_106_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_106_1\">S\u00ec<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_106_2\" name=\"wpforms[fields][106]\" value=\"No\" aria-errormessage=\"wpforms-17733-field_106_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_106_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-17733-field_107-container\" class=\"wpforms-field wpforms-field-number wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"107\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-17733-field_107\">Se s\u00ec, qual \u00e8 la frequenza media in un giorno? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"number\" id=\"wpforms-17733-field_107\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][107]\" step=\"any\" aria-errormessage=\"wpforms-17733-field_107-error\" required><\/div><div id=\"wpforms-17733-field_108-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-id=\"108\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">\u00c8 mai stato curato per un&#039;infezione intestinale? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-17733-field_108\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_108_1\" name=\"wpforms[fields][108]\" value=\"S\u00ec\" aria-errormessage=\"wpforms-17733-field_108_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_108_1\">S\u00ec<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_108_2\" name=\"wpforms[fields][108]\" value=\"No\" aria-errormessage=\"wpforms-17733-field_108_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_108_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-17733-field_109-container\" class=\"wpforms-field wpforms-field-date-time wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"109\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-17733-field_109\">Quando \u00e8 stata l&#039;ultima volta? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-17733-field_109\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][109][date]\" aria-errormessage=\"wpforms-17733-field_109-error\" required><a title=\"Cancella la data\" data-clear role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Cancella la data\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-17733-field_110-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-id=\"110\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">Avete una malattia intestinale cronica?  (ad es. morbo di Crohn\/colite ulcerosa\/malattia celiaca)     <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-17733-field_110\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_110_1\" name=\"wpforms[fields][110]\" value=\"S\u00ec\" aria-errormessage=\"wpforms-17733-field_110_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_110_1\">S\u00ec<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_110_2\" name=\"wpforms[fields][110]\" value=\"No\" aria-errormessage=\"wpforms-17733-field_110_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_110_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-17733-field_111-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"111\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-17733-field_111\">Se s\u00ec, quale? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-17733-field_111\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][111]\" aria-errormessage=\"wpforms-17733-field_111-error\" required><\/div><div id=\"wpforms-17733-field_112-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-id=\"112\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">Beve mai prodotti specifici per i movimenti intestinali?  (activity\/yakult\/actimel ecc.)       <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-17733-field_112\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_112_1\" name=\"wpforms[fields][112]\" value=\"S\u00ec\" aria-errormessage=\"wpforms-17733-field_112_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_112_1\">S\u00ec<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_112_2\" name=\"wpforms[fields][112]\" value=\"No\" aria-errormessage=\"wpforms-17733-field_112_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_112_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-17733-field_113-container\" class=\"wpforms-field wpforms-field-number wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"113\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-17733-field_113\">Quante volte? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"number\" id=\"wpforms-17733-field_113\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][113]\" step=\"any\" aria-errormessage=\"wpforms-17733-field_113-error\" aria-describedby=\"wpforms-17733-field_113-description\" required><div id=\"wpforms-17733-field_113-description\" class=\"wpforms-field-description\">... volte al giorno<\/div><\/div><div id=\"wpforms-17733-field_114-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-id=\"114\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">Soffrite mai (pi\u00f9 di una volta al mese) di movimenti intestinali difficili (stitichezza), tanto da dovervi sforzare a lungo per far uscire le feci?   <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-17733-field_114\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_114_1\" name=\"wpforms[fields][114]\" value=\"S\u00ec\" aria-errormessage=\"wpforms-17733-field_114_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_114_1\">S\u00ec<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_114_2\" name=\"wpforms[fields][114]\" value=\"No\" aria-errormessage=\"wpforms-17733-field_114_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_114_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-17733-field_115-container\" class=\"wpforms-field wpforms-field-number wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"115\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-17733-field_115\">Se s\u00ec, qual \u00e8 la frequenza media mensile? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"number\" id=\"wpforms-17733-field_115\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][115]\" step=\"any\" aria-errormessage=\"wpforms-17733-field_115-error\" aria-describedby=\"wpforms-17733-field_115-description\" required><div id=\"wpforms-17733-field_115-description\" class=\"wpforms-field-description\">... volte<\/div><\/div><div id=\"wpforms-17733-field_116-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"116\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">Soffrite di emorroidi?                  <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-17733-field_116\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_116_1\" name=\"wpforms[fields][116]\" value=\"S\u00ec\" aria-errormessage=\"wpforms-17733-field_116_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_116_1\">S\u00ec<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_116_2\" name=\"wpforms[fields][116]\" value=\"No\" aria-errormessage=\"wpforms-17733-field_116_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_116_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-17733-field_117-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"117\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">Avete spesso crampi intestinali?     <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-17733-field_117\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_117_1\" name=\"wpforms[fields][117]\" value=\"S\u00ec\" aria-errormessage=\"wpforms-17733-field_117_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_117_1\">S\u00ec<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_117_2\" name=\"wpforms[fields][117]\" value=\"No\" aria-errormessage=\"wpforms-17733-field_117_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_117_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-17733-field_118-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"118\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">Ha mai assunto farmaci per facilitare\/rallentare i movimenti intestinali?          <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-17733-field_118\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_118_1\" name=\"wpforms[fields][118]\" value=\"S\u00ec\" aria-errormessage=\"wpforms-17733-field_118_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_118_1\">S\u00ec<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_118_2\" name=\"wpforms[fields][118]\" value=\"No\" aria-errormessage=\"wpforms-17733-field_118_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_118_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-17733-field_119-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"119\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">Assume mai determinati alimenti (prugne\/fibre) per aiutare i movimenti intestinali? Per alleviare?      <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-17733-field_119\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_119_1\" name=\"wpforms[fields][119]\" value=\"S\u00ec\" aria-errormessage=\"wpforms-17733-field_119_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_119_1\">S\u00ec<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_119_2\" name=\"wpforms[fields][119]\" value=\"No\" aria-errormessage=\"wpforms-17733-field_119_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_119_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-17733-field_120-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-id=\"120\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">I disturbi intestinali sono presenti nella vostra famiglia?               <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-17733-field_120\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_120_1\" name=\"wpforms[fields][120]\" value=\"S\u00ec\" aria-errormessage=\"wpforms-17733-field_120_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_120_1\">S\u00ec<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_120_2\" name=\"wpforms[fields][120]\" value=\"No\" aria-errormessage=\"wpforms-17733-field_120_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_120_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-17733-field_122-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"122\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-17733-field_122\">Se s\u00ec, quali e con chi? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><textarea id=\"wpforms-17733-field_122\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][122]\" aria-errormessage=\"wpforms-17733-field_122-error\" required><\/textarea><\/div><div id=\"wpforms-17733-field_123-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-id=\"123\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">Il cancro del colon o i polipi sono presenti nella vostra famiglia?       <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-17733-field_123\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_123_1\" name=\"wpforms[fields][123]\" value=\"S\u00ec\" aria-errormessage=\"wpforms-17733-field_123_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_123_1\">S\u00ec<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_123_2\" name=\"wpforms[fields][123]\" value=\"No\" aria-errormessage=\"wpforms-17733-field_123_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_123_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-17733-field_124-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"124\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-17733-field_124\">Con chi? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-17733-field_124\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][124]\" aria-errormessage=\"wpforms-17733-field_124-error\" required><\/div><div id=\"wpforms-17733-field_125-container\" class=\"wpforms-field wpforms-field-number wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"125\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-17733-field_125\">A che et\u00e0? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"number\" id=\"wpforms-17733-field_125\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][125]\" step=\"any\" aria-errormessage=\"wpforms-17733-field_125-error\" required><\/div><div id=\"wpforms-17733-field_126-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"126\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-prev wpforms-disabled\"\n\t\t\t\t\tdata-action=\"prev\" data-page=\"9\" data-formid=\"17733\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">Precedente<\/button><button class=\"wpforms-page-button wpforms-page-next wpforms-disabled\"\n\t\t\t\t\tdata-action=\"next\" data-page=\"9\" data-formid=\"17733\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">Avanti<\/button><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-10  \" data-page=\"10\" style=\"display:none;\"><div id=\"wpforms-17733-field_127-container\" class=\"wpforms-field wpforms-field-content\" data-field-id=\"127\"><div id=\"wpforms-17733-field_127\" class=\"wpforms-field-medium wpforms-field-row\" aria-errormessage=\"wpforms-17733-field_127-error\"><h4>Uso di antibiotici<\/h4>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-17733-field_128-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-trigger\" data-field-id=\"128\"><fieldset><legend class=\"wpforms-field-label\">Ha mai assunto antibiotici? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-17733-field_128\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_128_1\" name=\"wpforms[fields][128]\" value=\"S\u00ec\" aria-errormessage=\"wpforms-17733-field_128_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_128_1\">S\u00ec<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_128_2\" name=\"wpforms[fields][128]\" value=\"No\" aria-errormessage=\"wpforms-17733-field_128_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_128_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-17733-field_129-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-id=\"129\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">Ha assunto antibiotici negli ultimi tre mesi? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-17733-field_129\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_129_1\" name=\"wpforms[fields][129]\" value=\"S\u00ec\" aria-errormessage=\"wpforms-17733-field_129_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_129_1\">S\u00ec<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_129_2\" name=\"wpforms[fields][129]\" value=\"No\" aria-errormessage=\"wpforms-17733-field_129_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_129_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-17733-field_131-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"131\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-17733-field_131\">Riesce a ricordare quale antibiotico? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-17733-field_131\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][131]\" aria-errormessage=\"wpforms-17733-field_131-error\" required><\/div><div id=\"wpforms-17733-field_132-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"132\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-17733-field_132\">Quando e per quanti giorni? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-17733-field_132\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][132]\" aria-errormessage=\"wpforms-17733-field_132-error\" required><\/div><div id=\"wpforms-17733-field_133-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-id=\"133\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">Ha fatto uso di antibiotici nell&#039;ultimo anno? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-17733-field_133\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_133_1\" name=\"wpforms[fields][133]\" value=\"S\u00ec\" aria-errormessage=\"wpforms-17733-field_133_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_133_1\">S\u00ec<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_133_2\" name=\"wpforms[fields][133]\" value=\"No\" aria-errormessage=\"wpforms-17733-field_133_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_133_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-17733-field_134-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"134\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-17733-field_134\">Riesce a ricordare quale antibiotico? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-17733-field_134\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][134]\" aria-errormessage=\"wpforms-17733-field_134-error\" required><\/div><div id=\"wpforms-17733-field_135-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"135\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-17733-field_135\">Quando e per quanti giorni? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-17733-field_135\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][135]\" aria-errormessage=\"wpforms-17733-field_135-error\" required><\/div><div id=\"wpforms-17733-field_136-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"136\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-prev wpforms-disabled\"\n\t\t\t\t\tdata-action=\"prev\" data-page=\"10\" data-formid=\"17733\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">Precedente<\/button><button class=\"wpforms-page-button wpforms-page-next wpforms-disabled\"\n\t\t\t\t\tdata-action=\"next\" data-page=\"10\" data-formid=\"17733\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">Avanti<\/button><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-11  \" data-page=\"11\" style=\"display:none;\"><div id=\"wpforms-17733-field_137-container\" class=\"wpforms-field wpforms-field-content\" data-field-id=\"137\"><div id=\"wpforms-17733-field_137\" class=\"wpforms-field-medium wpforms-field-row\" aria-errormessage=\"wpforms-17733-field_137-error\"><h4>Ulteriori problemi di salute<\/h4>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-17733-field_138-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-trigger\" data-field-id=\"138\"><fieldset><legend class=\"wpforms-field-label\">Ha mai avuto un&#039;emorragia rettale? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-17733-field_138\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_138_1\" name=\"wpforms[fields][138]\" value=\"S\u00ec\" aria-errormessage=\"wpforms-17733-field_138_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_138_1\">S\u00ec<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_138_2\" name=\"wpforms[fields][138]\" value=\"No\" aria-errormessage=\"wpforms-17733-field_138_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_138_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-17733-field_140-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-id=\"140\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">Sono state condotte ulteriori ricerche? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-17733-field_140\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_140_1\" name=\"wpforms[fields][140]\" value=\"S\u00ec\" aria-errormessage=\"wpforms-17733-field_140_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_140_1\">S\u00ec<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_140_2\" name=\"wpforms[fields][140]\" value=\"No\" aria-errormessage=\"wpforms-17733-field_140_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_140_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-17733-field_141-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"141\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-17733-field_141\">Quali sono stati i risultati? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><textarea id=\"wpforms-17733-field_141\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][141]\" aria-errormessage=\"wpforms-17733-field_141-error\" required><\/textarea><\/div><div id=\"wpforms-17733-field_142-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"142\"><fieldset><legend class=\"wpforms-field-label\">Ha avuto la febbre nelle ultime due settimane? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-17733-field_142\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_142_1\" name=\"wpforms[fields][142]\" value=\"S\u00ec\" aria-errormessage=\"wpforms-17733-field_142_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_142_1\">S\u00ec<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_142_2\" name=\"wpforms[fields][142]\" value=\"No\" aria-errormessage=\"wpforms-17733-field_142_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_142_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-17733-field_143-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-trigger\" data-field-id=\"143\"><fieldset><legend class=\"wpforms-field-label\">Ha avuto diarrea negli ultimi 3 mesi? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-17733-field_143\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_143_1\" name=\"wpforms[fields][143]\" value=\"S\u00ec\" aria-errormessage=\"wpforms-17733-field_143_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_143_1\">S\u00ec<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_143_2\" name=\"wpforms[fields][143]\" value=\"No\" aria-errormessage=\"wpforms-17733-field_143_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_143_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-17733-field_144-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"144\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-17733-field_144\">Quando \u00e8 iniziato e quanto \u00e8 durato? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><textarea id=\"wpforms-17733-field_144\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][144]\" aria-errormessage=\"wpforms-17733-field_144-error\" required><\/textarea><\/div><div id=\"wpforms-17733-field_145-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"145\"><fieldset><legend class=\"wpforms-field-label\">Soffrite di allergie? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-17733-field_145\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_145_1\" name=\"wpforms[fields][145]\" value=\"S\u00ec\" aria-errormessage=\"wpforms-17733-field_145_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_145_1\">S\u00ec<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-17733-field_145_2\" name=\"wpforms[fields][145]\" value=\"No\" aria-errormessage=\"wpforms-17733-field_145_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17733-field_145_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-17733-field_146-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"146\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-prev wpforms-disabled\"\n\t\t\t\t\tdata-action=\"prev\" data-page=\"11\" data-formid=\"17733\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">Precedente<\/button><button class=\"wpforms-page-button wpforms-page-next wpforms-disabled\"\n\t\t\t\t\tdata-action=\"next\" data-page=\"11\" data-formid=\"17733\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">Avanti<\/button><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-12 last \" data-page=\"12\" style=\"display:none;\"><div id=\"wpforms-17733-field_147-container\" class=\"wpforms-field wpforms-field-content\" data-field-id=\"147\"><div id=\"wpforms-17733-field_147\" class=\"wpforms-field-medium wpforms-field-row\" aria-errormessage=\"wpforms-17733-field_147-error\"><h4>Aggiunte<\/h4>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-17733-field_148-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"148\"><label class=\"wpforms-field-label\" for=\"wpforms-17733-field_148\">Ci sono altre cose che vorrebbe dire o spiegare?<\/label><textarea id=\"wpforms-17733-field_148\" class=\"wpforms-field-medium\" name=\"wpforms[fields][148]\" aria-errormessage=\"wpforms-17733-field_148-error\" ><\/textarea><\/div><div id=\"wpforms-17733-field_9-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"9\"><\/div><\/div><script>\n\t\t\t\t( function() {\n\t\t\t\t\tconst style = document.createElement( 'style' );\n\t\t\t\t\tstyle.appendChild( document.createTextNode( '#wpforms-17733-field_3-container { position: absolute !important; overflow: hidden !important; display: inline !important; height: 1px !important; width: 1px !important; z-index: -1000 !important; padding: 0 !important; } #wpforms-17733-field_3-container input { visibility: hidden; } #wpforms-conversational-form-page #wpforms-17733-field_3-container label { counter-increment: none; }' ) );\n\t\t\t\t\tdocument.head.appendChild( style );\n\t\t\t\t\tdocument.currentScript?.remove();\n\t\t\t\t} )();\n\t\t\t<\/script><\/div><!-- 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