{"id":118271,"date":"2022-09-28T14:08:17","date_gmt":"2022-09-28T14:08:17","guid":{"rendered":"https:\/\/takedastg.wpenginepowered.com\/participe-en-el-estudio\/"},"modified":"2025-02-03T20:11:17","modified_gmt":"2025-02-03T20:11:17","slug":"participe-en-el-estudio","status":"publish","type":"page","link":"https:\/\/crctrial.com\/es-us\/participe-en-el-estudio\/","title":{"rendered":"Participe en el estudio"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row unlock_row_content=&#8221;yes&#8221; row_height_percent=&#8221;100&#8243; override_padding=&#8221;yes&#8221; h_padding=&#8221;0&#8243; top_padding=&#8221;0&#8243; bottom_padding=&#8221;1&#8243; back_color=&#8221;accent&#8221; overlay_alpha=&#8221;50&#8243; equal_height=&#8221;yes&#8221; gutter_size=&#8221;3&#8243; column_width_percent=&#8221;100&#8243; shift_y=&#8221;0&#8243; z_index=&#8221;0&#8243; uncode_shortcode_id=&#8221;129535&#8243; back_color_type=&#8221;uncode-palette&#8221;][vc_column column_width_percent=&#8221;100&#8243; gutter_size=&#8221;3&#8243; overlay_alpha=&#8221;50&#8243; shift_x=&#8221;0&#8243; shift_y=&#8221;0&#8243; shift_y_down=&#8221;0&#8243; z_index=&#8221;0&#8243; medium_width=&#8221;0&#8243; mobile_width=&#8221;0&#8243; uncode_shortcode_id=&#8221;170026&#8243; width=&#8221;1\/2&#8243;][vc_single_image media=&#8221;118252&#8243; media_width_percent=&#8221;100&#8243; alignment=&#8221;center&#8221; lbox_transparency=&#8221;opaque&#8221; uncode_shortcode_id=&#8221;511557&#8243;][\/vc_column][vc_column column_width_percent=&#8221;100&#8243; gutter_size=&#8221;3&#8243; override_padding=&#8221;yes&#8221; column_padding=&#8221;3&#8243; overlay_alpha=&#8221;50&#8243; shift_x=&#8221;0&#8243; shift_y=&#8221;0&#8243; shift_y_down=&#8221;0&#8243; z_index=&#8221;0&#8243; medium_width=&#8221;0&#8243; mobile_width=&#8221;0&#8243; width=&#8221;1\/2&#8243; uncode_shortcode_id=&#8221;533359&#8243;][vc_column_text uncode_shortcode_id=&#8221;173236&#8243;]Antes de que lo contacten con el personal de una cl\u00ednica del estudio cercana a usted, debemos hacerle algunas preguntas. Solo hay 6 preguntas, y deber\u00edan llevarle menos de un minuto.[\/vc_column_text]<script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 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data-formid='5' novalidate>\n        <div id='gf_progressbar_wrapper_5' class='gf_progressbar_wrapper' data-start-at-zero=''>\n        \t<p class=\"gf_progressbar_title\">Step <span class='gf_step_current_page'>1<\/span> of <span class='gf_step_page_count'>6<\/span><span class='gf_step_page_name'><\/span>\n        \t<\/p>\n            <div class='gf_progressbar gf_progressbar_blue' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_blue percentbar_16' style='width:16%;'><span>16%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_5_1' class='gform_page ' data-js='page-field-id-0' >\n\t\t\t\t\t<div class='gform_page_fields'><div id='gform_fields_5' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_5_13\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_13'>1. \u00bfEs mayor de 18 a\u00f1os?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_5_13'>Para las preguntas 1-5, <b>\u201custed\u201d<\/b> se refiere a la persona que participar\u00eda en el estudio.<\/div><div class='ginput_container ginput_container_select'><select name='input_13' id='input_5_13' class='large gfield_select'  aria-describedby=\"gfield_description_5_13\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Seleccionar<\/option><option value='S\u00ed' >S\u00ed<\/option><option value='No' >No<\/option><\/select><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_5_16' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Siguiente'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_5_2' class='gform_page' data-js='page-field-id-16' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_5_2' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_5_15\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_15'>2. \u00bfSe identifica como persona negra\/afroamericana o latina\/hispana?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_15' id='input_5_15' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Seleccionar<\/option><option value='S\u00ed' >S\u00ed<\/option><option value='No' >No<\/option><\/select><\/div><\/div><fieldset id=\"field_5_28\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full sub-question field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Otra raza\/origen \u00e9tnico<\/legend><div class='gfield_description' id='gfield_description_5_28'>Seleccione todas las opciones que correspondan.<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_5_28'><div class='gchoice gchoice_5_28_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_28.1' type='checkbox'  value='Persona india americana o nativa de Alaska'  id='choice_5_28_1'   aria-describedby=\"gfield_description_5_28\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_5_28_1' id='label_5_28_1' class='gform-field-label gform-field-label--type-inline'>Persona india americana o nativa de Alaska<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_28_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_28.2' type='checkbox'  value='Persona asi\u00e1tica'  id='choice_5_28_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_28_2' id='label_5_28_2' class='gform-field-label gform-field-label--type-inline'>Persona asi\u00e1tica<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_28_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_28.3' type='checkbox'  value='Persona hawaiana nativa o de otras Islas del Pac\u00edfico'  id='choice_5_28_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_28_3' id='label_5_28_3' class='gform-field-label gform-field-label--type-inline'>Persona hawaiana nativa o de otras Islas del Pac\u00edfico<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_28_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_28.4' type='checkbox'  value='Persona blanca'  id='choice_5_28_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_28_4' id='label_5_28_4' class='gform-field-label gform-field-label--type-inline'>Persona blanca<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_5_17' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Anterior'  \/> <input type='button' id='gform_next_button_5_17' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Siguiente'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_5_3' class='gform_page' data-js='page-field-id-17' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_5_3' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_5_14\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_14'>3. \u00bfTiene c\u00e1ncer colorrectal en etapa 4 (metast\u00e1sico)? \u201cMetast\u00e1sico\u201d significa que el c\u00e1ncer se disemin\u00f3.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_14' id='input_5_14' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Seleccionar<\/option><option value='S\u00ed' >S\u00ed<\/option><option value='No' >No<\/option><\/select><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_5_21' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Anterior'  \/> <input type='button' id='gform_next_button_5_21' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Siguiente'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_5_4' class='gform_page' data-js='page-field-id-21' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_5_4' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_5_18\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_18'>4. \u00bfHa probado al menos 2 tratamientos diferentes para su c\u00e1ncer colorrectal en etapa 4?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_18' id='input_5_18' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Seleccionar<\/option><option value='S\u00ed' >S\u00ed<\/option><option value='No' >No<\/option><\/select><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_5_19' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Anterior'  \/> <input type='button' id='gform_next_button_5_19' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Siguiente'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_5_5' class='gform_page' data-js='page-field-id-19' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_5_5' class='gform_fields top_label form_sublabel_below description_below validation_below'><fieldset id=\"field_5_24\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox checkbox-dark gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >5. \u00bfTiene alguna de estas afecciones?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_5_24'><div class='gchoice gchoice_5_24_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_24.1' type='checkbox'  value='Infecci\u00f3n por VIH'  id='choice_5_24_1'   aria-describedby=\"gfield_description_5_24\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_5_24_1' id='label_5_24_1' class='gform-field-label gform-field-label--type-inline'>Infecci\u00f3n por VIH<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_24_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_24.2' type='checkbox'  value='Enfermedad renal tratada con di\u00e1lisis'  id='choice_5_24_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_24_2' id='label_5_24_2' class='gform-field-label gform-field-label--type-inline'>Enfermedad renal tratada con di\u00e1lisis<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_24_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_24.3' type='checkbox'  value='Accidente cerebrovascular o ataque isqu\u00e9mico transitorio (AIT) en los \u00faltimos 12 meses'  id='choice_5_24_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_24_3' id='label_5_24_3' class='gform-field-label gform-field-label--type-inline'>Accidente cerebrovascular o ataque isqu\u00e9mico transitorio (AIT) en los \u00faltimos 12 meses<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_24_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_24.4' type='checkbox'  value='Infarto de miocardio o cirug\u00eda card\u00edaca en los \u00faltimos 6 meses'  id='choice_5_24_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_24_4' id='label_5_24_4' class='gform-field-label gform-field-label--type-inline'>Infarto de miocardio o cirug\u00eda card\u00edaca en los \u00faltimos 6 meses<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_24_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_24.5' type='checkbox'  value='Infecci\u00f3n activa que requiere antibi\u00f3ticos intravenosos (IV)'  id='choice_5_24_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_24_5' id='label_5_24_5' class='gform-field-label gform-field-label--type-inline'>Infecci\u00f3n activa que requiere antibi\u00f3ticos intravenosos (IV)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_24_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_24.6' type='checkbox'  value='\u00dalcera g\u00e1strica o colitis ulcerosa pasada o presente'  id='choice_5_24_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_24_6' id='label_5_24_6' class='gform-field-label gform-field-label--type-inline'>\u00dalcera g\u00e1strica o colitis ulcerosa pasada o presente<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_24_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_24.7' type='checkbox'  value='Co\u00e1gulo de sangre en los \u00faltimos 6 meses (como en los pulmones, las piernas o las arterias)'  id='choice_5_24_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_24_7' id='label_5_24_7' class='gform-field-label gform-field-label--type-inline'>Co\u00e1gulo de sangre en los \u00faltimos 6 meses (como en los pulmones, las piernas o las arterias)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_24_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_24.8' type='checkbox'  value='Ninguna de las anteriores'  id='choice_5_24_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_24_8' id='label_5_24_8' class='gform-field-label gform-field-label--type-inline'>Ninguna de las anteriores<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_24_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_24.9' type='checkbox'  value='No estoy seguro'  id='choice_5_24_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_24_9' id='label_5_24_9' class='gform-field-label gform-field-label--type-inline'>No estoy seguro<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_5_24'>Escoja todas las opciones que correspondan.<\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_5_26' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Anterior'  \/> <input type='button' id='gform_next_button_5_26' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Siguiente'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_5_6' class='gform_page' data-js='page-field-id-26' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_5_6' class='gform_fields top_label form_sublabel_below description_below validation_below'><fieldset id=\"field_5_25\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full checkbox-dark gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >6. \u00bfC\u00f3mo se enter\u00f3 de este estudio?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_5_25'>Para la pregunta 6, <b>\u201custed\u201d<\/b> se refiere a la persona que responde a estas preguntas o a la persona que participar\u00eda en el estudio.<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_5_25'><div class='gchoice gchoice_5_25_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_25.1' type='checkbox'  value='Mi m\u00e9dico me 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