<html><body style="font-family: Roboto,Helvetica,Arial,sans-serif; margin: 0; padding: 0; height: 100%; width: 100%;"><table border="0" cellpadding="0" cellspacing="0" style="background-color:rgb(103,58,183);" width="100%" role="presentation"><tbody><tr height="64px"><td style="padding: 0 24px;"><img alt="Formularios de Google" height="26px" style="display: inline-block; margin: 0; vertical-align: middle;" width="143px" src="https://www.gstatic.com/docs/forms/google_forms_logo_lockup_white_2x.png"></td></tr></tbody></table><div style="padding: 24px; background-color:rgb(237,231,246)"><table align="center" border="0" cellpadding="0" cellspacing="0" style="max-width: 672px; min-width: 154px;" width="100%" role="presentation"><tbody><tr><td style="font-size: 13px; line-height: 18px; color: #424242; font-weight: 700">¿Tienes problemas para ver o enviar este formulario?</td></tr><tr height="8px"><td></td></tr><tr><td><table border="0" cellpadding="0" cellspacing="0" width="100%"><tbody><tr><td><a href="https://docs.google.com/forms/d/e/1FAIpQLSfv0y4ncYzMhy_uzR0S58w-4GFt2AToMQf5JFM5uuGedRbqvw/viewform?vc=0&c=0&w=1&usp=mail_form_link" style="border-radius: 3px; box-sizing: border-box; display: inline-block; font-size: 13px; font-weight: 700; height: 40px; line-height: 40px; padding: 0 24px; text-align: center; text-decoration: none; text-transform: uppercase; vertical-align: middle; color: #fff; background-color: rgb(103,58,183);" target="_blank" rel="noopener">Rellenar en Formularios de Google</a></td></tr></tbody></table></td></tr><tr height="24px"><td></td></tr></tbody></table><div align="center" style="background-color: #fff; border-bottom: 1px solid #e0e0e0;margin: 0 auto; max-width: 624px; min-width: 154px;padding: 0 24px;"><table align="center" cellpadding="0" cellspacing="0" style="background-color: #fff;" width="100%" role="presentation"><tbody><tr height="24px"><td></td></tr><tr><td><span style="display: table-cell; vertical-align: top; font-size: 13px; line-height: 18px; color: #424242;" dir="auto">Te he invitado a que rellenes un formulario:<br><br>A través de esta encuesta puedes darnos tu opinión sobre el estado de limpieza de las instalaciones de la EPS. Tu opinión nos servirá para mejorar el servicio.<br><br>Valora de 0 a 10 cada uno de los servicios que te indicamos y déjanos tus sugerencias para mejorar el servicio y déjanos tus sugerencias.<br><br>Se tendrán en cuentas las encuestas recibidas antes del próximo día 3 de abril<br>El cuestionario es totalmente anónimo. </span></td></tr><tr height="20px"><td></tr><tr style="font-size: 20px; line-height: 24px;"><td dir="auto"><a href="https://docs.google.com/forms/d/e/1FAIpQLSfv0y4ncYzMhy_uzR0S58w-4GFt2AToMQf5JFM5uuGedRbqvw/viewform?vc=0&c=0&w=1&usp=mail_form_link" style="color: rgb(103,58,183); text-decoration: none; vertical-align: middle; font-weight: 500">VALORACIÓN SERVICIO LIMPIEZA -EPS - PDI AÑO 2020</a><div itemprop="action" itemscope itemtype="http://schema.org/ViewAction"><meta itemprop="url" content="https://docs.google.com/forms/d/e/1FAIpQLSfv0y4ncYzMhy_uzR0S58w-4GFt2AToMQf5JFM5uuGedRbqvw/viewform?vc=0&c=0&w=1&usp=mail_goto_form"><meta itemprop="name" content="Rellenar formulario"></div></td></tr><tr height="16px"></tr><tr><td style="display: table-cell; vertical-align: top; font-size: 13px; line-height: 18px; color: #424242;" dir="auto">A través de esta encuesta puedes darnos tu opinión sobre el estado de limpieza de las instalaciones de la EPS. Tu opinión nos servirá para mejorar el servicio. Valora de 0 a 10 cada uno de los espacios que te indicamos. El cuestionario es anónimo. Gracias por tu colaboración.</td></tr><tr height="24px"></tr><tr><td><div class="ss-form" style=""><form action="https://docs.google.com/forms/u/0/d/e/1FAIpQLSfv0y4ncYzMhy_uzR0S58w-4GFt2AToMQf5JFM5uuGedRbqvw/formResponse" method="POST" id="ss-form" target="_self" style=""><ol role="list" class="ss-question-list" style="padding-left: 0;list-style-type:none;">
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<label class="ss-q-item-label" for="entry_1681584090" style=""><div class="ss-q-title" style="display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83em;">Estado de limpieza de las instalaciones
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<td class="ss-scalenumbers" style="text-align:center;"><label class="ss-scalenumber" for="group_1000039_1" style="display:block;padding:0.5em 0 .5em;">1</label></td> <td class="ss-scalenumbers" style="text-align:center;"><label class="ss-scalenumber" for="group_1000039_2" style="display:block;padding:0.5em 0 .5em;">2</label></td> <td class="ss-scalenumbers" style="text-align:center;"><label class="ss-scalenumber" for="group_1000039_3" style="display:block;padding:0.5em 0 .5em;">3</label></td> <td class="ss-scalenumbers" style="text-align:center;"><label class="ss-scalenumber" for="group_1000039_4" style="display:block;padding:0.5em 0 .5em;">4</label></td> <td class="ss-scalenumbers" style="text-align:center;"><label class="ss-scalenumber" for="group_1000039_5" style="display:block;padding:0.5em 0 .5em;">5</label></td> <td class="ss-scalenumbers" style="text-align:center;"><label class="ss-scalenumber" for="group_1000039_6" style="display:block;padding:0.5em 0 .5em;">6</label></td> <td class="ss-scalenumbers" style="text-align:center;"><label class="ss-scalenumber" for="group_1000039_7" style="display:block;padding:0.5em 0 .5em;">7</label></td> <td class="ss-scalenumbers" style="text-align:center;"><label class="ss-scalenumber" for="group_1000039_8" style="display:block;padding:0.5em 0 .5em;">8</label></td> <td class="ss-scalenumbers" style="text-align:center;"><label class="ss-scalenumber" for="group_1000039_9" style="display:block;padding:0.5em 0 .5em;">9</label></td> <td class="ss-scalenumbers" style="text-align:center;"><label class="ss-scalenumber" for="group_1000039_10" style="display:block;padding:0.5em 0 .5em;">10</label></td>
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<label class="ss-q-item-label" for="entry_645530056" style=""><div class="ss-q-title" style="display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83em;">Tratamiento y limpieza de mobiliario y accesorios
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<td class="ss-scalenumbers" style="text-align:center;"><label class="ss-scalenumber" for="group_1000040_1" style="display:block;padding:0.5em 0 .5em;">1</label></td> <td class="ss-scalenumbers" style="text-align:center;"><label class="ss-scalenumber" for="group_1000040_2" style="display:block;padding:0.5em 0 .5em;">2</label></td> <td class="ss-scalenumbers" style="text-align:center;"><label class="ss-scalenumber" for="group_1000040_3" style="display:block;padding:0.5em 0 .5em;">3</label></td> <td class="ss-scalenumbers" style="text-align:center;"><label class="ss-scalenumber" for="group_1000040_4" style="display:block;padding:0.5em 0 .5em;">4</label></td> <td class="ss-scalenumbers" style="text-align:center;"><label class="ss-scalenumber" for="group_1000040_5" style="display:block;padding:0.5em 0 .5em;">5</label></td> <td class="ss-scalenumbers" style="text-align:center;"><label class="ss-scalenumber" for="group_1000040_6" style="display:block;padding:0.5em 0 .5em;">6</label></td> <td class="ss-scalenumbers" style="text-align:center;"><label class="ss-scalenumber" for="group_1000040_7" style="display:block;padding:0.5em 0 .5em;">7</label></td> <td class="ss-scalenumbers" style="text-align:center;"><label class="ss-scalenumber" for="group_1000040_8" style="display:block;padding:0.5em 0 .5em;">8</label></td> <td class="ss-scalenumbers" style="text-align:center;"><label class="ss-scalenumber" for="group_1000040_9" style="display:block;padding:0.5em 0 .5em;">9</label></td> <td class="ss-scalenumbers" style="text-align:center;"><label class="ss-scalenumber" for="group_1000040_10" style="display:block;padding:0.5em 0 .5em;">10</label></td>
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<td class="ss-scalerow" style="text-align:center;color:#666;border:1px solid #d3d8d3;border-left:0;border-right:0;padding:.5em .25em;"><div class="ss-scalerow-fieldcell" style=""><input type="radio" name="entry.1000040" value="1" id="group_1000040_1" role="radio" class="ss-q-radio" aria-label="1" style=""></div></td> <td class="ss-scalerow" style="text-align:center;color:#666;border:1px solid #d3d8d3;border-left:0;border-right:0;padding:.5em .25em;"><div class="ss-scalerow-fieldcell" style=""><input type="radio" name="entry.1000040" value="2" id="group_1000040_2" role="radio" class="ss-q-radio" aria-label="2" style=""></div></td> <td class="ss-scalerow" style="text-align:center;color:#666;border:1px solid #d3d8d3;border-left:0;border-right:0;padding:.5em .25em;"><div class="ss-scalerow-fieldcell" style=""><input type="radio" name="entry.1000040" value="3" id="group_1000040_3" role="radio" class="ss-q-radio" aria-label="3" style=""></div></td> <td class="ss-scalerow" style="text-align:center;color:#666;border:1px solid #d3d8d3;border-left:0;border-right:0;padding:.5em .25em;"><div class="ss-scalerow-fieldcell" style=""><input type="radio" name="entry.1000040" value="4" id="group_1000040_4" role="radio" class="ss-q-radio" aria-label="4" style=""></div></td> <td class="ss-scalerow" style="text-align:center;color:#666;border:1px solid #d3d8d3;border-left:0;border-right:0;padding:.5em .25em;"><div class="ss-scalerow-fieldcell" style=""><input type="radio" name="entry.1000040" value="5" id="group_1000040_5" role="radio" class="ss-q-radio" aria-label="5" style=""></div></td> <td class="ss-scalerow" style="text-align:center;color:#666;border:1px solid #d3d8d3;border-left:0;border-right:0;padding:.5em .25em;"><div class="ss-scalerow-fieldcell" style=""><input type="radio" name="entry.1000040" value="6" id="group_1000040_6" role="radio" class="ss-q-radio" aria-label="6" style=""></div></td> <td class="ss-scalerow" style="text-align:center;color:#666;border:1px solid #d3d8d3;border-left:0;border-right:0;padding:.5em .25em;"><div class="ss-scalerow-fieldcell" style=""><input type="radio" name="entry.1000040" value="7" id="group_1000040_7" role="radio" class="ss-q-radio" aria-label="7" style=""></div></td> <td class="ss-scalerow" style="text-align:center;color:#666;border:1px solid #d3d8d3;border-left:0;border-right:0;padding:.5em .25em;"><div class="ss-scalerow-fieldcell" style=""><input type="radio" name="entry.1000040" value="8" id="group_1000040_8" role="radio" class="ss-q-radio" aria-label="8" style=""></div></td> <td class="ss-scalerow" style="text-align:center;color:#666;border:1px solid #d3d8d3;border-left:0;border-right:0;padding:.5em .25em;"><div class="ss-scalerow-fieldcell" style=""><input type="radio" name="entry.1000040" value="9" id="group_1000040_9" role="radio" class="ss-q-radio" aria-label="9" style=""></div></td> <td class="ss-scalerow" style="text-align:center;color:#666;border:1px solid #d3d8d3;border-left:0;border-right:0;padding:.5em .25em;"><div class="ss-scalerow-fieldcell" style=""><input type="radio" name="entry.1000040" value="10" id="group_1000040_10" role="radio" class="ss-q-radio" aria-label="10" style=""></div></td>
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<label class="ss-q-item-label" for="entry_459614344" style=""><div class="ss-q-title" style="display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83em;">Suministro de material higiénico-sanitario
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<td class="ss-scalenumbers" style="text-align:center;"><label class="ss-scalenumber" for="group_1000004_1" style="display:block;padding:0.5em 0 .5em;">1</label></td> <td class="ss-scalenumbers" style="text-align:center;"><label class="ss-scalenumber" for="group_1000004_2" style="display:block;padding:0.5em 0 .5em;">2</label></td> <td class="ss-scalenumbers" style="text-align:center;"><label class="ss-scalenumber" for="group_1000004_3" style="display:block;padding:0.5em 0 .5em;">3</label></td> <td class="ss-scalenumbers" style="text-align:center;"><label class="ss-scalenumber" for="group_1000004_4" style="display:block;padding:0.5em 0 .5em;">4</label></td> <td class="ss-scalenumbers" style="text-align:center;"><label class="ss-scalenumber" for="group_1000004_5" style="display:block;padding:0.5em 0 .5em;">5</label></td> <td class="ss-scalenumbers" style="text-align:center;"><label class="ss-scalenumber" for="group_1000004_6" style="display:block;padding:0.5em 0 .5em;">6</label></td> <td class="ss-scalenumbers" style="text-align:center;"><label class="ss-scalenumber" for="group_1000004_7" style="display:block;padding:0.5em 0 .5em;">7</label></td> <td class="ss-scalenumbers" style="text-align:center;"><label class="ss-scalenumber" for="group_1000004_8" style="display:block;padding:0.5em 0 .5em;">8</label></td> <td class="ss-scalenumbers" style="text-align:center;"><label class="ss-scalenumber" for="group_1000004_9" style="display:block;padding:0.5em 0 .5em;">9</label></td> <td class="ss-scalenumbers" style="text-align:center;"><label class="ss-scalenumber" for="group_1000004_10" style="display:block;padding:0.5em 0 .5em;">10</label></td>
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<td class="ss-scalerow" style="text-align:center;color:#666;border:1px solid #d3d8d3;border-left:0;border-right:0;padding:.5em .25em;"><div class="ss-scalerow-fieldcell" style=""><input type="radio" name="entry.1000004" value="1" id="group_1000004_1" role="radio" class="ss-q-radio" aria-label="1" style=""></div></td> <td class="ss-scalerow" style="text-align:center;color:#666;border:1px solid #d3d8d3;border-left:0;border-right:0;padding:.5em .25em;"><div class="ss-scalerow-fieldcell" style=""><input type="radio" name="entry.1000004" value="2" id="group_1000004_2" role="radio" class="ss-q-radio" aria-label="2" style=""></div></td> <td class="ss-scalerow" style="text-align:center;color:#666;border:1px solid #d3d8d3;border-left:0;border-right:0;padding:.5em .25em;"><div class="ss-scalerow-fieldcell" style=""><input type="radio" name="entry.1000004" value="3" id="group_1000004_3" role="radio" class="ss-q-radio" aria-label="3" style=""></div></td> <td class="ss-scalerow" style="text-align:center;color:#666;border:1px solid #d3d8d3;border-left:0;border-right:0;padding:.5em .25em;"><div class="ss-scalerow-fieldcell" style=""><input type="radio" name="entry.1000004" value="4" id="group_1000004_4" role="radio" class="ss-q-radio" aria-label="4" style=""></div></td> <td class="ss-scalerow" style="text-align:center;color:#666;border:1px solid #d3d8d3;border-left:0;border-right:0;padding:.5em .25em;"><div class="ss-scalerow-fieldcell" style=""><input type="radio" name="entry.1000004" value="5" id="group_1000004_5" role="radio" class="ss-q-radio" aria-label="5" style=""></div></td> <td class="ss-scalerow" style="text-align:center;color:#666;border:1px solid #d3d8d3;border-left:0;border-right:0;padding:.5em .25em;"><div class="ss-scalerow-fieldcell" style=""><input type="radio" name="entry.1000004" value="6" id="group_1000004_6" role="radio" class="ss-q-radio" aria-label="6" style=""></div></td> <td class="ss-scalerow" style="text-align:center;color:#666;border:1px solid #d3d8d3;border-left:0;border-right:0;padding:.5em .25em;"><div class="ss-scalerow-fieldcell" style=""><input type="radio" name="entry.1000004" value="7" id="group_1000004_7" role="radio" class="ss-q-radio" aria-label="7" style=""></div></td> <td class="ss-scalerow" style="text-align:center;color:#666;border:1px solid #d3d8d3;border-left:0;border-right:0;padding:.5em .25em;"><div class="ss-scalerow-fieldcell" style=""><input type="radio" name="entry.1000004" value="8" id="group_1000004_8" role="radio" class="ss-q-radio" aria-label="8" style=""></div></td> <td class="ss-scalerow" style="text-align:center;color:#666;border:1px solid #d3d8d3;border-left:0;border-right:0;padding:.5em .25em;"><div class="ss-scalerow-fieldcell" style=""><input type="radio" name="entry.1000004" value="9" id="group_1000004_9" role="radio" class="ss-q-radio" aria-label="9" style=""></div></td> <td class="ss-scalerow" style="text-align:center;color:#666;border:1px solid #d3d8d3;border-left:0;border-right:0;padding:.5em .25em;"><div class="ss-scalerow-fieldcell" style=""><input type="radio" name="entry.1000004" value="10" id="group_1000004_10" role="radio" class="ss-q-radio" aria-label="10" style=""></div></td>
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<div dir="auto" class="ss-item ss-scale" style="margin:12px 0;overflow-x:auto;"><div class="ss-form-entry" style="margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%;">
<label class="ss-q-item-label" for="entry_444696832" style=""><div class="ss-q-title" style="display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83em;">Calidad del servicio. Distribución medios personales y materiales
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<div class="ss-q-help ss-secondary-text" dir="auto" style="display:block;margin:.1em 0 .25em 0;color:#666;"></div></label>
<table border="0" cellpadding="5" cellspacing="0" id="entry_1000005" style=""><tr aria-hidden="true" style=""><td class="ss-scalenumbers" style="text-align:center;"></td>
<td class="ss-scalenumbers" style="text-align:center;"><label class="ss-scalenumber" for="group_1000005_1" style="display:block;padding:0.5em 0 .5em;">1</label></td> <td class="ss-scalenumbers" style="text-align:center;"><label class="ss-scalenumber" for="group_1000005_2" style="display:block;padding:0.5em 0 .5em;">2</label></td> <td class="ss-scalenumbers" style="text-align:center;"><label class="ss-scalenumber" for="group_1000005_3" style="display:block;padding:0.5em 0 .5em;">3</label></td> <td class="ss-scalenumbers" style="text-align:center;"><label class="ss-scalenumber" for="group_1000005_4" style="display:block;padding:0.5em 0 .5em;">4</label></td> <td class="ss-scalenumbers" style="text-align:center;"><label class="ss-scalenumber" for="group_1000005_5" style="display:block;padding:0.5em 0 .5em;">5</label></td> <td class="ss-scalenumbers" style="text-align:center;"><label class="ss-scalenumber" for="group_1000005_6" style="display:block;padding:0.5em 0 .5em;">6</label></td> <td class="ss-scalenumbers" style="text-align:center;"><label class="ss-scalenumber" for="group_1000005_7" style="display:block;padding:0.5em 0 .5em;">7</label></td> <td class="ss-scalenumbers" style="text-align:center;"><label class="ss-scalenumber" for="group_1000005_8" style="display:block;padding:0.5em 0 .5em;">8</label></td> <td class="ss-scalenumbers" style="text-align:center;"><label class="ss-scalenumber" for="group_1000005_9" style="display:block;padding:0.5em 0 .5em;">9</label></td> <td class="ss-scalenumbers" style="text-align:center;"><label class="ss-scalenumber" for="group_1000005_10" style="display:block;padding:0.5em 0 .5em;">10</label></td>
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<td class="ss-scalerow" style="text-align:center;color:#666;border:1px solid #d3d8d3;border-left:0;border-right:0;padding:.5em .25em;"><div class="ss-scalerow-fieldcell" style=""><input type="radio" name="entry.1000005" value="1" id="group_1000005_1" role="radio" class="ss-q-radio" aria-label="1" style=""></div></td> <td class="ss-scalerow" style="text-align:center;color:#666;border:1px solid #d3d8d3;border-left:0;border-right:0;padding:.5em .25em;"><div class="ss-scalerow-fieldcell" style=""><input type="radio" name="entry.1000005" value="2" id="group_1000005_2" role="radio" class="ss-q-radio" aria-label="2" style=""></div></td> <td class="ss-scalerow" style="text-align:center;color:#666;border:1px solid #d3d8d3;border-left:0;border-right:0;padding:.5em .25em;"><div class="ss-scalerow-fieldcell" style=""><input type="radio" name="entry.1000005" value="3" id="group_1000005_3" role="radio" class="ss-q-radio" aria-label="3" style=""></div></td> <td class="ss-scalerow" style="text-align:center;color:#666;border:1px solid #d3d8d3;border-left:0;border-right:0;padding:.5em .25em;"><div class="ss-scalerow-fieldcell" style=""><input type="radio" name="entry.1000005" value="4" id="group_1000005_4" role="radio" class="ss-q-radio" aria-label="4" style=""></div></td> <td class="ss-scalerow" style="text-align:center;color:#666;border:1px solid #d3d8d3;border-left:0;border-right:0;padding:.5em .25em;"><div class="ss-scalerow-fieldcell" style=""><input type="radio" name="entry.1000005" value="5" id="group_1000005_5" role="radio" class="ss-q-radio" aria-label="5" style=""></div></td> <td class="ss-scalerow" style="text-align:center;color:#666;border:1px solid #d3d8d3;border-left:0;border-right:0;padding:.5em .25em;"><div class="ss-scalerow-fieldcell" style=""><input type="radio" name="entry.1000005" value="6" id="group_1000005_6" role="radio" class="ss-q-radio" aria-label="6" style=""></div></td> <td class="ss-scalerow" style="text-align:center;color:#666;border:1px solid #d3d8d3;border-left:0;border-right:0;padding:.5em .25em;"><div class="ss-scalerow-fieldcell" style=""><input type="radio" name="entry.1000005" value="7" id="group_1000005_7" role="radio" class="ss-q-radio" aria-label="7" style=""></div></td> <td class="ss-scalerow" style="text-align:center;color:#666;border:1px solid #d3d8d3;border-left:0;border-right:0;padding:.5em .25em;"><div class="ss-scalerow-fieldcell" style=""><input type="radio" name="entry.1000005" value="8" id="group_1000005_8" role="radio" class="ss-q-radio" aria-label="8" style=""></div></td> <td class="ss-scalerow" style="text-align:center;color:#666;border:1px solid #d3d8d3;border-left:0;border-right:0;padding:.5em .25em;"><div class="ss-scalerow-fieldcell" style=""><input type="radio" name="entry.1000005" value="9" id="group_1000005_9" role="radio" class="ss-q-radio" aria-label="9" style=""></div></td> <td class="ss-scalerow" style="text-align:center;color:#666;border:1px solid #d3d8d3;border-left:0;border-right:0;padding:.5em .25em;"><div class="ss-scalerow-fieldcell" style=""><input type="radio" name="entry.1000005" value="10" id="group_1000005_10" role="radio" class="ss-q-radio" aria-label="10" style=""></div></td>
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<div dir="auto" class="ss-item ss-scale" style="margin:12px 0;overflow-x:auto;"><div class="ss-form-entry" style="margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%;">
<label class="ss-q-item-label" for="entry_37631686" style=""><div class="ss-q-title" style="display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83em;">Frecuencia del servicio
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<table border="0" cellpadding="5" cellspacing="0" id="entry_1000007" style=""><tr aria-hidden="true" style=""><td class="ss-scalenumbers" style="text-align:center;"></td>
<td class="ss-scalenumbers" style="text-align:center;"><label class="ss-scalenumber" for="group_1000007_1" style="display:block;padding:0.5em 0 .5em;">1</label></td> <td class="ss-scalenumbers" style="text-align:center;"><label class="ss-scalenumber" for="group_1000007_2" style="display:block;padding:0.5em 0 .5em;">2</label></td> <td class="ss-scalenumbers" style="text-align:center;"><label class="ss-scalenumber" for="group_1000007_3" style="display:block;padding:0.5em 0 .5em;">3</label></td> <td class="ss-scalenumbers" style="text-align:center;"><label class="ss-scalenumber" for="group_1000007_4" style="display:block;padding:0.5em 0 .5em;">4</label></td> <td class="ss-scalenumbers" style="text-align:center;"><label class="ss-scalenumber" for="group_1000007_5" style="display:block;padding:0.5em 0 .5em;">5</label></td> <td class="ss-scalenumbers" style="text-align:center;"><label class="ss-scalenumber" for="group_1000007_6" style="display:block;padding:0.5em 0 .5em;">6</label></td> <td class="ss-scalenumbers" style="text-align:center;"><label class="ss-scalenumber" for="group_1000007_7" style="display:block;padding:0.5em 0 .5em;">7</label></td> <td class="ss-scalenumbers" style="text-align:center;"><label class="ss-scalenumber" for="group_1000007_8" style="display:block;padding:0.5em 0 .5em;">8</label></td> <td class="ss-scalenumbers" style="text-align:center;"><label class="ss-scalenumber" for="group_1000007_9" style="display:block;padding:0.5em 0 .5em;">9</label></td> <td class="ss-scalenumbers" style="text-align:center;"><label class="ss-scalenumber" for="group_1000007_10" style="display:block;padding:0.5em 0 .5em;">10</label></td>
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<td class="ss-scalerow" style="text-align:center;color:#666;border:1px solid #d3d8d3;border-left:0;border-right:0;padding:.5em .25em;"><div class="ss-scalerow-fieldcell" style=""><input type="radio" name="entry.1000007" value="1" id="group_1000007_1" role="radio" class="ss-q-radio" aria-label="1" style=""></div></td> <td class="ss-scalerow" style="text-align:center;color:#666;border:1px solid #d3d8d3;border-left:0;border-right:0;padding:.5em .25em;"><div class="ss-scalerow-fieldcell" style=""><input type="radio" name="entry.1000007" value="2" id="group_1000007_2" role="radio" class="ss-q-radio" aria-label="2" style=""></div></td> <td class="ss-scalerow" style="text-align:center;color:#666;border:1px solid #d3d8d3;border-left:0;border-right:0;padding:.5em .25em;"><div class="ss-scalerow-fieldcell" style=""><input type="radio" name="entry.1000007" value="3" id="group_1000007_3" role="radio" class="ss-q-radio" aria-label="3" style=""></div></td> <td class="ss-scalerow" style="text-align:center;color:#666;border:1px solid #d3d8d3;border-left:0;border-right:0;padding:.5em .25em;"><div class="ss-scalerow-fieldcell" style=""><input type="radio" name="entry.1000007" value="4" id="group_1000007_4" role="radio" class="ss-q-radio" aria-label="4" style=""></div></td> <td class="ss-scalerow" style="text-align:center;color:#666;border:1px solid #d3d8d3;border-left:0;border-right:0;padding:.5em .25em;"><div class="ss-scalerow-fieldcell" style=""><input type="radio" name="entry.1000007" value="5" id="group_1000007_5" role="radio" class="ss-q-radio" aria-label="5" style=""></div></td> <td class="ss-scalerow" style="text-align:center;color:#666;border:1px solid #d3d8d3;border-left:0;border-right:0;padding:.5em .25em;"><div class="ss-scalerow-fieldcell" style=""><input type="radio" name="entry.1000007" value="6" id="group_1000007_6" role="radio" class="ss-q-radio" aria-label="6" style=""></div></td> <td class="ss-scalerow" style="text-align:center;color:#666;border:1px solid #d3d8d3;border-left:0;border-right:0;padding:.5em .25em;"><div class="ss-scalerow-fieldcell" style=""><input type="radio" name="entry.1000007" value="7" id="group_1000007_7" role="radio" class="ss-q-radio" aria-label="7" style=""></div></td> <td class="ss-scalerow" style="text-align:center;color:#666;border:1px solid #d3d8d3;border-left:0;border-right:0;padding:.5em .25em;"><div class="ss-scalerow-fieldcell" style=""><input type="radio" name="entry.1000007" value="8" id="group_1000007_8" role="radio" class="ss-q-radio" aria-label="8" style=""></div></td> <td class="ss-scalerow" style="text-align:center;color:#666;border:1px solid #d3d8d3;border-left:0;border-right:0;padding:.5em .25em;"><div class="ss-scalerow-fieldcell" style=""><input type="radio" name="entry.1000007" value="9" id="group_1000007_9" role="radio" class="ss-q-radio" aria-label="9" style=""></div></td> <td class="ss-scalerow" style="text-align:center;color:#666;border:1px solid #d3d8d3;border-left:0;border-right:0;padding:.5em .25em;"><div class="ss-scalerow-fieldcell" style=""><input type="radio" name="entry.1000007" value="10" id="group_1000007_10" role="radio" class="ss-q-radio" aria-label="10" style=""></div></td>
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