{"id":14606,"date":"2023-07-01T09:17:28","date_gmt":"2023-07-01T07:17:28","guid":{"rendered":"https:\/\/sicsso.org\/2023\/?page_id=14606"},"modified":"2023-07-01T10:17:40","modified_gmt":"2023-07-01T08:17:40","slug":"sicsso-certificate-2023","status":"publish","type":"page","link":"https:\/\/sicsso.org\/2023\/sicsso-certificate-2023\/","title":{"rendered":"S.I.C.S.S.O. Certificate 2023"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"14606\" class=\"elementor elementor-14606\">\n\t\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-20143c44 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"20143c44\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-1f0ffb6d\" data-id=\"1f0ffb6d\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-347549ba elementor-widget elementor-widget-text-editor\" data-id=\"347549ba\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<h3 style=\"text-align: center;\">S.I.C.S.S.O. Certificate<\/h3>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-5c549cb elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"5c549cb\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-top-column elementor-element elementor-element-c587349\" data-id=\"c587349\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-e3512af\" data-id=\"e3512af\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-db161af elementor-widget elementor-widget-text-editor\" data-id=\"db161af\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener(\"DOMContentLoaded\",o):document.addEventListener(\"gform_main_scripts_loaded\",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook(\"action\",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook(\"filter\",o,n,r,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,n){gform.removeHook(\"action\",o,n)},removeFilter:function(o,n,r){gform.removeHook(\"filter\",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var e=gform.hooks[o][n];null==i&&(i=n+\"_\"+e.length),gform.hooks[o][n].push({tag:i,callable:r,priority:t=null==t?10:t})},doHook:function(n,o,r){var t;if(r=Array.prototype.slice.call(r,1),null!=gform.hooks[n][o]&&((o=gform.hooks[n][o]).sort(function(o,n){return o.priority-n.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==n?t.apply(null,r):r[0]=t.apply(null,r)})),\"filter\"==n)return r[0]},removeHook:function(o,n,t,i){var r;null!=gform.hooks[o][n]&&(r=(r=gform.hooks[o][n]).filter(function(o,n,r){return!!(null!=i&&i!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][n]=r)}});<\/script>\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_36' style='display:none'><form method='post' enctype='multipart\/form-data'  id='gform_36'  action='\/2023\/wp-json\/wp\/v2\/pages\/14606' data-formid='36' >\n                        <div class='gform-body gform_body'><div id='gform_fields_36' class='gform_fields top_label form_sublabel_below description_below'><fieldset id=\"field_36_3\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_36_3\"><legend class='gfield_label gform-field-label'  >1. In che contesto lei lavora prevalententemente?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_36_3'>\n\t\t\t<div class='gchoice gchoice_36_3_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_3' type='radio' value='Ospedale Pubblico'  id='choice_36_3_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_36_3_0' id='label_36_3_0' class='gform-field-label gform-field-label--type-inline'>Ospedale Pubblico<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_36_3_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_3' type='radio' value='Studio privato'  id='choice_36_3_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_36_3_1' id='label_36_3_1' class='gform-field-label gform-field-label--type-inline'>Studio privato<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_36_3_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_3' type='radio' value='Other'  id='choice_36_3_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_36_3_2' id='label_36_3_2' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_36_43\"  class=\"gfield gfield--type-list gfield--width-full field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_36_43\"><legend class='gfield_label gform-field-label'  >Altro<\/legend><div class='ginput_container ginput_container_list ginput_list '><div class='gfield_list gfield_list_container'><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_43_cell1 gform-grid-col' ><input aria-invalid='false'  aria-describedby=\"gfield_description_36_43\" aria-label='Altro, Row 1' data-aria-label-template='Altro, Row {0}' type='text' name='input_43[]' value=''   \/><\/div><div class='gfield_list_icons gform-grid-col'>   <button type=\"button\"  class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 0)'>Add<\/button>   <button type=\"button\"  class='delete_list_item' aria-label='Remove row 1' data-aria-label-template='Remove row {0}' onclick='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\">Remove<\/button><\/div><\/div><\/div><\/div><\/div><div class='gfield_description' id='gfield_description_36_43'>Specificare<\/div><\/fieldset><div id=\"field_36_41\"  class=\"gfield gfield--type-text gfield--width-half field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_36_41\"><label class='gfield_label gform-field-label' for='input_36_41' >2.\tPersonalmente quanti pazienti al mese giungono alla Sua osservazione con disturbi generici della superficie oculare ?<\/label><div class='ginput_container ginput_container_text'><input name='input_41' id='input_36_41' type='text' value='' class='large'  aria-describedby=\"gfield_description_36_41\"    aria-invalid=\"false\"   \/> <\/div><div class='gfield_description' id='gfield_description_36_41'>Pazienti\/mese<\/div><\/div><fieldset id=\"field_36_8\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-half field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_36_8\"><legend class='gfield_label gform-field-label'  >3. Qual&#039;\u00e8 l&#039;incidenza di occhio secco nei pazienti che giungono al Suo ambulatorio per qualunque motivo?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_36_8'>\n\t\t\t<div class='gchoice gchoice_36_8_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='Inferiore a 10%'  id='choice_36_8_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_36_8_0' id='label_36_8_0' class='gform-field-label gform-field-label--type-inline'>Inferiore a 10%<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_36_8_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='Compresa tra 10 e 20%'  id='choice_36_8_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_36_8_1' id='label_36_8_1' class='gform-field-label gform-field-label--type-inline'>Compresa tra 10 e 20%<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_36_8_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='Compresa tra 20 e 30%'  id='choice_36_8_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_36_8_2' id='label_36_8_2' class='gform-field-label gform-field-label--type-inline'>Compresa tra 20 e 30%<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_36_8_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='Compresa tra 30 e 40%'  id='choice_36_8_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_36_8_3' id='label_36_8_3' class='gform-field-label gform-field-label--type-inline'>Compresa tra 30 e 40%<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_36_8_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='Compresa tra 40 e 50%'  id='choice_36_8_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_36_8_4' id='label_36_8_4' class='gform-field-label gform-field-label--type-inline'>Compresa tra 40 e 50%<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_36_8_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='Maggiore del 50%'  id='choice_36_8_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_36_8_5' id='label_36_8_5' class='gform-field-label gform-field-label--type-inline'>Maggiore del 50%<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_36_42\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_36_42\"><legend class='gfield_label gform-field-label'  >4. Nella maggioranza dei pazienti di nuova diagnosi si affida in prima istanza solo rilievi clinici come anamnesi e segni obiettivi di secchezza oculare?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_36_42'>\n\t\t\t<div class='gchoice gchoice_36_42_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_42' type='radio' value='SI'  id='choice_36_42_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_36_42_0' id='label_36_42_0' class='gform-field-label gform-field-label--type-inline'>SI<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_36_42_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_42' type='radio' value='NO'  id='choice_36_42_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_36_42_1' id='label_36_42_1' class='gform-field-label gform-field-label--type-inline'>NO<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_36_9\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_36_9\"><legend class='gfield_label gform-field-label'  >5. Oppure effettua subito ulteriori accertamenti diagnostici ? In caso affermativo quali dei seguenti :<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_36_9'>\n\t\t\t<div class='gchoice gchoice_36_9_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='Break Up Time'  id='choice_36_9_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_36_9_0' id='label_36_9_0' class='gform-field-label gform-field-label--type-inline'>Break Up Time<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_36_9_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='Schirmer Test'  id='choice_36_9_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_36_9_1' id='label_36_9_1' class='gform-field-label gform-field-label--type-inline'>Schirmer Test<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_36_9_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='Colorazione congiuntivale'  id='choice_36_9_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_36_9_2' id='label_36_9_2' class='gform-field-label gform-field-label--type-inline'>Colorazione congiuntivale<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_36_9_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='Colorazione corneale'  id='choice_36_9_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_36_9_3' id='label_36_9_3' class='gform-field-label gform-field-label--type-inline'>Colorazione corneale<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_36_9_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='Altro'  id='choice_36_9_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_36_9_4' id='label_36_9_4' class='gform-field-label gform-field-label--type-inline'>Altro<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_36_44\"  class=\"gfield gfield--type-list gfield--width-full field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_36_44\"><legend class='gfield_label gform-field-label'  >Altro<\/legend><div class='gfield_description' id='gfield_description_36_44'>Specificare<\/div><div class='ginput_container ginput_container_list ginput_list '><div class='gfield_list gfield_list_container'><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_44_cell1 gform-grid-col' ><input aria-invalid='false'  aria-describedby=\"gfield_description_36_44\" aria-label='Altro, Row 1' data-aria-label-template='Altro, Row {0}' type='text' name='input_44[]' value=''   \/><\/div><div class='gfield_list_icons gform-grid-col'>   <button type=\"button\"  class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 0)'>Add<\/button>   <button type=\"button\"  class='delete_list_item' aria-label='Remove row 1' data-aria-label-template='Remove row {0}' onclick='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\">Remove<\/button><\/div><\/div><\/div><\/div><\/div><\/fieldset><fieldset id=\"field_36_10\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_36_10\"><legend class='gfield_label gform-field-label'  >6.\tNei casi di occhio secco di grado lieve-moderato che approccio terapeutico adotta in prima istanza?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_36_10'>\n\t\t\t<div class='gchoice gchoice_36_10_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='Non prescrivo nulla'  id='choice_36_10_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_36_10_0' id='label_36_10_0' class='gform-field-label gform-field-label--type-inline'>Non prescrivo nulla<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_36_10_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='Esclusivamente un sostituto lacrimale'  id='choice_36_10_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_36_10_1' id='label_36_10_1' class='gform-field-label gform-field-label--type-inline'>Esclusivamente un sostituto lacrimale<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_36_10_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='sostituto lacrimale + altro'  id='choice_36_10_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_36_10_2' id='label_36_10_2' class='gform-field-label gform-field-label--type-inline'>sostituto lacrimale + altro<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_36_45\"  class=\"gfield gfield--type-list gfield--width-full field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_36_45\"><legend class='gfield_label gform-field-label'  >Altro<\/legend><div class='gfield_description' id='gfield_description_36_45'>Specificare categoria altro<\/div><div class='ginput_container ginput_container_list ginput_list '><div class='gfield_list gfield_list_container'><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_45_cell1 gform-grid-col' ><input aria-invalid='false'  aria-describedby=\"gfield_description_36_45\" aria-label='Altro, Row 1' data-aria-label-template='Altro, Row {0}' type='text' name='input_45[]' value=''   \/><\/div><div class='gfield_list_icons gform-grid-col'>   <button type=\"button\"  class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 0)'>Add<\/button>   <button type=\"button\"  class='delete_list_item' aria-label='Remove row 1' data-aria-label-template='Remove row {0}' onclick='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\">Remove<\/button><\/div><\/div><\/div><\/div><\/div><\/fieldset><fieldset id=\"field_36_11\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_36_11\"><legend class='gfield_label gform-field-label'  >7.\tNei casi di occhio secco di grado severo che approccio terapeutico adotta in prima istanza?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_36_11'>\n\t\t\t<div class='gchoice gchoice_36_11_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_11' type='radio' value='Non prescrivo nulla'  id='choice_36_11_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_36_11_0' id='label_36_11_0' class='gform-field-label gform-field-label--type-inline'>Non prescrivo nulla<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_36_11_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_11' type='radio' value='Esclusivamente un sostituto lacrimale'  id='choice_36_11_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_36_11_1' id='label_36_11_1' class='gform-field-label gform-field-label--type-inline'>Esclusivamente un sostituto lacrimale<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_36_11_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_11' type='radio' value='sostituto lacrimale + altro'  id='choice_36_11_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_36_11_2' id='label_36_11_2' class='gform-field-label gform-field-label--type-inline'>sostituto lacrimale + altro<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_36_46\"  class=\"gfield gfield--type-list gfield--width-full field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_36_46\"><legend class='gfield_label gform-field-label'  >Altro<\/legend><div class='gfield_description' id='gfield_description_36_46'>Specificare categoria altro<\/div><div class='ginput_container ginput_container_list ginput_list '><div class='gfield_list gfield_list_container'><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_46_cell1 gform-grid-col' ><input aria-invalid='false'  aria-describedby=\"gfield_description_36_46\" aria-label='Altro, Row 1' data-aria-label-template='Altro, Row {0}' type='text' name='input_46[]' value=''   \/><\/div><div class='gfield_list_icons gform-grid-col'>   <button type=\"button\"  class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 0)'>Add<\/button>   <button type=\"button\"  class='delete_list_item' aria-label='Remove row 1' data-aria-label-template='Remove row {0}' onclick='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\">Remove<\/button><\/div><\/div><\/div><\/div><\/div><\/fieldset><fieldset id=\"field_36_12\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-half field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_36_12\"><legend class='gfield_label gform-field-label'  >8.\tChe durata di trattamento raccomanda per il sostituto lacrimale ?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_36_12'>\n\t\t\t<div class='gchoice gchoice_36_12_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_12' type='radio' value='Fino alla prossima visita di controllo'  id='choice_36_12_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_36_12_0' id='label_36_12_0' class='gform-field-label gform-field-label--type-inline'>Fino alla prossima visita di controllo<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_36_12_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_12' type='radio' value='Raccomanda da subito un periodo prestabilito compreso tra 4-12 settimane'  id='choice_36_12_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_36_12_1' id='label_36_12_1' class='gform-field-label gform-field-label--type-inline'>Raccomanda da subito un periodo prestabilito compreso tra 4-12 settimane<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_36_13\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-half field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_36_13\"><legend class='gfield_label gform-field-label'  >9.\tDopo quanto tempo rivede un paziente di nuova diagnosi di occhio secco?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_36_13'>\n\t\t\t<div class='gchoice gchoice_36_13_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Entro un mese'  id='choice_36_13_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_36_13_0' id='label_36_13_0' class='gform-field-label gform-field-label--type-inline'>Entro un mese<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_36_13_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Entro 3 mesi'  id='choice_36_13_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_36_13_1' id='label_36_13_1' class='gform-field-label gform-field-label--type-inline'>Entro 3 mesi<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_36_13_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Entro 6 mesi'  id='choice_36_13_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_36_13_2' id='label_36_13_2' class='gform-field-label gform-field-label--type-inline'>Entro 6 mesi<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_36_14\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_36_14\"><legend class='gfield_label gform-field-label'  >10.\tSe alla prima visita di controllo  la sintomatologia occhio secco si \u00e8 completamente risolta cosa raccomanda al paziente?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_36_14'>\n\t\t\t<div class='gchoice gchoice_36_14_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_14' type='radio' value='Sospendere il sostituto lacrimale'  id='choice_36_14_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_36_14_0' id='label_36_14_0' class='gform-field-label gform-field-label--type-inline'>Sospendere il sostituto lacrimale<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_36_14_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_14' type='radio' value='Continuare ad utilizzare il sostituto lacrimale per un periodo di tempo definito (es. ancora per alcune settimane)'  id='choice_36_14_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_36_14_1' id='label_36_14_1' class='gform-field-label gform-field-label--type-inline'>Continuare ad utilizzare il sostituto lacrimale per un periodo di tempo definito (es. ancora per alcune settimane)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_36_14_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_14' type='radio' value='Continuare ad utilizzare il sostituto lacrimale cronicamente senza interruzione'  id='choice_36_14_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_36_14_2' id='label_36_14_2' class='gform-field-label gform-field-label--type-inline'>Continuare ad utilizzare il sostituto lacrimale cronicamente senza interruzione<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_36_36\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_36_36\"><legend class='gfield_label gform-field-label'  >11.\tSe alla prima visita di controllo  la sintomatologia occhio secco permane o \u00e8 solo parzialmente migliorata cosa raccomanda al paziente?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_36_36'>\n\t\t\t<div class='gchoice gchoice_36_36_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_36' type='radio' value='Altro sostituto lacrimale'  id='choice_36_36_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_36_36_0' id='label_36_36_0' class='gform-field-label gform-field-label--type-inline'>Altro sostituto lacrimale<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_36_36_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_36' type='radio' value='Abbina al sostituto lacrimale trattamento aggiuntivo'  id='choice_36_36_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_36_36_1' id='label_36_36_1' class='gform-field-label gform-field-label--type-inline'>Abbina al sostituto lacrimale trattamento aggiuntivo<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_36_36_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_36' type='radio' value='Continuare ad utilizzare il sostituto lacrimale inizialmente prescritto per un ulteriore periodo di tempo definito'  id='choice_36_36_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_36_36_2' id='label_36_36_2' class='gform-field-label gform-field-label--type-inline'>Continuare ad utilizzare il sostituto lacrimale inizialmente prescritto per un ulteriore periodo di tempo definito<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_36_36_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_36' type='radio' value='Continuare ad utilizzare il sostituto lacrimale cronicamente senza interruzione'  id='choice_36_36_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_36_36_3' id='label_36_36_3' class='gform-field-label gform-field-label--type-inline'>Continuare ad utilizzare il sostituto lacrimale cronicamente senza interruzione<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_36_38\"  class=\"gfield gfield--type-list gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_36_38\"><legend class='gfield_label gform-field-label'  >Trattamento aggiuntivo<\/legend><div class='ginput_container ginput_container_list ginput_list '><div class='gfield_list gfield_list_container'><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_38_cell1 gform-grid-col' ><input aria-invalid='false'   aria-label='Trattamento aggiuntivo, Row 1' data-aria-label-template='Trattamento aggiuntivo, Row {0}' type='text' name='input_38[]' value=''   \/><\/div><div class='gfield_list_icons gform-grid-col'>   <button type=\"button\"  class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 2)'>Add<\/button>   <button type=\"button\"  class='delete_list_item' aria-label='Remove row 1' data-aria-label-template='Remove row {0}' onclick='gformDeleteListItem(this, 2)' style=\"visibility:hidden;\">Remove<\/button><\/div><\/div><\/div><\/div><\/div><\/fieldset><fieldset id=\"field_36_16\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-half field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_36_16\"><legend class='gfield_label gform-field-label'  >12.\tNella sua casistica di pazienti con diagnosi di occhio secco quale ritiene essere la % di pazienti che segue fedelmente le Sua prescrizione terapeutica?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_36_16'>\n\t\t\t<div class='gchoice gchoice_36_16_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_16' type='radio' value='almeno il 20%'  id='choice_36_16_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_36_16_0' id='label_36_16_0' class='gform-field-label gform-field-label--type-inline'>almeno il 20%<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_36_16_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_16' type='radio' value='compresa tra 20 e 40%'  id='choice_36_16_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_36_16_1' id='label_36_16_1' class='gform-field-label gform-field-label--type-inline'>compresa tra 20 e 40%<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_36_16_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_16' type='radio' value='compresa tra il 40 ed il 60%'  id='choice_36_16_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_36_16_2' id='label_36_16_2' class='gform-field-label gform-field-label--type-inline'>compresa tra il 40 ed il 60%<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_36_16_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_16' type='radio' value='oltre il 60%'  id='choice_36_16_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_36_16_3' id='label_36_16_3' class='gform-field-label gform-field-label--type-inline'>oltre il 60%<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_36_17\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-half field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_36_17\"><legend class='gfield_label gform-field-label'  >13.\tNella sua casistica di pazienti con diagnosi di occhio secco qual \u00e8 la durata media effettiva di utilizzo del sostituto lacrimale che Lei prescrive?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_36_17'>\n\t\t\t<div class='gchoice gchoice_36_17_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_17' type='radio' value='massimo 1 mese'  id='choice_36_17_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_36_17_0' id='label_36_17_0' class='gform-field-label gform-field-label--type-inline'>massimo 1 mese<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_36_17_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_17' type='radio' value='almeno 3 mesi'  id='choice_36_17_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_36_17_1' id='label_36_17_1' class='gform-field-label gform-field-label--type-inline'>almeno 3 mesi<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_36_17_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_17' type='radio' value='solo fino alla scomparsa dei sintomi'  id='choice_36_17_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_36_17_2' id='label_36_17_2' class='gform-field-label gform-field-label--type-inline'>solo fino alla scomparsa dei sintomi<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_36_17_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_17' type='radio' value='lo utilizza cronicamente'  id='choice_36_17_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_36_17_3' id='label_36_17_3' class='gform-field-label gform-field-label--type-inline'>lo utilizza cronicamente<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_36_19\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-half field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_36_19\"><legend class='gfield_label gform-field-label'  >14.\tNella sua casistica qual\u2019\u00e8 la % di pazienti con recidiva di occhio secco dopo iniziale remissione dei sintomi?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_36_19'>\n\t\t\t<div class='gchoice gchoice_36_19_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_19' type='radio' value='inferiore al 20%'  id='choice_36_19_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_36_19_0' id='label_36_19_0' class='gform-field-label gform-field-label--type-inline'>inferiore al 20%<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_36_19_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_19' type='radio' value='compresa tra 20 e 40%'  id='choice_36_19_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_36_19_1' id='label_36_19_1' class='gform-field-label gform-field-label--type-inline'>compresa tra 20 e 40%<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_36_19_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_19' type='radio' value='compresa tra il 40 ed il 60%'  id='choice_36_19_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_36_19_2' id='label_36_19_2' class='gform-field-label gform-field-label--type-inline'>compresa tra il 40 ed il 60%<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_36_19_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_19' type='radio' value='oltre il 60%'  id='choice_36_19_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_36_19_3' id='label_36_19_3' class='gform-field-label gform-field-label--type-inline'>oltre il 60%<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_36_18\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-half field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_36_18\"><legend class='gfield_label gform-field-label'  >15.\tDopo quanto tempo mediamente si osserva una recidiva di occhio secco?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_36_18'>\n\t\t\t<div class='gchoice gchoice_36_18_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_18' type='radio' value='entro 1 mese'  id='choice_36_18_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_36_18_0' id='label_36_18_0' class='gform-field-label gform-field-label--type-inline'>entro 1 mese<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_36_18_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_18' type='radio' value='entro  3 mesi'  id='choice_36_18_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_36_18_1' id='label_36_18_1' class='gform-field-label gform-field-label--type-inline'>entro  3 mesi<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_36_18_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_18' type='radio' value='entro 6 mesi'  id='choice_36_18_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_36_18_2' id='label_36_18_2' class='gform-field-label gform-field-label--type-inline'>entro 6 mesi<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_36_18_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_18' type='radio' value='tra 6 e 12 mesi'  id='choice_36_18_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_36_18_3' id='label_36_18_3' class='gform-field-label gform-field-label--type-inline'>tra 6 e 12 mesi<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_36_18_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_18' type='radio' value='imprevedibile'  id='choice_36_18_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_36_18_4' id='label_36_18_4' class='gform-field-label gform-field-label--type-inline'>imprevedibile<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_36_20\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-half field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_36_20\"><legend class='gfield_label gform-field-label'  >16.\tCi sono a Suo avviso fattori predittivi di una recidiva precoce dopo iniziale remissione dei sintomi?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_36_20'>\n\t\t\t<div class='gchoice gchoice_36_20_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_20' type='radio' value='SI'  id='choice_36_20_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_36_20_0' id='label_36_20_0' class='gform-field-label gform-field-label--type-inline'>SI<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_36_20_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_20' type='radio' value='NO'  id='choice_36_20_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_36_20_1' id='label_36_20_1' class='gform-field-label gform-field-label--type-inline'>NO<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_36_25\"  class=\"gfield gfield--type-list gfield--width-half field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_36_25\"><legend class='gfield_label gform-field-label'  >17.\tQuali sono a Suo avviso i 2 principali fattori predittivi di recidiva?<\/legend><div class='ginput_container ginput_container_list ginput_list '><div class='gfield_list gfield_list_container'><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_25_cell1 gform-grid-col' ><input aria-invalid='false'   aria-label='17.\tQuali sono a Suo avviso i 2 principali fattori predittivi di recidiva?, Row 1' data-aria-label-template='17.\tQuali sono a Suo avviso i 2 principali fattori predittivi di recidiva?, Row {0}' type='text' name='input_25[]' value=''   \/><\/div><div class='gfield_list_icons gform-grid-col'>   <button type=\"button\"  class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 2)'>Add<\/button>   <button type=\"button\"  class='delete_list_item' aria-label='Remove row 1' data-aria-label-template='Remove row {0}' onclick='gformDeleteListItem(this, 2)' style=\"visibility:hidden;\">Remove<\/button><\/div><\/div><\/div><\/div><\/div><\/fieldset><fieldset id=\"field_36_23\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_36_23\"><legend class='gfield_label gform-field-label'  >18. In che % di pazienti Lei ritiene che alla base di una recidiva di occhio secco ci sia una flogosi sub clinica della superficie oculare?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_36_23'>\n\t\t\t<div class='gchoice gchoice_36_23_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_23' type='radio' value='0%'  id='choice_36_23_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_36_23_0' id='label_36_23_0' class='gform-field-label gform-field-label--type-inline'>0%<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_36_23_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_23' type='radio' value='inferiore al 10%'  id='choice_36_23_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_36_23_1' id='label_36_23_1' class='gform-field-label gform-field-label--type-inline'>inferiore al 10%<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_36_23_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_23' type='radio' value='compresa tra il 10% ed il 30%'  id='choice_36_23_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_36_23_2' id='label_36_23_2' class='gform-field-label gform-field-label--type-inline'>compresa tra il 10% ed il 30%<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_36_23_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_23' type='radio' value='superiore al  30%'  id='choice_36_23_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_36_23_3' id='label_36_23_3' class='gform-field-label gform-field-label--type-inline'>superiore al  30%<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_36_22\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_36_22\"><legend class='gfield_label gform-field-label'  >19. \tChe scelta terapeutica adotta per controllare la flogosi sub clinica nell\u2019occhio secco?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_36_22'>\n\t\t\t<div class='gchoice gchoice_36_22_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_22' type='radio' value='solo utilizzo cronico il sostituto lacrimale'  id='choice_36_22_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_36_22_0' id='label_36_22_0' class='gform-field-label gform-field-label--type-inline'>solo utilizzo cronico il sostituto lacrimale<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_36_22_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_22' type='radio' value='utilizzo di sostituto lacrimale in combinazione con prodotti anti infiammatori'  id='choice_36_22_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_36_22_1' id='label_36_22_1' class='gform-field-label gform-field-label--type-inline'>utilizzo di sostituto lacrimale in combinazione con prodotti anti infiammatori<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_36_35\"  class=\"gfield gfield--type-list field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_36_35\"><legend class='gfield_label gform-field-label'  >Altro<\/legend><div class='ginput_container ginput_container_list ginput_list '><div class='gfield_list gfield_list_container'><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_35_cell1 gform-grid-col' ><input aria-invalid='false'  aria-describedby=\"gfield_description_36_35\" aria-label='Altro, Row 1' data-aria-label-template='Altro, Row {0}' type='text' name='input_35[]' value=''   \/><\/div><div class='gfield_list_icons gform-grid-col'>   <button type=\"button\"  class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 2)'>Add<\/button>   <button type=\"button\"  class='delete_list_item' aria-label='Remove row 1' data-aria-label-template='Remove row {0}' onclick='gformDeleteListItem(this, 2)' style=\"visibility:hidden;\">Remove<\/button><\/div><\/div><\/div><\/div><\/div><div class='gfield_description' id='gfield_description_36_35'>Specificare<\/div><\/fieldset><\/div><\/div>\n        <div class='gform_footer top_label'> <input type='submit' id='gform_submit_button_36' class='gform_button button' value='Submit and get certificate'  onclick='if(window[\"gf_submitting_36\"]){return false;}  window[\"gf_submitting_36\"]=true;  ' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_36\"]){return false;} window[\"gf_submitting_36\"]=true;  jQuery(\"#gform_36\").trigger(\"submit\",[true]); }' \/> \n            <input 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Certificate or just get certificate<\/p>\n","protected":false},"author":4,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/sicsso.org\/2023\/wp-json\/wp\/v2\/pages\/14606"}],"collection":[{"href":"https:\/\/sicsso.org\/2023\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/sicsso.org\/2023\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/sicsso.org\/2023\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/sicsso.org\/2023\/wp-json\/wp\/v2\/comments?post=14606"}],"version-history":[{"count":15,"href":"https:\/\/sicsso.org\/2023\/wp-json\/wp\/v2\/pages\/14606\/revisions"}],"predecessor-version":[{"id":14632,"href":"https:\/\/sicsso.org\/2023\/wp-json\/wp\/v2\/pages\/14606\/revisions\/14632"}],"wp:attachment":[{"href":"https:\/\/sicsso.org\/2023\/wp-json\/wp\/v2\/media?parent=14606"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}