{"id":7568,"date":"2023-06-09T09:40:20","date_gmt":"2023-06-09T08:40:20","guid":{"rendered":"https:\/\/clustersaude.com\/members-questionnaire\/"},"modified":"2023-07-12T08:12:59","modified_gmt":"2023-07-12T07:12:59","slug":"members-questionnaire","status":"publish","type":"page","link":"https:\/\/clustersaude.com\/en\/members-questionnaire\/","title":{"rendered":"Members questionnaire"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"7568\" class=\"elementor elementor-7568\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-787e9ef e-flex e-con-boxed e-con e-parent\" data-id=\"787e9ef\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-d36dd73 elementor-widget elementor-widget-text-editor\" data-id=\"d36dd73\" data-element_type=\"widget\" data-e-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<p>The <strong>quota without VAT<\/strong>for the CSG&#8217;s members are:<\/p>\n<ul>\n<li>Patient associations (4) &#8211; 250\u20ac<\/li>\n<li>Micro Enterprise(&lt;10pax\/ 2M\u20ac) (18) &#8211; 500\u20ac<br \/>Small Enterprise (&lt;50pax\/&lt;10M\u20ac) (21) &#8211; 1.000\u20ac<br \/>Medium Enterprise (&lt;250pax\/&lt;50M\u20ac) (20) &#8211; 1.250\u20ac<br \/>Big Enterprise (&gt;250pax\/&gt;50M\u20ac) (19) &#8211; 1.500\u20ac<\/li>\n<\/ul>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-27a0bed elementor-widget elementor-widget-wpforms\" data-id=\"27a0bed\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wpforms.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"wpforms-container wpforms-container-full wpforms-container-save-resume\" id=\"wpforms-7014\"><form id=\"wpforms-form-7014\" class=\"wpforms-validate wpforms-form\" data-formid=\"7014\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/en\/wp-json\/wp\/v2\/pages\/7568?wpforms_form_id=7014\" data-token=\"3d64efc8a8e629b6ae440401a1bd76cb\" data-token-time=\"1775469781\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-7014-field_12-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"12\"><label class=\"wpforms-field-label\" for=\"wpforms-7014-field_12\">Trade name <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-7014-field_12\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][12]\" required><div class=\"wpforms-field-description\">It will be shown in the website<\/div><\/div><div id=\"wpforms-7014-field_13-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"13\"><label class=\"wpforms-field-label\" for=\"wpforms-7014-field_13\">Corporate name <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-7014-field_13\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][13]\" required><div class=\"wpforms-field-description\">Corporate name<\/div><\/div><div id=\"wpforms-7014-field_16-container\" class=\"wpforms-field wpforms-field-file-upload\" data-field-id=\"16\"><label class=\"wpforms-field-label\" for=\"wpforms-7014-field_16\">Logo of the company \/ entity <span class=\"wpforms-required-label\">*<\/span><\/label><div\n\t\tclass=\"wpforms-uploader\"\n\t\tdata-field-id=\"16\"\n\t\tdata-form-id=\"7014\"\n\t\tdata-input-name=\"wpforms_7014_16\"\n\t\tdata-extensions=\"jpg,jpeg,jpe,gif,png,bmp,tiff,tif,webp,avif,ico,heic,heif,heics,heifs,asf,asx,wmv,wmx,wm,avi,divx,mov,qt,mpeg,mpg,mpe,mp4,m4v,ogv,webm,mkv,3gp,3gpp,3g2,3gp2,txt,asc,c,cc,h,srt,csv,tsv,ics,rtx,css,vtt,mp3,m4a,m4b,aac,ra,ram,wav,x-wav,ogg,oga,flac,mid,midi,wma,wax,mka,rtf,pdf,class,tar,zip,gz,gzip,rar,7z,psd,xcf,doc,pot,pps,ppt,wri,xla,xls,xlt,xlw,mpp,docx,docm,dotx,dotm,xlsx,xlsm,xlsb,xltx,xltm,xlam,pptx,pptm,ppsx,ppsm,potx,potm,ppam,sldx,sldm,onetoc,onetoc2,onepkg,oxps,xps,odt,odp,ods,odg,odc,odb,odf,wp,wpd,key,numbers,pages,eps,ai,svg\"\n\t\tdata-max-size=\"134217728\"\n\t\tdata-max-file-number=\"1\"\n\t\tdata-post-max-size=\"134217728\"\n\t\tdata-max-parallel-uploads=\"4\"\n\t\tdata-parallel-uploads=\"true\"\n\t\tdata-file-chunk-size=\"2097152\">\n\t<div class=\"dz-message\">\n\t\t<svg viewBox=\"0 0 1024 1024\" focusable=\"false\" data-icon=\"inbox\" width=\"50px\" height=\"50px\" fill=\"currentColor\" aria-hidden=\"true\">\n\t\t\t<path d=\"M885.2 446.3l-.2-.8-112.2-285.1c-5-16.1-19.9-27.2-36.8-27.2H281.2c-17 0-32.1 11.3-36.9 27.6L139.4 443l-.3.7-.2.8c-1.3 4.9-1.7 9.9-1 14.8-.1 1.6-.2 3.2-.2 4.8V830a60.9 60.9 0 0 0 60.8 60.8h627.2c33.5 0 60.8-27.3 60.9-60.8V464.1c0-1.3 0-2.6-.1-3.7.4-4.9 0-9.6-1.3-14.1zm-295.8-43l-.3 15.7c-.8 44.9-31.8 75.1-77.1 75.1-22.1 0-41.1-7.1-54.8-20.6S436 441.2 435.6 419l-.3-15.7H229.5L309 210h399.2l81.7 193.3H589.4zm-375 76.8h157.3c24.3 57.1 76 90.8 140.4 90.8 33.7 0 65-9.4 90.3-27.2 22.2-15.6 39.5-37.4 50.7-63.6h156.5V814H214.4V480.1z\"><\/path>\n\t\t<\/svg>\n\t\t<span class=\"modern-title\">Click or drag a file to this area to upload.<\/span>\n\n\t\t\t<\/div>\n<\/div>\n<input\n\t\ttype=\"text\"\n\t\tautocomplete=\"off\"\n\t\treadonly\n\t\tclass=\"dropzone-input\"\n\t\tstyle=\"position:absolute!important;clip:rect(0,0,0,0)!important;height:1px!important;width:1px!important;border:0!important;overflow:hidden!important;padding:0!important;margin:0!important;\"\n\t\tid=\"wpforms-7014-field_16\"\n\t\tname=\"wpforms_7014_16\" required\t\tvalue=\"\">\n<div class=\"wpforms-field-description\">It will be shown in the website<\/div><\/div><div id=\"wpforms-7014-field_20-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"20\"><label class=\"wpforms-field-label\" for=\"wpforms-7014-field_20\">Foundation year <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" id=\"wpforms-7014-field_20\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][20]\" step=\"any\" required><div class=\"wpforms-field-description\">It will be shown in the website<\/div><\/div><div id=\"wpforms-7014-field_22-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"22\"><label class=\"wpforms-field-label\" for=\"wpforms-7014-field_22\">Tax domicile <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-7014-field_22\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][22]\" required><\/textarea><div class=\"wpforms-field-description\">Writte the full address<\/div><\/div><div id=\"wpforms-7014-field_23-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"23\"><label class=\"wpforms-field-label\" for=\"wpforms-7014-field_23\">CIF \/ VAT <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-7014-field_23\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][23]\" required><\/div><div id=\"wpforms-7014-field_24-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"24\"><label class=\"wpforms-field-label\" for=\"wpforms-7014-field_24\">Phone <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-7014-field_24\" class=\"wpforms-field-medium wpforms-field-required wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][24]\" aria-label=\"Phone\" required><\/div><div id=\"wpforms-7014-field_25-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"25\"><label class=\"wpforms-field-label\" for=\"wpforms-7014-field_25\">Contact email <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-7014-field_25\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][25]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-7014-field_26-container\" class=\"wpforms-field wpforms-field-url\" data-field-id=\"26\"><label class=\"wpforms-field-label\" for=\"wpforms-7014-field_26\">Website <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"url\" id=\"wpforms-7014-field_26\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][26]\" required><\/div><div id=\"wpforms-7014-field_27-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"27\"><label class=\"wpforms-field-label\" for=\"wpforms-7014-field_27\">Mission of the company \/ entity <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-7014-field_27\" class=\"wpforms-field-large wpforms-field-required wpforms-limit-words-enabled\" data-form-id=\"7014\" data-field-id=\"27\" data-text-limit=\"200\" name=\"wpforms[fields][27]\" required><\/textarea><div class=\"wpforms-field-description\">Up to 50 words<\/div><\/div><div id=\"wpforms-7014-field_17-container\" class=\"wpforms-field wpforms-field-richtext wpforms-field-large\" data-field-id=\"17\"><label class=\"wpforms-field-label\" for=\"wpforms-7014-field_17\">Description of the company \/ entity <span class=\"wpforms-required-label\">*<\/span><\/label><div id=\"wp-wpforms-7014-field_17-wrap\" class=\"wp-core-ui wp-editor-wrap tmce-active\"><link rel='stylesheet' id='dashicons-css' href='https:\/\/clustersaude.com\/wp-includes\/css\/dashicons.min.css?ver=6.9.4' media='all' \/>\n<link rel='stylesheet' id='editor-buttons-css' href='https:\/\/clustersaude.com\/wp-includes\/css\/editor.min.css?ver=6.9.4' media='all' \/>\n<div id=\"wp-wpforms-7014-field_17-editor-tools\" class=\"wp-editor-tools hide-if-no-js\"><div class=\"wp-editor-tabs\"><button type=\"button\" id=\"wpforms-7014-field_17-tmce\" aria-pressed=\"true\" class=\"wp-switch-editor switch-tmce\" data-wp-editor-id=\"wpforms-7014-field_17\">Visual<\/button>\n<button type=\"button\" id=\"wpforms-7014-field_17-html\" class=\"wp-switch-editor switch-html\" data-wp-editor-id=\"wpforms-7014-field_17\">Code<\/button>\n<\/div>\n<\/div>\n<div id=\"wp-wpforms-7014-field_17-editor-container\" class=\"wp-editor-container\"><div id=\"qt_wpforms-7014-field_17_toolbar\" class=\"quicktags-toolbar hide-if-no-js\"><\/div><textarea class=\"wpforms-field-required wp-editor-area\" style=\"height: 220px\" autocomplete=\"off\" cols=\"40\" name=\"wpforms[fields][17]\" id=\"wpforms-7014-field_17\"><\/textarea><\/div>\n<\/div>\n\n<div class=\"wpforms-field-description\">about 100 words<\/div><\/div><div id=\"wpforms-7014-field_28-container\" class=\"wpforms-field wpforms-field-richtext wpforms-field-large\" data-field-id=\"28\"><label class=\"wpforms-field-label\" for=\"wpforms-7014-field_28\">Activity of the company \/ entity in general, and specifically in the health sector in Galicia <span class=\"wpforms-required-label\">*<\/span><\/label><div id=\"wp-wpforms-7014-field_28-wrap\" class=\"wp-core-ui wp-editor-wrap tmce-active\"><div id=\"wp-wpforms-7014-field_28-editor-tools\" class=\"wp-editor-tools hide-if-no-js\"><div class=\"wp-editor-tabs\"><button type=\"button\" id=\"wpforms-7014-field_28-tmce\" aria-pressed=\"true\" class=\"wp-switch-editor switch-tmce\" data-wp-editor-id=\"wpforms-7014-field_28\">Visual<\/button>\n<button type=\"button\" id=\"wpforms-7014-field_28-html\" class=\"wp-switch-editor switch-html\" data-wp-editor-id=\"wpforms-7014-field_28\">Code<\/button>\n<\/div>\n<\/div>\n<div id=\"wp-wpforms-7014-field_28-editor-container\" class=\"wp-editor-container\"><div id=\"qt_wpforms-7014-field_28_toolbar\" class=\"quicktags-toolbar hide-if-no-js\"><\/div><textarea class=\"wpforms-field-required wp-editor-area\" style=\"height: 220px\" autocomplete=\"off\" cols=\"40\" name=\"wpforms[fields][28]\" id=\"wpforms-7014-field_28\"><\/textarea><\/div>\n<\/div>\n\n<div class=\"wpforms-field-description\">about 100 words<\/div><\/div><div id=\"wpforms-7014-field_29-container\" class=\"wpforms-field wpforms-field-richtext wpforms-field-large\" data-field-id=\"29\"><label class=\"wpforms-field-label\" for=\"wpforms-7014-field_29\">Products \/ services<\/label><div id=\"wp-wpforms-7014-field_29-wrap\" class=\"wp-core-ui wp-editor-wrap tmce-active\"><div id=\"wp-wpforms-7014-field_29-editor-tools\" class=\"wp-editor-tools hide-if-no-js\"><div class=\"wp-editor-tabs\"><button type=\"button\" id=\"wpforms-7014-field_29-tmce\" aria-pressed=\"true\" class=\"wp-switch-editor switch-tmce\" data-wp-editor-id=\"wpforms-7014-field_29\">Visual<\/button>\n<button type=\"button\" id=\"wpforms-7014-field_29-html\" class=\"wp-switch-editor switch-html\" data-wp-editor-id=\"wpforms-7014-field_29\">Code<\/button>\n<\/div>\n<\/div>\n<div id=\"wp-wpforms-7014-field_29-editor-container\" class=\"wp-editor-container\"><div id=\"qt_wpforms-7014-field_29_toolbar\" class=\"quicktags-toolbar hide-if-no-js\"><\/div><textarea class=\"wp-editor-area\" style=\"height: 220px\" autocomplete=\"off\" cols=\"40\" name=\"wpforms[fields][29]\" id=\"wpforms-7014-field_29\"><\/textarea><\/div>\n<\/div>\n\n<\/div><div id=\"wpforms-7014-field_30-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"30\"><label class=\"wpforms-field-label\">Identify your company \/ entity in one of the following value chains<\/label><ul id=\"wpforms-7014-field_30\" data-choice-limit=\"1\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-7014-field_30_1\" data-rule-check-limit=\"true\" name=\"wpforms[fields][30][]\" value=\"Healthcare\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7014-field_30_1\">Healthcare<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-7014-field_30_2\" data-rule-check-limit=\"true\" name=\"wpforms[fields][30][]\" value=\"Quality of life\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7014-field_30_2\">Quality of life<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-7014-field_30_3\" data-rule-check-limit=\"true\" name=\"wpforms[fields][30][]\" value=\"Knowledge\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7014-field_30_3\">Knowledge<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-7014-field_30_4\" data-rule-check-limit=\"true\" name=\"wpforms[fields][30][]\" value=\"Structure\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7014-field_30_4\">Structure<\/label><\/li><\/ul><\/div><div id=\"wpforms-7014-field_31-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"31\"><label class=\"wpforms-field-label\" for=\"wpforms-7014-field_31\">Differential value of the company \/ entity in its sector<\/label><textarea id=\"wpforms-7014-field_31\" class=\"wpforms-field-large\" name=\"wpforms[fields][31]\" ><\/textarea><\/div><div id=\"wpforms-7014-field_32-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"32\"><label class=\"wpforms-field-label\" for=\"wpforms-7014-field_32\">Main geographic area of \u200b\u200bactivity <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-7014-field_32\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][32]\" required><\/div><div id=\"wpforms-7014-field_34-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"34\"><label class=\"wpforms-field-label\" for=\"wpforms-7014-field_34\">Presence in other countries<\/label><textarea id=\"wpforms-7014-field_34\" class=\"wpforms-field-small\" name=\"wpforms[fields][34]\" ><\/textarea><\/div><div id=\"wpforms-7014-field_35-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"35\"><label class=\"wpforms-field-label\" for=\"wpforms-7014-field_35\">Annual turnover of your activity in the health sector in Galicia (average of the last thee years) <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-7014-field_35\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][35]\" required><\/div><div id=\"wpforms-7014-field_36-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"36\"><label class=\"wpforms-field-label\" for=\"wpforms-7014-field_36\">Number of employees <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" id=\"wpforms-7014-field_36\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][36]\" step=\"any\" required><\/div><div id=\"wpforms-7014-field_37-container\" class=\"wpforms-field wpforms-field-richtext wpforms-field-medium\" data-field-id=\"37\"><label class=\"wpforms-field-label\" for=\"wpforms-7014-field_37\">Patents<\/label><div id=\"wp-wpforms-7014-field_37-wrap\" class=\"wp-core-ui wp-editor-wrap tmce-active\"><div id=\"wp-wpforms-7014-field_37-editor-tools\" class=\"wp-editor-tools hide-if-no-js\"><div class=\"wp-editor-tabs\"><button type=\"button\" id=\"wpforms-7014-field_37-tmce\" aria-pressed=\"true\" class=\"wp-switch-editor switch-tmce\" data-wp-editor-id=\"wpforms-7014-field_37\">Visual<\/button>\n<button type=\"button\" id=\"wpforms-7014-field_37-html\" class=\"wp-switch-editor switch-html\" data-wp-editor-id=\"wpforms-7014-field_37\">Code<\/button>\n<\/div>\n<\/div>\n<div id=\"wp-wpforms-7014-field_37-editor-container\" class=\"wp-editor-container\"><div id=\"qt_wpforms-7014-field_37_toolbar\" class=\"quicktags-toolbar hide-if-no-js\"><\/div><textarea class=\"wp-editor-area\" style=\"height: 120px\" autocomplete=\"off\" cols=\"40\" name=\"wpforms[fields][37]\" id=\"wpforms-7014-field_37\"><\/textarea><\/div>\n<\/div>\n\n<\/div><div id=\"wpforms-7014-field_38-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"38\"><label class=\"wpforms-field-label\" for=\"wpforms-7014-field_38\">Interest in the health field <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-7014-field_38\" class=\"wpforms-field-medium wpforms-field-required wpforms-limit-words-enabled\" data-form-id=\"7014\" data-field-id=\"38\" data-text-limit=\"50\" name=\"wpforms[fields][38]\" required><\/textarea><div class=\"wpforms-field-description\">up to 50 words<\/div><\/div><div id=\"wpforms-7014-field_39-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"39\"><label class=\"wpforms-field-label\" for=\"wpforms-7014-field_39\">Interest in being part of the CSG <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-7014-field_39\" class=\"wpforms-field-medium wpforms-field-required wpforms-limit-words-enabled\" data-form-id=\"7014\" data-field-id=\"39\" data-text-limit=\"200\" name=\"wpforms[fields][39]\" required><\/textarea><div class=\"wpforms-field-description\">up to 50 words<\/div><\/div><div id=\"wpforms-7014-field_40-container\" class=\"wpforms-field wpforms-field-richtext wpforms-field-medium\" data-field-id=\"40\"><label class=\"wpforms-field-label\" for=\"wpforms-7014-field_40\">Other data of interest (milestone, prizes, etc)<\/label><div id=\"wp-wpforms-7014-field_40-wrap\" class=\"wp-core-ui wp-editor-wrap tmce-active\"><div id=\"wp-wpforms-7014-field_40-editor-tools\" class=\"wp-editor-tools hide-if-no-js\"><div class=\"wp-editor-tabs\"><button type=\"button\" id=\"wpforms-7014-field_40-tmce\" aria-pressed=\"true\" class=\"wp-switch-editor switch-tmce\" data-wp-editor-id=\"wpforms-7014-field_40\">Visual<\/button>\n<button type=\"button\" id=\"wpforms-7014-field_40-html\" class=\"wp-switch-editor switch-html\" data-wp-editor-id=\"wpforms-7014-field_40\">Code<\/button>\n<\/div>\n<\/div>\n<div id=\"wp-wpforms-7014-field_40-editor-container\" class=\"wp-editor-container\"><div id=\"qt_wpforms-7014-field_40_toolbar\" class=\"quicktags-toolbar hide-if-no-js\"><\/div><textarea class=\"wp-editor-area\" style=\"height: 120px\" autocomplete=\"off\" cols=\"40\" name=\"wpforms[fields][40]\" id=\"wpforms-7014-field_40\"><\/textarea><\/div>\n<\/div>\n\n<\/div><div id=\"wpforms-7014-field_41-container\" class=\"wpforms-field wpforms-field-url\" data-field-id=\"41\"><label class=\"wpforms-field-label\" for=\"wpforms-7014-field_41\">Linkedin link<\/label><input type=\"url\" id=\"wpforms-7014-field_41\" class=\"wpforms-field-large\" name=\"wpforms[fields][41]\" ><\/div><div id=\"wpforms-7014-field_42-container\" class=\"wpforms-field wpforms-field-url\" data-field-id=\"42\"><label class=\"wpforms-field-label\" for=\"wpforms-7014-field_42\">Twitter link<\/label><input type=\"url\" id=\"wpforms-7014-field_42\" class=\"wpforms-field-large\" name=\"wpforms[fields][42]\" ><\/div><div id=\"wpforms-7014-field_43-container\" class=\"wpforms-field wpforms-field-url\" data-field-id=\"43\"><label class=\"wpforms-field-label\" for=\"wpforms-7014-field_43\">Facebook link<\/label><input type=\"url\" id=\"wpforms-7014-field_43\" class=\"wpforms-field-large\" name=\"wpforms[fields][43]\" ><\/div><div id=\"wpforms-7014-field_44-container\" class=\"wpforms-field wpforms-field-url\" data-field-id=\"44\"><label class=\"wpforms-field-label\" for=\"wpforms-7014-field_44\">Instagram link<\/label><input type=\"url\" id=\"wpforms-7014-field_44\" class=\"wpforms-field-large\" name=\"wpforms[fields][44]\" ><\/div><div id=\"wpforms-7014-field_45-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"45\"><h3 id=\"wpforms-7014-field_45\">Representatives data<\/h3><\/div><div id=\"wpforms-7014-field_46-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"46\"><label class=\"wpforms-field-label\">Legal representative <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-7014-field_46\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][46][first]\" required><label for=\"wpforms-7014-field_46\" class=\"wpforms-field-sublabel after\">Nombre<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-7014-field_46-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][46][last]\" required><label for=\"wpforms-7014-field_46-last\" class=\"wpforms-field-sublabel after\">Apellidos<\/label><\/div><\/div><\/div><div id=\"wpforms-7014-field_49-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"49\"><label class=\"wpforms-field-label\" for=\"wpforms-7014-field_49\">Position in the company <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-7014-field_49\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][49]\" required><\/div><div id=\"wpforms-7014-field_52-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"52\"><label class=\"wpforms-field-label\" for=\"wpforms-7014-field_52\">Phone <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-7014-field_52\" class=\"wpforms-field-medium wpforms-field-required wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][52]\" aria-label=\"Phone\" required><\/div><div id=\"wpforms-7014-field_55-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"55\"><label class=\"wpforms-field-label\" for=\"wpforms-7014-field_55\">Email <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-7014-field_55\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][55]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-7014-field_47-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"47\"><label class=\"wpforms-field-label\">Contact person for general information <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-7014-field_47\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][47][first]\" required><label for=\"wpforms-7014-field_47\" class=\"wpforms-field-sublabel after\">Nombre<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-7014-field_47-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][47][last]\" required><label for=\"wpforms-7014-field_47-last\" class=\"wpforms-field-sublabel after\">Apellidos<\/label><\/div><\/div><\/div><div id=\"wpforms-7014-field_50-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"50\"><label class=\"wpforms-field-label\" for=\"wpforms-7014-field_50\">Position in the company <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-7014-field_50\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][50]\" required><\/div><div id=\"wpforms-7014-field_53-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"53\"><label class=\"wpforms-field-label\" for=\"wpforms-7014-field_53\">Phone <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-7014-field_53\" class=\"wpforms-field-medium wpforms-field-required wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][53]\" aria-label=\"Phone\" required><\/div><div id=\"wpforms-7014-field_56-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"56\"><label class=\"wpforms-field-label\" for=\"wpforms-7014-field_56\">Email <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-7014-field_56\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][56]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-7014-field_48-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"48\"><label class=\"wpforms-field-label\">Contact person for the dissemination of CSG \u0301s activities <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-7014-field_48\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][48][first]\" required><label for=\"wpforms-7014-field_48\" class=\"wpforms-field-sublabel after\">Nombre<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-7014-field_48-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][48][last]\" required><label for=\"wpforms-7014-field_48-last\" class=\"wpforms-field-sublabel after\">Apellidos<\/label><\/div><\/div><\/div><div id=\"wpforms-7014-field_51-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"51\"><label class=\"wpforms-field-label\" for=\"wpforms-7014-field_51\">Position in the company <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-7014-field_51\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][51]\" required><\/div><div id=\"wpforms-7014-field_54-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"54\"><label class=\"wpforms-field-label\" for=\"wpforms-7014-field_54\">Phone  <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-7014-field_54\" class=\"wpforms-field-medium wpforms-field-required wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][54]\" aria-label=\"Phone \" required><\/div><div id=\"wpforms-7014-field_57-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"57\"><label class=\"wpforms-field-label\" for=\"wpforms-7014-field_57\">Email  <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-7014-field_57\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][57]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-7014-field_61-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"61\"><h3 id=\"wpforms-7014-field_61\">SEPA<\/h3><\/div><div id=\"wpforms-7014-field_62-container\" class=\"wpforms-field wpforms-field-content\" data-field-id=\"62\"><div id=\"wpforms-7014-field_62\" class=\"wpforms-field-medium wpforms-field-row\"><p>Download the SEPA model from <a href=\"https:\/\/dev.clustersaude.com\/wp-content\/uploads\/2023\/06\/Modelo-SEPA-CSG-1.doc\">this link<\/a> and upload it filled out<\/p>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-7014-field_63-container\" class=\"wpforms-field wpforms-field-file-upload\" data-field-id=\"63\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-7014-field_63\">SEPA file <span class=\"wpforms-required-label\">*<\/span><\/label><div\n\t\tclass=\"wpforms-uploader\"\n\t\tdata-field-id=\"63\"\n\t\tdata-form-id=\"7014\"\n\t\tdata-input-name=\"wpforms_7014_63\"\n\t\tdata-extensions=\"jpg,jpeg,jpe,gif,png,bmp,tiff,tif,webp,avif,ico,heic,heif,heics,heifs,asf,asx,wmv,wmx,wm,avi,divx,mov,qt,mpeg,mpg,mpe,mp4,m4v,ogv,webm,mkv,3gp,3gpp,3g2,3gp2,txt,asc,c,cc,h,srt,csv,tsv,ics,rtx,css,vtt,mp3,m4a,m4b,aac,ra,ram,wav,x-wav,ogg,oga,flac,mid,midi,wma,wax,mka,rtf,pdf,class,tar,zip,gz,gzip,rar,7z,psd,xcf,doc,pot,pps,ppt,wri,xla,xls,xlt,xlw,mpp,docx,docm,dotx,dotm,xlsx,xlsm,xlsb,xltx,xltm,xlam,pptx,pptm,ppsx,ppsm,potx,potm,ppam,sldx,sldm,onetoc,onetoc2,onepkg,oxps,xps,odt,odp,ods,odg,odc,odb,odf,wp,wpd,key,numbers,pages,eps,ai,svg\"\n\t\tdata-max-size=\"134217728\"\n\t\tdata-max-file-number=\"1\"\n\t\tdata-post-max-size=\"134217728\"\n\t\tdata-max-parallel-uploads=\"4\"\n\t\tdata-parallel-uploads=\"true\"\n\t\tdata-file-chunk-size=\"2097152\">\n\t<div class=\"dz-message\">\n\t\t<svg viewBox=\"0 0 1024 1024\" focusable=\"false\" data-icon=\"inbox\" width=\"50px\" height=\"50px\" fill=\"currentColor\" aria-hidden=\"true\">\n\t\t\t<path d=\"M885.2 446.3l-.2-.8-112.2-285.1c-5-16.1-19.9-27.2-36.8-27.2H281.2c-17 0-32.1 11.3-36.9 27.6L139.4 443l-.3.7-.2.8c-1.3 4.9-1.7 9.9-1 14.8-.1 1.6-.2 3.2-.2 4.8V830a60.9 60.9 0 0 0 60.8 60.8h627.2c33.5 0 60.8-27.3 60.9-60.8V464.1c0-1.3 0-2.6-.1-3.7.4-4.9 0-9.6-1.3-14.1zm-295.8-43l-.3 15.7c-.8 44.9-31.8 75.1-77.1 75.1-22.1 0-41.1-7.1-54.8-20.6S436 441.2 435.6 419l-.3-15.7H229.5L309 210h399.2l81.7 193.3H589.4zm-375 76.8h157.3c24.3 57.1 76 90.8 140.4 90.8 33.7 0 65-9.4 90.3-27.2 22.2-15.6 39.5-37.4 50.7-63.6h156.5V814H214.4V480.1z\"><\/path>\n\t\t<\/svg>\n\t\t<span class=\"modern-title\">Click or drag a file to this area to upload.<\/span>\n\n\t\t\t<\/div>\n<\/div>\n<input\n\t\ttype=\"text\"\n\t\tautocomplete=\"off\"\n\t\treadonly\n\t\tclass=\"dropzone-input\"\n\t\tstyle=\"position:absolute!important;clip:rect(0,0,0,0)!important;height:1px!important;width:1px!important;border:0!important;overflow:hidden!important;padding:0!important;margin:0!important;\"\n\t\tid=\"wpforms-7014-field_63\"\n\t\tname=\"wpforms_7014_63\" required\t\tvalue=\"\">\n<\/div><div id=\"wpforms-7014-field_58-container\" class=\"wpforms-field wpforms-field-content\" data-field-id=\"58\"><div id=\"wpforms-7014-field_58\" class=\"wpforms-field-medium wpforms-field-row\"><ul>\n<li>Patient associations (4) - 250\u20ac<\/li>\n<li>Micro Enterprise (&lt;10pax\/2M\u20ac) (18) - 500\u20ac<\/li>\n<li>Small Enterprise (&lt;50px\/&lt;10M\u20ac) (21) - 1.000\u20ac<\/li>\n<li>Medium Enterprise (&lt;250pax\/&lt;50M\u20ac) (20) - 1.250\u20ac<\/li>\n<li>Big Enterprise (&gt;250px\/&gt;50M\u20ac) (19) - 1.500\u20ac<\/li>\n<\/ul>\n<p>Quotas without VAT<\/p>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-7014-field_59-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"59\"><label class=\"wpforms-field-label wpforms-label-hide\">Confirmation <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-7014-field_59\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-7014-field_59_1\" name=\"wpforms[fields][59][]\" value=\"I confirm...\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7014-field_59_1\">I confirm...<\/label><\/li><\/ul><\/div><div id=\"wpforms-7014-field_60-container\" class=\"wpforms-field wpforms-field-content\" data-field-id=\"60\"><div id=\"wpforms-7014-field_60\" class=\"wpforms-field-large wpforms-field-row\"><p>I confirm that I have read, understand and accept the&nbsp;<a rel=\"noopener\" target=\"_blank\" href=\"https:\/\/dev.clustersaude.com\/wp-content\/uploads\/2023\/06\/Reglamento-Interno_CSG_14022014.pdf\"><b>Rules of Procedure<\/b><\/a>&nbsp;and the&nbsp;<a rel=\"noopener\" target=\"_blank\" href=\"https:\/\/dev.clustersaude.com\/wp-content\/uploads\/2023\/05\/Estatutos-del-CSG.pdf\"><b>Cluster Sa\u00fade de Galicia Statutes<\/b><\/a>&nbsp; in its consolidated version as of December 16, 2021. The agreements for the admission of associates will be made by the Board of Directors and will be ratified by the General Assembly, once the request has been received.<\/p>\n<p>The personal data collected from this form will be subject to automated processing and incorporated into the corresponding files owned by the Cluster Sa\u00fade de Galicia for internal use and its use in publications and other external communications. These data will only be used for the purposes expressly provided and by duly authorized personnel, in accordance with the provisions of the General Regulation on data protection. En ning\u00fan caso, los datos mencionados anteriormente estar\u00e1n sujetos a tratamiento o cesi\u00f3n a terceros, si no es con el consentimiento inequ\u00edvoco de la parte In no case, the data mentioned above will be subject to treatment or transfer to third parties, if it is not with the unequivocal consent of the affected party. . You can consult the privacy policy in the&nbsp;<a rel=\"noopener\" target=\"_blank\" href=\"https:\/\/dev.clustersaude.com\/politica-privacidad\/\"><b>following link.<\/b><\/a>&nbsp;You can, at any time, exercise the rights of access, rectification, cancellation and opposition in the manner regulated by law.<\/p>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-7014-field_64-container\" class=\"wpforms-field wpforms-field-captcha\" data-field-id=\"64\"><label class=\"wpforms-field-label\" for=\"wpforms-7014-field_64\">Captcha personalizado <span class=\"wpforms-required-label\">*<\/span><\/label>\t\t\t<div class=\"wpforms-captcha-math\">\n\t\t\t\t<span id=\"wpforms-7014-field_64-question\" class=\"wpforms-captcha-equation\">\n\t\t\t\t\t<span class=\"n1\">8<\/span>\n\t\t\t\t\t\t\t<span class=\"cal\">+<\/span>\n\t\t\t\t\t\t\t<span class=\"n2\">5<\/span>\t\t\t\t\t<span class=\"e\">=<\/span>\n\t\t\t\t<\/span>\n\t\t\t\t<input type=\"text\" id=\"wpforms-7014-field_64\" class=\"wpforms-field-medium wpforms-field-required a\" data-rule-wpf-captcha=\"math\" data-is-wrapped-field=\"1\" name=\"wpforms[fields][64][a]\" aria-describedby=\"wpforms-7014-field_64-question\" required>\t\t\t\t<input type=\"hidden\" name=\"wpforms[fields][64][cal]\" class=\"cal\">\n\t\t\t\t<input type=\"hidden\" name=\"wpforms[fields][64][n2]\" class=\"n2\">\n\t\t\t\t<input type=\"hidden\" name=\"wpforms[fields][64][n1]\" class=\"n1\">\n\t\t\t<\/div>\n\t\t\t<\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"7014\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/clustersaude.com\/en\/wp-json\/wp\/v2\/pages\/7568\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-7014\" class=\"wpforms-submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Send<\/button><\/div><\/form><\/div>  <!-- .wpforms-container -->\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>The quota without VATfor the CSG&#8217;s members are: Patient associations (4) &#8211; 250\u20ac Micro Enterprise(&lt;10pax\/ 2M\u20ac) (18) &#8211; 500\u20acSmall Enterprise (&lt;50pax\/&lt;10M\u20ac) (21) &#8211; 1.000\u20acMedium Enterprise (&lt;250pax\/&lt;50M\u20ac) (20) &#8211; 1.250\u20acBig Enterprise (&gt;250pax\/&gt;50M\u20ac) (19) &#8211; 1.500\u20ac<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"site-sidebar-layout":"no-sidebar","site-content-layout":"page-builder","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"disabled","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"class_list":["post-7568","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Members questionnaire - Cluster Sa\u00fade de Galicia, CSG<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/clustersaude.com\/en\/members-questionnaire\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Members questionnaire - Cluster Sa\u00fade de Galicia, CSG\" \/>\n<meta property=\"og:description\" content=\"The quota without VATfor the CSG&#8217;s members are: Patient associations (4) &#8211; 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