{"id":665,"date":"2026-02-20T16:42:17","date_gmt":"2026-02-20T16:42:17","guid":{"rendered":"https:\/\/audreyrp.com.br\/audreyclinica\/?page_id=665"},"modified":"2026-04-06T20:18:56","modified_gmt":"2026-04-06T20:18:56","slug":"cd1-coleta-de-dados-parte-01","status":"publish","type":"page","link":"https:\/\/audreyrp.com.br\/audreyclinica\/cd1-coleta-de-dados-parte-01\/","title":{"rendered":"(CD1) Coleta de dados parte 01"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"665\" class=\"elementor elementor-665\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1cff6861 e-flex e-con-boxed wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no wpr-column-slider-no wpr-equal-height-no e-con e-parent\" data-id=\"1cff6861\" 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-3f535f5d elementor-widget elementor-widget-shortcode\" data-id=\"3f535f5d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><div class=\"forminator-ui forminator-custom-form forminator-custom-form-406 forminator-design--default  forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-406\" data-uid=\"6a1529be47cd0\"><br\/><\/div><form\r\n\t\t\t\tid=\"forminator-module-406\"\r\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-406 forminator-design--default  forminator_ajax\"\r\n\t\t\t\tmethod=\"post\"\r\n\t\t\t\tdata-forminator-render=\"0\"\r\n\t\t\t\tdata-form-id=\"406\"\r\n\t\t\t\t data-color-option=\"theme\" data-design=\"default\" data-grid=\"open\" style=\"display: none;\"\r\n\t\t\t\tdata-uid=\"6a1529be47cd0\"\r\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div class=\"forminator-row\"><div id=\"html-1\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-1\"><label class=\"forminator-label\">Prezado(a) paciente,<\/label><p>Este question\u00e1rio de anamnese \u00e9 uma parte fundamental da sua avalia\u00e7\u00e3o neuropsicol\u00f3gica. O objetivo \u00e9 coletar informa\u00e7\u00f5es detalhadas sobre sua <strong>hist\u00f3ria de vida<\/strong>, <strong>sa\u00fade<\/strong>, <strong>funcionamento cognitivo<\/strong> e <strong>emocional<\/strong>. Suas respostas me ajudar\u00e1 a compreender melhor suas queixas, a formular hip\u00f3teses diagn\u00f3sticas iniciais e a selecionar as t\u00e9cnicas e instrumentos mais adequados para o seu caso.<\/p>\n<p>Por favor, responda a todas as perguntas com a maior honestidade e detalhe poss\u00edvel. N\u00e3o se preocupe em dar respostas \"certas\" ou \"erradas\"; o que importa \u00e9 a sua percep\u00e7\u00e3o e experi\u00eancia. Todas as informa\u00e7\u00f5es fornecidas ser\u00e3o tratadas com sigilo e confidencialidade. Sua colabora\u00e7\u00e3o \u00e9 essencial, pois voc\u00ea \u00e9 a principal fonte de informa\u00e7\u00e3o sobre sua pr\u00f3pria vida.<\/p>\n<div data-start-index=\"767\" class=\"paragraph normal ng-star-inserted\"><b data-start-index=\"767\" class=\"ng-star-inserted\">Instru\u00e7\u00f5es:<\/b><\/div>\n<ul>\n<li data-start-index=\"767\" class=\"paragraph normal ng-star-inserted\"><span data-start-index=\"778\" class=\"ng-star-inserted\">Leia cada pergunta cuidadosamente.<\/span><\/li>\n<li data-start-index=\"767\" class=\"paragraph normal ng-star-inserted\">Responda de forma completa e clara. Se precisar de mais espa\u00e7o, utilize o verso da folha ou uma folha adicional.<\/li>\n<li data-start-index=\"767\" class=\"paragraph normal ng-star-inserted\">Se n\u00e3o souber a resposta para uma pergunta, indique \"N\u00e3o sei\" ou \"N\u00e3o se aplica\".<\/li>\n<\/ul><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-2\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-2\"><label class=\"forminator-label\">I. Dados de Identifica\u00e7\u00e3o Pessoal<\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-1\" class=\"forminator-field-name forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-1_6a1529be47cd0\" id=\"forminator-field-name-1_6a1529be47cd0-label\" class=\"forminator-label\">1. Nome completo <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-1\" value=\"\" placeholder=\"\" id=\"forminator-field-name-1_6a1529be47cd0\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><div id=\"date-1\" class=\"forminator-field-date forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-date-1-picker_6a1529be47cd0\" id=\"forminator-field-date-1-picker_6a1529be47cd0-label\" class=\"forminator-label\">3. Data de Nascimento <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-1\" value=\"\" placeholder=\"Escolher Data\" id=\"forminator-field-date-1-picker_6a1529be47cd0\" class=\"forminator-input forminator-datepicker\" data-required=\"1\" data-format=\"dd-mm-yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1926\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-2\" class=\"forminator-field-radio forminator-col forminator-col-6 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-2-6a1529be47cd0-label\"><span id=\"forminator-radiogroup-radio-2-6a1529be47cd0-label\" class=\"forminator-label\">4. Sexo <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-2-label-1\" for=\"forminator-field-radio-2-1-6a1529be47cd0\" class=\"forminator-radio\" title=\"Masculino\"><input type=\"radio\" name=\"radio-2\" value=\"one\" id=\"forminator-field-radio-2-1-6a1529be47cd0\" aria-labelledby=\"forminator-field-radio-2-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Masculino<\/span><\/label><label id=\"forminator-field-radio-2-label-2\" for=\"forminator-field-radio-2-2-6a1529be47cd0\" class=\"forminator-radio\" title=\"Feminino\"><input type=\"radio\" name=\"radio-2\" value=\"two\" id=\"forminator-field-radio-2-2-6a1529be47cd0\" aria-labelledby=\"forminator-field-radio-2-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Feminino<\/span><\/label><label id=\"forminator-field-radio-2-label-3\" for=\"forminator-field-radio-2-3-6a1529be47cd0\" class=\"forminator-radio\" title=\"Outro\"><input type=\"radio\" name=\"radio-2\" value=\"custom_option\" id=\"forminator-field-radio-2-3-6a1529be47cd0\" aria-labelledby=\"forminator-field-radio-2-label-3\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Outro<\/span><\/label><div class=\"forminator-field forminator-custom-input\"><input id=\"custom-forminator-field-radio-2-3-6a1529be47cd0\" name=\"custom-radio-2\" aria-labelledby=\"forminator-field-radio-2-label-3\" class=\"forminator-input\" value=\"\" \/><\/div><\/div><\/div><div id=\"textarea-1\" class=\"forminator-field-textarea forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-1_6a1529be47cd0\" id=\"forminator-field-textarea-1_6a1529be47cd0-label\" class=\"forminator-label\">5. Nacionalidade<\/label><textarea name=\"textarea-1\" placeholder=\"O pa\u00eds ao qual voc\u00ea pertence\" id=\"forminator-field-textarea-1_6a1529be47cd0\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"address-1\" class=\"forminator-field-address forminator-col forminator-col-12 \"><div class=\"forminator-row\"><div id=\"address-1-street_address\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-address-1-street_address_6a1529be47cd0\" id=\"forminator-field-address-1-street_address_6a1529be47cd0-label\" class=\"forminator-label\">Nome da Rua <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"address-1-street_address\" placeholder=\"\" id=\"forminator-field-address-1-street_address_6a1529be47cd0\" class=\"forminator-input\" data-required=\"1\" aria-required=\"true\" autocomplete=\"address-line1\" value=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"address-1-address_line\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-address-1-address_line_6a1529be47cd0\" id=\"forminator-field-address-1-address_line_6a1529be47cd0-label\" class=\"forminator-label\">Apartamento, suite, etc <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"address-1-address_line\" placeholder=\"\" id=\"forminator-field-address-1-address_line_6a1529be47cd0\" class=\"forminator-input\" data-required=\"1\" aria-required=\"true\" autocomplete=\"address-line2\" value=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\" data-multiple=\"true\"><div id=\"address-1-city\" class=\"forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-address-1-city_6a1529be47cd0\" id=\"forminator-field-address-1-city_6a1529be47cd0-label\" class=\"forminator-label\">Cidade <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"address-1-city\" placeholder=\"\" id=\"forminator-field-address-1-city_6a1529be47cd0\" class=\"forminator-input\" data-required=\"1\" aria-required=\"true\" autocomplete=\"address-level2\" value=\"\" \/><\/div><\/div><div id=\"address-1-state\" class=\"forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-address-1-state_6a1529be47cd0\" id=\"forminator-field-address-1-state_6a1529be47cd0-label\" class=\"forminator-label\">Estado\/Prov\u00edncia <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"address-1-state\" placeholder=\"\" id=\"forminator-field-address-1-state_6a1529be47cd0\" class=\"forminator-input\" data-required=\"1\" aria-required=\"true\" autocomplete=\"address-level1\" value=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\" data-multiple=\"true\"><div id=\"address-1-zip\" class=\"forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-address-1-zip_6a1529be47cd0\" id=\"forminator-field-address-1-zip_6a1529be47cd0-label\" class=\"forminator-label\">CEP \/ C\u00f3digo Postal <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"address-1-zip\" placeholder=\"\" id=\"forminator-field-address-1-zip_6a1529be47cd0\" class=\"forminator-input\" autocomplete=\"postal-code\" value=\"\" \/><\/div><\/div><div id=\"address-1-country\" class=\"forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-406__field--address-1-country_6a1529be47cd0\" id=\"forminator-field-406__field--address-1-country_6a1529be47cd0-label\" class=\"forminator-label\">Pa\u00eds <span class=\"forminator-required\">*<\/span><\/label><select name=\"address-1-country\" id=\"forminator-field-406__field--address-1-country_6a1529be47cd0\" class=\"forminator-select2\" data-search=\"true\" data-placeholder=\"Selecionar um Pa\u00eds\" autocomplete=\"country-name\" data-default-value=\"\"><option value=\"\" data-country-code=\"\" selected=\"selected\"><\/option><option value=\"Afeganist\u00e3o\" data-country-code=\"AF\" >Afeganist\u00e3o<\/option><option value=\"Alb\u00e2nia\" data-country-code=\"AL\" >Alb\u00e2nia<\/option><option value=\"Alemanha\" data-country-code=\"DE\" >Alemanha<\/option><option value=\"Andorra\" data-country-code=\"AD\" >Andorra<\/option><option value=\"Angola\" data-country-code=\"AO\" >Angola<\/option><option value=\"Anguilla\" data-country-code=\"AI\" >Anguilla<\/option><option value=\"Antigua & Barbuda\" data-country-code=\"AG\" >Antigua & Barbuda<\/option><option value=\"Ant\u00e1rtica\" data-country-code=\"AQ\" >Ant\u00e1rtica<\/option><option value=\"Argentina\" data-country-code=\"AR\" >Argentina<\/option><option value=\"Arg\u00e9lia\" data-country-code=\"DZ\" >Arg\u00e9lia<\/option><option value=\"Arm\u00eania\" data-country-code=\"AM\" >Arm\u00eania<\/option><option value=\"Aruba\" data-country-code=\"AW\" >Aruba<\/option><option value=\"Ar\u00e1bia Saudita\" data-country-code=\"SA\" >Ar\u00e1bia Saudita<\/option><option value=\"Ascension Island\" data-country-code=\"AC\" >Ascension Island<\/option><option value=\"Austr\u00e1lia\" data-country-code=\"AU\" >Austr\u00e1lia<\/option><option value=\"Azerbaij\u00e3o\" data-country-code=\"AZ\" >Azerbaij\u00e3o<\/option><option value=\"Bahamas\" data-country-code=\"BS\" >Bahamas<\/option><option value=\"Bahrein\" data-country-code=\"BH\" >Bahrein<\/option><option value=\"Bangladesh\" data-country-code=\"BD\" >Bangladesh<\/option><option value=\"Barbados\" data-country-code=\"BB\" >Barbados<\/option><option value=\"Belize\" data-country-code=\"BZ\" >Belize<\/option><option value=\"Benim\" data-country-code=\"BJ\" >Benim<\/option><option value=\"Bermuda\" data-country-code=\"BM\" >Bermuda<\/option><option value=\"Bielorr\u00fassia\" data-country-code=\"BY\" >Bielorr\u00fassia<\/option><option value=\"Bol\u00edvia\" data-country-code=\"BO\" >Bol\u00edvia<\/option><option value=\"Botsuana\" data-country-code=\"BW\" >Botsuana<\/option><option value=\"Brasil\" data-country-code=\"BR\" >Brasil<\/option><option value=\"British Virgin Islands\" data-country-code=\"VG\" >British Virgin Islands<\/option><option value=\"Brunei\" data-country-code=\"BN\" >Brunei<\/option><option value=\"Bulg\u00e1ria\" data-country-code=\"BG\" >Bulg\u00e1ria<\/option><option value=\"Burkina Faso\" data-country-code=\"BF\" >Burkina Faso<\/option><option value=\"Burundi\" data-country-code=\"BI\" >Burundi<\/option><option value=\"But\u00e3o\" data-country-code=\"BT\" >But\u00e3o<\/option><option value=\"B\u00e9lgica\" data-country-code=\"BE\" >B\u00e9lgica<\/option><option value=\"B\u00f3snia e Herzogovina\" data-country-code=\"BA\" >B\u00f3snia e Herzogovina<\/option><option value=\"Cabo Verde\" data-country-code=\"CV\" >Cabo Verde<\/option><option value=\"Camar\u00f5es\" data-country-code=\"CM\" >Camar\u00f5es<\/option><option value=\"Camboja\" data-country-code=\"KH\" >Camboja<\/option><option value=\"Canad\u00e1\" data-country-code=\"CA\" >Canad\u00e1<\/option><option value=\"Caribbean Netherlands\" data-country-code=\"BQ\" >Caribbean Netherlands<\/option><option value=\"Catar\" data-country-code=\"QA\" >Catar<\/option><option value=\"Cazaquist\u00e3o\" data-country-code=\"KZ\" >Cazaquist\u00e3o<\/option><option value=\"Chade\" data-country-code=\"TD\" >Chade<\/option><option value=\"Chile\" data-country-code=\"CL\" >Chile<\/option><option value=\"China\" data-country-code=\"CN\" >China<\/option><option value=\"Chipre\" data-country-code=\"CY\" >Chipre<\/option><option value=\"Cidade do Vaticano\" data-country-code=\"VA\" >Cidade do Vaticano<\/option><option value=\"Cingapura\" data-country-code=\"SG\" >Cingapura<\/option><option value=\"Col\u00f4mbia\" data-country-code=\"CO\" >Col\u00f4mbia<\/option><option value=\"Comores\" data-country-code=\"KM\" >Comores<\/option><option value=\"Congo, Republica Democrata do\" data-country-code=\"CD\" >Congo, Republica Democrata do<\/option><option value=\"Congo, Republica do\" data-country-code=\"CG\" >Congo, Republica do<\/option><option value=\"Costa Rica\" data-country-code=\"CR\" >Costa Rica<\/option><option value=\"Costa do Marfim\" data-country-code=\"CI\" >Costa do Marfim<\/option><option value=\"Cro\u00e1cia\" data-country-code=\"HR\" >Cro\u00e1cia<\/option><option value=\"Cuba\" data-country-code=\"CU\" >Cuba<\/option><option value=\"Cura\u00e7ao\" data-country-code=\"CW\" >Cura\u00e7ao<\/option><option value=\"Czechia\" data-country-code=\"CZ\" >Czechia<\/option><option value=\"Dinamarca\" data-country-code=\"DK\" >Dinamarca<\/option><option value=\"Djibuti\" data-country-code=\"DJ\" >Djibuti<\/option><option value=\"Dominica\" data-country-code=\"DM\" >Dominica<\/option><option value=\"Dominicana, Rep\u00fablica\" data-country-code=\"DO\" >Dominicana, Rep\u00fablica<\/option><option value=\"Egito\" data-country-code=\"EG\" >Egito<\/option><option value=\"El Salvador\" data-country-code=\"SV\" >El Salvador<\/option><option value=\"Emirados \u00c1rabes Unidos\" data-country-code=\"AE\" >Emirados \u00c1rabes Unidos<\/option><option value=\"Equador\" data-country-code=\"EC\" >Equador<\/option><option value=\"Eritreia\" data-country-code=\"ER\" >Eritreia<\/option><option value=\"Eslov\u00e1quia\" data-country-code=\"SK\" >Eslov\u00e1quia<\/option><option value=\"Eslov\u00eania\" data-country-code=\"SI\" >Eslov\u00eania<\/option><option value=\"Espanha\" data-country-code=\"ES\" >Espanha<\/option><option value=\"Estados Unidos da America (EUA)\" data-country-code=\"US\" >Estados Unidos da America (EUA)<\/option><option value=\"Est\u00f4nia\" data-country-code=\"EE\" >Est\u00f4nia<\/option><option value=\"Eswatini\" data-country-code=\"SZ\" >Eswatini<\/option><option value=\"Eti\u00f3pia\" data-country-code=\"ET\" >Eti\u00f3pia<\/option><option value=\"Fiji\" data-country-code=\"FJ\" >Fiji<\/option><option value=\"Filipinas\" data-country-code=\"PH\" >Filipinas<\/option><option value=\"Finl\u00e2ndia\" data-country-code=\"FI\" >Finl\u00e2ndia<\/option><option value=\"Fran\u00e7a\" data-country-code=\"FR\" >Fran\u00e7a<\/option><option value=\"Gab\u00e3o\" data-country-code=\"GA\" >Gab\u00e3o<\/option><option value=\"Gambia\" data-country-code=\"GM\" >Gambia<\/option><option value=\"Gana\" data-country-code=\"GH\" >Gana<\/option><option value=\"Ge\u00f3rgia\" data-country-code=\"GE\" >Ge\u00f3rgia<\/option><option value=\"Gibraltar\" data-country-code=\"GI\" >Gibraltar<\/option><option value=\"Granada\" data-country-code=\"GD\" >Granada<\/option><option value=\"Gronel\u00e2ndia\" data-country-code=\"GL\" >Gronel\u00e2ndia<\/option><option value=\"Gr\u00e9cia\" data-country-code=\"GR\" >Gr\u00e9cia<\/option><option value=\"Guadalupe\" data-country-code=\"GP\" >Guadalupe<\/option><option value=\"Guam\" data-country-code=\"GU\" >Guam<\/option><option value=\"Guatemala\" data-country-code=\"GT\" >Guatemala<\/option><option value=\"Guernsey\" data-country-code=\"GG\" >Guernsey<\/option><option value=\"Guiana\" data-country-code=\"GY\" >Guiana<\/option><option value=\"Guiana Francesa\" data-country-code=\"GF\" >Guiana Francesa<\/option><option value=\"Guin\u00e9\" data-country-code=\"GN\" >Guin\u00e9<\/option><option value=\"Guin\u00e9 Equatorial\" data-country-code=\"GQ\" >Guin\u00e9 Equatorial<\/option><option value=\"Guin\u00e9-Bissau\" data-country-code=\"GW\" >Guin\u00e9-Bissau<\/option><option value=\"Haiti\" data-country-code=\"HT\" >Haiti<\/option><option value=\"Honduras\" data-country-code=\"HN\" >Honduras<\/option><option value=\"Hong Kong SAR China\" data-country-code=\"HK\" >Hong Kong SAR China<\/option><option value=\"Hungria\" data-country-code=\"HU\" >Hungria<\/option><option value=\"Ilha Bouvet\" data-country-code=\"BV\" >Ilha Bouvet<\/option><option value=\"Ilha Heard e Ilhas Mcdonald\" data-country-code=\"HM\" >Ilha Heard e Ilhas Mcdonald<\/option><option value=\"Ilha Norfolk\" data-country-code=\"NF\" >Ilha Norfolk<\/option><option value=\"Ilha do Natal\" data-country-code=\"CX\" >Ilha do Natal<\/option><option value=\"Ilhas Cayman\" data-country-code=\"KY\" >Ilhas Cayman<\/option><option value=\"Ilhas Cocos\" data-country-code=\"CC\" >Ilhas Cocos<\/option><option value=\"Ilhas Cook\" data-country-code=\"CK\" >Ilhas Cook<\/option><option value=\"Ilhas Falkland\" data-country-code=\"FK\" >Ilhas Falkland<\/option><option value=\"Ilhas Feroe\" data-country-code=\"FO\" >Ilhas Feroe<\/option><option value=\"Ilhas Ge\u00f3rgia do Sul e Sandwich do Sul\" data-country-code=\"GS\" >Ilhas Ge\u00f3rgia do Sul e Sandwich do Sul<\/option><option value=\"Ilhas Marshall\" data-country-code=\"MH\" >Ilhas Marshall<\/option><option value=\"Ilhas Menores Distantes dos EUA\" data-country-code=\"UM\" >Ilhas Menores Distantes dos EUA<\/option><option value=\"Ilhas Pic\u00e1rnia\" data-country-code=\"PN\" >Ilhas Pic\u00e1rnia<\/option><option value=\"Ilhas Wallis e Futuna\" data-country-code=\"WF\" >Ilhas Wallis e Futuna<\/option><option value=\"Indon\u00e9sia\" data-country-code=\"ID\" >Indon\u00e9sia<\/option><option value=\"Iraque\" data-country-code=\"IQ\" >Iraque<\/option><option value=\"Irlanda\" data-country-code=\"IE\" >Irlanda<\/option><option value=\"Ir\u00e3\" data-country-code=\"IR\" >Ir\u00e3<\/option><option value=\"Isle of Man\" data-country-code=\"IM\" >Isle of Man<\/option><option value=\"Isl\u00e2ndia\" data-country-code=\"IS\" >Isl\u00e2ndia<\/option><option value=\"Israel\" data-country-code=\"IL\" >Israel<\/option><option value=\"It\u00e1lia\" data-country-code=\"IT\" >It\u00e1lia<\/option><option value=\"Jamaica\" data-country-code=\"JM\" >Jamaica<\/option><option value=\"Jap\u00e3o\" data-country-code=\"JP\" >Jap\u00e3o<\/option><option value=\"Jersey\" data-country-code=\"JE\" >Jersey<\/option><option value=\"Jord\u00e2nia\" data-country-code=\"JO\" >Jord\u00e2nia<\/option><option value=\"Kosovo\" data-country-code=\"XK\" >Kosovo<\/option><option value=\"Kuaite\" data-country-code=\"KW\" >Kuaite<\/option><option value=\"Lesoto\" data-country-code=\"LS\" >Lesoto<\/option><option value=\"Let\u00f4nia\" data-country-code=\"LV\" >Let\u00f4nia<\/option><option value=\"Lib\u00e9ria\" data-country-code=\"LR\" >Lib\u00e9ria<\/option><option value=\"Lib\u00eda\" data-country-code=\"LY\" >Lib\u00eda<\/option><option value=\"Liechtenstein\" data-country-code=\"LI\" >Liechtenstein<\/option><option value=\"Litu\u00e2nia\" data-country-code=\"LT\" >Litu\u00e2nia<\/option><option value=\"Luxemburgo\" data-country-code=\"LU\" >Luxemburgo<\/option><option value=\"L\u00eamen\" data-country-code=\"YE\" >L\u00eamen<\/option><option value=\"L\u00edbano\" data-country-code=\"LB\" >L\u00edbano<\/option><option value=\"Macao SAR China\" data-country-code=\"MO\" >Macao SAR China<\/option><option value=\"Maced\u00f4nia do Norte\" data-country-code=\"MK\" >Maced\u00f4nia do Norte<\/option><option value=\"Maiote\" data-country-code=\"YT\" >Maiote<\/option><option value=\"Malawi\" data-country-code=\"MW\" >Malawi<\/option><option value=\"Maldivas\" data-country-code=\"MV\" >Maldivas<\/option><option value=\"Malta\" data-country-code=\"MT\" >Malta<\/option><option value=\"Mal\u00e1sia\" data-country-code=\"MY\" >Mal\u00e1sia<\/option><option value=\"Mandagascar\" data-country-code=\"MG\" >Mandagascar<\/option><option value=\"Marianas Setentrionais\" data-country-code=\"MP\" >Marianas Setentrionais<\/option><option value=\"Marrocos\" data-country-code=\"MA\" >Marrocos<\/option><option value=\"Martinica\" data-country-code=\"MQ\" >Martinica<\/option><option value=\"Maurit\u00e2nia\" data-country-code=\"MR\" >Maurit\u00e2nia<\/option><option value=\"Maur\u00edcio\" data-country-code=\"MU\" >Maur\u00edcio<\/option><option value=\"Micron\u00e9sia\" data-country-code=\"FM\" >Micron\u00e9sia<\/option><option value=\"Mold\u00e1via\" data-country-code=\"MD\" >Mold\u00e1via<\/option><option value=\"Mong\u00f3lia\" data-country-code=\"MN\" >Mong\u00f3lia<\/option><option value=\"Monserrate\" data-country-code=\"MS\" >Monserrate<\/option><option value=\"Montenegro\" data-country-code=\"ME\" >Montenegro<\/option><option value=\"Mo\u00e7ambique\" data-country-code=\"MZ\" >Mo\u00e7ambique<\/option><option value=\"Myanmar\" data-country-code=\"MM\" >Myanmar<\/option><option value=\"M\u00e1li\" data-country-code=\"ML\" >M\u00e1li<\/option><option value=\"M\u00e9xico\" data-country-code=\"MX\" >M\u00e9xico<\/option><option value=\"M\u00f4naco\" data-country-code=\"MC\" >M\u00f4naco<\/option><option value=\"Nam\u00edbia\" data-country-code=\"NA\" >Nam\u00edbia<\/option><option value=\"Nauru\" data-country-code=\"NR\" >Nauru<\/option><option value=\"Nepal\" data-country-code=\"NP\" >Nepal<\/option><option value=\"Nicar\u00e1gua\" data-country-code=\"NI\" >Nicar\u00e1gua<\/option><option value=\"Nig\u00e9ria\" data-country-code=\"NG\" >Nig\u00e9ria<\/option><option value=\"Niu\u00ea\" data-country-code=\"NU\" >Niu\u00ea<\/option><option value=\"North Korea\" data-country-code=\"KP\" >North Korea<\/option><option value=\"Noruega\" data-country-code=\"NO\" >Noruega<\/option><option value=\"Nova Caled\u00f3nia\" data-country-code=\"NC\" >Nova Caled\u00f3nia<\/option><option value=\"Nova Zel\u00e2ndia\" data-country-code=\"NZ\" >Nova Zel\u00e2ndia<\/option><option value=\"N\u00edger\" data-country-code=\"NE\" >N\u00edger<\/option><option value=\"Om\u00e3\" data-country-code=\"OM\" >Om\u00e3<\/option><option value=\"Palau\" data-country-code=\"PW\" >Palau<\/option><option value=\"Palestinian Territories\" data-country-code=\"PS\" >Palestinian Territories<\/option><option value=\"Panam\u00e1\" data-country-code=\"PA\" >Panam\u00e1<\/option><option value=\"Papua Nova Guin\u00e9\" data-country-code=\"PG\" >Papua Nova Guin\u00e9<\/option><option value=\"Paquist\u00e3o\" data-country-code=\"PK\" >Paquist\u00e3o<\/option><option value=\"Paraguai\" data-country-code=\"PY\" >Paraguai<\/option><option value=\"Pa\u00edses Baixos\" data-country-code=\"NL\" >Pa\u00edses Baixos<\/option><option value=\"Peru\" data-country-code=\"PE\" >Peru<\/option><option value=\"Polin\u00e9sia Francesa\" data-country-code=\"PF\" >Polin\u00e9sia Francesa<\/option><option value=\"Pol\u00f4nia\" data-country-code=\"PL\" >Pol\u00f4nia<\/option><option value=\"Porto Rico\" data-country-code=\"PR\" >Porto Rico<\/option><option value=\"Portugal\" data-country-code=\"PT\" >Portugal<\/option><option value=\"Quirguist\u00e3o\" data-country-code=\"KG\" >Quirguist\u00e3o<\/option><option value=\"Quirib\u00e1ti\" data-country-code=\"KI\" >Quirib\u00e1ti<\/option><option value=\"Qu\u00eania\" data-country-code=\"KE\" >Qu\u00eania<\/option><option value=\"Reino Unido\" data-country-code=\"GB\" >Reino Unido<\/option><option value=\"Rep\u00fablica Centro-africana\" data-country-code=\"CF\" >Rep\u00fablica Centro-africana<\/option><option value=\"Rep\u00fablica Democr\u00e1tica Popular do Laos\" data-country-code=\"LA\" >Rep\u00fablica Democr\u00e1tica Popular do Laos<\/option><option value=\"Rom\u00eania\" data-country-code=\"RO\" >Rom\u00eania<\/option><option value=\"Ruanda\" data-country-code=\"RW\" >Ruanda<\/option><option value=\"R\u00e9union\" data-country-code=\"RE\" >R\u00e9union<\/option><option value=\"R\u00fassia\" data-country-code=\"RU\" >R\u00fassia<\/option><option value=\"Saara Ocidental\" data-country-code=\"EH\" >Saara Ocidental<\/option><option value=\"Salom\u00e3o, Ilhas\" data-country-code=\"SB\" >Salom\u00e3o, Ilhas<\/option><option value=\"Samoa\" data-country-code=\"WS\" >Samoa<\/option><option value=\"Samoa Americana\" data-country-code=\"AS\" >Samoa Americana<\/option><option value=\"Santa Helena\" data-country-code=\"SH\" >Santa Helena<\/option><option value=\"Santa L\u00facia\" data-country-code=\"LC\" >Santa L\u00facia<\/option><option value=\"Seicheles\" data-country-code=\"SC\" >Seicheles<\/option><option value=\"Senegal\" data-country-code=\"SN\" >Senegal<\/option><option value=\"Serra Leoa\" data-country-code=\"SL\" >Serra Leoa<\/option><option value=\"Som\u00e1lia\" data-country-code=\"SO\" >Som\u00e1lia<\/option><option value=\"South Korea\" data-country-code=\"KR\" >South Korea<\/option><option value=\"South Sudan\" data-country-code=\"SS\" >South Sudan<\/option><option value=\"Sri Lanka\" data-country-code=\"LK\" >Sri Lanka<\/option><option value=\"St. Barth\u00e9lemy\" data-country-code=\"BL\" >St. Barth\u00e9lemy<\/option><option value=\"St. Martin\" data-country-code=\"MF\" >St. Martin<\/option><option value=\"St. Pierre & Miquelon\" data-country-code=\"PM\" >St. Pierre & Miquelon<\/option><option value=\"Sud\u00e3o\" data-country-code=\"SD\" >Sud\u00e3o<\/option><option value=\"Suriname\" data-country-code=\"SR\" >Suriname<\/option><option value=\"Su\u00e9cia\" data-country-code=\"SE\" >Su\u00e9cia<\/option><option value=\"Su\u00ed\u00e7a\" data-country-code=\"CH\" >Su\u00ed\u00e7a<\/option><option value=\"Svalbard e Jan Mayen\" data-country-code=\"SJ\" >Svalbard e Jan Mayen<\/option><option value=\"S\u00e3o Crist\u00f3v\u00e3o e Neves\" data-country-code=\"KN\" >S\u00e3o Crist\u00f3v\u00e3o e Neves<\/option><option value=\"S\u00e3o Marinho\" data-country-code=\"SM\" >S\u00e3o Marinho<\/option><option value=\"S\u00e3o Martinhos\" data-country-code=\"SX\" >S\u00e3o Martinhos<\/option><option value=\"S\u00e3o Tom\u00e9 & Pr\u00edncipe\" data-country-code=\"ST\" >S\u00e3o Tom\u00e9 & Pr\u00edncipe<\/option><option value=\"S\u00e3o Vicente e Granadinas\" data-country-code=\"VC\" >S\u00e3o Vicente e Granadinas<\/option><option value=\"S\u00e9rvia\" data-country-code=\"RS\" >S\u00e9rvia<\/option><option value=\"S\u00edria\" data-country-code=\"SY\" >S\u00edria<\/option><option value=\"Tadjiquist\u00e3o\" data-country-code=\"TJ\" >Tadjiquist\u00e3o<\/option><option value=\"Tail\u00e2ndia\" data-country-code=\"TH\" >Tail\u00e2ndia<\/option><option value=\"Taiwan\" data-country-code=\"TW\" >Taiwan<\/option><option value=\"Tanz\u00e2nia\" data-country-code=\"TZ\" >Tanz\u00e2nia<\/option><option value=\"Territ\u00f3rio Brit\u00e2nico do Oceano \u00cdndico\" data-country-code=\"IO\" >Territ\u00f3rio Brit\u00e2nico do Oceano \u00cdndico<\/option><option value=\"Territ\u00f3rios Franceses do Sul\" data-country-code=\"TF\" >Territ\u00f3rios Franceses do Sul<\/option><option value=\"Timor-Leste\" data-country-code=\"TL\" >Timor-Leste<\/option><option value=\"Togo\" data-country-code=\"TG\" >Togo<\/option><option value=\"Tokelau\" data-country-code=\"TK\" >Tokelau<\/option><option value=\"Tonga\" data-country-code=\"TO\" >Tonga<\/option><option value=\"Trinidad & Tobago\" data-country-code=\"TT\" >Trinidad & Tobago<\/option><option value=\"Tun\u00edsia\" data-country-code=\"TN\" >Tun\u00edsia<\/option><option value=\"Turcomenist\u00e3o\" data-country-code=\"TM\" >Turcomenist\u00e3o<\/option><option value=\"Turks & Caicos Islands\" data-country-code=\"TC\" >Turks & Caicos Islands<\/option><option value=\"Turquia\" data-country-code=\"TR\" >Turquia<\/option><option value=\"Tuvalu\" data-country-code=\"TV\" >Tuvalu<\/option><option value=\"U.S. Virgin Islands\" data-country-code=\"VI\" >U.S. Virgin Islands<\/option><option value=\"Ucr\u00e2nia\" data-country-code=\"UA\" >Ucr\u00e2nia<\/option><option value=\"Uganda\" data-country-code=\"UG\" >Uganda<\/option><option value=\"Uruguai\" data-country-code=\"UY\" >Uruguai<\/option><option value=\"Usbesquist\u00e3o\" data-country-code=\"UZ\" >Usbesquist\u00e3o<\/option><option value=\"Vanuatu\" data-country-code=\"VU\" >Vanuatu<\/option><option value=\"Venezuela\" data-country-code=\"VE\" >Venezuela<\/option><option value=\"Vietn\u00e3\" data-country-code=\"VN\" >Vietn\u00e3<\/option><option value=\"Zimb\u00e1bue\" data-country-code=\"ZW\" >Zimb\u00e1bue<\/option><option value=\"Z\u00e2mbia\" data-country-code=\"ZM\" >Z\u00e2mbia<\/option><option value=\"\u00c1frica do Sul\" data-country-code=\"ZA\" >\u00c1frica do Sul<\/option><option value=\"\u00c1ustria\" data-country-code=\"AT\" >\u00c1ustria<\/option><option value=\"\u00cdndia\" data-country-code=\"IN\" >\u00cdndia<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"number-1\" class=\"forminator-field-number forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-number-1_6a1529be47cd0\" id=\"forminator-field-number-1_6a1529be47cd0-label\" class=\"forminator-label\">7. Telefone (Whatsapp) <span class=\"forminator-required\">*<\/span><\/label><input name=\"number-1\" value=\"\" placeholder=\"\" id=\"forminator-field-number-1_6a1529be47cd0\" class=\"forminator-input forminator-number--field\" inputmode=\"decimal\" data-required=\"1\" data-decimals=\"0\" aria-required=\"true\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" data-hidden-behavior=\"zero\" type=\"number\" step=\"any\" min=\"1\" max=\"900000000000000000000000\" \/><\/div><\/div><div id=\"email-1\" class=\"forminator-field-email forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-email-1_6a1529be47cd0\" id=\"forminator-field-email-1_6a1529be47cd0-label\" class=\"forminator-label\">8. E-mail <span class=\"forminator-required\">*<\/span><\/label><input type=\"email\" name=\"email-1\" value=\"\" placeholder=\"\" id=\"forminator-field-email-1_6a1529be47cd0\" class=\"forminator-input forminator-email--field\" data-required=\"1\" aria-required=\"true\" autocomplete=\"email\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-3\" class=\"forminator-field-radio forminator-col forminator-col-4 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-3-6a1529be47cd0-label\"><span id=\"forminator-radiogroup-radio-3-6a1529be47cd0-label\" class=\"forminator-label\">9. Estado civil <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-3-label-1\" for=\"forminator-field-radio-3-1-6a1529be47cd0\" class=\"forminator-radio\" title=\"Solteiro(a)\"><input type=\"radio\" name=\"radio-3\" value=\"Solteiro(a)\" id=\"forminator-field-radio-3-1-6a1529be47cd0\" aria-labelledby=\"forminator-field-radio-3-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Solteiro(a)<\/span><\/label><label id=\"forminator-field-radio-3-label-2\" for=\"forminator-field-radio-3-2-6a1529be47cd0\" class=\"forminator-radio\" title=\"Casado(a)\"><input type=\"radio\" name=\"radio-3\" value=\"Casado(a)\" id=\"forminator-field-radio-3-2-6a1529be47cd0\" aria-labelledby=\"forminator-field-radio-3-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Casado(a)<\/span><\/label><label id=\"forminator-field-radio-3-label-3\" for=\"forminator-field-radio-3-3-6a1529be47cd0\" class=\"forminator-radio\" title=\"Divorciado(a)\"><input type=\"radio\" name=\"radio-3\" value=\"Divorciado(a)\" id=\"forminator-field-radio-3-3-6a1529be47cd0\" aria-labelledby=\"forminator-field-radio-3-label-3\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Divorciado(a)<\/span><\/label><label id=\"forminator-field-radio-3-label-4\" for=\"forminator-field-radio-3-4-6a1529be47cd0\" class=\"forminator-radio\" title=\"Viuvo(a)\"><input type=\"radio\" name=\"radio-3\" value=\"Viuvo(a)\" id=\"forminator-field-radio-3-4-6a1529be47cd0\" aria-labelledby=\"forminator-field-radio-3-label-4\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Viuvo(a)<\/span><\/label><label id=\"forminator-field-radio-3-label-5\" for=\"forminator-field-radio-3-5-6a1529be47cd0\" class=\"forminator-radio\" title=\"Amasiado(a) - mora junto\"><input type=\"radio\" name=\"radio-3\" value=\"Amasiado(a) - mora junto\" id=\"forminator-field-radio-3-5-6a1529be47cd0\" aria-labelledby=\"forminator-field-radio-3-label-5\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Amasiado(a) - mora junto<\/span><\/label><label id=\"forminator-field-radio-3-label-6\" for=\"forminator-field-radio-3-6-6a1529be47cd0\" class=\"forminator-radio\" title=\"Rela\u00e7\u00e3o est\u00e1vel\"><input type=\"radio\" name=\"radio-3\" value=\"Rela\u00e7\u00e3o est\u00e1vel\" id=\"forminator-field-radio-3-6-6a1529be47cd0\" aria-labelledby=\"forminator-field-radio-3-label-6\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Rela\u00e7\u00e3o est\u00e1vel<\/span><\/label><\/div><\/div><div id=\"radio-4\" class=\"forminator-field-radio forminator-col forminator-col-4 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-4-6a1529be47cd0-label\"><span id=\"forminator-radiogroup-radio-4-6a1529be47cd0-label\" class=\"forminator-label\">Tem filhos?<\/span><label id=\"forminator-field-radio-4-label-1\" for=\"forminator-field-radio-4-1-6a1529be47cd0\" class=\"forminator-radio\" title=\"Sim\"><input type=\"radio\" name=\"radio-4\" value=\"Sim\" id=\"forminator-field-radio-4-1-6a1529be47cd0\" aria-labelledby=\"forminator-field-radio-4-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Sim<\/span><\/label><label id=\"forminator-field-radio-4-label-2\" for=\"forminator-field-radio-4-2-6a1529be47cd0\" class=\"forminator-radio\" title=\"N\u00e3o\"><input type=\"radio\" name=\"radio-4\" value=\"N\u00e3o\" id=\"forminator-field-radio-4-2-6a1529be47cd0\" aria-labelledby=\"forminator-field-radio-4-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">N\u00e3o<\/span><\/label><\/div><\/div><div id=\"textarea-3\" class=\"forminator-field-textarea forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-3_6a1529be47cd0\" id=\"forminator-field-textarea-3_6a1529be47cd0-label\" class=\"forminator-label\">Quantos(as)? <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-3\" placeholder=\"\" id=\"forminator-field-textarea-3_6a1529be47cd0\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-5\" class=\"forminator-field-radio forminator-col forminator-col-3 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-5-6a1529be47cd0-label\"><span id=\"forminator-radiogroup-radio-5-6a1529be47cd0-label\" class=\"forminator-label\">10. Escolaridade (grau mais elevado conclu\u00eddo) <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-5-label-1\" for=\"forminator-field-radio-5-1-6a1529be47cd0\" class=\"forminator-radio\" title=\"Ensino fundamental incompleto\"><input type=\"radio\" name=\"radio-5\" value=\"Ensino fundamental incompleto\" id=\"forminator-field-radio-5-1-6a1529be47cd0\" aria-labelledby=\"forminator-field-radio-5-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Ensino fundamental incompleto<\/span><\/label><label id=\"forminator-field-radio-5-label-2\" for=\"forminator-field-radio-5-2-6a1529be47cd0\" class=\"forminator-radio\" title=\"Ensino fundamental completo\"><input type=\"radio\" name=\"radio-5\" value=\"Ensino fundamental completo\" id=\"forminator-field-radio-5-2-6a1529be47cd0\" aria-labelledby=\"forminator-field-radio-5-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Ensino fundamental completo<\/span><\/label><label id=\"forminator-field-radio-5-label-3\" for=\"forminator-field-radio-5-3-6a1529be47cd0\" class=\"forminator-radio\" title=\"Ensino m\u00e9dio incompleto\"><input type=\"radio\" name=\"radio-5\" value=\"Ensino m\u00e9dio incompleto\" id=\"forminator-field-radio-5-3-6a1529be47cd0\" aria-labelledby=\"forminator-field-radio-5-label-3\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Ensino m\u00e9dio incompleto<\/span><\/label><label id=\"forminator-field-radio-5-label-4\" for=\"forminator-field-radio-5-4-6a1529be47cd0\" class=\"forminator-radio\" title=\"Ensino m\u00e9dio completo\"><input type=\"radio\" name=\"radio-5\" value=\"Ensino m\u00e9dio completo\" id=\"forminator-field-radio-5-4-6a1529be47cd0\" aria-labelledby=\"forminator-field-radio-5-label-4\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Ensino m\u00e9dio completo<\/span><\/label><label id=\"forminator-field-radio-5-label-5\" for=\"forminator-field-radio-5-5-6a1529be47cd0\" class=\"forminator-radio\" title=\"Ensino superior incompleto\"><input type=\"radio\" name=\"radio-5\" value=\"Ensino superior incompleto\" id=\"forminator-field-radio-5-5-6a1529be47cd0\" aria-labelledby=\"forminator-field-radio-5-label-5\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Ensino superior incompleto<\/span><\/label><label id=\"forminator-field-radio-5-label-6\" for=\"forminator-field-radio-5-6-6a1529be47cd0\" class=\"forminator-radio\" title=\"Ensino superior completo\"><input type=\"radio\" name=\"radio-5\" value=\"Ensino superior completo\" id=\"forminator-field-radio-5-6-6a1529be47cd0\" aria-labelledby=\"forminator-field-radio-5-label-6\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Ensino superior completo<\/span><\/label><label id=\"forminator-field-radio-5-label-7\" for=\"forminator-field-radio-5-7-6a1529be47cd0\" class=\"forminator-radio\" title=\"P\u00f3s-gradua\u00e7\u00e3o\"><input type=\"radio\" name=\"radio-5\" value=\"P\u00f3s gradua\u00e7\u00e3o\" id=\"forminator-field-radio-5-7-6a1529be47cd0\" aria-labelledby=\"forminator-field-radio-5-label-7\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">P\u00f3s-gradua\u00e7\u00e3o<\/span><\/label><\/div><\/div><div id=\"textarea-5\" class=\"forminator-field-textarea forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-5_6a1529be47cd0\" id=\"forminator-field-textarea-5_6a1529be47cd0-label\" class=\"forminator-label\">Qual curso de gradua\u00e7\u00e3o? Se mais de uma, indique a ordem. <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-5\" placeholder=\"\" id=\"forminator-field-textarea-5_6a1529be47cd0\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><div id=\"textarea-6\" class=\"forminator-field-textarea forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-6_6a1529be47cd0\" id=\"forminator-field-textarea-6_6a1529be47cd0-label\" class=\"forminator-label\">Qual curso de gradua\u00e7\u00e3o? Se mais de uma, indique a ordem. <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-6\" placeholder=\"\" id=\"forminator-field-textarea-6_6a1529be47cd0\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><div id=\"textarea-4\" class=\"forminator-field-textarea forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-4_6a1529be47cd0\" id=\"forminator-field-textarea-4_6a1529be47cd0-label\" class=\"forminator-label\">Qual curso de p\u00f3s gradua\u00e7\u00e3o? Se mais de uma, indique qual ordem. <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-4\" placeholder=\"\" id=\"forminator-field-textarea-4_6a1529be47cd0\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-7\" class=\"forminator-field-textarea forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-7_6a1529be47cd0\" id=\"forminator-field-textarea-7_6a1529be47cd0-label\" class=\"forminator-label\">11. Profiss\u00e3o atual <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-7\" placeholder=\"\" id=\"forminator-field-textarea-7_6a1529be47cd0\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><div id=\"textarea-8\" class=\"forminator-field-textarea forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-8_6a1529be47cd0\" id=\"forminator-field-textarea-8_6a1529be47cd0-label\" class=\"forminator-label\">12. H\u00e1 quanto tempo est\u00e1 nesta profiss\u00e3o? <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-8\" placeholder=\"\" id=\"forminator-field-textarea-8_6a1529be47cd0\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-6\" class=\"forminator-field-radio forminator-col forminator-col-4 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-6-6a1529be47cd0-label\"><span id=\"forminator-radiogroup-radio-6-6a1529be47cd0-label\" class=\"forminator-label\">13. Voc\u00ea trabalha atualmente?<\/span><label id=\"forminator-field-radio-6-label-1\" for=\"forminator-field-radio-6-1-6a1529be47cd0\" class=\"forminator-radio\" title=\"Sim\"><input type=\"radio\" name=\"radio-6\" value=\"Sim\" id=\"forminator-field-radio-6-1-6a1529be47cd0\" aria-labelledby=\"forminator-field-radio-6-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Sim<\/span><\/label><label id=\"forminator-field-radio-6-label-2\" for=\"forminator-field-radio-6-2-6a1529be47cd0\" class=\"forminator-radio\" title=\"N\u00e3o\"><input type=\"radio\" name=\"radio-6\" value=\"N\u00e3o\" id=\"forminator-field-radio-6-2-6a1529be47cd0\" aria-labelledby=\"forminator-field-radio-6-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">N\u00e3o<\/span><\/label><\/div><\/div><div id=\"textarea-9\" class=\"forminator-field-textarea forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-9_6a1529be47cd0\" id=\"forminator-field-textarea-9_6a1529be47cd0-label\" class=\"forminator-label\">Se n\u00e3o, qual o motivo?<\/label><textarea name=\"textarea-9\" placeholder=\"\" id=\"forminator-field-textarea-9_6a1529be47cd0\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><div id=\"textarea-10\" class=\"forminator-field-textarea forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-10_6a1529be47cd0\" id=\"forminator-field-textarea-10_6a1529be47cd0-label\" class=\"forminator-label\">14. Profiss\u00f5es anteriores e tempo em cada uma <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-10\" placeholder=\"\" id=\"forminator-field-textarea-10_6a1529be47cd0\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-1\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-1-6a1529be47cd0-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-1-6a1529be47cd0-label\" class=\"forminator-label\">Quais hip\u00f3teses diagn\u00f3sticas voc\u00ea suspeita? <span class=\"forminator-required\">*<\/span><\/span><span id=\"forminator-field-checkbox-1-6a1529be47cd0-description\" class=\"forminator-description\">Selecione quantos achar necess\u00e1rio<\/span><label id=\"forminator-field-checkbox-1-1-6a1529be47cd0-label\" for=\"forminator-field-checkbox-1-1-6a1529be47cd0\" class=\"forminator-checkbox\" title=\"Transtorno do espectro autista (TEA)\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"tea\" id=\"forminator-field-checkbox-1-1-6a1529be47cd0\" aria-labelledby=\"forminator-field-checkbox-1-1-6a1529be47cd0-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-checkbox-1-6a1529be47cd0-description\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Transtorno do espectro autista (TEA)<\/span><\/label><label id=\"forminator-field-checkbox-1-2-6a1529be47cd0-label\" for=\"forminator-field-checkbox-1-2-6a1529be47cd0\" class=\"forminator-checkbox\" title=\"Transtorno do d\u00e9fict de aten\u00e7\u00e3o e hiperatividade (TDAH)\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"TDAH\" id=\"forminator-field-checkbox-1-2-6a1529be47cd0\" aria-labelledby=\"forminator-field-checkbox-1-2-6a1529be47cd0-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-checkbox-1-6a1529be47cd0-description\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Transtorno do d\u00e9fict de aten\u00e7\u00e3o e hiperatividade (TDAH)<\/span><\/label><label id=\"forminator-field-checkbox-1-3-6a1529be47cd0-label\" for=\"forminator-field-checkbox-1-3-6a1529be47cd0\" class=\"forminator-checkbox\" title=\"Altas habilidades\/ Superdota\u00e7\u00e3o (AH\/SD)\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"AH\/SD\" id=\"forminator-field-checkbox-1-3-6a1529be47cd0\" aria-labelledby=\"forminator-field-checkbox-1-3-6a1529be47cd0-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-checkbox-1-6a1529be47cd0-description\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Altas habilidades\/ Superdota\u00e7\u00e3o (AH\/SD)<\/span><\/label><label id=\"forminator-field-checkbox-1-4-6a1529be47cd0-label\" for=\"forminator-field-checkbox-1-4-6a1529be47cd0\" class=\"forminator-checkbox\" title=\"Desregula\u00e7\u00e3o emocional\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"Desregula\u00e7\u00e3o-emocional\" id=\"forminator-field-checkbox-1-4-6a1529be47cd0\" aria-labelledby=\"forminator-field-checkbox-1-4-6a1529be47cd0-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-checkbox-1-6a1529be47cd0-description\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Desregula\u00e7\u00e3o emocional<\/span><\/label><label id=\"forminator-field-checkbox-1-5-6a1529be47cd0-label\" for=\"forminator-field-checkbox-1-5-6a1529be47cd0\" class=\"forminator-checkbox\" title=\"Transtorno afetivo bipolar\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"TAB\" id=\"forminator-field-checkbox-1-5-6a1529be47cd0\" aria-labelledby=\"forminator-field-checkbox-1-5-6a1529be47cd0-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-checkbox-1-6a1529be47cd0-description\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Transtorno afetivo bipolar<\/span><\/label><label id=\"forminator-field-checkbox-1-6-6a1529be47cd0-label\" for=\"forminator-field-checkbox-1-6-6a1529be47cd0\" class=\"forminator-checkbox\" title=\"Depress\u00e3o\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"Depress\u00e3o\" id=\"forminator-field-checkbox-1-6-6a1529be47cd0\" aria-labelledby=\"forminator-field-checkbox-1-6-6a1529be47cd0-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-checkbox-1-6a1529be47cd0-description\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Depress\u00e3o<\/span><\/label><label id=\"forminator-field-checkbox-1-7-6a1529be47cd0-label\" for=\"forminator-field-checkbox-1-7-6a1529be47cd0\" class=\"forminator-checkbox\" title=\"Ansiedade\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"Ansiedade\" id=\"forminator-field-checkbox-1-7-6a1529be47cd0\" aria-labelledby=\"forminator-field-checkbox-1-7-6a1529be47cd0-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-checkbox-1-6a1529be47cd0-description\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Ansiedade<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-11\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-11_6a1529be47cd0\" id=\"forminator-field-textarea-11_6a1529be47cd0-label\" class=\"forminator-label\">1. O que o(a) trouxe para esta avalia\u00e7\u00e3o? Qual a sua principal queixa ou preocupa\u00e7\u00e3o? <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-11\" placeholder=\"\" id=\"forminator-field-textarea-11_6a1529be47cd0\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-7\" class=\"forminator-field-radio forminator-col forminator-col-4 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-7-6a1529be47cd0-label\"><span id=\"forminator-radiogroup-radio-7-6a1529be47cd0-label\" class=\"forminator-label\">2. Quem sugeriu ou solicitou esta avalia\u00e7\u00e3o? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-7-label-1\" for=\"forminator-field-radio-7-1-6a1529be47cd0\" class=\"forminator-radio\" title=\"Eu mesmo(a)\"><input type=\"radio\" name=\"radio-7\" value=\"one\" id=\"forminator-field-radio-7-1-6a1529be47cd0\" aria-labelledby=\"forminator-field-radio-7-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Eu mesmo(a)<\/span><\/label><label id=\"forminator-field-radio-7-label-2\" for=\"forminator-field-radio-7-2-6a1529be47cd0\" class=\"forminator-radio\" title=\"Familiar\"><input type=\"radio\" name=\"radio-7\" value=\"two\" id=\"forminator-field-radio-7-2-6a1529be47cd0\" aria-labelledby=\"forminator-field-radio-7-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Familiar<\/span><\/label><label id=\"forminator-field-radio-7-label-3\" for=\"forminator-field-radio-7-3-6a1529be47cd0\" class=\"forminator-radio\" title=\"M\u00e9dico(a)\"><input type=\"radio\" name=\"radio-7\" value=\"M\u00e9dico\" id=\"forminator-field-radio-7-3-6a1529be47cd0\" aria-labelledby=\"forminator-field-radio-7-label-3\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">M\u00e9dico(a)<\/span><\/label><label id=\"forminator-field-radio-7-label-4\" for=\"forminator-field-radio-7-4-6a1529be47cd0\" class=\"forminator-radio\" title=\"Professor(a)\/Escola\"><input type=\"radio\" name=\"radio-7\" value=\"Professor(a)-Escola\" id=\"forminator-field-radio-7-4-6a1529be47cd0\" aria-labelledby=\"forminator-field-radio-7-label-4\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Professor(a)\/Escola<\/span><\/label><label id=\"forminator-field-radio-7-label-5\" for=\"forminator-field-radio-7-5-6a1529be47cd0\" class=\"forminator-radio\" title=\"Empregador(a)\"><input type=\"radio\" name=\"radio-7\" value=\"Empregador(a)\" id=\"forminator-field-radio-7-5-6a1529be47cd0\" aria-labelledby=\"forminator-field-radio-7-label-5\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Empregador(a)<\/span><\/label><label id=\"forminator-field-radio-7-label-6\" for=\"forminator-field-radio-7-6-6a1529be47cd0\" class=\"forminator-radio\" title=\"Outro(a) profissional\"><input type=\"radio\" name=\"radio-7\" value=\"Outro-profissional\" id=\"forminator-field-radio-7-6-6a1529be47cd0\" aria-labelledby=\"forminator-field-radio-7-label-6\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Outro(a) profissional<\/span><\/label><\/div><\/div><div id=\"textarea-12\" class=\"forminator-field-textarea forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-12_6a1529be47cd0\" id=\"forminator-field-textarea-12_6a1529be47cd0-label\" class=\"forminator-label\">Qual especialidade?<\/label><textarea name=\"textarea-12\" placeholder=\"\" id=\"forminator-field-textarea-12_6a1529be47cd0\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><div id=\"textarea-13\" class=\"forminator-field-textarea forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-13_6a1529be47cd0\" id=\"forminator-field-textarea-13_6a1529be47cd0-label\" class=\"forminator-label\">Qual profissional?<\/label><textarea name=\"textarea-13\" placeholder=\"\" id=\"forminator-field-textarea-13_6a1529be47cd0\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-14\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-14_6a1529be47cd0\" id=\"forminator-field-textarea-14_6a1529be47cd0-label\" class=\"forminator-label\">3. Descreva a(s) dificuldade(s) ou sintoma(s) que voc\u00ea vem apresentando <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-14\" placeholder=\"\" id=\"forminator-field-textarea-14_6a1529be47cd0\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-15\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-15_6a1529be47cd0\" id=\"forminator-field-textarea-15_6a1529be47cd0-label\" class=\"forminator-label\">4. Quando essas dificuldades come\u00e7aram? Eles surgiram de repente ou gradualmente? <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-15\" placeholder=\"\" id=\"forminator-field-textarea-15_6a1529be47cd0\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-16\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-16_6a1529be47cd0\" id=\"forminator-field-textarea-16_6a1529be47cd0-label\" class=\"forminator-label\">5. Como essas dificuldades evolu\u00edram ao longo do tempo (melhoraram, pioraram, permaneceram os mesmos, apareceram e desapareceram)? <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-16\" placeholder=\"\" id=\"forminator-field-textarea-16_6a1529be47cd0\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-17\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-17_6a1529be47cd0\" id=\"forminator-field-textarea-17_6a1529be47cd0-label\" class=\"forminator-label\">6. O que voc\u00ea acredita que possa ter causado ou contribu\u00eddo para essas dificuldades? <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-17\" placeholder=\"\" id=\"forminator-field-textarea-17_6a1529be47cd0\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-18\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-18_6a1529be47cd0\" id=\"forminator-field-textarea-18_6a1529be47cd0-label\" class=\"forminator-label\">7. De que forma essas dificuldades afetam seu dia a dia (trabalho, estudos, relacionamentos, atividades sociais, autocuidado)? <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-18\" placeholder=\"\" id=\"forminator-field-textarea-18_6a1529be47cd0\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-19\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-19_6a1529be47cd0\" id=\"forminator-field-textarea-19_6a1529be47cd0-label\" class=\"forminator-label\">8. O que voc\u00ea espera obter com esta avalia\u00e7\u00e3o? Qual resultado seria \u00fatil para voc\u00ea? <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-19\" placeholder=\"\" id=\"forminator-field-textarea-19_6a1529be47cd0\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><div class=\"forminator-row forminator-row-last\"><div class=\"forminator-col\"><div class=\"forminator-field\"><button class=\"forminator-button forminator-button-submit\">Enviar mensagem<\/button><\/div><\/div><\/div><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"404f105b64\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/audreyclinica\/wp-json\/wp\/v2\/pages\/665\" \/><input type=\"hidden\" name=\"form_id\" value=\"406\"><input type=\"hidden\" name=\"page_id\" value=\"665\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/audreyrp.com.br\/audreyclinica\/cd1-coleta-de-dados-parte-01\/\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><\/form><\/div>\n\t\t\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":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_theme","meta":{"site-sidebar-layout":"default","site-content-layout":"","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":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center 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