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Submitted URL: https://us21.mailchimp.com/mctx/clicks?url=https%3A%2F%2Fes.surveymonkey.com%2Fr%2F72MJMLX&xid=29ed5a0c48&uid=188004130&iid...
Effective URL: https://es.surveymonkey.com/r/72MJMLX
Submission: On February 28 via manual from MX — Scanned from DE
Effective URL: https://es.surveymonkey.com/r/72MJMLX
Submission: On February 28 via manual from MX — Scanned from DE
Form analysis 1 forms found in the DOM
Name: surveyForm — POST
<form name="surveyForm" action="" method="post" enctype="multipart/form-data" novalidate="" data-survey-page-form="">
<div class="questions clearfix">
<div class="question-row clearfix
">
<div data-question-type="open_ended_single" data-rq-question-type="open_ended" class="question-container
">
<div id="question-field-117027212" data-qnumber="1" data-qdispnumber="1" data-question-id="117027212" class=" question-open-ended-single qn question single question-required">
<h3 class="screenreader-only">Question Title</h3>
<div class=" question-fieldset question-legend">
<h4 id="question-title-117027212" class=" question-title-container ">
<span class="required-asterisk notranslate"> * </span>
<span class="question-number notranslate"> 1<span class="question-dot">.</span>
</span>
<span class="user-generated notranslate
"> ¿A qué área KOF perteneces?</span>
</h4>
<div class="question-body clearfix notranslate ">
<div id="open-ended-single_117027212" data-question-id="117027212" data-response="" data-sm-open-single="" maxlength="20000" data-ng="true" data-required="true" data-size="50" data-labeledby="question-title-117027212">
<div class="question-body open-ended-single"><input aria-labelledby="question-title-117027212" id="117027212" aria-required="true" data-sm-open-single="true" maxlength="20000" class="wds-input wds-input--lg qt-input_text text"
name="117027212" size="50" value=""></div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="question-row clearfix
">
<div data-question-type="open_ended_single" data-rq-question-type="open_ended" class="question-container
">
<div id="question-field-117026941" data-qnumber="2" data-qdispnumber="2" data-question-id="117026941" class=" question-open-ended-single qn question single question-required">
<h3 class="screenreader-only">Question Title</h3>
<div class=" question-fieldset question-legend">
<h4 id="question-title-117026941" class=" question-title-container ">
<span class="required-asterisk notranslate"> * </span>
<span class="question-number notranslate"> 2<span class="question-dot">.</span>
</span>
<span class="user-generated notranslate
"> Nombres y Apellidos</span>
</h4>
<div class="question-body clearfix notranslate ">
<div id="open-ended-single_117026941" data-question-id="117026941" data-response="" data-sm-open-single="" maxlength="20000" data-ng="true" data-required="true" data-size="50" data-labeledby="question-title-117026941">
<div class="question-body open-ended-single"><input aria-labelledby="question-title-117026941" id="117026941" aria-required="true" data-sm-open-single="true" maxlength="20000" class="wds-input wds-input--lg qt-input_text text"
name="117026941" size="50" value=""></div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="question-row clearfix
">
<div data-question-type="open_ended_single" data-rq-question-type="open_ended" class="question-container
">
<div id="question-field-117027058" data-qnumber="3" data-qdispnumber="3" data-question-id="117027058" class=" question-open-ended-single qn question single question-required">
<h3 class="screenreader-only">Question Title</h3>
<div class=" question-fieldset question-legend">
<h4 id="question-title-117027058" class=" question-title-container ">
<span class="required-asterisk notranslate"> * </span>
<span class="question-number notranslate"> 3<span class="question-dot">.</span>
</span>
<span class="user-generated notranslate
"> ¿Cuál es tu correo KOF?</span>
</h4>
<div class="question-body clearfix notranslate ">
<div id="open-ended-single_117027058" data-question-id="117027058" data-response="" data-sm-open-single="" maxlength="20000" data-ng="true" data-required="true" data-size="50" data-labeledby="question-title-117027058">
<div class="question-body open-ended-single"><input aria-labelledby="question-title-117027058" id="117027058" aria-required="true" data-sm-open-single="true" maxlength="20000" class="wds-input wds-input--lg qt-input_text text"
name="117027058" size="50" value=""></div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="question-row clearfix
">
<div data-question-type="multiple_choice_vertical" data-rq-question-type="multiple_choice_vertical" class="question-container
">
<div id="question-field-117027998" data-qnumber="4" data-qdispnumber="4" data-question-id="117027998" class=" question-multiple-choice qn question vertical question-required" style="width:100%;
">
<h3 class="screenreader-only">Question Title</h3>
<fieldset class=" question-fieldset">
<legend class="question-legend">
<h4 id="question-title-117027998" class="
question-title-container ">
<span class="required-asterisk notranslate"> * </span>
<span class="question-number notranslate"> 4<span class="question-dot">.</span>
</span>
<span class="user-generated notranslate
"> ¿Que datos recolectan en tu área?</span>
</h4>
</legend>
<div class="question-body clearfix notranslate ">
<div class="">
<div class="answer-option-cell
">
<div data-sm-checkbox="" class="checkbox-button-container ">
<input id="117027998_883025030" name="117027998[]" type="checkbox" class="checkbox-button-input " value="883025030">
<label class="answer-label checkbox-button-label no-touch touch-sensitive clearfix" for="117027998_883025030">
<span class="checkbox-button-display ">
</span>
<span class="checkbox-button-label-text question-body-font-theme user-generated "> Nombre </span>
</label>
</div>
</div>
<div class="answer-option-cell
">
<div data-sm-checkbox="" class="checkbox-button-container ">
<input id="117027998_883025031" name="117027998[]" type="checkbox" class="checkbox-button-input " value="883025031">
<label class="answer-label checkbox-button-label no-touch touch-sensitive clearfix" for="117027998_883025031">
<span class="checkbox-button-display ">
</span>
<span class="checkbox-button-label-text question-body-font-theme user-generated "> Cédula </span>
</label>
</div>
</div>
<div class="answer-option-cell
">
<div data-sm-checkbox="" class="checkbox-button-container ">
<input id="117027998_883025032" name="117027998[]" type="checkbox" class="checkbox-button-input " value="883025032">
<label class="answer-label checkbox-button-label no-touch touch-sensitive clearfix" for="117027998_883025032">
<span class="checkbox-button-display ">
</span>
<span class="checkbox-button-label-text question-body-font-theme user-generated "> Correo Electrónico </span>
</label>
</div>
</div>
<div class="answer-option-cell
">
<div data-sm-checkbox="" class="checkbox-button-container ">
<input id="117027998_883025033" name="117027998[]" type="checkbox" class="checkbox-button-input " value="883025033">
<label class="answer-label checkbox-button-label no-touch touch-sensitive clearfix" for="117027998_883025033">
<span class="checkbox-button-display ">
</span>
<span class="checkbox-button-label-text question-body-font-theme user-generated "> Números teléfonicos </span>
</label>
</div>
</div>
<div class="answer-option-cell
">
<div data-sm-checkbox="" class="checkbox-button-container ">
<input id="117027998_883025034" name="117027998[]" type="checkbox" class="checkbox-button-input " value="883025034">
<label class="answer-label checkbox-button-label no-touch touch-sensitive clearfix" for="117027998_883025034">
<span class="checkbox-button-display ">
</span>
<span class="checkbox-button-label-text question-body-font-theme user-generated "> Número celular </span>
</label>
</div>
</div>
<div class="answer-option-cell
">
<div data-sm-checkbox="" class="checkbox-button-container ">
<input id="117027998_887371855" name="117027998[]" type="checkbox" class="checkbox-button-input " value="887371855">
<label class="answer-label checkbox-button-label no-touch touch-sensitive clearfix" for="117027998_887371855">
<span class="checkbox-button-display ">
</span>
<span class="checkbox-button-label-text question-body-font-theme user-generated "> Dirección de domicilio </span>
</label>
</div>
</div>
</div>
<div class="other-answer-container other-answer-option-container">
<div data-sm-checkbox="" class="checkbox-button-container ">
<input id="117027998_883025036" name="117027998[]" type="checkbox" class="checkbox-button-input " value="883025036" data-other-answer="">
<label class="answer-label checkbox-button-label no-touch touch-sensitive clearfix" for="117027998_883025036">
<span class="checkbox-button-display ">
</span>
<span class="checkbox-button-label-text question-body-font-theme user-generated "> Otro (especifique) </span>
</label>
</div>
<input id="117027998_other" name="117027998_other" type="text" class="text other-answer-text" maxlength="20000" size="50" aria-label="Otro (especifique)" data-other-text="">
</div>
</div>
</fieldset>
</div>
</div>
</div>
<div class="question-row clearfix
">
<div data-question-type="open_ended_single" data-rq-question-type="open_ended" class="question-container
">
<div id="question-field-117028457" data-qnumber="5" data-qdispnumber="5" data-question-id="117028457" class=" question-open-ended-single qn question single question-required">
<h3 class="screenreader-only">Question Title</h3>
<div class=" question-fieldset question-legend">
<h4 id="question-title-117028457" class=" question-title-container ">
<span class="required-asterisk notranslate"> * </span>
<span class="question-number notranslate"> 5<span class="question-dot">.</span>
</span>
<span class="user-generated notranslate
"> ¿Con qué finalidades recogen esos datos?</span>
</h4>
<div class="question-body clearfix notranslate ">
<div id="open-ended-single_117028457" data-question-id="117028457" data-response="" data-sm-open-single="" maxlength="20000" data-ng="true" data-required="true" data-size="50" data-labeledby="question-title-117028457">
<div class="question-body open-ended-single"><input aria-labelledby="question-title-117028457" id="117028457" aria-required="true" data-sm-open-single="true" maxlength="20000" class="wds-input wds-input--lg qt-input_text text"
name="117028457" size="50" value=""></div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="question-row clearfix
">
<div data-question-type="single_choice_vertical" data-rq-question-type="single_choice_vertical" class="question-container
">
<div id="question-field-117029817" data-qnumber="6" data-qdispnumber="6" data-question-id="117029817" class=" question-single-choice-radio qn question vertical question-required">
<h3 class="screenreader-only">Question Title</h3>
<fieldset class=" question-fieldset" data-radio-button-group="">
<legend class="question-legend">
<h4 id="question-title-117029817" class="
question-title-container ">
<span class="required-asterisk notranslate"> * </span>
<span class="question-number notranslate"> 6<span class="question-dot">.</span>
</span>
<span class="user-generated notranslate
"> ¿Solicitan a los titulares de los datos autorización para dar tratamiento a los mismos?</span>
</h4>
</legend>
<div class="question-body clearfix notranslate ">
<div class="">
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-117029817">
<input id="117029817_883031386" aria-labelledby="117029817_883031386_label" name="117029817" type="radio" role="radio" class="radio-button-input " value="883031386" aria-checked="false">
<label data-sm-radio-button-label="" id="117029817_883031386_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="117029817_883031386">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Si </span>
</label>
</div>
</div>
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-117029817">
<input id="117029817_883031387" aria-labelledby="117029817_883031387_label" name="117029817" type="radio" role="radio" class="radio-button-input " value="883031387" aria-checked="false">
<label data-sm-radio-button-label="" id="117029817_883031387_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="117029817_883031387">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> No </span>
</label>
</div>
</div>
</div>
</div>
</fieldset>
</div>
</div>
</div>
<div class="question-row clearfix
">
<div data-question-type="single_choice_vertical" data-rq-question-type="single_choice_vertical" class="question-container
">
<div id="question-field-117030330" data-qnumber="7" data-qdispnumber="7" data-question-id="117030330" class=" question-single-choice-radio qn question vertical question-required">
<h3 class="screenreader-only">Question Title</h3>
<fieldset class=" question-fieldset" data-radio-button-group="">
<legend class="question-legend">
<h4 id="question-title-117030330" class="
question-title-container ">
<span class="required-asterisk notranslate"> * </span>
<span class="question-number notranslate"> 7<span class="question-dot">.</span>
</span>
<span class="user-generated notranslate
"> Si su respuesta anterior fue afirmativa, conservan prueba de aquella autorización?</span>
</h4>
</legend>
<div class="question-body clearfix notranslate ">
<div class="">
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-117030330">
<input id="117030330_883034626" aria-labelledby="117030330_883034626_label" name="117030330" type="radio" role="radio" class="radio-button-input " value="883034626" aria-checked="false">
<label data-sm-radio-button-label="" id="117030330_883034626_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="117030330_883034626">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Si </span>
</label>
</div>
</div>
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-117030330">
<input id="117030330_883034627" aria-labelledby="117030330_883034627_label" name="117030330" type="radio" role="radio" class="radio-button-input " value="883034627" aria-checked="false">
<label data-sm-radio-button-label="" id="117030330_883034627_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="117030330_883034627">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> No </span>
</label>
</div>
</div>
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-117030330">
<input id="117030330_883034628" aria-labelledby="117030330_883034628_label" name="117030330" type="radio" role="radio" class="radio-button-input " value="883034628" aria-checked="false">
<label data-sm-radio-button-label="" id="117030330_883034628_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="117030330_883034628">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> N/A </span>
</label>
</div>
</div>
</div>
</div>
</fieldset>
</div>
</div>
</div>
<div class="question-row clearfix
">
<div data-question-type="single_choice_vertical" data-rq-question-type="single_choice_vertical" class="question-container
">
<div id="question-field-117030968" data-qnumber="8" data-qdispnumber="8" data-question-id="117030968" class=" question-single-choice-radio qn question vertical question-required">
<h3 class="screenreader-only">Question Title</h3>
<fieldset class=" question-fieldset" data-radio-button-group="">
<legend class="question-legend">
<h4 id="question-title-117030968" class="
question-title-container ">
<span class="required-asterisk notranslate"> * </span>
<span class="question-number notranslate"> 8<span class="question-dot">.</span>
</span>
<span class="user-generated notranslate
"> ¿La información que recolectan reposa en alguna base de datos?</span>
</h4>
</legend>
<div class="question-body clearfix notranslate ">
<div class="">
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-117030968">
<input id="117030968_883038862" aria-labelledby="117030968_883038862_label" name="117030968" type="radio" role="radio" class="radio-button-input " value="883038862" aria-checked="false">
<label data-sm-radio-button-label="" id="117030968_883038862_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="117030968_883038862">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Si </span>
</label>
</div>
</div>
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-117030968">
<input id="117030968_883038863" aria-labelledby="117030968_883038863_label" name="117030968" type="radio" role="radio" class="radio-button-input " value="883038863" aria-checked="false">
<label data-sm-radio-button-label="" id="117030968_883038863_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="117030968_883038863">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> No </span>
</label>
</div>
</div>
</div>
</div>
</fieldset>
</div>
</div>
</div>
<div class="question-row clearfix
">
<div data-question-type="single_choice_vertical" data-rq-question-type="single_choice_vertical" class="question-container
">
<div id="question-field-117031401" data-qnumber="9" data-qdispnumber="9" data-question-id="117031401" class=" question-single-choice-radio qn question vertical question-required">
<h3 class="screenreader-only">Question Title</h3>
<fieldset class=" question-fieldset" data-radio-button-group="">
<legend class="question-legend">
<h4 id="question-title-117031401" class="
question-title-container ">
<span class="required-asterisk notranslate"> * </span>
<span class="question-number notranslate"> 9<span class="question-dot">.</span>
</span>
<span class="user-generated notranslate
"> Si su respuesta anterior fue afirmativa, ¿dicha(s) base(s) de datos se encuentra(n) registrada(s) en el Registro Nacional de Bases de Datos (RNBD)?</span>
</h4>
</legend>
<div class="question-body clearfix notranslate ">
<div class="">
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-117031401">
<input id="117031401_883041525" aria-labelledby="117031401_883041525_label" name="117031401" type="radio" role="radio" class="radio-button-input " value="883041525" aria-checked="false">
<label data-sm-radio-button-label="" id="117031401_883041525_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="117031401_883041525">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Si </span>
</label>
</div>
</div>
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-117031401">
<input id="117031401_883041526" aria-labelledby="117031401_883041526_label" name="117031401" type="radio" role="radio" class="radio-button-input " value="883041526" aria-checked="false">
<label data-sm-radio-button-label="" id="117031401_883041526_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="117031401_883041526">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> No </span>
</label>
</div>
</div>
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-117031401">
<input id="117031401_883041527" aria-labelledby="117031401_883041527_label" name="117031401" type="radio" role="radio" class="radio-button-input " value="883041527" aria-checked="false">
<label data-sm-radio-button-label="" id="117031401_883041527_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="117031401_883041527">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> N/A </span>
</label>
</div>
</div>
</div>
</div>
</fieldset>
</div>
</div>
</div>
<div class="question-row clearfix
">
<div data-question-type="presentation_descriptive_text" data-rq-question-type="presentation_text" class="question-container
">
<div id="question-field-117641447" data-qnumber="10" data-qdispnumber="" data-question-id="117641447" class=" question-presentation-text qn question descriptive_text">
<div class="question-body-font-theme question-presentation-text user-generated">
<span class="user-generated notranslate
"> ¡Gracias por tu tiempo! Pronto los estaremos contactando con mayor información. </span>
</div>
</div>
</div>
</div>
</div>
<div class="survey-submit-actions center-text clearfix">
<button type="submit" data-submit-page-button="" class="btn small done-button survey-page-button user-generated notranslate"> Listo </button>
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¿EN TÚ ÁREA SE REALIZA TRATAMIENTO DE DATOS PERSONALES? SI EN TU ÁREA RECOLECTAN DATOS PERSONALES, POR FAVOR COMPLETA LA SIGUIENTE ENCUESTA: QUESTION TITLE * 1. ¿A QUÉ ÁREA KOF PERTENECES? QUESTION TITLE * 2. NOMBRES Y APELLIDOS QUESTION TITLE * 3. ¿CUÁL ES TU CORREO KOF? QUESTION TITLE * 4. ¿QUE DATOS RECOLECTAN EN TU ÁREA? Nombre Cédula Correo Electrónico Números teléfonicos Número celular Dirección de domicilio Otro (especifique) QUESTION TITLE * 5. ¿CON QUÉ FINALIDADES RECOGEN ESOS DATOS? QUESTION TITLE * 6. ¿SOLICITAN A LOS TITULARES DE LOS DATOS AUTORIZACIÓN PARA DAR TRATAMIENTO A LOS MISMOS? Si No QUESTION TITLE * 7. SI SU RESPUESTA ANTERIOR FUE AFIRMATIVA, CONSERVAN PRUEBA DE AQUELLA AUTORIZACIÓN? Si No N/A QUESTION TITLE * 8. ¿LA INFORMACIÓN QUE RECOLECTAN REPOSA EN ALGUNA BASE DE DATOS? Si No QUESTION TITLE * 9. SI SU RESPUESTA ANTERIOR FUE AFIRMATIVA, ¿DICHA(S) BASE(S) DE DATOS SE ENCUENTRA(N) REGISTRADA(S) EN EL REGISTRO NACIONAL DE BASES DE DATOS (RNBD)? Si No N/A ¡Gracias por tu tiempo! Pronto los estaremos contactando con mayor información. Listo Con la tecnología de Ve lo fácil que es crear una encuesta. Aviso de privacidad y Aviso de cookies Javascript is required for this site to function, please enable.