https://formularios.alares.org/form/create/1edb4340-07f3-6852-b892-a32056b29cf6/embed

Method
GET
HTTP Status
200
IP
216.73.216.191
Profiled on
Token
b1f005

Forms

  • json
    • testamento-vital
    • titular
    • personal-data
    • location
    • medical
    • post-mortem
    • admin
    • comments
    • buttons

json

"App\Form\JsonType"

Default Data

Property Value
Model Format same as normalized format
Normalized Format 
null
View Format same as normalized format

Submitted Data

This form was not submitted.

Passed Options

Option Passed Value Resolved Value
disabled 
false
 
false
manager 
App\Service\JsonFormManager {#475
  -filesystem: Symfony\Component\Filesystem\Filesystem {#474 …}
  -formDefinition: [
    [
      "type" => "group"
      "name" => "testamento-vital"
      "title" => "DOCUMENTO DE VOLUNTADES ANTICIPADAS O INSTRUCCIONES PREVIAS"
      "attr" => [
        "border" => false
        "description" => "<p>Es un documento que deberá tenerse en cuenta para el caso de que su estado de salud no le permita expresarse y en el que se establecen instrucciones relativas a tratamientos médicos y el destino de su cuerpo y órganos. Dicho documento, para que produzca plenos efectos, deberá inscribirse en el Registro de Voluntades Anticipadas que corresponda.</p>"
      ]
      "fields" => [
        [
          "type" => "hidden"
          "common" => [
            "name" => "titular-type"
            "label" => "Tipo de testamento"
          ]
          "attr" => [
            "value" => "Vital"
          ]
          "constraints" => [
            "required" => true
          ]
        ]
        [
          "type" => "text"
          "common" => [
            "name" => "collective"
            "label" => "Colectivo (empresa a la que pertenece)"
          ]
          "attr" => []
          "constraints" => []
        ]
      ]
    ]
    [
      "type" => "group"
      "name" => "titular"
      "title" => "DATOS DEL TITULAR"
      "attr" => [
        "border" => true
        "description" => ""
      ]
      "fields" => [
        [
          "type" => "checkbox"
          "common" => [
            "name" => "titular-ability"
            "label" => false
          ]
          "attr" => []
          "constraints" => [
            "required" => true
            "validators" => [
              "NotBlank" => []
            ]
          ]
          "choices" => [
            [
              "value" => 0
              "label" => "Se encuentra en plena capacidad de obrar"
            ]
          ]
          "bind" => false
        ]
      ]
    ]
    [
      "type" => "group"
      "name" => "personal-data"
      "title" => "DATOS PERSONALES DEL TESTADOR"
      "attr" => [
        "border" => true
        "description" => ""
      ]
      "fields" => [
        [
          "type" => "text"
          "common" => [
            "name" => "personal-data-firstname"
            "label" => "Nombre"
          ]
          "attr" => [
            "placeholder" => "Nombre"
          ]
          "constraints" => [
            "required" => true
          ]
        ]
        [
          "type" => "text"
          "common" => [
            "name" => "personal-data-lastname"
            "label" => "Apellidos"
          ]
          "attr" => [
            "placeholder" => "Apellidos"
          ]
          "constraints" => [
            "required" => true
          ]
        ]
        [
          "type" => "text"
          "common" => [
            "name" => "personal-data-idcard"
            "label" => "DNI/NIE"
          ]
          "attr" => [
            "placeholder" => "DNI/NIE"
            "class" => "text-uppercase"
          ]
          "constraints" => [
            "required" => true
            "validators" => [
              "Nif" => []
            ]
          ]
        ]
        [
          "type" => "select"
          "common" => [
            "name" => "personal-data-gender"
            "label" => "Género"
          ]
          "attr" => []
          "constraints" => [
            "required" => true
          ]
          "choices" => [
            [
              "value" => "Masculino"
              "label" => "Masculino"
            ]
            [
              "value" => "Femenino"
              "label" => "Femenino"
            ]
            [
              "value" => "No binario"
              "label" => "No binario"
            ]
            [
              "value" => "Prefiero no decirlo"
              "label" => "Prefiero no decirlo"
            ]
          ]
        ]
        [
          "type" => "email"
          "common" => [
            "name" => "personal-data-email"
            "label" => "Correo electrónico"
          ]
          "attr" => [
            "placeholder" => "Correo electrónico"
          ]
          "constraints" => [
            "required" => true
          ]
        ]
        [
          "type" => "text"
          "common" => [
            "name" => "personal-data-country"
            "label" => "Nacionalidad"
          ]
          "attr" => [
            "placeholder" => "Nacionalidad"
          ]
          "constraints" => [
            "required" => true
          ]
        ]
        [
          "type" => "text"
          "common" => [
            "name" => "personal-data-phone-1"
            "label" => "Teléfono 1"
          ]
          "attr" => [
            "placeholder" => "Teléfono 1"
          ]
          "constraints" => [
            "required" => true
            "validators" => [
              "Phone" => []
            ]
          ]
        ]
        [
          "type" => "text"
          "common" => [
            "name" => "personal-data-phone-2"
            "label" => "Teléfono 2"
          ]
          "attr" => [
            "placeholder" => "Teléfono 2"
          ]
          "constraints" => [
            "required" => false
            "validators" => [
              "Phone" => []
            ]
          ]
        ]
        [
          "type" => "date"
          "common" => [
            "name" => "personal-data-birthday"
            "label" => "Fecha de nacimiento"
          ]
          "attr" => []
          "constraints" => [
            "required" => true
          ]
        ]
        [
          "type" => "text"
          "common" => [
            "name" => "personal-data-birth-place"
            "label" => "Lugar de nacimiento"
          ]
          "attr" => [
            "placeholder" => "Lugar de nacimiento"
          ]
          "constraints" => [
            "required" => true
          ]
        ]
        [
          "type" => "text"
          "common" => [
            "name" => "personal-data-birth-country"
            "label" => "País de nacimiento"
          ]
          "attr" => [
            "placeholder" => "País de nacimiento"
          ]
          "constraints" => [
            "required" => true
          ]
        ]
        [
          "type" => "select"
          "common" => [
            "name" => "personal-data-marital-status"
            "label" => "Estado civil"
          ]
          "attr" => []
          "constraints" => [
            "required" => true
          ]
          "choices" => [
            [
              "value" => "Soltero/a"
              "label" => "Soltero/a"
            ]
            [
              "value" => "Casado/a en régimen de bienes gananciales"
              "label" => "Casado/a en régimen de bienes gananciales"
            ]
            [
              "value" => "Casado/a en régimen de separación de bienes"
              "label" => "Casado/a en régimen de separación de bienes"
            ]
            [
              "value" => "Pareja de hecho inscrita"
              "label" => "Pareja de hecho inscrita"
            ]
            [
              "value" => "Separado/a de hecho"
              "label" => "Separado/a de hecho"
            ]
            [
              "value" => "Separado/a legalmente"
              "label" => "Separado/a legalmente"
            ]
            [
              "value" => "Divorciado/a"
              "label" => "Divorciado/a"
            ]
            [
              "value" => "Viudo/a"
              "label" => "Viudo/a"
            ]
          ]
        ]
        [
          "type" => "text"
          "common" => [
            "name" => "personal-data-healthcard"
            "label" => "Tarjeta Sanitaria"
          ]
          "attr" => [
            "placeholder" => "Tarjeta Sanitaria"
          ]
          "constraints" => [
            "required" => true
          ]
        ]
      ]
    ]
    [
      "type" => "group"
      "name" => "location"
      "title" => "LUGAR DE RESIDENCIA HABITUAL"
      "attr" => [
        "border" => true
        "description" => ""
      ]
      "fields" => [
        [
          "type" => "text"
          "common" => [
            "name" => "location-address"
            "label" => "Dirección"
          ]
          "attr" => [
            "placeholder" => "Dirección"
          ]
          "constraints" => [
            "required" => true
          ]
        ]
        [
          "type" => "text"
          "common" => [
            "name" => "location-city"
            "label" => "Población"
          ]
          "attr" => [
            "placeholder" => "Población"
          ]
          "constraints" => [
            "required" => true
          ]
        ]
        [
          "type" => "text"
          "common" => [
            "name" => "location-zipcode"
            "label" => "Código postal"
          ]
          "attr" => [
            "placeholder" => "Código postal"
          ]
          "constraints" => [
            "required" => true
          ]
        ]
        [
          "type" => "text"
          "common" => [
            "name" => "location-province"
            "label" => "Provincia"
          ]
          "attr" => [
            "placeholder" => "Provincia"
          ]
          "constraints" => [
            "required" => true
          ]
        ]
      ]
    ]
    [
      "type" => "group"
      "name" => "medical"
      "title" => "INSTRUCCIONES RELATIVAS A TRATAMIENTOS MÉDICOS"
      "attr" => [
        "border" => true
        "description" => ""
      ]
      "fields" => [
        [
          "type" => "radio"
          "common" => [
            "name" => "medical-artificial-alive"
            "label" => "¿Desea que se le mantenga con vida a través de medios artificiales?"
            "help" => "Tales como técnicas de soporte vital, fluidos intravenosos, fármacos, alimentación artificial o cualquier otro medio que pueda prolongar la supervivencia"
          ]
          "attr" => []
          "constraints" => [
            "required" => true
          ]
          "choices" => [
            [
              "value" => "Sí"
              "label" => "Sí"
            ]
            [
              "value" => "No"
              "label" => "No"
            ]
          ]
        ]
        [
          "type" => "radio"
          "common" => [
            "name" => "medical-palliative-care"
            "label" => "¿Desea que le sean aplicados cuidados paliativos (tales como sedación artificial), para mitigar el sufrimiento y la enfermedad, aunque esto implique que se acorte la vida?"
            "help" => "Ello es conocido como eutanasia pasiva"
          ]
          "attr" => []
          "constraints" => [
            "required" => true
          ]
          "choices" => [
            [
              "value" => "Sí"
              "label" => "Sí"
            ]
            [
              "value" => "No"
              "label" => "No"
            ]
          ]
        ]
        [
          "type" => "radio"
          "common" => [
            "name" => "medical-euthanasia"
            "label" => "¿Desea que se le aplique la eutanasia activa si concurren los requisitos médicos y legales?"
          ]
          "attr" => []
          "constraints" => [
            "required" => true
          ]
          "choices" => [
            [
              "value" => "Sí"
              "label" => "Sí"
            ]
            [
              "value" => "No"
              "label" => "No"
            ]
          ]
        ]
        [
          "type" => "radio"
          "common" => [
            "name" => "medical-care-place"
            "label" => "En el final de mi vida, si las circunstancias lo permiten, mi prioridad es que me atiendan en:"
          ]
          "attr" => []
          "constraints" => [
            "required" => true
          ]
          "choices" => [
            [
              "value" => "Mi domicilio habitual"
              "label" => "Mi domicilio habitual"
            ]
            [
              "value" => "Una residencia sociosanitaria"
              "label" => "Una residencia sociosanitaria"
            ]
            [
              "value" => "Un centro sanitario"
              "label" => "Un centro sanitario"
            ]
            [
              "value" => "Donde decidan mis representantes, familiares o cuidadores"
              "label" => "Donde decidan mis representantes, familiares o cuidadores"
            ]
            [
              "value" => "Indiferente"
              "label" => "Indiferente"
            ]
          ]
        ]
      ]
    ]
    [
      "type" => "group"
      "name" => "post-mortem"
      "title" => "INSTRUCCIONES PARA DESPUÉS DEL FALLECIMIENTO"
      "attr" => [
        "border" => true
        "description" => ""
      ]
      "fields" => [
        [
          "type" => "radio"
          "common" => [
            "name" => "post-mortem-organ"
            "label" => "¿Desea que se donen sus órganos al momento de su fallecimiento?"
          ]
          "attr" => []
          "constraints" => [
            "required" => true
          ]
          "choices" => [
            [
              "value" => "Sí"
              "label" => "Sí"
            ]
            [
              "value" => "No"
              "label" => "No"
            ]
          ]
        ]
        [
          "type" => "radio"
          "common" => [
            "name" => "post-mortem-body"
            "label" => "¿Desea donar su cuerpo a la investigación?"
          ]
          "attr" => []
          "constraints" => [
            "required" => true
          ]
          "choices" => [
            [
              "value" => "Sí"
              "label" => "Sí"
            ]
            [
              "value" => "No"
              "label" => "No"
            ]
          ]
        ]
        [
          "type" => "select"
          "common" => [
            "name" => "post-mortem-type"
            "label" => "¿Qué dese que se lleve a cabo con sus restos?"
          ]
          "attr" => []
          "constraints" => [
            "required" => true
          ]
          "choices" => [
            [
              "value" => "Entierro"
              "label" => "Entierro"
            ]
            [
              "value" => "Incineración"
              "label" => "Incineración"
            ]
            [
              "value" => "Indiferente"
              "label" => "Indiferente"
            ]
          ]
        ]
      ]
    ]
    [
      "type" => "group"
      "name" => "admin"
      "title" => "NOMBRAMIENTO DE REPRESENTANTES"
      "attr" => [
        "border" => true
        "description" => "El representante será el interlocutor con el equipo médico y quien haga valer su voluntad. Debe ser mayor de edad."
      ]
      "fields" => [
        [
          "type" => "text"
          "common" => [
            "name" => "admin-name-1"
            "label" => "Datos del representante 1"
          ]
          "attr" => [
            "placeholder" => "Representante 1. Nombre y apellidos"
          ]
          "constraints" => [
            "required" => true
          ]
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        [
          "type" => "text"
          "common" => [
            "name" => "admin-idcard-1"
            "label" => false
          ]
          "attr" => [
            "placeholder" => "Representante 1. DNI/NIE"
          ]
          "constraints" => [
            "required" => true
          ]
        ]
        [
          "type" => "date"
          "common" => [
            "name" => "admin-birthday-1"
            "label" => "Representante 1. Fecha de nacimiento"
          ]
          "attr" => []
          "constraints" => [
            "required" => true
            "validators" => [
              "LessThanOrEqual" => [
                "value" => "-18 years"
                "message" => "El representante debe ser mayor de 18 años"
              ]
            ]
          ]
        ]
        [
          "type" => "text"
          "common" => [
            "name" => "admin-healthcard-1"
            "label" => false
          ]
          "attr" => [
            "placeholder" => "Representante 1. Tarjeta sanitaria (CCAA Baleares y Valencia)"
          ]
          "constraints" => [
            "required" => false
          ]
        ]
        [
          "type" => "text"
          "common" => [
            "name" => "admin-phone-1"
            "label" => false
          ]
          "attr" => [
            "placeholder" => "Representante 1. Teléfono"
          ]
          "constraints" => [
            "required" => true
            "validators" => [
              "Phone" => []
            ]
          ]
        ]
        [
          "type" => "email"
          "common" => [
            "name" => "admin-email-1"
            "label" => false
          ]
          "attr" => [
            "placeholder" => "Representante 1. Correo electrónico"
          ]
          "constraints" => [
            "required" => true
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        [
          "type" => "text"
          "common" => [
            "name" => "admin-address-1"
            "label" => false
          ]
          "attr" => [
            "placeholder" => "Representante 1. Dirección"
          ]
          "constraints" => [
            "required" => true
          ]
        ]
        [
          "type" => "text"
          "common" => [
            "name" => "admin-zipcode-1"
            "label" => false
          ]
          "attr" => [
            "placeholder" => "Representante 1. Código postal"
          ]
          "constraints" => [
            "required" => true
          ]
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        [
          "type" => "text"
          "common" => [
            "name" => "admin-city-1"
            "label" => false
          ]
          "attr" => [
            "placeholder" => "Representante 1. Población"
          ]
          "constraints" => [
            "required" => true
          ]
        ]
        [
          "type" => "text"
          "common" => [
            "name" => "admin-province-1"
            "label" => false
          ]
          "attr" => [
            "placeholder" => "Representante 1. Provincia"
          ]
          "constraints" => [
            "required" => true
          ]
        ]
        [
          "type" => "text"
          "common" => [
            "name" => "admin-name-2"
            "label" => "Datos del representante 2"
          ]
          "attr" => [
            "placeholder" => "Representante 2. Nombre y apellidos"
          ]
          "constraints" => [
            "required" => false
          ]
        ]
        [
          "type" => "text"
          "common" => [
            "name" => "admin-idcard-2"
            "label" => false
          ]
          "attr" => [
            "placeholder" => "Representante 2. DNI/NIE"
          ]
          "constraints" => [
            "required" => false
          ]
        ]
        [
          "type" => "date"
          "common" => [
            "name" => "admin-birthday-2"
            "label" => "Representante 2. Fecha de nacimiento"
          ]
          "attr" => []
          "constraints" => [
            "required" => false
            "validators" => [
              "LessThanOrEqual" => [
                "value" => "-18 years"
                "message" => "El representante debe ser mayor de 18 años"
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            ]
          ]
        ]
        [
          "type" => "text"
          "common" => [
            "name" => "admin-healthcard-2"
            "label" => false
          ]
          "attr" => [
            "placeholder" => "Representante 2. Tarjeta sanitaria (CCAA Baleares y Valencia)"
          ]
          "constraints" => [
            "required" => false
          ]
        ]
        [
          "type" => "text"
          "common" => [
            "name" => "admin-phone-2"
            "label" => false
          ]
          "attr" => [
            "placeholder" => "Representante 2. Teléfono"
          ]
          "constraints" => [
            "required" => false
            "validators" => [
              "Phone" => []
            ]
          ]
        ]
        [
          "type" => "email"
          "common" => [
            "name" => "admin-email-2"
            "label" => false
          ]
          "attr" => [
            "placeholder" => "Representante 2. Correo electrónico"
          ]
          "constraints" => [
            "required" => false
          ]
        ]
        [
          "type" => "text"
          "common" => [
            "name" => "admin-address-2"
            "label" => false
          ]
          "attr" => [
            "placeholder" => "Representante 2. Dirección"
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          "constraints" => [
            "required" => false
          ]
        ]
        [
          "type" => "text"
          "common" => [
            "name" => "admin-zipcode-2"
            "label" => false
          ]
          "attr" => [
            "placeholder" => "Representante 2. Código postal"
          ]
          "constraints" => [
            "required" => false
          ]
        ]
        [
          "type" => "text"
          "common" => [
            "name" => "admin-city-2"
            "label" => false
          ]
          "attr" => [
            "placeholder" => "Representante 2. Población"
          ]
          "constraints" => [
            "required" => false
          ]
        ]
        [
          "type" => "text"
          "common" => [
            "name" => "admin-province-2"
            "label" => false
          ]
          "attr" => [
            "placeholder" => "Representante 2. Provincia"
          ]
          "constraints" => [
            "required" => false
          ]
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      ]
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    [
      "type" => "group"
      "name" => "comments"
      "title" => "Comentarios adicionales"
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        "description" => ""
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      "fields" => [
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          "common" => [
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            "label" => false
          ]
          "attr" => []
          "constraints" => [
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          ]
        ]
      ]
    ]
    [
      "type" => "group"
      "name" => "buttons"
      "title" => false
      "attr" => [
        "show_title" => false
        "description" => "<strong>Le recordamos que el servicio de Testamento Online incluye las siguientes prestaciones:</strong><ul><li>Servicio jurídico:<ul><li>Asesoramiento personalizado a cargo de un abogado especializado.</li><li>Cumplimentar y preparar la documentación conforme a su voluntad y necesidades.</li></ul></li><li>Servicio de secretaría:<ul><li>Gestión y coordinación de la cita en la Consejería de Sanidad competente.</li><li>Envío de recordatorios previos a la fecha y hora de la cita programada.</li><li>Información al interesado de la documentación necesaria para la formalización del trámite.</li><li>Información al cliente sobre la inscripción del documento en el Registro de Instrucciones Previas o de Voluntades Anticipadas que corresponda, de acuerdo con la normativa aplicable.</li></ul></li></ul><p>Información importante: El procedimiento de otorgamiento puede variar en función de la Comunidad Autónoma competente. En consecuencia, determinadas circunstancias pueden requerir el nombramiento de un único representante o la presentación personal de la documentación ante el Registro de Voluntades Anticipadas que corresponda. En cualquier caso, le informaremos y orientaremos durante todo el proceso para garantizar su correcta tramitación.</p>"
      ]
      "class" => "group-class"
      "fields" => [
        [
          "type" => "checkbox"
          "common" => [
            "name" => "privacidad"
            "label" => false
          ]
          "attr" => [
            "prueba" => "prueba"
          ]
          "constraints" => [
            "required" => true
            "validators" => [
              "NotBlank" => []
            ]
          ]
          "choices" => [
            [
              "value" => 0
              "label" => "He leído y acepto la <a href='https://web.alares.es/site/pwa/legal/politica-privacidad.html' target='_blank'>Política de Privacidad</a>"
            ]
          ]
          "bind" => false
        ]
        [
          "type" => "submit"
          "common" => [
            "name" => "submit"
            "label" => "Enviar"
          ]
          "attr" => []
        ]
      ]
    ]
  ]
  -builtFormDefinition: [
    [
      "name" => "testamento-vital"
      "class" => "Symfony\Component\Form\Extension\Core\Type\FormType"
      "options" => [
        "label" => "DOCUMENTO DE VOLUNTADES ANTICIPADAS O INSTRUCCIONES PREVIAS"
        "inherit_data" => true
      ]
      "fields" => [
        [
          "name" => "titular-type_hidden"
          "options" => [
            "label" => "Tipo de testamento"
            "attr" => [
              "value" => "Vital"
            ]
            "label_html" => true
            "required" => true
            "data" => "Vital"
          ]
          "class" => "Symfony\Component\Form\Extension\Core\Type\HiddenType"
        ]
        [
          "name" => "collective_text"
          "options" => [
            "label" => "Colectivo (empresa a la que pertenece)"
            "attr" => []
            "label_html" => true
          ]
          "class" => "Symfony\Component\Form\Extension\Core\Type\TextType"
        ]
      ]
      "attr" => [
        "border" => false
        "description" => "<p>Es un documento que deberá tenerse en cuenta para el caso de que su estado de salud no le permita expresarse y en el que se establecen instrucciones relativas a tratamientos médicos y el destino de su cuerpo y órganos. Dicho documento, para que produzca plenos efectos, deberá inscribirse en el Registro de Voluntades Anticipadas que corresponda.</p>"
      ]
    ]
    [
      "name" => "titular"
      "class" => "Symfony\Component\Form\Extension\Core\Type\FormType"
      "options" => [
        "label" => "DATOS DEL TITULAR"
        "inherit_data" => true
      ]
      "fields" => [
        [
          "name" => "titular-ability_checkbox"
          "options" => [
            "label" => false
            "attr" => [
              "bind" => false
            ]
            "label_html" => true
            "required" => true
            "constraints" => [
              Symfony\Component\Validator\Constraints\NotBlank {#1461
                +message: "This value should not be blank."
                +allowNull: false
                +normalizer: null
                +payload: null
              }
            ]
            "expanded" => true
            "multiple" => true
            "choices" => [
              "Se encuentra en plena capacidad de obrar" => 0
            ]
          ]
          "class" => "Symfony\Component\Form\Extension\Core\Type\ChoiceType"
        ]
      ]
      "attr" => [
        "border" => true
        "description" => ""
      ]
    ]
    [
      "name" => "personal-data"
      "class" => "Symfony\Component\Form\Extension\Core\Type\FormType"
      "options" => [
        "label" => "DATOS PERSONALES DEL TESTADOR"
        "inherit_data" => true
      ]
      "fields" => [
        [
          "name" => "personal-data-firstname_text"
          "options" => [
            "label" => "Nombre"
            "attr" => [
              "placeholder" => "Nombre"
            ]
            "label_html" => true
            "required" => true
          ]
          "class" => "Symfony\Component\Form\Extension\Core\Type\TextType"
        ]
        [
          "name" => "personal-data-lastname_text"
          "options" => [
            "label" => "Apellidos"
            "attr" => [
              "placeholder" => "Apellidos"
            ]
            "label_html" => true
            "required" => true
          ]
          "class" => "Symfony\Component\Form\Extension\Core\Type\TextType"
        ]
        [
          "name" => "personal-data-idcard_text"
          "options" => [
            "label" => "DNI/NIE"
            "attr" => [
              "placeholder" => "DNI/NIE"
              "class" => "text-uppercase"
            ]
            "label_html" => true
            "required" => true
            "constraints" => [
              App\Validator\Nif {#1464
                +message: "{{ value }} no es válido."
                +payload: null
              }
            ]
          ]
          "class" => "Symfony\Component\Form\Extension\Core\Type\TextType"
        ]
        [
          "name" => "personal-data-gender_select"
          "options" => [
            "label" => "Género"
            "attr" => []
            "label_html" => true
            "required" => true
            "choices" => [
              "Masculino" => "Masculino"
              "Femenino" => "Femenino"
              "No binario" => "No binario"
              "Prefiero no decirlo" => "Prefiero no decirlo"
            ]
            "placeholder" => ""
            "constraints" => [
              Symfony\Component\Validator\Constraints\NotBlank {#1389
                +message: "This value should not be blank."
                +allowNull: false
                +normalizer: null
                +payload: null
              }
            ]
          ]
          "class" => "Symfony\Component\Form\Extension\Core\Type\ChoiceType"
        ]
        [
          "name" => "personal-data-email_email"
          "options" => [
            "label" => "Correo electrónico"
            "attr" => [
              "placeholder" => "Correo electrónico"
            ]
            "label_html" => true
            "required" => true
            "constraints" => [
              Symfony\Component\Validator\Constraints\Email {#1383
                +message: "This value is not a valid email address."
                +mode: "strict"
                +normalizer: null
                +payload: null
              }
            ]
          ]
          "class" => "Symfony\Component\Form\Extension\Core\Type\EmailType"
        ]
        [
          "name" => "personal-data-country_text"
          "options" => [
            "label" => "Nacionalidad"
            "attr" => [
              "placeholder" => "Nacionalidad"
            ]
            "label_html" => true
            "required" => true
          ]
          "class" => "Symfony\Component\Form\Extension\Core\Type\TextType"
        ]
        [
          "name" => "personal-data-phone-1_text"
          "options" => [
            "label" => "Teléfono 1"
            "attr" => [
              "placeholder" => "Teléfono 1"
            ]
            "label_html" => true
            "required" => true
            "constraints" => [
              App\Validator\Phone {#1385
                +message: "{{ value }} no es válido."
                +payload: null
              }
            ]
          ]
          "class" => "Symfony\Component\Form\Extension\Core\Type\TextType"
        ]
        [
          "name" => "personal-data-phone-2_text"
          "options" => [
            "label" => "Teléfono 2"
            "attr" => [
              "placeholder" => "Teléfono 2"
            ]
            "label_html" => true
            "required" => false
            "constraints" => [
              App\Validator\Phone {#1384
                +message: "{{ value }} no es válido."
                +payload: null
              }
            ]
          ]
          "class" => "Symfony\Component\Form\Extension\Core\Type\TextType"
        ]
        [
          "name" => "personal-data-birthday_date"
          "options" => [
            "label" => "Fecha de nacimiento"
            "attr" => []
            "label_html" => true
            "required" => true
            "widget" => "single_text"
            "html5" => true
          ]
          "class" => "Symfony\Component\Form\Extension\Core\Type\DateType"
        ]
        [
          "name" => "personal-data-birth-place_text"
          "options" => [
            "label" => "Lugar de nacimiento"
            "attr" => [
              "placeholder" => "Lugar de nacimiento"
            ]
            "label_html" => true
            "required" => true
          ]
          "class" => "Symfony\Component\Form\Extension\Core\Type\TextType"
        ]
        [
          "name" => "personal-data-birth-country_text"
          "options" => [
            "label" => "País de nacimiento"
            "attr" => [
              "placeholder" => "País de nacimiento"
            ]
            "label_html" => true
            "required" => true
          ]
          "class" => "Symfony\Component\Form\Extension\Core\Type\TextType"
        ]
        [
          "name" => "personal-data-marital-status_select"
          "options" => [
            "label" => "Estado civil"
            "attr" => []
            "label_html" => true
            "required" => true
            "choices" => [
              "Soltero/a" => "Soltero/a"
              "Casado/a en régimen de bienes gananciales" => "Casado/a en régimen de bienes gananciales"
              "Casado/a en régimen de separación de bienes" => "Casado/a en régimen de separación de bienes"
              "Pareja de hecho inscrita" => "Pareja de hecho inscrita"
              "Separado/a de hecho" => "Separado/a de hecho"
              "Separado/a legalmente" => "Separado/a legalmente"
              "Divorciado/a" => "Divorciado/a"
              "Viudo/a" => "Viudo/a"
            ]
            "placeholder" => ""
            "constraints" => [
              Symfony\Component\Validator\Constraints\NotBlank {#1421
                +message: "This value should not be blank."
                +allowNull: false
                +normalizer: null
                +payload: null
              }
            ]
          ]
          "class" => "Symfony\Component\Form\Extension\Core\Type\ChoiceType"
        ]
        [
          "name" => "personal-data-healthcard_text"
          "options" => [
            "label" => "Tarjeta Sanitaria"
            "attr" => [
              "placeholder" => "Tarjeta Sanitaria"
            ]
            "label_html" => true
            "required" => true
          ]
          "class" => "Symfony\Component\Form\Extension\Core\Type\TextType"
        ]
      ]
      "attr" => [
        "border" => true
        "description" => ""
      ]
    ]
    [
      "name" => "location"
      "class" => "Symfony\Component\Form\Extension\Core\Type\FormType"
      "options" => [
        "label" => "LUGAR DE RESIDENCIA HABITUAL"
        "inherit_data" => true
      ]
      "fields" => [
        [
          "name" => "location-address_text"
          "options" => [
            "label" => "Dirección"
            "attr" => [
              "placeholder" => "Dirección"
            ]
            "label_html" => true
            "required" => true
          ]
          "class" => "Symfony\Component\Form\Extension\Core\Type\TextType"
        ]
        [
          "name" => "location-city_text"
          "options" => [
            "label" => "Población"
            "attr" => [
              "placeholder" => "Población"
            ]
            "label_html" => true
            "required" => true
          ]
          "class" => "Symfony\Component\Form\Extension\Core\Type\TextType"
        ]
        [
          "name" => "location-zipcode_text"
          "options" => [
            "label" => "Código postal"
            "attr" => [
              "placeholder" => "Código postal"
            ]
            "label_html" => true
            "required" => true
          ]
          "class" => "Symfony\Component\Form\Extension\Core\Type\TextType"
        ]
        [
          "name" => "location-province_text"
          "options" => [
            "label" => "Provincia"
            "attr" => [
              "placeholder" => "Provincia"
            ]
            "label_html" => true
            "required" => true
          ]
          "class" => "Symfony\Component\Form\Extension\Core\Type\TextType"
        ]
      ]
      "attr" => [
        "border" => true
        "description" => ""
      ]
    ]
    [
      "name" => "medical"
      "class" => "Symfony\Component\Form\Extension\Core\Type\FormType"
      "options" => [
        "label" => "INSTRUCCIONES RELATIVAS A TRATAMIENTOS MÉDICOS"
        "inherit_data" => true
      ]
      "fields" => [
        [
          "name" => "medical-artificial-alive_radio"
          "options" => [
            "label" => "¿Desea que se le mantenga con vida a través de medios artificiales?"
            "attr" => []
            "label_html" => true
            "help" => "Tales como técnicas de soporte vital, fluidos intravenosos, fármacos, alimentación artificial o cualquier otro medio que pueda prolongar la supervivencia"
            "required" => true
            "expanded" => true
            "multiple" => false
            "choices" => [
              "Sí" => "Sí"
              "No" => "No"
            ]
          ]
          "class" => "Symfony\Component\Form\Extension\Core\Type\ChoiceType"
        ]
        [
          "name" => "medical-palliative-care_radio"
          "options" => [
            "label" => "¿Desea que le sean aplicados cuidados paliativos (tales como sedación artificial), para mitigar el sufrimiento y la enfermedad, aunque esto implique que se acorte la vida?"
            "attr" => []
            "label_html" => true
            "help" => "Ello es conocido como eutanasia pasiva"
            "required" => true
            "expanded" => true
            "multiple" => false
            "choices" => [
              "Sí" => "Sí"
              "No" => "No"
            ]
          ]
          "class" => "Symfony\Component\Form\Extension\Core\Type\ChoiceType"
        ]
        [
          "name" => "medical-euthanasia_radio"
          "options" => [
            "label" => "¿Desea que se le aplique la eutanasia activa si concurren los requisitos médicos y legales?"
            "attr" => []
            "label_html" => true
            "required" => true
            "expanded" => true
            "multiple" => false
            "choices" => [
              "Sí" => "Sí"
              "No" => "No"
            ]
          ]
          "class" => "Symfony\Component\Form\Extension\Core\Type\ChoiceType"
        ]
        [
          "name" => "medical-care-place_radio"
          "options" => [
            "label" => "En el final de mi vida, si las circunstancias lo permiten, mi prioridad es que me atiendan en:"
            "attr" => []
            "label_html" => true
            "required" => true
            "expanded" => true
            "multiple" => false
            "choices" => [
              "Mi domicilio habitual" => "Mi domicilio habitual"
              "Una residencia sociosanitaria" => "Una residencia sociosanitaria"
              "Un centro sanitario" => "Un centro sanitario"
              "Donde decidan mis representantes, familiares o cuidadores" => "Donde decidan mis representantes, familiares o cuidadores"
              "Indiferente" => "Indiferente"
            ]
          ]
          "class" => "Symfony\Component\Form\Extension\Core\Type\ChoiceType"
        ]
      ]
      "attr" => [
        "border" => true
        "description" => ""
      ]
    ]
    [
      "name" => "post-mortem"
      "class" => "Symfony\Component\Form\Extension\Core\Type\FormType"
      "options" => [
        "label" => "INSTRUCCIONES PARA DESPUÉS DEL FALLECIMIENTO"
        "inherit_data" => true
      ]
      "fields" => [
        [
          "name" => "post-mortem-organ_radio"
          "options" => [
            "label" => "¿Desea que se donen sus órganos al momento de su fallecimiento?"
            "attr" => []
            "label_html" => true
            "required" => true
            "expanded" => true
            "multiple" => false
            "choices" => [
              "Sí" => "Sí"
              "No" => "No"
            ]
          ]
          "class" => "Symfony\Component\Form\Extension\Core\Type\ChoiceType"
        ]
        [
          "name" => "post-mortem-body_radio"
          "options" => [
            "label" => "¿Desea donar su cuerpo a la investigación?"
            "attr" => []
            "label_html" => true
            "required" => true
            "expanded" => true
            "multiple" => false
            "choices" => [
              "Sí" => "Sí"
              "No" => "No"
            ]
          ]
          "class" => "Symfony\Component\Form\Extension\Core\Type\ChoiceType"
        ]
        [
          "name" => "post-mortem-type_select"
          "options" => [
            "label" => "¿Qué dese que se lleve a cabo con sus restos?"
            "attr" => []
            "label_html" => true
            "required" => true
            "choices" => [
              "Entierro" => "Entierro"
              "Incineración" => "Incineración"
              "Indiferente" => "Indiferente"
            ]
            "placeholder" => ""
            "constraints" => [
              Symfony\Component\Validator\Constraints\NotBlank {#1420
                +message: "This value should not be blank."
                +allowNull: false
                +normalizer: null
                +payload: null
              }
            ]
          ]
          "class" => "Symfony\Component\Form\Extension\Core\Type\ChoiceType"
        ]
      ]
      "attr" => [
        "border" => true
        "description" => ""
      ]
    ]
    [
      "name" => "admin"
      "class" => "Symfony\Component\Form\Extension\Core\Type\FormType"
      "options" => [
        "label" => "NOMBRAMIENTO DE REPRESENTANTES"
        "inherit_data" => true
      ]
      "fields" => [
        [
          "name" => "admin-name-1_text"
          "options" => [
            "label" => "Datos del representante 1"
            "attr" => [
              "placeholder" => "Representante 1. Nombre y apellidos"
            ]
            "label_html" => true
            "required" => true
          ]
          "class" => "Symfony\Component\Form\Extension\Core\Type\TextType"
        ]
        [
          "name" => "admin-idcard-1_text"
          "options" => [
            "label" => false
            "attr" => [
              "placeholder" => "Representante 1. DNI/NIE"
            ]
            "label_html" => true
            "required" => true
          ]
          "class" => "Symfony\Component\Form\Extension\Core\Type\TextType"
        ]
        [
          "name" => "admin-birthday-1_date"
          "options" => [
            "label" => "Representante 1. Fecha de nacimiento"
            "attr" => []
            "label_html" => true
            "required" => true
            "constraints" => [
              Symfony\Component\Validator\Constraints\LessThanOrEqual {#1422
                +message: "El representante debe ser mayor de 18 años"
                +value: "-18 years"
                +propertyPath: null
                +payload: null
              }
            ]
            "widget" => "single_text"
            "html5" => true
          ]
          "class" => "Symfony\Component\Form\Extension\Core\Type\DateType"
        ]
        [
          "name" => "admin-healthcard-1_text"
          "options" => [
            "label" => false
            "attr" => [
              "placeholder" => "Representante 1. Tarjeta sanitaria (CCAA Baleares y Valencia)"
            ]
            "label_html" => true
            "required" => false
          ]
          "class" => "Symfony\Component\Form\Extension\Core\Type\TextType"
        ]
        [
          "name" => "admin-phone-1_text"
          "options" => [
            "label" => false
            "attr" => [
              "placeholder" => "Representante 1. Teléfono"
            ]
            "label_html" => true
            "required" => true
            "constraints" => [
              App\Validator\Phone {#1423
                +message: "{{ value }} no es válido."
                +payload: null
              }
            ]
          ]
          "class" => "Symfony\Component\Form\Extension\Core\Type\TextType"
        ]
        [
          "name" => "admin-email-1_email"
          "options" => [
            "label" => false
            "attr" => [
              "placeholder" => "Representante 1. Correo electrónico"
            ]
            "label_html" => true
            "required" => true
            "constraints" => [
              Symfony\Component\Validator\Constraints\Email {#1452
                +message: "This value is not a valid email address."
                +mode: "strict"
                +normalizer: null
                +payload: null
              }
            ]
          ]
          "class" => "Symfony\Component\Form\Extension\Core\Type\EmailType"
        ]
        [
          "name" => "admin-address-1_text"
          "options" => [
            "label" => false
            "attr" => [
              "placeholder" => "Representante 1. Dirección"
            ]
            "label_html" => true
            "required" => true
          ]
          "class" => "Symfony\Component\Form\Extension\Core\Type\TextType"
        ]
        [
          "name" => "admin-zipcode-1_text"
          "options" => [
            "label" => false
            "attr" => [
              "placeholder" => "Representante 1. Código postal"
            ]
            "label_html" => true
            "required" => true
          ]
          "class" => "Symfony\Component\Form\Extension\Core\Type\TextType"
        ]
        [
          "name" => "admin-city-1_text"
          "options" => [
            "label" => false
            "attr" => [
              "placeholder" => "Representante 1. Población"
            ]
            "label_html" => true
            "required" => true
          ]
          "class" => "Symfony\Component\Form\Extension\Core\Type\TextType"
        ]
        [
          "name" => "admin-province-1_text"
          "options" => [
            "label" => false
            "attr" => [
              "placeholder" => "Representante 1. Provincia"
            ]
            "label_html" => true
            "required" => true
          ]
          "class" => "Symfony\Component\Form\Extension\Core\Type\TextType"
        ]
        [
          "name" => "admin-name-2_text"
          "options" => [
            "label" => "Datos del representante 2"
            "attr" => [
              "placeholder" => "Representante 2. Nombre y apellidos"
            ]
            "label_html" => true
            "required" => false
          ]
          "class" => "Symfony\Component\Form\Extension\Core\Type\TextType"
        ]
        [
          "name" => "admin-idcard-2_text"
          "options" => [
            "label" => false
            "attr" => [
              "placeholder" => "Representante 2. DNI/NIE"
            ]
            "label_html" => true
            "required" => false
          ]
          "class" => "Symfony\Component\Form\Extension\Core\Type\TextType"
        ]
        [
          "name" => "admin-birthday-2_date"
          "options" => [
            "label" => "Representante 2. Fecha de nacimiento"
            "attr" => []
            "label_html" => true
            "required" => false
            "constraints" => [
              Symfony\Component\Validator\Constraints\LessThanOrEqual {#1386
                +message: "El representante debe ser mayor de 18 años"
                +value: "-18 years"
                +propertyPath: null
                +payload: null
              }
            ]
            "widget" => "single_text"
            "html5" => true
          ]
          "class" => "Symfony\Component\Form\Extension\Core\Type\DateType"
        ]
        [
          "name" => "admin-healthcard-2_text"
          "options" => [
            "label" => false
            "attr" => [
              "placeholder" => "Representante 2. Tarjeta sanitaria (CCAA Baleares y Valencia)"
            ]
            "label_html" => true
            "required" => false
          ]
          "class" => "Symfony\Component\Form\Extension\Core\Type\TextType"
        ]
        [
          "name" => "admin-phone-2_text"
          "options" => [
            "label" => false
            "attr" => [
              "placeholder" => "Representante 2. Teléfono"
            ]
            "label_html" => true
            "required" => false
            "constraints" => [
              App\Validator\Phone {#1459
                +message: "{{ value }} no es válido."
                +payload: null
              }
            ]
          ]
          "class" => "Symfony\Component\Form\Extension\Core\Type\TextType"
        ]
        [
          "name" => "admin-email-2_email"
          "options" => [
            "label" => false
            "attr" => [
              "placeholder" => "Representante 2. Correo electrónico"
            ]
            "label_html" => true
            "required" => false
            "constraints" => [
              Symfony\Component\Validator\Constraints\Email {#1455
                +message: "This value is not a valid email address."
                +mode: "strict"
                +normalizer: null
                +payload: null
              }
            ]
          ]
          "class" => "Symfony\Component\Form\Extension\Core\Type\EmailType"
        ]
        [
          "name" => "admin-address-2_text"
          "options" => [
            "label" => false
            "attr" => [
              "placeholder" => "Representante 2. Dirección"
            ]
            "label_html" => true
            "required" => false
          ]
          "class" => "Symfony\Component\Form\Extension\Core\Type\TextType"
        ]
        [
          "name" => "admin-zipcode-2_text"
          "options" => [
            "label" => false
            "attr" => [
              "placeholder" => "Representante 2. Código postal"
            ]
            "label_html" => true
            "required" => false
          ]
          "class" => "Symfony\Component\Form\Extension\Core\Type\TextType"
        ]
        [
          "name" => "admin-city-2_text"
          "options" => [
            "label" => false
            "attr" => [
              "placeholder" => "Representante 2. Población"
            ]
            "label_html" => true
            "required" => false
          ]
          "class" => "Symfony\Component\Form\Extension\Core\Type\TextType"
        ]
        [
          "name" => "admin-province-2_text"
          "options" => [
            "label" => false
            "attr" => [
              "placeholder" => "Representante 2. Provincia"
            ]
            "label_html" => true
            "required" => false
          ]
          "class" => "Symfony\Component\Form\Extension\Core\Type\TextType"
        ]
      ]
      "attr" => [
        "border" => true
        "description" => "El representante será el interlocutor con el equipo médico y quien haga valer su voluntad. Debe ser mayor de edad."
      ]
    ]
    [
      "name" => "comments"
      "class" => "Symfony\Component\Form\Extension\Core\Type\FormType"
      "options" => [
        "label" => "Comentarios adicionales"
        "inherit_data" => true
      ]
      "fields" => [
        [
          "name" => "comments-1_textarea"
          "options" => [
            "label" => false
            "attr" => []
            "label_html" => true
            "required" => false
          ]
          "class" => "Symfony\Component\Form\Extension\Core\Type\TextareaType"
        ]
      ]
      "attr" => [
        "border" => true
        "description" => ""
      ]
    ]
    [
      "name" => "buttons"
      "class" => "Symfony\Component\Form\Extension\Core\Type\FormType"
      "options" => [
        "label" => false
        "inherit_data" => true
      ]
      "fields" => [
        [
          "name" => "privacidad_checkbox"
          "options" => [
            "label" => false
            "attr" => [
              "prueba" => "prueba"
              "bind" => false
            ]
            "label_html" => true
            "required" => true
            "constraints" => [
              Symfony\Component\Validator\Constraints\NotBlank {#1454
                +message: "This value should not be blank."
                +allowNull: false
                +normalizer: null
                +payload: null
              }
            ]
            "expanded" => true
            "multiple" => true
            "choices" => [
              "He leído y acepto la <a href='https://web.alares.es/site/pwa/legal/politica-privacidad.html' target='_blank'>Política de Privacidad</a>" => 0
            ]
          ]
          "class" => "Symfony\Component\Form\Extension\Core\Type\ChoiceType"
        ]
        [
          "name" => "submit_submit"
          "options" => [
            "label" => "Enviar"
            "attr" => []
            "label_html" => true
          ]
          "class" => "Symfony\Component\Form\Extension\Core\Type\SubmitType"
        ]
      ]
      "attr" => [
        "show_title" => false
        "description" => "<strong>Le recordamos que el servicio de Testamento Online incluye las siguientes prestaciones:</strong><ul><li>Servicio jurídico:<ul><li>Asesoramiento personalizado a cargo de un abogado especializado.</li><li>Cumplimentar y preparar la documentación conforme a su voluntad y necesidades.</li></ul></li><li>Servicio de secretaría:<ul><li>Gestión y coordinación de la cita en la Consejería de Sanidad competente.</li><li>Envío de recordatorios previos a la fecha y hora de la cita programada.</li><li>Información al interesado de la documentación necesaria para la formalización del trámite.</li><li>Información al cliente sobre la inscripción del documento en el Registro de Instrucciones Previas o de Voluntades Anticipadas que corresponda, de acuerdo con la normativa aplicable.</li></ul></li></ul><p>Información importante: El procedimiento de otorgamiento puede variar en función de la Comunidad Autónoma competente. En consecuencia, determinadas circunstancias pueden requerir el nombramiento de un único representante o la presentación personal de la documentación ante el Registro de Voluntades Anticipadas que corresponda. En cualquier caso, le informaremos y orientaremos durante todo el proceso para garantizar su correcta tramitación.</p>"
      ]
    ]
  ]
  -params: Symfony\Component\DependencyInjection\ParameterBag\ContainerBag {#125 …}
  -validator: Symfony\Component\Validator\Validator\TraceableValidator {#473 …}
  -form: App\Entity\Form {#938 …}
  -queryParams: []
}
 same as passed value

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