{"id":28906,"date":"2026-06-16T03:20:46","date_gmt":"2026-06-16T01:20:46","guid":{"rendered":"https:\/\/www.44tage.com\/?page_id=28906"},"modified":"2026-06-16T11:09:42","modified_gmt":"2026-06-16T09:09:42","slug":"%d9%81%d8%b1%d9%85-%d9%86%d8%b8%d8%b1%d8%ae%d9%88%d8%a7%d9%87%db%8c-%d8%b3%d9%85%db%8c%d9%86%d8%a7%d8%b1-%d8%b9%d8%a8%d9%88%d8%b1-%d8%a7%d8%b2-%d8%a8%d8%ad%d8%b1%d8%a7%d9%86-%d9%87%d9%88%db%8c%d8%aa","status":"publish","type":"page","link":"https:\/\/www.44tage.com\/en\/%d9%81%d8%b1%d9%85-%d9%86%d8%b8%d8%b1%d8%ae%d9%88%d8%a7%d9%87%db%8c-%d8%b3%d9%85%db%8c%d9%86%d8%a7%d8%b1-%d8%b9%d8%a8%d9%88%d8%b1-%d8%a7%d8%b2-%d8%a8%d8%ad%d8%b1%d8%a7%d9%86-%d9%87%d9%88%db%8c%d8%aa\/","title":{"rendered":"\u0641\u0631\u0645 \u0646\u0638\u0631\u062e\u0648\u0627\u0647\u06cc \u0633\u0645\u06cc\u0646\u0627\u0631 \u0639\u0628\u0648\u0631 \u0627\u0632 \u0628\u062d\u0631\u0627\u0646 \u0647\u0648\u06cc\u062a"},"content":{"rendered":"<div data-elementor-type=\"wp-page\" data-elementor-id=\"28906\" class=\"elementor elementor-28906\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a1fa087 e-flex e-con-boxed e-con e-parent\" data-id=\"a1fa087\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-9aa605b elementor-widget elementor-widget-html\" data-id=\"9aa605b\" data-element_type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<style>\r\n  .seirs-feedback-page {\r\n    direction: rtl;\r\n    font-family: inherit;\r\n    background:\r\n      radial-gradient(circle at top right, rgba(198, 160, 89, 0.18), transparent 34%),\r\n      linear-gradient(135deg, #fbf7ee 0%, #f7efe0 45%, #eef3ef 100%);\r\n    color: #132b3a;\r\n    padding: 56px 18px;\r\n    overflow: hidden;\r\n  }\r\n\r\n  .seirs-feedback-page * {\r\n    box-sizing: border-box;\r\n  }\r\n\r\n  .seirs-feedback-wrap {\r\n    max-width: 1120px;\r\n    margin: 0 auto;\r\n  }\r\n\r\n  .seirs-feedback-hero {\r\n    position: relative;\r\n    background: rgba(255, 255, 255, 0.82);\r\n    border: 1px solid rgba(198, 160, 89, 0.34);\r\n    border-radius: 32px;\r\n    padding: 48px 34px;\r\n    box-shadow: 0 24px 70px rgba(19, 43, 58, 0.12);\r\n    overflow: hidden;\r\n  }\r\n\r\n  .seirs-feedback-hero:before {\r\n    content: \"\";\r\n    position: absolute;\r\n    width: 280px;\r\n    height: 280px;\r\n    background: rgba(13, 45, 67, 0.09);\r\n    border-radius: 50%;\r\n    top: -120px;\r\n    left: -90px;\r\n  }\r\n\r\n  .seirs-feedback-hero:after {\r\n    content: \"\";\r\n    position: absolute;\r\n    width: 220px;\r\n    height: 220px;\r\n    border: 1px solid rgba(198, 160, 89, 0.35);\r\n    border-radius: 50%;\r\n    bottom: -120px;\r\n    right: -70px;\r\n  }\r\n\r\n  .seirs-feedback-content {\r\n    position: relative;\r\n    z-index: 2;\r\n    display: grid;\r\n    grid-template-columns: 1.1fr 0.9fr;\r\n    gap: 34px;\r\n    align-items: center;\r\n  }\r\n\r\n  .seirs-kicker {\r\n    display: inline-flex;\r\n    align-items: center;\r\n    gap: 8px;\r\n    background: #102f46;\r\n    color: #f8ead0;\r\n    border-radius: 999px;\r\n    padding: 8px 16px;\r\n    font-size: 14px;\r\n    margin-bottom: 18px;\r\n    font-weight: 600;\r\n  }\r\n\r\n  .seirs-kicker span {\r\n    width: 7px;\r\n    height: 7px;\r\n    background: #c6a059;\r\n    border-radius: 50%;\r\n    display: inline-block;\r\n  }\r\n\r\n  .seirs-feedback-title {\r\n    font-size: clamp(30px, 4vw, 52px);\r\n    line-height: 1.35;\r\n    margin: 0 0 18px;\r\n    color: #102f46;\r\n    font-weight: 900;\r\n    letter-spacing: -0.6px;\r\n  }\r\n\r\n  .seirs-feedback-title strong {\r\n    color: #9d7430;\r\n  }\r\n\r\n  .seirs-feedback-lead {\r\n    font-size: 18px;\r\n    line-height: 2.05;\r\n    margin: 0 0 26px;\r\n    color: #2e4a5a;\r\n  }\r\n\r\n  .seirs-feedback-actions {\r\n    display: flex;\r\n    flex-wrap: wrap;\r\n    gap: 12px;\r\n    align-items: center;\r\n    margin-top: 22px;\r\n  }\r\n\r\n  .seirs-feedback-button {\r\n    display: inline-flex;\r\n    align-items: center;\r\n    justify-content: center;\r\n    background: linear-gradient(135deg, #102f46, #1d4f70);\r\n    color: #fff !important;\r\n    text-decoration: none !important;\r\n    padding: 14px 24px;\r\n    border-radius: 16px;\r\n    font-weight: 800;\r\n    box-shadow: 0 12px 30px rgba(16, 47, 70, 0.25);\r\n    transition: transform 0.2s ease, box-shadow 0.2s ease;\r\n  }\r\n\r\n  .seirs-feedback-button:hover {\r\n    transform: translateY(-2px);\r\n    box-shadow: 0 16px 38px rgba(16, 47, 70, 0.32);\r\n  }\r\n\r\n  .seirs-mini-note {\r\n    color: #5d6f78;\r\n    font-size: 14px;\r\n  }\r\n\r\n  .seirs-discount-card {\r\n    background: linear-gradient(145deg, #102f46, #183d56);\r\n    border-radius: 28px;\r\n    padding: 30px;\r\n    color: #fff;\r\n    box-shadow: 0 22px 55px rgba(16, 47, 70, 0.25);\r\n    border: 1px solid rgba(255, 255, 255, 0.15);\r\n  }\r\n\r\n  .seirs-discount-label {\r\n    color: #f8d99b;\r\n    font-size: 15px;\r\n    font-weight: 700;\r\n    margin-bottom: 10px;\r\n  }\r\n\r\n  .seirs-discount-number {\r\n    font-size: 76px;\r\n    line-height: 1;\r\n    font-weight: 950;\r\n    color: #f2c66d;\r\n    margin: 0 0 10px;\r\n  }\r\n\r\n  .seirs-discount-card h3 {\r\n    color: #fff;\r\n    font-size: 24px;\r\n    margin: 0 0 14px;\r\n    line-height: 1.6;\r\n  }\r\n\r\n  .seirs-discount-card p {\r\n    color: rgba(255, 255, 255, 0.82);\r\n    line-height: 1.9;\r\n    margin: 0;\r\n    font-size: 15px;\r\n  }\r\n\r\n  .seirs-info-grid {\r\n    display: grid;\r\n    grid-template-columns: repeat(3, 1fr);\r\n    gap: 18px;\r\n    margin: 28px 0;\r\n  }\r\n\r\n  .seirs-info-card {\r\n    background: rgba(255, 255, 255, 0.86);\r\n    border: 1px solid rgba(198, 160, 89, 0.24);\r\n    border-radius: 24px;\r\n    padding: 24px;\r\n    box-shadow: 0 14px 38px rgba(19, 43, 58, 0.08);\r\n  }\r\n\r\n  .seirs-info-icon {\r\n    width: 42px;\r\n    height: 42px;\r\n    border-radius: 14px;\r\n    background: rgba(198, 160, 89, 0.18);\r\n    display: flex;\r\n    align-items: center;\r\n    justify-content: center;\r\n    color: #9d7430;\r\n    font-weight: 900;\r\n    margin-bottom: 14px;\r\n  }\r\n\r\n  .seirs-info-card h3 {\r\n    margin: 0 0 10px;\r\n    font-size: 19px;\r\n    color: #102f46;\r\n  }\r\n\r\n  .seirs-info-card p {\r\n    margin: 0;\r\n    line-height: 1.85;\r\n    color: #425d68;\r\n    font-size: 15px;\r\n  }\r\n\r\n  .seirs-form-section {\r\n    margin-top: 30px;\r\n    background: #ffffff;\r\n    border-radius: 32px;\r\n    border: 1px solid rgba(16, 47, 70, 0.1);\r\n    box-shadow: 0 24px 70px rgba(19, 43, 58, 0.12);\r\n    overflow: hidden;\r\n  }\r\n\r\n  .seirs-form-head {\r\n    background:\r\n      linear-gradient(135deg, rgba(16, 47, 70, 0.96), rgba(28, 73, 102, 0.96)),\r\n      radial-gradient(circle at top left, rgba(198, 160, 89, 0.25), transparent 35%);\r\n    padding: 32px 28px;\r\n    color: #fff;\r\n  }\r\n\r\n  .seirs-form-head h2 {\r\n    margin: 0 0 10px;\r\n    color: #fff;\r\n    font-size: 28px;\r\n    line-height: 1.5;\r\n  }\r\n\r\n  .seirs-form-head p {\r\n    margin: 0;\r\n    color: rgba(255, 255, 255, 0.82);\r\n    line-height: 1.9;\r\n    font-size: 16px;\r\n  }\r\n\r\n  .seirs-form-body {\r\n    padding: 32px 28px;\r\n  }\r\n\r\n  .seirs-privacy-note {\r\n    margin-top: 18px;\r\n    background: #f8f3e8;\r\n    border: 1px solid rgba(198, 160, 89, 0.24);\r\n    border-radius: 20px;\r\n    padding: 18px 20px;\r\n    color: #4b5b61;\r\n    line-height: 1.8;\r\n    font-size: 14px;\r\n  }\r\n\r\n  .seirs-footer-note {\r\n    text-align: center;\r\n    margin-top: 28px;\r\n    color: #61737b;\r\n    font-size: 14px;\r\n    line-height: 1.8;\r\n  }\r\n\r\n  .seirs-footer-note strong {\r\n    color: #102f46;\r\n  }\r\n\r\n  @media (max-width: 900px) {\r\n    .seirs-feedback-content {\r\n      grid-template-columns: 1fr;\r\n    }\r\n\r\n    .seirs-info-grid {\r\n      grid-template-columns: 1fr;\r\n    }\r\n\r\n    .seirs-discount-number {\r\n      font-size: 62px;\r\n    }\r\n  }\r\n\r\n  @media (max-width: 520px) {\r\n    .seirs-feedback-page {\r\n      padding: 34px 12px;\r\n    }\r\n\r\n    .seirs-feedback-hero,\r\n    .seirs-form-section {\r\n      border-radius: 24px;\r\n    }\r\n\r\n    .seirs-feedback-hero {\r\n      padding: 32px 20px;\r\n    }\r\n\r\n    .seirs-form-head,\r\n    .seirs-form-body {\r\n      padding: 24px 18px;\r\n    }\r\n\r\n    .seirs-feedback-lead {\r\n      font-size: 16px;\r\n    }\r\n  }\r\n<\/style>\r\n\r\n<section class=\"seirs-feedback-page\">\r\n  <div class=\"seirs-feedback-wrap\">\r\n\r\n    <div class=\"seirs-feedback-hero\">\r\n      <div class=\"seirs-feedback-content\">\r\n\r\n        <div>\r\n          <div class=\"seirs-kicker\">\r\n            <span><\/span>\r\n            \u0646\u0638\u0631\u062e\u0648\u0627\u0647\u06cc \u067e\u0633 \u0627\u0632 \u0633\u0645\u06cc\u0646\u0627\u0631\r\n          <\/div>\r\n\r\n          <h1 class=\"seirs-feedback-title\">\r\n            \u0635\u062f\u0627\u06cc \u0634\u0645\u0627\u060c \u0645\u0633\u06cc\u0631 <strong>Overcoming the Identity Crisis<\/strong> \u0631\u0627 \u0631\u0648\u0634\u0646\u200c\u062a\u0631 \u0645\u06cc\u200c\u06a9\u0646\u062f\r\n          <\/h1>\r\n\r\n          <p class=\"seirs-feedback-lead\">\r\n            \u0627\u0632 \u0627\u06cc\u0646\u06a9\u0647 \u062f\u0631 \u0633\u0645\u06cc\u0646\u0627\u0631 \u00ab\u0639\u0628\u0648\u0631 \u0627\u0632 \u0628\u062d\u0631\u0627\u0646 \u0647\u0648\u06cc\u062a\u00bb \u0647\u0645\u0631\u0627\u0647 \u0645\u0627 \u0628\u0648\u062f\u06cc\u062f \u0633\u067e\u0627\u0633\u06af\u0632\u0627\u0631\u06cc\u0645.\r\n            \u0627\u06cc\u0646 \u0641\u0631\u0645 \u06a9\u0648\u062a\u0627\u0647 \u0637\u0631\u0627\u062d\u06cc \u0634\u062f\u0647 \u062a\u0627 \u062a\u062c\u0631\u0628\u0647 \u0634\u0645\u0627 \u0627\u0632 \u062c\u0644\u0633\u0647\u060c \u0645\u06cc\u0632\u0627\u0646 \u0627\u062b\u0631\u06af\u0630\u0627\u0631\u06cc \u0645\u062d\u062a\u0648\u0627\u060c \u06a9\u06cc\u0641\u06cc\u062a \u0627\u062c\u0631\u0627\u060c\r\n            \u0648 \u0646\u06cc\u0627\u0632\u0647\u0627\u06cc \u0648\u0627\u0642\u0639\u06cc\u200c\u062a\u0627\u0646 \u0628\u0631\u0627\u06cc \u0627\u062f\u0627\u0645\u0647 \u0645\u0633\u06cc\u0631 \u0631\u0627 \u0628\u0647\u062a\u0631 \u0628\u0634\u0646\u0627\u0633\u06cc\u0645.\r\n          <\/p>\r\n\r\n          <p class=\"seirs-feedback-lead\">\r\n            \u067e\u0627\u0633\u062e\u200c\u0647\u0627\u06cc \u0634\u0645\u0627 \u0628\u0647 \u0645\u0627 \u06a9\u0645\u06a9 \u0645\u06cc\u200c\u06a9\u0646\u062f \u0641\u0644\u0648\u0634\u06cc\u067e \u0622\u06cc\u0646\u062f\u0647 \u0631\u0627 \u062f\u0642\u06cc\u0642\u200c\u062a\u0631\u060c \u06a9\u0627\u0631\u0628\u0631\u062f\u06cc\u200c\u062a\u0631 \u0648 \u0647\u0645\u0627\u0647\u0646\u06af\u200c\u062a\u0631\r\n            \u0628\u0627 \u0646\u06cc\u0627\u0632\u0647\u0627\u06cc \u0634\u0631\u06a9\u062a\u200c\u06a9\u0646\u0646\u062f\u06af\u0627\u0646 \u0637\u0631\u0627\u062d\u06cc \u06a9\u0646\u06cc\u0645.\r\n          <\/p>\r\n\r\n          <div class=\"seirs-feedback-actions\">\r\n            <a class=\"seirs-feedback-button\" href=\"#seirs-feedback-form\">\r\n              \u062a\u06a9\u0645\u06cc\u0644 \u0641\u0631\u0645 \u0646\u0638\u0631\u062e\u0648\u0627\u0647\u06cc\r\n            <\/a>\r\n            <span class=\"seirs-mini-note\">\r\n              \u0632\u0645\u0627\u0646 \u062a\u0642\u0631\u06cc\u0628\u06cc \u062a\u06a9\u0645\u06cc\u0644 \u0641\u0631\u0645: \u06a9\u0645\u062a\u0631 \u0627\u0632 10 \u062f\u0642\u06cc\u0642\u0647\r\n            <\/span>\r\n          <\/div>\r\n        <\/div>\r\n\r\n        <div class=\"seirs-discount-card\">\r\n          <div class=\"seirs-discount-label\">\u0647\u062f\u06cc\u0647 \u0648\u06cc\u0698\u0647 \u0647\u0645\u0631\u0627\u0647\u0627\u0646 \u0633\u0645\u06cc\u0646\u0627\u0631<\/div>\r\n          <div class=\"seirs-discount-number\">\u06f1\u06f0\u066a<\/div>\r\n          <h3>\u062a\u062e\u0641\u06cc\u0641 \u062b\u0628\u062a\u200c\u0646\u0627\u0645 \u062f\u0631 \u0641\u0644\u0648\u0634\u06cc\u067e \u0639\u0628\u0648\u0631 \u0627\u0632 \u0628\u062d\u0631\u0627\u0646 \u0647\u0648\u06cc\u062a<\/h3>\r\n          <p>\r\n            \u0628\u0627 \u062a\u06a9\u0645\u06cc\u0644 \u0627\u06cc\u0646 \u0641\u0631\u0645\u060c \u0634\u0645\u0627 \u0645\u06cc\u200c\u062a\u0648\u0627\u0646\u06cc\u062f \u0627\u0632 \u06f1\u06f0 \u062f\u0631\u0635\u062f \u062a\u062e\u0641\u06cc\u0641 \u0648\u06cc\u0698\u0647 \u0628\u0631\u0627\u06cc \u062b\u0628\u062a\u200c\u0646\u0627\u0645 \u062f\u0631 \u0641\u0644\u0648\u0634\u06cc\u067e\r\n            \u00ab\u0639\u0628\u0648\u0631 \u0627\u0632 \u0628\u062d\u0631\u0627\u0646 \u0647\u0648\u06cc\u062a\u00bb \u0627\u0633\u062a\u0641\u0627\u062f\u0647 \u06a9\u0646\u06cc\u062f. \u0627\u06cc\u0646 \u062a\u062e\u0641\u06cc\u0641 \u0628\u0647\u200c\u0639\u0646\u0648\u0627\u0646 \u0642\u062f\u0631\u062f\u0627\u0646\u06cc \u0627\u0632 \u0647\u0645\u0631\u0627\u0647\u06cc\u060c\r\n            \u062f\u0642\u062a \u0648 \u0628\u0627\u0632\u062e\u0648\u0631\u062f \u0627\u0631\u0632\u0634\u0645\u0646\u062f \u0634\u0645\u0627 \u062f\u0631 \u0646\u0638\u0631 \u06af\u0631\u0641\u062a\u0647 \u0634\u062f\u0647 \u0627\u0633\u062a.\r\n          <\/p>\r\n        <\/div>\r\n\r\n      <\/div>\r\n    <\/div>\r\n\r\n    <div class=\"seirs-info-grid\">\r\n\r\n      <div class=\"seirs-info-card\">\r\n        <div class=\"seirs-info-icon\">\u06f1<\/div>\r\n        <h3>\u0628\u0627\u0632\u062a\u0627\u0628 \u062a\u062c\u0631\u0628\u0647 \u0634\u0645\u0627<\/h3>\r\n        <p>\r\n          \u0628\u06af\u0648\u06cc\u06cc\u062f \u06a9\u062f\u0627\u0645 \u0628\u062e\u0634 \u0633\u0645\u06cc\u0646\u0627\u0631 \u0628\u0631\u0627\u06cc\u062a\u0627\u0646 \u0627\u062b\u0631\u06af\u0630\u0627\u0631\u062a\u0631 \u0628\u0648\u062f \u0648 \u0686\u0647 \u0686\u06cc\u0632\u06cc \u062f\u0631 \u0630\u0647\u0646 \u06cc\u0627 \u062f\u0644 \u0634\u0645\u0627 \u0628\u0627\u0642\u06cc \u0645\u0627\u0646\u062f.\r\n        <\/p>\r\n      <\/div>\r\n\r\n      <div class=\"seirs-info-card\">\r\n        <div class=\"seirs-info-icon\">\u06f2<\/div>\r\n        <h3>\u0628\u0647\u0628\u0648\u062f \u0645\u0633\u06cc\u0631 \u0622\u0645\u0648\u0632\u0634\u06cc<\/h3>\r\n        <p>\r\n          \u0646\u0638\u0631 \u0634\u0645\u0627 \u0628\u0647 \u0645\u0627 \u06a9\u0645\u06a9 \u0645\u06cc\u200c\u06a9\u0646\u062f \u0645\u062d\u062a\u0648\u0627\u060c \u062a\u0645\u0631\u06cc\u0646\u200c\u0647\u0627\u060c \u0631\u06cc\u062a\u0645 \u062c\u0644\u0633\u0627\u062a \u0648 \u0645\u0633\u06cc\u0631 \u0641\u0644\u0648\u0634\u06cc\u067e \u0631\u0627 \u062f\u0642\u06cc\u0642\u200c\u062a\u0631 \u0637\u0631\u0627\u062d\u06cc \u06a9\u0646\u06cc\u0645.\r\n        <\/p>\r\n      <\/div>\r\n\r\n      <div class=\"seirs-info-card\">\r\n        <div class=\"seirs-info-icon\">\u06f3<\/div>\r\n        <h3>\u062f\u0631\u06cc\u0627\u0641\u062a \u062a\u062e\u0641\u06cc\u0641 \u0648\u06cc\u0698\u0647<\/h3>\r\n        <p>\r\n          \u067e\u0633 \u0627\u0632 \u062a\u06a9\u0645\u06cc\u0644 \u0641\u0631\u0645\u060c \u0627\u0645\u06a9\u0627\u0646 \u0627\u0633\u062a\u0641\u0627\u062f\u0647 \u0627\u0632 \u06f1\u06f0 \u062f\u0631\u0635\u062f \u062a\u062e\u0641\u06cc\u0641 \u0628\u0631\u0627\u06cc \u062b\u0628\u062a\u200c\u0646\u0627\u0645 \u062f\u0631 \u0641\u0644\u0648\u0634\u06cc\u067e \u0628\u0631\u0627\u06cc \u0634\u0645\u0627 \u0641\u0631\u0627\u0647\u0645 \u0645\u06cc\u200c\u0634\u0648\u062f.\r\n        <\/p>\r\n      <\/div>\r\n\r\n    <\/div>\r\n\r\n    <div id=\"seirs-feedback-form\" class=\"seirs-form-section\">\r\n      <div class=\"seirs-form-head\">\r\n        <h2>\u0641\u0631\u0645 \u0646\u0638\u0631\u062e\u0648\u0627\u0647\u06cc \u0633\u0645\u06cc\u0646\u0627\u0631<\/h2>\r\n        <p>\r\n          \u0644\u0637\u0641\u0627\u064b \u0628\u0627 \u0635\u062f\u0627\u0642\u062a \u0648 \u0622\u0631\u0627\u0645\u0634 \u067e\u0627\u0633\u062e \u062f\u0647\u06cc\u062f. \u062d\u062a\u06cc \u0686\u0646\u062f \u062c\u0645\u0644\u0647 \u06a9\u0648\u062a\u0627\u0647 \u0627\u0632 \u062a\u062c\u0631\u0628\u0647 \u0634\u0645\u0627 \u0645\u06cc\u200c\u062a\u0648\u0627\u0646\u062f\r\n          \u0628\u0631\u0627\u06cc \u0637\u0631\u0627\u062d\u06cc \u0628\u0647\u062a\u0631 \u0645\u0633\u06cc\u0631 \u0622\u06cc\u0646\u062f\u0647 \u0628\u0633\u06cc\u0627\u0631 \u0627\u0631\u0632\u0634\u0645\u0646\u062f \u0628\u0627\u0634\u062f.\r\n        <\/p>\r\n      <\/div>\r\n\r\n      <div class=\"seirs-form-body\">\r\n        <script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_23' ><div id='gf_23' class='gform_anchor' tabindex='-1'><\/div><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_23' id='gform_23'  action='\/en\/wp-json\/wp\/v2\/pages\/28906#gf_23' data-formid='23' novalidate data-trp-original-action=\"\/en\/wp-json\/wp\/v2\/pages\/28906#gf_23\">\n                        <div class='gform-body gform_body'><div id='gform_fields_23' class='gform_fields top_label form_sublabel_below description_above validation_below'><div id=\"field_23_1\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><div style=\"background:#f8f9fb; border:1px solid #e6e8ee; border-radius:12px; padding:24px; margin-bottom:30px; line-height:1.8;direction:\"rtl\";\">\n\n    <h2 style=\"margin:0 0 12px; color:#2c3e50; font-size:28px; font-weight:700;\">\ud83e\udded \u0639\u0628\u0648\u0631 \u0627\u0632 \u0628\u062d\u0631\u0627\u0646 \u0647\u0648\u06cc\u062a \u0628\u0627 \u0633\u0627\u0645 \u0639\u0632\u06cc\u0632 | SEIRS \/ \u0633\u06cc\u0631\u0632<\/h2>\n\n    <p style=\"margin:0 0 16px; font-size:18px; color:#444;\"><br>\n        \u062f\u0631\u0648\u062f \u0628\u0631 \u0634\u0645\u0627\n    <\/p>\n\n    <p style=\"margin:0 0 16px; color:#555;\">\n        \u0627\u0632 \u0647\u0645\u0631\u0627\u0647\u06cc \u0634\u0645\u0627 \u062f\u0631 \u0633\u0645\u06cc\u0646\u0627\u0631 <strong>\u00ab\u0639\u0628\u0648\u0631 \u0627\u0632 \u0628\u062d\u0631\u0627\u0646 \u0647\u0648\u06cc\u062a \u0628\u0627 \u0633\u0627\u0645 \u0639\u0632\u06cc\u0632\u00bb<\/strong> \u0633\u067e\u0627\u0633\u06af\u0632\u0627\u0631\u06cc\u0645.\n    <\/p>\n\n    <p style=\"margin:0 0 16px; color:#555;\">\n        \u0627\u06cc\u0646 \u0641\u0631\u0645 \u0628\u0631\u0627\u06cc \u0645\u0627 \u0641\u0642\u0637 \u06cc\u06a9 \u0646\u0638\u0631\u0633\u0646\u062c\u06cc \u0646\u06cc\u0633\u062a\u061b<br>\n        \u06a9\u0645\u06a9 \u0645\u06cc\u200c\u06a9\u0646\u062f \u06a9\u06cc\u0641\u06cc\u062a \u0628\u0631\u0646\u0627\u0645\u0647\u200c\u0647\u0627\u06cc \u0622\u06cc\u0646\u062f\u0647 \u0631\u0627 \u0628\u0647\u062a\u0631 \u06a9\u0646\u06cc\u0645 \u0648 \u062f\u0631 \u0635\u0648\u0631\u062a \u062a\u0645\u0627\u06cc\u0644 \u0634\u0645\u0627\u060c\n        \u0645\u0633\u06cc\u0631 \u0645\u0646\u0627\u0633\u0628\u200c\u062a\u0631\u06cc \u0628\u0631\u0627\u06cc \u0627\u062f\u0627\u0645\u0647 \u062e\u0648\u062f\u0634\u0646\u0627\u0633\u06cc\u060c \u0628\u0627\u0632\u0633\u0627\u0632\u06cc \u0647\u0648\u06cc\u062a \u0648 \u0637\u0631\u0627\u062d\u06cc \u0645\u0633\u06cc\u0631 \u0632\u0646\u062f\u06af\u06cc \u067e\u06cc\u0634\u0646\u0647\u0627\u062f \u062f\u0647\u06cc\u0645.\n    <\/p>\n\n    <p style=\"margin:0 0 16px; color:#555;\">\n        \u062a\u06a9\u0645\u06cc\u0644 \u0627\u06cc\u0646 \u0641\u0631\u0645 \u062d\u062f\u0648\u062f <strong>\u06f5 \u062a\u0627 \u06f7 \u062f\u0642\u06cc\u0642\u0647<\/strong> \u0632\u0645\u0627\u0646 \u0645\u06cc\u200c\u0628\u0631\u062f.\n    <\/p>\n\n    <div style=\"background:#ffffff; border-right:4px solid #d4af37; padding:12px 16px; border-radius:8px;\">\n        <strong>\u062d\u0641\u0638 \u062d\u0631\u06cc\u0645 \u062e\u0635\u0648\u0635\u06cc<\/strong><br>\n        \u0627\u0637\u0644\u0627\u0639\u0627\u062a \u0634\u0645\u0627 \u0645\u062d\u0631\u0645\u0627\u0646\u0647 \u0646\u0632\u062f \u0645\u0624\u0633\u0633\u0647 \u06f4\u06f4\u062a\u0627\u06af \u0628\u0627\u0642\u06cc \u0645\u06cc\u200c\u0645\u0627\u0646\u062f \u0648 \u0641\u0642\u0637 \u0628\u0631\u0627\u06cc \u0628\u0647\u0628\u0648\u062f \u062e\u062f\u0645\u0627\u062a \u0622\u0645\u0648\u0632\u0634\u06cc\u060c\n        \u067e\u0634\u062a\u06cc\u0628\u0627\u0646\u06cc \u0648 \u0627\u0631\u062a\u0628\u0627\u0637\u0627\u062a \u0628\u0639\u062f\u06cc \u0627\u0633\u062a\u0641\u0627\u062f\u0647 \u0645\u06cc\u200c\u0634\u0648\u062f.\n    <\/div>\n\n<\/div><\/div><div id=\"field_23_3\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">\u0628\u062e\u0634 \u06f1: \u0627\u0637\u0644\u0627\u0639\u0627\u062a \u0627\u0648\u0644\u06cc\u0647<\/h3><\/div><div id=\"field_23_4\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_23_4'>\u06f1. \u0646\u0627\u0645 \u0648 \u0646\u0627\u0645 \u062e\u0627\u0646\u0648\u0627\u062f\u06af\u06cc<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_4' id='input_23_4' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_23_5\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_23_5'>\u06f2. \u0627\u06cc\u0645\u06cc\u0644<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_5' id='input_23_5' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_23_6\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_23_6'>\u06f3. \u0634\u0645\u0627\u0631\u0647 \u0648\u0627\u062a\u0633\u067e \u06cc\u0627 \u062a\u0644\u06af\u0631\u0627\u0645\u060c \u062f\u0631 \u0635\u0648\u0631\u062a \u062a\u0645\u0627\u06cc\u0644<\/label><div class='ginput_container ginput_container_phone'><input name='input_6' id='input_23_6' type='tel' value='' class='medium'    aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_23_52\" class=\"gfield gfield--type-survey gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gsurvey-survey-field\"  data-field-class=\"gsurvey-survey-field\" ><label class='gfield_label gform-field-label' for='input_23_52'>\u06f4. \u06a9\u0634\u0648\u0631 \u0645\u062d\u0644 \u0632\u0646\u062f\u06af\u06cc \u0634\u0645\u0627 \u06a9\u062c\u0627\u0633\u062a\u061f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_52' id='input_23_52' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='\u0627\u06cc\u0631\u0627\u0646' >\u0627\u06cc\u0631\u0627\u0646<\/option><option value='\u0622\u0644\u0645\u0627\u0646' selected='selected'>\u0622\u0644\u0645\u0627\u0646<\/option><option value='\u0627\u062a\u0631\u06cc\u0634' >\u0627\u062a\u0631\u06cc\u0634<\/option><option value='\u0633\u0648\u0626\u06cc\u0633' >\u0633\u0648\u0626\u06cc\u0633<\/option><option value='\u0647\u0644\u0646\u062f' >\u0647\u0644\u0646\u062f<\/option><option value='\u0641\u0631\u0627\u0646\u0633\u0647' >\u0641\u0631\u0627\u0646\u0633\u0647<\/option><option value='\u0627\u0646\u06af\u0644\u06cc\u0633' >\u0627\u0646\u06af\u0644\u06cc\u0633<\/option><option value='\u06a9\u0627\u0646\u0627\u062f\u0627' >\u06a9\u0627\u0646\u0627\u062f\u0627<\/option><option value='\u0622\u0645\u0631\u06cc\u06a9\u0627' >\u0622\u0645\u0631\u06cc\u06a9\u0627<\/option><option value='\u0633\u0627\u06cc\u0631 \u06a9\u0634\u0648\u0631\u0647\u0627' >\u0633\u0627\u06cc\u0631 \u06a9\u0634\u0648\u0631\u0647\u0627<\/option><\/select><\/div><\/div><div id=\"field_23_53\" class=\"gfield gfield--type-survey gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gsurvey-survey-field\"  data-field-class=\"gsurvey-survey-field\" ><label class='gfield_label gform-field-label' for='input_23_53'>\u06f5. \u0627\u0632 \u0686\u0647 \u0637\u0631\u06cc\u0642\u06cc \u0628\u0627 \u0627\u06cc\u0646 \u0633\u0645\u06cc\u0646\u0627\u0631 \u0622\u0634\u0646\u0627 \u0634\u062f\u06cc\u062f\u061f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_53' id='input_23_53' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='\u0627\u06cc\u0646\u0633\u062a\u0627\u06af\u0631\u0627\u0645 \u0645\u0624\u0633\u0633\u0647 \u06f4\u06f4\u062a\u0627\u06af' >\u0627\u06cc\u0646\u0633\u062a\u0627\u06af\u0631\u0627\u0645 \u0645\u0624\u0633\u0633\u0647 \u06f4\u06f4\u062a\u0627\u06af<\/option><option value='\u0648\u0627\u062a\u0633\u067e \u06cc\u0627 \u062a\u0644\u06af\u0631\u0627\u0645' >\u0648\u0627\u062a\u0633\u067e \u06cc\u0627 \u062a\u0644\u06af\u0631\u0627\u0645<\/option><option value='\u0627\u06cc\u0645\u06cc\u0644 \u0645\u0624\u0633\u0633\u0647' >\u0627\u06cc\u0645\u06cc\u0644 \u0645\u0624\u0633\u0633\u0647<\/option><option value='\u0645\u0639\u0631\u0641\u06cc \u062f\u0648\u0633\u062a\u0627\u0646 \u06cc\u0627 \u0622\u0634\u0646\u0627\u06cc\u0627\u0646' >\u0645\u0639\u0631\u0641\u06cc \u062f\u0648\u0633\u062a\u0627\u0646 \u06cc\u0627 \u0622\u0634\u0646\u0627\u06cc\u0627\u0646<\/option><option value='\u06cc\u0648\u062a\u06cc\u0648\u0628' >\u06cc\u0648\u062a\u06cc\u0648\u0628<\/option><option value='\u0627\u06cc\u0646\u0641\u0644\u0648\u0626\u0646\u0633\u0631 \u06cc\u0627 \u0635\u0641\u062d\u0647 \u0647\u0645\u06a9\u0627\u0631' >\u0627\u06cc\u0646\u0641\u0644\u0648\u0626\u0646\u0633\u0631 \u06cc\u0627 \u0635\u0641\u062d\u0647 \u0647\u0645\u06a9\u0627\u0631<\/option><option value='\u0633\u0627\u06cc\u062a \u06f4\u06f4\u062a\u0627\u06af' >\u0633\u0627\u06cc\u062a \u06f4\u06f4\u062a\u0627\u06af<\/option><option value='\u0642\u0628\u0644\u0627\u064b \u062f\u0631 \u062f\u0648\u0631\u0647\u200c\u0647\u0627 \u06cc\u0627 \u062c\u0644\u0633\u0627\u062a \u06f4\u06f4\u062a\u0627\u06af \u0634\u0631\u06a9\u062a \u06a9\u0631\u062f\u0647 \u0628\u0648\u062f\u0645' >\u0642\u0628\u0644\u0627\u064b \u062f\u0631 \u062f\u0648\u0631\u0647\u200c\u0647\u0627 \u06cc\u0627 \u062c\u0644\u0633\u0627\u062a \u06f4\u06f4\u062a\u0627\u06af \u0634\u0631\u06a9\u062a \u06a9\u0631\u062f\u0647 \u0628\u0648\u062f\u0645<\/option><option value='\u0633\u0627\u06cc\u0631' >\u0633\u0627\u06cc\u0631<\/option><\/select><\/div><\/div><div id=\"field_23_9\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_23_9'>\u06f6. \u0627\u06af\u0631 \u0627\u0632 \u0637\u0631\u06cc\u0642 \u0634\u062e\u0635\u060c \u06a9\u0627\u0646\u0627\u0644 \u06cc\u0627 \u0635\u0641\u062d\u0647 \u062e\u0627\u0635\u06cc \u0628\u0627 \u0633\u0645\u06cc\u0646\u0627\u0631 \u0622\u0634\u0646\u0627 \u0634\u062f\u06cc\u062f\u060c \u0644\u0637\u0641\u0627\u064b \u0646\u0627\u0645 \u0622\u0646 \u0631\u0627 \u0628\u0646\u0648\u06cc\u0633\u06cc\u062f.<\/label><div class='ginput_container ginput_container_text'><input name='input_9' id='input_23_9' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_23_10\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">\u0628\u062e\u0634 \u06f2: \u0627\u0631\u0632\u06cc\u0627\u0628\u06cc \u06a9\u0644\u06cc \u0633\u0645\u06cc\u0646\u0627\u0631<\/h3><\/div><div id=\"field_23_25\" class=\"gfield gfield--type-nurslider gfield--input-type-nurslider gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_23_25'>\u06f7. \u0628\u0647\u200c\u0637\u0648\u0631 \u06a9\u0644\u06cc\u060c \u0645\u06cc\u0632\u0627\u0646 \u0631\u0636\u0627\u06cc\u062a \u0634\u0645\u0627 \u0627\u0632 \u0633\u0645\u06cc\u0646\u0627\u0631 \u0686\u0642\u062f\u0631 \u0628\u0648\u062f\u061f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_23_25'>\u06f1 = \u0628\u0633\u06cc\u0627\u0631 \u0636\u0639\u06cc\u0641<br>\n\u06f1\u06f0 = \u0639\u0627\u0644\u06cc<\/div><div class=\"ginput_container ginput_container_nurslider\"><div id=\"gfrs_rangeslider_25\"><\/div><input type=\"hidden\" name=\"input_25\" id=\"input_23_25\" value=\"6\" class=\"nurslider large\" aria-invalid=\"false\" \/><\/div><\/div><div id=\"field_23_26\" class=\"gfield gfield--type-nurslider gfield--input-type-nurslider gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_23_26'>\u06f8. \u0645\u062d\u062a\u0648\u0627\u06cc \u0633\u0645\u06cc\u0646\u0627\u0631 \u062a\u0627 \u0686\u0647 \u0627\u0646\u062f\u0627\u0632\u0647 \u0628\u0631\u0627\u06cc \u0648\u0636\u0639\u06cc\u062a \u0641\u0639\u0644\u06cc \u0632\u0646\u062f\u06af\u06cc \u0634\u0645\u0627 \u0645\u0631\u062a\u0628\u0637 \u0628\u0648\u062f\u061f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_23_26'>\u06f1 = \u0627\u0635\u0644\u0627\u064b \u0645\u0631\u062a\u0628\u0637 \u0646\u0628\u0648\u062f<br>\n\u06f1\u06f0 = \u06a9\u0627\u0645\u0644\u0627\u064b \u0645\u0631\u062a\u0628\u0637 \u0628\u0648\u062f<\/div><div class=\"ginput_container ginput_container_nurslider\"><div id=\"gfrs_rangeslider_26\"><\/div><input type=\"hidden\" name=\"input_26\" id=\"input_23_26\" value=\"6\" class=\"nurslider large\" aria-invalid=\"false\" \/><\/div><\/div><div id=\"field_23_28\" class=\"gfield gfield--type-nurslider gfield--input-type-nurslider gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_23_28'>\u06f9. \u062a\u0648\u0636\u06cc\u062d\u0627\u062a \u0633\u0627\u0645 \u0639\u0632\u06cc\u0632 \u062a\u0627 \u0686\u0647 \u0627\u0646\u062f\u0627\u0632\u0647 \u0628\u0631\u0627\u06cc \u0634\u0645\u0627 \u0631\u0648\u0634\u0646\u060c \u0642\u0627\u0628\u0644 \u0641\u0647\u0645 \u0648 \u06a9\u0627\u0631\u0628\u0631\u062f\u06cc \u0628\u0648\u062f\u061f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_23_28'>\u06f1 = \u0646\u0627\u0645\u0641\u0647\u0648\u0645<br>\n\u06f1\u06f0 = \u0628\u0633\u06cc\u0627\u0631 \u0631\u0648\u0634\u0646 \u0648 \u06a9\u0627\u0631\u0628\u0631\u062f\u06cc<\/div><div class=\"ginput_container ginput_container_nurslider\"><div id=\"gfrs_rangeslider_28\"><\/div><input type=\"hidden\" name=\"input_28\" id=\"input_23_28\" value=\"6\" class=\"nurslider large\" aria-invalid=\"false\" \/><\/div><\/div><fieldset id=\"field_23_14\" class=\"gfield gfield--type-survey gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gsurvey-survey-field\"  data-field-class=\"gsurvey-survey-field\" ><legend class='gfield_label gform-field-label' >\u06f1\u06f0. \u0631\u06cc\u062a\u0645 \u062c\u0644\u0633\u0647 \u0627\u0632 \u0646\u0638\u0631 \u0634\u0645\u0627 \u0686\u06af\u0648\u0646\u0647 \u0628\u0648\u062f\u061f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_23_14'>\n\t\t\t<div class='gchoice gchoice_23_14_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_14' type='radio' value='\u0628\u0633\u06cc\u0627\u0631 \u0645\u0646\u0627\u0633\u0628 \u0628\u0648\u062f'  id='choice_23_14_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_23_14_0' id='label_23_14_0' class='gform-field-label gform-field-label--type-inline'>\u0628\u0633\u06cc\u0627\u0631 \u0645\u0646\u0627\u0633\u0628 \u0628\u0648\u062f<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_23_14_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_14' type='radio' value='\u06a9\u0645\u06cc \u0637\u0648\u0644\u0627\u0646\u06cc \u0628\u0648\u062f\u060c \u0627\u0645\u0627 \u0645\u0641\u06cc\u062f \u0628\u0648\u062f'  id='choice_23_14_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_23_14_1' id='label_23_14_1' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0645\u06cc \u0637\u0648\u0644\u0627\u0646\u06cc \u0628\u0648\u062f\u060c \u0627\u0645\u0627 \u0645\u0641\u06cc\u062f \u0628\u0648\u062f<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_23_14_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_14' type='radio' value='\u06a9\u0645\u06cc \u0641\u0634\u0631\u062f\u0647 \u0628\u0648\u062f'  id='choice_23_14_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_23_14_2' id='label_23_14_2' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0645\u06cc \u0641\u0634\u0631\u062f\u0647 \u0628\u0648\u062f<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_23_14_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_14' type='radio' value='\u0646\u06cc\u0627\u0632 \u0628\u0647 \u062a\u0645\u0631\u06cc\u0646 \u0648 \u0645\u0634\u0627\u0631\u06a9\u062a \u0628\u06cc\u0634\u062a\u0631\u06cc \u062f\u0627\u0634\u062a'  id='choice_23_14_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_23_14_3' id='label_23_14_3' class='gform-field-label gform-field-label--type-inline'>\u0646\u06cc\u0627\u0632 \u0628\u0647 \u062a\u0645\u0631\u06cc\u0646 \u0648 \u0645\u0634\u0627\u0631\u06a9\u062a \u0628\u06cc\u0634\u062a\u0631\u06cc \u062f\u0627\u0634\u062a<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_23_14_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_14' type='radio' value='\u0646\u06cc\u0627\u0632 \u0628\u0647 \u062a\u0648\u0636\u06cc\u062d \u0628\u06cc\u0634\u062a\u0631 \u062f\u0627\u0634\u062a'  id='choice_23_14_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_23_14_4' id='label_23_14_4' class='gform-field-label gform-field-label--type-inline'>\u0646\u06cc\u0627\u0632 \u0628\u0647 \u062a\u0648\u0636\u06cc\u062d \u0628\u06cc\u0634\u062a\u0631 \u062f\u0627\u0634\u062a<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_23_14_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_14' type='radio' value='\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645'  id='choice_23_14_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_23_14_5' id='label_23_14_5' class='gform-field-label gform-field-label--type-inline'>\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_23_29\" class=\"gfield gfield--type-nurslider gfield--input-type-nurslider gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_23_29'>\u06f1\u06f1. \u06a9\u06cc\u0641\u06cc\u062a \u0627\u062c\u0631\u0627\u06cc \u0622\u0646\u0644\u0627\u06cc\u0646\u060c \u0635\u062f\u0627\u060c \u062a\u0635\u0648\u06cc\u0631 \u0648 \u0646\u0638\u0645 \u062c\u0644\u0633\u0647 \u0686\u0637\u0648\u0631 \u0628\u0648\u062f\u061f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_23_29'>\u06f1 = \u0636\u0639\u06cc\u0641<br>\n\u06f1\u06f0 = \u0639\u0627\u0644\u06cc<\/div><div class=\"ginput_container ginput_container_nurslider\"><div id=\"gfrs_rangeslider_29\"><\/div><input type=\"hidden\" name=\"input_29\" id=\"input_23_29\" value=\"6\" class=\"nurslider large\" aria-invalid=\"false\" \/><\/div><\/div><div id=\"field_23_17\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">\u0628\u062e\u0634 \u06f3: \u0627\u062b\u0631\u06af\u0630\u0627\u0631\u06cc \u0645\u062d\u062a\u0648\u0627\u06cc \u0633\u0645\u06cc\u0646\u0627\u0631<\/h3><\/div><fieldset id=\"field_23_15\" class=\"gfield gfield--type-survey gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gsurvey-survey-field\"  data-field-class=\"gsurvey-survey-field\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >\u06f1\u06f2. \u06a9\u062f\u0627\u0645 \u0628\u062e\u0634 \u0633\u0645\u06cc\u0646\u0627\u0631 \u0628\u0631\u0627\u06cc \u0634\u0645\u0627 \u0627\u062b\u0631\u06af\u0630\u0627\u0631\u062a\u0631 \u0628\u0648\u062f\u061f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_23_15'><div class='gchoice gchoice_23_15_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.1' type='checkbox'  value='\u062a\u0639\u0631\u06cc\u0641 \u0628\u062d\u0631\u0627\u0646 \u0647\u0648\u06cc\u062a'  id='choice_23_15_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_23_15_1' id='label_23_15_1' class='gform-field-label gform-field-label--type-inline'>\u062a\u0639\u0631\u06cc\u0641 \u0628\u062d\u0631\u0627\u0646 \u0647\u0648\u06cc\u062a<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_23_15_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.2' type='checkbox'  value='\u0646\u0634\u0627\u0646\u0647\u200c\u0647\u0627\u06cc \u0628\u062d\u0631\u0627\u0646 \u0647\u0648\u06cc\u062a'  id='choice_23_15_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_23_15_2' id='label_23_15_2' class='gform-field-label gform-field-label--type-inline'>\u0646\u0634\u0627\u0646\u0647\u200c\u0647\u0627\u06cc \u0628\u062d\u0631\u0627\u0646 \u0647\u0648\u06cc\u062a<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_23_15_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.3' type='checkbox'  value='\u0628\u062d\u0631\u0627\u0646 \u0647\u0648\u06cc\u062a \u062f\u0631 \u0645\u0647\u0627\u062c\u0631\u062a'  id='choice_23_15_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_23_15_3' id='label_23_15_3' class='gform-field-label gform-field-label--type-inline'>\u0628\u062d\u0631\u0627\u0646 \u0647\u0648\u06cc\u062a \u062f\u0631 \u0645\u0647\u0627\u062c\u0631\u062a<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_23_15_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.4' type='checkbox'  value='\u0627\u0631\u062a\u0628\u0627\u0637 \u0628\u062d\u0631\u0627\u0646 \u0647\u0648\u06cc\u062a \u0628\u0627 \u0628\u06cc\u200c\u0627\u0646\u06af\u06cc\u0632\u06af\u06cc'  id='choice_23_15_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_23_15_4' id='label_23_15_4' class='gform-field-label gform-field-label--type-inline'>\u0627\u0631\u062a\u0628\u0627\u0637 \u0628\u062d\u0631\u0627\u0646 \u0647\u0648\u06cc\u062a \u0628\u0627 \u0628\u06cc\u200c\u0627\u0646\u06af\u06cc\u0632\u06af\u06cc<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_23_15_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.5' type='checkbox'  value='\u0627\u0631\u062a\u0628\u0627\u0637 \u0628\u062d\u0631\u0627\u0646 \u0647\u0648\u06cc\u062a \u0628\u0627 \u0631\u0627\u0628\u0637\u0647 \u0648 \u0634\u063a\u0644'  id='choice_23_15_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_23_15_5' id='label_23_15_5' class='gform-field-label gform-field-label--type-inline'>\u0627\u0631\u062a\u0628\u0627\u0637 \u0628\u062d\u0631\u0627\u0646 \u0647\u0648\u06cc\u062a \u0628\u0627 \u0631\u0627\u0628\u0637\u0647 \u0648 \u0634\u063a\u0644<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_23_15_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.6' type='checkbox'  value='\u0628\u062d\u062b \u0627\u0631\u0632\u0634\u200c\u0647\u0627 \u0648 \u0645\u0633\u06cc\u0631\u0647\u0627\u06cc \u0646\u0627\u0647\u0645\u0627\u0647\u0646\u06af'  id='choice_23_15_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_23_15_6' id='label_23_15_6' class='gform-field-label gform-field-label--type-inline'>\u0628\u062d\u062b \u0627\u0631\u0632\u0634\u200c\u0647\u0627 \u0648 \u0645\u0633\u06cc\u0631\u0647\u0627\u06cc \u0646\u0627\u0647\u0645\u0627\u0647\u0646\u06af<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_23_15_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.7' type='checkbox'  value='\u0645\u0639\u0631\u0641\u06cc \u0645\u062a\u062f SEIRS \/ \u0633\u06cc\u0631\u0632'  id='choice_23_15_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_23_15_7' id='label_23_15_7' class='gform-field-label gform-field-label--type-inline'>\u0645\u0639\u0631\u0641\u06cc \u0645\u062a\u062f SEIRS \/ \u0633\u06cc\u0631\u0632<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_23_15_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.8' type='checkbox'  value='\u062a\u0645\u0631\u06cc\u0646\u200c\u0647\u0627\u06cc \u062a\u0623\u0645\u0644\u06cc'  id='choice_23_15_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_23_15_8' id='label_23_15_8' class='gform-field-label gform-field-label--type-inline'>\u062a\u0645\u0631\u06cc\u0646\u200c\u0647\u0627\u06cc \u062a\u0623\u0645\u0644\u06cc<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_23_15_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.9' type='checkbox'  value='\u067e\u0631\u0633\u0634 \u0648 \u067e\u0627\u0633\u062e'  id='choice_23_15_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_23_15_9' id='label_23_15_9' class='gform-field-label gform-field-label--type-inline'>\u067e\u0631\u0633\u0634 \u0648 \u067e\u0627\u0633\u062e<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_23_15_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.11' type='checkbox'  value='\u062c\u0645\u0639\u200c\u0628\u0646\u062f\u06cc \u067e\u0627\u06cc\u0627\u0646\u06cc'  id='choice_23_15_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_23_15_11' id='label_23_15_11' class='gform-field-label gform-field-label--type-inline'>\u062c\u0645\u0639\u200c\u0628\u0646\u062f\u06cc \u067e\u0627\u06cc\u0627\u0646\u06cc<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_23_15_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.12' type='checkbox'  value='\u0633\u0627\u06cc\u0631'  id='choice_23_15_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_23_15_12' id='label_23_15_12' class='gform-field-label gform-field-label--type-inline'>\u0633\u0627\u06cc\u0631<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_23_18\" class=\"gfield gfield--type-survey gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gsurvey-survey-field\"  data-field-class=\"gsurvey-survey-field\" ><legend class='gfield_label gform-field-label' >\u06f1\u06f3. \u0628\u0639\u062f \u0627\u0632 \u0627\u06cc\u0646 \u0633\u0645\u06cc\u0646\u0627\u0631\u060c \u06a9\u062f\u0627\u0645 \u062c\u0645\u0644\u0647 \u0628\u06cc\u0634\u062a\u0631 \u0628\u0647 \u0648\u0636\u0639\u06cc\u062a \u0634\u0645\u0627 \u0646\u0632\u062f\u06cc\u06a9 \u0627\u0633\u062a\u061f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_23_18'>\n\t\t\t<div class='gchoice gchoice_23_18_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_18' type='radio' value='\u0641\u0647\u0645\u06cc\u062f\u0645 \u0628\u062e\u0634\u06cc \u0627\u0632 \u0633\u0631\u062f\u0631\u06af\u0645\u06cc \u0645\u0646 \u0645\u0645\u06a9\u0646 \u0627\u0633\u062a \u0631\u06cc\u0634\u0647 \u0647\u0648\u06cc\u062a\u06cc \u062f\u0627\u0634\u062a\u0647 \u0628\u0627\u0634\u062f.'  id='choice_23_18_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_23_18_0' id='label_23_18_0' class='gform-field-label gform-field-label--type-inline'>\u0641\u0647\u0645\u06cc\u062f\u0645 \u0628\u062e\u0634\u06cc \u0627\u0632 \u0633\u0631\u062f\u0631\u06af\u0645\u06cc \u0645\u0646 \u0645\u0645\u06a9\u0646 \u0627\u0633\u062a \u0631\u06cc\u0634\u0647 \u0647\u0648\u06cc\u062a\u06cc \u062f\u0627\u0634\u062a\u0647 \u0628\u0627\u0634\u062f.<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_23_18_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_18' type='radio' value='\u0645\u062a\u0648\u062c\u0647 \u0634\u062f\u0645 \u0628\u0639\u0636\u06cc \u0647\u062f\u0641\u200c\u0647\u0627\u06cc\u0645 \u0648\u0627\u0642\u0639\u0627\u064b \u0628\u0627 \u0627\u0631\u0632\u0634\u200c\u0647\u0627\u06cc \u062f\u0631\u0648\u0646\u06cc\u200c\u0627\u0645 \u0647\u0645\u0627\u0647\u0646\u06af \u0646\u06cc\u0633\u062a\u0646\u062f.'  id='choice_23_18_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_23_18_1' id='label_23_18_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062a\u0648\u062c\u0647 \u0634\u062f\u0645 \u0628\u0639\u0636\u06cc \u0647\u062f\u0641\u200c\u0647\u0627\u06cc\u0645 \u0648\u0627\u0642\u0639\u0627\u064b \u0628\u0627 \u0627\u0631\u0632\u0634\u200c\u0647\u0627\u06cc \u062f\u0631\u0648\u0646\u06cc\u200c\u0627\u0645 \u0647\u0645\u0627\u0647\u0646\u06af \u0646\u06cc\u0633\u062a\u0646\u062f.<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_23_18_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_18' type='radio' value='\u0627\u062d\u0633\u0627\u0633 \u06a9\u0631\u062f\u0645 \u0646\u06cc\u0627\u0632 \u062f\u0627\u0631\u0645 \u0645\u0633\u06cc\u0631 \u0632\u0646\u062f\u06af\u06cc\u200c\u0627\u0645 \u0631\u0627 \u0639\u0645\u06cc\u0642\u200c\u062a\u0631 \u0628\u0627\u0632\u0628\u06cc\u0646\u06cc \u06a9\u0646\u0645.'  id='choice_23_18_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_23_18_2' id='label_23_18_2' class='gform-field-label gform-field-label--type-inline'>\u0627\u062d\u0633\u0627\u0633 \u06a9\u0631\u062f\u0645 \u0646\u06cc\u0627\u0632 \u062f\u0627\u0631\u0645 \u0645\u0633\u06cc\u0631 \u0632\u0646\u062f\u06af\u06cc\u200c\u0627\u0645 \u0631\u0627 \u0639\u0645\u06cc\u0642\u200c\u062a\u0631 \u0628\u0627\u0632\u0628\u06cc\u0646\u06cc \u06a9\u0646\u0645.<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_23_18_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_18' type='radio' value='\u0628\u0631\u0627\u06cc\u0645 \u0631\u0648\u0634\u0646 \u0634\u062f \u06a9\u0647 \u0645\u0633\u0626\u0644\u0647\u200c\u0627\u0645 \u0641\u0642\u0637 \u0628\u06cc\u200c\u0627\u0646\u06af\u06cc\u0632\u06af\u06cc \u06cc\u0627 \u062a\u0646\u0628\u0644\u06cc \u0646\u06cc\u0633\u062a.'  id='choice_23_18_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_23_18_3' id='label_23_18_3' class='gform-field-label gform-field-label--type-inline'>\u0628\u0631\u0627\u06cc\u0645 \u0631\u0648\u0634\u0646 \u0634\u062f \u06a9\u0647 \u0645\u0633\u0626\u0644\u0647\u200c\u0627\u0645 \u0641\u0642\u0637 \u0628\u06cc\u200c\u0627\u0646\u06af\u06cc\u0632\u06af\u06cc \u06cc\u0627 \u062a\u0646\u0628\u0644\u06cc \u0646\u06cc\u0633\u062a.<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_23_18_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_18' type='radio' value='\u0647\u0646\u0648\u0632 \u0645\u0637\u0645\u0626\u0646 \u0646\u06cc\u0633\u062a\u0645\u060c \u0627\u0645\u0627 \u0645\u0648\u0636\u0648\u0639 \u0628\u0631\u0627\u06cc\u0645 \u0642\u0627\u0628\u0644 \u062a\u0623\u0645\u0644 \u0634\u062f.'  id='choice_23_18_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_23_18_4' id='label_23_18_4' class='gform-field-label gform-field-label--type-inline'>\u0647\u0646\u0648\u0632 \u0645\u0637\u0645\u0626\u0646 \u0646\u06cc\u0633\u062a\u0645\u060c \u0627\u0645\u0627 \u0645\u0648\u0636\u0648\u0639 \u0628\u0631\u0627\u06cc\u0645 \u0642\u0627\u0628\u0644 \u062a\u0623\u0645\u0644 \u0634\u062f.<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_23_18_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_18' type='radio' value='\u0645\u062d\u062a\u0648\u0627 \u0628\u0631\u0627\u06cc\u0645 \u062c\u0627\u0644\u0628 \u0628\u0648\u062f\u060c \u0627\u0645\u0627 \u0627\u062d\u0633\u0627\u0633 \u0646\u06a9\u0631\u062f\u0645 \u0645\u0633\u0626\u0644\u0647 \u0627\u0635\u0644\u06cc \u0645\u0646 \u0628\u0627\u0634\u062f.'  id='choice_23_18_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_23_18_5' id='label_23_18_5' class='gform-field-label gform-field-label--type-inline'>\u0645\u062d\u062a\u0648\u0627 \u0628\u0631\u0627\u06cc\u0645 \u062c\u0627\u0644\u0628 \u0628\u0648\u062f\u060c \u0627\u0645\u0627 \u0627\u062d\u0633\u0627\u0633 \u0646\u06a9\u0631\u062f\u0645 \u0645\u0633\u0626\u0644\u0647 \u0627\u0635\u0644\u06cc \u0645\u0646 \u0628\u0627\u0634\u062f.<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_23_18_6'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_18' type='radio' value='\u0633\u0627\u06cc\u0631'  id='choice_23_18_6' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_23_18_6' id='label_23_18_6' class='gform-field-label gform-field-label--type-inline'>\u0633\u0627\u06cc\u0631<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_23_19\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_23_19'>\u06f1\u06f4. \u0627\u06af\u0631 \u0628\u062e\u0648\u0627\u0647\u06cc\u062f \u0641\u0642\u0637 \u06cc\u06a9 \u062c\u0645\u0644\u0647 \u0627\u0632 \u0633\u0645\u06cc\u0646\u0627\u0631 \u0631\u0627 \u0628\u0627 \u062e\u0648\u062f\u062a\u0627\u0646 \u0628\u0628\u0631\u06cc\u062f\u060c \u0622\u0646 \u062c\u0645\u0644\u0647 \u0686\u06cc\u0633\u062a\u061f<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_19' id='input_23_19' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_23_20\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_23_20'>\u06f1\u06f5. \u0627\u06cc\u0646 \u0633\u0645\u06cc\u0646\u0627\u0631 \u0686\u0647 \u0686\u06cc\u0632\u06cc \u0631\u0627 \u062f\u0631 \u0634\u0645\u0627 \u0631\u0648\u0634\u0646\u200c\u062a\u0631 \u06a9\u0631\u062f\u061f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_23_20'>\u0645\u062b\u0644\u0627\u064b \u062f\u0631\u0628\u0627\u0631\u0647 \u062e\u0648\u062f\u062a\u0627\u0646\u060c \u0627\u0631\u0632\u0634\u200c\u0647\u0627\u06cc\u062a\u0627\u0646\u060c \u0645\u0633\u06cc\u0631 \u0632\u0646\u062f\u06af\u06cc\u060c \u0645\u0647\u0627\u062c\u0631\u062a\u060c \u0631\u0627\u0628\u0637\u0647\u060c \u0634\u063a\u0644\u060c \u0628\u06cc\u200c\u0627\u0646\u06af\u06cc\u0632\u06af\u06cc\u060c \u0622\u06cc\u0646\u062f\u0647 \u06cc\u0627 \u062a\u0635\u0645\u06cc\u0645\u200c\u0647\u0627\u06cc \u0645\u0647\u0645 \u0632\u0646\u062f\u06af\u06cc.<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_20' id='input_23_20' class='textarea small'  aria-describedby=\"gfield_description_23_20\"   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_23_21\" class=\"gfield gfield--type-survey gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gsurvey-survey-field\"  data-field-class=\"gsurvey-survey-field\" ><legend class='gfield_label gform-field-label' >\u06f1\u06f6. \u0622\u06cc\u0627 \u0628\u0639\u062f \u0627\u0632 \u0633\u0645\u06cc\u0646\u0627\u0631 \u0627\u062d\u0633\u0627\u0633 \u06a9\u0631\u062f\u06cc\u062f \u0646\u06cc\u0627\u0632 \u062f\u0627\u0631\u06cc\u062f \u0645\u0633\u06cc\u0631 \u062e\u0648\u062f\u0634\u0646\u0627\u0633\u06cc \u0648 \u0628\u0627\u0632\u0633\u0627\u0632\u06cc \u0647\u0648\u06cc\u062a \u0631\u0627 \u0639\u0645\u06cc\u0642\u200c\u062a\u0631 \u0627\u062f\u0627\u0645\u0647 \u062f\u0647\u06cc\u062f\u061f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_23_21'>\n\t\t\t<div class='gchoice gchoice_23_21_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_21' type='radio' value='\u0628\u0644\u0647\u060c \u0628\u0633\u06cc\u0627\u0631 \u0632\u06cc\u0627\u062f'  id='choice_23_21_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_23_21_0' id='label_23_21_0' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647\u060c \u0628\u0633\u06cc\u0627\u0631 \u0632\u06cc\u0627\u062f<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_23_21_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_21' type='radio' value='\u0628\u0644\u0647\u060c \u062a\u0627 \u062d\u062f\u06cc'  id='choice_23_21_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_23_21_1' id='label_23_21_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647\u060c \u062a\u0627 \u062d\u062f\u06cc<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_23_21_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_21' type='radio' value='\u0647\u0646\u0648\u0632 \u0645\u0637\u0645\u0626\u0646 \u0646\u06cc\u0633\u062a\u0645'  id='choice_23_21_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_23_21_2' id='label_23_21_2' class='gform-field-label gform-field-label--type-inline'>\u0647\u0646\u0648\u0632 \u0645\u0637\u0645\u0626\u0646 \u0646\u06cc\u0633\u062a\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_23_21_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_21' type='radio' value='\u0641\u0639\u0644\u0627\u064b \u0646\u0647'  id='choice_23_21_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_23_21_3' id='label_23_21_3' class='gform-field-label gform-field-label--type-inline'>\u0641\u0639\u0644\u0627\u064b \u0646\u0647<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_23_21_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_21' type='radio' value='\u062e\u06cc\u0631'  id='choice_23_21_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_23_21_4' id='label_23_21_4' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_23_22\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">\u0628\u062e\u0634 \u06f4: \u0648\u0636\u0639\u06cc\u062a \u0641\u0639\u0644\u06cc \u0634\u0645\u0627<\/h3><\/div><fieldset id=\"field_23_23\" class=\"gfield gfield--type-survey gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gsurvey-survey-field\"  data-field-class=\"gsurvey-survey-field\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >\u06f1\u06f7. \u062f\u0631 \u062d\u0627\u0644 \u062d\u0627\u0636\u0631\u060c \u06a9\u062f\u0627\u0645 \u0645\u0648\u0636\u0648\u0639 \u0628\u06cc\u0634\u062a\u0631 \u0628\u0631\u0627\u06cc \u0634\u0645\u0627 \u0645\u0633\u0626\u0644\u0647 \u0627\u0633\u062a\u061f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_23_23'><div class='gchoice gchoice_23_23_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_23.1' type='checkbox'  value='\u0633\u0631\u062f\u0631\u06af\u0645\u06cc \u062f\u0631 \u0645\u0633\u06cc\u0631 \u0632\u0646\u062f\u06af\u06cc'  id='choice_23_23_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_23_23_1' id='label_23_23_1' class='gform-field-label gform-field-label--type-inline'>\u0633\u0631\u062f\u0631\u06af\u0645\u06cc \u062f\u0631 \u0645\u0633\u06cc\u0631 \u0632\u0646\u062f\u06af\u06cc<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_23_23_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_23.2' type='checkbox'  value='\u0628\u06cc\u200c\u0627\u0646\u06af\u06cc\u0632\u06af\u06cc \u06cc\u0627 \u0627\u0641\u062a \u0627\u0646\u0631\u0698\u06cc'  id='choice_23_23_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_23_23_2' id='label_23_23_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u06cc\u200c\u0627\u0646\u06af\u06cc\u0632\u06af\u06cc \u06cc\u0627 \u0627\u0641\u062a \u0627\u0646\u0631\u0698\u06cc<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_23_23_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_23.3' type='checkbox'  value='\u0627\u062d\u0633\u0627\u0633 \u06af\u0645\u200c\u06af\u0634\u062a\u06af\u06cc \u0628\u0639\u062f \u0627\u0632 \u0645\u0647\u0627\u062c\u0631\u062a'  id='choice_23_23_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_23_23_3' id='label_23_23_3' class='gform-field-label gform-field-label--type-inline'>\u0627\u062d\u0633\u0627\u0633 \u06af\u0645\u200c\u06af\u0634\u062a\u06af\u06cc \u0628\u0639\u062f \u0627\u0632 \u0645\u0647\u0627\u062c\u0631\u062a<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_23_23_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_23.4' type='checkbox'  value='\u0646\u0627\u0631\u0636\u0627\u06cc\u062a\u06cc \u0627\u0632 \u0634\u063a\u0644 \u06cc\u0627 \u0645\u0633\u06cc\u0631 \u062d\u0631\u0641\u0647\u200c\u0627\u06cc'  id='choice_23_23_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_23_23_4' id='label_23_23_4' class='gform-field-label gform-field-label--type-inline'>\u0646\u0627\u0631\u0636\u0627\u06cc\u062a\u06cc \u0627\u0632 \u0634\u063a\u0644 \u06cc\u0627 \u0645\u0633\u06cc\u0631 \u062d\u0631\u0641\u0647\u200c\u0627\u06cc<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_23_23_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_23.5' type='checkbox'  value='\u0627\u0628\u0647\u0627\u0645 \u062f\u0631 \u0631\u0627\u0628\u0637\u0647 \u0639\u0627\u0637\u0641\u06cc \u06cc\u0627 \u062e\u0627\u0646\u0648\u0627\u062f\u06af\u06cc'  id='choice_23_23_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_23_23_5' id='label_23_23_5' class='gform-field-label gform-field-label--type-inline'>\u0627\u0628\u0647\u0627\u0645 \u062f\u0631 \u0631\u0627\u0628\u0637\u0647 \u0639\u0627\u0637\u0641\u06cc \u06cc\u0627 \u062e\u0627\u0646\u0648\u0627\u062f\u06af\u06cc<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_23_23_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_23.6' type='checkbox'  value='\u0646\u062f\u0627\u0634\u062a\u0646 \u0686\u0634\u0645\u200c\u0627\u0646\u062f\u0627\u0632 \u0631\u0648\u0634\u0646 \u0628\u0631\u0627\u06cc \u0622\u06cc\u0646\u062f\u0647'  id='choice_23_23_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_23_23_6' id='label_23_23_6' class='gform-field-label gform-field-label--type-inline'>\u0646\u062f\u0627\u0634\u062a\u0646 \u0686\u0634\u0645\u200c\u0627\u0646\u062f\u0627\u0632 \u0631\u0648\u0634\u0646 \u0628\u0631\u0627\u06cc \u0622\u06cc\u0646\u062f\u0647<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_23_23_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_23.7' type='checkbox'  value='\u0627\u062d\u0633\u0627\u0633 \u0627\u06cc\u0646\u06a9\u0647 \u0632\u0646\u062f\u06af\u06cc\u200c\u0627\u0645 \u0634\u0628\u06cc\u0647 \u062e\u0648\u062f \u0648\u0627\u0642\u0639\u06cc\u200c\u0627\u0645 \u0646\u06cc\u0633\u062a'  id='choice_23_23_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_23_23_7' id='label_23_23_7' class='gform-field-label gform-field-label--type-inline'>\u0627\u062d\u0633\u0627\u0633 \u0627\u06cc\u0646\u06a9\u0647 \u0632\u0646\u062f\u06af\u06cc\u200c\u0627\u0645 \u0634\u0628\u06cc\u0647 \u062e\u0648\u062f \u0648\u0627\u0642\u0639\u06cc\u200c\u0627\u0645 \u0646\u06cc\u0633\u062a<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_23_23_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_23.8' type='checkbox'  value='\u0646\u0627\u062a\u0648\u0627\u0646\u06cc \u062f\u0631 \u062a\u0635\u0645\u06cc\u0645\u200c\u06af\u06cc\u0631\u06cc'  id='choice_23_23_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_23_23_8' id='label_23_23_8' class='gform-field-label gform-field-label--type-inline'>\u0646\u0627\u062a\u0648\u0627\u0646\u06cc \u062f\u0631 \u062a\u0635\u0645\u06cc\u0645\u200c\u06af\u06cc\u0631\u06cc<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_23_23_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_23.9' type='checkbox'  value='\u062a\u06a9\u0631\u0627\u0631 \u0627\u0644\u06af\u0648\u0647\u0627\u06cc \u0642\u062f\u06cc\u0645\u06cc'  id='choice_23_23_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_23_23_9' id='label_23_23_9' class='gform-field-label gform-field-label--type-inline'>\u062a\u06a9\u0631\u0627\u0631 \u0627\u0644\u06af\u0648\u0647\u0627\u06cc \u0642\u062f\u06cc\u0645\u06cc<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_23_23_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_23.11' type='checkbox'  value='\u0641\u0627\u0635\u0644\u0647 \u06af\u0631\u0641\u062a\u0646 \u0627\u0632 \u0627\u0631\u0632\u0634\u200c\u0647\u0627\u06cc \u062f\u0631\u0648\u0646\u06cc'  id='choice_23_23_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_23_23_11' id='label_23_23_11' class='gform-field-label gform-field-label--type-inline'>\u0641\u0627\u0635\u0644\u0647 \u06af\u0631\u0641\u062a\u0646 \u0627\u0632 \u0627\u0631\u0632\u0634\u200c\u0647\u0627\u06cc \u062f\u0631\u0648\u0646\u06cc<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_23_23_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_23.12' type='checkbox'  value='\u0645\u0634\u06a9\u0644 \u062f\u0631 \u0627\u062c\u0631\u0627 \u0648 \u0627\u0633\u062a\u0645\u0631\u0627\u0631'  id='choice_23_23_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_23_23_12' id='label_23_23_12' class='gform-field-label gform-field-label--type-inline'>\u0645\u0634\u06a9\u0644 \u062f\u0631 \u0627\u062c\u0631\u0627 \u0648 \u0627\u0633\u062a\u0645\u0631\u0627\u0631<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_23_23_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_23.13' type='checkbox'  value='\u0633\u0627\u06cc\u0631'  id='choice_23_23_13'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_23_23_13' id='label_23_23_13' class='gform-field-label gform-field-label--type-inline'>\u0633\u0627\u06cc\u0631<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_23_24\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_23_24'>\u06f1\u06f8. \u0627\u06af\u0631 \u0628\u062e\u0648\u0627\u0647\u06cc\u062f \u0645\u0633\u0626\u0644\u0647 \u0627\u0635\u0644\u06cc \u0641\u0639\u0644\u06cc \u062e\u0648\u062f \u0631\u0627 \u062f\u0631 \u06cc\u06a9 \u062c\u0645\u0644\u0647 \u062a\u0648\u0636\u06cc\u062d \u062f\u0647\u06cc\u062f\u060c \u0686\u0647 \u0645\u06cc\u200c\u0646\u0648\u06cc\u0633\u06cc\u062f\u061f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_24' id='input_23_24' class='textarea small'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_23_30\" class=\"gfield gfield--type-nurslider gfield--input-type-nurslider gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_23_30'>\u06f1\u06f9. \u0627\u0632 \u06f1 \u062a\u0627 \u06f1\u06f0\u060c \u0686\u0642\u062f\u0631 \u0627\u062d\u0633\u0627\u0633 \u0645\u06cc\u200c\u06a9\u0646\u06cc\u062f \u062f\u0631 \u0645\u0631\u062d\u0644\u0647\u200c\u0627\u06cc \u0627\u0632 \u0628\u062d\u0631\u0627\u0646 \u06cc\u0627 \u0628\u0627\u0632\u062a\u0639\u0631\u06cc\u0641 \u0647\u0648\u06cc\u062a \u0647\u0633\u062a\u06cc\u062f\u061f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_23_30'>\u06f1 = \u0627\u0635\u0644\u0627\u064b \u0627\u062d\u0633\u0627\u0633 \u0646\u0645\u06cc\u200c\u06a9\u0646\u0645<br>\n\u06f1\u06f0 = \u06a9\u0627\u0645\u0644\u0627\u064b \u0627\u062d\u0633\u0627\u0633 \u0645\u06cc\u200c\u06a9\u0646\u0645<\/div><div class=\"ginput_container ginput_container_nurslider\"><div id=\"gfrs_rangeslider_30\"><\/div><input type=\"hidden\" name=\"input_30\" id=\"input_23_30\" value=\"6\" class=\"nurslider large\" aria-invalid=\"false\" \/><\/div><\/div><div id=\"field_23_31\" class=\"gfield gfield--type-nurslider gfield--input-type-nurslider gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_23_31'>\u06f2\u06f0. \u0627\u0632 \u06f1 \u062a\u0627 \u06f1\u06f0\u060c \u0686\u0642\u062f\u0631 \u0628\u0631\u0627\u06cc \u0627\u06cc\u062c\u0627\u062f \u062a\u063a\u06cc\u06cc\u0631 \u0648\u0627\u0642\u0639\u06cc \u062f\u0631 \u0645\u0633\u06cc\u0631 \u0632\u0646\u062f\u06af\u06cc\u200c\u062a\u0627\u0646 \u0622\u0645\u0627\u062f\u06af\u06cc \u062f\u0627\u0631\u06cc\u062f\u061f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_23_31'>\u06f1 = \u0641\u0639\u0644\u0627\u064b \u0622\u0645\u0627\u062f\u0647 \u0646\u06cc\u0633\u062a\u0645<br>\n\u06f1\u06f0 = \u06a9\u0627\u0645\u0644\u0627\u064b \u0622\u0645\u0627\u062f\u0647\u200c\u0627\u0645<\/div><div class=\"ginput_container ginput_container_nurslider\"><div id=\"gfrs_rangeslider_31\"><\/div><input type=\"hidden\" name=\"input_31\" id=\"input_23_31\" value=\"6\" class=\"nurslider large\" aria-invalid=\"false\" \/><\/div><\/div><div id=\"field_23_32\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">\u0628\u062e\u0634 \u06f5: \u0627\u0631\u0632\u06cc\u0627\u0628\u06cc \u0645\u062f\u0631\u0633 \u0648 \u0641\u0636\u0627\u06cc \u062c\u0644\u0633\u0647<\/h3><\/div><fieldset id=\"field_23_33\" class=\"gfield gfield--type-survey gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gsurvey-survey-field\"  data-field-class=\"gsurvey-survey-field\" ><legend class='gfield_label gform-field-label' >\u06f2\u06f1. \u0627\u0631\u062a\u0628\u0627\u0637 \u0634\u0645\u0627 \u0628\u0627 \u0634\u06cc\u0648\u0647 \u0628\u06cc\u0627\u0646 \u0648 \u062d\u0636\u0648\u0631 \u0633\u0627\u0645 \u0639\u0632\u06cc\u0632 \u0686\u06af\u0648\u0646\u0647 \u0628\u0648\u062f\u061f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_23_33'>\n\t\t\t<div class='gchoice gchoice_23_33_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_33' type='radio' value='\u0628\u0633\u06cc\u0627\u0631 \u062e\u0648\u0628 \u0648 \u0627\u062b\u0631\u06af\u0630\u0627\u0631'  id='choice_23_33_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_23_33_0' id='label_23_33_0' class='gform-field-label gform-field-label--type-inline'>\u0628\u0633\u06cc\u0627\u0631 \u062e\u0648\u0628 \u0648 \u0627\u062b\u0631\u06af\u0630\u0627\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_23_33_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_33' type='radio' value='\u062e\u0648\u0628 \u0648 \u0642\u0627\u0628\u0644 \u0627\u0631\u062a\u0628\u0627\u0637'  id='choice_23_33_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_23_33_1' id='label_23_33_1' class='gform-field-label gform-field-label--type-inline'>\u062e\u0648\u0628 \u0648 \u0642\u0627\u0628\u0644 \u0627\u0631\u062a\u0628\u0627\u0637<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_23_33_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_33' type='radio' value='\u0645\u062a\u0648\u0633\u0637'  id='choice_23_33_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_23_33_2' id='label_23_33_2' class='gform-field-label gform-field-label--type-inline'>\u0645\u062a\u0648\u0633\u0637<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_23_33_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_33' type='radio' value='\u0646\u06cc\u0627\u0632 \u0628\u0647 \u0633\u0627\u062f\u0647\u200c\u0633\u0627\u0632\u06cc \u0628\u06cc\u0634\u062a\u0631 \u062f\u0627\u0634\u062a'  id='choice_23_33_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_23_33_3' id='label_23_33_3' class='gform-field-label gform-field-label--type-inline'>\u0646\u06cc\u0627\u0632 \u0628\u0647 \u0633\u0627\u062f\u0647\u200c\u0633\u0627\u0632\u06cc \u0628\u06cc\u0634\u062a\u0631 \u062f\u0627\u0634\u062a<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_23_33_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_33' type='radio' value='\u0628\u0631\u0627\u06cc \u0645\u0646 \u0627\u0631\u062a\u0628\u0627\u0637 \u06af\u0631\u0641\u062a\u0646 \u0633\u062e\u062a \u0628\u0648\u062f'  id='choice_23_33_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_23_33_4' id='label_23_33_4' class='gform-field-label gform-field-label--type-inline'>\u0628\u0631\u0627\u06cc \u0645\u0646 \u0627\u0631\u062a\u0628\u0627\u0637 \u06af\u0631\u0641\u062a\u0646 \u0633\u062e\u062a \u0628\u0648\u062f<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_23_33_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_33' type='radio' value='\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645'  id='choice_23_33_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_23_33_5' id='label_23_33_5' class='gform-field-label gform-field-label--type-inline'>\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_23_34\" class=\"gfield gfield--type-survey gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gsurvey-survey-field\"  data-field-class=\"gsurvey-survey-field\" ><legend class='gfield_label gform-field-label' >\u06f2\u06f2. \u0622\u06cc\u0627 \u0641\u0636\u0627\u06cc \u0633\u0645\u06cc\u0646\u0627\u0631 \u0628\u0631\u0627\u06cc \u0634\u0645\u0627 \u0627\u0645\u0646\u060c \u0645\u062d\u062a\u0631\u0645\u0627\u0646\u0647 \u0648 \u0642\u0627\u0628\u0644 \u0627\u0639\u062a\u0645\u0627\u062f \u0628\u0648\u062f\u061f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_23_34'>\n\t\t\t<div class='gchoice gchoice_23_34_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_34' type='radio' value='\u0628\u0644\u0647\u060c \u06a9\u0627\u0645\u0644\u0627\u064b'  id='choice_23_34_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_23_34_0' id='label_23_34_0' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647\u060c \u06a9\u0627\u0645\u0644\u0627\u064b<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_23_34_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_34' type='radio' value='\u062a\u0627 \u062d\u062f \u0632\u06cc\u0627\u062f\u06cc'  id='choice_23_34_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_23_34_1' id='label_23_34_1' class='gform-field-label gform-field-label--type-inline'>\u062a\u0627 \u062d\u062f \u0632\u06cc\u0627\u062f\u06cc<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_23_34_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_34' type='radio' value='\u0646\u0633\u0628\u062a\u0627\u064b'  id='choice_23_34_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_23_34_2' id='label_23_34_2' class='gform-field-label gform-field-label--type-inline'>\u0646\u0633\u0628\u062a\u0627\u064b<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_23_34_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_34' type='radio' value='\u0646\u0647 \u0686\u0646\u062f\u0627\u0646'  id='choice_23_34_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_23_34_3' id='label_23_34_3' class='gform-field-label gform-field-label--type-inline'>\u0646\u0647 \u0686\u0646\u062f\u0627\u0646<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_23_34_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_34' type='radio' value='\u062e\u06cc\u0631'  id='choice_23_34_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_23_34_4' id='label_23_34_4' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_23_35\" class=\"gfield gfield--type-survey gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gsurvey-survey-field\"  data-field-class=\"gsurvey-survey-field\" ><legend class='gfield_label gform-field-label' >\u06f2\u06f3. \u0622\u06cc\u0627 \u062f\u0648\u0633\u062a \u062f\u0627\u0634\u062a\u06cc\u062f \u062f\u0631 \u0633\u0645\u06cc\u0646\u0627\u0631 \u0641\u0631\u0635\u062a \u0645\u0634\u0627\u0631\u06a9\u062a\u060c \u062a\u0645\u0631\u06cc\u0646 \u06cc\u0627 \u067e\u0631\u0633\u0634 \u0648 \u067e\u0627\u0633\u062e \u0628\u06cc\u0634\u062a\u0631\u06cc \u0648\u062c\u0648\u062f \u062f\u0627\u0634\u062a\u0647 \u0628\u0627\u0634\u062f\u061f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_23_35'>\n\t\t\t<div class='gchoice gchoice_23_35_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_35' type='radio' value='\u0628\u0644\u0647\u060c \u062e\u06cc\u0644\u06cc \u0628\u06cc\u0634\u062a\u0631'  id='choice_23_35_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_23_35_0' id='label_23_35_0' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647\u060c \u062e\u06cc\u0644\u06cc \u0628\u06cc\u0634\u062a\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_23_35_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_35' type='radio' value='\u06a9\u0645\u06cc \u0628\u06cc\u0634\u062a\u0631'  id='choice_23_35_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_23_35_1' id='label_23_35_1' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0645\u06cc \u0628\u06cc\u0634\u062a\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_23_35_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_35' type='radio' value='\u0647\u0645\u06cc\u0646 \u0645\u0642\u062f\u0627\u0631 \u0645\u0646\u0627\u0633\u0628 \u0628\u0648\u062f'  id='choice_23_35_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_23_35_2' id='label_23_35_2' class='gform-field-label gform-field-label--type-inline'>\u0647\u0645\u06cc\u0646 \u0645\u0642\u062f\u0627\u0631 \u0645\u0646\u0627\u0633\u0628 \u0628\u0648\u062f<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_23_35_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_35' type='radio' value='\u062a\u0631\u062c\u06cc\u062d \u0645\u06cc\u200c\u062f\u0627\u062f\u0645 \u0628\u06cc\u0634\u062a\u0631 \u0622\u0645\u0648\u0632\u0634\u06cc \u0628\u0627\u0634\u062f'  id='choice_23_35_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_23_35_3' id='label_23_35_3' class='gform-field-label gform-field-label--type-inline'>\u062a\u0631\u062c\u06cc\u062d \u0645\u06cc\u200c\u062f\u0627\u062f\u0645 \u0628\u06cc\u0634\u062a\u0631 \u0622\u0645\u0648\u0632\u0634\u06cc \u0628\u0627\u0634\u062f<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_23_35_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_35' type='radio' value='\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645'  id='choice_23_35_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_23_35_4' id='label_23_35_4' class='gform-field-label gform-field-label--type-inline'>\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_23_36\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_23_36'>\u06f2\u06f4. \u0686\u0647 \u067e\u06cc\u0634\u0646\u0647\u0627\u062f\u06cc \u0628\u0631\u0627\u06cc \u0628\u0647\u062a\u0631 \u0634\u062f\u0646 \u0633\u0645\u06cc\u0646\u0627\u0631\u0647\u0627\u06cc \u0628\u0639\u062f\u06cc \u062f\u0627\u0631\u06cc\u062f\u061f<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_36' id='input_23_36' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_23_37\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">\u0628\u062e\u0634 \u06f6: \u0639\u0644\u0627\u0642\u0647\u200c\u0645\u0646\u062f\u06cc \u0628\u0647 \u0627\u062f\u0627\u0645\u0647 \u0645\u0633\u06cc\u0631<\/h3><\/div><fieldset id=\"field_23_38\" class=\"gfield gfield--type-survey gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gsurvey-survey-field\"  data-field-class=\"gsurvey-survey-field\" ><legend class='gfield_label gform-field-label' >\u06f2\u06f5. \u0622\u06cc\u0627 \u0645\u0627\u06cc\u0644\u06cc\u062f \u0627\u0637\u0644\u0627\u0639\u0627\u062a \u0628\u06cc\u0634\u062a\u0631\u06cc \u062f\u0631\u0628\u0627\u0631\u0647 \u062f\u0648\u0631\u0647 \u06a9\u0627\u0645\u0644 \u00ab\u0639\u0628\u0648\u0631 \u0627\u0632 \u0628\u062d\u0631\u0627\u0646 \u0647\u0648\u06cc\u062a\u00bb \u062f\u0631\u06cc\u0627\u0641\u062a \u06a9\u0646\u06cc\u062f\u061f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_23_38'>\n\t\t\t<div class='gchoice gchoice_23_38_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_38' type='radio' value='\u0628\u0644\u0647\u060c \u062d\u062a\u0645\u0627\u064b'  id='choice_23_38_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_23_38_0' id='label_23_38_0' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647\u060c \u062d\u062a\u0645\u0627\u064b<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_23_38_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_38' type='radio' value='\u0628\u0644\u0647\u060c \u0634\u0627\u06cc\u062f'  id='choice_23_38_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_23_38_1' id='label_23_38_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647\u060c \u0634\u0627\u06cc\u062f<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_23_38_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_38' type='radio' value='\u0641\u0639\u0644\u0627\u064b \u0641\u0642\u0637 \u0645\u06cc\u200c\u062e\u0648\u0627\u0647\u0645 \u0627\u0637\u0644\u0627\u0639\u0627\u062a \u0631\u0627 \u0628\u0628\u06cc\u0646\u0645'  id='choice_23_38_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_23_38_2' id='label_23_38_2' class='gform-field-label gform-field-label--type-inline'>\u0641\u0639\u0644\u0627\u064b \u0641\u0642\u0637 \u0645\u06cc\u200c\u062e\u0648\u0627\u0647\u0645 \u0627\u0637\u0644\u0627\u0639\u0627\u062a \u0631\u0627 \u0628\u0628\u06cc\u0646\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_23_38_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_38' type='radio' value='\u0646\u0647\u060c \u0641\u0639\u0644\u0627\u064b \u062a\u0645\u0627\u06cc\u0644\u06cc \u0646\u062f\u0627\u0631\u0645'  id='choice_23_38_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_23_38_3' id='label_23_38_3' class='gform-field-label gform-field-label--type-inline'>\u0646\u0647\u060c \u0641\u0639\u0644\u0627\u064b \u062a\u0645\u0627\u06cc\u0644\u06cc \u0646\u062f\u0627\u0631\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_23_39\" class=\"gfield gfield--type-survey gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gsurvey-survey-field\"  data-field-class=\"gsurvey-survey-field\" ><legend class='gfield_label gform-field-label' >\u06f2\u06f6. \u0622\u06cc\u0627 \u0645\u0627\u06cc\u0644\u06cc\u062f \u0627\u0637\u0644\u0627\u0639\u0627\u062a \u0641\u0644\u0648\u0634\u06cc\u067e SEIRS \/ \u0633\u06cc\u0631\u0632 \u0631\u0627 \u062f\u0631\u06cc\u0627\u0641\u062a \u06a9\u0646\u06cc\u062f\u061f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_23_39'>\n\t\t\t<div class='gchoice gchoice_23_39_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_39' type='radio' value='\u0628\u0644\u0647\u060c \u0639\u0644\u0627\u0642\u0647\u200c\u0645\u0646\u062f\u0645'  id='choice_23_39_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_23_39_0' id='label_23_39_0' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647\u060c \u0639\u0644\u0627\u0642\u0647\u200c\u0645\u0646\u062f\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_23_39_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_39' type='radio' value='\u0634\u0627\u06cc\u062f\u060c \u0646\u06cc\u0627\u0632 \u0628\u0647 \u062a\u0648\u0636\u06cc\u062d \u0628\u06cc\u0634\u062a\u0631 \u062f\u0627\u0631\u0645'  id='choice_23_39_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_23_39_1' id='label_23_39_1' class='gform-field-label gform-field-label--type-inline'>\u0634\u0627\u06cc\u062f\u060c \u0646\u06cc\u0627\u0632 \u0628\u0647 \u062a\u0648\u0636\u06cc\u062d \u0628\u06cc\u0634\u062a\u0631 \u062f\u0627\u0631\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_23_39_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_39' type='radio' value='\u0641\u0639\u0644\u0627\u064b \u0646\u0647'  id='choice_23_39_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_23_39_2' id='label_23_39_2' class='gform-field-label gform-field-label--type-inline'>\u0641\u0639\u0644\u0627\u064b \u0646\u0647<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_23_39_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_39' type='radio' value='\u0646\u0645\u06cc\u200c\u062f\u0627\u0646\u0645 \u0641\u0644\u0648\u0634\u06cc\u067e \u062f\u0642\u06cc\u0642\u0627\u064b \u0686\u06cc\u0633\u062a'  id='choice_23_39_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_23_39_3' id='label_23_39_3' class='gform-field-label gform-field-label--type-inline'>\u0646\u0645\u06cc\u200c\u062f\u0627\u0646\u0645 \u0641\u0644\u0648\u0634\u06cc\u067e \u062f\u0642\u06cc\u0642\u0627\u064b \u0686\u06cc\u0633\u062a<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_23_40\" class=\"gfield gfield--type-survey gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gsurvey-survey-field\"  data-field-class=\"gsurvey-survey-field\" ><legend class='gfield_label gform-field-label' >\u06f2\u06f7. \u0627\u06af\u0631 \u0642\u0631\u0627\u0631 \u0628\u0627\u0634\u062f \u0645\u0633\u06cc\u0631 \u0631\u0627 \u0627\u062f\u0627\u0645\u0647 \u062f\u0647\u06cc\u062f\u060c \u06a9\u062f\u0627\u0645 \u0645\u062f\u0644 \u0628\u0631\u0627\u06cc \u0634\u0645\u0627 \u0645\u0646\u0627\u0633\u0628\u200c\u062a\u0631 \u0627\u0633\u062a\u061f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_23_40'>\n\t\t\t<div class='gchoice gchoice_23_40_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_40' type='radio' value='\u062f\u0648\u0631\u0647 \u0622\u0646\u0644\u0627\u06cc\u0646 \u0636\u0628\u0637\u200c\u0634\u062f\u0647 \u0648 \u0645\u0633\u062a\u0642\u0644'  id='choice_23_40_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_23_40_0' id='label_23_40_0' class='gform-field-label gform-field-label--type-inline'>\u062f\u0648\u0631\u0647 \u0622\u0646\u0644\u0627\u06cc\u0646 \u0636\u0628\u0637\u200c\u0634\u062f\u0647 \u0648 \u0645\u0633\u062a\u0642\u0644<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_23_40_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_40' type='radio' value='\u062f\u0648\u0631\u0647 \u0622\u0646\u0644\u0627\u06cc\u0646 \u0647\u0645\u0631\u0627\u0647 \u0628\u0627 \u062a\u0645\u0631\u06cc\u0646'  id='choice_23_40_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_23_40_1' id='label_23_40_1' class='gform-field-label gform-field-label--type-inline'>\u062f\u0648\u0631\u0647 \u0622\u0646\u0644\u0627\u06cc\u0646 \u0647\u0645\u0631\u0627\u0647 \u0628\u0627 \u062a\u0645\u0631\u06cc\u0646<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_23_40_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_40' type='radio' value='\u0641\u0644\u0648\u0634\u06cc\u067e \u0686\u0646\u062f\u0645\u0627\u0647\u0647 \u0628\u0627 \u062c\u0644\u0633\u0627\u062a \u0632\u0646\u062f\u0647'  id='choice_23_40_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_23_40_2' id='label_23_40_2' class='gform-field-label gform-field-label--type-inline'>\u0641\u0644\u0648\u0634\u06cc\u067e \u0686\u0646\u062f\u0645\u0627\u0647\u0647 \u0628\u0627 \u062c\u0644\u0633\u0627\u062a \u0632\u0646\u062f\u0647<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_23_40_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_40' type='radio' value='\u062c\u0644\u0633\u0627\u062a \u06af\u0631\u0648\u0647\u06cc \u062e\u0648\u062f\u0634\u0646\u0627\u0633\u06cc'  id='choice_23_40_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_23_40_3' id='label_23_40_3' class='gform-field-label gform-field-label--type-inline'>\u062c\u0644\u0633\u0627\u062a \u06af\u0631\u0648\u0647\u06cc \u062e\u0648\u062f\u0634\u0646\u0627\u0633\u06cc<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_23_40_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_40' type='radio' value='\u062c\u0644\u0633\u0647 \u0645\u0639\u0627\u0631\u0641\u0647 \u06cc\u0627 \u0645\u0634\u0627\u0648\u0631\u0647 \u06a9\u0648\u062a\u0627\u0647 \u0642\u0628\u0644 \u0627\u0632 \u062a\u0635\u0645\u06cc\u0645\u200c\u06af\u06cc\u0631\u06cc'  id='choice_23_40_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_23_40_4' id='label_23_40_4' class='gform-field-label gform-field-label--type-inline'>\u062c\u0644\u0633\u0647 \u0645\u0639\u0627\u0631\u0641\u0647 \u06cc\u0627 \u0645\u0634\u0627\u0648\u0631\u0647 \u06a9\u0648\u062a\u0627\u0647 \u0642\u0628\u0644 \u0627\u0632 \u062a\u0635\u0645\u06cc\u0645\u200c\u06af\u06cc\u0631\u06cc<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_23_40_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_40' type='radio' value='\u0647\u0646\u0648\u0632 \u0646\u0645\u06cc\u200c\u062f\u0627\u0646\u0645'  id='choice_23_40_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_23_40_5' id='label_23_40_5' class='gform-field-label gform-field-label--type-inline'>\u0647\u0646\u0648\u0632 \u0646\u0645\u06cc\u200c\u062f\u0627\u0646\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_23_40_6'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_40' type='radio' value='\u0641\u0639\u0644\u0627\u064b \u0642\u0635\u062f \u0627\u062f\u0627\u0645\u0647 \u0646\u062f\u0627\u0631\u0645'  id='choice_23_40_6' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_23_40_6' id='label_23_40_6' class='gform-field-label gform-field-label--type-inline'>\u0641\u0639\u0644\u0627\u064b \u0642\u0635\u062f \u0627\u062f\u0627\u0645\u0647 \u0646\u062f\u0627\u0631\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_23_41\" class=\"gfield gfield--type-survey gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gsurvey-survey-field\"  data-field-class=\"gsurvey-survey-field\" ><legend class='gfield_label gform-field-label' >\u06f2\u06f8. \u062f\u0631 \u0635\u0648\u0631\u062a \u062a\u0645\u0627\u06cc\u0644 \u0628\u0647 \u0627\u062f\u0627\u0645\u0647 \u0645\u0633\u06cc\u0631\u060c \u062a\u0631\u062c\u06cc\u062d \u0645\u06cc\u200c\u062f\u0647\u06cc\u062f \u062a\u06cc\u0645 \u0645\u0624\u0633\u0633\u0647 \u0627\u0632 \u0686\u0647 \u0637\u0631\u06cc\u0642\u06cc \u0628\u0627 \u0634\u0645\u0627 \u0627\u0631\u062a\u0628\u0627\u0637 \u0628\u06af\u06cc\u0631\u062f\u061f<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_23_41'>\n\t\t\t<div class='gchoice gchoice_23_41_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_41' type='radio' value='\u0627\u06cc\u0645\u06cc\u0644'  id='choice_23_41_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_23_41_0' id='label_23_41_0' class='gform-field-label gform-field-label--type-inline'>Email<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_23_41_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_41' type='radio' value='\u0648\u0627\u062a\u0633\u067e'  id='choice_23_41_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_23_41_1' id='label_23_41_1' class='gform-field-label gform-field-label--type-inline'>\u0648\u0627\u062a\u0633\u067e<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_23_41_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_41' type='radio' value='\u062a\u0644\u06af\u0631\u0627\u0645'  id='choice_23_41_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_23_41_2' id='label_23_41_2' class='gform-field-label gform-field-label--type-inline'>\u062a\u0644\u06af\u0631\u0627\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_23_41_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_41' type='radio' value='\u062a\u0645\u0627\u0633 \u06a9\u0648\u062a\u0627\u0647 \u0647\u0645\u0627\u0647\u0646\u06af\u200c\u0634\u062f\u0647'  id='choice_23_41_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_23_41_3' id='label_23_41_3' class='gform-field-label gform-field-label--type-inline'>\u062a\u0645\u0627\u0633 \u06a9\u0648\u062a\u0627\u0647 \u0647\u0645\u0627\u0647\u0646\u06af\u200c\u0634\u062f\u0647<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_23_41_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_41' type='radio' value='\u0641\u0639\u0644\u0627\u064b \u0641\u0642\u0637 \u0627\u0637\u0644\u0627\u0639\u0627\u062a \u0627\u0631\u0633\u0627\u0644 \u0634\u0648\u062f'  id='choice_23_41_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_23_41_4' id='label_23_41_4' class='gform-field-label gform-field-label--type-inline'>\u0641\u0639\u0644\u0627\u064b \u0641\u0642\u0637 \u0627\u0637\u0644\u0627\u0639\u0627\u062a \u0627\u0631\u0633\u0627\u0644 \u0634\u0648\u062f<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_23_41_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_41' type='radio' value='\u062a\u0645\u0627\u06cc\u0644\u06cc \u0628\u0647 \u062a\u0645\u0627\u0633 \u0646\u062f\u0627\u0631\u0645'  id='choice_23_41_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_23_41_5' id='label_23_41_5' class='gform-field-label gform-field-label--type-inline'>\u062a\u0645\u0627\u06cc\u0644\u06cc \u0628\u0647 \u062a\u0645\u0627\u0633 \u0646\u062f\u0627\u0631\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_23_43\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_23_43'>\u06f2\u06f9. \u0627\u06af\u0631 \u0645\u0627\u06cc\u0644 \u0628\u0647 \u062f\u0631\u06cc\u0627\u0641\u062a \u0627\u0637\u0644\u0627\u0639\u0627\u062a \u0628\u06cc\u0634\u062a\u0631 \u0647\u0633\u062a\u06cc\u062f\u060c \u0628\u0647\u062a\u0631\u06cc\u0646 \u0632\u0645\u0627\u0646 \u0627\u0631\u062a\u0628\u0627\u0637 \u0628\u0627 \u0634\u0645\u0627 \u0686\u0647 \u0632\u0645\u0627\u0646\u06cc \u0627\u0633\u062a\u061f<\/label><div class='gfield_description' id='gfield_description_23_43'>\u0645\u062b\u0627\u0644: \u0639\u0635\u0631\u0647\u0627 \u0628\u0647 \u0648\u0642\u062a \u0622\u0644\u0645\u0627\u0646\u060c \u0622\u062e\u0631 \u0647\u0641\u062a\u0647\u060c \u0628\u0639\u062f \u0627\u0632 \u0633\u0627\u0639\u062a \u06f1\u06f8\u060c \u0641\u0642\u0637 \u067e\u06cc\u0627\u0645 \u0645\u062a\u0646\u06cc \u0648 \u063a\u06cc\u0631\u0647.<\/div><div class='ginput_container ginput_container_text'><input name='input_43' id='input_23_43' type='text' value='' class='medium'  aria-describedby=\"gfield_description_23_43\"    aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_23_44\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">\u0628\u062e\u0634 \u06f7: \u0627\u062c\u0627\u0632\u0647 \u0627\u0633\u062a\u0641\u0627\u062f\u0647 \u0627\u0632 \u0628\u0627\u0632\u062e\u0648\u0631\u062f<\/h3><\/div><fieldset id=\"field_23_42\" class=\"gfield gfield--type-survey gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gsurvey-survey-field\"  data-field-class=\"gsurvey-survey-field\" ><legend class='gfield_label gform-field-label' >\u06f3\u06f0. \u0622\u06cc\u0627 \u0627\u062c\u0627\u0632\u0647 \u0645\u06cc\u200c\u062f\u0647\u06cc\u062f \u0628\u062e\u0634\u06cc \u0627\u0632 \u0628\u0627\u0632\u062e\u0648\u0631\u062f \u0634\u0645\u0627\u060c \u0628\u062f\u0648\u0646 \u0646\u0627\u0645 \u06a9\u0627\u0645\u0644 \u0648 \u0628\u0627 \u062d\u0641\u0638 \u062d\u0631\u06cc\u0645 \u0634\u062e\u0635\u06cc\u060c \u0628\u0631\u0627\u06cc \u0645\u0639\u0631\u0641\u06cc \u0628\u0631\u0646\u0627\u0645\u0647\u200c\u0647\u0627\u06cc \u0622\u06cc\u0646\u062f\u0647 \u0627\u0633\u062a\u0641\u0627\u062f\u0647 \u0634\u0648\u062f\u061f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_23_42'>\n\t\t\t<div class='gchoice gchoice_23_42_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_42' type='radio' value='\u0628\u0644\u0647\u060c \u0628\u0627 \u062d\u0630\u0641 \u0646\u0627\u0645 \u06a9\u0627\u0645\u0644 \u0648 \u0645\u0634\u062e\u0635\u0627\u062a \u0634\u062e\u0635\u06cc'  id='choice_23_42_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_23_42_0' id='label_23_42_0' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647\u060c \u0628\u0627 \u062d\u0630\u0641 \u0646\u0627\u0645 \u06a9\u0627\u0645\u0644 \u0648 \u0645\u0634\u062e\u0635\u0627\u062a \u0634\u062e\u0635\u06cc<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_23_42_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_42' type='radio' value='\u0628\u0644\u0647\u060c \u062d\u062a\u06cc \u0628\u0627 \u0646\u0627\u0645 \u06a9\u0648\u0686\u06a9'  id='choice_23_42_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_23_42_1' id='label_23_42_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647\u060c \u062d\u062a\u06cc \u0628\u0627 \u0646\u0627\u0645 \u06a9\u0648\u0686\u06a9<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_23_42_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_42' type='radio' value='\u0641\u0642\u0637 \u0628\u0627 \u0647\u0645\u0627\u0647\u0646\u06af\u06cc \u0642\u0628\u0644\u06cc'  id='choice_23_42_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_23_42_2' id='label_23_42_2' class='gform-field-label gform-field-label--type-inline'>\u0641\u0642\u0637 \u0628\u0627 \u0647\u0645\u0627\u0647\u0646\u06af\u06cc \u0642\u0628\u0644\u06cc<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_23_42_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_42' type='radio' value='\u062e\u06cc\u0631\u060c \u0627\u062c\u0627\u0632\u0647 \u0646\u0645\u06cc\u200c\u062f\u0647\u0645'  id='choice_23_42_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_23_42_3' id='label_23_42_3' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631\u060c \u0627\u062c\u0627\u0632\u0647 \u0646\u0645\u06cc\u200c\u062f\u0647\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_23_45\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_23_45'>\u06f3\u06f1. \u0627\u06af\u0631 \u062f\u0648\u0633\u062a \u062f\u0627\u0631\u06cc\u062f \u06cc\u06a9 \u062c\u0645\u0644\u0647 \u06a9\u0648\u062a\u0627\u0647 \u062f\u0631\u0628\u0627\u0631\u0647 \u062a\u062c\u0631\u0628\u0647\u200c\u062a\u0627\u0646 \u0627\u0632 \u0633\u0645\u06cc\u0646\u0627\u0631 \u0628\u0646\u0648\u06cc\u0633\u06cc\u062f\u060c \u0627\u06cc\u0646\u062c\u0627 \u0628\u0646\u0648\u06cc\u0633\u06cc\u062f.<\/label><div class='gfield_description' id='gfield_description_23_45'>\u0645\u062b\u0644\u0627\u064b \u0627\u06cc\u0646 \u0633\u0645\u06cc\u0646\u0627\u0631 \u0628\u0631\u0627\u06cc \u0634\u0645\u0627 \u0686\u0647 \u0631\u0648\u0634\u0646 \u06a9\u0631\u062f\u060c \u0686\u0647 \u0627\u062d\u0633\u0627\u0633\u06cc \u0627\u06cc\u062c\u0627\u062f \u06a9\u0631\u062f\u060c \u06cc\u0627 \u0686\u0631\u0627 \u0641\u06a9\u0631 \u0645\u06cc\u200c\u06a9\u0646\u06cc\u062f \u0628\u0631\u0627\u06cc \u062f\u06cc\u06af\u0631\u0627\u0646 \u0647\u0645 \u0645\u06cc\u200c\u062a\u0648\u0627\u0646\u062f \u0645\u0641\u06cc\u062f \u0628\u0627\u0634\u062f.<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_45' id='input_23_45' class='textarea small'  aria-describedby=\"gfield_description_23_45\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_23_46\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">\u0628\u062e\u0634 \u06f8: \u062c\u0645\u0639\u200c\u0628\u0646\u062f\u06cc \u067e\u0627\u06cc\u0627\u0646\u06cc<\/h3><\/div><div id=\"field_23_47\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_23_47'>\u06f3\u06f2. \u0627\u06af\u0631 \u0628\u062e\u0648\u0627\u0647\u06cc\u062f \u0628\u0647 \u06a9\u0633\u06cc \u06a9\u0647 \u0647\u0646\u0648\u0632 \u062f\u0631 \u0633\u0645\u06cc\u0646\u0627\u0631 \u0634\u0631\u06a9\u062a \u0646\u06a9\u0631\u062f\u0647 \u0628\u06af\u0648\u06cc\u06cc\u062f \u0627\u06cc\u0646 \u062c\u0644\u0633\u0647 \u062f\u0631\u0628\u0627\u0631\u0647 \u0686\u0647 \u0628\u0648\u062f\u060c \u0686\u0647 \u0645\u06cc\u200c\u06af\u0648\u06cc\u06cc\u062f\u061f<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_47' id='input_23_47' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_23_48\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_23_48'>\u06f3\u06f3. \u0622\u06cc\u0627 \u0646\u06a9\u062a\u0647\u200c\u0627\u06cc \u0647\u0633\u062a \u06a9\u0647 \u062f\u0648\u0633\u062a \u062f\u0627\u0631\u06cc\u062f \u0645\u0633\u062a\u0642\u06cc\u0645 \u0628\u0627 \u062a\u06cc\u0645 \u0645\u0624\u0633\u0633\u0647 \u06f4\u06f4\u062a\u0627\u06af \u06cc\u0627 \u0633\u0627\u0645 \u0639\u0632\u06cc\u0632 \u062f\u0631 \u0645\u06cc\u0627\u0646 \u0628\u06af\u0630\u0627\u0631\u06cc\u062f\u061f<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_48' id='input_23_48' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_23_49\" class=\"gfield gfield--type-survey gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gsurvey-survey-field\"  data-field-class=\"gsurvey-survey-field\" ><legend class='gfield_label gform-field-label' >\u06f3\u06f4. \u0622\u06cc\u0627 \u0645\u0627\u06cc\u0644\u06cc\u062f \u0641\u0627\u06cc\u0644\u200c\u0647\u0627\u060c \u0644\u06cc\u0646\u06a9 \u062f\u0648\u0631\u0647\u060c \u06cc\u0627 \u0628\u0631\u0646\u0627\u0645\u0647\u200c\u0647\u0627\u06cc \u0628\u0639\u062f\u06cc \u0645\u0624\u0633\u0633\u0647 \u0628\u0631\u0627\u06cc \u0634\u0645\u0627 \u0627\u0631\u0633\u0627\u0644 \u0634\u0648\u062f\u061f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_23_49'>\n\t\t\t<div class='gchoice gchoice_23_49_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_49' type='radio' value='\u0628\u0644\u0647'  id='choice_23_49_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_23_49_0' id='label_23_49_0' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_23_49_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_49' type='radio' value='\u062e\u06cc\u0631'  id='choice_23_49_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_23_49_1' id='label_23_49_1' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_23_49_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_49' type='radio' value='\u0641\u0642\u0637 \u0627\u0637\u0644\u0627\u0639\u0627\u062a \u0645\u0631\u0628\u0648\u0637 \u0628\u0647 \u062f\u0648\u0631\u0647 \u0639\u0628\u0648\u0631 \u0627\u0632 \u0628\u062d\u0631\u0627\u0646 \u0647\u0648\u06cc\u062a'  id='choice_23_49_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_23_49_2' id='label_23_49_2' class='gform-field-label gform-field-label--type-inline'>\u0641\u0642\u0637 \u0627\u0637\u0644\u0627\u0639\u0627\u062a \u0645\u0631\u0628\u0648\u0637 \u0628\u0647 \u062f\u0648\u0631\u0647 \u0639\u0628\u0648\u0631 \u0627\u0632 \u0628\u062d\u0631\u0627\u0646 \u0647\u0648\u06cc\u062a<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_23_49_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_49' type='radio' value='\u0641\u0642\u0637 \u0627\u0637\u0644\u0627\u0639\u0627\u062a \u0645\u0631\u0628\u0648\u0637 \u0628\u0647 \u0641\u0644\u0648\u0634\u06cc\u067e SEIRS'  id='choice_23_49_3' onchange='gformToggleRadioOther( this )'    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