{"id":73,"date":"2024-10-27T16:43:13","date_gmt":"2024-10-27T13:13:13","guid":{"rendered":"https:\/\/roshdvaramin.ir\/?p=73"},"modified":"2024-10-29T08:09:20","modified_gmt":"2024-10-29T04:39:20","slug":"%d9%be%d8%b1%d8%b3%d8%b4%d9%86%d8%a7%d9%85%d9%87-%d8%b3%d9%84%d8%a7%d9%85%d8%aa-%d8%b9%d9%85%d9%88%d9%85%db%8c-ghq","status":"publish","type":"post","link":"https:\/\/roshdvaramin.ir\/?p=73","title":{"rendered":"\u067e\u0631\u0633\u0634\u0646\u0627\u0645\u0647 \u0633\u0644\u0627\u0645\u062a \u0639\u0645\u0648\u0645\u06cc (GHQ)"},"content":{"rendered":"<script type=\"text\/javascript\">var 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           <div class='gform-body gform_body'><div id='gform_fields_7' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_7_44\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_7_44\" ><label class='gfield_label gform-field-label' for='input_7_44'>\u06a9\u062f \u062a\u062e\u0635\u0635\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_44' id='input_7_44' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><fieldset id=\"field_7_1\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_7_1\" ><legend class='gfield_label gform-field-label' >1-\u0622\u06cc\u0627 \u0627\u0632 \u06cc\u06a9 \u0645\u0627\u0647 \u06af\u0630\u0634\u062a\u0647 \u062a\u0627 \u0628\u0647 \u0627\u0645\u0631\u0648\u0632 \u06a9\u0627\u0645\u0644\u0627 \u0627\u062d\u0633\u0627\u0633 \u06a9\u0631\u062f\u0647 \u0627\u06cc\u062f \u06a9\u0647 \u062e\u0648\u0628 \u0648 \u0633\u0627\u0644\u0645 \u0647\u0633\u062a\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_7_1'>\n\t\t\t<div class='gchoice gchoice_7_1_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_1' type='radio' value='0'  id='choice_7_1_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_1_0' id='label_7_1_0' class='gform-field-label gform-field-label--type-inline'>\u0628\u06cc\u0634\u062a\u0631 \u0627\u0632 \u062d\u062f \u0645\u0639\u0645\u0648\u0644<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_1_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_1' type='radio' value='1'  id='choice_7_1_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_1_1' id='label_7_1_1' class='gform-field-label gform-field-label--type-inline'>\u062f\u0631 \u062d\u062f \u0645\u0639\u0645\u0648\u0644<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_1_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_1' type='radio' value='2'  id='choice_7_1_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_1_2' id='label_7_1_2' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0645\u062a\u0631 \u0627\u0632 \u062d\u062f \u0645\u0639\u0645\u0648\u0644<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_1_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_1' type='radio' value='3'  id='choice_7_1_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_1_3' id='label_7_1_3' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0644\u06cc \u06a9\u0645\u062a\u0631 \u0627\u0632 \u062d\u062f \u0645\u0639\u0645\u0648\u0644<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_7_12\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_7_12\" ><legend class='gfield_label gform-field-label' >2 - \u0622\u06cc\u0627 \u0627\u0632 \u06cc\u06a9 \u0645\u0627\u0647 \u06af\u0630\u0634\u062a\u0647 \u062a\u0627 \u0628\u0647 \u0627\u0645\u0631\u0648\u0632 \u0627\u062d\u0633\u0627\u0633 \u06a9\u0631\u062f\u0647 \u0627\u06cc\u062f \u06a9\u0647 \u0628\u0647 \u062f\u0627\u0631\u0648\u0647\u0627\u06cc  \u062a\u0642\u0648\u06cc\u062a\u06cc \u0646\u06cc\u0627\u0632 \u062f\u0627\u0631\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_7_12'>\n\t\t\t<div class='gchoice gchoice_7_12_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_12' type='radio' value='0'  id='choice_7_12_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_12_0' id='label_7_12_0' class='gform-field-label gform-field-label--type-inline'>\u0627\u0635\u0644\u0627<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_12_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_12' type='radio' value='1'  id='choice_7_12_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_12_1' id='label_7_12_1' class='gform-field-label gform-field-label--type-inline'>\u062f\u0631 \u062d\u062f \u0645\u0639\u0645\u0648\u0644<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_12_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_12' type='radio' value='2'  id='choice_7_12_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_12_2' id='label_7_12_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u06cc\u0634\u062a\u0631 \u0627\u0632 \u062d\u062f \u0645\u0639\u0645\u0648\u0644<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_12_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_12' type='radio' value='3'  id='choice_7_12_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_12_3' id='label_7_12_3' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0644\u06cc \u0628\u06cc\u0634\u062a\u0631 \u0627\u0632 \u062d\u062f \u0645\u0639\u0645\u0648\u0644<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_7_11\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_7_11\" ><legend class='gfield_label gform-field-label' >3- \u0622\u06cc\u0627 \u0627\u0632 \u06cc\u06a9 \u0645\u0627\u0647 \u06af\u0630\u0634\u062a\u0647 \u062a\u0627 \u0628\u0647 \u0627\u0645\u0631\u0648\u0632 \u0627\u062d\u0633\u0627\u0633 \u0636\u0639\u0641 \u0648 \u0633\u0633\u062a\u06cc \u06a9\u0631\u062f\u0647 \u0627\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_7_11'>\n\t\t\t<div class='gchoice gchoice_7_11_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_11' type='radio' value='0'  id='choice_7_11_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_11_0' id='label_7_11_0' class='gform-field-label gform-field-label--type-inline'>\u0627\u0635\u0644\u0627<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_11_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_11' type='radio' value='1'  id='choice_7_11_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_11_1' id='label_7_11_1' class='gform-field-label gform-field-label--type-inline'>\u062f\u0631 \u062d\u062f \u0645\u0639\u0645\u0648\u0644<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_11_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_11' type='radio' value='2'  id='choice_7_11_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_11_2' id='label_7_11_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u06cc\u0634\u062a\u0631 \u0627\u0632 \u062d\u062f \u0645\u0639\u0645\u0648\u0644<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_11_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_11' type='radio' value='3'  id='choice_7_11_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_11_3' id='label_7_11_3' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0644\u06cc \u0628\u06cc\u0634\u062a\u0631 \u0627\u0632 \u062d\u062f \u0645\u0639\u0645\u0648\u0644<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_7_13\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_7_13\" ><legend class='gfield_label gform-field-label' >4- \u0622\u06cc\u0627 \u0627\u0632 \u06cc\u06a9 \u0645\u0627\u0647 \u06af\u0630\u0634\u062a\u0647 \u062a\u0627 \u0628\u0647 \u0627\u0645\u0631\u0648\u0632 \u0627\u062d\u0633\u0627\u0633 \u06a9\u0631\u062f\u0647 \u0627\u06cc\u062f \u06a9\u0647 \u0628\u06cc\u0645\u0627\u0631 \u0647\u0633\u062a\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_7_13'>\n\t\t\t<div class='gchoice gchoice_7_13_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='0'  id='choice_7_13_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_13_0' id='label_7_13_0' class='gform-field-label gform-field-label--type-inline'>\u0627\u0635\u0644\u0627<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_13_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='1'  id='choice_7_13_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_13_1' id='label_7_13_1' class='gform-field-label gform-field-label--type-inline'>\u062f\u0631 \u062d\u062f \u0645\u0639\u0645\u0648\u0644<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_13_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='2'  id='choice_7_13_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_13_2' id='label_7_13_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u06cc\u0634\u062a\u0631 \u0627\u0632 \u062d\u062f \u0645\u0639\u0645\u0648\u0644<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_13_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='3'  id='choice_7_13_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_13_3' id='label_7_13_3' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0644\u06cc \u0628\u06cc\u0634\u062a\u0631 \u0627\u0632 \u062d\u062f \u0645\u0639\u0645\u0648\u0644<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_7_10\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_7_10\" ><legend class='gfield_label gform-field-label' >5 - \u0622\u06cc\u0627 \u0627\u0632 \u06cc\u06a9 \u0645\u0627\u0647 \u06af\u0630\u0634\u062a\u0647 \u062a\u0627 \u0628\u0647 \u0627\u0645\u0631\u0648\u0632 \u0633\u0631 \u062f\u0631\u062f \u062f\u0627\u0634\u062a\u0647 \u0627\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_7_10'>\n\t\t\t<div class='gchoice gchoice_7_10_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='0'  id='choice_7_10_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_10_0' id='label_7_10_0' class='gform-field-label gform-field-label--type-inline'>\u0627\u0635\u0644\u0627<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_10_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='1'  id='choice_7_10_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_10_1' id='label_7_10_1' class='gform-field-label gform-field-label--type-inline'>\u062f\u0631 \u062d\u062f \u0645\u0639\u0645\u0648\u0644<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_10_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='2'  id='choice_7_10_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_10_2' id='label_7_10_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u06cc\u0634\u062a\u0631 \u0627\u0632 \u062d\u062f \u0645\u0639\u0645\u0648\u0644<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_10_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='3'  id='choice_7_10_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_10_3' id='label_7_10_3' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0644\u06cc \u0628\u06cc\u0634\u062a\u0631 \u0627\u0632 \u062d\u062f \u0645\u0639\u0645\u0648\u0644<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_7_18\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_7_18\" ><legend class='gfield_label gform-field-label' >6- \u0622\u06cc\u0627 \u0627\u0632 \u06cc\u06a9 \u0645\u0627\u0647 \u06af\u0630\u0634\u062a\u0647 \u062a\u0627 \u0628\u0647 \u0627\u0645\u0631\u0648\u0632 \u0627\u062d\u0633\u0627\u0633 \u06a9\u0631\u062f\u0647 \u0627\u06cc\u062f \u06a9\u0647 \u0633\u0631\u062a\u0627\u0646 \u0631\u0627 \u0645\u062d\u06a9\u0645 \u0628\u0627 \u0686\u06cc\u0632\u06cc \u0645\u062b\u0644 \u062f\u0633\u062a\u0645\u0627\u0644 \u0628\u0633\u062a\u0647 \u0627\u0646\u062f \u06cc\u0627 \u0627\u06cc\u0646\u06a9\u0647 \u0641\u0634\u0627\u0631\u06cc \u0628\u0647 \u0633\u0631\u062a\u0627\u0646 \u0648\u0627\u0631\u062f \u0645\u06cc \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_7_18'>\n\t\t\t<div class='gchoice gchoice_7_18_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_18' type='radio' value='0'  id='choice_7_18_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_18_0' id='label_7_18_0' class='gform-field-label gform-field-label--type-inline'>\u0627\u0635\u0644\u0627<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_18_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_18' type='radio' value='1'  id='choice_7_18_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_18_1' id='label_7_18_1' class='gform-field-label gform-field-label--type-inline'>\u062f\u0631 \u062d\u062f \u0645\u0639\u0645\u0648\u0644<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_18_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_18' type='radio' value='2'  id='choice_7_18_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_18_2' id='label_7_18_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u06cc\u0634\u062a\u0631 \u0627\u0632 \u062d\u062f \u0645\u0639\u0645\u0648\u0644<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_18_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_18' type='radio' value='3'  id='choice_7_18_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_18_3' id='label_7_18_3' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0644\u06cc \u0628\u06cc\u0634\u062a\u0631 \u0627\u0632 \u062d\u062f \u0645\u0639\u0645\u0648\u0644<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_7_16\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_7_16\" ><legend class='gfield_label gform-field-label' >7- \u0622\u06cc\u0627 \u0627\u0632 \u06cc\u06a9 \u0645\u0627\u0647 \u06af\u0630\u0634\u062a\u0647 \u062a\u0627 \u0628\u0647 \u0627\u0645\u0631\u0648\u0632 \u0627\u062d\u0633\u0627\u0633 \u06a9\u0631\u062f\u0647 \u0627\u06cc\u062f \u06a9\u0647 \u0628\u0639\u0636\u06cc \u0648\u0642\u062a\u0647\u0627 \u0628\u062f\u0646\u062a\u0627\u0646 \u062f\u0627\u063a \u0648 \u06cc\u0627 \u0633\u0631\u062f \u0627\u0633\u062a \u0645\u06cc \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_7_16'>\n\t\t\t<div class='gchoice gchoice_7_16_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_16' type='radio' value='0'  id='choice_7_16_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_16_0' id='label_7_16_0' class='gform-field-label gform-field-label--type-inline'>\u0627\u0635\u0644\u0627<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_16_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_16' type='radio' value='1'  id='choice_7_16_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_16_1' id='label_7_16_1' class='gform-field-label gform-field-label--type-inline'>\u062f\u0631 \u062d\u062f \u0645\u0639\u0645\u0648\u0644<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_16_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_16' type='radio' value='2'  id='choice_7_16_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_16_2' id='label_7_16_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u06cc\u0634\u062a\u0631 \u0627\u0632 \u062d\u062f \u0645\u0639\u0645\u0648\u0644<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_16_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_16' type='radio' value='3'  id='choice_7_16_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_16_3' id='label_7_16_3' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0644\u06cc \u0628\u06cc\u0634\u062a\u0631 \u0627\u0632 \u062d\u062f \u0645\u0639\u0645\u0648\u0644<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_7_17\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_7_17\" ><legend class='gfield_label gform-field-label' >8- \u0622\u06cc\u0627 \u0627\u0632 \u06cc\u06a9 \u0645\u0627\u0647 \u06af\u0630\u0634\u062a\u0647 \u062a\u0627 \u0628\u0647 \u0627\u0645\u0631\u0648\u0632 \u0627\u062a\u0641\u0627\u0642 \u0627\u0641\u062a\u0627\u062f\u0647 \u06a9\u0647 \u0628\u0631 \u0627\u062b\u0631 \u0646\u06af\u0631\u0627\u0646\u06cc \u062f\u0686\u0627\u0631 \u0628\u06cc \u062e\u0648\u0627\u0628\u06cc \u0634\u062f\u0647 \u0628\u0627\u0634\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_7_17'>\n\t\t\t<div class='gchoice gchoice_7_17_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_17' type='radio' value='0'  id='choice_7_17_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_17_0' id='label_7_17_0' class='gform-field-label gform-field-label--type-inline'>\u0627\u0635\u0644\u0627<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_17_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_17' type='radio' value='1'  id='choice_7_17_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_17_1' id='label_7_17_1' class='gform-field-label gform-field-label--type-inline'>\u062f\u0631 \u062d\u062f \u0645\u0639\u0645\u0648\u0644<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_17_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_17' type='radio' value='2'  id='choice_7_17_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_17_2' id='label_7_17_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u06cc\u0634\u062a\u0631 \u0627\u0632 \u062d\u062f \u0645\u0639\u0645\u0648\u0644<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_17_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_17' type='radio' value='3'  id='choice_7_17_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_17_3' id='label_7_17_3' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0644\u06cc \u0628\u06cc\u0634\u062a\u0631 \u0627\u0632 \u062d\u062f \u0645\u0639\u0645\u0648\u0644<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_7_15\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_7_15\" ><legend class='gfield_label gform-field-label' >9- \u0622\u06cc\u0627 \u0627\u0632 \u06cc\u06a9 \u0645\u0627\u0647 \u06af\u0630\u0634\u062a\u0647 \u062a\u0627 \u0628\u0647 \u0627\u0645\u0631\u0648\u0632 \u0634\u0628\u0647\u0627 \u0648\u0633\u0637 \u062e\u0648\u0627\u0628 \u0628\u06cc\u062f\u0627\u0631 \u0645\u06cc \u0634\u0648\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_7_15'>\n\t\t\t<div class='gchoice gchoice_7_15_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='0'  id='choice_7_15_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_15_0' id='label_7_15_0' class='gform-field-label gform-field-label--type-inline'>\u0627\u0635\u0644\u0627<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_15_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='1'  id='choice_7_15_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_15_1' id='label_7_15_1' class='gform-field-label gform-field-label--type-inline'>\u062f\u0631 \u062d\u062f \u0645\u0639\u0645\u0648\u0644<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_15_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='2'  id='choice_7_15_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_15_2' id='label_7_15_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u06cc\u0634\u062a\u0631 \u0627\u0632 \u062d\u062f \u0645\u0639\u0645\u0648\u0644<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_15_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='3'  id='choice_7_15_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_15_3' id='label_7_15_3' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0644\u06cc \u0628\u06cc\u0634\u062a\u0631 \u0627\u0632 \u062d\u062f \u0645\u0639\u0645\u0648\u0644<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_7_14\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_7_14\" ><legend class='gfield_label gform-field-label' >10- \u0622\u06cc\u0627 \u0627\u0632 \u06cc\u06a9 \u0645\u0627\u0647 \u06af\u0630\u0634\u062a\u0647 \u062a\u0627 \u0628\u0647 \u0627\u0645\u0631\u0648\u0632 \u0627\u062d\u0633\u0627\u0633 \u06a9\u0631\u062f\u0647 \u0627\u06cc\u062f \u06a9\u0647 \u062f\u0627\u0626\u0645\u0627\u064b \u062a\u062d\u062a \u0641\u0634\u0627\u0631 \u0647\u0633\u062a\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_7_14'>\n\t\t\t<div class='gchoice gchoice_7_14_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_14' type='radio' value='0'  id='choice_7_14_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_14_0' id='label_7_14_0' class='gform-field-label gform-field-label--type-inline'>\u0627\u0635\u0644\u0627<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_14_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_14' type='radio' value='1'  id='choice_7_14_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_14_1' id='label_7_14_1' class='gform-field-label gform-field-label--type-inline'>\u062f\u0631 \u062d\u062f \u0645\u0639\u0645\u0648\u0644<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_14_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_14' type='radio' value='2'  id='choice_7_14_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_14_2' id='label_7_14_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u06cc\u0634\u062a\u0631 \u0627\u0632 \u062d\u062f \u0645\u0639\u0645\u0648\u0644<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_14_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_14' type='radio' value='3'  id='choice_7_14_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_14_3' id='label_7_14_3' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0644\u06cc \u0628\u06cc\u0634\u062a\u0631 \u0627\u0632 \u062d\u062f \u0645\u0639\u0645\u0648\u0644<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_7_19\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_7_19\" ><legend class='gfield_label gform-field-label' >11- \u0622\u06cc\u0627 \u0627\u0632 \u06cc\u06a9 \u0645\u0627\u0647 \u06af\u0630\u0634\u062a\u0647 \u062a\u0627 \u0628\u0647 \u0627\u0645\u0631\u0648\u0632 \u0639\u0635\u0628\u0627\u0646\u06cc \u0648 \u0628\u062f \u062e\u0644\u0642 \u0634\u062f\u0647 \u0627\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_7_19'>\n\t\t\t<div class='gchoice gchoice_7_19_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_19' type='radio' value='0'  id='choice_7_19_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_19_0' id='label_7_19_0' class='gform-field-label gform-field-label--type-inline'>\u0627\u0635\u0644\u0627<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_19_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_19' type='radio' value='1'  id='choice_7_19_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_19_1' id='label_7_19_1' class='gform-field-label gform-field-label--type-inline'>\u062f\u0631 \u062d\u062f \u0645\u0639\u0645\u0648\u0644<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_19_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_19' type='radio' value='2'  id='choice_7_19_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_19_2' id='label_7_19_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u06cc\u0634\u062a\u0631 \u0627\u0632 \u062d\u062f \u0645\u0639\u0645\u0648\u0644<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_19_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_19' type='radio' value='3'  id='choice_7_19_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_19_3' id='label_7_19_3' class='gform-field-label gform-field-label--type-inline'>\u0628\u06cc\u0634\u062a\u0631 \u0627\u0632 \u062d\u062f \u0645\u0639\u0645\u0648\u0644<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_7_9\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_7_9\" ><legend class='gfield_label gform-field-label' >12- \u0622\u06cc\u0627 \u0627\u0632 \u06cc\u06a9 \u0645\u0627\u0647 \u06af\u0630\u0634\u062a\u0647 \u062a\u0627 \u0628\u0647 \u0627\u0645\u0631\u0648\u0632 \u0628\u062f\u0648\u0646 \u0647\u06cc\u0686 \u062f\u0644\u06cc\u0644 \u0642\u0627\u0646\u0639 \u06a9\u0646\u0646\u062f\u0647 \u0627\u06cc \u0647\u0631\u0627\u0633\u0627\u0646 \u0648 \u06cc\u0627 \u0648\u062d\u0634\u062a \u0632\u062f\u0647 \u0634\u062f\u0647 \u0627\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_7_9'>\n\t\t\t<div class='gchoice gchoice_7_9_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='0'  id='choice_7_9_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_9_0' id='label_7_9_0' class='gform-field-label gform-field-label--type-inline'>\u0627\u0635\u0644\u0627<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_9_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='1'  id='choice_7_9_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_9_1' id='label_7_9_1' class='gform-field-label gform-field-label--type-inline'>\u062f\u0631 \u062d\u062f \u0645\u0639\u0645\u0648\u0644<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_9_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='2'  id='choice_7_9_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_9_2' id='label_7_9_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u06cc\u0634\u062a\u0631 \u0627\u0632 \u062d\u062f \u0645\u0639\u0645\u0648\u0644<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_9_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='3'  id='choice_7_9_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_9_3' id='label_7_9_3' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0644\u06cc \u0628\u06cc\u0634\u062a\u0631 \u0627\u0632 \u062d\u062f \u0645\u0639\u0645\u0648\u0644<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_7_6\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_7_6\" ><legend class='gfield_label gform-field-label' >13 - \u0622\u06cc\u0627 \u0627\u0632 \u06cc\u06a9 \u0645\u0627\u0647 \u06af\u0630\u0634\u062a\u0647 \u062a\u0627 \u0628\u0647 \u0627\u0645\u0631\u0648\u0632 \u0645\u062a\u0648\u062c\u0647 \u0634\u062f\u0647 \u0627\u06cc\u062f \u06a9\u0647 \u0627\u0646\u062c\u0627\u0645 \u0647\u0631 \u06a9\u0627\u0631\u06cc \u0627\u0632 \u062a\u0648\u0627\u0646\u0627\u0626\u06cc \u0634\u0645\u0627 \u062e\u0627\u0631\u062c \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_7_6'>\n\t\t\t<div class='gchoice gchoice_7_6_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_6' type='radio' value='0'  id='choice_7_6_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_6_0' id='label_7_6_0' class='gform-field-label gform-field-label--type-inline'>\u0627\u0635\u0644\u0627<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_6_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_6' type='radio' value='1'  id='choice_7_6_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_6_1' id='label_7_6_1' class='gform-field-label gform-field-label--type-inline'>\u062f\u0631 \u062d\u062f \u0645\u0639\u0645\u0648\u0644<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_6_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_6' type='radio' value='2'  id='choice_7_6_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_6_2' id='label_7_6_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u06cc\u0634\u062a\u0631 \u0627\u0632 \u062d\u062f \u0645\u0639\u0645\u0648\u0644<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_6_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_6' type='radio' value='3'  id='choice_7_6_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_6_3' id='label_7_6_3' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0644\u06cc \u0628\u06cc\u0634\u062a\u0631 \u0627\u0632 \u062d\u062f \u0645\u0639\u0645\u0648\u0644<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_7_8\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_7_8\" ><legend class='gfield_label gform-field-label' >14- \u0622\u06cc\u0627 \u0627\u0632 \u06cc\u06a9 \u0645\u0627\u0647 \u06af\u0630\u0634\u062a\u0647 \u062a\u0627 \u0628\u0647 \u0627\u0645\u0631\u0648\u0632 \u0627\u062d\u0633\u0627\u0633 \u06a9\u0631\u062f\u0647 \u0627\u06cc\u062f \u06a9\u0647 \u062f\u0631 \u062a\u0645\u0627\u0645\u06cc \u0645\u062f\u062a \u0639\u0635\u0628\u06cc \u0647\u0633\u062a\u06cc\u062f  \u0648 \u062f\u0644\u0634\u0648\u0631\u0647 \u062f\u0627\u0631\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_7_8'>\n\t\t\t<div class='gchoice gchoice_7_8_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='0'  id='choice_7_8_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_8_0' id='label_7_8_0' class='gform-field-label gform-field-label--type-inline'>\u0627\u0635\u0644\u0627<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_8_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='1'  id='choice_7_8_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_8_1' id='label_7_8_1' class='gform-field-label gform-field-label--type-inline'>\u062f\u0631 \u062d\u062f \u0645\u0639\u0645\u0648\u0644<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_8_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='2'  id='choice_7_8_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_8_2' id='label_7_8_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u06cc\u0634\u062a\u0631 \u0627\u0632 \u062d\u062f \u0645\u0639\u0645\u0648\u0644<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_8_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='3'  id='choice_7_8_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_8_3' id='label_7_8_3' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0644\u06cc \u0628\u06cc\u0634\u062a\u0631 \u0627\u0632 \u062d\u062f \u0645\u0639\u0645\u0648\u0644<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_7_7\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_7_7\" ><legend class='gfield_label gform-field-label' >15- \u0622\u06cc\u0627 \u0627\u0632 \u06cc\u06a9 \u0645\u0627\u0647 \u06af\u0630\u0634\u062a\u0647 \u062a\u0627 \u0628\u0647 \u0627\u0645\u0631\u0648\u0632 \u062a\u0648\u0627\u0646\u0633\u062a\u0647 \u0627\u06cc\u062f \u062e\u0648\u062f\u062a\u0627\u0646 \u0631\u0627 \u0645\u0634\u063a\u0648\u0644 \u0648 \u0633\u0631\u06af\u0631\u0645 \u0646\u06af\u0647 \u062f\u0627\u0631\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_7_7'>\n\t\t\t<div class='gchoice gchoice_7_7_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_7' type='radio' value='0'  id='choice_7_7_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_7_0' id='label_7_7_0' class='gform-field-label gform-field-label--type-inline'>\u0628\u06cc\u0634\u062a\u0631 \u0627\u0632 \u062d\u062f \u0645\u0639\u0645\u0648\u0644<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_7_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_7' type='radio' value='1'  id='choice_7_7_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_7_1' id='label_7_7_1' class='gform-field-label gform-field-label--type-inline'>\u062f\u0631 \u062d\u062f \u0645\u0639\u0645\u0648\u0644<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_7_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_7' type='radio' value='2'  id='choice_7_7_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_7_2' id='label_7_7_2' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0645\u062a\u0631 \u0627\u0632 \u062d\u062f \u0645\u0639\u0645\u0648\u0644<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_7_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_7' type='radio' value='3'  id='choice_7_7_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_7_3' id='label_7_7_3' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0644\u06cc \u06a9\u0645\u062a\u0631 \u0627\u0632 \u062d\u062f \u0645\u0639\u0645\u0648\u0644<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_7_5\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_7_5\" ><legend class='gfield_label gform-field-label' >16- \u0622\u06cc\u0627 \u0627\u0632 \u06cc\u06a9 \u0645\u0627\u0647 \u06af\u0630\u0634\u062a\u0647 \u062a\u0627 \u0628\u0647 \u0627\u0645\u0631\u0648\u0632 \u0628\u0631\u0627\u06cc \u0627\u0646\u062c\u0627\u0645 \u06a9\u0627\u0631\u0647\u0627 \u0628\u06cc\u0634 \u0627\u0632 \u06af\u0630\u0634\u062a\u0647 \u0648\u0642\u062a \u0635\u0631\u0641 \u06a9\u0631\u062f\u0647 \u0627\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_7_5'>\n\t\t\t<div class='gchoice gchoice_7_5_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='0'  id='choice_7_5_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_5_0' id='label_7_5_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0645\u062a\u0631 \u0627\u0632 \u062d\u062f \u0645\u0639\u0645\u0648\u0644<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_5_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='1'  id='choice_7_5_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_5_1' id='label_7_5_1' class='gform-field-label gform-field-label--type-inline'>\u062f\u0631 \u062d\u062f \u0645\u0639\u0645\u0648\u0644<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_5_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='2'  id='choice_7_5_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_5_2' id='label_7_5_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u06cc\u0634\u062a\u0631 \u0627\u0632 \u062d\u062f \u0645\u0639\u0645\u0648\u0644<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_5_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='3'  id='choice_7_5_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_5_3' id='label_7_5_3' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0644\u06cc \u0628\u06cc\u0634\u062a\u0631 \u0627\u0632 \u062d\u062f \u0645\u0639\u0645\u0648\u0644<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_7_4\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_7_4\" ><legend class='gfield_label gform-field-label' >17 - \u0622\u06cc\u0627 \u0627\u0632 \u06cc\u06a9 \u0645\u0627\u0647 \u06af\u0630\u0634\u062a\u0647 \u062a\u0627 \u0628\u0647 \u0627\u0645\u0631\u0648\u0632 \u0628\u0637\u0648\u0631 \u06a9\u0644\u06cc \u0627\u062d\u0633\u0627\u0633 \u06a9\u0631\u062f\u0647 \u0627\u06cc\u062f \u06a9\u0647 \u06a9\u0627\u0631\u0647\u0627 \u0631\u0627 \u0628\u062e\u0648\u0628\u06cc \u0627\u0646\u062c\u0627\u0645 \u0645\u06cc \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_7_4'>\n\t\t\t<div class='gchoice gchoice_7_4_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_4' type='radio' value='0'  id='choice_7_4_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_4_0' id='label_7_4_0' class='gform-field-label gform-field-label--type-inline'>\u0628\u06cc\u0634\u062a\u0631 \u0627\u0632 \u062d\u062f \u0645\u0639\u0645\u0648\u0644<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_4_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_4' type='radio' value='1'  id='choice_7_4_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_4_1' id='label_7_4_1' class='gform-field-label gform-field-label--type-inline'>\u062f\u0631 \u062d\u062f \u0645\u0639\u0645\u0648\u0644<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_4_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_4' type='radio' value='2'  id='choice_7_4_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_4_2' id='label_7_4_2' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0645\u062a\u0631 \u0627\u0632 \u062d\u062f \u0645\u0639\u0645\u0648\u0644<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_4_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_4' type='radio' value='3'  id='choice_7_4_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_4_3' id='label_7_4_3' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0644\u06cc \u06a9\u0645\u062a\u0631 \u0627\u0632 \u062d\u062f \u0645\u0639\u0645\u0648\u0644<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_7_3\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_7_3\" ><legend class='gfield_label gform-field-label' >18 - \u0622\u06cc\u0627 \u0627\u0632 \u06cc\u06a9 \u0645\u0627\u0647 \u06af\u0630\u0634\u062a\u0647 \u062a\u0627 \u0628\u0647 \u0627\u0645\u0631\u0648\u0632 \u0627\u0632 \u0646\u062d\u0648\u0647 \u0627\u0646\u062c\u0627\u0645 \u06a9\u0627\u0631\u0647\u0627\u06cc\u062a\u0627\u0646 \u0627\u062d\u0633\u0627\u0633 \u0631\u0636\u0627\u06cc\u062a \u0645\u06cc \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_7_3'>\n\t\t\t<div class='gchoice gchoice_7_3_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_3' type='radio' value='0'  id='choice_7_3_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_3_0' id='label_7_3_0' class='gform-field-label gform-field-label--type-inline'>\u0628\u06cc\u0634\u062a\u0631 \u0627\u0632 \u062d\u062f \u0645\u0639\u0645\u0648\u0644<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_3_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_3' type='radio' value='1'  id='choice_7_3_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_3_1' id='label_7_3_1' class='gform-field-label gform-field-label--type-inline'>\u062f\u0631 \u062d\u062f \u0645\u0639\u0645\u0648\u0644<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_3_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_3' type='radio' value='2'  id='choice_7_3_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_3_2' id='label_7_3_2' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0645\u062a\u0631 \u0627\u0632 \u062d\u062f \u0645\u0639\u0645\u0648\u0644<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_3_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_3' type='radio' value='3'  id='choice_7_3_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_3_3' id='label_7_3_3' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0644\u06cc \u06a9\u0645\u062a\u0631 \u0627\u0632 \u062d\u062f \u0645\u0639\u0645\u0648\u0644<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_7_2\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_7_2\" ><legend class='gfield_label gform-field-label' >19- \u0622\u06cc\u0627 \u0627\u0632 \u06cc\u06a9 \u0645\u0627\u0647 \u06af\u0630\u0634\u062a\u0647 \u062a\u0627 \u0628\u0647 \u0627\u0645\u0631\u0648\u0632 \u0627\u062d\u0633\u0627\u0633 \u06a9\u0631\u062f\u0647 \u0627\u06cc\u062f \u06a9\u0647 \u0646\u0642\u0634 \u0645\u0641\u06cc\u062f\u06cc \u062f\u0631 \u0627\u0646\u062c\u0627\u0645 \u06a9\u0627\u0631\u0647\u0627 \u0628\u0647 \u0639\u0647\u062f\u0647 \u062f\u0627\u0631\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_7_2'>\n\t\t\t<div class='gchoice gchoice_7_2_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_2' type='radio' value='0'  id='choice_7_2_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_2_0' id='label_7_2_0' class='gform-field-label gform-field-label--type-inline'>\u0628\u06cc\u0634\u062a\u0631 \u0627\u0632 \u062d\u062f \u0645\u0639\u0645\u0648\u0644<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_2_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_2' type='radio' value='1'  id='choice_7_2_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_2_1' id='label_7_2_1' class='gform-field-label gform-field-label--type-inline'>\u062f\u0631 \u062d\u062f \u0645\u0639\u0645\u0648\u0644<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_2_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_2' type='radio' value='2'  id='choice_7_2_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_2_2' id='label_7_2_2' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0645\u062a\u0631 \u0627\u0632 \u062d\u062f \u0645\u0639\u0645\u0648\u0644<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_2_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_2' type='radio' value='3'  id='choice_7_2_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_2_3' id='label_7_2_3' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0644\u06cc \u06a9\u0645\u062a\u0631 \u0627\u0632 \u062d\u062f \u0645\u0639\u0645\u0648\u0644<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_7_42\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_7_42\" ><legend class='gfield_label gform-field-label' >20- \u0622\u06cc\u0627 \u0627\u0632 \u06cc\u06a9 \u0645\u0627\u0647 \u06af\u0630\u0634\u062a\u0647 \u062a\u0627 \u0628\u0647 \u0627\u0645\u0631\u0648\u0632 \u062a\u0648\u0627\u0646\u0627\u0626\u06cc \u062a\u0635\u0645\u06cc\u0645 \u06af\u06cc\u0631\u06cc \u062f\u0631\u0628\u0627\u0631\u0647 \u0645\u0633\u0627\u0626\u0644 \u0631\u0627 \u062f\u0627\u0634\u062a\u0647 \u0627\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_7_42'>\n\t\t\t<div class='gchoice gchoice_7_42_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_42' type='radio' value='0'  id='choice_7_42_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_42_0' id='label_7_42_0' class='gform-field-label gform-field-label--type-inline'>\u0628\u06cc\u0634\u062a\u0631 \u0627\u0632 \u062d\u062f \u0645\u0639\u0645\u0648\u0644<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_42_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_42' type='radio' value='1'  id='choice_7_42_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_42_1' id='label_7_42_1' class='gform-field-label gform-field-label--type-inline'>\u062f\u0631 \u062d\u062f \u0645\u0639\u0645\u0648\u0644<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_42_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_42' type='radio' value='2'  id='choice_7_42_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_42_2' id='label_7_42_2' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0645\u062a\u0631 \u0627\u0632 \u062d\u062f \u0645\u0639\u0645\u0648\u0644<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_42_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_42' type='radio' value='3'  id='choice_7_42_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_42_3' id='label_7_42_3' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0644\u06cc \u06a9\u0645\u062a\u0631 \u0627\u0632 \u062d\u062f \u0645\u0639\u0645\u0648\u0644<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_7_31\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_7_31\" ><legend class='gfield_label gform-field-label' >21 - \u0622\u06cc\u0627 \u0627\u0632 \u06cc\u06a9 \u0645\u0627\u0647 \u06af\u0630\u0634\u062a\u0647 \u062a\u0627 \u0628\u0647 \u0627\u0645\u0631\u0648\u0632 \u0642\u0627\u062f\u0631 \u0628\u0648\u062f\u0647 \u0627\u06cc\u062f \u0627\u0632 \u0641\u0639\u0627\u0644\u06cc\u062a\u0647\u0627\u06cc \u0631\u0648\u0632\u0645\u0631\u0647 \u0632\u0646\u062f\u06af\u06cc \u0644\u0630\u062a \u0628\u0628\u0631\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_7_31'>\n\t\t\t<div class='gchoice gchoice_7_31_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_31' type='radio' value='0'  id='choice_7_31_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_31_0' id='label_7_31_0' class='gform-field-label gform-field-label--type-inline'>\u0628\u06cc\u0634\u062a\u0631 \u0627\u0632 \u062d\u062f \u0645\u0639\u0645\u0648\u0644<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_31_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_31' type='radio' value='1'  id='choice_7_31_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_31_1' id='label_7_31_1' class='gform-field-label gform-field-label--type-inline'>\u062f\u0631 \u062d\u062f \u0645\u0639\u0645\u0648\u0644<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_31_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_31' type='radio' value='2'  id='choice_7_31_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_31_2' id='label_7_31_2' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0645\u062a\u0631 \u0627\u0632 \u062d\u062f \u0645\u0639\u0645\u0648\u0644<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_31_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_31' type='radio' value='3'  id='choice_7_31_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_31_3' id='label_7_31_3' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0644\u06cc \u06a9\u0645\u062a\u0631 \u0627\u0632 \u062d\u062f \u0645\u0639\u0645\u0648\u0644<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_7_37\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_7_37\" ><legend class='gfield_label gform-field-label' >22- \u0622\u06cc\u0627 \u0627\u0632 \u06cc\u06a9 \u0645\u0627\u0647 \u06af\u0630\u0634\u062a\u0647 \u062a\u0627 \u0628\u0647 \u0627\u0645\u0631\u0648\u0632 \u0641\u06a9\u0631 \u06a9\u0631\u062f\u0647 \u0627\u06cc\u062f \u06a9\u0647 \u0634\u062e\u0635 \u0628\u06cc \u0627\u0631\u0632\u0634\u06cc \u0647\u0633\u062a\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_7_37'>\n\t\t\t<div class='gchoice gchoice_7_37_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_37' type='radio' value='0'  id='choice_7_37_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_37_0' id='label_7_37_0' class='gform-field-label gform-field-label--type-inline'>\u0627\u0635\u0644\u0627<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_37_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_37' type='radio' value='1'  id='choice_7_37_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_37_1' id='label_7_37_1' class='gform-field-label gform-field-label--type-inline'>\u062f\u0631 \u062d\u062f \u0645\u0639\u0645\u0648\u0644<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_37_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_37' type='radio' value='2'  id='choice_7_37_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_37_2' id='label_7_37_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u06cc\u0634\u062a\u0631 \u0627\u0632 \u062d\u062f \u0645\u0639\u0645\u0648\u0644<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_37_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_37' type='radio' value='3'  id='choice_7_37_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_37_3' id='label_7_37_3' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0644\u06cc \u0628\u06cc\u0634\u062a\u0631 \u0627\u0632 \u062d\u062f \u0645\u0639\u0645\u0648\u0644<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_7_43\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_7_43\" ><legend class='gfield_label gform-field-label' >23 - \u0622\u06cc\u0627 \u0627\u0632 \u06cc\u06a9 \u0645\u0627\u0647 \u06af\u0630\u0634\u062a\u0647 \u062a\u0627 \u0628\u0647 \u0627\u0645\u0631\u0648\u0632 \u0627\u062d\u0633\u0627\u0633 \u06a9\u0631\u062f\u0647 \u0627\u06cc\u062f \u06a9\u0647 \u0632\u0646\u062f\u06af\u06cc \u06a9\u0627\u0645\u0644\u0627\u064b \u0646\u0627 \u0627\u0645\u06cc\u062f \u06a9\u0646\u0646\u062f\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_radio'><div class='gfield_radio' id='input_7_43'>\n\t\t\t<div class='gchoice gchoice_7_43_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_43' type='radio' value='0'  id='choice_7_43_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_43_0' id='label_7_43_0' class='gform-field-label gform-field-label--type-inline'>\u0627\u0635\u0644\u0627<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_43_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_43' type='radio' value='1'  id='choice_7_43_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_43_1' id='label_7_43_1' class='gform-field-label gform-field-label--type-inline'>\u062f\u0631 \u062d\u062f \u0645\u0639\u0645\u0648\u0644<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_43_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_43' type='radio' value='2'  id='choice_7_43_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_43_2' id='label_7_43_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u06cc\u0634\u062a\u0631 \u0627\u0632 \u062d\u062f \u0645\u0639\u0645\u0648\u0644<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_43_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_43' type='radio' value='3'  id='choice_7_43_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_43_3' id='label_7_43_3' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0644\u06cc \u0628\u06cc\u0634\u062a\u0631 \u0627\u0632 \u062d\u062f \u0645\u0639\u0645\u0648\u0644<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_7_36\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_7_36\" ><legend class='gfield_label gform-field-label' >24- \u0622\u06cc\u0627 \u0627\u0632 \u06cc\u06a9 \u0645\u0627\u0647 \u06af\u0630\u0634\u062a\u0647 \u062a\u0627 \u0628\u0647 \u0627\u0645\u0631\u0648\u0632 \u0627\u062d\u0633\u0627\u0633 \u06a9\u0631\u062f\u0647 \u0627\u06cc\u062f \u06a9\u0647 \u0632\u0646\u062f\u06af\u06cc \u0627\u0631\u0632\u0634 \u0632\u0646\u062f\u0647 \u0628\u0648\u062f\u0646 \u0631\u0627 \u0646\u062f\u0627\u0631\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_7_36'>\n\t\t\t<div class='gchoice gchoice_7_36_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_36' type='radio' value='0'  id='choice_7_36_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_36_0' id='label_7_36_0' class='gform-field-label gform-field-label--type-inline'>\u0627\u0635\u0644\u0627<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_36_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_36' type='radio' value='1'  id='choice_7_36_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_36_1' id='label_7_36_1' class='gform-field-label gform-field-label--type-inline'>\u062f\u0631 \u062d\u062f \u0645\u0639\u0645\u0648\u0644<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_36_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_36' type='radio' value='2'  id='choice_7_36_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_36_2' id='label_7_36_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u06cc\u0634\u062a\u0631 \u0627\u0632 \u062d\u062f \u0645\u0639\u0645\u0648\u0644<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_36_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_36' type='radio' value='3'  id='choice_7_36_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_36_3' id='label_7_36_3' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0644\u06cc \u0628\u06cc\u0634\u062a\u0631 \u0627\u0632 \u062d\u062f \u0645\u0639\u0645\u0648\u0644<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_7_30\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_7_30\" ><legend class='gfield_label gform-field-label' >25- \u0622\u06cc\u0627 \u0627\u0632 \u06cc\u06a9 \u0645\u0627\u0647 \u06af\u0630\u0634\u062a\u0647 \u062a\u0627 \u0628\u0647 \u0627\u0645\u0631\u0648\u0632 \u0628\u0647 \u0627\u06cc\u0646 \u0645\u0633\u0623\u0644\u0647 \u0641\u06a9\u0631 \u06a9\u0631\u062f\u0647 \u0627\u06cc\u062f \u06a9\u0647 \u0645\u0645\u06a9\u0646 \u0627\u0633\u062a \u062f\u0633\u062a \u0628\u0647 \u062e\u0648\u062f \u06a9\u0634\u06cc \u0628\u0632\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_7_30'>\n\t\t\t<div class='gchoice gchoice_7_30_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_30' type='radio' value='0'  id='choice_7_30_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_30_0' id='label_7_30_0' class='gform-field-label gform-field-label--type-inline'>\u0627\u0635\u0644\u0627<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_30_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_30' type='radio' value='1'  id='choice_7_30_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_30_1' id='label_7_30_1' class='gform-field-label gform-field-label--type-inline'>\u0641\u06a9\u0631 \u0646\u0645\u06cc \u06a9\u0646\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_30_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_30' type='radio' value='2'  id='choice_7_30_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_30_2' id='label_7_30_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0647 \u0630\u0647\u0646\u0645 \u062e\u0637\u0648\u0631 \u06a9\u0631\u062f\u0647<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_30_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_30' type='radio' value='3'  id='choice_7_30_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_30_3' id='label_7_30_3' class='gform-field-label gform-field-label--type-inline'>\u0642\u0637\u0639\u0627 \u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_7_39\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_7_39\" ><legend class='gfield_label gform-field-label' >26- \u0622\u06cc\u0627 \u0627\u0632 \u06cc\u06a9 \u0645\u0627\u0647 \u06af\u0630\u0634\u062a\u0647 \u062a\u0627 \u0628\u0647 \u0627\u0645\u0631\u0648\u0632 \u0627\u062d\u0633\u0627\u0633 \u06a9\u0631\u062f\u0647 \u0627\u06cc\u062f \u06a9\u0647 \u0686\u0648\u0646 \u0627\u0639\u0635\u0627\u0628\u062a\u0627\u0646 \u062e\u0631\u0627\u0628 \u0627\u0633\u062a \u0646\u0645\u06cc \u062a\u0648\u0627\u0646\u06cc\u062f \u06a9\u0627\u0631\u06cc  \u0627\u0646\u062c\u0627\u0645 \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_7_39'>\n\t\t\t<div class='gchoice gchoice_7_39_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_39' type='radio' value='0'  id='choice_7_39_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_39_0' id='label_7_39_0' class='gform-field-label gform-field-label--type-inline'>\u0627\u0635\u0644\u0627<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_39_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_39' type='radio' value='1'  id='choice_7_39_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_39_1' id='label_7_39_1' class='gform-field-label gform-field-label--type-inline'>\u062f\u0631 \u062d\u062f \u0645\u0639\u0645\u0648\u0644<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_39_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_39' type='radio' value='2'  id='choice_7_39_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_39_2' id='label_7_39_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u06cc\u0634\u062a\u0631 \u0627\u0632 \u062d\u062f \u0645\u0639\u0645\u0648\u0644<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_39_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_39' type='radio' value='3'  id='choice_7_39_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_39_3' id='label_7_39_3' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0644\u06cc \u0628\u06cc\u0634\u062a\u0631 \u0627\u0632 \u062d\u062f \u0645\u0639\u0645\u0648\u0644<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_7_32\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_7_32\" ><legend class='gfield_label gform-field-label' >27 - \u0622\u06cc\u0627 \u0627\u0632 \u06cc\u06a9 \u0645\u0627\u0647 \u06af\u0630\u0634\u062a\u0647 \u062a\u0627 \u0628\u0647 \u0627\u0645\u0631\u0648\u0632 \u0628\u0647 \u0627\u06cc\u0646 \u0646\u062a\u06cc\u062c\u0647 \u0631\u0633\u06cc\u062f\u0647 \u0627\u06cc\u062f \u06a9\u0647 \u0627\u06cc \u06a9\u0627\u0634 \u0645\u0631\u062f\u0647 \u0628\u0648\u062f\u06cc\u062f \u0648 \u06a9\u0644\u0627\u064b \u0627\u0632 \u0634\u0631 \u0632\u0646\u062f\u06af\u06cc \u062e\u0644\u0627\u0635 \u0645\u06cc \u0634\u062f\u06cc\u062f \u061f<span class=\"gfield_required\"><span class=\"gfield_required 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name='input_32' type='radio' value='2'  id='choice_7_32_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_32_2' id='label_7_32_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u06cc\u0634\u062a\u0631 \u0627\u0632 \u062d\u062f \u0645\u0639\u0645\u0648\u0644<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_32_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_32' type='radio' value='3'  id='choice_7_32_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_32_3' id='label_7_32_3' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0644\u06cc \u0628\u06cc\u0634\u062a\u0631 \u0627\u0632 \u062d\u062f \u0645\u0639\u0645\u0648\u0644<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_7_38\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_7_38\" ><legend class='gfield_label gform-field-label' >28 - \u0622\u06cc\u0627 \u0627\u0632 \u06cc\u06a9 \u0645\u0627\u0647 \u06af\u0630\u0634\u062a\u0647 \u062a\u0627 \u0628\u0647 \u0627\u0645\u0631\u0648\u0632 \u0627\u06cc\u0646 \u0641\u06a9\u0631 \u0628\u0647 \u0630\u0647\u0646\u062a\u0627\u0646 \u0631\u0633\u06cc\u062f\u0647 \u0627\u0633\u062a \u06a9\u0647 \u0628\u062e\u0648\u0627\u0647\u06cc\u062f \u0628\u0647 \u0632\u0646\u062f\u06af\u06cc\u062a\u0627\u0646 \u062e\u0627\u062a\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_7_38'>\n\t\t\t<div class='gchoice gchoice_7_38_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_38' type='radio' value='0'  id='choice_7_38_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_38_0' id='label_7_38_0' class='gform-field-label gform-field-label--type-inline'>\u0627\u0635\u0644\u0627<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_38_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_38' type='radio' value='1'  id='choice_7_38_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_38_1' id='label_7_38_1' class='gform-field-label gform-field-label--type-inline'>\u0641\u06a9\u0631 \u0646\u0645\u06cc \u06a9\u0646\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_38_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_38' type='radio' value='2'  id='choice_7_38_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_38_2' id='label_7_38_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0647 \u0630\u0647\u0646\u0645 \u062e\u0637\u0648\u0631 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