{"id":2736,"date":"2022-07-11T14:40:55","date_gmt":"2022-07-11T10:10:55","guid":{"rendered":"https:\/\/shimenfallahirs.com\/fa\/?page_id=2736"},"modified":"2024-09-07T17:18:10","modified_gmt":"2024-09-07T12:48:10","slug":"client-satisfaction-survey","status":"publish","type":"page","link":"https:\/\/shimenfallahirs.com\/fa\/client-satisfaction-survey\/","title":{"rendered":"\u0641\u0631\u0645 \u0646\u0638\u0631\u0633\u0646\u062c\u06cc \u0645\u0634\u062a\u0631\u06cc\u0627\u0646"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"2736\" class=\"elementor elementor-2736\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-30c26f61 elementor-section-full_width elementor-section-height-min-height elementor-section-height-default elementor-section-items-middle\" data-id=\"30c26f61\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-2afd1163\" data-id=\"2afd1163\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-2b1a5703 shimenbreadcrumb elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"2b1a5703\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-234cbbc6\" data-id=\"234cbbc6\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-d26aa94 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"d26aa94\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-d909ae3\" data-id=\"d909ae3\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-66d5bd20 elementor-widget elementor-widget-heading\" data-id=\"66d5bd20\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">\u0641\u0631\u0645 \u0646\u0638\u0631\u0633\u0646\u062c\u06cc \u0645\u0634\u062a\u0631\u06cc\u0627\u0646<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-42e9804b elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"42e9804b\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-5d08142a\" data-id=\"5d08142a\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-c92c9c0 uael-gf-button-right uael-gf-ajax-true uael-gf-style-box uael-gf-input-size-sm uael-gf-enable-classes-no uael-gf-btn-size-sm elementor-widget elementor-widget-uael-gf-styler\" data-id=\"c92c9c0\" data-element_type=\"widget\" data-widget_type=\"uael-gf-styler.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"uael-gf-style uael-gf-check-style elementor-clickable\">\n\t\n                <div class='gf_browser_gecko gform_wrapper' id='gform_wrapper_2' ><form method='post' enctype='multipart\/form-data'  id='gform_2'  action='\/fa\/wp-json\/wp\/v2\/pages\/2736'>\n                        <div class='gform_body'><ul id='gform_fields_2' class='gform_fields top_label form_sublabel_below description_above'><li id='field_2_11'  class='gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_above gfield_visibility_visible' ><\/li><li id='field_2_1'  class='gfield gfield_contains_required field_sublabel_below field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_2_1' >\u0646\u0627\u0645 \u06a9\u0633\u0628 \u0648 \u06a9\u0627\u0631<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_2_1' type='text' value='' class='medium'   tabindex='1'  aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_2_81'  class='gfield gfield_contains_required field_sublabel_below field_description_above gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex'  >\u0646\u0627\u0645 \u0648 \u0646\u0627\u0645 \u062e\u0627\u0646\u0648\u0627\u062f\u06af\u06cc<span class='gfield_required'>*<\/span><\/label><div class='gfield_description' id='gfield_description_2_81'>(\u0644\u0637\u0641\u0627 \u0627\u0637\u0644\u0627\u0639\u0627\u062a \u0647\u0648\u06cc\u062a\u06cc \u062e\u0648\u062f \u0631\u0627 \u0628\u0631\u0627\u06cc \u062a\u06a9\u0645\u06cc\u0644 \u0627\u06cc\u0646 \u0641\u0631\u0645 \u0627\u0631\u0627\u0626\u0647 \u0628\u0641\u0631\u0645\u0627\u06cc\u06cc\u062f.)<\/div><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name' id='input_2_81'>\n                            \n                            <span id='input_2_81_3_container' class='name_first' >\n                                                    <input type='text' name='input_81.3' id='input_2_81_3' value='' aria-label='First name' tabindex='3'  aria-required=\"true\" aria-invalid=\"false\" \/>\n                                                    <label for='input_2_81_3' >\u0646\u0627\u0645<\/label>\n                                                <\/span>\n                            \n                            <span id='input_2_81_6_container' class='name_last' >\n                                                    <input type='text' name='input_81.6' id='input_2_81_6' value='' aria-label='Last name' tabindex='5'  aria-required=\"true\" aria-invalid=\"false\" \/>\n                                                    <label for='input_2_81_6' >\u0646\u0627\u0645 \u062e\u0627\u0646\u0648\u0627\u062f\u06af\u06cc<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id='field_2_3'  class='gfield gfield_contains_required field_sublabel_below field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_2_3' >\u0634\u0645\u0627\u0631\u0647 \u062a\u0645\u0627\u0633<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_3' id='input_2_3' type='text' value='' class='medium' tabindex='7'  aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/li><li id='field_2_2'  class='gfield gfield_contains_required field_sublabel_below field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_2_2' >\u0622\u062f\u0631\u0633 \u0627\u06cc\u0645\u06cc\u0644<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_2' id='input_2_2' type='text' value='' class='medium' tabindex='8'   aria-required=\"true\" aria-invalid=\"false\" \/>\n                        <\/div><\/li><li id='field_2_82'  class='gfield field_sublabel_below field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_2_82' >\u0686\u06af\u0648\u0646\u0647 \u0628\u0627 \u0634\u06cc\u0645\u0646 \u0641\u0644\u0627\u062d \u0622\u0634\u0646\u0627 \u0634\u062f\u06cc\u062f\u061f<\/label><div class='ginput_container ginput_container_select'><select name='input_82' id='input_2_82' class='medium gfield_select' tabindex='9'   aria-invalid=\"false\"><option value='\u062a\u0648\u0635\u06cc\u0647 \u06cc\u06a9\u06cc \u0627\u0632 \u0648\u06a9\u0644\u0627 \u06cc\u0627 \u06a9\u0627\u0631\u0645\u0646\u062f\u0627\u0646 \u0634\u06cc\u0645\u0646 \u0641\u0644\u0627\u062d' >\u062a\u0648\u0635\u06cc\u0647 \u06cc\u06a9\u06cc \u0627\u0632 \u0648\u06a9\u0644\u0627 \u06cc\u0627 \u06a9\u0627\u0631\u0645\u0646\u062f\u0627\u0646 \u0634\u06cc\u0645\u0646 \u0641\u0644\u0627\u062d<\/option><option value='\u062a\u0648\u0635\u06cc\u0647 \u06cc\u06a9\u06cc \u0627\u0631 \u0645\u0648\u06a9\u0644\u06cc\u0646 \u0642\u062f\u06cc\u0645\u06cc \u06cc\u0627 \u0641\u0639\u0644\u06cc \u0634\u06cc\u0645\u0646 \u0641\u0644\u0627\u062d' >\u062a\u0648\u0635\u06cc\u0647 \u06cc\u06a9\u06cc \u0627\u0631 \u0645\u0648\u06a9\u0644\u06cc\u0646 \u0642\u062f\u06cc\u0645\u06cc \u06cc\u0627 \u0641\u0639\u0644\u06cc \u0634\u06cc\u0645\u0646 \u0641\u0644\u0627\u062d<\/option><option value='\u062a\u0648\u0635\u06cc\u0647 \u06cc\u06a9\u06cc \u062f\u06cc\u06af\u0631 \u0627\u0632 \u0641\u0639\u0627\u0644\u06cc\u0646 \u062d\u0642\u0648\u0642\u06cc' >\u062a\u0648\u0635\u06cc\u0647 \u06cc\u06a9\u06cc \u062f\u06cc\u06af\u0631 \u0627\u0632 \u0641\u0639\u0627\u0644\u06cc\u0646 \u062d\u0642\u0648\u0642\u06cc<\/option><option value='\u062a\u0648\u0635\u06cc\u0647 \u062a\u0648\u0633\u0637 \u0645\u0648\u0633\u0633\u0627\u062a \u06cc\u0627 \u0644\u06cc\u0633\u062a \u0647\u0627\u06cc \u062d\u0642\u0648\u0642\u06cc' >\u062a\u0648\u0635\u06cc\u0647 \u062a\u0648\u0633\u0637 \u0645\u0648\u0633\u0633\u0627\u062a \u06cc\u0627 \u0644\u06cc\u0633\u062a \u0647\u0627\u06cc \u062d\u0642\u0648\u0642\u06cc<\/option><option value='\u0648\u0628 \u0633\u0627\u06cc\u062a \u0634\u06cc\u0645\u0646 \u0641\u0644\u0627\u062d' >\u0648\u0628 \u0633\u0627\u06cc\u062a \u0634\u06cc\u0645\u0646 \u0641\u0644\u0627\u062d<\/option><option value='\u062c\u0633\u062a\u062c\u0648 \u062f\u0631 \u0627\u06cc\u0646\u062a\u0631\u0646\u062a' >\u062c\u0633\u062a\u062c\u0648 \u062f\u0631 \u0627\u06cc\u0646\u062a\u0631\u0646\u062a<\/option><option value='\u0633\u0627\u06cc\u0631 \u0645\u0648\u0627\u0631\u062f' >\u0633\u0627\u06cc\u0631 \u0645\u0648\u0627\u0631\u062f<\/option><\/select><\/div><\/li><li id='field_2_83'  class='gfield field_sublabel_below field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_2_83' >\u0644\u0637\u0641\u0627\u064b \u0646\u0627\u0645 \u0648\u06a9\u06cc\u0644\u060c \u06a9\u0627\u0631\u0645\u0646\u062f\u060c \u0645\u0648\u0633\u0633\u0647 \u062d\u0642\u0648\u0642\u06cc\u060c \u0644\u06cc\u0633\u062a \u062d\u0642\u0648\u0642\u06cc \u06cc\u0627 \u0633\u0627\u06cc\u0631 \u0645\u0646\u0627\u0628\u0639\u06cc \u06a9\u0647 \u0634\u0645\u0627 \u0631\u0627 \u0628\u0627 \u0634\u06cc\u0645\u0646 \u0641\u0644\u0627\u062d \u0622\u0634\u0646\u0627 \u06a9\u0631\u062f\u0647  \u0627\u0633\u062a\u060c \u0627\u0631\u0627\u0626\u0647 \u062f\u0647\u06cc\u062f.<\/label><div class='ginput_container ginput_container_text'><input name='input_83' id='input_2_83' type='text' value='' class='medium'   tabindex='10'   aria-invalid=\"false\" \/><\/div><\/li><li id='field_2_84'  class='gfield field_sublabel_below field_description_above gfield_visibility_visible' ><label class='gfield_label'  >\u062e\u062f\u0645\u0627\u062a \u062d\u0642\u0648\u0642\u06cc \u062f\u0631\u06cc\u0627\u0641\u062a \u0634\u062f\u0647<\/label><div class='gfield_description' id='gfield_description_2_84'>\u0644\u0637\u0641\u0627 \u062e\u062f\u0645\u0627\u062a\u06cc \u06a9\u0647 \u0627\u0632 \u0634\u06cc\u0645\u0646 \u0641\u0644\u0627\u062d \u062f\u0631\u06cc\u0627\u0641\u062a \u06a9\u0631\u062f\u0647 \u0648 \u0627\u06cc\u0646 \u0646\u0638\u0631\u0633\u0646\u062c\u06cc \u062f\u0631 \u0627\u0631\u062a\u0628\u0627\u0637 \u0628\u0627 \u0622\u0646\u0647\u0627 \u0645\u06cc \u0628\u0627\u0634\u062f \u0631\u0627 \u0627\u0646\u062a\u062e\u0627\u0628 \u06a9\u0646\u06cc\u062f.<\/div><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_2_84'><li class='gchoice_2_84_1'>\n\t\t\t\t\t\t\t\t<input name='input_84.1' type='checkbox'  value='\u0648\u06cc\u0632\u0627\u06cc \u0627\u0642\u0627\u0645\u062a \u0645\u0648\u0642\u062a (TRV) \u2013 \u0648\u06cc\u0632\u0627\u06cc \u0628\u0627\u0632\u062f\u06cc\u062f \u06a9\u0646\u0646\u062f\u0647'  id='choice_2_84_1' tabindex='11'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_84_1' id='label_2_84_1'>\u0648\u06cc\u0632\u0627\u06cc \u0627\u0642\u0627\u0645\u062a \u0645\u0648\u0642\u062a (TRV) \u2013 \u0648\u06cc\u0632\u0627\u06cc \u0628\u0627\u0632\u062f\u06cc\u062f \u06a9\u0646\u0646\u062f\u0647<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_2_84_2'>\n\t\t\t\t\t\t\t\t<input name='input_84.2' type='checkbox'  value='\u0645\u062f\u0631\u06a9 \u0627\u0642\u0627\u0645\u062a Visitor Record'  id='choice_2_84_2' tabindex='12'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_84_2' id='label_2_84_2'>\u0645\u062f\u0631\u06a9 \u0627\u0642\u0627\u0645\u062a Visitor Record<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_2_84_3'>\n\t\t\t\t\t\t\t\t<input name='input_84.3' type='checkbox'  value='\u0633\u0648\u067e\u0631 \u0648\u06cc\u0632\u0627\u06cc \u06a9\u0627\u0646\u0627\u062f\u0627'  id='choice_2_84_3' tabindex='13'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_84_3' id='label_2_84_3'>\u0633\u0648\u067e\u0631 \u0648\u06cc\u0632\u0627\u06cc \u06a9\u0627\u0646\u0627\u062f\u0627<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_2_84_4'>\n\t\t\t\t\t\t\t\t<input name='input_84.4' type='checkbox'  value='\u0645\u062c\u0648\u0632 \u062a\u062d\u0635\u06cc\u0644'  id='choice_2_84_4' tabindex='14'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_84_4' id='label_2_84_4'>\u0645\u062c\u0648\u0632 \u062a\u062d\u0635\u06cc\u0644<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_2_84_5'>\n\t\t\t\t\t\t\t\t<input name='input_84.5' type='checkbox'  value='\u0645\u062c\u0648\u0632 \u06a9\u0627\u0631'  id='choice_2_84_5' tabindex='15'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_84_5' id='label_2_84_5'>\u0645\u062c\u0648\u0632 \u06a9\u0627\u0631<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_2_84_6'>\n\t\t\t\t\t\t\t\t<input name='input_84.6' type='checkbox'  value='\u0627\u062c\u0627\u0632\u0647 \u0627\u0642\u0627\u0645\u062a \u0645\u0648\u0642\u062a (TRP)'  id='choice_2_84_6' tabindex='16'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_84_6' id='label_2_84_6'>\u0627\u062c\u0627\u0632\u0647 \u0627\u0642\u0627\u0645\u062a \u0645\u0648\u0642\u062a (TRP)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_2_84_7'>\n\t\t\t\t\t\t\t\t<input name='input_84.7' type='checkbox'  value='\u0645\u062c\u0648\u0632 \u06a9\u0627\u0631 (LMIA)'  id='choice_2_84_7' tabindex='17'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_84_7' id='label_2_84_7'>\u0645\u062c\u0648\u0632 \u06a9\u0627\u0631 (LMIA)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_2_84_8'>\n\t\t\t\t\t\t\t\t<input name='input_84.8' type='checkbox'  value='\u0645\u0647\u0627\u062c\u0631\u062a \u0628\u0647 \u0631\u0648\u0634 \u062e\u0648\u06cc\u0634\u0627\u0648\u0646\u062f\u06cc'  id='choice_2_84_8' tabindex='18'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_84_8' id='label_2_84_8'>\u0645\u0647\u0627\u062c\u0631\u062a \u0628\u0647 \u0631\u0648\u0634 \u062e\u0648\u06cc\u0634\u0627\u0648\u0646\u062f\u06cc<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_2_84_9'>\n\t\t\t\t\t\t\t\t<input name='input_84.9' type='checkbox'  value='\u0627\u06a9\u0633\u067e\u0631\u0633 \u0627\u0646\u062a\u0631\u06cc'  id='choice_2_84_9' tabindex='19'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_84_9' id='label_2_84_9'>\u0627\u06a9\u0633\u067e\u0631\u0633 \u0627\u0646\u062a\u0631\u06cc<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_2_84_11'>\n\t\t\t\t\t\t\t\t<input name='input_84.11' type='checkbox'  value='\u0628\u0631\u0646\u0627\u0645\u0647 \u06af\u0632\u06cc\u0646\u0634 \u0627\u0633\u062a\u0627\u0646\u06cc'  id='choice_2_84_11' tabindex='20'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_84_11' id='label_2_84_11'>\u0628\u0631\u0646\u0627\u0645\u0647 \u06af\u0632\u06cc\u0646\u0634 \u0627\u0633\u062a\u0627\u0646\u06cc<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_2_84_12'>\n\t\t\t\t\t\t\t\t<input name='input_84.12' type='checkbox'  value='\u0648\u06cc\u0632\u0627\u06cc \u0627\u0633\u062a\u0627\u0631\u062a \u0622\u067e'  id='choice_2_84_12' tabindex='21'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_84_12' id='label_2_84_12'>\u0648\u06cc\u0632\u0627\u06cc \u0627\u0633\u062a\u0627\u0631\u062a \u0622\u067e<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_2_84_13'>\n\t\t\t\t\t\t\t\t<input name='input_84.13' type='checkbox'  value='\u0648\u06cc\u0632\u0627\u06cc \u0645\u0647\u0627\u062c\u0631\u062a \u062e\u0648\u062f \u0627\u0634\u062a\u063a\u0627\u0644\u06cc'  id='choice_2_84_13' tabindex='22'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_84_13' id='label_2_84_13'>\u0648\u06cc\u0632\u0627\u06cc \u0645\u0647\u0627\u062c\u0631\u062a \u062e\u0648\u062f \u0627\u0634\u062a\u063a\u0627\u0644\u06cc<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_2_84_14'>\n\t\t\t\t\t\t\t\t<input name='input_84.14' type='checkbox'  value='\u0628\u0631\u0646\u0627\u0645\u0647 \u0645\u0647\u0627\u062c\u0631\u062a\u06cc \u0645\u0646\u0627\u0637\u0642 \u06a9\u0645 \u062c\u0645\u0639\u06cc\u062a \u0648 \u0634\u0645\u0627\u0644\u06cc'  id='choice_2_84_14' tabindex='23'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_84_14' id='label_2_84_14'>\u0628\u0631\u0646\u0627\u0645\u0647 \u0645\u0647\u0627\u062c\u0631\u062a\u06cc \u0645\u0646\u0627\u0637\u0642 \u06a9\u0645 \u062c\u0645\u0639\u06cc\u062a \u0648 \u0634\u0645\u0627\u0644\u06cc<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_2_84_15'>\n\t\t\t\t\t\t\t\t<input name='input_84.15' type='checkbox'  value='\u0628\u0631\u0646\u0627\u0645\u0647 \u0645\u0647\u0627\u062c\u0631\u062a\u06cc \u0622\u062a\u0644\u0627\u0646\u062a\u06cc\u06a9'  id='choice_2_84_15' tabindex='24'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_84_15' id='label_2_84_15'>\u0628\u0631\u0646\u0627\u0645\u0647 \u0645\u0647\u0627\u062c\u0631\u062a\u06cc \u0622\u062a\u0644\u0627\u0646\u062a\u06cc\u06a9<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_2_84_16'>\n\t\t\t\t\t\t\t\t<input name='input_84.16' type='checkbox'  value='\u0648\u06cc\u0632\u0627\u06cc \u067e\u0631\u0633\u062a\u0627\u0631\u0627\u0646 \u062e\u0627\u0646\u06af\u06cc'  id='choice_2_84_16' tabindex='25'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_84_16' id='label_2_84_16'>\u0648\u06cc\u0632\u0627\u06cc \u067e\u0631\u0633\u062a\u0627\u0631\u0627\u0646 \u062e\u0627\u0646\u06af\u06cc<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_2_84_17'>\n\t\t\t\t\t\t\t\t<input name='input_84.17' type='checkbox'  value='\u067e\u0631\u0648\u0646\u062f\u0647 \u0634\u0647\u0631\u0648\u0646\u062f\u06cc \u06a9\u0627\u0646\u0627\u062f\u0627'  id='choice_2_84_17' tabindex='26'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_84_17' id='label_2_84_17'>\u067e\u0631\u0648\u0646\u062f\u0647 \u0634\u0647\u0631\u0648\u0646\u062f\u06cc \u06a9\u0627\u0646\u0627\u062f\u0627<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_2_84_18'>\n\t\t\t\t\t\t\t\t<input name='input_84.18' type='checkbox'  value='\u062d\u0636\u0648\u0631 \u062f\u0631 \u062f\u0627\u062f\u06af\u0627\u0647 \u0645\u0647\u0627\u062c\u0631\u062a'  id='choice_2_84_18' tabindex='27'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_84_18' id='label_2_84_18'>\u062d\u0636\u0648\u0631 \u062f\u0631 \u062f\u0627\u062f\u06af\u0627\u0647 \u0645\u0647\u0627\u062c\u0631\u062a<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_2_84_19'>\n\t\t\t\t\t\t\t\t<input name='input_84.19' type='checkbox'  value='\u062d\u0636\u0648\u0631 \u062f\u0631 \u062f\u0627\u062f\u06af\u0627\u0647 \u0641\u0631\u062c\u0627\u0645 \u062e\u0648\u0627\u0647\u06cc \u0645\u0647\u0627\u062c\u0631\u062a'  id='choice_2_84_19' tabindex='28'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_84_19' id='label_2_84_19'>\u062d\u0636\u0648\u0631 \u062f\u0631 \u062f\u0627\u062f\u06af\u0627\u0647 \u0641\u0631\u062c\u0627\u0645 \u062e\u0648\u0627\u0647\u06cc \u0645\u0647\u0627\u062c\u0631\u062a<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_2_84_21'>\n\t\t\t\t\t\t\t\t<input name='input_84.21' type='checkbox'  value='\u062d\u0636\u0648\u0631 \u062f\u0631 \u062f\u0627\u062f\u06af\u0627\u0647 \u067e\u0646\u0627\u0647\u0646\u062f\u06af\u06cc'  id='choice_2_84_21' tabindex='29'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_84_21' id='label_2_84_21'>\u062d\u0636\u0648\u0631 \u062f\u0631 \u062f\u0627\u062f\u06af\u0627\u0647 \u067e\u0646\u0627\u0647\u0646\u062f\u06af\u06cc<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_2_84_22'>\n\t\t\t\t\t\t\t\t<input name='input_84.22' type='checkbox'  value='\u062d\u0636\u0648\u0631 \u062f\u0631 \u0634\u0639\u0628\u0647 \u0641\u0631\u062c\u0627\u0645 \u062e\u0648\u0627\u0647\u06cc \u067e\u0646\u0627\u0647\u0646\u062f\u06af\u06cc'  id='choice_2_84_22' tabindex='30'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_84_22' id='label_2_84_22'>\u062d\u0636\u0648\u0631 \u062f\u0631 \u0634\u0639\u0628\u0647 \u0641\u0631\u062c\u0627\u0645 \u062e\u0648\u0627\u0647\u06cc \u067e\u0646\u0627\u0647\u0646\u062f\u06af\u06cc<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_2_85'  class='gfield field_sublabel_below field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_2_85' >\u0686\u0642\u062f\u0631 \u0627\u0632 \u062e\u062f\u0645\u0627\u062a \u0645\u0627 \u0631\u0627\u0636\u06cc \u0628\u0648\u062f\u06cc\u062f\u061f<\/label><div class='gfield_description' id='gfield_description_2_85'>(\u0644\u0637\u0641\u0627 \u0627\u0632 \u0644\u06cc\u0633\u062a \u0632\u06cc\u0631 \u0627\u0646\u062a\u062e\u0627\u0628 \u0628\u0641\u0631\u0645\u0627\u06cc\u06cc\u062f.)<\/div><div class='ginput_container ginput_container_select'><select name='input_85' id='input_2_85' class='medium gfield_select' tabindex='31'   aria-invalid=\"false\"><option value='\u0634\u06cc\u0645\u0646 \u0641\u0644\u0627\u062d \u062e\u062f\u0645\u0627\u062a \u0628\u0633\u06cc\u0627\u0631 \u0639\u0627\u0644\u06cc \u0627\u0631\u0627\u0626\u0647 \u0646\u0645\u0648\u062f. \u0627\u0646\u062a\u0638\u0627\u0631\u0627\u062a \u0645\u0646 \u0628\u0631\u0622\u0648\u0631\u062f\u0647 \u0634\u062f.' >\u0634\u06cc\u0645\u0646 \u0641\u0644\u0627\u062d \u062e\u062f\u0645\u0627\u062a \u0628\u0633\u06cc\u0627\u0631 \u0639\u0627\u0644\u06cc \u0627\u0631\u0627\u0626\u0647 \u0646\u0645\u0648\u062f. \u0627\u0646\u062a\u0638\u0627\u0631\u0627\u062a \u0645\u0646 \u0628\u0631\u0622\u0648\u0631\u062f\u0647 \u0634\u062f.<\/option><option value='\u0634\u06cc\u0645\u0646 \u0641\u0644\u0627\u062d \u062e\u062f\u0645\u0627\u062a \u06a9\u0627\u0641\u06cc \u0627\u0631\u0627\u0626\u0647 \u0646\u0645\u0648\u062f. \u0645\u0648\u0627\u0631\u062f \u062d\u0642\u0648\u0642\u06cc \u0645\u0646 \u0628\u0631\u0637\u0631\u0641 \u0634\u062f.' >\u0634\u06cc\u0645\u0646 \u0641\u0644\u0627\u062d \u062e\u062f\u0645\u0627\u062a \u06a9\u0627\u0641\u06cc \u0627\u0631\u0627\u0626\u0647 \u0646\u0645\u0648\u062f. \u0645\u0648\u0627\u0631\u062f \u062d\u0642\u0648\u0642\u06cc \u0645\u0646 \u0628\u0631\u0637\u0631\u0641 \u0634\u062f.<\/option><option value='\u0634\u06cc\u0645\u0646 \u0641\u0644\u0627\u062d \u062e\u062f\u0645\u0627\u062a \u06a9\u0627\u0641\u06cc \u0627\u0631\u0627\u0626\u0647 \u0646\u06a9\u0631\u062f \u0648 \u0645\u0648\u0627\u0631\u062f \u062d\u0642\u0648\u0642\u06cc \u0645\u0646 \u0627\u0646\u062c\u0627\u0645 \u0646\u0634\u062f.' >\u0634\u06cc\u0645\u0646 \u0641\u0644\u0627\u062d \u062e\u062f\u0645\u0627\u062a \u06a9\u0627\u0641\u06cc \u0627\u0631\u0627\u0626\u0647 \u0646\u06a9\u0631\u062f \u0648 \u0645\u0648\u0627\u0631\u062f \u062d\u0642\u0648\u0642\u06cc \u0645\u0646 \u0627\u0646\u062c\u0627\u0645 \u0646\u0634\u062f.<\/option><\/select><\/div><\/li><li id='field_2_13'  class='gfield gfield_html gfield_html_formatted field_sublabel_below field_description_above gfield_visibility_visible' ><h2>\u0646\u0638\u0631\u0633\u0646\u062c\u06cc<\/h2>\n\u0644\u0637\u0641\u0627\u064b \u0645\u06cc\u0632\u0627\u0646 \u0645\u0648\u0627\u0641\u0642\u062a \u06cc\u0627 \u0645\u062e\u0627\u0644\u0641\u062a \u062e\u0648\u062f \u0631\u0627 \u0628\u0627 \u0639\u0628\u0627\u0631\u0627\u062a \u0632\u06cc\u0631 \u0645\u0634\u062e\u0635 \u06a9\u0646\u06cc\u062f.<\/li><li id='field_2_9'  class='gfield surveychoices field_sublabel_below field_description_above gfield_visibility_visible' ><label class='gfield_label'  >\u0648\u06a9\u0644\u0627\u06cc \u0634\u06cc\u0645\u0646 \u0641\u0644\u0627\u062d \u0627\u0632 \u0642\u0627\u0646\u0648\u0646\u060c \u062d\u0642\u0627\u06cc\u0642 \u0645\u0648\u0636\u0648\u0639 \u0648 \u0627\u0647\u062f\u0627\u0641 \u0645\u0646 \u0622\u06af\u0627\u0647 \u0628\u0648\u062f\u0646\u062f.<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_9'><li class='gchoice_2_9_0'><input name='input_9' type='radio' value='\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_2_9_0' tabindex='32'   \/><label for='choice_2_9_0' id='label_2_9_0'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label><\/li><li class='gchoice_2_9_1'><input name='input_9' type='radio' value='\u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_2_9_1' tabindex='33'   \/><label for='choice_2_9_1' id='label_2_9_1'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label><\/li><li class='gchoice_2_9_2'><input name='input_9' type='radio' value='\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645'  id='choice_2_9_2' tabindex='34'   \/><label for='choice_2_9_2' id='label_2_9_2'>\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645<\/label><\/li><li class='gchoice_2_9_3'><input name='input_9' type='radio' value='\u0645\u0648\u0627\u0641\u0642\u0645'  id='choice_2_9_3' tabindex='35'   \/><label for='choice_2_9_3' id='label_2_9_3'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label><\/li><li class='gchoice_2_9_4'><input name='input_9' type='radio' value='\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645'  id='choice_2_9_4' tabindex='36'   \/><label for='choice_2_9_4' id='label_2_9_4'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label><\/li><\/ul><\/div><\/li><li id='field_2_86'  class='gfield surveychoices field_sublabel_below field_description_above gfield_visibility_visible' ><label class='gfield_label'  >\u0645\u062a\u062e\u0635\u0635\u0627\u0646 \u062d\u0642\u0648\u0642\u06cc \u0648 \u06cc\u0627 \u06a9\u0627\u0631\u0645\u0646\u062f\u0627\u0646 \u0634\u06cc\u0645\u0646 \u0641\u0644\u0627\u062d \u0627\u0632 \u0642\u0627\u0646\u0648\u0646\u060c \u062d\u0642\u0627\u06cc\u0642 \u0645\u0648\u0636\u0648\u0639 \u0648 \u0627\u0647\u062f\u0627\u0641 \u0645\u0646 \u0622\u06af\u0627\u0647 \u0628\u0648\u062f\u0646\u062f.<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_86'><li class='gchoice_2_86_0'><input name='input_86' type='radio' value='\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_2_86_0' tabindex='37'   \/><label for='choice_2_86_0' id='label_2_86_0'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label><\/li><li class='gchoice_2_86_1'><input name='input_86' type='radio' value='\u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_2_86_1' tabindex='38'   \/><label for='choice_2_86_1' id='label_2_86_1'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label><\/li><li class='gchoice_2_86_2'><input name='input_86' type='radio' value='\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645'  id='choice_2_86_2' tabindex='39'   \/><label for='choice_2_86_2' id='label_2_86_2'>\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645<\/label><\/li><li class='gchoice_2_86_3'><input name='input_86' type='radio' value='\u0645\u0648\u0627\u0641\u0642\u0645'  id='choice_2_86_3' tabindex='40'   \/><label for='choice_2_86_3' id='label_2_86_3'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label><\/li><li class='gchoice_2_86_4'><input name='input_86' type='radio' value='\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645'  id='choice_2_86_4' tabindex='41'   \/><label for='choice_2_86_4' id='label_2_86_4'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label><\/li><\/ul><\/div><\/li><li id='field_2_87'  class='gfield surveychoices field_sublabel_below field_description_above gfield_visibility_visible' ><label class='gfield_label'  >\u062f\u0631\u062e\u0648\u0627\u0633\u062a \u0647\u0627\u06cc \u0645\u0646 \u0628\u0647 \u0645\u0648\u0642\u0639 \u067e\u0627\u0633\u062e \u062f\u0627\u062f\u0647 \u0634\u062f.<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_87'><li class='gchoice_2_87_0'><input name='input_87' type='radio' value='\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_2_87_0' tabindex='42'   \/><label for='choice_2_87_0' id='label_2_87_0'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label><\/li><li class='gchoice_2_87_1'><input name='input_87' type='radio' value='\u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_2_87_1' tabindex='43'   \/><label for='choice_2_87_1' id='label_2_87_1'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label><\/li><li class='gchoice_2_87_2'><input name='input_87' type='radio' value='\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645'  id='choice_2_87_2' tabindex='44'   \/><label for='choice_2_87_2' id='label_2_87_2'>\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645<\/label><\/li><li class='gchoice_2_87_3'><input name='input_87' type='radio' value='\u0645\u0648\u0627\u0641\u0642\u0645'  id='choice_2_87_3' tabindex='45'   \/><label for='choice_2_87_3' id='label_2_87_3'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label><\/li><li class='gchoice_2_87_4'><input name='input_87' type='radio' value='\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645'  id='choice_2_87_4' tabindex='46'   \/><label for='choice_2_87_4' id='label_2_87_4'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label><\/li><\/ul><\/div><\/li><li id='field_2_88'  class='gfield surveychoices field_sublabel_below field_description_above gfield_visibility_visible' ><label class='gfield_label'  >\u0628\u0631\u0627\u06cc \u062e\u062f\u0645\u0627\u062a \u062d\u0642\u0648\u0642\u06cc \u0645\u062c\u062f\u062f\u0627 \u0628\u0627 \u0634\u06cc\u0645\u0646 \u0641\u0644\u0627\u062d \u062a\u0645\u0627\u0633 \u062e\u0648\u0627\u0647\u0645 \u06af\u0631\u0641\u062a.<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_88'><li class='gchoice_2_88_0'><input name='input_88' type='radio' value='\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_2_88_0' tabindex='47'   \/><label for='choice_2_88_0' id='label_2_88_0'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label><\/li><li class='gchoice_2_88_1'><input name='input_88' type='radio' value='\u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_2_88_1' tabindex='48'   \/><label for='choice_2_88_1' id='label_2_88_1'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label><\/li><li class='gchoice_2_88_2'><input name='input_88' type='radio' value='\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645'  id='choice_2_88_2' tabindex='49'   \/><label for='choice_2_88_2' id='label_2_88_2'>\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645<\/label><\/li><li class='gchoice_2_88_3'><input name='input_88' type='radio' value='\u0645\u0648\u0627\u0641\u0642\u0645'  id='choice_2_88_3' tabindex='50'   \/><label for='choice_2_88_3' id='label_2_88_3'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label><\/li><li class='gchoice_2_88_4'><input name='input_88' type='radio' value='\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645'  id='choice_2_88_4' tabindex='51'   \/><label for='choice_2_88_4' id='label_2_88_4'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label><\/li><\/ul><\/div><\/li><li id='field_2_89'  class='gfield surveychoices field_sublabel_below field_description_above gfield_visibility_visible' ><label class='gfield_label'  >\u0645\u0646 \u0634\u06cc\u0645\u0646 \u0641\u0644\u0627\u062d \u0631\u0627 \u0628\u0647 \u062f\u06cc\u06af\u0631\u0627\u0646 \u0646\u06cc\u0632 \u062a\u0648\u0635\u06cc\u0647 \u0645\u06cc \u06a9\u0646\u0645.<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_89'><li class='gchoice_2_89_0'><input name='input_89' type='radio' value='\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_2_89_0' tabindex='52'   \/><label for='choice_2_89_0' id='label_2_89_0'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label><\/li><li class='gchoice_2_89_1'><input name='input_89' type='radio' value='\u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_2_89_1' tabindex='53'   \/><label for='choice_2_89_1' id='label_2_89_1'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label><\/li><li class='gchoice_2_89_2'><input name='input_89' type='radio' value='\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645'  id='choice_2_89_2' tabindex='54'   \/><label for='choice_2_89_2' id='label_2_89_2'>\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645<\/label><\/li><li class='gchoice_2_89_3'><input name='input_89' type='radio' value='\u0645\u0648\u0627\u0641\u0642\u0645'  id='choice_2_89_3' tabindex='55'   \/><label for='choice_2_89_3' id='label_2_89_3'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label><\/li><li class='gchoice_2_89_4'><input name='input_89' type='radio' value='\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645'  id='choice_2_89_4' tabindex='56'   \/><label for='choice_2_89_4' id='label_2_89_4'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label><\/li><\/ul><\/div><\/li><li id='field_2_90'  class='gfield surveychoices field_sublabel_below field_description_above gfield_visibility_visible' ><label class='gfield_label'  >\u0648\u0628 \u0633\u0627\u06cc\u062a \u0634\u06cc\u0645\u0646 \u0641\u0644\u0627\u062d \u062f\u0631 \u062f\u0633\u062a\u0631\u0633 \u0648 \u0645\u0641\u06cc\u062f \u0628\u0648\u062f.<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_90'><li class='gchoice_2_90_0'><input name='input_90' type='radio' value='\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_2_90_0' tabindex='57'   \/><label for='choice_2_90_0' id='label_2_90_0'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label><\/li><li class='gchoice_2_90_1'><input name='input_90' type='radio' value='\u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_2_90_1' tabindex='58'   \/><label for='choice_2_90_1' id='label_2_90_1'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label><\/li><li class='gchoice_2_90_2'><input name='input_90' type='radio' value='\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645'  id='choice_2_90_2' tabindex='59'   \/><label for='choice_2_90_2' id='label_2_90_2'>\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645<\/label><\/li><li class='gchoice_2_90_3'><input name='input_90' type='radio' value='\u0645\u0648\u0627\u0641\u0642\u0645'  id='choice_2_90_3' tabindex='60'   \/><label for='choice_2_90_3' id='label_2_90_3'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label><\/li><li class='gchoice_2_90_4'><input name='input_90' type='radio' value='\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645'  id='choice_2_90_4' tabindex='61'   \/><label for='choice_2_90_4' id='label_2_90_4'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label><\/li><\/ul><\/div><\/li><li id='field_2_91'  class='gfield field_sublabel_below field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_2_91' >\u0646\u0638\u0631\u0627\u062a \u0645\u0634\u062a\u0631\u06cc\u0627\u0646 (\u0627\u062e\u062a\u06cc\u0627\u0631\u06cc)<\/label><div class='gfield_description' id='gfield_description_2_91'>\u0627\u06af\u0631 \u0645\u0627 \u062f\u0631\u062e\u0648\u0627\u0633\u062a \u0647\u0627\u06cc \u0634\u0645\u0627 \u0631\u0627 \u0628\u0631\u0622\u0648\u0631\u062f\u0647 \u06a9\u0631\u062f\u0647\u200c\u0627\u06cc\u0645 \u06cc\u0627 \u0639\u0645\u0644\u06a9\u0631\u062f \u062e\u0648\u0628\u06cc \u062f\u0627\u0634\u062a\u06cc\u0645 \u0648 \u0634\u0645\u0627 \u0634\u0631\u06a9\u062a \u0645\u0627 \u0631\u0627 \u0628\u0647 \u0634\u062e\u0635 \u06cc\u0627 \u06a9\u0633\u0628\u200c\u0648\u06a9\u0627\u0631 \u062f\u06cc\u06af\u0631\u06cc \u062a\u0648\u0635\u06cc\u0647 \u0645\u06cc\u200c\u06a9\u0646\u06cc\u062f\u060c \u0644\u0637\u0641\u0627\u064b \u062a\u0648\u0636\u06cc\u062d \u0645\u062e\u062a\u0635\u0631\u06cc \u062f\u0631 \u0645\u0648\u0631\u062f \u0627\u06cc\u0646\u06a9\u0647 \u0686\u0631\u0627 \u0645\u0627 \u0631\u0627 \u062a\u0648\u0635\u06cc\u0647 \u0645\u06cc\u200c\u06a9\u0646\u06cc\u062f \u0627\u0631\u0627\u0626\u0647 \u062f\u0647\u06cc\u062f.<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_91' id='input_2_91' class='textarea medium' tabindex='62' aria-describedby=\"gfield_description_2_91\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id='field_2_92'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >\u062a\u0627\u06cc\u06cc\u062f \u0645\u0642\u0631\u0631\u0627\u062a<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_2_92'><li class='gchoice_2_92_1'>\n\t\t\t\t\t\t\t\t<input name='input_92.1' type='checkbox'  value='\u0645\u0646 \u0642\u0648\u0627\u0646\u06cc\u0646 \u0648 \u0645\u0642\u0631\u0631\u0627\u062a \u0648 \u0633\u06cc\u0627\u0633\u062a \u0647\u0627\u06cc \u062d\u0631\u06cc\u0645 \u062e\u0635\u0648\u0635\u06cc \u0633\u0627\u06cc\u062a \u0634\u06cc\u0645\u0646 \u0641\u0644\u0627\u062d \u0631\u0627 \u062e\u0648\u0627\u0646\u062f\u0645\u060c \u0645\u062a\u0648\u062c\u0647 \u0634\u062f\u0645 \u0648 \u0642\u0628\u0648\u0644 \u0645\u06cc \u06a9\u0646\u0645.'  id='choice_2_92_1' tabindex='63'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_92_1' id='label_2_92_1'>\u0645\u0646 \u0642\u0648\u0627\u0646\u06cc\u0646 \u0648 \u0645\u0642\u0631\u0631\u0627\u062a \u0648 \u0633\u06cc\u0627\u0633\u062a \u0647\u0627\u06cc \u062d\u0631\u06cc\u0645 \u062e\u0635\u0648\u0635\u06cc \u0633\u0627\u06cc\u062a \u0634\u06cc\u0645\u0646 \u0641\u0644\u0627\u062d \u0631\u0627 \u062e\u0648\u0627\u0646\u062f\u0645\u060c \u0645\u062a\u0648\u062c\u0647 \u0634\u062f\u0645 \u0648 \u0642\u0628\u0648\u0644 \u0645\u06cc \u06a9\u0646\u0645.<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><div class='gfield_description' id='gfield_description_2_92'>\u0633\u06cc\u0627\u0633\u062a \u062d\u0641\u0638 \u062d\u0631\u06cc\u0645 \u062e\u0635\u0648\u0635\u06cc \u0641\u0631\u0645 \u0628\u0627\u0632\u062e\u0648\u0631\u062f \u0645\u0634\u062a\u0631\u06cc\u0627\u0646 \u0634\u06cc\u0645\u0646 \u0641\u0644\u0627\u062d: \u0627\u0633\u062a\u0641\u0627\u062f\u0647 \u0627\u0632 \u0627\u06cc\u0646 \u0641\u0631\u0645 \u062f\u0627\u0648\u0637\u0644\u0628\u0627\u0646\u0647 \u0627\u0633\u062a \u0648 \u0628\u0631\u0627\u06cc \u0645\u0634\u062a\u0631\u06cc\u0627\u0646 \u0641\u0639\u0644\u06cc \u06cc\u0627 \u0642\u0628\u0644\u06cc \u062f\u0631 \u0646\u0638\u0631 \u06af\u0631\u0641\u062a\u0647 \u0634\u062f\u0647 \u0627\u0633\u062a \u062a\u0627 \u0627\u0637\u0644\u0627\u0639\u0627\u062a\u06cc \u062f\u0631 \u0645\u0648\u0631\u062f \u0648\u0636\u0639\u06cc\u062a \u062e\u062f\u0645\u0627\u062a \u062d\u0642\u0648\u0642\u06cc \u062e\u0648\u062f \u0628\u0647 \u0634\u06cc\u0645\u0646 \u0641\u0644\u0627\u062d \u0627\u0631\u0627\u0626\u0647 \u062f\u0647\u0646\u062f. \u0627\u0633\u062a\u0641\u0627\u062f\u0647 \u0627\u0632 \u0627\u06cc\u0646 \u0641\u0631\u0645 \u0628\u0627\u0639\u062b \u0627\u06cc\u062c\u0627\u062f \u0631\u0627\u0628\u0637\u0647 \u0648\u06a9\u06cc\u0644 \u0648 \u0645\u0648\u06a9\u0644 \u0646\u0645\u06cc \u0634\u0648\u062f. 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