{"id":15513,"date":"2023-05-31T19:08:38","date_gmt":"2023-05-31T15:38:38","guid":{"rendered":"https:\/\/avadaroon.com\/wood\/%d8%aa%d8%a7%da%a9%db%95-%da%a9%db%95%d8%b3%db%8c\/"},"modified":"2023-09-03T18:12:09","modified_gmt":"2023-09-03T14:42:09","slug":"%d8%aa%d8%a7%da%a9%db%95-%da%a9%db%95%d8%b3%db%8c","status":"publish","type":"page","link":"https:\/\/avadaroon.com\/ku\/%d8%aa%d8%a7%da%a9%db%95-%da%a9%db%95%d8%b3%db%8c\/","title":{"rendered":"\u062a\u0627\u06a9\u06d5 \u06a9\u06d5\u0633\u06cc"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"15513\" class=\"elementor elementor-15513 elementor-8782\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"wd-negative-gap elementor-section elementor-top-section elementor-element elementor-element-63fdf33 wd-section-stretch elementor-reverse-tablet elementor-reverse-mobile elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"63fdf33\" 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gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener(\"DOMContentLoaded\",o):document.addEventListener(\"gform_main_scripts_loaded\",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook(\"action\",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook(\"filter\",o,n,r,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,n){gform.removeHook(\"action\",o,n)},removeFilter:function(o,n,r){gform.removeHook(\"filter\",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var 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data-js-reload=\"field_7_7\"><legend class='gfield_label gform-field-label'  >\u0646\u0627\u0633\u0646\u0627\u0645\u06d5\u06cc \u0695\u06d5\u06af\u06d5\u0632\u06cc\u062a \u0686\u06cc\u06cc\u06d5\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='\u0626\u0627\u0641\u0631\u06d5\u062a'  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'>\u0626\u0627\u0641\u0631\u06d5\u062a<\/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='\u067e\u06cc\u0627\u0648'  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'>\u067e\u06cc\u0627\u0648<\/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='gf_other_choice'  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'>Other<\/label><br \/><input id='input_7_7_other' class='gchoice_other_control' name='input_7_other' type='text' value='Other' aria-label='Other Choice, please specify'  disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_7_12\"  class=\"gfield gfield--type-select gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_7_12\"><label class='gfield_label gform-field-label' for='input_7_12' >\u062a\u06d5\u0645\u06d5\u0646\u062a \u0686\u06d5\u0646\u062f \u0633\u0627\u06b5\u06d5\u061f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_12' id='input_7_12' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='13' >13<\/option><option value='14' >14<\/option><option value='15' >15<\/option><option value='16' >16<\/option><option value='17' >17<\/option><option value='18' >18<\/option><option value='19' >19<\/option><option value='20' >20<\/option><option value='21' >21<\/option><option value='22' >22<\/option><option value='23' >23<\/option><option value='24' >24<\/option><option value='25' >25<\/option><option value='26' >26<\/option><option value='27' >27<\/option><option value='28' >28<\/option><option value='29' >29<\/option><option value='30' >30<\/option><option value='31' >31<\/option><option value='32' >32<\/option><option value='33' >33<\/option><option value='34' >34<\/option><option value='35' >35<\/option><option value='36' >36<\/option><option value='37' >37<\/option><option value='38' >38<\/option><option value='39' >39<\/option><option value='40' >40<\/option><option value='41' >41<\/option><option value='42' >42<\/option><option value='43' >43<\/option><option value='44' >44<\/option><option value='45' >45<\/option><option value='46' >46<\/option><option value='47' >47<\/option><option value='48' >48<\/option><option value='49' >49<\/option><option value='50' >50<\/option><option value='51' >51<\/option><option value='52' >52<\/option><option value='53' >53<\/option><option value='54' >54<\/option><option value='55' >55<\/option><option value='56' >56<\/option><option value='57' >57<\/option><option value='58' >58<\/option><option value='59' >59<\/option><option value='60' >60<\/option><option value='61' >61<\/option><option value='62' >62<\/option><option value='63' >63<\/option><option value='64' >64<\/option><option value='65' >65<\/option><option value='66' >66<\/option><option value='67' >67<\/option><option value='68' >68<\/option><option value='69' >69<\/option><option value='70' >70<\/option><option value='71' >71<\/option><option value='72' >72<\/option><option value='73' >73<\/option><option value='74' >74<\/option><option value='75' >75<\/option><option value='76' >76<\/option><option value='77' >77<\/option><option value='78' >78<\/option><option value='79' >79<\/option><option value='80' >80<\/option><option value='81' >81<\/option><option value='82' >82<\/option><option value='83' >83<\/option><option value='84' >84<\/option><option value='85' >85<\/option><option value='86' >86<\/option><option value='87' >87<\/option><option value='88' >88<\/option><option value='89' >89<\/option><option value='90' >90<\/option><option value='91' >91<\/option><option value='92' >92<\/option><option value='93' >93<\/option><option value='94' >94<\/option><option value='95' >95<\/option><option value='96' >96<\/option><option value='97' >97<\/option><option value='98' >98<\/option><option value='99' >99<\/option><\/select><\/div><\/div><fieldset id=\"field_7_8\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-half field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_7_8\"><legend class='gfield_label gform-field-label'  >\u062f\u06c6\u062e\u06cc \u067e\u06d5\u06cc\u0648\u06d5\u0646\u062f\u06cc\u062f\u0627\u0631\u06cc\u062a \u0686\u06cc\u06d5\u061f<\/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='\u062a\u0627\u06a9'  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'>\u062a\u0627\u06a9<\/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='\u0644\u06d5 \u067e\u06d5\u06cc\u0648\u06d5\u0646\u062f\u06cc\u062f\u0627'  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'>\u0644\u06d5 \u067e\u06d5\u06cc\u0648\u06d5\u0646\u062f\u06cc\u062f\u0627<\/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='\u0647\u0627\u0648\u0633\u06d5\u0631\u06af\u06cc\u0631\u06cc \u06a9\u0631\u062f\u0648\u0648'  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'>\u0647\u0627\u0648\u0633\u06d5\u0631\u06af\u06cc\u0631\u06cc \u06a9\u0631\u062f\u0648\u0648<\/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='\u062c\u06cc\u0627\u0628\u0648\u0648\u06d5\u062a\u06d5\u0648\u06d5'  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'>\u062c\u06cc\u0627\u0628\u0648\u0648\u06d5\u062a\u06d5\u0648\u06d5<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_8_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='\u0628\u06ce\u0648\u06d5\u0698\u0646'  id='choice_7_8_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_8_4' id='label_7_8_4' class='gform-field-label gform-field-label--type-inline'>\u0628\u06ce\u0648\u06d5\u0698\u0646<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_8_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='gf_other_choice'  id='choice_7_8_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_8_5' id='label_7_8_5' class='gform-field-label gform-field-label--type-inline'>Other<\/label><br \/><input id='input_7_8_other' class='gchoice_other_control' name='input_8_other' type='text' value='Other' aria-label='Other Choice, please specify'  disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_7_14\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_7_14\"><legend class='gfield_label gform-field-label'  >\u0686\u06c6\u0646 \u062f\u06d5\u0646\u0627\u0633\u06cc\u062a\u06d5\u0648\u06d5\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='\u0695\u0627\u0633\u062a\u06d5\u0648\u062e\u06c6'  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'>\u0695\u0627\u0633\u062a\u06d5\u0648\u062e\u06c6<\/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='\u0647\u0627\u0648\u0695\u06d5\u06af\u06d5\u0632\u0628\u0627\u0632'  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'>\u0647\u0627\u0648\u0695\u06d5\u06af\u06d5\u0632\u0628\u0627\u0632<\/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='\u0698\u0646\u06ce\u06a9\u06cc \u0647\u0627\u0648\u0695\u06d5\u06af\u06d5\u0632\u0628\u0627\u0632'  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'>\u0698\u0646\u06ce\u06a9\u06cc \u0647\u0627\u0648\u0695\u06d5\u06af\u06d5\u0632\u0628\u0627\u0632<\/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='\u062f\u0648\u0648\u0695\u06d5\u06af\u06d5\u0632\u0628\u0627\u0632 \u0648\/\u06cc\u0627\u0646 \u067e\u0627\u0646\u0633\u06ce\u06a9\u0633\u0648\u0627\u0644'  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'>\u062f\u0648\u0648\u0695\u06d5\u06af\u06d5\u0632\u0628\u0627\u0632 \u0648\/\u06cc\u0627\u0646 \u067e\u0627\u0646\u0633\u06ce\u06a9\u0633\u0648\u0627\u0644<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_14_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_14' type='radio' value='\u067e\u06ce\u062a \u0628\u0627\u0634\u06d5 \u0646\u06d5\u06b5\u06ce\u06cc\u062a'  id='choice_7_14_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_14_4' id='label_7_14_4' class='gform-field-label gform-field-label--type-inline'>\u067e\u06ce\u062a \u0628\u0627\u0634\u06d5 \u0646\u06d5\u06b5\u06ce\u06cc\u062a<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_14_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_14' type='radio' value='gf_other_choice'  id='choice_7_14_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_14_5' id='label_7_14_5' class='gform-field-label gform-field-label--type-inline'>Other<\/label><br \/><input id='input_7_14_other' class='gchoice_other_control' name='input_14_other' type='text' value='Other' aria-label='Other Choice, please specify'  disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_7_23\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-half field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_7_23\"><legend class='gfield_label gform-field-label'  >\u0626\u0627\u06cc\u0627 \u062e\u06c6\u062a \u0628\u06d5 \u0626\u0627\u06cc\u0646\u06cc \u062f\u06d5\u0632\u0627\u0646\u06cc\u062a\u061f<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_7_23'>\n\t\t\t<div class='gchoice gchoice_7_23_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_23' type='radio' value='\u0628\u06d5\u06b5\u06ce'  id='choice_7_23_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_23_0' id='label_7_23_0' class='gform-field-label gform-field-label--type-inline'>\u0628\u06d5\u06b5\u06ce<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_23_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_23' type='radio' value='\u0646\u06d5\u062e\u06ce\u0631'  id='choice_7_23_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_23_1' id='label_7_23_1' class='gform-field-label gform-field-label--type-inline'>\u0646\u06d5\u062e\u06ce\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_23_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_23' type='radio' value='\u067e\u06ce\u062a \u0628\u0627\u0634\u06d5 \u0646\u06d5\u06b5\u06ce\u06cc\u062a'  id='choice_7_23_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_23_2' id='label_7_23_2' class='gform-field-label gform-field-label--type-inline'>\u067e\u06ce\u062a \u0628\u0627\u0634\u06d5 \u0646\u06d5\u06b5\u06ce\u06cc\u062a<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_7_22\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-half field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_7_22\"><legend class='gfield_label gform-field-label'  >\u0626\u0627\u06cc\u0627 \u062e\u06c6\u062a \u0628\u06d5 \u0695\u06c6\u062d\u06cc \u062f\u06d5\u0632\u0627\u0646\u06cc\u062a\u061f<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_7_22'>\n\t\t\t<div class='gchoice gchoice_7_22_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_22' type='radio' value='\u0628\u06d5\u06b5\u06ce'  id='choice_7_22_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_22_0' id='label_7_22_0' class='gform-field-label gform-field-label--type-inline'>\u0628\u06d5\u06b5\u06ce<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_22_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_22' type='radio' value='\u0646\u06d5\u062e\u06ce\u0631'  id='choice_7_22_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_22_1' id='label_7_22_1' class='gform-field-label gform-field-label--type-inline'>\u0646\u06d5\u062e\u06ce\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_22_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_22' type='radio' value='\u067e\u06ce\u062a \u0628\u0627\u0634\u06d5 \u0646\u06d5\u06b5\u06ce\u06cc\u062a'  id='choice_7_22_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_22_2' id='label_7_22_2' class='gform-field-label gform-field-label--type-inline'>\u067e\u06ce\u062a \u0628\u0627\u0634\u06d5 \u0646\u06d5\u06b5\u06ce\u06cc\u062a<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_7_62' class='gform_next_button gform-theme-button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_7\").val(\"2\");  jQuery(\"#gform_7\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_7\").val(\"2\");  jQuery(\"#gform_7\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_7_2' class='gform_page' data-js='page-field-id-62' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_7_2' class='gform_fields top_label form_sublabel_below description_below'><fieldset id=\"field_7_24\"  class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_7_24\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >\u0686\u06cc \u0648\u0627\u06cc \u0644\u06ce\u06a9\u0631\u062f\u06cc\u062a \u0626\u06d5\u0645\u0695\u06c6 \u0628\u06cc\u0631 \u0644\u06d5 \u0686\u0627\u0631\u06d5\u0633\u06d5\u0631\u06a9\u0631\u062f\u0646 \u0628\u06a9\u06d5\u06cc\u062a\u06d5\u0648\u06d5\u061f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_7_24'><div class='gchoice gchoice_7_24_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_24.1' type='checkbox'  value='\u0647\u06d5\u0633\u062a\u0645 \u0628\u06d5 \u062e\u06d5\u0645\u06c6\u06a9\u06cc \u06a9\u0631\u062f\u0648\u0648\u06d5'  id='choice_7_24_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_24_1' id='label_7_24_1' class='gform-field-label gform-field-label--type-inline'>\u0647\u06d5\u0633\u062a\u0645 \u0628\u06d5 \u062e\u06d5\u0645\u06c6\u06a9\u06cc \u06a9\u0631\u062f\u0648\u0648\u06d5<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_24_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_24.2' type='checkbox'  value='\u0647\u06d5\u0633\u062a \u0628\u06d5 \u062f\u06b5\u06d5\u0695\u0627\u0648\u06a9\u06ce\u06cc \u062f\u06b5\u06d5\u0695\u0627\u0648\u06a9\u06ce \u06cc\u0627\u0646 \u0633\u06d5\u0631\u06a9\u0648\u062a\u06a9\u0631\u062f\u0646 \u062f\u06d5\u06a9\u06d5\u0645'  id='choice_7_24_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_24_2' id='label_7_24_2' class='gform-field-label gform-field-label--type-inline'>\u0647\u06d5\u0633\u062a \u0628\u06d5 \u062f\u06b5\u06d5\u0695\u0627\u0648\u06a9\u06ce\u06cc \u062f\u06b5\u06d5\u0695\u0627\u0648\u06a9\u06ce \u06cc\u0627\u0646 \u0633\u06d5\u0631\u06a9\u0648\u062a\u06a9\u0631\u062f\u0646 \u062f\u06d5\u06a9\u06d5\u0645<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_24_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_24.3' type='checkbox'  value='\u0628\u0627\u0631\u06cc \u062f\u06d5\u0631\u0648\u0648\u0646\u06cc\u0645 \u062f\u06d5\u0633\u062a\u0648\u06d5\u0631\u062f\u0627\u0646 \u062f\u06d5\u06a9\u0627\u062a \u0644\u06d5 \u0626\u06d5\u062f\u0627\u06cc \u06a9\u0627\u0631\u06d5\u06a9\u06d5\u0645\/\u0642\u0648\u062a\u0627\u0628\u062e\u0627\u0646\u06d5\u06a9\u06d5\u0645'  id='choice_7_24_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_24_3' id='label_7_24_3' class='gform-field-label gform-field-label--type-inline'>\u0628\u0627\u0631\u06cc \u062f\u06d5\u0631\u0648\u0648\u0646\u06cc\u0645 \u062f\u06d5\u0633\u062a\u0648\u06d5\u0631\u062f\u0627\u0646 \u062f\u06d5\u06a9\u0627\u062a \u0644\u06d5 \u0626\u06d5\u062f\u0627\u06cc \u06a9\u0627\u0631\u06d5\u06a9\u06d5\u0645\/\u0642\u0648\u062a\u0627\u0628\u062e\u0627\u0646\u06d5\u06a9\u06d5\u0645<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_24_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_24.4' type='checkbox'  value='\u0645\u0646 \u06a9\u06ce\u0634\u06d5\u0645 \u0644\u06d5\u06af\u06d5\u06b5 \u062f\u0631\u0648\u0633\u062a\u06a9\u0631\u062f\u0646 \u06cc\u0627\u0646 \u067e\u0627\u0631\u0627\u0633\u062a\u0646\u06cc \u067e\u06d5\u06cc\u0648\u06d5\u0646\u062f\u06cc\u06cc\u06d5\u06a9\u0627\u0646 \u0647\u06d5\u06cc\u06d5'  id='choice_7_24_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_24_4' id='label_7_24_4' class='gform-field-label gform-field-label--type-inline'>\u0645\u0646 \u06a9\u06ce\u0634\u06d5\u0645 \u0644\u06d5\u06af\u06d5\u06b5 \u062f\u0631\u0648\u0633\u062a\u06a9\u0631\u062f\u0646 \u06cc\u0627\u0646 \u067e\u0627\u0631\u0627\u0633\u062a\u0646\u06cc \u067e\u06d5\u06cc\u0648\u06d5\u0646\u062f\u06cc\u06cc\u06d5\u06a9\u0627\u0646 \u0647\u06d5\u06cc\u06d5<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_24_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_24.5' type='checkbox'  value='\u0646\u0627\u062a\u0648\u0627\u0646\u0645 \u0626\u0627\u0645\u0627\u0646\u062c \u0648 \u0645\u0627\u0646\u0627 \u0644\u06d5 \u0698\u06cc\u0627\u0646\u0645\u062f\u0627 \u0628\u062f\u06c6\u0632\u0645\u06d5\u0648\u06d5'  id='choice_7_24_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_24_5' id='label_7_24_5' class='gform-field-label gform-field-label--type-inline'>\u0646\u0627\u062a\u0648\u0627\u0646\u0645 \u0626\u0627\u0645\u0627\u0646\u062c \u0648 \u0645\u0627\u0646\u0627 \u0644\u06d5 \u0698\u06cc\u0627\u0646\u0645\u062f\u0627 \u0628\u062f\u06c6\u0632\u0645\u06d5\u0648\u06d5<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_24_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_24.6' type='checkbox'  value='\u0645\u0646 \u062e\u06d5\u0645\u0628\u0627\u0631\u0645'  id='choice_7_24_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_24_6' id='label_7_24_6' class='gform-field-label gform-field-label--type-inline'>\u0645\u0646 \u062e\u06d5\u0645\u0628\u0627\u0631\u0645<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_24_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_24.7' type='checkbox'  value='\u0645\u0646 \u062a\u0648\u0648\u0634\u06cc \u0632\u06d5\u0628\u0631 \u0648 \u0632\u06d5\u0646\u06af \u0628\u0648\u0648\u0645'  id='choice_7_24_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_24_7' id='label_7_24_7' class='gform-field-label gform-field-label--type-inline'>\u0645\u0646 \u062a\u0648\u0648\u0634\u06cc \u0632\u06d5\u0628\u0631 \u0648 \u0632\u06d5\u0646\u06af \u0628\u0648\u0648\u0645<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_24_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_24.8' type='checkbox'  value='\u067e\u06ce\u0648\u06cc\u0633\u062a\u06d5 \u0644\u06d5 \u0695\u06ce\u06af\u06d5\u06cc \u062a\u06d5\u062d\u06d5\u062f\u0627\u06cc\u06d5\u06a9\u06cc \u062f\u06cc\u0627\u0631\u06cc\u06a9\u0631\u0627\u0648\u06d5\u0648\u06d5 \u0642\u0633\u06d5 \u0628\u06a9\u06d5\u0645'  id='choice_7_24_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_24_8' id='label_7_24_8' class='gform-field-label gform-field-label--type-inline'>\u067e\u06ce\u0648\u06cc\u0633\u062a\u06d5 \u0644\u06d5 \u0695\u06ce\u06af\u06d5\u06cc \u062a\u06d5\u062d\u06d5\u062f\u0627\u06cc\u06d5\u06a9\u06cc \u062f\u06cc\u0627\u0631\u06cc\u06a9\u0631\u0627\u0648\u06d5\u0648\u06d5 \u0642\u0633\u06d5 \u0628\u06a9\u06d5\u0645<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_24_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_24.9' type='checkbox'  value='\u0645\u0646 \u062f\u06d5\u0645\u06d5\u0648\u06ce\u062a \u0645\u062a\u0645\u0627\u0646\u06d5 \u0628\u06d5\u062e\u06c6\u0645 \u0628\u06d5\u062f\u06d5\u0633\u062a \u0628\u0647\u06ce\u0646\u0645'  id='choice_7_24_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_24_9' id='label_7_24_9' class='gform-field-label gform-field-label--type-inline'>\u0645\u0646 \u062f\u06d5\u0645\u06d5\u0648\u06ce\u062a \u0645\u062a\u0645\u0627\u0646\u06d5 \u0628\u06d5\u062e\u06c6\u0645 \u0628\u06d5\u062f\u06d5\u0633\u062a \u0628\u0647\u06ce\u0646\u0645<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_24_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_24.11' type='checkbox'  value='\u0645\u0646 \u062f\u06d5\u0645\u06d5\u0648\u06ce\u062a \u062e\u06c6\u0645 \u0628\u0627\u0634\u062a\u0631 \u0628\u06a9\u06d5\u0645 \u0628\u06d5\u06b5\u0627\u0645 \u0646\u0627\u0632\u0627\u0646\u0645 \u0644\u06d5 \u06a9\u0648\u06ce\u0648\u06d5 \u062f\u06d5\u0633\u062a \u067e\u06ce \u0628\u06a9\u06d5\u0645'  id='choice_7_24_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_24_11' id='label_7_24_11' class='gform-field-label gform-field-label--type-inline'>\u0645\u0646 \u062f\u06d5\u0645\u06d5\u0648\u06ce\u062a \u062e\u06c6\u0645 \u0628\u0627\u0634\u062a\u0631 \u0628\u06a9\u06d5\u0645 \u0628\u06d5\u06b5\u0627\u0645 \u0646\u0627\u0632\u0627\u0646\u0645 \u0644\u06d5 \u06a9\u0648\u06ce\u0648\u06d5 \u062f\u06d5\u0633\u062a \u067e\u06ce \u0628\u06a9\u06d5\u0645<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_24_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_24.12' type='checkbox'  value='\u067e\u06ce\u0634\u0646\u06cc\u0627\u0631 \u06a9\u0631\u0627\u0648\u06d5 \u0628\u06c6 \u0645\u0646 (\u0647\u0627\u0648\u0695\u06ce\u060c \u062e\u06ce\u0632\u0627\u0646\u060c \u067e\u0632\u06cc\u0634\u06a9)'  id='choice_7_24_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_24_12' id='label_7_24_12' class='gform-field-label gform-field-label--type-inline'>\u067e\u06ce\u0634\u0646\u06cc\u0627\u0631 \u06a9\u0631\u0627\u0648\u06d5 \u0628\u06c6 \u0645\u0646 (\u0647\u0627\u0648\u0695\u06ce\u060c \u062e\u06ce\u0632\u0627\u0646\u060c \u067e\u0632\u06cc\u0634\u06a9)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_24_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_24.13' type='checkbox'  value='\u062a\u06d5\u0646\u0647\u0627 \u06af\u06d5\u0695\u0627\u0646'  id='choice_7_24_13'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_24_13' id='label_7_24_13' class='gform-field-label gform-field-label--type-inline'>\u062a\u06d5\u0646\u0647\u0627 \u06af\u06d5\u0695\u0627\u0646<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_7_21\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_7_21\"><legend class='gfield_label gform-field-label'  >\u067e\u06ce\u0634\u062a\u0631 \u0644\u06d5 \u0686\u0627\u0631\u06d5\u0633\u06d5\u0631\u06a9\u0631\u062f\u0646\u062f\u0627 \u0628\u0648\u0648\u06cc\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_21'>\n\t\t\t<div class='gchoice gchoice_7_21_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_21' type='radio' value='\u0628\u06d5\u06b5\u06ce'  id='choice_7_21_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_21_0' id='label_7_21_0' class='gform-field-label gform-field-label--type-inline'>\u0628\u06d5\u06b5\u06ce<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_21_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_21' type='radio' value='\u0646\u06d5\u062e\u06ce\u0631'  id='choice_7_21_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_21_1' id='label_7_21_1' class='gform-field-label gform-field-label--type-inline'>\u0646\u06d5\u062e\u06ce\u0631<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_7_69' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_7\").val(\"1\");  jQuery(\"#gform_7\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_7\").val(\"1\");  jQuery(\"#gform_7\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_7_69' class='gform_next_button gform-theme-button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_7\").val(\"3\");  jQuery(\"#gform_7\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_7\").val(\"3\");  jQuery(\"#gform_7\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_7_3' class='gform_page' data-js='page-field-id-69' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_7_3' class='gform_fields top_label form_sublabel_below description_below'><fieldset id=\"field_7_25\"  class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_7_25\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >\u0686\u0627\u0648\u06d5\u0695\u0648\u0627\u0646\u06cc\u06cc\u06d5\u06a9\u0627\u0646\u062a \u0644\u06d5 \u0686\u0627\u0631\u06d5\u0633\u06d5\u0631\u06a9\u06d5\u0631\u06d5\u06a9\u06d5\u062a \u0686\u06cc\u0646\u061f \u0686\u0627\u0631\u06d5\u0633\u06d5\u0631\u06a9\u06d5\u0631\u06ce\u06a9 \u06a9\u06d5 ...<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_7_25'><div class='gchoice gchoice_7_25_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_25.1' type='checkbox'  value='\u06af\u0648\u06ce \u062f\u06d5\u06af\u0631\u06ce\u062a'  id='choice_7_25_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_25_1' id='label_7_25_1' class='gform-field-label gform-field-label--type-inline'>\u06af\u0648\u06ce \u062f\u06d5\u06af\u0631\u06ce\u062a<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_25_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_25.2' type='checkbox'  value='\u06af\u0648\u06ce \u062f\u06d5\u06af\u0631\u06ce\u062a'  id='choice_7_25_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_25_2' id='label_7_25_2' class='gform-field-label gform-field-label--type-inline'>\u06af\u0648\u06ce \u062f\u06d5\u06af\u0631\u06ce\u062a<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_25_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_25.3' type='checkbox'  value='\u0641\u06ce\u0631\u06cc \u06a9\u0627\u0631\u0627\u0645\u06d5\u06cc\u06cc \u0646\u0648\u06ce\u0645 \u062f\u06d5\u06a9\u0627\u062a'  id='choice_7_25_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_25_3' id='label_7_25_3' class='gform-field-label gform-field-label--type-inline'>\u0641\u06ce\u0631\u06cc \u06a9\u0627\u0631\u0627\u0645\u06d5\u06cc\u06cc \u0646\u0648\u06ce\u0645 \u062f\u06d5\u06a9\u0627\u062a<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_25_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_25.4' type='checkbox'  value='\u062a\u06d5\u062d\u06d5\u062f\u0627\u06cc \u0628\u06cc\u0631\u0648\u0628\u0627\u0648\u06d5\u0695\u06d5\u06a9\u0627\u0646\u0645 \u062f\u06d5\u06a9\u0627\u062a'  id='choice_7_25_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_25_4' id='label_7_25_4' class='gform-field-label gform-field-label--type-inline'>\u062a\u06d5\u062d\u06d5\u062f\u0627\u06cc \u0628\u06cc\u0631\u0648\u0628\u0627\u0648\u06d5\u0695\u06d5\u06a9\u0627\u0646\u0645 \u062f\u06d5\u06a9\u0627\u062a<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_25_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_25.5' type='checkbox'  value='\u0626\u06d5\u0631\u06a9\u06cc \u0645\u0627\u06b5\u06d5\u0648\u06d5\u0645 \u0628\u06c6 \u062f\u06cc\u0627\u0631\u06cc \u062f\u06d5\u06a9\u0627\u062a'  id='choice_7_25_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_25_5' id='label_7_25_5' class='gform-field-label gform-field-label--type-inline'>\u0626\u06d5\u0631\u06a9\u06cc \u0645\u0627\u06b5\u06d5\u0648\u06d5\u0645 \u0628\u06c6 \u062f\u06cc\u0627\u0631\u06cc \u062f\u06d5\u06a9\u0627\u062a<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_25_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_25.6' type='checkbox'  value='\u0695\u06ce\u0646\u0645\u0627\u06cc\u06cc\u0645 \u062f\u06d5\u06a9\u0627\u062a \u0628\u06c6 \u062f\u0627\u0646\u0627\u0646\u06cc \u0626\u0627\u0645\u0627\u0646\u062c'  id='choice_7_25_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_25_6' id='label_7_25_6' class='gform-field-label gform-field-label--type-inline'>\u0695\u06ce\u0646\u0645\u0627\u06cc\u06cc\u0645 \u062f\u06d5\u06a9\u0627\u062a \u0628\u06c6 \u062f\u0627\u0646\u0627\u0646\u06cc \u0626\u0627\u0645\u0627\u0646\u062c<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_25_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_25.7' type='checkbox'  value='\u0628\u06d5 \u0634\u06ce\u0648\u06d5\u06cc\u06d5\u06a9\u06cc \u0686\u0627\u0644\u0627\u06a9\u0627\u0646\u06d5 \u0644\u06d5\u06af\u06d5\u06b5\u0645\u062f\u0627 \u0686\u06ce\u06a9 \u0626\u06cc\u0646 \u062f\u06d5\u06a9\u0627\u062a'  id='choice_7_25_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_25_7' id='label_7_25_7' class='gform-field-label gform-field-label--type-inline'>\u0628\u06d5 \u0634\u06ce\u0648\u06d5\u06cc\u06d5\u06a9\u06cc \u0686\u0627\u0644\u0627\u06a9\u0627\u0646\u06d5 \u0644\u06d5\u06af\u06d5\u06b5\u0645\u062f\u0627 \u0686\u06ce\u06a9 \u0626\u06cc\u0646 \u062f\u06d5\u06a9\u0627\u062a<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_25_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_25.8' type='checkbox'  value='\u0646\u0627\u0632\u0627\u0646\u0645'  id='choice_7_25_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_25_8' id='label_7_25_8' class='gform-field-label gform-field-label--type-inline'>\u0646\u0627\u0632\u0627\u0646\u0645<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_7_20\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-half field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_7_20\"><legend class='gfield_label gform-field-label'  >\u062a\u06d5\u0646\u062f\u0631\u0648\u0633\u062a\u06cc \u062c\u06d5\u0633\u062a\u06d5\u06cc\u06cc \u0626\u06ce\u0633\u062a\u0627\u062a \u0686\u06c6\u0646 \u0647\u06d5\u06b5\u062f\u06d5\u0633\u06d5\u0646\u06af\u06ce\u0646\u06cc\u062a\u061f<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_7_20'>\n\t\t\t<div class='gchoice gchoice_7_20_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_20' type='radio' value='\u0628\u0627\u0634'  id='choice_7_20_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_20_0' id='label_7_20_0' class='gform-field-label gform-field-label--type-inline'>\u0628\u0627\u0634<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_20_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_20' type='radio' value='\u062f\u0627\u062f\u067e\u06d5\u0631\u0648\u06d5\u0631\u0627\u0646\u06d5'  id='choice_7_20_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_20_1' id='label_7_20_1' class='gform-field-label gform-field-label--type-inline'>\u062f\u0627\u062f\u067e\u06d5\u0631\u0648\u06d5\u0631\u0627\u0646\u06d5<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_20_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_20' type='radio' value='\u0647\u06d5\u0698\u0627\u0631'  id='choice_7_20_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_20_2' id='label_7_20_2' class='gform-field-label gform-field-label--type-inline'>\u0647\u06d5\u0698\u0627\u0631<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_7_18\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-half field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_7_18\"><legend class='gfield_label gform-field-label'  >\u0626\u0627\u06cc\u0627 \u0644\u06d5 \u0626\u06ce\u0633\u062a\u0627\u062f\u0627 \u062a\u0648\u0648\u0634\u06cc \u062e\u06d5\u0645 \u0648 \u067e\u06d5\u0698\u0627\u0631\u06d5\u060c \u062e\u06d5\u0645\u060c \u06cc\u0627\u0646 \u062e\u06d5\u0645\u06c6\u06a9\u06cc\u06cc\u06d5\u06a9\u06cc \u0632\u06c6\u0631 \u062f\u06d5\u0628\u06cc\u062a\u061f<\/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='\u0628\u06d5\u06b5\u06ce'  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'>\u0628\u06d5\u06b5\u06ce<\/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='\u0646\u06d5\u062e\u06ce\u0631'  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'>\u0646\u06d5\u062e\u06ce\u0631<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_7_19\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-half field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_7_19\"><legend class='gfield_label gform-field-label'  >\u0686\u06c6\u0646 \u0647\u06d5\u06b5\u0633\u06d5\u0646\u06af\u0627\u0646\u062f\u0646 \u0628\u06c6 \u062e\u0648\u0648\u06d5\u06a9\u0627\u0646\u06cc \u0626\u06ce\u0633\u062a\u0627\u06cc \u062e\u0648\u0627\u0631\u062f\u0646\u062a \u062f\u06d5\u06a9\u06d5\u06cc\u062a\u061f<\/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='\u0628\u0627\u0634'  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'>\u0628\u0627\u0634<\/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='\u062f\u0627\u062f\u067e\u06d5\u0631\u0648\u06d5\u0631\u0627\u0646\u06d5'  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\u0627\u062f\u067e\u06d5\u0631\u0648\u06d5\u0631\u0627\u0646\u06d5<\/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='\u0647\u06d5\u0698\u0627\u0631'  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'>\u0647\u06d5\u0698\u0627\u0631<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_7_73' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_7\").val(\"2\");  jQuery(\"#gform_7\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_7\").val(\"2\");  jQuery(\"#gform_7\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_7_73' class='gform_next_button gform-theme-button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_7\").val(\"4\");  jQuery(\"#gform_7\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_7\").val(\"4\");  jQuery(\"#gform_7\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_7_4' class='gform_page' data-js='page-field-id-73' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_7_4' class='gform_fields top_label form_sublabel_below description_below'><div id=\"field_7_27\"  class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_7_27\">\u0644\u06d5 \u0645\u0627\u0648\u06d5\u06cc \u0662 \u0647\u06d5\u0641\u062a\u06d5\u06cc \u0695\u0627\u0628\u0631\u062f\u0648\u0648\u062f\u0627\u060c \u0686\u06d5\u0646\u062f \u062c\u0627\u0631 \u0628\u06ce\u0632\u0627\u0631 \u0628\u0648\u0648\u06cc\u062a \u0628\u06d5\u0647\u06c6\u06cc \u0647\u06d5\u0631\u06cc\u06d5\u06a9\u06ce\u06a9 \u0644\u06d5\u0645 \u06a9\u06ce\u0634\u0627\u0646\u06d5\u06cc \u062e\u0648\u0627\u0631\u06d5\u0648\u06d5:<\/div><fieldset id=\"field_7_17\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-third field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_7_17\"><legend class='gfield_label gform-field-label'  >\u06a9\u06d5\u0645\u06ce\u06a9 \u062d\u06d5\u0632 \u06cc\u0627\u0646 \u0686\u06ce\u0698 \u0644\u06d5 \u0626\u06d5\u0646\u062c\u0627\u0645\u062f\u0627\u0646\u06cc \u06a9\u0627\u0631\u06d5\u06a9\u0627\u0646.<\/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='\u0628\u06d5 \u0647\u06cc\u0686 \u0634\u06ce\u0648\u06d5\u06cc\u06d5\u06a9'  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'>\u0628\u06d5 \u0647\u06cc\u0686 \u0634\u06ce\u0648\u06d5\u06cc\u06d5\u06a9<\/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='\u0686\u06d5\u0646\u062f \u0695\u06c6\u0698\u06ce\u06a9'  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'>\u0686\u06d5\u0646\u062f \u0695\u06c6\u0698\u06ce\u06a9<\/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='\u0632\u06cc\u0627\u062a\u0631 \u0644\u06d5 \u0646\u06cc\u0648\u06d5\u06cc \u0695\u06c6\u0698\u06d5\u06a9\u0627\u0646'  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'>\u0632\u06cc\u0627\u062a\u0631 \u0644\u06d5 \u0646\u06cc\u0648\u06d5\u06cc \u0695\u06c6\u0698\u06d5\u06a9\u0627\u0646<\/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='\u0646\u0632\u06cc\u06a9\u06d5\u06cc \u0647\u06d5\u0645\u0648\u0648 \u0695\u06c6\u0698\u06ce\u06a9'  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'>\u0646\u0632\u06cc\u06a9\u06d5\u06cc \u0647\u06d5\u0645\u0648\u0648 \u0695\u06c6\u0698\u06ce\u06a9<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_7_16\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-third field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_7_16\"><legend class='gfield_label gform-field-label'  >\u062c\u0648\u06b5\u06d5 \u06cc\u0627\u0646 \u0642\u0633\u06d5\u06a9\u0631\u062f\u0646 \u0626\u06d5\u0648\u06d5\u0646\u062f\u06d5 \u0628\u06d5 \u0647\u06ce\u0648\u0627\u0634\u06cc \u06a9\u06d5 \u062e\u06d5\u06b5\u06a9\u06cc \u062a\u0631 \u062f\u06d5\u06cc\u0627\u0646\u062a\u0648\u0627\u0646\u06cc \u062a\u06ce\u0628\u06cc\u0646\u06cc \u0628\u06a9\u06d5\u0646\u061f \u06cc\u0627\u0646 \u067e\u06ce\u0686\u06d5\u0648\u0627\u0646\u06d5\u06a9\u06d5\u06cc - \u0626\u06d5\u0648\u06d5\u0646\u062f\u06d5 \u0686\u06d5\u0642\u0628\u06d5\u0633\u062a\u0648\u0648 \u06cc\u0627\u0646 \u0646\u0627\u0626\u0627\u0631\u0627\u0645 \u0628\u0648\u0648\u0646 \u06a9\u06d5 \u0632\u06c6\u0631 \u0632\u06cc\u0627\u062a\u0631 \u0644\u06d5 \u0626\u0627\u0633\u0627\u06cc\u06cc \u0628\u06d5\u062f\u06d5\u0648\u0631\u06cc \u062e\u06c6\u062a\u062f\u0627 \u062f\u06d5\u062c\u0648\u06b5\u06ce\u06cc\u062a<\/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='\u0628\u06d5 \u0647\u06cc\u0686 \u0634\u06ce\u0648\u06d5\u06cc\u06d5\u06a9'  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'>\u0628\u06d5 \u0647\u06cc\u0686 \u0634\u06ce\u0648\u06d5\u06cc\u06d5\u06a9<\/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='\u0686\u06d5\u0646\u062f \u0695\u06c6\u0698\u06ce\u06a9'  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'>\u0686\u06d5\u0646\u062f \u0695\u06c6\u0698\u06ce\u06a9<\/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='\u0632\u06cc\u0627\u062a\u0631 \u0644\u06d5 \u0646\u06cc\u0648\u06d5\u06cc \u0695\u06c6\u0698\u06d5\u06a9\u0627\u0646'  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'>\u0632\u06cc\u0627\u062a\u0631 \u0644\u06d5 \u0646\u06cc\u0648\u06d5\u06cc \u0695\u06c6\u0698\u06d5\u06a9\u0627\u0646<\/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='\u0646\u0632\u06cc\u06a9\u06d5\u06cc \u0647\u06d5\u0645\u0648\u0648 \u0695\u06c6\u0698\u06ce\u06a9'  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'>\u0646\u0632\u06cc\u06a9\u06d5\u06cc \u0647\u06d5\u0645\u0648\u0648 \u0695\u06c6\u0698\u06ce\u06a9<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_7_28\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-third field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_7_28\"><legend class='gfield_label gform-field-label'  >\u0647\u06d5\u0633\u062a\u06a9\u0631\u062f\u0646 \u0628\u06d5 \u062f\u0627\u0628\u06d5\u0632\u06cc\u0646\u060c \u062e\u06d5\u0645\u06c6\u06a9\u06cc \u06cc\u0627\u0646 \u0628\u06ce\u0647\u06cc\u0648\u0627\u06cc\u06cc.<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_7_28'>\n\t\t\t<div class='gchoice gchoice_7_28_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_28' type='radio' value='\u0628\u06d5 \u0647\u06cc\u0686 \u0634\u06ce\u0648\u06d5\u06cc\u06d5\u06a9'  id='choice_7_28_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_28_0' id='label_7_28_0' class='gform-field-label gform-field-label--type-inline'>\u0628\u06d5 \u0647\u06cc\u0686 \u0634\u06ce\u0648\u06d5\u06cc\u06d5\u06a9<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_28_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_28' type='radio' value='\u0686\u06d5\u0646\u062f \u0695\u06c6\u0698\u06ce\u06a9'  id='choice_7_28_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_28_1' id='label_7_28_1' class='gform-field-label gform-field-label--type-inline'>\u0686\u06d5\u0646\u062f \u0695\u06c6\u0698\u06ce\u06a9<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_28_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_28' type='radio' value='\u0632\u06cc\u0627\u062a\u0631 \u0644\u06d5 \u0646\u06cc\u0648\u06d5\u06cc \u0695\u06c6\u0698\u06d5\u06a9\u0627\u0646'  id='choice_7_28_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_28_2' id='label_7_28_2' class='gform-field-label gform-field-label--type-inline'>\u0632\u06cc\u0627\u062a\u0631 \u0644\u06d5 \u0646\u06cc\u0648\u06d5\u06cc \u0695\u06c6\u0698\u06d5\u06a9\u0627\u0646<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_28_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_28' type='radio' value='\u0646\u0632\u06cc\u06a9\u06d5\u06cc \u0647\u06d5\u0645\u0648\u0648 \u0695\u06c6\u0698\u06ce\u06a9'  id='choice_7_28_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_28_3' id='label_7_28_3' class='gform-field-label gform-field-label--type-inline'>\u0646\u0632\u06cc\u06a9\u06d5\u06cc \u0647\u06d5\u0645\u0648\u0648 \u0695\u06c6\u0698\u06ce\u06a9<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_7_29\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-half field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_7_29\"><legend class='gfield_label gform-field-label'  >\u06a9\u06ce\u0634\u06d5 \u0644\u06d5 \u062e\u06d5\u0648\u062a\u0646\u060c \u0645\u0627\u0646\u06d5\u0648\u06d5 \u0644\u06d5 \u062e\u06d5\u0648\u060c \u06cc\u0627\u0646 \u0632\u06c6\u0631 \u062e\u06d5\u0648\u062a\u0646.<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_7_29'>\n\t\t\t<div class='gchoice gchoice_7_29_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_29' type='radio' value='\u0628\u06d5 \u0647\u06cc\u0686 \u0634\u06ce\u0648\u06d5\u06cc\u06d5\u06a9'  id='choice_7_29_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_29_0' id='label_7_29_0' class='gform-field-label gform-field-label--type-inline'>\u0628\u06d5 \u0647\u06cc\u0686 \u0634\u06ce\u0648\u06d5\u06cc\u06d5\u06a9<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_29_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_29' type='radio' value='\u0686\u06d5\u0646\u062f \u0695\u06c6\u0698\u06ce\u06a9'  id='choice_7_29_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_29_1' id='label_7_29_1' class='gform-field-label gform-field-label--type-inline'>\u0686\u06d5\u0646\u062f \u0695\u06c6\u0698\u06ce\u06a9<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_29_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_29' type='radio' value='\u0632\u06cc\u0627\u062a\u0631 \u0644\u06d5 \u0646\u06cc\u0648\u06d5\u06cc \u0695\u06c6\u0698\u06d5\u06a9\u0627\u0646'  id='choice_7_29_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_29_2' id='label_7_29_2' class='gform-field-label gform-field-label--type-inline'>\u0632\u06cc\u0627\u062a\u0631 \u0644\u06d5 \u0646\u06cc\u0648\u06d5\u06cc \u0695\u06c6\u0698\u06d5\u06a9\u0627\u0646<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_29_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_29' type='radio' value='\u0646\u0632\u06cc\u06a9\u06d5\u06cc \u0647\u06d5\u0645\u0648\u0648 \u0695\u06c6\u0698\u06ce\u06a9'  id='choice_7_29_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_29_3' id='label_7_29_3' class='gform-field-label gform-field-label--type-inline'>\u0646\u0632\u06cc\u06a9\u06d5\u06cc \u0647\u06d5\u0645\u0648\u0648 \u0695\u06c6\u0698\u06ce\u06a9<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_7_30\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-half field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_7_30\"><legend class='gfield_label gform-field-label'  >\u0647\u06d5\u0633\u062a\u06a9\u0631\u062f\u0646 \u0628\u06d5 \u0645\u0627\u0646\u062f\u0648\u06ce\u062a\u06cc \u06cc\u0627\u0646 \u06a9\u06d5\u0645\u06cc \u0648\u0632\u06d5<\/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='\u0628\u06d5 \u0647\u06cc\u0686 \u0634\u06ce\u0648\u06d5\u06cc\u06d5\u06a9'  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'>\u0628\u06d5 \u0647\u06cc\u0686 \u0634\u06ce\u0648\u06d5\u06cc\u06d5\u06a9<\/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='\u0686\u06d5\u0646\u062f \u0695\u06c6\u0698\u06ce\u06a9'  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'>\u0686\u06d5\u0646\u062f \u0695\u06c6\u0698\u06ce\u06a9<\/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='\u0632\u06cc\u0627\u062a\u0631 \u0644\u06d5 \u0646\u06cc\u0648\u06d5\u06cc \u0695\u06c6\u0698\u06d5\u06a9\u0627\u0646'  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'>\u0632\u06cc\u0627\u062a\u0631 \u0644\u06d5 \u0646\u06cc\u0648\u06d5\u06cc \u0695\u06c6\u0698\u06d5\u06a9\u0627\u0646<\/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='\u0646\u0632\u06cc\u06a9\u06d5\u06cc \u0647\u06d5\u0645\u0648\u0648 \u0695\u06c6\u0698\u06ce\u06a9'  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'>\u0646\u0632\u06cc\u06a9\u06d5\u06cc \u0647\u06d5\u0645\u0648\u0648 \u0695\u06c6\u0698\u06ce\u06a9<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_7_70' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_7\").val(\"3\");  jQuery(\"#gform_7\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_7\").val(\"3\");  jQuery(\"#gform_7\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_7_70' class='gform_next_button gform-theme-button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_7\").val(\"5\");  jQuery(\"#gform_7\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_7\").val(\"5\");  jQuery(\"#gform_7\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_7_5' class='gform_page' data-js='page-field-id-70' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_7_5' class='gform_fields top_label form_sublabel_below description_below'><fieldset id=\"field_7_31\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-third field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_7_31\"><legend class='gfield_label gform-field-label'  >\u062e\u0631\u0627\u067e\u06cc \u0626\u0627\u0631\u06d5\u0632\u0648\u0648\u06cc \u062e\u0648\u0627\u0631\u062f\u0646 \u06cc\u0627\u0646 \u0632\u06cc\u0627\u062f\u06d5\u0695\u06c6\u06cc\u06cc \u0644\u06d5 \u062e\u0648\u0627\u0631\u062f\u0646.<\/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='\u0628\u06d5 \u0647\u06cc\u0686 \u0634\u06ce\u0648\u06d5\u06cc\u06d5\u06a9'  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\u06d5 \u0647\u06cc\u0686 \u0634\u06ce\u0648\u06d5\u06cc\u06d5\u06a9<\/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='\u0686\u06d5\u0646\u062f \u0695\u06c6\u0698\u06ce\u06a9'  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'>\u0686\u06d5\u0646\u062f \u0695\u06c6\u0698\u06ce\u06a9<\/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='\u0632\u06cc\u0627\u062a\u0631 \u0644\u06d5 \u0646\u06cc\u0648\u06d5\u06cc \u0695\u06c6\u0698\u06d5\u06a9\u0627\u0646'  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'>\u0632\u06cc\u0627\u062a\u0631 \u0644\u06d5 \u0646\u06cc\u0648\u06d5\u06cc \u0695\u06c6\u0698\u06d5\u06a9\u0627\u0646<\/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='\u0646\u0632\u06cc\u06a9\u06d5\u06cc \u0647\u06d5\u0645\u0648\u0648 \u0695\u06c6\u0698\u06ce\u06a9'  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'>\u0646\u0632\u06cc\u06a9\u06d5\u06cc \u0647\u06d5\u0645\u0648\u0648 \u0695\u06c6\u0698\u06ce\u06a9<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_7_32\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_7_32\"><legend class='gfield_label gform-field-label'  >\u0647\u06d5\u0633\u062a\u06a9\u0631\u062f\u0646 \u0628\u06d5 \u062e\u0631\u0627\u067e\u06cc\u06cc \u0644\u06d5 \u062e\u06c6\u062a - \u06cc\u0627\u0646 \u0626\u06d5\u0648\u06d5\u06cc \u06a9\u06d5 \u062a\u06c6 \u0634\u06a9\u0633\u062a\u062e\u0648\u0627\u0631\u062f\u0648\u0648\u06cc\u062a \u06cc\u0627\u0646 \u062e\u06c6\u062a \u06cc\u0627\u0646 \u062e\u06ce\u0632\u0627\u0646\u06d5\u06a9\u06d5\u062a \u0628\u06ce\u0647\u06cc\u0648\u0627 \u06a9\u0631\u062f\u0648\u0648\u06d5.<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_32'>\n\t\t\t<div class='gchoice gchoice_7_32_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_32' type='radio' value='\u0628\u06d5 \u0647\u06cc\u0686 \u0634\u06ce\u0648\u06d5\u06cc\u06d5\u06a9'  id='choice_7_32_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_32_0' id='label_7_32_0' class='gform-field-label gform-field-label--type-inline'>\u0628\u06d5 \u0647\u06cc\u0686 \u0634\u06ce\u0648\u06d5\u06cc\u06d5\u06a9<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_32_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_32' type='radio' value='\u0686\u06d5\u0646\u062f \u0695\u06c6\u0698\u06ce\u06a9'  id='choice_7_32_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_32_1' id='label_7_32_1' class='gform-field-label gform-field-label--type-inline'>\u0686\u06d5\u0646\u062f \u0695\u06c6\u0698\u06ce\u06a9<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_32_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_32' type='radio' value='\u0632\u06cc\u0627\u062a\u0631 \u0644\u06d5 \u0646\u06cc\u0648\u06d5\u06cc \u0695\u06c6\u0698\u06d5\u06a9\u0627\u0646'  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'>\u0632\u06cc\u0627\u062a\u0631 \u0644\u06d5 \u0646\u06cc\u0648\u06d5\u06cc \u0695\u06c6\u0698\u06d5\u06a9\u0627\u0646<\/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='\u0646\u0632\u06cc\u06a9\u06d5\u06cc \u0647\u06d5\u0645\u0648\u0648 \u0695\u06c6\u0698\u06ce\u06a9'  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'>\u0646\u0632\u06cc\u06a9\u06d5\u06cc \u0647\u06d5\u0645\u0648\u0648 \u0695\u06c6\u0698\u06ce\u06a9<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_7_33\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-third field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_7_33\"><legend class='gfield_label gform-field-label'  >\u06a9\u06ce\u0634\u06d5\u06cc \u062a\u06d5\u0631\u06a9\u06cc\u0632\u06a9\u0631\u062f\u0646 \u0644\u06d5\u0633\u06d5\u0631 \u0634\u062a\u06d5\u06a9\u0627\u0646\u060c \u0648\u06d5\u06a9 \u062e\u0648\u06ce\u0646\u062f\u0646\u06d5\u0648\u06d5\u06cc \u0695\u06c6\u0698\u0646\u0627\u0645\u06d5 \u06cc\u0627\u0646 \u0633\u06d5\u06cc\u0631\u06a9\u0631\u062f\u0646\u06cc \u062a\u06d5\u0644\u06d5\u0641\u0632\u06cc\u06c6\u0646.<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_7_33'>\n\t\t\t<div class='gchoice gchoice_7_33_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_33' type='radio' value='\u0628\u06d5 \u0647\u06cc\u0686 \u0634\u06ce\u0648\u06d5\u06cc\u06d5\u06a9'  id='choice_7_33_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_33_0' id='label_7_33_0' class='gform-field-label gform-field-label--type-inline'>\u0628\u06d5 \u0647\u06cc\u0686 \u0634\u06ce\u0648\u06d5\u06cc\u06d5\u06a9<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_33_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_33' type='radio' value='\u0686\u06d5\u0646\u062f \u0695\u06c6\u0698\u06ce\u06a9'  id='choice_7_33_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_33_1' id='label_7_33_1' class='gform-field-label gform-field-label--type-inline'>\u0686\u06d5\u0646\u062f \u0695\u06c6\u0698\u06ce\u06a9<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_33_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_33' type='radio' value='\u0632\u06cc\u0627\u062a\u0631 \u0644\u06d5 \u0646\u06cc\u0648\u06d5\u06cc \u0695\u06c6\u0698\u06d5\u06a9\u0627\u0646'  id='choice_7_33_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_33_2' id='label_7_33_2' class='gform-field-label gform-field-label--type-inline'>\u0632\u06cc\u0627\u062a\u0631 \u0644\u06d5 \u0646\u06cc\u0648\u06d5\u06cc \u0695\u06c6\u0698\u06d5\u06a9\u0627\u0646<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_33_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_33' type='radio' value='\u0646\u0632\u06cc\u06a9\u06d5\u06cc \u0647\u06d5\u0645\u0648\u0648 \u0695\u06c6\u0698\u06ce\u06a9'  id='choice_7_33_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_33_3' id='label_7_33_3' class='gform-field-label gform-field-label--type-inline'>\u0646\u0632\u06cc\u06a9\u06d5\u06cc \u0647\u06d5\u0645\u0648\u0648 \u0695\u06c6\u0698\u06ce\u06a9<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_7_36\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_7_36\"><legend class='gfield_label gform-field-label'  >\u0628\u06cc\u0631\u06a9\u0631\u062f\u0646\u06d5\u0648\u06d5\u06a9\u0627\u0646 \u06a9\u06d5 \u0628\u0627\u0634\u062a\u0631\u06d5 \u0628\u0645\u0631\u06cc\u062a \u06cc\u0627\u0646 \u0628\u06d5 \u062c\u06c6\u0631\u06ce\u06a9 \u0644\u06d5 \u062c\u06c6\u0631\u06d5\u06a9\u0627\u0646 \u0626\u0627\u0632\u0627\u0631\u06cc \u062e\u06c6\u062a \u0628\u062f\u06d5\u06cc\u062a.<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='\u0628\u06d5 \u0647\u06cc\u0686 \u0634\u06ce\u0648\u06d5\u06cc\u06d5\u06a9'  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'>\u0628\u06d5 \u0647\u06cc\u0686 \u0634\u06ce\u0648\u06d5\u06cc\u06d5\u06a9<\/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='\u0686\u06d5\u0646\u062f \u0695\u06c6\u0698\u06ce\u06a9'  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'>\u0686\u06d5\u0646\u062f \u0695\u06c6\u0698\u06ce\u06a9<\/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='\u0632\u06cc\u0627\u062a\u0631 \u0644\u06d5 \u0646\u06cc\u0648\u06d5\u06cc \u0695\u06c6\u0698\u06d5\u06a9\u0627\u0646'  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'>\u0632\u06cc\u0627\u062a\u0631 \u0644\u06d5 \u0646\u06cc\u0648\u06d5\u06cc \u0695\u06c6\u0698\u06d5\u06a9\u0627\u0646<\/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='\u0646\u0632\u06cc\u06a9\u06d5\u06cc \u0647\u06d5\u0645\u0648\u0648 \u0695\u06c6\u0698\u06ce\u06a9'  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'>\u0646\u0632\u06cc\u06a9\u06d5\u06cc \u0647\u06d5\u0645\u0648\u0648 \u0695\u06c6\u0698\u06ce\u06a9<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_7_34\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_7_34\"><legend class='gfield_label gform-field-label'  >\u0626\u06d5\u0645 \u06a9\u06ce\u0634\u0627\u0646\u06d5 \u0686\u06d5\u0646\u062f\u06d5 \u0633\u06d5\u062e\u062a\u06cc\u0627\u0646 \u06a9\u0631\u062f\u0648\u0648\u06d5 \u0628\u06c6 \u0626\u06d5\u0648\u06d5\u06cc \u06a9\u0627\u0631\u06d5\u06a9\u0627\u0646\u062a \u0626\u06d5\u0646\u062c\u0627\u0645 \u0628\u062f\u06d5\u06cc\u062a\u060c \u0644\u06d5 \u0645\u0627\u06b5\u06d5\u0648\u06d5 \u0626\u0627\u06af\u0627\u062f\u0627\u0631\u06cc \u0634\u062a\u06d5\u06a9\u0627\u0646 \u0628\u06cc\u062a\u060c \u06cc\u0627\u0646 \u0644\u06d5\u06af\u06d5\u06b5 \u06a9\u06d5\u0633\u0627\u0646\u06cc \u062a\u0631\u062f\u0627 \u0695\u06ce\u06a9\u0628\u06a9\u06d5\u0648\u06cc\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_34'>\n\t\t\t<div class='gchoice gchoice_7_34_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_34' type='radio' value='\u0628\u06d5 \u0647\u06cc\u0686 \u0634\u06ce\u0648\u06d5\u06cc\u06d5\u06a9'  id='choice_7_34_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_34_0' id='label_7_34_0' class='gform-field-label gform-field-label--type-inline'>\u0628\u06d5 \u0647\u06cc\u0686 \u0634\u06ce\u0648\u06d5\u06cc\u06d5\u06a9<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_34_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_34' type='radio' value='\u0686\u06d5\u0646\u062f \u0695\u06c6\u0698\u06ce\u06a9'  id='choice_7_34_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_34_1' id='label_7_34_1' class='gform-field-label gform-field-label--type-inline'>\u0686\u06d5\u0646\u062f \u0695\u06c6\u0698\u06ce\u06a9<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_34_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_34' type='radio' value='\u0632\u06cc\u0627\u062a\u0631 \u0644\u06d5 \u0646\u06cc\u0648\u06d5\u06cc \u0695\u06c6\u0698\u06d5\u06a9\u0627\u0646'  id='choice_7_34_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_34_2' id='label_7_34_2' class='gform-field-label gform-field-label--type-inline'>\u0632\u06cc\u0627\u062a\u0631 \u0644\u06d5 \u0646\u06cc\u0648\u06d5\u06cc \u0695\u06c6\u0698\u06d5\u06a9\u0627\u0646<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_34_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_34' type='radio' value='\u0646\u0632\u06cc\u06a9\u06d5\u06cc \u0647\u06d5\u0645\u0648\u0648 \u0695\u06c6\u0698\u06ce\u06a9'  id='choice_7_34_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_34_3' id='label_7_34_3' class='gform-field-label gform-field-label--type-inline'>\u0646\u0632\u06cc\u06a9\u06d5\u06cc \u0647\u06d5\u0645\u0648\u0648 \u0695\u06c6\u0698\u06ce\u06a9<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_7_64' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_7\").val(\"4\");  jQuery(\"#gform_7\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_7\").val(\"4\");  jQuery(\"#gform_7\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_7_64' class='gform_next_button gform-theme-button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_7\").val(\"6\");  jQuery(\"#gform_7\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_7\").val(\"6\");  jQuery(\"#gform_7\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_7_6' class='gform_page' data-js='page-field-id-64' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_7_6' class='gform_fields top_label form_sublabel_below description_below'><div id=\"field_7_37\"  class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_7_37\">\u062a\u06a9\u0627\u06cc\u06d5 \u0626\u06d5\u0645 \u067e\u0631\u0633\u06cc\u0627\u0631\u0646\u0627\u0645\u06d5 \u06a9\u0648\u0631\u062a\u06d5 \u067e\u0695\u0628\u06a9\u06d5\u0631\u06d5\u0648\u06d5 \u0628\u06c6 \u0626\u06d5\u0648\u06d5\u06cc \u0647\u06d5\u0646\u062f\u06ce\u06a9 \u0632\u0627\u0646\u06cc\u0627\u0631\u06cc \u067e\u0627\u0634\u062e\u0627\u0646 \u062f\u06d5\u0631\u0628\u0627\u0631\u06d5\u06cc \u062e\u06c6\u062a \u0648 \u0626\u06d5\u0648 \u06a9\u06ce\u0634\u0627\u0646\u06d5 \u0628\u062f\u06d5\u06cc\u062a \u06a9\u06d5 \u062d\u06d5\u0632 \u062f\u06d5\u06a9\u06d5\u06cc\u062a \u0644\u06d5 \u0686\u0627\u0631\u06d5\u0633\u06d5\u0631\u06a9\u0631\u062f\u0646\u062f\u0627 \u0645\u0627\u0645\u06d5\u06b5\u06d5\u06cc\u0627\u0646 \u0644\u06d5\u06af\u06d5\u06b5 \u0628\u06a9\u06d5\u06cc\u062a. \u06cc\u0627\u0631\u0645\u06d5\u062a\u06cc\u062f\u06d5\u0631 \u062f\u06d5\u0628\u06ce\u062a \u0628\u06c6 \u0626\u06d5\u0648\u06d5\u06cc \u062a\u06c6 \u0644\u06d5\u06af\u06d5\u06b5 \u06af\u0648\u0646\u062c\u0627\u0648\u062a\u0631\u06cc\u0646 \u0686\u0627\u0631\u06d5\u0633\u06d5\u0631\u06a9\u06d5\u0631 \u0628\u06c6 \u062a\u06c6 \u0628\u06af\u0648\u0646\u062c\u06ce\u0646\u06cc\u0646. \u0647\u06d5\u0631\u0648\u06d5\u0647\u0627 \u0648\u06d5\u06b5\u0627\u0645\u06d5\u06a9\u0627\u0646\u062a \u062e\u0627\u06b5\u06cc \u062f\u06d5\u0633\u062a\u067e\u06ce\u06a9\u06ce\u06a9\u06cc \u0628\u0627\u0634 \u0628\u06d5\u0645 \u0686\u0627\u0631\u06d5\u0633\u06d5\u0631\u06a9\u06d5\u0631\u06d5 \u062f\u06d5\u062f\u06d5\u0646 \u0628\u06c6 \u0646\u0627\u0633\u06cc\u0646\u06cc \u062a\u06c6.<\/div><fieldset id=\"field_7_38\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_7_38\"><legend class='gfield_label gform-field-label'  >\u0626\u0627\u06cc\u0627 \u062a\u06c6 \u062f\u0627\u0645\u06d5\u0632\u0631\u0627\u0648\u06cc\u062a \u06cc\u0627\u0646 \u06a9\u0627\u0631\u062f\u06d5\u06a9\u06d5\u06cc\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_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='\u0628\u06d5\u0644\u06ce'  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'>\u0628\u06d5\u0644\u06ce<\/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='\u0646\u06d5\u062e\u06ce\u0631'  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'>\u0646\u06d5\u062e\u06ce\u0631<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_7_39\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-third field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_7_39\"><legend class='gfield_label gform-field-label'  >\u0626\u0627\u06cc\u0627 \u0647\u06cc\u0686 \u06a9\u06ce\u0634\u06d5\u06cc\u06d5\u06a9 \u06cc\u0627\u0646 \u0646\u06cc\u06af\u06d5\u0631\u0627\u0646\u06cc\u06cc\u06d5\u06a9\u062a \u0647\u06d5\u06cc\u06d5 \u0633\u06d5\u0628\u0627\u0631\u06d5\u062a \u0628\u06d5 \u0626\u06cc\u0646\u062a\u06cc\u0645\u0627\u061f<\/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='\u0628\u06d5\u0644\u06ce'  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'>\u0628\u06d5\u0644\u06ce<\/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='\u0646\u06d5\u062e\u06ce\u0631'  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'>\u0646\u06d5\u062e\u06ce\u0631<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_7_40\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_7_40\"><legend class='gfield_label gform-field-label'  >\u0686\u06d5\u0646\u062f \u062c\u0627\u0631 \u0645\u06d5\u06cc \u062f\u06d5\u062e\u06c6\u06cc\u062a\u06d5\u0648\u06d5\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_40'>\n\t\t\t<div class='gchoice gchoice_7_40_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_40' type='radio' value='\u0647\u06d5\u0631\u06af\u06cc\u0632'  id='choice_7_40_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_40_0' id='label_7_40_0' class='gform-field-label gform-field-label--type-inline'>\u0647\u06d5\u0631\u06af\u06cc\u0632<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_40_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_40' type='radio' value='\u0628\u06d5 \u06a9\u06d5\u0645\u06cc'  id='choice_7_40_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_40_1' id='label_7_40_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u06d5 \u06a9\u06d5\u0645\u06cc<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_40_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_40' type='radio' value='\u0645\u0627\u0646\u06af\u0627\u0646\u06d5'  id='choice_7_40_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_40_2' id='label_7_40_2' class='gform-field-label gform-field-label--type-inline'>\u0645\u0627\u0646\u06af\u0627\u0646\u06d5<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_40_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_40' type='radio' value='\u0647\u06d5\u0641\u062a\u0627\u0646\u06d5'  id='choice_7_40_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_40_3' id='label_7_40_3' class='gform-field-label gform-field-label--type-inline'>\u0647\u06d5\u0641\u062a\u0627\u0646\u06d5<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_40_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_40' type='radio' value='\u0695\u06c6\u0698\u0627\u0646\u06d5'  id='choice_7_40_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_40_4' id='label_7_40_4' class='gform-field-label gform-field-label--type-inline'>\u0695\u06c6\u0698\u0627\u0646\u06d5<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_7_41\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_7_41\"><legend class='gfield_label gform-field-label'  >\u062f\u0648\u0627\u06cc\u06cc\u0646 \u062c\u0627\u0631 \u06a9\u06d5\u06cc \u0628\u0648\u0648 \u0628\u06cc\u0631\u062a \u0644\u06d5 \u062e\u06c6\u06a9\u0648\u0634\u062a\u0646 \u06a9\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_41'>\n\t\t\t<div class='gchoice gchoice_7_41_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_41' type='radio' value='\u0647\u06d5\u0631\u06af\u06cc\u0632'  id='choice_7_41_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_41_0' id='label_7_41_0' class='gform-field-label gform-field-label--type-inline'>\u0647\u06d5\u0631\u06af\u06cc\u0632<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_41_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_41' type='radio' value='\u0632\u06cc\u0627\u062a\u0631 \u0644\u06d5 \u0633\u0627\u06b5\u06ce\u06a9 \u0644\u06d5\u0645\u06d5\u0648\u0628\u06d5\u0631'  id='choice_7_41_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_41_1' id='label_7_41_1' class='gform-field-label gform-field-label--type-inline'>\u0632\u06cc\u0627\u062a\u0631 \u0644\u06d5 \u0633\u0627\u06b5\u06ce\u06a9 \u0644\u06d5\u0645\u06d5\u0648\u0628\u06d5\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_41_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_41' type='radio' value='\u0632\u06cc\u0627\u062a\u0631 \u0644\u06d5 \u0645\u0627\u0646\u06af\u06ce\u06a9 \u0644\u06d5\u0645\u06d5\u0648\u0628\u06d5\u0631'  id='choice_7_41_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_41_2' id='label_7_41_2' class='gform-field-label gform-field-label--type-inline'>\u0632\u06cc\u0627\u062a\u0631 \u0644\u06d5 \u0645\u0627\u0646\u06af\u06ce\u06a9 \u0644\u06d5\u0645\u06d5\u0648\u0628\u06d5\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_41_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_41' type='radio' value='\u0632\u06cc\u0627\u062a\u0631 \u0644\u06d5 \u0647\u06d5\u0641\u062a\u06d5\u06cc\u06d5\u06a9 \u0644\u06d5\u0645\u06d5\u0648\u0628\u06d5\u0631'  id='choice_7_41_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_41_3' id='label_7_41_3' class='gform-field-label gform-field-label--type-inline'>\u0632\u06cc\u0627\u062a\u0631 \u0644\u06d5 \u0647\u06d5\u0641\u062a\u06d5\u06cc\u06d5\u06a9 \u0644\u06d5\u0645\u06d5\u0648\u0628\u06d5\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_41_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_41' type='radio' value='\u0647\u06d5\u0645\u0648\u0648 \u0695\u06c6\u0698\u06ce\u06a9'  id='choice_7_41_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_41_4' id='label_7_41_4' class='gform-field-label gform-field-label--type-inline'>\u0647\u06d5\u0645\u0648\u0648 \u0695\u06c6\u0698\u06ce\u06a9<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_7_48\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_7_48\"><legend class='gfield_label gform-field-label'  >\u0686\u06c6\u0646 \u067e\u06ce\u062a \u0628\u0627\u0634\u06d5 \u067e\u06d5\u06cc\u0648\u06d5\u0646\u062f\u06cc \u0644\u06d5\u06af\u06d5\u06b5 \u0686\u0627\u0631\u06d5\u0633\u06d5\u0631\u06a9\u06d5\u0631\u06d5\u06a9\u06d5\u062a \u0628\u06a9\u06d5\u06cc\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_48'>\n\t\t\t<div class='gchoice gchoice_7_48_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_48' type='radio' value='\u0632\u06c6\u0631\u062a\u0631 \u0644\u06d5 \u0695\u06ce\u06af\u06d5\u06cc \u0646\u0627\u0645\u06d5 \u0646\u0627\u0631\u062f\u0646\u06d5\u0648\u06d5'  id='choice_7_48_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_48_0' id='label_7_48_0' class='gform-field-label gform-field-label--type-inline'>\u0632\u06c6\u0631\u062a\u0631 \u0644\u06d5 \u0695\u06ce\u06af\u06d5\u06cc \u0646\u0627\u0645\u06d5 \u0646\u0627\u0631\u062f\u0646\u06d5\u0648\u06d5<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_48_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_48' type='radio' value='\u0632\u06c6\u0631\u062a\u0631 \u0644\u06d5 \u0695\u06ce\u06af\u06d5\u06cc \u0646\u0627\u0645\u06d5 \u0646\u0627\u0631\u062f\u0646\u06d5\u0648\u06d5'  id='choice_7_48_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_48_1' id='label_7_48_1' class='gform-field-label gform-field-label--type-inline'>\u0632\u06c6\u0631\u062a\u0631 \u0644\u06d5 \u0695\u06ce\u06af\u06d5\u06cc \u0646\u0627\u0645\u06d5 \u0646\u0627\u0631\u062f\u0646\u06d5\u0648\u06d5<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_48_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_48' type='radio' value='\u0647\u06ce\u0634\u062a\u0627 \u062f\u06b5\u0646\u06cc\u0627 \u0646\u06cc\u0645 (\u062f\u0648\u0627\u062a\u0631 \u0628\u0695\u06cc\u0627\u0631 \u0628\u062f\u06d5)'  id='choice_7_48_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_48_2' id='label_7_48_2' class='gform-field-label gform-field-label--type-inline'>\u0647\u06ce\u0634\u062a\u0627 \u062f\u06b5\u0646\u06cc\u0627 \u0646\u06cc\u0645 (\u062f\u0648\u0627\u062a\u0631 \u0628\u0695\u06cc\u0627\u0631 \u0628\u062f\u06d5)<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_7_42\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_7_42\"><legend class='gfield_label gform-field-label'  >\u0626\u0627\u06cc\u0627 \u0644\u06d5 \u0626\u06ce\u0633\u062a\u0627\u062f\u0627 \u062a\u0648\u0648\u0634\u06cc \u062f\u06b5\u06d5\u0695\u0627\u0648\u06a9\u06ce\u060c \u0647\u06ce\u0631\u0634\u06cc \u062a\u0631\u0633 \u0648 \u062f\u06b5\u06d5\u0695\u0627\u0648\u06a9\u06ce \u0628\u0648\u0648\u06cc\u062a \u06cc\u0627\u0646 \u0647\u06cc\u0686 \u0641\u06c6\u0628\u06cc\u0627\u06cc\u06d5\u06a9\u062a \u0647\u06d5\u06cc\u06d5\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='\u0628\u06d5\u0644\u06ce'  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\u06d5\u0644\u06ce<\/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='\u0646\u06d5\u062e\u06ce\u0631'  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'>\u0646\u06d5\u062e\u06ce\u0631<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_7_67' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_7\").val(\"5\");  jQuery(\"#gform_7\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_7\").val(\"5\");  jQuery(\"#gform_7\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_7_67' class='gform_next_button gform-theme-button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_7\").val(\"7\");  jQuery(\"#gform_7\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_7\").val(\"7\");  jQuery(\"#gform_7\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_7_7' class='gform_page' data-js='page-field-id-67' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_7_7' class='gform_fields top_label form_sublabel_below description_below'><fieldset id=\"field_7_43\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_7_43\"><legend class='gfield_label gform-field-label'  >\u0626\u0627\u06cc\u0627 \u0644\u06d5 \u0626\u06ce\u0633\u062a\u0627\u062f\u0627 \u0647\u06cc\u0686 \u062f\u06d5\u0631\u0645\u0627\u0646\u06ce\u06a9 \u062f\u06d5\u062e\u06c6\u06cc\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='\u0628\u06d5\u0644\u06ce'  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'>\u0628\u06d5\u0644\u06ce<\/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='\u0646\u06d5\u062e\u06ce\u0631'  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'>\u0646\u06d5\u062e\u06ce\u0631<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_7_44\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_7_44\"><legend class='gfield_label gform-field-label'  >\u0626\u0627\u06cc\u0627 \u0644\u06d5 \u0626\u06ce\u0633\u062a\u0627\u062f\u0627 \u062a\u0648\u0648\u0634\u06cc \u0647\u06cc\u0686 \u0626\u0627\u0632\u0627\u0631\u06ce\u06a9\u06cc \u062f\u0631\u06ce\u0698\u062e\u0627\u06cc\u06d5\u0646 \u062f\u06d5\u0628\u06cc\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_44'>\n\t\t\t<div class='gchoice gchoice_7_44_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_44' type='radio' value='\u0628\u06d5\u0644\u06ce'  id='choice_7_44_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_44_0' id='label_7_44_0' class='gform-field-label gform-field-label--type-inline'>\u0628\u06d5\u0644\u06ce<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_44_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_44' type='radio' value='\u0646\u06d5\u062e\u06ce\u0631'  id='choice_7_44_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_44_1' id='label_7_44_1' class='gform-field-label gform-field-label--type-inline'>\u0646\u06d5\u062e\u06ce\u0631<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_7_46\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_7_46\"><legend class='gfield_label gform-field-label'  >\u062f\u06c6\u062e\u06cc \u062f\u0627\u0631\u0627\u06cc\u06cc \u0626\u06ce\u0633\u062a\u0627\u062a \u0686\u06c6\u0646 \u0647\u06d5\u06b5\u062f\u06d5\u0633\u06d5\u0646\u06af\u06ce\u0646\u06cc\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_46'>\n\t\t\t<div class='gchoice gchoice_7_46_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_46' type='radio' value='\u0628\u0627\u0634'  id='choice_7_46_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_46_0' id='label_7_46_0' class='gform-field-label gform-field-label--type-inline'>\u0628\u0627\u0634<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_46_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_46' type='radio' value='\u062f\u0627\u062f\u067e\u06d5\u0631\u0648\u06d5\u0631\u0627\u0646\u06d5'  id='choice_7_46_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_46_1' id='label_7_46_1' class='gform-field-label gform-field-label--type-inline'>\u062f\u0627\u062f\u067e\u06d5\u0631\u0648\u06d5\u0631\u0627\u0646\u06d5<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_46_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_46' type='radio' value='\u0647\u06d5\u0698\u0627\u0631'  id='choice_7_46_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_46_2' id='label_7_46_2' class='gform-field-label gform-field-label--type-inline'>\u0647\u06d5\u0698\u0627\u0631<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_7_47\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_7_47\"><legend class='gfield_label gform-field-label'  >\u0686\u06c6\u0646 \u0647\u06d5\u06b5\u0633\u06d5\u0646\u06af\u0627\u0646\u062f\u0646 \u0628\u06c6 \u062e\u0648\u0648\u06d5\u06a9\u0627\u0646\u06cc \u0626\u06ce\u0633\u062a\u0627\u06cc \u062e\u06d5\u0648\u062a\u0646\u062a \u062f\u06d5\u06a9\u06d5\u06cc\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_47'>\n\t\t\t<div class='gchoice gchoice_7_47_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_47' type='radio' value='\u0628\u0627\u0634'  id='choice_7_47_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_47_0' id='label_7_47_0' class='gform-field-label gform-field-label--type-inline'>\u0628\u0627\u0634<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_47_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_47' type='radio' value='\u062f\u0627\u062f\u067e\u06d5\u0631\u0648\u06d5\u0631\u0627\u0646\u06d5'  id='choice_7_47_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_47_1' id='label_7_47_1' class='gform-field-label gform-field-label--type-inline'>\u062f\u0627\u062f\u067e\u06d5\u0631\u0648\u06d5\u0631\u0627\u0646\u06d5<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_47_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_47' type='radio' value='\u0647\u06d5\u0698\u0627\u0631'  id='choice_7_47_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_47_2' id='label_7_47_2' class='gform-field-label gform-field-label--type-inline'>\u0647\u06d5\u0698\u0627\u0631<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_7_49\"  class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_7_49\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >\u0626\u0627\u06cc\u0627 \u0647\u06cc\u0686 \u0647\u06d5\u06b5\u0628\u0698\u0627\u0631\u062f\u06d5\u06cc\u06d5\u06a9\u06cc \u062a\u0627\u06cc\u0628\u06d5\u062a \u0647\u06d5\u06cc\u06d5 \u0628\u06c6 \u0686\u0627\u0631\u06d5\u0633\u06d5\u0631\u06a9\u06d5\u0631\u06d5\u06a9\u06d5\u062a\u061f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_7_49'><div class='gchoice gchoice_7_49_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_49.1' type='checkbox'  value='\u0686\u0627\u0631\u06d5\u0633\u06d5\u0631\u06a9\u06d5\u0631\u06cc \u067e\u06cc\u0627\u0648'  id='choice_7_49_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_49_1' id='label_7_49_1' class='gform-field-label gform-field-label--type-inline'>\u0686\u0627\u0631\u06d5\u0633\u06d5\u0631\u06a9\u06d5\u0631\u06cc \u067e\u06cc\u0627\u0648<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_49_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_49.2' type='checkbox'  value='\u0686\u0627\u0631\u06d5\u0633\u06d5\u0631\u06a9\u06d5\u0631\u06cc \u0645\u06ce\u06cc\u0646\u06d5'  id='choice_7_49_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_49_2' id='label_7_49_2' class='gform-field-label gform-field-label--type-inline'>\u0686\u0627\u0631\u06d5\u0633\u06d5\u0631\u06a9\u06d5\u0631\u06cc \u0645\u06ce\u06cc\u0646\u06d5<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_49_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_49.3' type='checkbox'  value='\u0686\u0627\u0631\u06d5\u0633\u06d5\u0631\u06cc \u0628\u0646\u06d5\u0645\u0627\u06cc \u0645\u06d5\u0633\u06cc\u062d\u06cc'  id='choice_7_49_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_49_3' id='label_7_49_3' class='gform-field-label gform-field-label--type-inline'>\u0686\u0627\u0631\u06d5\u0633\u06d5\u0631\u06cc \u0628\u0646\u06d5\u0645\u0627\u06cc \u0645\u06d5\u0633\u06cc\u062d\u06cc<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_49_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_49.4' type='checkbox'  value='\u0686\u0627\u0631\u06d5\u0633\u06d5\u0631\u06a9\u06d5\u0631 \u0644\u06d5 \u06a9\u06c6\u0645\u06d5\u06b5\u06af\u06d5\u06cc LGBTQ+'  id='choice_7_49_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_49_4' id='label_7_49_4' class='gform-field-label gform-field-label--type-inline'>\u0686\u0627\u0631\u06d5\u0633\u06d5\u0631\u06a9\u06d5\u0631 \u0644\u06d5 \u06a9\u06c6\u0645\u06d5\u06b5\u06af\u06d5\u06cc LGBTQ+<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_49_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_49.5' type='checkbox'  value='\u0686\u0627\u0631\u06d5\u0633\u06d5\u0631\u06a9\u06d5\u0631\u06cc \u0628\u06d5\u062a\u06d5\u0645\u06d5\u0646 (45+)'  id='choice_7_49_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_49_5' id='label_7_49_5' class='gform-field-label gform-field-label--type-inline'>\u0686\u0627\u0631\u06d5\u0633\u06d5\u0631\u06a9\u06d5\u0631\u06cc \u0628\u06d5\u062a\u06d5\u0645\u06d5\u0646 (45+)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_49_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_49.6' type='checkbox'  value='\u0686\u0627\u0631\u06d5\u0633\u06d5\u0631\u06a9\u06d5\u0631\u06cc \u0646\u0627\u0626\u0627\u06cc\u0646\u06cc'  id='choice_7_49_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_49_6' id='label_7_49_6' class='gform-field-label gform-field-label--type-inline'>\u0686\u0627\u0631\u06d5\u0633\u06d5\u0631\u06a9\u06d5\u0631\u06cc \u0646\u0627\u0626\u0627\u06cc\u0646\u06cc<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_49_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_49.7' type='checkbox'  value='\u0686\u0627\u0631\u06d5\u0633\u06d5\u0631\u06a9\u06d5\u0631\u06cc \u0695\u06d5\u0646\u06af'  id='choice_7_49_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_49_7' id='label_7_49_7' class='gform-field-label gform-field-label--type-inline'>\u0686\u0627\u0631\u06d5\u0633\u06d5\u0631\u06a9\u06d5\u0631\u06cc \u0695\u06d5\u0646\u06af<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_7_50\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_7_50\"><legend class='gfield_label gform-field-label'  >\u06a9\u06ce \u062a\u06c6\u06cc \u0695\u06d5\u0648\u0627\u0646\u06d5\u06cc \u0626\u0627\u06a4\u0627\u062f\u0627\u0631\u0648\u0646 \u06a9\u0631\u062f\u0648\u0648\u06d5\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_50'>\n\t\t\t<div class='gchoice gchoice_7_50_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_50' type='radio' value='\u0646\u0627\u0648\u062f\u0627\u0631\u0627\u0646'  id='choice_7_50_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_50_0' id='label_7_50_0' class='gform-field-label gform-field-label--type-inline'>\u0646\u0627\u0648\u062f\u0627\u0631\u0627\u0646<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_50_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_50' type='radio' value='\u06cc\u0648\u062a\u06cc\u0648\u0628'  id='choice_7_50_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_50_1' id='label_7_50_1' class='gform-field-label gform-field-label--type-inline'>\u06cc\u0648\u062a\u06cc\u0648\u0628<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_50_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_50' type='radio' value='\u062a\u064a\u0643 \u062a\u0648\u0643'  id='choice_7_50_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_50_2' id='label_7_50_2' class='gform-field-label gform-field-label--type-inline'>\u062a\u064a\u0643 \u062a\u0648\u0643<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_50_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_50' type='radio' value='\u062a\u06d5\u0644\u06d5\u0641\u0632\u06cc\u06c6\u0646'  id='choice_7_50_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_50_3' id='label_7_50_3' class='gform-field-label gform-field-label--type-inline'>\u062a\u06d5\u0644\u06d5\u0641\u0632\u06cc\u06c6\u0646<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_50_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_50' type='radio' value='gf_other_choice'  id='choice_7_50_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_50_4' id='label_7_50_4' class='gform-field-label gform-field-label--type-inline'>Other<\/label><br \/><input id='input_7_50_other' class='gchoice_other_control' name='input_50_other' type='text' value='Other' aria-label='Other Choice, please specify'  disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_7_71' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_7\").val(\"6\");  jQuery(\"#gform_7\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_7\").val(\"6\");  jQuery(\"#gform_7\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_7_71' class='gform_next_button gform-theme-button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_7\").val(\"8\");  jQuery(\"#gform_7\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_7\").val(\"8\");  jQuery(\"#gform_7\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_7_8' class='gform_page' data-js='page-field-id-71' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_7_8' class='gform_fields top_label form_sublabel_below description_below'><div id=\"field_7_53\"  class=\"gfield gfield--type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_7_53\"><label class='gfield_label gform-field-label' for='input_7_53' >\u0644\u06d5 \u06a9\u0627\u0645 \u0648\u06b5\u0627\u062a\u06cc\u061f<\/label><div class='ginput_container ginput_container_text'><input name='input_53' id='input_7_53' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_7_54\"  class=\"gfield gfield--type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_7_54\"><label class='gfield_label gform-field-label' for='input_7_54' >\u0632\u0645\u0627\u0646\u06cc \u067e\u06d5\u0633\u06d5\u0646\u062f\u06a9\u0631\u0627\u0648\u062a \u0686\u06cc\u06cc\u06d5\u061f<\/label><div class='ginput_container ginput_container_text'><input name='input_54' id='input_7_54' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><fieldset id=\"field_7_55\"  class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_7_55\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >\u062a\u06a9\u0627\u06cc\u06d5 \u0647\u06d5\u0645\u0648\u0648 \u0626\u06d5\u0648 \u0634\u062a\u0627\u0646\u06d5 \u0646\u06cc\u0634\u0627\u0646\u06d5 \u0628\u06a9\u06d5 \u06a9\u06d5 \u067e\u06d5\u06cc\u0648\u06d5\u0646\u062f\u06cc\u06cc\u0627\u0646 \u067e\u06ce\u0648\u06d5\u06cc\u06d5<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_7_55'><div class='gchoice gchoice_7_55_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_55.1' type='checkbox'  value='\u0645\u0646 \u062e\u0648\u06ce\u0646\u062f\u06a9\u0627\u0631\u0645'  id='choice_7_55_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_55_1' id='label_7_55_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u0646 \u062e\u0648\u06ce\u0646\u062f\u06a9\u0627\u0631\u0645<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_55_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_55.2' type='checkbox'  value='\u0645\u0646 \u067e\u06ce\u0634\u0645\u06d5\u0631\u06af\u06d5\u06cc\u06d5\u06a9\u06cc \u062f\u06ce\u0631\u06cc\u0646\u0645'  id='choice_7_55_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_55_2' id='label_7_55_2' class='gform-field-label gform-field-label--type-inline'>\u0645\u0646 \u067e\u06ce\u0634\u0645\u06d5\u0631\u06af\u06d5\u06cc\u06d5\u06a9\u06cc \u062f\u06ce\u0631\u06cc\u0646\u0645<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_55_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_55.3' type='checkbox'  value='\u0645\u0646 \u06a9\u06d5\u0645\u0626\u06d5\u0646\u062f\u0627\u0645\u0645'  id='choice_7_55_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_55_3' id='label_7_55_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0646 \u06a9\u06d5\u0645\u0626\u06d5\u0646\u062f\u0627\u0645\u0645<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_55_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_55.4' type='checkbox'  value='\u0628\u06ce\u06a9\u0627\u0631\u0645'  id='choice_7_55_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_55_4' id='label_7_55_4' class='gform-field-label gform-field-label--type-inline'>\u0628\u06ce\u06a9\u0627\u0631\u0645<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_55_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_55.5' type='checkbox'  value='\u0645\u0646 \u062f\u0627\u0645\u06d5\u0632\u0631\u0627\u0648\u0645 \u0628\u06d5\u06b5\u0627\u0645 \u062f\u0627\u0647\u0627\u062a\u06d5\u06a9\u06d5\u0645 \u06a9\u06d5\u0645\u06d5'  id='choice_7_55_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_55_5' id='label_7_55_5' class='gform-field-label gform-field-label--type-inline'>\u0645\u0646 \u062f\u0627\u0645\u06d5\u0632\u0631\u0627\u0648\u0645 \u0628\u06d5\u06b5\u0627\u0645 \u062f\u0627\u0647\u0627\u062a\u06d5\u06a9\u06d5\u0645 \u06a9\u06d5\u0645\u06d5<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_55_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_55.6' type='checkbox'  value='\u0644\u06d5 \u0695\u0648\u0648\u06cc \u062f\u0627\u0631\u0627\u06cc\u06cc\u06d5\u0648\u06d5 \u06a9\u0627\u0631\u06cc\u06af\u06d5\u0631\u06cc\u0645 \u0644\u06d5\u0633\u06d5\u0631\u06d5 \u0628\u06d5\u0647\u06c6\u06cc \u0628\u06b5\u0627\u0648\u0628\u0648\u0648\u0646\u06d5\u0648\u06d5\u06cc \u06a4\u0627\u06cc\u0631\u06c6\u0633\u06cc \u06a9\u06c6\u0631\u06c6\u0646\u0627'  id='choice_7_55_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_55_6' id='label_7_55_6' class='gform-field-label gform-field-label--type-inline'>\u0644\u06d5 \u0695\u0648\u0648\u06cc \u062f\u0627\u0631\u0627\u06cc\u06cc\u06d5\u0648\u06d5 \u06a9\u0627\u0631\u06cc\u06af\u06d5\u0631\u06cc\u0645 \u0644\u06d5\u0633\u06d5\u0631\u06d5 \u0628\u06d5\u0647\u06c6\u06cc \u0628\u06b5\u0627\u0648\u0628\u0648\u0648\u0646\u06d5\u0648\u06d5\u06cc \u06a4\u0627\u06cc\u0631\u06c6\u0633\u06cc \u06a9\u06c6\u0631\u06c6\u0646\u0627<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_7_72' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_7\").val(\"7\");  jQuery(\"#gform_7\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_7\").val(\"7\");  jQuery(\"#gform_7\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_7_72' class='gform_next_button gform-theme-button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_7\").val(\"9\");  jQuery(\"#gform_7\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_7\").val(\"9\");  jQuery(\"#gform_7\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_7_9' class='gform_page' data-js='page-field-id-72' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_7_9' class='gform_fields top_label form_sublabel_below description_below'><div id=\"field_7_65\"  class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_7_65\">\u0626\u0627\u06cc\u0627 \u0647\u06cc\u0686 \u067e\u0631\u0633\u06ce\u06a9 \u0647\u06d5\u06cc\u06d5 \u06a9\u06d5 \u062d\u06d5\u0632 \u062f\u06d5\u06a9\u06d5\u06cc\u062a \u0633\u06d5\u0631\u0646\u062c\u06cc \u0644\u06d5\u0633\u06d5\u0631 \u0628\u062f\u06d5\u06cc\u062a\u061f \u0626\u06ce\u0645\u06d5 \u062f\u06d5\u0645\u0627\u0646\u06d5\u0648\u06ce\u062a \u0644\u06d5\u06af\u06d5\u06b5 \u0686\u0627\u0631\u06d5\u0633\u06d5\u0631\u06a9\u06d5\u0631\u06ce\u06a9 \u0647\u0627\u0648\u062a\u0627 \u0628\u06a9\u06d5\u06cc\u0646 \u06a9\u06d5 \u0644\u06d5\u06af\u06d5\u06b5 \u067e\u06ce\u062f\u0627\u0648\u06cc\u0633\u062a\u06cc\u06cc\u06d5\u06a9\u0627\u0646\u062a\u0627\u0646 \u0628\u06af\u0648\u0646\u062c\u06ce\u062a.<\/div><fieldset id=\"field_7_58\"  class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_7_58\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >\u0628\u0648\u0627\u0631\u06d5\u06a9\u0627\u0646\u06cc \u0641\u06c6\u06a9\u06c6\u0633\u06cc \u0632\u06cc\u0627\u062f\u06d5 \u06a9\u06d5 \u0645\u0646 \u067e\u06ce\u0645 \u0628\u0627\u0634\u06d5<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_7_58'><div class='gchoice gchoice_7_58_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_58.1' type='checkbox'  value='\u06a9\u06ce\u0634\u06d5\u06cc \u067e\u06d5\u06cc\u0648\u06d5\u0646\u062f\u06cc\u06a9\u0631\u062f\u0646'  id='choice_7_58_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_58_1' id='label_7_58_1' class='gform-field-label gform-field-label--type-inline'>\u06a9\u06ce\u0634\u06d5\u06cc \u067e\u06d5\u06cc\u0648\u06d5\u0646\u062f\u06cc\u06a9\u0631\u062f\u0646<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_58_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_58.2' type='checkbox'  value='\u0626\u0627\u0645\u0627\u0646\u062c\u06cc \u0698\u06cc\u0627\u0646'  id='choice_7_58_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_58_2' id='label_7_58_2' class='gform-field-label gform-field-label--type-inline'>\u0626\u0627\u0645\u0627\u0646\u062c\u06cc \u0698\u06cc\u0627\u0646<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_58_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_58.3' type='checkbox'  value='\u06af\u06c6\u0634\u06d5\u06af\u06cc\u0631\u06cc\/\u062a\u06d5\u0646\u06cc\u0627\u06cc\u06cc'  id='choice_7_58_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_58_3' id='label_7_58_3' class='gform-field-label gform-field-label--type-inline'>\u06af\u06c6\u0634\u06d5\u06af\u06cc\u0631\u06cc\/\u062a\u06d5\u0646\u06cc\u0627\u06cc\u06cc<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_58_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_58.4' type='checkbox'  value='\u062e\u06c6 \u062e\u06c6\u0634\u0648\u06cc\u0633\u062a\u0646'  id='choice_7_58_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_58_4' id='label_7_58_4' class='gform-field-label gform-field-label--type-inline'>\u062e\u06c6 \u062e\u06c6\u0634\u0648\u06cc\u0633\u062a\u0646<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_58_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_58.5' type='checkbox'  value='\u062f\u06b5\u06d5\u0695\u0627\u0648\u06a9\u06ce\u06cc \u06a9\u06c6\u0645\u06d5\u06b5\u0627\u06cc\u06d5\u062a\u06cc \u0648 \u0641\u06c6\u0628\u06cc\u0627'  id='choice_7_58_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_58_5' id='label_7_58_5' class='gform-field-label gform-field-label--type-inline'>\u062f\u06b5\u06d5\u0695\u0627\u0648\u06a9\u06ce\u06cc \u06a9\u06c6\u0645\u06d5\u06b5\u0627\u06cc\u06d5\u062a\u06cc \u0648 \u0641\u06c6\u0628\u06cc\u0627<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_58_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_58.6' type='checkbox'  value='\u062a\u0627\u0648\u0627\u0646\u0628\u0627\u0631\u06cc \u0648 \u0634\u06d5\u0631\u0645'  id='choice_7_58_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_58_6' id='label_7_58_6' class='gform-field-label gform-field-label--type-inline'>\u062a\u0627\u0648\u0627\u0646\u0628\u0627\u0631\u06cc \u0648 \u0634\u06d5\u0631\u0645<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_58_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_58.7' type='checkbox'  value='\u0641\u0634\u0627\u0631\u06cc \u062f\u06d5\u0631\u0648\u0648\u0646\u06cc \u062f\u0648\u0627\u06cc \u06a9\u0627\u0631\u06d5\u0633\u0627\u062a'  id='choice_7_58_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_58_7' id='label_7_58_7' class='gform-field-label gform-field-label--type-inline'>\u0641\u0634\u0627\u0631\u06cc \u062f\u06d5\u0631\u0648\u0648\u0646\u06cc \u062f\u0648\u0627\u06cc \u06a9\u0627\u0631\u06d5\u0633\u0627\u062a<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_58_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_58.8' type='checkbox'  value='\u062a\u06ce\u06a9\u0686\u0648\u0648\u0646\u06cc \u062a\u0631\u0633 \u0648 \u062f\u06b5\u06d5\u0695\u0627\u0648\u06a9\u06ce'  id='choice_7_58_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_58_8' id='label_7_58_8' class='gform-field-label gform-field-label--type-inline'>\u062a\u06ce\u06a9\u0686\u0648\u0648\u0646\u06cc \u062a\u0631\u0633 \u0648 \u062f\u06b5\u06d5\u0695\u0627\u0648\u06a9\u06ce<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_58_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_58.9' type='checkbox'  value='\u06a9\u06ce\u0634\u06d5\u06a9\u0627\u0646\u06cc \u06a9\u06c6\u0646\u062a\u0631\u06c6\u06b5\u06a9\u0631\u062f\u0646'  id='choice_7_58_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_58_9' id='label_7_58_9' class='gform-field-label gform-field-label--type-inline'>\u06a9\u06ce\u0634\u06d5\u06a9\u0627\u0646\u06cc \u06a9\u06c6\u0646\u062a\u0631\u06c6\u06b5\u06a9\u0631\u062f\u0646<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_58_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_58.11' type='checkbox'  value='\u0644\u06ce\u0628\u0648\u0631\u062f\u0646'  id='choice_7_58_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_58_11' id='label_7_58_11' class='gform-field-label gform-field-label--type-inline'>\u0644\u06ce\u0628\u0648\u0631\u062f\u0646<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_58_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_58.12' type='checkbox'  value='\u06a9\u06ce\u0634\u06d5 \u0648 \u0641\u0634\u0627\u0631\u06cc \u0686\u0627\u0648\u062f\u06ce\u0631'  id='choice_7_58_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_58_12' id='label_7_58_12' class='gform-field-label gform-field-label--type-inline'>\u06a9\u06ce\u0634\u06d5 \u0648 \u0641\u0634\u0627\u0631\u06cc \u0686\u0627\u0648\u062f\u06ce\u0631<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_58_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_58.13' type='checkbox'  value='\u062f\u0648\u0648\u06af\u06cc\u0627\u0646\u06cc \u0648 \u0645\u0646\u062f\u0627\u06b5\u0628\u0648\u0648\u0646'  id='choice_7_58_13'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_58_13' id='label_7_58_13' class='gform-field-label gform-field-label--type-inline'>\u062f\u0648\u0648\u06af\u06cc\u0627\u0646\u06cc \u0648 \u0645\u0646\u062f\u0627\u06b5\u0628\u0648\u0648\u0646<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_58_14'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_58.14' type='checkbox'  value='\u062a\u06d5\u06b5\u0627\u0642 \u0648 \u062c\u06cc\u0627\u0628\u0648\u0648\u0646\u06d5\u0648\u06d5'  id='choice_7_58_14'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_58_14' id='label_7_58_14' class='gform-field-label gform-field-label--type-inline'>\u062a\u06d5\u06b5\u0627\u0642 \u0648 \u062c\u06cc\u0627\u0628\u0648\u0648\u0646\u06d5\u0648\u06d5<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_58_15'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_58.15' type='checkbox'  value='\u06a9\u06ce\u0634\u06d5\u06a9\u0627\u0646\u06cc \u0647\u0627\u0648\u067e\u06ce\u0686\u06a9\u0631\u062f\u0646'  id='choice_7_58_15'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_58_15' id='label_7_58_15' class='gform-field-label gform-field-label--type-inline'>\u06a9\u06ce\u0634\u06d5\u06a9\u0627\u0646\u06cc \u0647\u0627\u0648\u067e\u06ce\u0686\u06a9\u0631\u062f\u0646<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_58_16'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_58.16' type='checkbox'  value='\u0648\u0627\u0632\u0647\u06ce\u0646\u0627\u0646'  id='choice_7_58_16'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_58_16' id='label_7_58_16' class='gform-field-label gform-field-label--type-inline'>\u0648\u0627\u0632\u0647\u06ce\u0646\u0627\u0646<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_58_17'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_58.17' type='checkbox'  value='\u0648\u06ce\u0646\u06d5\u06cc \u062c\u06d5\u0633\u062a\u06d5'  id='choice_7_58_17'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_58_17' id='label_7_58_17' class='gform-field-label gform-field-label--type-inline'>\u0648\u06ce\u0646\u06d5\u06cc \u062c\u06d5\u0633\u062a\u06d5<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_58_18'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_58.18' type='checkbox'  value='\u062a\u06ce\u06a9\u0686\u0648\u0648\u0646\u06cc \u0628\u0627\u0631\u06cc \u062f\u06d5\u0631\u0648\u0648\u0646\u06cc'  id='choice_7_58_18'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_58_18' id='label_7_58_18' class='gform-field-label gform-field-label--type-inline'>\u062a\u06ce\u06a9\u0686\u0648\u0648\u0646\u06cc \u0628\u0627\u0631\u06cc \u062f\u06d5\u0631\u0648\u0648\u0646\u06cc<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_58_19'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_58.19' type='checkbox'  value='\u0626\u06cc\u0645\u067e\u0627\u06b5\u0633\u06cc\u06a4\u06cc\u062a\u06cc'  id='choice_7_58_19'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_58_19' id='label_7_58_19' class='gform-field-label gform-field-label--type-inline'>\u0626\u06cc\u0645\u067e\u0627\u06b5\u0633\u06cc\u06a4\u06cc\u062a\u06cc<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_58_21'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_58.21' type='checkbox'  value='\u067e\u0631\u0633\u06d5\u06a9\u0627\u0646\u06cc \u0634\u0648\u06ce\u0646\u06cc \u06a9\u0627\u0631'  id='choice_7_58_21'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_58_21' id='label_7_58_21' class='gform-field-label gform-field-label--type-inline'>\u067e\u0631\u0633\u06d5\u06a9\u0627\u0646\u06cc \u0634\u0648\u06ce\u0646\u06cc \u06a9\u0627\u0631<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_58_22'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_58.22' type='checkbox'  value='\u067e\u0627\u0631\u06d5 \u0648 \u067e\u0631\u0633\u06d5 \u062f\u0627\u0631\u0627\u06cc\u06cc\u06d5\u06a9\u0627\u0646'  id='choice_7_58_22'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_58_22' id='label_7_58_22' class='gform-field-label gform-field-label--type-inline'>\u067e\u0627\u0631\u06d5 \u0648 \u067e\u0631\u0633\u06d5 \u062f\u0627\u0631\u0627\u06cc\u06cc\u06d5\u06a9\u0627\u0646<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_58_23'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_58.23' type='checkbox'  value='\u0646\u06d5\u062e\u06c6\u0634\u06cc \u0648 \u06a9\u06d5\u0645\u0626\u06d5\u0646\u062f\u0627\u0645\u06cc \u0626\u0627\u0632\u0627\u0631\u06cc \u062f\u0631\u06ce\u0698\u062e\u0627\u06cc\u06d5\u0646'  id='choice_7_58_23'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_58_23' id='label_7_58_23' class='gform-field-label gform-field-label--type-inline'>\u0646\u06d5\u062e\u06c6\u0634\u06cc \u0648 \u06a9\u06d5\u0645\u0626\u06d5\u0646\u062f\u0627\u0645\u06cc \u0626\u0627\u0632\u0627\u0631\u06cc \u062f\u0631\u06ce\u0698\u062e\u0627\u06cc\u06d5\u0646<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_58_24'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_58.24' type='checkbox'  value='\u067e\u0631\u0633\u06cc \u0626\u0627\u0641\u0631\u06d5\u062a\u0627\u0646'  id='choice_7_58_24'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_58_24' id='label_7_58_24' class='gform-field-label gform-field-label--type-inline'>\u067e\u0631\u0633\u06cc \u0626\u0627\u0641\u0631\u06d5\u062a\u0627\u0646<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_58_25'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_58.25' type='checkbox'  value='\u067e\u0631\u0633\u06cc \u067e\u06cc\u0627\u0648\u0627\u0646'  id='choice_7_58_25'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_58_25' id='label_7_58_25' class='gform-field-label gform-field-label--type-inline'>\u067e\u0631\u0633\u06cc \u067e\u06cc\u0627\u0648\u0627\u0646<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_58_26'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_58.26' type='checkbox'  value='\u0633\u06ce\u06a9\u0633\u06cc\u06cc\u06d5\u062a\u06cc'  id='choice_7_58_26'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_58_26' id='label_7_58_26' class='gform-field-label gform-field-label--type-inline'>\u0633\u06ce\u06a9\u0633\u06cc\u06cc\u06d5\u062a\u06cc<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_58_27'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_58.27' type='checkbox'  value='\u0642\u06d5\u06cc\u0631\u0627\u0646\u06cc \u0646\u0627\u0648\u06d5\u0695\u0627\u0633\u062a\u06cc \u062a\u06d5\u0645\u06d5\u0646'  id='choice_7_58_27'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_58_27' id='label_7_58_27' class='gform-field-label gform-field-label--type-inline'>\u0642\u06d5\u06cc\u0631\u0627\u0646\u06cc \u0646\u0627\u0648\u06d5\u0695\u0627\u0633\u062a\u06cc \u062a\u06d5\u0645\u06d5\u0646<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_58_28'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_58.28' type='checkbox'  value='\u0646\u06d5\u0631\u06af\u0633\u06cc\u0632\u0645'  id='choice_7_58_28'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_58_28' id='label_7_58_28' class='gform-field-label gform-field-label--type-inline'>\u0646\u06d5\u0631\u06af\u0633\u06cc\u0632\u0645<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_7_57\"  class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_7_57\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >\u0645\u0646 \u0686\u0627\u0631\u06d5\u0633\u06d5\u0631\u06a9\u06d5\u0631\u06ce\u06a9\u0645 \u067e\u06ce \u0628\u0627\u0634\u062a\u0631\u06d5 \u06a9\u06d5 \u0626\u06d5\u0632\u0645\u0648\u0648\u0646\u06cc \u0647\u06d5\u0628\u06ce\u062a \u0644\u06d5...<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_7_57'><div class='gchoice gchoice_7_57_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_57.1' type='checkbox'  value='\u062e\u06d5\u0645\u06c6\u06a9\u06cc'  id='choice_7_57_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_57_1' id='label_7_57_1' class='gform-field-label gform-field-label--type-inline'>\u062e\u06d5\u0645\u06c6\u06a9\u06cc<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_57_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_57.2' type='checkbox'  value='\u0641\u0634\u0627\u0631 \u0648 \u062f\u06b5\u06d5\u0695\u0627\u0648\u06a9\u06ce'  id='choice_7_57_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_57_2' id='label_7_57_2' class='gform-field-label gform-field-label--type-inline'>\u0641\u0634\u0627\u0631 \u0648 \u062f\u06b5\u06d5\u0695\u0627\u0648\u06a9\u06ce<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_57_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_57.3' type='checkbox'  value='\u0695\u0648\u0648\u0628\u06d5\u0695\u0648\u0648\u0628\u0648\u0648\u0646\u06d5\u0648\u06d5\u06cc \u0626\u0627\u0644\u0648\u0648\u062f\u06d5\u0628\u0648\u0648\u0646'  id='choice_7_57_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_57_3' id='label_7_57_3' class='gform-field-label gform-field-label--type-inline'>\u0695\u0648\u0648\u0628\u06d5\u0695\u0648\u0648\u0628\u0648\u0648\u0646\u06d5\u0648\u06d5\u06cc \u0626\u0627\u0644\u0648\u0648\u062f\u06d5\u0628\u0648\u0648\u0646<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_57_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_57.4' type='checkbox'  value='\u067e\u0631\u0633\u06d5\u06a9\u0627\u0646\u06cc \u067e\u06d5\u06cc\u0648\u06d5\u0633\u062a \u0628\u06d5 \u0626\u06ce\u06b5 \u062c\u06cc \u0628\u06cc \u062a\u06cc'  id='choice_7_57_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_57_4' id='label_7_57_4' class='gform-field-label gform-field-label--type-inline'>\u067e\u0631\u0633\u06d5\u06a9\u0627\u0646\u06cc \u067e\u06d5\u06cc\u0648\u06d5\u0633\u062a \u0628\u06d5 \u0626\u06ce\u06b5 \u062c\u06cc \u0628\u06cc \u062a\u06cc<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_57_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_57.5' type='checkbox'  value='\u067e\u0631\u0633\u06d5\u06a9\u0627\u0646\u06cc \u067e\u06d5\u06cc\u0648\u06d5\u0646\u062f\u06cc'  id='choice_7_57_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_57_5' id='label_7_57_5' class='gform-field-label gform-field-label--type-inline'>\u067e\u0631\u0633\u06d5\u06a9\u0627\u0646\u06cc \u067e\u06d5\u06cc\u0648\u06d5\u0646\u062f\u06cc<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_57_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_57.6' type='checkbox'  value='\u0645\u0644\u0645\u0644\u0627\u0646\u06ce\u06cc \u062e\u06ce\u0632\u0627\u0646\u06cc'  id='choice_7_57_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_57_6' id='label_7_57_6' class='gform-field-label gform-field-label--type-inline'>\u0645\u0644\u0645\u0644\u0627\u0646\u06ce\u06cc \u062e\u06ce\u0632\u0627\u0646\u06cc<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_57_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_57.7' type='checkbox'  value='\u0632\u06d5\u0628\u0631 \u0648 \u0632\u06d5\u0646\u06af \u0648 \u0633\u0648\u0648\u06a9\u0627\u06cc\u06d5\u062a\u06cc\u06a9\u0631\u062f\u0646'  id='choice_7_57_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_57_7' id='label_7_57_7' class='gform-field-label gform-field-label--type-inline'>\u0632\u06d5\u0628\u0631 \u0648 \u0632\u06d5\u0646\u06af \u0648 \u0633\u0648\u0648\u06a9\u0627\u06cc\u06d5\u062a\u06cc\u06a9\u0631\u062f\u0646<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_57_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_57.8' type='checkbox'  value='\u0695\u0648\u0648\u0628\u06d5\u0695\u0648\u0648\u0628\u0648\u0648\u0646\u06d5\u0648\u06d5\u06cc \u062e\u06d5\u0645 \u0648 \u0644\u06d5\u062f\u06d5\u0633\u062a\u062f\u0627\u0646'  id='choice_7_57_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_57_8' id='label_7_57_8' class='gform-field-label gform-field-label--type-inline'>\u0695\u0648\u0648\u0628\u06d5\u0695\u0648\u0648\u0628\u0648\u0648\u0646\u06d5\u0648\u06d5\u06cc \u062e\u06d5\u0645 \u0648 \u0644\u06d5\u062f\u06d5\u0633\u062a\u062f\u0627\u0646<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_57_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_57.9' type='checkbox'  value='\u067e\u0631\u0633\u06d5\u06a9\u0627\u0646\u06cc \u067e\u06d5\u06cc\u0648\u06d5\u0633\u062a \u0628\u06d5 \u0626\u06cc\u0646\u062a\u06cc\u0645\u0627'  id='choice_7_57_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_57_9' id='label_7_57_9' class='gform-field-label gform-field-label--type-inline'>\u067e\u0631\u0633\u06d5\u06a9\u0627\u0646\u06cc \u067e\u06d5\u06cc\u0648\u06d5\u0633\u062a \u0628\u06d5 \u0626\u06cc\u0646\u062a\u06cc\u0645\u0627<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_57_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_57.11' type='checkbox'  value='\u062a\u06ce\u06a9\u0686\u0648\u0648\u0646\u06cc \u062e\u0648\u0627\u0631\u062f\u0646'  id='choice_7_57_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_57_11' id='label_7_57_11' class='gform-field-label gform-field-label--type-inline'>\u062a\u06ce\u06a9\u0686\u0648\u0648\u0646\u06cc \u062e\u0648\u0627\u0631\u062f\u0646<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_57_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_57.12' type='checkbox'  value='\u062a\u06ce\u06a9\u0686\u0648\u0648\u0646\u06cc \u062e\u06d5\u0648\u062a\u0646'  id='choice_7_57_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_57_12' id='label_7_57_12' class='gform-field-label gform-field-label--type-inline'>\u062a\u06ce\u06a9\u0686\u0648\u0648\u0646\u06cc \u062e\u06d5\u0648\u062a\u0646<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_57_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_57.13' type='checkbox'  value='\u067e\u0631\u0633\u06d5\u06a9\u0627\u0646\u06cc \u067e\u06d5\u0631\u0648\u06d5\u0631\u062f\u06d5\u06a9\u0631\u062f\u0646\u06cc \u0645\u0646\u062f\u0627\u06b5'  id='choice_7_57_13'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_57_13' id='label_7_57_13' class='gform-field-label gform-field-label--type-inline'>\u067e\u0631\u0633\u06d5\u06a9\u0627\u0646\u06cc \u067e\u06d5\u0631\u0648\u06d5\u0631\u062f\u06d5\u06a9\u0631\u062f\u0646\u06cc \u0645\u0646\u062f\u0627\u06b5<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_57_14'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_57.14' type='checkbox'  value='\u067e\u0627\u06b5\u0646\u06d5\u0631 \u0648 \u062e\u06c6\u0628\u06d5\u06af\u06d5\u0648\u0631\u06d5\u0632\u0627\u0646\u06cc\u0646 \u0648 \u0645\u062a\u0645\u0627\u0646\u06d5 \u0628\u06d5\u062e\u06c6\u0628\u0648\u0648\u0646'  id='choice_7_57_14'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_57_14' id='label_7_57_14' class='gform-field-label gform-field-label--type-inline'>\u067e\u0627\u06b5\u0646\u06d5\u0631 \u0648 \u062e\u06c6\u0628\u06d5\u06af\u06d5\u0648\u0631\u06d5\u0632\u0627\u0646\u06cc\u0646 \u0648 \u0645\u062a\u0645\u0627\u0646\u06d5 \u0628\u06d5\u062e\u06c6\u0628\u0648\u0648\u0646<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_57_15'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_57.15' type='checkbox'  value='\u0628\u06d5\u0695\u06ce\u0648\u06d5\u0628\u0631\u062f\u0646\u06cc \u062a\u0648\u0695\u06d5\u06cc\u06cc'  id='choice_7_57_15'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_57_15' id='label_7_57_15' class='gform-field-label gform-field-label--type-inline'>\u0628\u06d5\u0695\u06ce\u0648\u06d5\u0628\u0631\u062f\u0646\u06cc \u062a\u0648\u0695\u06d5\u06cc\u06cc<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_57_16'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_57.16' type='checkbox'  value='\u06a9\u06ce\u0634\u06d5\u06cc \u067e\u06cc\u0634\u06d5\u06cc\u06cc'  id='choice_7_57_16'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_57_16' id='label_7_57_16' class='gform-field-label gform-field-label--type-inline'>\u06a9\u06ce\u0634\u06d5\u06cc \u067e\u06cc\u0634\u06d5\u06cc\u06cc<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_57_17'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_57.17' type='checkbox'  value='\u0646\u06d5\u062e\u06c6\u0634\u06cc \u062f\u0648\u0648 \u062c\u06d5\u0645\u0633\u06d5\u0631\u06cc'  id='choice_7_57_17'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_57_17' id='label_7_57_17' class='gform-field-label gform-field-label--type-inline'>\u0646\u06d5\u062e\u06c6\u0634\u06cc \u062f\u0648\u0648 \u062c\u06d5\u0645\u0633\u06d5\u0631\u06cc<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_57_18'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_57.18' type='checkbox'  value='\u0695\u0648\u0648\u0628\u06d5\u0695\u0648\u0648\u0628\u0648\u0648\u0646\u06d5\u0648\u06d5\u06cc \u0698\u06cc\u0627\u0646 \u062f\u06d5\u06af\u06c6\u0695\u06ce\u062a'  id='choice_7_57_18'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_57_18' id='label_7_57_18' class='gform-field-label gform-field-label--type-inline'>\u0695\u0648\u0648\u0628\u06d5\u0695\u0648\u0648\u0628\u0648\u0648\u0646\u06d5\u0648\u06d5\u06cc \u0698\u06cc\u0627\u0646 \u062f\u06d5\u06af\u06c6\u0695\u06ce\u062a<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_57_19'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_57.19' type='checkbox'  value='\u0695\u0627\u0647\u06ce\u0646\u06d5\u0631\u0627\u06cc\u06d5\u062a\u06cc \u062c\u06ce\u0628\u06d5\u062c\u06ce\u06a9\u0627\u0631 \u0648 \u067e\u06cc\u0634\u06d5\u06cc\u06cc'  id='choice_7_57_19'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_57_19' id='label_7_57_19' class='gform-field-label gform-field-label--type-inline'>\u0695\u0627\u0647\u06ce\u0646\u06d5\u0631\u0627\u06cc\u06d5\u062a\u06cc \u062c\u06ce\u0628\u06d5\u062c\u06ce\u06a9\u0627\u0631 \u0648 \u067e\u06cc\u0634\u06d5\u06cc\u06cc<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_57_21'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_57.21' type='checkbox'  value='\u0645\u0627\u0646\u062f\u0648\u06ce\u062a\u06cc \u0628\u06d5\u0632\u06d5\u06cc\u06cc'  id='choice_7_57_21'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_57_21' id='label_7_57_21' class='gform-field-label gform-field-label--type-inline'>\u0645\u0627\u0646\u062f\u0648\u06ce\u062a\u06cc \u0628\u06d5\u0632\u06d5\u06cc\u06cc<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_57_22'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_57.22' type='checkbox'  value='\u062a\u06d5\u0631\u06a9\u06cc\u0632 \u0648 \u0628\u06cc\u0631\u06d5\u0648\u06d5\u0631\u06cc \u0648 \u0641\u06c6\u06a9\u06d5\u0633 (ADHD)'  id='choice_7_57_22'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_57_22' id='label_7_57_22' class='gform-field-label gform-field-label--type-inline'>\u062a\u06d5\u0631\u06a9\u06cc\u0632 \u0648 \u0628\u06cc\u0631\u06d5\u0648\u06d5\u0631\u06cc \u0648 \u0641\u06c6\u06a9\u06d5\u0633 (ADHD)<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_7_59\"  class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_7_59\">\u062a\u06a9\u0627\u06cc\u06d5 (\u0628\u06d5 \u0686\u06d5\u0646\u062f \u0695\u0633\u062a\u06d5\u06cc\u06d5\u06a9) \u062f\u06cc\u0627\u0631\u06cc \u0628\u06a9\u06d5 \u0628\u06c6\u0686\u06cc \u062d\u06d5\u0632\u062a \u0644\u06d5 \u0686\u0627\u0631\u06d5\u0633\u06d5\u0631\u06a9\u0631\u062f\u0646\u06d5. \u0626\u06d5\u0645\u06d5\u0634 \u062f\u06d5\u0628\u06ce\u062a\u06d5 \u0647\u06c6\u06cc \u0626\u06d5\u0648\u06d5\u06cc \u0686\u0627\u0631\u06d5\u0633\u06d5\u0631\u06a9\u06d5\u0631\u06d5\u06a9\u06d5\u062a \u062a\u06ce\u0628\u06af\u0627\u062a \u06a9\u06d5 \u0644\u06d5 \u06a9\u0648\u06ce\u0648\u06d5 \u062f\u06d5\u0633\u062a \u067e\u06ce\u0628\u06a9\u0627\u062a.<\/div><div id=\"field_7_60\"  class=\"gfield gfield--type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_7_60\"><label class='gfield_label gform-field-label' for='input_7_60' >\u0686\u06cc \u062a\u06c6\u06cc \u0647\u06ce\u0646\u0627\u0648\u0647\u200c\u062a\u0647\u200c \u0626\u06ce\u0631\u0647\u200c?<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_60' id='input_7_60' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><\/div><\/div>\n        <div class='gform_page_footer top_label'><input type='submit' id='gform_previous_button_7' 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