{"id":2971,"date":"2025-10-29T18:09:45","date_gmt":"2025-10-29T14:39:45","guid":{"rendered":"https:\/\/totan.tech\/?page_id=2971"},"modified":"2025-10-29T18:12:50","modified_gmt":"2025-10-29T14:42:50","slug":"survey","status":"publish","type":"page","link":"https:\/\/totan.tech\/?page_id=2971&lang=en","title":{"rendered":"Survey"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"2971\" class=\"elementor elementor-2971\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-79efd51 e-flex e-con-boxed e-con e-parent\" data-id=\"79efd51\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-0c5aca0 elementor-widget elementor-widget-heading\" data-id=\"0c5aca0\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Totan Company Survey<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e51b607 elementor-hidden-desktop elementor-widget elementor-widget-text-editor\" data-id=\"e51b607\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p style=\"text-align: center;\">On this page you can share your opinions with Totan and help us improve our services.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4e7da8f elementor-headline--style-rotate elementor-hidden-tablet elementor-hidden-mobile elementor-widget elementor-widget-animated-headline\" data-id=\"4e7da8f\" data-element_type=\"widget\" data-settings=\"{&quot;headline_style&quot;:&quot;rotate&quot;,&quot;rotating_text&quot;:&quot;On this page you can share your opinions with Totan and help us improve our services.&quot;,&quot;rotate_iteration_delay&quot;:500,&quot;animation_type&quot;:&quot;typing&quot;,&quot;loop&quot;:&quot;yes&quot;}\" 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name='input_27' type='radio' value='\u0632\u0646'  id='choice_2_27_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_27_1' id='label_2_27_1' class='gform-field-label gform-field-label--type-inline'>\u0632\u0646<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_2_5\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datedropdown gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0633\u0646<\/legend><div id='input_2_5' class='ginput_container ginput_complex gform-grid-row'><div class='gfield_date_dropdown_day ginput_container ginput_container_date gform-grid-col' id='input_2_5_2_container'><label for='input_2_5_2' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>\u0631\u0648\u0632<\/label><select name='input_5[]' id='input_2_5_2'   aria-required='false'  ><option value=''>\u0631\u0648\u0632<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option><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><\/select><\/div><div class='gfield_date_dropdown_month ginput_container ginput_container_date gform-grid-col' id='input_2_5_1_container'><label for='input_2_5_1' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>\u0645\u0627\u0647<\/label><select name='input_5[]' id='input_2_5_1'   aria-required='false'  ><option value=''>\u0645\u0627\u0647<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option><\/select><\/div><div class='gfield_date_dropdown_year ginput_container ginput_container_date gform-grid-col' id='input_2_5_3_container'><label for='input_2_5_3' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>\u0633\u0627\u0644<\/label><select name='input_5[]' id='input_2_5_3'   aria-required='false'  ><option value=''>\u0633\u0627\u0644<\/option><option value='1426' >1426<\/option><option value='1425' >1425<\/option><option value='1424' >1424<\/option><option value='1423' >1423<\/option><option value='1422' >1422<\/option><option value='1421' >1421<\/option><option value='1420' >1420<\/option><option value='1419' >1419<\/option><option value='1418' >1418<\/option><option value='1417' >1417<\/option><option value='1416' >1416<\/option><option value='1415' >1415<\/option><option value='1414' >1414<\/option><option value='1413' >1413<\/option><option value='1412' >1412<\/option><option value='1411' >1411<\/option><option value='1410' >1410<\/option><option value='1409' >1409<\/option><option value='1408' >1408<\/option><option value='1407' >1407<\/option><option value='1406' >1406<\/option><option value='1405' >1405<\/option><option value='1404' >1404<\/option><option value='1403' >1403<\/option><option value='1402' >1402<\/option><option value='1401' >1401<\/option><option value='1400' >1400<\/option><option value='1399' >1399<\/option><option value='1398' >1398<\/option><option value='1397' >1397<\/option><option value='1396' >1396<\/option><option value='1395' >1395<\/option><option value='1394' >1394<\/option><option value='1393' >1393<\/option><option value='1392' >1392<\/option><option value='1391' >1391<\/option><option value='1390' >1390<\/option><option value='1389' >1389<\/option><option value='1388' >1388<\/option><option value='1387' >1387<\/option><option value='1386' >1386<\/option><option value='1385' >1385<\/option><option value='1384' >1384<\/option><option value='1383' >1383<\/option><option value='1382' >1382<\/option><option value='1381' >1381<\/option><option value='1380' >1380<\/option><option value='1379' >1379<\/option><option value='1378' >1378<\/option><option value='1377' >1377<\/option><option value='1376' >1376<\/option><option value='1375' >1375<\/option><option value='1374' >1374<\/option><option value='1373' >1373<\/option><option value='1372' >1372<\/option><option value='1371' >1371<\/option><option value='1370' >1370<\/option><option value='1369' >1369<\/option><option value='1368' >1368<\/option><option value='1367' >1367<\/option><option value='1366' >1366<\/option><option value='1365' >1365<\/option><option value='1364' >1364<\/option><option value='1363' >1363<\/option><option value='1362' >1362<\/option><option value='1361' >1361<\/option><option value='1360' >1360<\/option><option value='1359' >1359<\/option><option value='1358' >1358<\/option><option value='1357' >1357<\/option><option value='1356' >1356<\/option><option value='1355' >1355<\/option><option value='1354' >1354<\/option><option value='1353' >1353<\/option><option value='1352' >1352<\/option><option value='1351' >1351<\/option><option value='1350' >1350<\/option><option value='1349' >1349<\/option><option value='1348' >1348<\/option><option value='1347' >1347<\/option><option value='1346' >1346<\/option><option value='1345' >1345<\/option><option value='1344' >1344<\/option><option value='1343' >1343<\/option><option value='1342' >1342<\/option><option value='1341' >1341<\/option><option value='1340' >1340<\/option><option value='1339' >1339<\/option><option value='1338' >1338<\/option><option value='1337' >1337<\/option><option value='1336' >1336<\/option><option value='1335' >1335<\/option><option value='1334' >1334<\/option><option value='1333' >1333<\/option><option value='1332' >1332<\/option><option value='1331' >1331<\/option><option value='1330' >1330<\/option><option value='1329' >1329<\/option><option value='1328' >1328<\/option><option value='1327' >1327<\/option><option value='1326' >1326<\/option><option value='1325' >1325<\/option><option value='1324' >1324<\/option><option value='1323' >1323<\/option><option value='1322' >1322<\/option><option value='1321' >1321<\/option><option value='1320' >1320<\/option><option value='1319' >1319<\/option><option value='1318' >1318<\/option><option value='1317' >1317<\/option><option value='1316' >1316<\/option><option value='1315' >1315<\/option><option value='1314' >1314<\/option><option value='1313' >1313<\/option><option value='1312' >1312<\/option><option value='1311' >1311<\/option><option value='1310' >1310<\/option><option value='1309' >1309<\/option><option value='1308' >1308<\/option><option value='1307' >1307<\/option><option value='1306' >1306<\/option><option value='1305' >1305<\/option><option value='1304' >1304<\/option><option value='1303' >1303<\/option><option value='1302' >1302<\/option><option value='1301' >1301<\/option><option value='1300' >1300<\/option><\/select><\/div><\/div><\/fieldset><div id=\"field_2_6\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_6'>\u062a\u062d\u0635\u06cc\u0644\u0627\u062a<\/label><div class='ginput_container ginput_container_select'><select name='input_6' id='input_2_6' class='large full gfield_select'     aria-invalid=\"false\" ><option value='\u0632\u06cc\u0631 \u062f\u06cc\u067e\u0644\u0645' >\u0632\u06cc\u0631 \u062f\u06cc\u067e\u0644\u0645<\/option><option value='\u062f\u06cc\u067e\u0644\u0645' >\u062f\u06cc\u067e\u0644\u0645<\/option><option value='\u06a9\u0627\u0631\u062f\u0627\u0646\u06cc' >\u06a9\u0627\u0631\u062f\u0627\u0646\u06cc<\/option><option value='\u06a9\u0627\u0631\u0634\u0646\u0627\u0633\u06cc' >\u06a9\u0627\u0631\u0634\u0646\u0627\u0633\u06cc<\/option><option value='\u06a9\u0627\u0631\u0634\u0646\u0627\u0633\u06cc \u0627\u0631\u0634\u062f' >\u06a9\u0627\u0631\u0634\u0646\u0627\u0633\u06cc \u0627\u0631\u0634\u062f<\/option><option value='\u062f\u06a9\u062a\u0631\u06cc' >\u062f\u06a9\u062a\u0631\u06cc<\/option><\/select><\/div><\/div><div id=\"field_2_7\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_7'>\u0634\u063a\u0644<\/label><div class='ginput_container ginput_container_text'><input name='input_7' id='input_2_7' type='text' value='' class='large full'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_2_28\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0646\u0648\u0639 \u062f\u0633\u062a\u06af\u0627\u0647<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_28'>\n\t\t\t<div class='gchoice gchoice_2_28_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_28' type='radio' value='\u067e\u0627\u06cc\u0627\u0646\u0647 \u0641\u0631\u0648\u0634 (POS)'  id='choice_2_28_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_28_0' id='label_2_28_0' class='gform-field-label gform-field-label--type-inline'>\u067e\u0627\u06cc\u0627\u0646\u0647 \u0641\u0631\u0648\u0634 (POS)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_28_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_28' type='radio' value='\u06a9\u0634 \u0644\u0633 (CASHLESS)'  id='choice_2_28_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_28_1' id='label_2_28_1' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0634 \u0644\u0633 (CASHLESS)<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_2_29\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0628\u0631\u0627\u06cc \u062f\u0631\u06cc\u0627\u0641\u062a \u0686\u0647 \u062e\u062f\u0645\u062a\u06cc \u0645\u0631\u0627\u062c\u0639\u0647 \u0646\u0645\u0648\u062f\u0647 \u0627\u06cc\u062f:<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_29'>\n\t\t\t<div class='gchoice gchoice_2_29_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_29' type='radio' value='\u062e\u0631\u06cc\u062f \u062f\u0633\u062a\u06af\u0627\u0647'  id='choice_2_29_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_29_0' id='label_2_29_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u0631\u06cc\u062f \u062f\u0633\u062a\u06af\u0627\u0647<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_29_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_29' type='radio' value='\u062e\u062f\u0645\u0627\u062a \u06af\u0627\u0631\u0627\u0646\u062a\u06cc'  id='choice_2_29_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_29_1' id='label_2_29_1' class='gform-field-label gform-field-label--type-inline'>\u062e\u062f\u0645\u0627\u062a \u06af\u0627\u0631\u0627\u0646\u062a\u06cc<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_2_10\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u06f1) \u0645\u06cc\u0632\u0627\u0646 \u0631\u0636\u0627\u06cc\u062a\u0645\u0646\u062f\u06cc \u0627\u0632 \u0646\u062d\u0648\u0647 \u067e\u06cc\u06af\u06cc\u0631\u06cc \u0648 \u0627\u0646\u062c\u0627\u0645 \u06a9\u0627\u0631\u0647\u0627\u06cc \u0627\u0631\u062c\u0627\u0639 \u0634\u062f\u0647<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u0636\u0631\u0648\u0631\u06cc)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_10'>\n\t\t\t<div class='gchoice gchoice_2_10_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='\u062e\u06cc\u0644\u06cc \u06a9\u0645'  id='choice_2_10_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_10_0' id='label_2_10_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0644\u06cc \u06a9\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_10_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='\u06a9\u0645'  id='choice_2_10_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_10_1' id='label_2_10_1' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_10_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='\u0645\u062a\u0648\u0633\u0637'  id='choice_2_10_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_10_2' id='label_2_10_2' class='gform-field-label gform-field-label--type-inline'>\u0645\u062a\u0648\u0633\u0637<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_10_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='\u0632\u06cc\u0627\u062f'  id='choice_2_10_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_10_3' id='label_2_10_3' class='gform-field-label gform-field-label--type-inline'>\u0632\u06cc\u0627\u062f<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_10_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='\u062e\u06cc\u0644\u06cc \u0632\u06cc\u0627\u062f'  id='choice_2_10_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_10_4' id='label_2_10_4' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0644\u06cc \u0632\u06cc\u0627\u062f<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_2_11\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u06f2) \u0645\u06cc\u0632\u0627\u0646 \u0631\u0636\u0627\u06cc\u062a \u0645\u0646\u062f\u06cc \u0627\u0632 \u0631\u0627\u0647\u0646\u0645\u0627\u06cc\u06cc \u0647\u0627 \u0648 \u0627\u0637\u0644\u0627\u0639\u0627\u062a \u0645\u0646\u062f\u0631\u062c \u062f\u0631 \u0633\u0627\u06cc\u062a<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u0636\u0631\u0648\u0631\u06cc)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_11'>\n\t\t\t<div class='gchoice gchoice_2_11_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_11' type='radio' value='\u062e\u06cc\u0644\u06cc \u06a9\u0645'  id='choice_2_11_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_11_0' id='label_2_11_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0644\u06cc \u06a9\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_11_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_11' type='radio' value='\u06a9\u0645'  id='choice_2_11_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_11_1' id='label_2_11_1' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_11_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_11' type='radio' value='\u0645\u062a\u0648\u0633\u0637'  id='choice_2_11_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_11_2' id='label_2_11_2' class='gform-field-label gform-field-label--type-inline'>\u0645\u062a\u0648\u0633\u0637<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_11_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_11' type='radio' value='\u0632\u06cc\u0627\u062f'  id='choice_2_11_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_11_3' id='label_2_11_3' class='gform-field-label gform-field-label--type-inline'>\u0632\u06cc\u0627\u062f<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_11_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_11' type='radio' value='\u062e\u06cc\u0644\u06cc \u0632\u06cc\u0627\u062f'  id='choice_2_11_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_11_4' id='label_2_11_4' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0644\u06cc \u0632\u06cc\u0627\u062f<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_2_12\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u06f3) \u0645\u06cc\u0632\u0627\u0646 \u0631\u0636\u0627\u06cc\u062a\u0645\u0646\u062f\u06cc \u0627\u0632 \u0631\u0633\u06cc\u062f\u06af\u06cc \u0633\u0631\u06cc\u0639 \u0628\u0647 \u062f\u0631\u062e\u0648\u0627\u0633\u062a\u0647\u0627\u06cc \u0645\u0634\u062a\u0631\u06cc<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u0636\u0631\u0648\u0631\u06cc)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_12'>\n\t\t\t<div class='gchoice gchoice_2_12_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_12' type='radio' value='\u062e\u06cc\u0644\u06cc \u06a9\u0645'  id='choice_2_12_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_12_0' id='label_2_12_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0644\u06cc \u06a9\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_12_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_12' type='radio' value='\u06a9\u0645'  id='choice_2_12_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_12_1' id='label_2_12_1' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_12_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_12' type='radio' value='\u0645\u062a\u0648\u0633\u0637'  id='choice_2_12_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_12_2' id='label_2_12_2' class='gform-field-label gform-field-label--type-inline'>\u0645\u062a\u0648\u0633\u0637<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_12_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_12' type='radio' value='\u0632\u06cc\u0627\u062f'  id='choice_2_12_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_12_3' id='label_2_12_3' class='gform-field-label gform-field-label--type-inline'>\u0632\u06cc\u0627\u062f<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_12_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_12' type='radio' value='\u062e\u06cc\u0644\u06cc \u0632\u06cc\u0627\u062f'  id='choice_2_12_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_12_4' id='label_2_12_4' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0644\u06cc \u0632\u06cc\u0627\u062f<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_2_14\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u06f4) \u0645\u06cc\u0632\u0627\u0646 \u0631\u0636\u0627\u06cc\u062a\u0645\u0646\u062f\u06cc \u0646\u062d\u0648\u0647 \u0628\u0631\u062e\u0648\u0631\u062f \u06a9\u0627\u0631\u0634\u0646\u0627\u0633\u0627\u0646 \u0648\u0627\u062d\u062f \u067e\u0630\u06cc\u0631\u0634<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u0636\u0631\u0648\u0631\u06cc)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_14'>\n\t\t\t<div class='gchoice gchoice_2_14_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_14' type='radio' value='\u062e\u06cc\u0644\u06cc \u06a9\u0645'  id='choice_2_14_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_14_0' id='label_2_14_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0644\u06cc \u06a9\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_14_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_14' type='radio' value='\u06a9\u0645'  id='choice_2_14_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_14_1' id='label_2_14_1' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_14_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_14' type='radio' value='\u0645\u062a\u0648\u0633\u0637'  id='choice_2_14_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_14_2' id='label_2_14_2' class='gform-field-label gform-field-label--type-inline'>\u0645\u062a\u0648\u0633\u0637<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_14_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_14' type='radio' value='\u0632\u06cc\u0627\u062f'  id='choice_2_14_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_14_3' id='label_2_14_3' class='gform-field-label gform-field-label--type-inline'>\u0632\u06cc\u0627\u062f<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_14_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_14' type='radio' value='\u062e\u06cc\u0644\u06cc \u0632\u06cc\u0627\u062f'  id='choice_2_14_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_14_4' id='label_2_14_4' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0644\u06cc \u0632\u06cc\u0627\u062f<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_2_13\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u06f5) \u0645\u06cc\u0632\u0627\u0646 \u0631\u0636\u0627\u06cc\u062a\u0645\u0646\u062f\u06cc \u0646\u062d\u0648\u0647 \u0628\u0631\u062e\u0648\u0631\u062f \u06a9\u0627\u0631\u0634\u0646\u0627\u0633\u0627\u0646 \u0648\u0627\u062d\u062f \u062a\u0639\u0645\u06cc\u0631\u0627\u062a<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u0636\u0631\u0648\u0631\u06cc)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_13'>\n\t\t\t<div class='gchoice gchoice_2_13_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='\u062e\u06cc\u0644\u06cc \u06a9\u0645'  id='choice_2_13_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_13_0' id='label_2_13_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0644\u06cc \u06a9\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_13_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='\u06a9\u0645'  id='choice_2_13_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_13_1' id='label_2_13_1' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_13_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='\u0645\u062a\u0648\u0633\u0637'  id='choice_2_13_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_13_2' id='label_2_13_2' class='gform-field-label gform-field-label--type-inline'>\u0645\u062a\u0648\u0633\u0637<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_13_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='\u0632\u06cc\u0627\u062f'  id='choice_2_13_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_13_3' id='label_2_13_3' class='gform-field-label gform-field-label--type-inline'>\u0632\u06cc\u0627\u062f<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_13_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='\u062e\u06cc\u0644\u06cc \u0632\u06cc\u0627\u062f'  id='choice_2_13_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_13_4' id='label_2_13_4' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0644\u06cc \u0632\u06cc\u0627\u062f<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_2_15\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u06f6) \u0645\u06cc\u0632\u0627\u0646 \u0631\u0636\u0627\u06cc\u062a\u0645\u0646\u062f\u06cc \u0627\u0632 \u06a9\u06cc\u0641\u06cc\u062a \u062e\u062f\u0645\u0627\u062a \u0627\u0631\u0627\u06cc\u0647 \u0634\u062f\u0647<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u0636\u0631\u0648\u0631\u06cc)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_15'>\n\t\t\t<div class='gchoice gchoice_2_15_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='\u062e\u06cc\u0644\u06cc \u06a9\u0645'  id='choice_2_15_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_15_0' id='label_2_15_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0644\u06cc \u06a9\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_15_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='\u06a9\u0645'  id='choice_2_15_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_15_1' id='label_2_15_1' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_15_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='\u0645\u062a\u0648\u0633\u0637'  id='choice_2_15_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_15_2' id='label_2_15_2' class='gform-field-label gform-field-label--type-inline'>\u0645\u062a\u0648\u0633\u0637<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_15_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='\u0632\u06cc\u0627\u062f'  id='choice_2_15_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_15_3' id='label_2_15_3' class='gform-field-label gform-field-label--type-inline'>\u0632\u06cc\u0627\u062f<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_15_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='\u062e\u06cc\u0644\u06cc \u0632\u06cc\u0627\u062f'  id='choice_2_15_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_15_4' id='label_2_15_4' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0644\u06cc \u0632\u06cc\u0627\u062f<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_2_16\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u06f7) \u0645\u06cc\u0632\u0627\u0646 \u0627\u0646\u0639\u0637\u0627\u0641 \u062f\u0631 \u0645\u0642\u0627\u0628\u0644 \u062e\u0648\u0627\u0633\u062a\u0647 \u0647\u0627\u06cc \u0645\u0634\u062a\u0631\u06cc\u0627\u0646<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u0636\u0631\u0648\u0631\u06cc)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_16'>\n\t\t\t<div class='gchoice gchoice_2_16_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_16' type='radio' value='\u062e\u06cc\u0644\u06cc \u06a9\u0645'  id='choice_2_16_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_16_0' id='label_2_16_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0644\u06cc \u06a9\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_16_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_16' type='radio' value='\u06a9\u0645'  id='choice_2_16_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_16_1' id='label_2_16_1' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_16_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_16' type='radio' value='\u0645\u062a\u0648\u0633\u0637'  id='choice_2_16_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_16_2' id='label_2_16_2' class='gform-field-label gform-field-label--type-inline'>\u0645\u062a\u0648\u0633\u0637<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_16_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_16' type='radio' value='\u0632\u06cc\u0627\u062f'  id='choice_2_16_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_16_3' id='label_2_16_3' class='gform-field-label gform-field-label--type-inline'>\u0632\u06cc\u0627\u062f<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_16_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_16' type='radio' value='\u062e\u06cc\u0644\u06cc \u0632\u06cc\u0627\u062f'  id='choice_2_16_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_16_4' id='label_2_16_4' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0644\u06cc \u0632\u06cc\u0627\u062f<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_2_17\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u06f8) \u0645\u06cc\u0632\u0627\u0646 \u0631\u0636\u0627\u06cc\u062a\u0645\u0646\u062f\u06cc \u0627\u0632 \u06a9\u06cc\u0641\u06cc\u062a \u0645\u062d\u0635\u0648\u0644\u0627\u062a \u0634\u0631\u06a9\u062a<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u0636\u0631\u0648\u0631\u06cc)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_17'>\n\t\t\t<div class='gchoice gchoice_2_17_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_17' type='radio' value='\u062e\u06cc\u0644\u06cc \u06a9\u0645'  id='choice_2_17_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_17_0' id='label_2_17_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0644\u06cc \u06a9\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_17_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_17' type='radio' value='\u06a9\u0645'  id='choice_2_17_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_17_1' id='label_2_17_1' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_17_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_17' type='radio' value='\u0645\u062a\u0648\u0633\u0637'  id='choice_2_17_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_17_2' id='label_2_17_2' class='gform-field-label gform-field-label--type-inline'>\u0645\u062a\u0648\u0633\u0637<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_17_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_17' type='radio' value='\u0632\u06cc\u0627\u062f'  id='choice_2_17_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_17_3' id='label_2_17_3' class='gform-field-label gform-field-label--type-inline'>\u0632\u06cc\u0627\u062f<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_17_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_17' type='radio' value='\u062e\u06cc\u0644\u06cc \u0632\u06cc\u0627\u062f'  id='choice_2_17_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_17_4' id='label_2_17_4' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0644\u06cc \u0632\u06cc\u0627\u062f<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_2_18\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u06f9) \u0645\u06cc\u0632\u0627\u0646 \u0631\u0636\u0627\u06cc\u062a\u0645\u0646\u062f\u06cc \u0627\u0632 \u0642\u06cc\u0645\u062a \u0645\u062d\u0635\u0648\u0644\u0627\u062a \u0634\u0631\u06a9\u062a<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u0636\u0631\u0648\u0631\u06cc)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_18'>\n\t\t\t<div class='gchoice gchoice_2_18_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_18' type='radio' value='\u062e\u06cc\u0644\u06cc \u06a9\u0645'  id='choice_2_18_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_18_0' id='label_2_18_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0644\u06cc \u06a9\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_18_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_18' type='radio' value='\u06a9\u0645'  id='choice_2_18_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_18_1' id='label_2_18_1' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_18_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_18' type='radio' value='\u0645\u062a\u0648\u0633\u0637'  id='choice_2_18_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_18_2' id='label_2_18_2' class='gform-field-label gform-field-label--type-inline'>\u0645\u062a\u0648\u0633\u0637<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_18_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_18' type='radio' value='\u0632\u06cc\u0627\u062f'  id='choice_2_18_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_18_3' id='label_2_18_3' class='gform-field-label gform-field-label--type-inline'>\u0632\u06cc\u0627\u062f<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_18_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_18' type='radio' value='\u062e\u06cc\u0644\u06cc \u0632\u06cc\u0627\u062f'  id='choice_2_18_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_18_4' id='label_2_18_4' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0644\u06cc \u0632\u06cc\u0627\u062f<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_2_19\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u06f1\u06f0) \u0645\u06cc\u0632\u0627\u0646 \u0631\u0636\u0627\u06cc\u062a\u0645\u0646\u062f\u06cc \u06a9\u0644\u06cc \u0627\u0632 \u062e\u062f\u0645\u0627\u062a \u067e\u0633 \u0627\u0632 \u0641\u0631\u0648\u0634 \u0634\u0631\u06a9\u062a<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u0636\u0631\u0648\u0631\u06cc)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_19'>\n\t\t\t<div class='gchoice gchoice_2_19_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_19' type='radio' value='\u062e\u06cc\u0644\u06cc \u06a9\u0645'  id='choice_2_19_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_19_0' id='label_2_19_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0644\u06cc \u06a9\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_19_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_19' type='radio' value='\u06a9\u0645'  id='choice_2_19_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_19_1' id='label_2_19_1' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_19_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_19' type='radio' value='\u0645\u062a\u0648\u0633\u0637'  id='choice_2_19_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_19_2' id='label_2_19_2' class='gform-field-label gform-field-label--type-inline'>\u0645\u062a\u0648\u0633\u0637<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_19_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_19' type='radio' value='\u0632\u06cc\u0627\u062f'  id='choice_2_19_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_19_3' id='label_2_19_3' class='gform-field-label gform-field-label--type-inline'>\u0632\u06cc\u0627\u062f<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_19_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_19' type='radio' value='\u062e\u06cc\u0644\u06cc \u0632\u06cc\u0627\u062f'  id='choice_2_19_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_19_4' id='label_2_19_4' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0644\u06cc \u0632\u06cc\u0627\u062f<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_2_20\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u06f1\u06f1) \u0645\u06cc\u0632\u0627\u0646 \u0631\u0636\u0627\u06cc\u062a\u0645\u0646\u062f\u06cc \u0627\u0632 \u0642\u06cc\u0645\u062a \u0642\u0637\u0639\u0627\u062a \u0645\u0648\u0631\u062f \u0627\u0633\u062a\u0641\u0627\u062f\u0647 \u062f\u0631 \u062a\u0639\u0645\u06cc\u0631\u0627\u062a<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u0636\u0631\u0648\u0631\u06cc)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_20'>\n\t\t\t<div class='gchoice gchoice_2_20_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_20' type='radio' value='\u062e\u06cc\u0644\u06cc \u06a9\u0645'  id='choice_2_20_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_20_0' id='label_2_20_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0644\u06cc \u06a9\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_20_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_20' type='radio' value='\u06a9\u0645'  id='choice_2_20_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_20_1' id='label_2_20_1' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_20_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_20' type='radio' value='\u0645\u062a\u0648\u0633\u0637'  id='choice_2_20_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_20_2' id='label_2_20_2' class='gform-field-label gform-field-label--type-inline'>\u0645\u062a\u0648\u0633\u0637<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_20_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_20' type='radio' value='\u0632\u06cc\u0627\u062f'  id='choice_2_20_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_20_3' id='label_2_20_3' class='gform-field-label gform-field-label--type-inline'>\u0632\u06cc\u0627\u062f<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_20_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_20' type='radio' value='\u062e\u06cc\u0644\u06cc \u0632\u06cc\u0627\u062f'  id='choice_2_20_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_20_4' id='label_2_20_4' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0644\u06cc \u0632\u06cc\u0627\u062f<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_2_21\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u06f1\u06f2) \u0645\u06cc\u0632\u0627\u0646 \u0631\u0636\u0627\u06cc\u062a\u0645\u0646\u062f\u06cc \u0627\u0632 \u0642\u06cc\u0645\u062a \u0639\u06cc\u0628 \u06cc\u0627\u0628\u06cc \u0648 \u0627\u062c\u0631\u062a \u062a\u0639\u0645\u06cc\u0631\u0627\u062a<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u0636\u0631\u0648\u0631\u06cc)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_21'>\n\t\t\t<div class='gchoice gchoice_2_21_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_21' type='radio' value='\u062e\u06cc\u0644\u06cc \u06a9\u0645'  id='choice_2_21_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_21_0' id='label_2_21_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0644\u06cc \u06a9\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_21_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_21' type='radio' value='\u06a9\u0645'  id='choice_2_21_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_21_1' id='label_2_21_1' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_21_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_21' type='radio' value='\u0645\u062a\u0648\u0633\u0637'  id='choice_2_21_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_21_2' id='label_2_21_2' class='gform-field-label gform-field-label--type-inline'>\u0645\u062a\u0648\u0633\u0637<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_21_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_21' type='radio' value='\u0632\u06cc\u0627\u062f'  id='choice_2_21_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_21_3' id='label_2_21_3' class='gform-field-label gform-field-label--type-inline'>\u0632\u06cc\u0627\u062f<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_21_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_21' type='radio' value='\u062e\u06cc\u0644\u06cc \u0632\u06cc\u0627\u062f'  id='choice_2_21_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_21_4' id='label_2_21_4' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0644\u06cc \u0632\u06cc\u0627\u062f<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_2_22\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u06f1\u06f3) \u0633\u0647\u0648\u0644\u062a \u062f\u0633\u062a\u0631\u0633\u06cc \u0628\u0647 \u0645\u0631\u06a9\u0632 \u062e\u062f\u0645\u0627\u062a \u067e\u0633 \u0627\u0632 \u0641\u0631\u0648\u0634<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u0636\u0631\u0648\u0631\u06cc)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_22'>\n\t\t\t<div class='gchoice gchoice_2_22_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_22' type='radio' value='\u062e\u06cc\u0644\u06cc \u06a9\u0645'  id='choice_2_22_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_22_0' id='label_2_22_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0644\u06cc \u06a9\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_22_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_22' type='radio' value='\u06a9\u0645'  id='choice_2_22_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_22_1' id='label_2_22_1' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_22_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_22' type='radio' value='\u0645\u062a\u0648\u0633\u0637'  id='choice_2_22_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_22_2' id='label_2_22_2' class='gform-field-label gform-field-label--type-inline'>\u0645\u062a\u0648\u0633\u0637<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_22_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_22' type='radio' value='\u0632\u06cc\u0627\u062f'  id='choice_2_22_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_22_3' id='label_2_22_3' class='gform-field-label gform-field-label--type-inline'>\u0632\u06cc\u0627\u062f<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_22_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_22' type='radio' value='\u062e\u06cc\u0644\u06cc \u0632\u06cc\u0627\u062f'  id='choice_2_22_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_22_4' id='label_2_22_4' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0644\u06cc \u0632\u06cc\u0627\u062f<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_2_23\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u06f1\u06f4) \u0645\u06cc\u0632\u0627\u0646 \u0631\u0636\u0627\u06cc\u062a\u0645\u0646\u062f\u06cc \u0631\u0633\u06cc\u062f\u06af\u06cc \u0628\u0647 \u0634\u06a9\u0627\u06cc\u0627\u062a\u060c \u0646\u0638\u0631\u0627\u062a \u0648 \u067e\u06cc\u0634\u0646\u0647\u0627\u062f\u0647\u0627\u06cc \u0634\u0645\u0627<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u0636\u0631\u0648\u0631\u06cc)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_23'>\n\t\t\t<div class='gchoice gchoice_2_23_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_23' type='radio' value='\u062e\u06cc\u0644\u06cc \u06a9\u0645'  id='choice_2_23_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_23_0' id='label_2_23_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0644\u06cc \u06a9\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_23_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_23' type='radio' value='\u06a9\u0645'  id='choice_2_23_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_23_1' id='label_2_23_1' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_23_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_23' type='radio' value='\u0645\u062a\u0648\u0633\u0637'  id='choice_2_23_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_23_2' id='label_2_23_2' class='gform-field-label gform-field-label--type-inline'>\u0645\u062a\u0648\u0633\u0637<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_23_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_23' type='radio' value='\u0632\u06cc\u0627\u062f'  id='choice_2_23_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_23_3' id='label_2_23_3' class='gform-field-label gform-field-label--type-inline'>\u0632\u06cc\u0627\u062f<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_23_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_23' type='radio' value='\u062e\u06cc\u0644\u06cc \u0632\u06cc\u0627\u062f'  id='choice_2_23_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_23_4' id='label_2_23_4' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0644\u06cc \u0632\u06cc\u0627\u062f<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_2_24\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u06f1\u06f5) \u062a\u0639\u062f\u0627\u062f \u062f\u0641\u0639\u0627\u062a \u0645\u0631\u0627\u062c\u0639\u0647 \u0628\u0647 \u0634\u0631\u06a9\u062a\/\u0646\u0645\u0627\u06cc\u0646\u062f\u06af\u06cc \u0628\u0631\u0627\u06cc \u062f\u0631\u06cc\u0627\u0641\u062a \u062e\u062f\u0645\u062a<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(\u0636\u0631\u0648\u0631\u06cc)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_24'>\n\t\t\t<div class='gchoice gchoice_2_24_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_24' type='radio' value='\u062e\u06cc\u0644\u06cc \u06a9\u0645'  id='choice_2_24_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_24_0' id='label_2_24_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0644\u06cc \u06a9\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_24_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_24' type='radio' value='\u06a9\u0645'  id='choice_2_24_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_24_1' id='label_2_24_1' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_24_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_24' type='radio' value='\u0645\u062a\u0648\u0633\u0637'  id='choice_2_24_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_24_2' id='label_2_24_2' class='gform-field-label gform-field-label--type-inline'>\u0645\u062a\u0648\u0633\u0637<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_24_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_24' type='radio' value='\u0632\u06cc\u0627\u062f'  id='choice_2_24_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_24_3' id='label_2_24_3' class='gform-field-label gform-field-label--type-inline'>\u0632\u06cc\u0627\u062f<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_24_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_24' type='radio' value='\u062e\u06cc\u0644\u06cc \u0632\u06cc\u0627\u062f'  id='choice_2_24_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_24_4' id='label_2_24_4' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0644\u06cc \u0632\u06cc\u0627\u062f<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_2_26\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_26'>\u0686\u0646\u0627\u0646\u0686\u0647 \u0639\u0644\u0627\u0648\u0647 \u0628\u0631 \u0645\u0648\u0627\u0631\u062f \u0641\u0648\u0642 \u0645\u0637\u0644\u0628 \u06cc\u0627 \u067e\u06cc\u0634\u0646\u0647\u0627\u062f\u06cc \u062f\u0631 \u062e\u0635\u0648\u0635 \u0646\u062d\u0648\u0647 \u0627\u0646\u062c\u0627\u0645 \u062e\u062f\u0645\u0627\u062a \u0648 \u0627\u0635\u0644\u0627\u062d \u0631\u0648\u0634 \u0647\u0627\u06cc \u0627\u0646\u062c\u0627\u0645 \u06a9\u0627\u0631 \u062f\u0631 \u0632\u0645\u06cc\u0646\u0647 \u0645\u0648\u0631\u062f \u0646\u0638\u0631 \u062e\u0648\u062f \u062f\u0627\u0631\u06cc\u062f \u0645\u0631\u0642\u0648\u0645 \u0641\u0631\u0645\u0627\u06cc\u06cc\u062f:<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_26' id='input_2_26' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <input type='submit' id='gform_submit_button_2' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='\u0627\u0631\u0633\u0627\u0644'  \/> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_2' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_2' id='gform_theme_2' value='orbital' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_2' id='gform_style_settings_2' value='' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_2' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='2' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_2' 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