{"id":602,"date":"2024-05-13T15:09:15","date_gmt":"2024-05-13T11:39:15","guid":{"rendered":"https:\/\/raz.org.ir\/?p=602"},"modified":"2024-05-13T15:09:19","modified_gmt":"2024-05-13T11:39:19","slug":"%d9%88%d8%b1%d9%88%d8%af-%d8%a8%d9%87-%d9%81%d8%b1%d8%a2%db%8c%d9%86%d8%af-%d8%ab%d8%a8%d8%aa-%d9%86%d8%a7%d9%85-1404-1403","status":"publish","type":"post","link":"https:\/\/raz.org.ir\/?p=602","title":{"rendered":"\u0648\u0631\u0648\u062f \u0628\u0647 \u0641\u0631\u0622\u06cc\u0646\u062f \u062b\u0628\u062a \u0646\u0627\u0645 \u06f1\u06f4\u06f0\u06f4-\u06f1\u06f4\u06f0\u06f3"},"content":{"rendered":"\t\t\t<script type=\"text\/javascript\">\n\t\t\t\t                function ir_national_id_21(_this) {\n\t\t\t\t\t                    var field_id = \"21\";\n                    var message1 = \"\u06a9\u062f \u0645\u0644\u06cc \u0641\u0642\u0637 \u0628\u0627\u06cc\u062f \u0628\u0647 \u0635\u0648\u0631\u062a \u0639\u062f\u062f \u0648\u0627\u0631\u062f \u0634\u0648\u062f.\";\n                    var message2 = \"\u06a9\u062f \u0645\u0644\u06cc \u0645\u06cc \u0628\u0627\u06cc\u0633\u062a 10 \u0631\u0642\u0645\u06cc \u0628\u0627\u0634\u062f.\";\n                    var message3 = \"\u06a9\u062f \u0645\u0644\u06cc \u0648\u0627\u0631\u062f \u0634\u062f\u0647 \u0645\u0637\u0627\u0628\u0642 \u0628\u0627 \u0627\u0633\u062a\u0627\u0646\u062f\u0627\u0631\u062f\u0647\u0627\u06cc \u06a9\u0634\u0648\u0631 \u0646\u0645\u06cc \u0628\u0627\u0634\u062f.\";\n                    GFPersian_National_ID_Handler(_this, field_id, message1, message2, message3, 0, 1);\n                    jQuery(_this).trigger('change');\n\t\t\t\t\t                }\n\t\t\t<\/script>\n\t\t\t\t\t\t<script type=\"text\/javascript\">\n\t\t\t\t                function ir_national_id_to_english(number) {\n                    return number.replace(\/[\u06f0|\u06f0]\/g, '0').replace(\/[\u06f1|\u06f1]\/g, '1')\n                        .replace(\/[\u06f2|\u06f2]\/g, '2').replace(\/[\u06f3|\u06f3]\/g, '3')\n                        .replace(\/[\u06f4|\u06f4]\/g, '4').replace(\/[\u06f5|\u06f5]\/g, '5').replace(\/[\u06f6|\u06f6]\/g, '6')\n                        .replace(\/[\u06f7|\u06f7]\/g, '7').replace(\/[\u06f8|\u06f8]\/g, '8').replace(\/[\u06f9|\u06f9]\/g, '9')\n                }\n\t\t\t\t                function ir_national_id_22(_this) {\n\t\t\t\t\t                    _this.value = ir_national_id_to_english(_this.value);\n\t\t\t\t\t                    var field_id = \"22\";\n                    var message1 = \"\u06a9\u062f \u0645\u0644\u06cc \u0641\u0642\u0637 \u0628\u0627\u06cc\u062f \u0628\u0647 \u0635\u0648\u0631\u062a \u0639\u062f\u062f \u0648\u0627\u0631\u062f \u0634\u0648\u062f.\";\n                    var message2 = \"\u06a9\u062f \u0645\u0644\u06cc \u0645\u06cc \u0628\u0627\u06cc\u0633\u062a 10 \u0631\u0642\u0645\u06cc \u0628\u0627\u0634\u062f.\";\n                    var message3 = \"\u06a9\u062f \u0645\u0644\u06cc \u0648\u0627\u0631\u062f \u0634\u062f\u0647 \u0645\u0637\u0627\u0628\u0642 \u0628\u0627 \u0627\u0633\u062a\u0627\u0646\u062f\u0627\u0631\u062f\u0647\u0627\u06cc \u06a9\u0634\u0648\u0631 \u0646\u0645\u06cc \u0628\u0627\u0634\u062f.\";\n                    GFPersian_National_ID_Handler(_this, field_id, message1, message2, message3, 0, 1);\n                    jQuery(_this).trigger('change');\n\t\t\t\t\t                }\n\t\t\t<\/script>\n\t\t\t\t\t\t<script type=\"text\/javascript\">\n\t\t\t\t                function ir_national_id_243(_this) {\n\t\t\t\t\t                    var field_id = \"243\";\n                    var message1 = \"\u06a9\u062f \u0645\u0644\u06cc \u0641\u0642\u0637 \u0628\u0627\u06cc\u062f \u0628\u0647 \u0635\u0648\u0631\u062a \u0639\u062f\u062f \u0648\u0627\u0631\u062f \u0634\u0648\u062f.\";\n                    var message2 = \"\u06a9\u062f \u0645\u0644\u06cc \u0645\u06cc \u0628\u0627\u06cc\u0633\u062a 10 \u0631\u0642\u0645\u06cc \u0628\u0627\u0634\u062f.\";\n                    var message3 = \"\u06a9\u062f \u0645\u0644\u06cc \u0648\u0627\u0631\u062f \u0634\u062f\u0647 \u0645\u0637\u0627\u0628\u0642 \u0628\u0627 \u0627\u0633\u062a\u0627\u0646\u062f\u0627\u0631\u062f\u0647\u0627\u06cc \u06a9\u0634\u0648\u0631 \u0646\u0645\u06cc \u0628\u0627\u0634\u062f.\";\n                    GFPersian_National_ID_Handler(_this, field_id, message1, message2, message3, 0, 1);\n                    jQuery(_this).trigger('change');\n\t\t\t\t\t                }\n\t\t\t<\/script>\n\t\t\t<script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof 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\u062a\u0627\u0626\u06cc\u062f \u0648 \u067e\u0631\u062f\u0627\u062e\u062a \u0622\u0646\u060c \u0631\u0636\u0627\u06cc\u062a \u062e\u0648\u062f \u0631\u0627 \u062c\u0647\u062a \u0627\u06cc\u0646 \u0628\u0631\u0631\u0633\u06cc \u0627\u0639\u0644\u0627\u0645 \u0645\u06cc \u062f\u0627\u0631\u06cc\u062f \u0648 \u0627\u0644\u0628\u062a\u0647 \u062f\u0631 \u067e\u0627\u06cc\u0627\u0646 \u0646\u062a\u0627\u06cc\u062c \u0622\u0646 \u062f\u0631 \u0627\u062e\u062a\u06cc\u0627\u0631 \u062e\u0627\u0646\u0648\u0627\u062f\u0647 \u0642\u0631\u0627\u0631 \u062e\u0648\u0627\u0647\u062f \u06af\u0631\u0641\u062a<br><br>\n\n\u0647\u0645\u0686\u0646\u06cc\u0646 \u0627\u0639\u0644\u0627\u0645 \u0645\u06cc \u062f\u0627\u0631\u062f \u06a9\u0647 \u0634\u0647\u0631\u06cc\u0647 \u0645\u062f\u0627\u0631\u0633 \u0627\u0628\u062a\u062f\u0627\u06cc\u06cc \u062f\u0631 \u062d\u062f\u0627\u0642\u0644 40.000.000 \u062a\u0648\u0645\u0627\u0646 \u0648 \u067e\u06cc\u0634 \u062f\u0628\u0633\u062a\u0627\u0646\u06cc \u062d\u062f\u0627\u0642\u0644 25.000.000 \u062a\u0648\u0645\u0627\u0646 \u062e\u0648\u0627\u0647\u062f \u0628\u0648\u062f \u06a9\u0647 \u067e\u0633 \u0627\u0632 \u0627\u0628\u0644\u0627\u063a \u0627\u0632 \u0633\u0648\u06cc \u0622\u0645\u0648\u0632\u0634 \u0648 \u067e\u0631\u0648\u0631\u0634\u060c \u0645\u0628\u0644\u063a \u0646\u0647\u0627\u06cc\u06cc \u062a\u0648\u0633\u0637 \u0645\u0648\u0633\u0633\u0647 \u0628\u0647 \u0634\u0645\u0627 \u062e\u0627\u0646\u0648\u0627\u062f\u0647 \u0645\u062d\u062a\u0631\u0645 \u0627\u0639\u0644\u0627\u0645 \u062e\u0648\u0627\u0647\u062f \u0634\u062f.<br><br> \u0647\u0645\u0686\u0646\u06cc\u0646 \u062e\u0627\u0637\u0631 \u0646\u0634\u0627\u0646 \u0645\u06cc \u0633\u0627\u0632\u062f\u060c \u0637\u0628\u0642 \u0631\u0648\u0627\u0644 \u0633\u0627\u0644 \u0647\u0627\u06cc \u06af\u0630\u0634\u062a\u0647\u060c \u0627\u06cc\u0646 \u0645\u0648\u0633\u0633\u0647 \u062c\u0647\u062a \u0647\u0645\u0631\u0627\u0647\u06cc \u0648 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id='input_41_95'><div class='gchoice gchoice_41_95_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_95.1' type='checkbox'  value='\u067e\u0630\u06cc\u0631\u0641\u062a\u0645'  id='choice_41_95_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_95_1' id='label_41_95_1' class='gform-field-label gform-field-label--type-inline'>\u067e\u0630\u06cc\u0631\u0641\u062a\u0645<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_92\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >\u0645\u0646 \u0628\u0639\u0646\u0648\u0627\u0646 \u0645\u0627\u062f\u0631 \u0641\u0631\u0632\u0646\u062f\u060c \u0645\u0637\u0644\u0628 \u0641\u0648\u0642 \u0631\u0627 \u06a9\u0627\u0645\u0644 \u0645\u0637\u0627\u0644\u0639\u0647 \u0648 \u067e\u0630\u06cc\u0631\u0641\u062a\u0645<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_41_92'><div class='gchoice gchoice_41_92_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_92.1' type='checkbox'  value='\u067e\u0630\u06cc\u0631\u0641\u062a\u0645'  id='choice_41_92_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_92_1' id='label_41_92_1' class='gform-field-label gform-field-label--type-inline'>\u067e\u0630\u06cc\u0631\u0641\u062a\u0645<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_41_2' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='\u0628\u0639\u062f\u06cc'  \/> <button type='button'  id='gform_save_41_2_link' onclick='gform.submission.handleButtonClick(this);' data-submission-type='save-continue' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  ><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> \u0630\u062e\u06cc\u0631\u0647 \u0648 \u0627\u062f\u0627\u0645\u0647<\/button>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_41_2' class='gform_page' data-js='page-field-id-2' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_41_2' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_41_97\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">\u062a\u0631\u0628\u06cc\u062a \u0627\u0632 \u0645\u0646\u0638\u0631 \u062e\u062f\u0627\u060c \u0627\u0647\u0644 \u0628\u06cc\u062a \u0648 \u0628\u0632\u0631\u06af\u0627\u0646<\/h3><\/div><div id=\"field_41_233\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  >\u0633\u0648\u0631\u0647 \u0645\u0628\u0627\u0631\u06a9\u0647 \u062c\u0645\u0639\u0647:<br>\n\u0647\u064f\u0648\u064e 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gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='\u0642\u0628\u0644\u06cc'  \/> <input type='button' id='gform_next_button_41_238' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='\u0628\u0639\u062f\u06cc'  \/> <button type='button'  id='gform_save_41_3_link' onclick='gform.submission.handleButtonClick(this);' data-submission-type='save-continue' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  ><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> \u0630\u062e\u06cc\u0631\u0647 \u0648 \u0627\u062f\u0627\u0645\u0647<\/button>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_41_3' class='gform_page' data-js='page-field-id-238' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_41_3' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_41_237\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">\u0645\u0639\u0631\u0641\u06cc \u0645\u062c\u0645\u0648\u0639\u0647<\/h3><\/div><div id=\"field_41_96\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><div id=\"11531833385\"><\/div><\/div><fieldset id=\"field_41_231\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >\u0645\u0634\u0627\u0647\u062f\u0647 \u0641\u0627\u06cc\u0644 \u062a\u0635\u0648\u06cc\u0631\u06cc \u0628\u0627\u0644\u0627 \u0636\u0631\u0648\u0631\u06cc \u0627\u0633\u062a<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_41_231'><div class='gchoice gchoice_41_231_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_231.1' type='checkbox'  value='\u0641\u06cc\u0644\u0645 \u0628\u0627\u0644\u0627 \u0631\u0627 \u0645\u0634\u0627\u0647\u062f\u0647 \u0646\u0645\u0648\u062f\u06cc\u0645'  id='choice_41_231_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_231_1' id='label_41_231_1' class='gform-field-label gform-field-label--type-inline'>\u0641\u06cc\u0644\u0645 \u0628\u0627\u0644\u0627 \u0631\u0627 \u0645\u0634\u0627\u0647\u062f\u0647 \u0646\u0645\u0648\u062f\u06cc\u0645<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_41_98\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  >\u0636\u0631\u0648\u0631\u062a \u0637\u0631\u062d\u060c \u0627\u0635\u0648\u0644 \u0648 \u0645\u0628\u0627\u0646\u06cc \u0641\u06a9\u0631\u06cc \u0648 \u0646\u0638\u0631\u06cc:\n<br>\n\u0628\u0633\u0645 \u0627\u0644\u0644\u0647 \u0631\u0628 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\u062a\u0631\u0628\u06cc\u062a\u06cc\u060c \u062c\u062f\u0627 \u0646\u06cc\u0633\u062a \u0648 \u0628\u0631\u0627\u06cc \u0627\u062c\u0631\u0627\u06cc \u0627\u0647\u062f\u0627\u0641 \u0648 \u0631\u0634\u062f \u062e\u0648\u062f \u0627\u0632 \u062e\u0627\u0646\u0648\u0627\u062f\u0647 \u0628\u0647\u0631\u0647 \u0645\u06cc \u06af\u06cc\u0631\u062f \u0648 \u0647\u0645 \u0628\u0647 \u0631\u0634\u062f \u062e\u0627\u0646\u0648\u0627\u062f\u0647 \u06a9\u0645\u06a9 \u0645\u06cc \u06a9\u0646\u062f.\n\u06f3) \u0628\u0647\u0631\u0647 \u0645\u0646\u062f\u06cc \u0627\u0632 \u0645\u062d\u06cc\u0637 \u0648 \u0627\u0628\u0632\u0627\u0631 \u0622\u0645\u0648\u0632\u0634\u06cc \u0645\u0646\u0627\u0633\u0628 \u0646\u06cc\u0632 \u0636\u0631\u0648\u0631\u06cc \u0645\u06cc \u0628\u0627\u0634\u062f. \u0627\u06cc\u0646 \u0645\u0647\u0645 \u0645\u0633\u062a\u0644\u0632\u0645 \u0628\u0627\u0631 \u0645\u0627\u0644\u06cc\u0650 \u062d\u062a\u06cc \u0628\u06cc\u0634 \u0627\u0632 \u0631\u0648\u06cc\u06a9\u0631\u062f \u0633\u0646\u062a\u06cc \u0627\u0633\u062a. \u0641\u0644\u0630\u0627 \u0628\u0631\u0627\u06cc \u062a\u0627\u0645\u06cc\u0646 \u0647\u062f\u0641 \u0647\u0645\u0647 \u06af\u06cc\u0631 \u0628\u0648\u062f\u0646 \u0627\u06cc\u0646 \u062a\u062d\u0648\u0644 \u062f\u0631 \u0628\u06cc\u0646 \u0627\u0642\u0634\u0627\u0631 \u0648 \u0637\u0628\u0642\u0627\u062a \u0645\u062e\u062a\u0644\u0641 \u062c\u0627\u0645\u0639\u0647\u060c \u0646\u06cc\u0627\u0632\u0645\u0646\u062f \u067e\u0634\u062a\u06cc\u0628\u0627\u0646\u06cc \u0645\u0627\u0644\u06cc \u06cc\u06a9 \u0641\u0639\u0627\u0644\u06cc\u062a \u0645\u0648\u0644\u062f \u0627\u0633\u062a. <br>\n\n\u0648 \u062f\u0631 \u0622\u062e\u0631 \u06af\u0631\u0686\u0647 \u0645\u0627 \u062f\u0631 \u0639\u0635\u0631 \u063a\u06cc\u0628\u062a \u062d\u062c\u062a \u0648 \u0648\u0644\u06cc \u062e\u062f\u0627 \u0632\u0646\u062f\u06af\u06cc \u0645\u06cc \u06a9\u0646\u06cc\u0645  \u0648 \u0645\u0646\u062a\u0638\u0631 \u0641\u0631\u062c \u0627\u0648 \u062f\u0631 \u062f\u0648\u0631\u0627\u0646 \u0627\u0646\u062d\u0637\u0627\u0637 \u0646\u0648\u0639 \u0628\u0634\u0631 \u0647\u0633\u062a\u06cc\u0645\u060c \u0644\u06cc\u06a9\u0646 \u0627\u0646\u062a\u0638\u0627\u0631 \u0628\u0647 \u0645\u0639\u0646\u06cc \u0627\u0646\u0641\u0639\u0627\u0644 \u0646\u06cc\u0633\u062a\u060c \u0628\u0644\u06a9\u0647 (\u0628\u0627 \u0627\u0634\u0631\u0627\u0641 \u0628\u0647 \u0627\u06cc\u0646 \u06a9\u0647 \u0627\u0644\u0644\u0647 \u0631\u062d\u0645\u0627\u0646 \u0631\u062d\u06cc\u0645\u060c \u0631\u0628 \u062d\u0642\u06cc\u0642\u06cc \u0648 \u0631\u0628 \u0627\u0644\u0639\u0627\u0644\u0645\u06cc\u0646 \u0627\u0633\u062a) \u0627\u0646\u062a\u0638\u0627\u0631\u060c \u0628\u0647 \u0645\u0639\u0646\u06cc \u0627\u0633\u062a\u0645\u0631\u0627\u0631 \u062a\u0644\u0627\u0634 \u0628\u0631\u0627\u06cc \u0644\u0627\u06cc\u0642\u0650 \u0628\u0648\u062f\u0646 \u062f\u0631 \u0631\u06a9\u0627\u0628 \u062d\u0636\u0631\u062a\u0634 \u062f\u0631 \u0647\u0631 \u062d\u0648\u0632\u0647 \u0648 \u0633\u0646\u06af\u0631\u06cc \u0647\u0633\u062a. \u0628\u0627\u0634\u062f \u06a9\u0647 \u0627\u06cc\u0646 \u0631\u0648\u06cc\u06a9\u0631\u062f\u060c \u0628\u0647 \u0622\u0645\u0648\u0632\u0634 \u0648 \u067e\u0631\u0648\u0631\u0634 \u062d\u06a9\u0648\u0645\u062a \u0645\u0647\u062f\u0648\u06cc \u0628\u06cc\u0627\u0646\u062c\u0627\u0645\u062f.<br>\n\n\u300a \u0627\u0644\u0644\u0647\u0645 \u0639\u062c\u0644 \u0644\u0648\u0644\u06cc\u06a9 \u0627\u0644\u0641\u0631\u062c \u300b<\/div><div id=\"field_41_6\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_41_6'>5 \u0634\u0627\u062e\u0647 \u06cc \u0627\u0635\u0644\u06cc \u0641\u0639\u0627\u0644\u06cc\u062a \u0645\u062f\u0627\u0631\u0633\/\u0645\u0648\u0633\u0633\u0647<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_6' id='input_41_6' class='textarea medium'    placeholder='1- \u062a\u0631\u0628\u06cc\u062a \u0628\u0631 \u0627\u0633\u0627\u0633 \u062f\u0648\u0631\u0647 \u0647\u0627\u06cc \u0631\u0634\u062f\u06cc: 2- \u0641\u0647\u0645 \u0642\u0631\u0622\u0646 \u0632\u06cc\u0631\u0633\u0627\u062e\u062a \u062a\u0631\u0628\u06cc\u062a 3- \u0645\u0647\u0627\u0631\u062a \u0645\u062d\u0648\u0631\u06cc 4- \u067e\u0627\u06cc\u0634 \u0631\u0648\u0627\u0646\u06cc \u0648 \u0631\u0641\u062a\u0627\u0631\u06cc \u0641\u0631\u0632\u0646\u062f\u060c \u0631\u06cc\u0634\u0647 \u06cc\u0627\u0628\u06cc \u0648 \u06a9\u0645\u06a9 \u0628\u0647 \u062d\u0644 \u0645\u0634\u06a9\u0644\u0627\u062a \u0633\u0627\u062e\u062a\u0627\u0631\u06cc \u0641\u0631\u0632\u0646\u062f 5- \u0622\u0645\u0648\u0632\u0634 \u0645\u0648\u0627\u062f \u0631\u0633\u0645\u06cc \u0648 \u062f\u0631\u0633\u06cc \u0622\u0645\u0648\u0632\u0634 \u0648 \u067e\u0631\u0648\u0631\u0634'  aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_41_239\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >\u0645\u0637\u0627\u0644\u0639\u0647 \u0645\u062a\u0646 \u0641\u0648\u0642<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_41_239'><div class='gchoice gchoice_41_239_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_239.1' type='checkbox'  value='\u0645\u062a\u0646 \u0628\u0627\u0644\u0627 \u0631\u0627 \u0628\u0647 \u062f\u0642\u062a \u0645\u0637\u0627\u0644\u0639\u0647 \u0646\u0645\u0648\u062f\u06cc\u0645'  id='choice_41_239_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_239_1' id='label_41_239_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062a\u0646 \u0628\u0627\u0644\u0627 \u0631\u0627 \u0628\u0647 \u062f\u0642\u062a \u0645\u0637\u0627\u0644\u0639\u0647 \u0646\u0645\u0648\u062f\u06cc\u0645<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_41_8' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='\u0642\u0628\u0644\u06cc'  \/> <input type='button' id='gform_next_button_41_8' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='\u0628\u0639\u062f\u06cc'  \/> <button type='button'  id='gform_save_41_4_link' onclick='gform.submission.handleButtonClick(this);' data-submission-type='save-continue' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  ><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> \u0630\u062e\u06cc\u0631\u0647 \u0648 \u0627\u062f\u0627\u0645\u0647<\/button>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_41_4' class='gform_page' data-js='page-field-id-8' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_41_4' class='gform_fields top_label form_sublabel_above description_above validation_below'><fieldset id=\"field_41_9\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >\u0627\u0637\u0644\u0627\u0639\u0627\u062a \u067e\u062f\u0631 \u062e\u0627\u0646\u0648\u0627\u062f\u0647<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_41_9'>\n                            \n                            <span id='input_41_9_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_41_9_3' class='gform-field-label gform-field-label--type-sub '>\u0646\u0627\u0645<\/label>\n                                                    <input type='text' name='input_9.3' id='input_41_9_3' value=''   aria-required='true'     \/>\n                                                <\/span>\n                            \n                            <span id='input_41_9_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                            <label for='input_41_9_6' class='gform-field-label gform-field-label--type-sub '>\u0646\u0627\u0645 \u062e\u0627\u0646\u0648\u0627\u062f\u06af\u06cc<\/label>\n                                                            <input type='text' name='input_9.6' id='input_41_9_6' value=''   aria-required='true'     \/>\n                                                        <\/span>\n                            \n                        <\/div><\/fieldset><fieldset id=\"field_41_10\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_hidden_label gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >\u0646\u0627\u0645 \u067e\u062f\u0631<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name no_last_name no_suffix gf_name_has_1 ginput_container_name gform-grid-row' id='input_41_10'>\n                            \n                            <span id='input_41_10_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_10.3' id='input_41_10_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_41_10_3' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>\u0627\u0633\u0645<\/label>\n                                                <\/span>\n                            \n                            \n                            \n                        <\/div><\/fieldset><div id=\"field_41_403\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_41_403'>\u062a\u0627\u0631\u06cc\u062e \u062a\u0648\u0644\u062f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_403' id='input_41_403' type='text' value='' class='datepicker gform-datepicker dmy datepicker_with_icon gdatepicker_with_icon'   placeholder='dd\/mm\/yyyy' aria-describedby=\"input_41_403_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_41_403_date_format' class='screen-reader-text'>DD slash MM slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_41_403' class='gform_hidden' value='https:\/\/raz.org.ir\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_41_401\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_41_401'>\u0645\u062d\u0644 \u062a\u0648\u0644\u062f \u0627\u0633\u062a\u0627\u0646<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_401' id='input_41_401' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_41_402\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_41_402'>\u0634\u0647\u0631\u0633\u062a\u0627\u0646<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_402' id='input_41_402' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_41_21\" class=\"gfield gfield--type-ir_national_id gfield--input-type-ir_national_id gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gform_ir_national_id\"  data-field-class=\"gform_ir_national_id\" ><label class='gfield_label gform-field-label' for='input_41_21'>\u06a9\u062f \u0645\u0644\u06cc<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class=\"ginput_container ginput_container_text ginput_container_ir_national_id\"><input onblur=\"ir_national_id_21(this);\" name=\"input_21\" id=\"input_41_21\" type=\"text\" value=\"\" class=\"ir_national_id medium\"    aria-required=\"true\" aria-invalid=\"false\" maxlength='10'  \/><\/div><div class=\"ir_national_id_location\" id=\"ir_national_id_location_21\" style=\"padding-top:5px;\"><\/div><\/div><div id=\"field_41_396\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_41_396'>\u0634\u0645\u0627\u0631\u0647 \u0634\u0646\u0627\u0633\u0646\u0627\u0645\u0647<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_396' id='input_41_396' type='number' step='any'   value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_41_397\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_41_397'>\u0633\u0631\u06cc\u0627\u0644 \u0634\u0646\u0627\u0633\u0646\u0627\u0645\u0647<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_397' id='input_41_397' type='number' step='any'   value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_41_398\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_41_398'>\u0633\u0631\u06cc \u0639\u062f\u062f\u06cc<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_398' id='input_41_398' type='number' step='any'   value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><fieldset id=\"field_41_400\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0633\u0631\u06cc \u062d\u0631\u0641\u06cc<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_400'>\n\t\t\t<div class='gchoice gchoice_41_400_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_400' type='radio' value='\u0627\u0644\u0641'  id='choice_41_400_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_400_0' id='label_41_400_0' class='gform-field-label gform-field-label--type-inline'>\u0627\u0644\u0641<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_400_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_400' type='radio' value='\u0628'  id='choice_41_400_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_400_1' id='label_41_400_1' class='gform-field-label gform-field-label--type-inline'>\u0628<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_400_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_400' type='radio' value='\u062f'  id='choice_41_400_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_400_2' id='label_41_400_2' class='gform-field-label gform-field-label--type-inline'>\u062f<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_400_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_400' type='radio' value='\u0631'  id='choice_41_400_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_400_3' id='label_41_400_3' class='gform-field-label gform-field-label--type-inline'>\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_400_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_400' type='radio' value='gf_other_choice'  id='choice_41_400_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_400_4' id='label_41_400_4' class='gform-field-label gform-field-label--type-inline'>\u0633\u0627\u06cc\u0631<\/label><br \/><input id='input_41_400_other' class='gchoice_other_control' name='input_400_other' type='text' value='\u0633\u0627\u06cc\u0631' aria-label='\u06af\u0632\u06cc\u0646\u0647 \u062f\u06cc\u06af\u0631 \u060c \u0644\u0637\u0641\u0627 \u0645\u0634\u062e\u0635 \u06a9\u0646\u06cc\u062f'  disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_41_12\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_41_12'>\u062a\u0644\u0641\u0646 \u0647\u0645\u0631\u0627\u0647<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_12' id='input_41_12' type='tel' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_41_246\" class=\"gfield gfield--type-email gfield--input-type-email field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_41_246'>\u0627\u06cc\u0645\u06cc\u0644<\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_246' id='input_41_246' type='email' value='' class='medium'     aria-invalid=\"false\"  \/>\n                        <\/div><\/div><fieldset id=\"field_41_37\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >\u0645\u06cc\u0632\u0627\u0646 \u062a\u062d\u0635\u06cc\u0644\u0627\u062a<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_41_37'><div class='gchoice gchoice_41_37_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_37.1' type='checkbox'  value='\u062d\u0648\u0632\u0648\u06cc'  id='choice_41_37_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_37_1' id='label_41_37_1' class='gform-field-label gform-field-label--type-inline'>\u062d\u0648\u0632\u0648\u06cc<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_41_37_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_37.2' type='checkbox'  value='\u0632\u06cc\u0631 \u062f\u06cc\u067e\u0644\u0645'  id='choice_41_37_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_37_2' id='label_41_37_2' class='gform-field-label gform-field-label--type-inline'>\u0632\u06cc\u0631 \u062f\u06cc\u067e\u0644\u0645<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_41_37_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_37.3' type='checkbox'  value='\u062f\u06cc\u067e\u0644\u0645'  id='choice_41_37_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_37_3' id='label_41_37_3' class='gform-field-label gform-field-label--type-inline'>\u062f\u06cc\u067e\u0644\u0645<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_41_37_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_37.4' type='checkbox'  value='\u06a9\u0627\u0631\u062f\u0627\u0646\u06cc'  id='choice_41_37_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_37_4' id='label_41_37_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0631\u062f\u0627\u0646\u06cc<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_41_37_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_37.5' type='checkbox'  value='\u06a9\u0627\u0631\u0634\u0646\u0627\u0633\u06cc'  id='choice_41_37_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_37_5' id='label_41_37_5' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0631\u0634\u0646\u0627\u0633\u06cc<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_41_37_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_37.6' type='checkbox'  value='\u06a9\u0627\u0631\u0634\u0646\u0627\u0633\u06cc \u0627\u0631\u0634\u062f'  id='choice_41_37_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_37_6' id='label_41_37_6' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0631\u0634\u0646\u0627\u0633\u06cc \u0627\u0631\u0634\u062f<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_41_37_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_37.7' type='checkbox'  value='\u062f\u06a9\u062a\u0631\u06cc'  id='choice_41_37_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_37_7' id='label_41_37_7' class='gform-field-label gform-field-label--type-inline'>\u062f\u06a9\u062a\u0631\u06cc<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_41_37_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_37.8' type='checkbox'  value='\u0641\u0648\u0642 \u062f\u06a9\u062a\u0631\u06cc'  id='choice_41_37_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_37_8' id='label_41_37_8' class='gform-field-label gform-field-label--type-inline'>\u0641\u0648\u0642 \u062f\u06a9\u062a\u0631\u06cc<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_15\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0634\u063a\u0644 \u0627\u0635\u0644\u06cc<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_15'>\n\t\t\t<div class='gchoice gchoice_41_15_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='\u06a9\u0627\u0631\u0645\u0646\u062f \u062f\u0648\u0644\u062a'  id='choice_41_15_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_15_0' id='label_41_15_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0631\u0645\u0646\u062f \u062f\u0648\u0644\u062a<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_15_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='\u06a9\u0627\u0631\u0645\u0646\u062f \u0628\u062e\u0634 \u062d\u0635\u0648\u0635\u06cc'  id='choice_41_15_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_15_1' id='label_41_15_1' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0631\u0645\u0646\u062f \u0628\u062e\u0634 \u062d\u0635\u0648\u0635\u06cc<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_15_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='\u0646\u0638\u0627\u0645\u06cc'  id='choice_41_15_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_15_2' id='label_41_15_2' class='gform-field-label gform-field-label--type-inline'>\u0646\u0638\u0627\u0645\u06cc<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_15_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='\u0622\u0632\u0627\u062f'  id='choice_41_15_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_15_3' id='label_41_15_3' class='gform-field-label gform-field-label--type-inline'>\u0622\u0632\u0627\u062f<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_16\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0634\u063a\u0644 \u062f\u0648\u0645<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_16'>\n\t\t\t<div class='gchoice gchoice_41_16_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_16' type='radio' value='\u0646\u062f\u0627\u0631\u0645'  id='choice_41_16_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_16_0' id='label_41_16_0' class='gform-field-label gform-field-label--type-inline'>\u0646\u062f\u0627\u0631\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_16_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_16' type='radio' value='\u06a9\u0627\u0631\u0645\u0646\u062f \u062f\u0648\u0644\u062a'  id='choice_41_16_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_16_1' id='label_41_16_1' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0631\u0645\u0646\u062f \u062f\u0648\u0644\u062a<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_16_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_16' type='radio' value='\u06a9\u0627\u0631\u0645\u0646\u062f \u0628\u062e\u0634 \u062d\u0635\u0648\u0635\u06cc'  id='choice_41_16_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_16_2' id='label_41_16_2' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0631\u0645\u0646\u062f \u0628\u062e\u0634 \u062d\u0635\u0648\u0635\u06cc<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_16_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_16' type='radio' value='\u0646\u0638\u0627\u0645\u06cc'  id='choice_41_16_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_16_3' id='label_41_16_3' class='gform-field-label gform-field-label--type-inline'>\u0646\u0638\u0627\u0645\u06cc<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_16_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_16' type='radio' value='\u0622\u0632\u0627\u062f'  id='choice_41_16_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_16_4' id='label_41_16_4' class='gform-field-label gform-field-label--type-inline'>\u0622\u0632\u0627\u062f<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_41_17\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_41_17'>\u062a\u0644\u0641\u0646 \u0645\u062d\u0644 \u06a9\u0627\u0631<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_17' id='input_41_17' type='tel' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_41_18\" class=\"gfield gfield--type-address gfield--input-type-address field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >\u0622\u062f\u0631\u0633 \u0645\u062d\u0644 \u06a9\u0627\u0631<\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state ginput_container_address gform-grid-row' id='input_41_18' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_41_18_1_container' >\n                                        <label for='input_41_18_1' id='input_41_18_1_label' class='gform-field-label gform-field-label--type-sub '>\u0646\u0627\u0645 \u0633\u0627\u0632\u0645\u0627\u0646\/\u06a9\u0633\u0628<\/label>\n                                        <input type='text' name='input_18.1' id='input_41_18_1' value=''    aria-required='false'    \/>\n                                   <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_41_18_2_container' >\n                                        <label for='input_41_18_2' id='input_41_18_2_label' class='gform-field-label gform-field-label--type-sub '>\u0633\u0645\u062a\/\u0645\u0633\u0626\u0648\u0644\u06cc\u062a<\/label>\n                                        <input type='text' name='input_18.2' id='input_41_18_2' value=''     aria-required='false'   \/>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_41_18_3_container' >\n                                    <label for='input_41_18_3' id='input_41_18_3_label' class='gform-field-label gform-field-label--type-sub '>\u0646\u0634\u0627\u0646\u06cc \u062f\u0642\u06cc\u0642<\/label>\n                                    <input type='text' name='input_18.3' id='input_41_18_3' value=''    aria-required='false'    \/>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_41_18_4_container' >\n                                        <label for='input_41_18_4' id='input_41_18_4_label' class='gform-field-label gform-field-label--type-sub '>\u0648\u0627\u062d\u062f\/\u0627\u062a\u0627\u0642\/\u0628\u062e\u0634<\/label>\n                                        <input type='text' name='input_18.4' id='input_41_18_4' value=''      aria-required='false'    \/>\n                                      <\/span><input type='hidden' class='gform_hidden' name='input_18.6' id='input_41_18_6' value='\u0627\u06cc\u0631\u0627\u0646' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_41_32\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_41_32'>\u0628\u0627\u0631\u06af\u0630\u0627\u0631\u06cc \u062a\u0635\u0648\u06cc\u0631 \u067e\u062f\u0631<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_41_32'>\u062d\u062f\u0627\u06a9\u062b\u0631 \u062d\u062c\u0645 \u0645\u062c\u0627\u0632 \u0639\u06a9\u0633 250 \u06a9\u06cc\u0644\u0648\u0628\u0627\u06cc\u062a \u0645\u06cc \u0628\u0627\u0634\u062f.<br>\n\u0645\u06cc \u062a\u0648\u0627\u0646\u06cc\u062f \u0628\u0627 \u06af\u0648\u0634\u06cc \u062a\u0644\u0641\u0646 \u0647\u0645\u0631\u0627\u0647 \u062e\u0648\u062f\u060c \u0627\u0632 \u062e\u0648\u062f\u062a\u0627\u0646 \u0628\u0627 \u0632\u0645\u06cc\u0646\u0647 \u0633\u0641\u06cc\u062f \u0639\u06a9\u0633 \u06af\u0631\u0641\u062a\u0647 \u0648 \u062f\u0648\u0628\u0631\u06cc \u0646\u0645\u0648\u062f\u0647 \u0648 \u0622\u0646\u0631\u0627 \u0628\u0627\u0631\u06af\u0630\u0627\u0631\u06cc \u0646\u0645\u0627\u06cc\u06cc\u062f \u0648 \u06cc\u0627 \u06cc\u06a9 \u062a\u0635\u0648\u06cc\u0631 \u0627\u062f\u0627\u0631\u06cc \u0627\u0631\u0633\u0627\u0644 \u0646\u0645\u0627\u06cc\u06cc\u062f.<br>\n\u0628\u0631\u0627\u06cc \u06a9\u0627\u0647\u0634 \u062d\u062c\u0645 \u062a\u0635\u0648\u06cc\u0631 \u0645\u06cc \u062a\u0648\u0627\u0646\u06cc\u062f \u06cc\u06a9 \u0628\u0627\u0631 \u062a\u0635\u0648\u06cc\u0631\u062a\u0627\u0646 \u0631\u0627 \u062f\u0631 \u0627\u06cc\u062a\u0627 \u0622\u067e\u0644\u0648\u062f \u0648 \u0633\u067e\u0633 \u0630\u062e\u06cc\u0631\u0647 \u0646\u0645\u0627\u06cc\u06cc\u062f. \u0622\u0646\u06af\u0627\u0647 \u0641\u0627\u0627\u06cc\u0644 \u0630\u062e\u06cc\u0631\u0647 \u0634\u062f\u0647 \u0631\u0627 \u062f\u0631 \u0633\u0627\u0645\u0627\u0646\u0647 \u0628\u0627\u0631\u06af\u0630\u0627\u0631\u06cc \u06a9\u0646\u06cc\u062f.<\/div><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='307200' \/><input name='input_32' id='input_41_32' type='file' class='medium' aria-describedby=\"gfield_upload_rules_41_32 gfield_description_41_32\" onchange='javascript:gformValidateFileSize( this, 307200 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_41_32'>\u0627\u0646\u0648\u0627\u0639 \u0641\u0627\u06cc\u0644 \u0647\u0627\u06cc \u0645\u062c\u0627\u0632 : jpg, \u062d\u062f\u0627\u06a9\u062b\u0631 \u0627\u0646\u062f\u0627\u0632\u0647 \u0641\u0627\u06cc\u0644: 300 KB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_41_32'><\/div> <\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_41_82' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='\u0642\u0628\u0644\u06cc'  \/> <input type='button' id='gform_next_button_41_82' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='\u0628\u0639\u062f\u06cc'  \/> <button type='button'  id='gform_save_41_5_link' onclick='gform.submission.handleButtonClick(this);' data-submission-type='save-continue' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  ><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> \u0630\u062e\u06cc\u0631\u0647 \u0648 \u0627\u062f\u0627\u0645\u0647<\/button>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_41_5' class='gform_page' data-js='page-field-id-82' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_41_5' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_41_19\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">\u0645\u0634\u062e\u0635\u0627\u062a \u0645\u0627\u062f\u0631<\/h3><\/div><fieldset id=\"field_41_20\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >\u0646\u0627\u0645 \u0645\u0627\u062f\u0631<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name has_suffix gf_name_has_3 ginput_container_name gform-grid-row' id='input_41_20'>\n                            \n                            <span id='input_41_20_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_41_20_3' class='gform-field-label gform-field-label--type-sub '>\u0646\u0627\u0645<\/label>\n                                                    <input type='text' name='input_20.3' id='input_41_20_3' value=''   aria-required='true'     \/>\n                                                <\/span>\n                            \n                            <span id='input_41_20_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                            <label for='input_41_20_6' class='gform-field-label gform-field-label--type-sub '>\u0646\u0627\u0645 \u062e\u0627\u0646\u0648\u0627\u062f\u06af\u06cc<\/label>\n                                                            <input type='text' name='input_20.6' id='input_41_20_6' value=''   aria-required='true'     \/>\n                                                        <\/span>\n                            <span id='input_41_20_8_container' class='name_suffix  gform-grid-col gform-grid-col--size-auto' >\n                                                        <label for='input_41_20_8' class='gform-field-label gform-field-label--type-sub '>\u0646\u0627\u0645 \u067e\u062f\u0631<\/label>\n                                                        <input type='text' name='input_20.8' id='input_41_20_8' value=''   aria-required='false'     \/>\n                                                    <\/span>\n                        <\/div><\/fieldset><div id=\"field_41_22\" class=\"gfield gfield--type-ir_national_id gfield--input-type-ir_national_id gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gform_ir_national_id\"  data-field-class=\"gform_ir_national_id\" ><label class='gfield_label gform-field-label' for='input_41_22'>\u06a9\u062f \u0645\u0644\u06cc \u0645\u0627\u062f\u0631<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class=\"ginput_container ginput_container_text ginput_container_ir_national_id\"><input onblur=\"ir_national_id_22(this);\" name=\"input_22\" id=\"input_41_22\" type=\"text\" value=\"\" class=\"ir_national_id medium\"    aria-required=\"true\" aria-invalid=\"false\" maxlength='10'  \/><\/div><div class=\"ir_national_id_location\" id=\"ir_national_id_location_22\" style=\"padding-top:5px;\"><\/div><\/div><div id=\"field_41_11\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_41_11'>\u062a\u0627\u0631\u06cc\u062e \u062a\u0648\u0644\u062f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_11' id='input_41_11' type='text' value='' class='datepicker gform-datepicker dmy datepicker_with_icon gdatepicker_with_icon'   placeholder='dd\/mm\/yyyy' aria-describedby=\"input_41_11_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_41_11_date_format' class='screen-reader-text'>DD slash MM slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_41_11' class='gform_hidden' value='https:\/\/raz.org.ir\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_41_404\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_41_404'>\u0627\u0633\u062a\u0627\u0646 \u0645\u062d\u0644 \u062a\u0648\u0644\u062f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_404' id='input_41_404' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_41_405\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_41_405'>\u0634\u0647\u0631\u0633\u062a\u0627\u0646<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_405' id='input_41_405' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_41_407\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_41_407'>\u0634\u0645\u0627\u0631\u0647 \u0634\u0646\u0627\u0633\u0646\u0627\u0645\u0647<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_407' id='input_41_407' type='number' step='any'   value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_41_408\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_41_408'>\u0633\u0631\u06cc\u0627\u0644 \u0634\u0646\u0627\u0633\u0646\u0627\u0645\u0647<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_408' id='input_41_408' type='number' step='any'   value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_41_409\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_41_409'>\u0633\u0631\u06cc \u0639\u062f\u062f\u06cc<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_409' id='input_41_409' type='number' step='any'   value='' class='small'     aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><fieldset id=\"field_41_410\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0633\u0631\u06cc \u062d\u0631\u0641\u06cc<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_410'>\n\t\t\t<div class='gchoice gchoice_41_410_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_410' type='radio' value='\u0627\u0644\u0641'  id='choice_41_410_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_410_0' id='label_41_410_0' class='gform-field-label gform-field-label--type-inline'>\u0627\u0644\u0641<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_410_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_410' type='radio' value='\u0628'  id='choice_41_410_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_410_1' id='label_41_410_1' class='gform-field-label gform-field-label--type-inline'>\u0628<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_410_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_410' type='radio' value='\u062f'  id='choice_41_410_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_410_2' id='label_41_410_2' class='gform-field-label gform-field-label--type-inline'>\u062f<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_410_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_410' type='radio' value='\u0631'  id='choice_41_410_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_410_3' id='label_41_410_3' class='gform-field-label gform-field-label--type-inline'>\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_410_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_410' type='radio' value='gf_other_choice'  id='choice_41_410_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_410_4' id='label_41_410_4' class='gform-field-label gform-field-label--type-inline'>\u0633\u0627\u06cc\u0631<\/label><br \/><input id='input_41_410_other' class='gchoice_other_control' name='input_410_other' type='text' value='\u0633\u0627\u06cc\u0631' aria-label='\u06af\u0632\u06cc\u0646\u0647 \u062f\u06cc\u06af\u0631 \u060c \u0644\u0637\u0641\u0627 \u0645\u0634\u062e\u0635 \u06a9\u0646\u06cc\u062f'  disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_41_253\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_41_253'>\u062a\u0644\u0641\u0646 \u0645\u0627\u062f\u0631<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_253' id='input_41_253' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_41_38\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >\u0645\u06cc\u0632\u0627\u0646 \u062a\u062d\u0635\u06cc\u0644\u0627\u062a<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_41_38'><div class='gchoice gchoice_41_38_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_38.1' type='checkbox'  value='\u062d\u0648\u0632\u0648\u06cc'  id='choice_41_38_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_38_1' id='label_41_38_1' class='gform-field-label gform-field-label--type-inline'>\u062d\u0648\u0632\u0648\u06cc<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_41_38_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_38.2' type='checkbox'  value='\u0632\u06cc\u0631 \u062f\u06cc\u067e\u0644\u0645'  id='choice_41_38_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_38_2' id='label_41_38_2' class='gform-field-label gform-field-label--type-inline'>\u0632\u06cc\u0631 \u062f\u06cc\u067e\u0644\u0645<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_41_38_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_38.3' type='checkbox'  value='\u062f\u06cc\u067e\u0644\u0645'  id='choice_41_38_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_38_3' id='label_41_38_3' class='gform-field-label gform-field-label--type-inline'>\u062f\u06cc\u067e\u0644\u0645<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_41_38_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_38.4' type='checkbox'  value='\u06a9\u0627\u0631\u062f\u0627\u0646\u06cc'  id='choice_41_38_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_38_4' id='label_41_38_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0631\u062f\u0627\u0646\u06cc<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_41_38_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_38.5' type='checkbox'  value='\u06a9\u0627\u0631\u0634\u0646\u0627\u0633\u06cc'  id='choice_41_38_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_38_5' id='label_41_38_5' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0631\u0634\u0646\u0627\u0633\u06cc<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_41_38_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_38.6' type='checkbox'  value='\u06a9\u0627\u0631\u0634\u0646\u0627\u0633\u06cc \u0627\u0631\u0634\u062f'  id='choice_41_38_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_38_6' id='label_41_38_6' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0631\u0634\u0646\u0627\u0633\u06cc \u0627\u0631\u0634\u062f<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_41_38_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_38.7' type='checkbox'  value='\u062f\u06a9\u062a\u0631\u06cc'  id='choice_41_38_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_38_7' id='label_41_38_7' class='gform-field-label gform-field-label--type-inline'>\u062f\u06a9\u062a\u0631\u06cc<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_41_38_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_38.8' type='checkbox'  value='\u0641\u0648\u0642 \u062f\u06a9\u062a\u0631\u06cc'  id='choice_41_38_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_38_8' id='label_41_38_8' class='gform-field-label gform-field-label--type-inline'>\u0641\u0648\u0642 \u062f\u06a9\u062a\u0631\u06cc<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_24\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0634\u063a\u0644 \u0627\u0635\u0644\u06cc<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_24'>\n\t\t\t<div class='gchoice gchoice_41_24_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_24' type='radio' value='\u0645\u062f\u06cc\u0631\u06cc\u062a \u062e\u0627\u0646\u0647 \u0648 \u062e\u0627\u0646\u0648\u0627\u062f\u0647'  id='choice_41_24_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_24_0' id='label_41_24_0' class='gform-field-label gform-field-label--type-inline'>\u0645\u062f\u06cc\u0631\u06cc\u062a \u062e\u0627\u0646\u0647 \u0648 \u062e\u0627\u0646\u0648\u0627\u062f\u0647<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_24_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_24' type='radio' value='\u06a9\u0627\u0631\u0645\u0646\u062f \u062f\u0648\u0644\u062a'  id='choice_41_24_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_24_1' id='label_41_24_1' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0631\u0645\u0646\u062f \u062f\u0648\u0644\u062a<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_24_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_24' type='radio' value='\u06a9\u0627\u0631\u0645\u0646\u062f \u0628\u062e\u0634 \u062d\u0635\u0648\u0635\u06cc'  id='choice_41_24_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_24_2' id='label_41_24_2' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0631\u0645\u0646\u062f \u0628\u062e\u0634 \u062d\u0635\u0648\u0635\u06cc<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_24_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_24' type='radio' value='\u0646\u0638\u0627\u0645\u06cc'  id='choice_41_24_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_24_3' id='label_41_24_3' class='gform-field-label gform-field-label--type-inline'>\u0646\u0638\u0627\u0645\u06cc<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_24_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_24' type='radio' value='\u0622\u0632\u0627\u062f'  id='choice_41_24_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_24_4' id='label_41_24_4' class='gform-field-label gform-field-label--type-inline'>\u0622\u0632\u0627\u062f<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_24_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_24' type='radio' value='gf_other_choice'  id='choice_41_24_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_24_5' id='label_41_24_5' class='gform-field-label gform-field-label--type-inline'>\u0633\u0627\u06cc\u0631<\/label><br \/><input id='input_41_24_other' class='gchoice_other_control' name='input_24_other' type='text' value='\u0633\u0627\u06cc\u0631' aria-label='\u06af\u0632\u06cc\u0646\u0647 \u062f\u06cc\u06af\u0631 \u060c \u0644\u0637\u0641\u0627 \u0645\u0634\u062e\u0635 \u06a9\u0646\u06cc\u062f'  disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_25\" class=\"gfield gfield--type-address gfield--input-type-address field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >\u0622\u062f\u0631\u0633 \u0645\u062d\u0644 \u06a9\u0627\u0631<\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state ginput_container_address gform-grid-row' id='input_41_25' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_41_25_1_container' >\n                                        <label for='input_41_25_1' id='input_41_25_1_label' class='gform-field-label gform-field-label--type-sub '>\u0633\u0627\u0632\u0645\u0627\u0646\/\u06a9\u0633\u0628<\/label>\n                                        <input type='text' name='input_25.1' id='input_41_25_1' value=''    aria-required='false'    \/>\n                                   <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_41_25_2_container' >\n                                        <label for='input_41_25_2' id='input_41_25_2_label' class='gform-field-label gform-field-label--type-sub '>\u0633\u0645\u062a\/\u0645\u0633\u0626\u0648\u0644\u06cc\u062a<\/label>\n                                        <input type='text' name='input_25.2' id='input_41_25_2' value=''     aria-required='false'   \/>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_41_25_3_container' >\n                                    <label for='input_41_25_3' id='input_41_25_3_label' class='gform-field-label gform-field-label--type-sub '>\u0646\u0634\u0627\u0646\u06cc \u062f\u0642\u06cc\u0642<\/label>\n                                    <input type='text' name='input_25.3' id='input_41_25_3' value=''    aria-required='false'    \/>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_41_25_4_container' >\n                                        <label for='input_41_25_4' id='input_41_25_4_label' class='gform-field-label gform-field-label--type-sub '>\u0648\u0627\u062d\u062f\/\u0627\u062a\u0627\u0642\/\u0628\u062e\u0634<\/label>\n                                        <input type='text' name='input_25.4' id='input_41_25_4' value=''      aria-required='false'    \/>\n                                      <\/span><input type='hidden' class='gform_hidden' name='input_25.6' id='input_41_25_6' value='\u0627\u06cc\u0631\u0627\u0646' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_41_83' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='\u0642\u0628\u0644\u06cc'  \/> <input type='button' id='gform_next_button_41_83' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='\u0628\u0639\u062f\u06cc'  \/> <button type='button'  id='gform_save_41_6_link' onclick='gform.submission.handleButtonClick(this);' data-submission-type='save-continue' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  ><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> \u0630\u062e\u06cc\u0631\u0647 \u0648 \u0627\u062f\u0627\u0645\u0647<\/button>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_41_6' class='gform_page' data-js='page-field-id-83' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_41_6' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_41_26\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">\u0627\u0637\u0644\u0627\u0639\u0627\u062a \u06a9\u0648\u062f\u06a9\/\u0646\u0648\u0622\u0645\u0648\u0632<\/h3><\/div><fieldset id=\"field_41_27\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >\u0646\u0627\u0645 \u06a9\u0648\u062f\u06a9\/\u062f\u0627\u0646\u0634 \u0622\u0645\u0648\u0632<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name has_suffix gf_name_has_3 ginput_container_name gform-grid-row' id='input_41_27'>\n                            \n                            <span id='input_41_27_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_41_27_3' class='gform-field-label gform-field-label--type-sub '>\u0646\u0627\u0645<\/label>\n                                                    <input type='text' name='input_27.3' id='input_41_27_3' value=''   aria-required='true'     \/>\n                                                <\/span>\n                            \n                            <span id='input_41_27_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                            <label for='input_41_27_6' class='gform-field-label gform-field-label--type-sub '>\u0646\u0627\u0645 \u062e\u0627\u0646\u0648\u0627\u062f\u06af\u06cc<\/label>\n                                                            <input type='text' name='input_27.6' id='input_41_27_6' value=''   aria-required='true'     \/>\n                                                        <\/span>\n                            <span id='input_41_27_8_container' class='name_suffix  gform-grid-col gform-grid-col--size-auto' >\n                                                        <label for='input_41_27_8' class='gform-field-label gform-field-label--type-sub '>\u0646\u0627\u0645 \u067e\u062f\u0631<\/label>\n                                                        <input type='text' name='input_27.8' id='input_41_27_8' value=''   aria-required='false'     \/>\n                                                    <\/span>\n                        <\/div><\/fieldset><div id=\"field_41_243\" class=\"gfield gfield--type-ir_national_id gfield--input-type-ir_national_id gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gform_ir_national_id\"  data-field-class=\"gform_ir_national_id\" ><label class='gfield_label gform-field-label' for='input_41_243'>\u06a9\u062f \u0645\u0644\u06cc \u0641\u0631\u0632\u0646\u062f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class=\"ginput_container ginput_container_text ginput_container_ir_national_id\"><input onblur=\"ir_national_id_243(this);\" name=\"input_243\" id=\"input_41_243\" type=\"text\" value=\"\" class=\"ir_national_id medium\"    aria-required=\"true\" aria-invalid=\"false\" maxlength='10'  \/><\/div><div class=\"ir_national_id_location\" id=\"ir_national_id_location_243\" style=\"padding-top:5px;\"><\/div><\/div><div id=\"field_41_28\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_41_28'>\u062a\u0627\u0631\u06cc\u062e \u062a\u0648\u0644\u062f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_28' id='input_41_28' type='text' value='' class='datepicker gform-datepicker ymd_dash datepicker_no_icon gdatepicker-no-icon'   placeholder='yyyy-mm-dd' aria-describedby=\"input_41_28_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_41_28_date_format' class='screen-reader-text'>YYYY \u062e\u0637 MM \u062e\u0637 DD<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_41_28' class='gform_hidden' value='https:\/\/raz.org.ir\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_41_411\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_41_411'>\u0627\u0633\u062a\u0627\u0646 \u0645\u062d\u0644 \u062a\u0648\u0644\u062f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_411' id='input_41_411' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_41_412\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_41_412'>\u0634\u0647\u0631\u0633\u062a\u0627\u0646<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_412' id='input_41_412' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_41_413\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_41_413'>\u0634\u0645\u0627\u0631\u0647 \u0634\u0646\u0627\u0633\u0646\u0627\u0645\u0647<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_413' id='input_41_413' type='number' step='any'   value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_41_414\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_41_414'>\u0633\u0631\u06cc\u0627\u0644 \u0634\u0646\u0627\u0633\u0646\u0627\u0645\u0647<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_414' id='input_41_414' type='number' step='any'   value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_41_415\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_41_415'>\u0633\u0631\u06cc \u0639\u062f\u062f\u06cc<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_415' id='input_41_415' type='number' step='any'   value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><fieldset id=\"field_41_416\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0633\u0631\u06cc \u062d\u0631\u0641\u06cc<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_416'>\n\t\t\t<div class='gchoice gchoice_41_416_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_416' type='radio' value='\u0627\u0644\u0641'  id='choice_41_416_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_416_0' id='label_41_416_0' class='gform-field-label gform-field-label--type-inline'>\u0627\u0644\u0641<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_416_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_416' type='radio' value='\u0628'  id='choice_41_416_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_416_1' id='label_41_416_1' class='gform-field-label gform-field-label--type-inline'>\u0628<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_416_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_416' type='radio' value='\u062f'  id='choice_41_416_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_416_2' id='label_41_416_2' class='gform-field-label gform-field-label--type-inline'>\u062f<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_416_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_416' type='radio' value='\u0631'  id='choice_41_416_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_416_3' id='label_41_416_3' class='gform-field-label gform-field-label--type-inline'>\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_416_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_416' type='radio' value='gf_other_choice'  id='choice_41_416_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_416_4' id='label_41_416_4' class='gform-field-label gform-field-label--type-inline'>\u0633\u0627\u06cc\u0631<\/label><br \/><input id='input_41_416_other' class='gchoice_other_control' name='input_416_other' type='text' value='\u0633\u0627\u06cc\u0631' aria-label='\u06af\u0632\u06cc\u0646\u0647 \u062f\u06cc\u06af\u0631 \u060c \u0644\u0637\u0641\u0627 \u0645\u0634\u062e\u0635 \u06a9\u0646\u06cc\u062f'  disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_417\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u062a\u0627\u0628\u0639\u06cc\u062a<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_417'>\n\t\t\t<div class='gchoice gchoice_41_417_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_417' type='radio' value='\u0627\u06cc\u0631\u0627\u0646\u06cc'  id='choice_41_417_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_417_0' id='label_41_417_0' class='gform-field-label gform-field-label--type-inline'>\u0627\u06cc\u0631\u0627\u0646\u06cc<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_417_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_417' type='radio' value='gf_other_choice'  id='choice_41_417_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_417_1' id='label_41_417_1' class='gform-field-label gform-field-label--type-inline'>\u0633\u0627\u06cc\u0631<\/label><br \/><input id='input_41_417_other' class='gchoice_other_control' name='input_417_other' type='text' value='\u0633\u0627\u06cc\u0631' aria-label='\u06af\u0632\u06cc\u0646\u0647 \u062f\u06cc\u06af\u0631 \u060c \u0644\u0637\u0641\u0627 \u0645\u0634\u062e\u0635 \u06a9\u0646\u06cc\u062f'  disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_418\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u062f\u06cc\u0646 \u0648 \u0645\u0630\u0647\u0628<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_418'>\n\t\t\t<div class='gchoice gchoice_41_418_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_418' type='radio' value='\u0627\u0633\u0644\u0627\u0645\u060c \u062a\u0634\u06cc\u0639'  id='choice_41_418_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_418_0' id='label_41_418_0' class='gform-field-label gform-field-label--type-inline'>\u0627\u0633\u0644\u0627\u0645\u060c \u062a\u0634\u06cc\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_418_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_418' type='radio' value='\u0627\u0633\u0644\u0627\u0645\u060c \u062a\u0633\u0646\u0646'  id='choice_41_418_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_418_1' id='label_41_418_1' class='gform-field-label gform-field-label--type-inline'>\u0627\u0633\u0644\u0627\u0645\u060c \u062a\u0633\u0646\u0646<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_418_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_418' type='radio' value='\u0645\u0633\u06cc\u062d\u06cc'  id='choice_41_418_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_418_2' id='label_41_418_2' class='gform-field-label gform-field-label--type-inline'>\u0645\u0633\u06cc\u062d\u06cc<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_418_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_418' type='radio' value='\u0632\u0631\u062f\u062a\u0634\u062a\u06cc'  id='choice_41_418_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_418_3' id='label_41_418_3' class='gform-field-label gform-field-label--type-inline'>\u0632\u0631\u062f\u062a\u0634\u062a\u06cc<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_418_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_418' type='radio' value='\u06a9\u0644\u06cc\u0645\u06cc'  id='choice_41_418_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_418_4' id='label_41_418_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0644\u06cc\u0645\u06cc<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_418_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_418' type='radio' value='gf_other_choice'  id='choice_41_418_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_418_5' id='label_41_418_5' class='gform-field-label gform-field-label--type-inline'>\u0633\u0627\u06cc\u0631<\/label><br \/><input id='input_41_418_other' class='gchoice_other_control' name='input_418_other' type='text' value='\u0633\u0627\u06cc\u0631' aria-label='\u06af\u0632\u06cc\u0646\u0647 \u062f\u06cc\u06af\u0631 \u060c \u0644\u0637\u0641\u0627 \u0645\u0634\u062e\u0635 \u06a9\u0646\u06cc\u062f'  disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_41_419\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_41_419'>\u0641\u0631\u0632\u0646\u062f \u0686\u0646\u062f\u0645<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_419' id='input_41_419' type='number' step='any'   value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_41_420\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_41_420'>\u062a\u0639\u062f\u0627\u062f \u062e\u0648\u0627\u0647\u0631<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_420' id='input_41_420' type='number' step='any'   value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_41_421\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_41_421'>\u062a\u0639\u062f\u0627\u062f \u0628\u0631\u0627\u062f\u0631<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_421' id='input_41_421' type='number' step='any'   value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><fieldset id=\"field_41_422\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >\u067e\u062f\u0631 \u0648 \u0645\u0627\u062f\u0631<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_41_422'><div class='gchoice gchoice_41_422_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_422.1' type='checkbox'  value='\u0647\u0631\u062f\u0648 \u062f\u0631 \u0642\u06cc\u062f \u062d\u06cc\u0627\u062a'  id='choice_41_422_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_422_1' id='label_41_422_1' class='gform-field-label gform-field-label--type-inline'>\u0647\u0631\u062f\u0648 \u062f\u0631 \u0642\u06cc\u062f \u062d\u06cc\u0627\u062a<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_41_422_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_422.2' type='checkbox'  value='\u067e\u062f\u0631 \u0641\u0648\u062a \u0634\u062f\u0647'  id='choice_41_422_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_422_2' id='label_41_422_2' class='gform-field-label gform-field-label--type-inline'>\u067e\u062f\u0631 \u0641\u0648\u062a \u0634\u062f\u0647<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_41_422_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_422.3' type='checkbox'  value='\u0645\u0627\u062f\u0631 \u0641\u0648\u062a \u0634\u062f\u0647'  id='choice_41_422_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_422_3' id='label_41_422_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0627\u062f\u0631 \u0641\u0648\u062a \u0634\u062f\u0647<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_41_423\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_41_423'>\u062f\u0631 \u062d\u0627\u0644 \u062d\u0627\u0636\u0631 \u0628\u0627 \u0686\u0647 \u06a9\u0633\u0627\u0646\u06cc \u062f\u0631 \u062e\u0627\u0646\u0647 \u0632\u0646\u062f\u06af\u06cc \u0645\u06cc \u06a9\u0646\u062f\u061f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_423' id='input_41_423' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_41_424\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_41_424'>\u0645\u062f\u0631\u0633\u0647 \u0642\u0628\u0644\u06cc<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_424' id='input_41_424' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_41_240\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u062c\u0646\u0633\u06cc\u062a<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_240'>\n\t\t\t<div class='gchoice gchoice_41_240_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_240' type='radio' value='\u067e\u0633\u0631'  id='choice_41_240_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_240_0' id='label_41_240_0' class='gform-field-label gform-field-label--type-inline'>\u067e\u0633\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_240_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_240' type='radio' value='\u062f\u062e\u062a\u0631'  id='choice_41_240_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_240_1' id='label_41_240_1' class='gform-field-label gform-field-label--type-inline'>\u062f\u062e\u062a\u0631<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_29\" class=\"gfield gfield--type-address gfield--input-type-address field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >\u0646\u0634\u0627\u0646\u06cc \u0645\u062d\u0644 \u0632\u0646\u062f\u06af\u06cc<\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address gform-grid-row' id='input_41_29' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_41_29_1_container' >\n                                        <label for='input_41_29_1' id='input_41_29_1_label' class='gform-field-label gform-field-label--type-sub '>\u0622\u062f\u0631\u0633 \u062e\u06cc\u0627\u0628\u0627\u0646<\/label>\n                                        <input type='text' name='input_29.1' id='input_41_29_1' value=''    aria-required='false'    \/>\n                                   <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_41_29_2_container' >\n                                        <label for='input_41_29_2' id='input_41_29_2_label' class='gform-field-label gform-field-label--type-sub '>\u0622\u062f\u0631\u0633 2<\/label>\n                                        <input type='text' name='input_29.2' id='input_41_29_2' value=''     aria-required='false'   \/>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_41_29_3_container' >\n                                    <label for='input_41_29_3' id='input_41_29_3_label' class='gform-field-label gform-field-label--type-sub '>\u0634\u0647\u0631<\/label>\n                                    <input type='text' name='input_29.3' id='input_41_29_3' value=''    aria-required='false'    \/>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_41_29_4_container' >\n                                        <label for='input_41_29_4' id='input_41_29_4_label' class='gform-field-label gform-field-label--type-sub '>\u0627\u0633\u062a\u0627\u0646<\/label>\n                                        <input type='text' name='input_29.4' id='input_41_29_4' value=''      aria-required='false'    \/>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_41_29_5_container' >\n                                    <label for='input_41_29_5' id='input_41_29_5_label' class='gform-field-label gform-field-label--type-sub '>\u06a9\u062f \u067e\u0633\u062a\u06cc<\/label>\n                                    <input type='text' name='input_29.5' id='input_41_29_5' value=''    aria-required='false'    \/>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_29.6' id='input_41_29_6' value='\u0627\u06cc\u0631\u0627\u0646' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_41_30\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_41_30'>\u0628\u0627\u0631\u06af\u0630\u0627\u0631\u06cc \u062a\u0635\u0648\u06cc\u0631 \u06a9\u0648\u062f\u06a9<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_41_30'>\u0645\u06cc \u062a\u0648\u0627\u0646\u06cc\u062f \u0628\u0627 \u06af\u0648\u0634\u06cc \u062a\u0644\u0641\u0646 \u0647\u0645\u0631\u0627\u0647 \u062e\u0648\u062f\u060c \u0627\u0632 \u0641\u0631\u0632\u0646\u062f\u062a\u0627\u0646 \u0628\u0627 \u0632\u0645\u06cc\u0646\u0647 \u0633\u0641\u06cc\u062f \u0639\u06a9\u0633 \u06af\u0631\u0641\u062a\u0647 \u0648 \u062f\u0648\u0628\u0631\u06cc \u0646\u0645\u0648\u062f\u0647 \u0648 \u0622\u0646\u0631\u0627 \u0628\u0627\u0631\u06af\u0630\u0627\u0631\u06cc \u0646\u0645\u0627\u06cc\u06cc\u062f<\/div><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='307200' \/><input name='input_30' id='input_41_30' type='file' class='medium' aria-describedby=\"gfield_upload_rules_41_30 gfield_description_41_30\" onchange='javascript:gformValidateFileSize( this, 307200 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_41_30'>\u0627\u0646\u0648\u0627\u0639 \u0641\u0627\u06cc\u0644 \u0647\u0627\u06cc \u0645\u062c\u0627\u0632 : jpg, \u062d\u062f\u0627\u06a9\u062b\u0631 \u0627\u0646\u062f\u0627\u0632\u0647 \u0641\u0627\u06cc\u0644: 300 KB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_41_30'><\/div> <\/div><\/div><fieldset id=\"field_41_241\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0645\u062a\u0642\u0627\u0636\u06cc \u062b\u0628\u062a \u0646\u0627\u0645 \u062f\u0631 \u0645\u0642\u0637\u0639:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_241'>\n\t\t\t<div class='gchoice gchoice_41_241_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_241' type='radio' value='\u067e\u06cc\u0634 \u062f\u0628\u0633\u062a\u0627\u0646 1'  id='choice_41_241_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_241_0' id='label_41_241_0' class='gform-field-label gform-field-label--type-inline'>\u067e\u06cc\u0634 \u062f\u0628\u0633\u062a\u0627\u0646 1<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_241_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_241' type='radio' value='\u067e\u06cc\u0634 \u062f\u0628\u0633\u062a\u0627\u0646 2'  id='choice_41_241_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_241_1' id='label_41_241_1' class='gform-field-label gform-field-label--type-inline'>\u067e\u06cc\u0634 \u062f\u0628\u0633\u062a\u0627\u0646 2<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_241_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_241' type='radio' value='\u06a9\u0644\u0627\u0633 \u0627\u0648\u0644'  id='choice_41_241_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_241_2' id='label_41_241_2' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0644\u0627\u0633 \u0627\u0648\u0644<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_241_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_241' type='radio' value='\u06a9\u0644\u0627\u0633 \u062f\u0648\u0645'  id='choice_41_241_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_241_3' id='label_41_241_3' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0644\u0627\u0633 \u062f\u0648\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_241_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_241' type='radio' value='\u06a9\u0644\u0627\u0633 \u0633\u0648\u0645'  id='choice_41_241_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_241_4' id='label_41_241_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0644\u0627\u0633 \u0633\u0648\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_241_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_241' type='radio' value='\u06a9\u0644\u0627\u0633 \u0686\u0647\u0627\u0631\u0645'  id='choice_41_241_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_241_5' id='label_41_241_5' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0644\u0627\u0633 \u0686\u0647\u0627\u0631\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_241_6'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_241' type='radio' value='\u06a9\u0644\u0627\u0633 \u067e\u0646\u062c\u0645'  id='choice_41_241_6' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_241_6' id='label_41_241_6' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0644\u0627\u0633 \u067e\u0646\u062c\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_241_7'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_241' type='radio' value='\u06a9\u0644\u0627\u0633 \u0634\u0634\u0645'  id='choice_41_241_7' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_241_7' id='label_41_241_7' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0644\u0627\u0633 \u0634\u0634\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_241_8'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_241' type='radio' value='\u06a9\u0644\u0627\u0633 \u0647\u0641\u062a\u0645'  id='choice_41_241_8' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_241_8' id='label_41_241_8' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0644\u0627\u0633 \u0647\u0641\u062a\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_241_9'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_241' type='radio' value='\u06a9\u0644\u0627\u0633 \u0647\u0634\u062a\u0645'  id='choice_41_241_9' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_241_9' id='label_41_241_9' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0644\u0627\u0633 \u0647\u0634\u062a\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_241_10'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_241' type='radio' value='\u06a9\u0644\u0627\u0633 \u0646\u0647\u0645'  id='choice_41_241_10' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_241_10' id='label_41_241_10' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0644\u0627\u0633 \u0646\u0647\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_41_84' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='\u0642\u0628\u0644\u06cc'  \/> <input type='button' id='gform_next_button_41_84' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='\u0628\u0639\u062f\u06cc'  \/> <button type='button'  id='gform_save_41_7_link' onclick='gform.submission.handleButtonClick(this);' data-submission-type='save-continue' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  ><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> \u0630\u062e\u06cc\u0631\u0647 \u0648 \u0627\u062f\u0627\u0645\u0647<\/button>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_41_7' class='gform_page' data-js='page-field-id-84' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_41_7' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_41_85\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">\u0627\u0637\u0644\u0627\u0639\u0627\u062a \u0639\u0645\u0648\u0645\u06cc \u0641\u0631\u0632\u0646\u062f<\/h3><\/div><fieldset id=\"field_41_34\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0631\u0627\u0633\u062a \u062f\u0633\u062a\/\u0686\u067e \u062f\u0633\u062a<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_34'>\n\t\t\t<div class='gchoice gchoice_41_34_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_34' type='radio' value='\u0631\u0627\u0633\u062a \u062f\u0633\u062a'  id='choice_41_34_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_34_0' id='label_41_34_0' class='gform-field-label gform-field-label--type-inline'>\u0631\u0627\u0633\u062a \u062f\u0633\u062a<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_34_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_34' type='radio' value='\u0686\u067e \u062f\u0633\u062a'  id='choice_41_34_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_34_1' id='label_41_34_1' class='gform-field-label gform-field-label--type-inline'>\u0686\u067e \u062f\u0633\u062a<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_34_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_34' type='radio' value='\u0647\u0631 \u062f\u0648'  id='choice_41_34_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_34_2' id='label_41_34_2' class='gform-field-label gform-field-label--type-inline'>\u0647\u0631 \u062f\u0648<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_103\" class=\"gfield gfield--type-list gfield--input-type-list gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >\u0645\u0634\u062e\u0635\u0627\u062a \u0627\u0639\u0636\u0627\u06cc \u062e\u0627\u0646\u0648\u0627\u062f\u0647 ( \u0627\u0641\u0631\u0627\u062f\u06cc \u06a9\u0647 \u0632\u0645\u0627\u0646 \u067e\u0630\u06cc\u0631\u0634 \u0628\u0627 \u062e\u0627\u0646\u0648\u0627\u062f\u0647 \u0632\u0646\u062f\u06af\u06cc \u0645\u06cc \u06a9\u0646\u0646\u062f.):<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_41_103'>\u0644\u0637\u0641\u0627 \u0647\u0645\u0647 \u06cc \u0627\u0639\u0636\u0627 \u0631\u0627 \u0630\u06a9\u0631 \u0646\u0645\u0627\u06cc\u06cc\u062f<\/div><div class='ginput_container ginput_container_list ginput_list ginput_container_list--columns'><div class='gfield_list gfield_list_container'><div class=\"gfield_list_header gform-grid-row\"><div class=\"gform-field-label gfield_header_item gform-grid-col\">\u0646\u0627\u0645 \u0648 \u0646\u0627\u0645 \u062e\u0627\u0646\u0648\u0627\u062f\u06af\u06cc<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">\u0646\u0633\u0628\u062a<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">\u0633\u0646<\/div><div class=\"gfield_header_item gfield_header_item--icons gform-grid-col\">&nbsp;<\/div><\/div><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_103_cell1 gform-grid-col' data-label='\u0646\u0627\u0645 \u0648 \u0646\u0627\u0645 \u062e\u0627\u0646\u0648\u0627\u062f\u06af\u06cc'><input aria-invalid='false' aria-required=\"true\" aria-describedby=\"gfield_description_41_103\" aria-label='\u0646\u0627\u0645 \u0648 \u0646\u0627\u0645 \u062e\u0627\u0646\u0648\u0627\u062f\u06af\u06cc, \u0631\u062f\u06cc\u0641 1' data-aria-label-template='\u0646\u0627\u0645 \u0648 \u0646\u0627\u0645 \u062e\u0627\u0646\u0648\u0627\u062f\u06af\u06cc, \u0631\u062f\u06cc\u0641 {0}' type='text' name='input_103[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_103_cell2 gform-grid-col' data-label='\u0646\u0633\u0628\u062a'><input aria-invalid='false' aria-required=\"true\" aria-describedby=\"gfield_description_41_103\" aria-label='\u0646\u0633\u0628\u062a, \u0631\u062f\u06cc\u0641 1' data-aria-label-template='\u0646\u0633\u0628\u062a, \u0631\u062f\u06cc\u0641 {0}' type='text' name='input_103[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_103_cell3 gform-grid-col' data-label='\u0633\u0646'><input aria-invalid='false' aria-required=\"true\" aria-describedby=\"gfield_description_41_103\" aria-label='\u0633\u0646, \u0631\u062f\u06cc\u0641 1' data-aria-label-template='\u0633\u0646, \u0631\u062f\u06cc\u0641 {0}' type='text' name='input_103[]' value=''   \/><\/div><div class='gfield_list_icons gform-grid-col'>   <button type='button'  class='add_list_item ' aria-label='\u06cc\u06a9 \u0631\u062f\u06cc\u0641 \u062f\u06cc\u06af\u0631 \u0627\u0636\u0627\u0641\u0647 \u06a9\u0646\u06cc\u062f' onclick='gformAddListItem(this, 0)'>\u0627\u0641\u0632\u0648\u062f\u0646<\/button>   <button type='button'  class='delete_list_item' aria-label='\u062d\u0630\u0641 \u0631\u062f\u06cc\u0641 1' data-aria-label-template='\u062d\u0630\u0641 \u0631\u062f\u06cc\u0641 {0}' onclick='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\">\u062d\u0630\u0641<\/button><\/div><\/div><\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_39\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0622\u06cc\u0627 \u0641\u0631\u0632\u0646\u062f \u0634\u0645\u0627 \u0642\u0628\u0644\u0627 \u0645\u062f\u062a\u06cc \u0631\u0627 \u062f\u0631 \u06a9\u0648\u062f\u06a9\u0633\u062a\u0627\u0646 \u0628\u0648\u062f\u0647 \u0627\u0633\u062a\u061f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_39'>\n\t\t\t<div class='gchoice gchoice_41_39_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_39' type='radio' value='\u0628\u0644\u0647'  id='choice_41_39_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_39_0' id='label_41_39_0' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_39_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_39' type='radio' value='\u062e\u06cc\u0631'  id='choice_41_39_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_39_1' id='label_41_39_1' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_40\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0686\u0647 \u0645\u062f\u062a\u061f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_40'>\n\t\t\t<div class='gchoice gchoice_41_40_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_40' type='radio' value='\u06cc\u06a9\u0633\u0627\u0644'  id='choice_41_40_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_40_0' id='label_41_40_0' class='gform-field-label gform-field-label--type-inline'>\u06cc\u06a9\u0633\u0627\u0644<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_40_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_40' type='radio' value='2 \u0633\u0627\u0644'  id='choice_41_40_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_40_1' id='label_41_40_1' class='gform-field-label gform-field-label--type-inline'>2 \u0633\u0627\u0644<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_40_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_40' type='radio' value='3 \u0633\u0627\u0644'  id='choice_41_40_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_40_2' id='label_41_40_2' class='gform-field-label gform-field-label--type-inline'>3 \u0633\u0627\u0644<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_40_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_40' type='radio' value='4 \u0633\u0627\u0644'  id='choice_41_40_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_40_3' id='label_41_40_3' class='gform-field-label gform-field-label--type-inline'>4 \u0633\u0627\u0644<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_40_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_40' type='radio' value='5 \u0633\u0627\u0644'  id='choice_41_40_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_40_4' id='label_41_40_4' class='gform-field-label gform-field-label--type-inline'>5 \u0633\u0627\u0644<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_40_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_40' type='radio' value='6 \u0633\u0627\u0644'  id='choice_41_40_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_40_5' id='label_41_40_5' class='gform-field-label gform-field-label--type-inline'>6 \u0633\u0627\u0644<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_41_41\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_41_41'>\u0641\u0631\u0632\u0646\u062f \u0634\u0645\u0627 \u0642\u0628\u0644 \u0627\u0632 \u0648\u0631\u0648\u062f \u0628\u0647 \u06a9\u0648\u062f\u06a9\u0633\u062a\u0627\u0646\/\u0645\u062f\u0631\u0633\u0647 \u0631\u0648\u0632 \u062e\u0648\u062f \u0631\u0627 \u0686\u06af\u0648\u0646\u0647 \u0633\u067e\u0631\u06cc \u0645\u06cc \u06a9\u0631\u062f\u0647 \u0627\u0633\u062a\u061f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_41' id='input_41_41' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_41_42\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >\u0641\u0631\u0632\u0646\u062f \u0634\u0645\u0627 \u062f\u0631 \u0628\u0631\u0642\u0631\u0627\u0631\u06cc \u0627\u0631\u062a\u0628\u0627\u0637 \u062f\u0648\u0633\u062a\u0627\u0646\u0647 \u0648 \u0631\u0648\u0627\u0628\u0637 \u0628\u0627 \u0647\u0645\u0633\u0627\u0644\u0627\u0646 \u062e\u0648\u062f \u0686\u06af\u0648\u0646\u0647 \u0627\u0633\u062a\u061f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_41_42'><div class='gchoice gchoice_41_42_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_42.1' type='checkbox'  value='\u062c\u0631\u0627\u062a \u0644\u0627\u0632\u0645 \u0631\u0627 \u062f\u0631 \u0627\u0631\u062a\u0628\u0627\u0637 \u0628\u0627 \u0648\u0627\u0644\u062f\u06cc\u0646 \u0648 \u0647\u0645\u0633\u0627\u0644\u0627\u0646\u0634 \u0646\u062f\u0627\u0631\u062f'  id='choice_41_42_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_42_1' id='label_41_42_1' class='gform-field-label gform-field-label--type-inline'>\u062c\u0631\u0627\u062a \u0644\u0627\u0632\u0645 \u0631\u0627 \u062f\u0631 \u0627\u0631\u062a\u0628\u0627\u0637 \u0628\u0627 \u0648\u0627\u0644\u062f\u06cc\u0646 \u0648 \u0647\u0645\u0633\u0627\u0644\u0627\u0646\u0634 \u0646\u062f\u0627\u0631\u062f<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_41_42_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_42.2' type='checkbox'  value='\u0627\u0639\u062a\u0645\u0627\u062f \u0628\u0646\u0641\u0633 \u0644\u0627\u0632\u0645 \u0631\u0627 \u062f\u0631 \u0627\u0631\u062a\u0628\u0627\u0637 \u0628\u0627 \u0648\u0627\u0644\u062f\u06cc\u0646 \u0648 \u0647\u0645\u0633\u0627\u0644\u0627\u0646\u0634 \u062f\u0627\u0631\u062f'  id='choice_41_42_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_42_2' id='label_41_42_2' class='gform-field-label gform-field-label--type-inline'>\u0627\u0639\u062a\u0645\u0627\u062f \u0628\u0646\u0641\u0633 \u0644\u0627\u0632\u0645 \u0631\u0627 \u062f\u0631 \u0627\u0631\u062a\u0628\u0627\u0637 \u0628\u0627 \u0648\u0627\u0644\u062f\u06cc\u0646 \u0648 \u0647\u0645\u0633\u0627\u0644\u0627\u0646\u0634 \u062f\u0627\u0631\u062f<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_41_42_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_42.3' type='checkbox'  value='\u0627\u0646\u0632\u0648\u0627\u0637\u0644\u0628\u06cc \u062f\u0627\u0631\u062f \u0648 \u062a\u0646\u0647\u0627\u06cc\u06cc \u0631\u0627 \u0628\u0647 \u0627\u0631\u062a\u0628\u0627\u0637 \u0628\u0627 \u0648\u0627\u0644\u062f\u06cc\u0646 \u0648 \u0647\u0645\u0633\u0627\u0644\u0627\u0646\u0634 \u062a\u0631\u062c\u06cc\u062d \u0645\u06cc \u062f\u0647\u062f'  id='choice_41_42_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_42_3' id='label_41_42_3' class='gform-field-label gform-field-label--type-inline'>\u0627\u0646\u0632\u0648\u0627\u0637\u0644\u0628\u06cc \u062f\u0627\u0631\u062f \u0648 \u062a\u0646\u0647\u0627\u06cc\u06cc \u0631\u0627 \u0628\u0647 \u0627\u0631\u062a\u0628\u0627\u0637 \u0628\u0627 \u0648\u0627\u0644\u062f\u06cc\u0646 \u0648 \u0647\u0645\u0633\u0627\u0644\u0627\u0646\u0634 \u062a\u0631\u062c\u06cc\u062d \u0645\u06cc \u062f\u0647\u062f<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_43\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0622\u06cc\u0627 \u0641\u0631\u0632\u0646\u062f\u062a\u0627\u0646 \u062e\u0648\u0627\u0633\u062a\u0647 \u0647\u0627\u06cc\u0634 \u0631\u0627 \u0628\u0647 \u0632\u0628\u0627\u0646 \u0645\u06cc \u0622\u0648\u0631\u062f\u060c \u06cc\u0627 \u0628\u0627\u06cc\u062f \u062d\u062a\u0645\u0627 \u0645\u0631\u0628\u06cc \u0645\u062a\u0648\u062c\u0647 \u062e\u0648\u0627\u0633\u062a\u0647 \u0627\u0634 \u0628\u0634\u0648\u062f \u0648 \u0627\u0632 \u0627\u0648 \u0633\u0624\u0627\u0644 \u0628\u0646\u0645\u0627\u06cc\u062f\u061f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_43'>\n\t\t\t<div class='gchoice gchoice_41_43_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_43' type='radio' value='\u0628\u0644\u0647 \u062e\u0648\u062f\u0634 \u0628\u0647 \u0632\u0628\u0627\u0646 \u0645\u06cc \u0622\u0648\u0631\u062f'  id='choice_41_43_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_43_0' id='label_41_43_0' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647 \u062e\u0648\u062f\u0634 \u0628\u0647 \u0632\u0628\u0627\u0646 \u0645\u06cc \u0622\u0648\u0631\u062f<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_43_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_43' type='radio' value='\u062e\u06cc\u0631. \u0628\u0627\u06cc\u062f \u0645\u0631\u0628\u06cc \u0645\u062a\u0648\u062c\u0647 \u0634\u062f\u0647 \u0648 \u0627\u0632 \u0627\u0648 \u0633\u0648\u0627\u0644 \u0646\u0645\u0627\u06cc\u062f'  id='choice_41_43_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_43_1' id='label_41_43_1' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631. \u0628\u0627\u06cc\u062f \u0645\u0631\u0628\u06cc \u0645\u062a\u0648\u062c\u0647 \u0634\u062f\u0647 \u0648 \u0627\u0632 \u0627\u0648 \u0633\u0648\u0627\u0644 \u0646\u0645\u0627\u06cc\u062f<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_242\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0622\u06cc\u0627 \u0641\u0631\u0632\u0646\u062f\u062a\u0627\u0646 \u062e\u062c\u0627\u0644\u062a\u06cc \u0648 \u062f\u06cc\u0631\u062c\u0648\u0634 \u0627\u0633\u062a\u061f\u0628\u0631\u0627\u06cc \u0627\u0631\u062a\u0628\u0627\u0637 \u0628\u0627 \u0627\u0648 \u0686\u0647 \u0631\u0627\u0647\u06cc \u0631\u0627 \u067e\u06cc\u0634\u0646\u0647\u0627\u062f \u0645\u06cc \u062f\u0647\u06cc\u062f\u061f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_242'>\n\t\t\t<div class='gchoice gchoice_41_242_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_242' type='radio' value='\u062c\u0631\u0627\u062a \u0644\u0627\u0632\u0645 \u0631\u0627 \u062f\u0631 \u0627\u0631\u062a\u0628\u0627\u0637 \u0628\u0627 \u0648\u0627\u0644\u062f\u06cc\u0646 \u0648 \u0647\u0645\u0633\u0627\u0644\u0627\u0646\u0634 \u0646\u062f\u0627\u0631\u062f'  id='choice_41_242_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_242_0' id='label_41_242_0' class='gform-field-label gform-field-label--type-inline'>\u062c\u0631\u0627\u062a \u0644\u0627\u0632\u0645 \u0631\u0627 \u062f\u0631 \u0627\u0631\u062a\u0628\u0627\u0637 \u0628\u0627 \u0648\u0627\u0644\u062f\u06cc\u0646 \u0648 \u0647\u0645\u0633\u0627\u0644\u0627\u0646\u0634 \u0646\u062f\u0627\u0631\u062f<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_242_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_242' type='radio' value='\u0627\u0639\u062a\u0645\u0627\u062f\u0628\u0646\u0641\u0633 \u0644\u0627\u0632\u0645 \u0631\u0627 \u062f\u0631 \u0627\u0631\u062a\u0628\u0627\u0637 \u0628\u0627 \u0648\u0627\u0644\u062f\u06cc\u0646 \u0648 \u0647\u0645\u0633\u0627\u0644\u0627\u0646\u0634 \u0631\u0627 \u062f\u0627\u0631\u062f'  id='choice_41_242_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_242_1' id='label_41_242_1' class='gform-field-label gform-field-label--type-inline'>\u0627\u0639\u062a\u0645\u0627\u062f\u0628\u0646\u0641\u0633 \u0644\u0627\u0632\u0645 \u0631\u0627 \u062f\u0631 \u0627\u0631\u062a\u0628\u0627\u0637 \u0628\u0627 \u0648\u0627\u0644\u062f\u06cc\u0646 \u0648 \u0647\u0645\u0633\u0627\u0644\u0627\u0646\u0634 \u0631\u0627 \u062f\u0627\u0631\u062f<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_242_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_242' type='radio' value='\u0627\u0646\u0632\u0648\u0627\u0637\u0644\u0628\u06cc \u062f\u0627\u0631\u062f \u0648 \u062a\u0646\u0647\u0627\u06cc\u06cc \u0631\u0627 \u0628\u0647 \u0627\u0631\u062a\u0628\u0627\u0637 \u0628\u0627 \u0648\u0627\u0644\u062f\u06cc\u0646 \u0648 \u0647\u0645\u0633\u0627\u0644\u0627\u0646\u0634 \u062a\u0631\u062c\u06cc\u062d \u0645\u06cc \u062f\u0647\u062f'  id='choice_41_242_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_242_2' id='label_41_242_2' class='gform-field-label gform-field-label--type-inline'>\u0627\u0646\u0632\u0648\u0627\u0637\u0644\u0628\u06cc \u062f\u0627\u0631\u062f \u0648 \u062a\u0646\u0647\u0627\u06cc\u06cc \u0631\u0627 \u0628\u0647 \u0627\u0631\u062a\u0628\u0627\u0637 \u0628\u0627 \u0648\u0627\u0644\u062f\u06cc\u0646 \u0648 \u0647\u0645\u0633\u0627\u0644\u0627\u0646\u0634 \u062a\u0631\u062c\u06cc\u062d \u0645\u06cc \u062f\u0647\u062f<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_41_45\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_41_45'>\u0631\u0639\u0627\u06cc\u062a \u0686\u0647 \u0646\u06a9\u0627\u062a\u06cc \u062f\u0631 \u0627\u0631\u062a\u0628\u0627\u0637 \u0628\u0627 \u0641\u0631\u0632\u0646\u062f\u062a\u0627\u0646 \u0633\u0628\u0628 \u062c\u0644\u0628 \u0627\u0639\u062a\u0645\u0627\u062f \u0627\u0648 \u0648 \u0627\u0631\u062a\u0628\u0627\u0637 \u0633\u0631\u06cc\u0639 \u062a\u0631 \u0628\u0627 \u06a9\u0648\u062f\u06a9 \u0634\u0645\u0627 \u0645\u06cc \u0634\u0648\u062f\u061f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_45' id='input_41_45' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_41_46\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >\u0641\u0631\u0632\u0646\u062f \u0634\u0645\u0627 \u06a9\u062f\u0627\u0645 \u06cc\u06a9 \u0627\u0632 \u0627\u0639\u0636\u0627\u06cc \u062e\u0627\u0646\u0648\u0627\u062f\u0647 \u0631\u0627 \u0627\u0644\u06af\u0648\u06cc \u062e\u0648\u062f \u0642\u0631\u0627\u0631 \u0645\u06cc \u062f\u0647\u062f\u061f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_41_46'><div class='gchoice gchoice_41_46_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_46.1' type='checkbox'  value='\u067e\u062f\u0631'  id='choice_41_46_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_46_1' id='label_41_46_1' class='gform-field-label gform-field-label--type-inline'>\u067e\u062f\u0631<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_41_46_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_46.2' type='checkbox'  value='\u0645\u0627\u062f\u0631'  id='choice_41_46_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_46_2' id='label_41_46_2' class='gform-field-label gform-field-label--type-inline'>\u0645\u0627\u062f\u0631<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_41_46_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_46.3' type='checkbox'  value='\u0628\u0631\u0627\u062f\u0631'  id='choice_41_46_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_46_3' id='label_41_46_3' class='gform-field-label gform-field-label--type-inline'>\u0628\u0631\u0627\u062f\u0631<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_41_46_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_46.4' type='checkbox'  value='\u062e\u0648\u0627\u0647\u0631'  id='choice_41_46_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_46_4' id='label_41_46_4' class='gform-field-label gform-field-label--type-inline'>\u062e\u0648\u0627\u0647\u0631<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_41_46_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_46.5' type='checkbox'  value='\u0633\u0627\u06cc\u0631'  id='choice_41_46_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_46_5' id='label_41_46_5' class='gform-field-label gform-field-label--type-inline'>\u0633\u0627\u06cc\u0631<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_47\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >\u0641\u0631\u0632\u0646\u062f \u0634\u0645\u0627 \u0628\u0647 \u0686\u0647 \u0646\u0648\u0639 \u0627\u0633\u0628\u0627\u0628 \u0628\u0627\u0632\u06cc \u0647\u0627\u06cc\u06cc \u0628\u06cc\u0634\u062a\u0631 \u0639\u0644\u0627\u0642\u0647 \u0646\u0634\u0627\u0646 \u0645\u06cc \u062f\u0647\u062f\u061f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_41_47'><div class='gchoice gchoice_41_47_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_47.1' type='checkbox'  value='\u0627\u0633\u0628\u0627\u0628 \u0628\u0627\u0632\u06cc \u06a9\u0647 \u0645\u062a\u0646\u0627\u0633\u0628 \u0628\u0627 \u0633\u0646\u0634 \u0627\u0633\u062a'  id='choice_41_47_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_47_1' id='label_41_47_1' class='gform-field-label gform-field-label--type-inline'>\u0627\u0633\u0628\u0627\u0628 \u0628\u0627\u0632\u06cc \u06a9\u0647 \u0645\u062a\u0646\u0627\u0633\u0628 \u0628\u0627 \u0633\u0646\u0634 \u0627\u0633\u062a<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_41_47_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_47.2' type='checkbox'  value='\u0627\u0633\u0628\u0627\u0628 \u0628\u0627\u0632\u06cc \u06a9\u0647 \u0645\u062a\u0646\u0627\u0633\u0628 \u0628\u0627 \u062c\u0646\u0633\u06cc\u062a\u0634 \u0627\u0633\u062a'  id='choice_41_47_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_47_2' id='label_41_47_2' class='gform-field-label gform-field-label--type-inline'>\u0627\u0633\u0628\u0627\u0628 \u0628\u0627\u0632\u06cc \u06a9\u0647 \u0645\u062a\u0646\u0627\u0633\u0628 \u0628\u0627 \u062c\u0646\u0633\u06cc\u062a\u0634 \u0627\u0633\u062a<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_41_47_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_47.3' type='checkbox'  value='\u0641\u0642\u0637 \u0638\u0627\u0647\u0631\u0648 \u062c\u062f\u06cc\u062f\u0628\u0648\u062f\u0646 \u0627\u0633\u0628\u0627\u0628 \u0628\u0627\u0632\u06cc \u0628\u0631\u0627\u06cc\u0634 \u0645\u0647\u0645 \u0627\u0633\u062a'  id='choice_41_47_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_47_3' id='label_41_47_3' class='gform-field-label gform-field-label--type-inline'>\u0641\u0642\u0637 \u0638\u0627\u0647\u0631\u0648 \u062c\u062f\u06cc\u062f\u0628\u0648\u062f\u0646 \u0627\u0633\u0628\u0627\u0628 \u0628\u0627\u0632\u06cc \u0628\u0631\u0627\u06cc\u0634 \u0645\u0647\u0645 \u0627\u0633\u062a<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_41_47_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_47.4' type='checkbox'  value='\u0627\u0633\u0628\u0627\u0628 \u0628\u0627\u0632\u06cc \u0627\u0646\u062a\u062e\u0627\u0628 \u0645\u06cc\u06a9\u0646\u062f \u06a9\u0647 \u0645\u0637\u0627\u0628\u0642 \u0627\u0631\u0632\u0634\u200c\u0647\u0627\u06cc \u062e\u0627\u0646\u0648\u0627\u062f\u0647 \u0645\u0627\u0646 \u0628\u0627\u0634\u062f'  id='choice_41_47_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_47_4' id='label_41_47_4' class='gform-field-label gform-field-label--type-inline'>\u0627\u0633\u0628\u0627\u0628 \u0628\u0627\u0632\u06cc \u0627\u0646\u062a\u062e\u0627\u0628 \u0645\u06cc\u06a9\u0646\u062f \u06a9\u0647 \u0645\u0637\u0627\u0628\u0642 \u0627\u0631\u0632\u0634\u200c\u0647\u0627\u06cc \u062e\u0627\u0646\u0648\u0627\u062f\u0647 \u0645\u0627\u0646 \u0628\u0627\u0634\u062f<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_48\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0622\u06cc\u0627 \u0641\u0631\u0632\u0646\u062f\u062a\u0627\u0646 \u0628\u0647 \u0631\u0627\u062d\u062a\u06cc \u0645\u06cc \u062a\u0648\u0627\u0646\u062f \u0628\u0627 \u062f\u06cc\u06af\u0631\u0627\u0646 \u0627\u0631\u062a\u0628\u0627\u0637 \u06a9\u0644\u0627\u0645\u06cc \u0628\u0631\u0642\u0631\u0627\u0631 \u06a9\u0631\u062f\u0647 \u0648 \u0635\u062d\u0628\u062a \u0646\u0645\u0627\u06cc\u062f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_48'>\n\t\t\t<div class='gchoice gchoice_41_48_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_48' type='radio' value='\u0628\u0644\u0647'  id='choice_41_48_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_48_0' id='label_41_48_0' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_48_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_48' type='radio' value='\u062e\u06cc\u0631'  id='choice_41_48_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_48_1' id='label_41_48_1' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_48_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_48' type='radio' value='\u062a\u0627 \u062d\u062f\u0648\u062f\u06cc'  id='choice_41_48_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_48_2' id='label_41_48_2' class='gform-field-label gform-field-label--type-inline'>\u062a\u0627 \u062d\u062f\u0648\u062f\u06cc<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_49\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0622\u06cc\u0627 \u0641\u0631\u0632\u0646\u062f \u0634\u0645\u0627 \u0627\u0639\u062a\u0645\u0627\u062f \u0628\u0647 \u0646\u0641\u0633 \u0644\u0627\u0632\u0645 \u0648 \u062f\u0631 \u062d\u062f \u0633\u0646\u0634 \u0631\u0627 \u062f\u0627\u0631\u062f\u061f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_49'>\n\t\t\t<div class='gchoice gchoice_41_49_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_49' type='radio' value='\u0628\u0644\u0647'  id='choice_41_49_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_49_0' id='label_41_49_0' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_49_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_49' type='radio' value='\u062e\u06cc\u0631'  id='choice_41_49_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_49_1' id='label_41_49_1' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_49_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_49' type='radio' value='\u062a\u0627 \u062d\u062f\u0648\u062f\u06cc'  id='choice_41_49_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_49_2' id='label_41_49_2' class='gform-field-label gform-field-label--type-inline'>\u062a\u0627 \u062d\u062f\u0648\u062f\u06cc<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_50\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0622\u06cc\u0627 \u0641\u0631\u0632\u0646\u062f \u0634\u0645\u0627 \u0641\u0636\u0627\u06cc \u0645\u0646\u0627\u0633\u0628\u06cc \u0628\u0631\u0627\u06cc \u0628\u0627\u0632\u06cc \u0648 \u062d\u0631\u06a9\u0627\u062a \u062c\u0633\u0645\u06cc \u062f\u0631 \u0627\u062e\u062a\u06cc\u0627\u0631 \u062f\u0627\u0634\u062a\u0647 \u0627\u0633\u062a\u061f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_50'>\n\t\t\t<div class='gchoice gchoice_41_50_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_50' type='radio' value='\u0628\u0644\u0647'  id='choice_41_50_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_50_0' id='label_41_50_0' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_50_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_50' type='radio' value='\u062e\u06cc\u0631'  id='choice_41_50_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_50_1' id='label_41_50_1' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_50_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_50' type='radio' value='\u062a\u0627 \u062d\u062f\u0648\u062f\u06cc'  id='choice_41_50_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_50_2' id='label_41_50_2' class='gform-field-label gform-field-label--type-inline'>\u062a\u0627 \u062d\u062f\u0648\u062f\u06cc<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_51\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0622\u06cc\u0627 \u0646\u0648\u0631 \u0686\u0634\u0645 \u0634\u0645\u0627 \u062f\u0631 \u0627\u062a\u0627\u0642 \u062e\u0648\u062f \u062c\u062f\u0627\u06af\u0627\u0646\u0647 \u0645\u06cc \u062e\u0648\u0627\u0628\u062f\u061f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_51'>\n\t\t\t<div class='gchoice gchoice_41_51_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_51' type='radio' value='\u0628\u0644\u0647'  id='choice_41_51_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_51_0' id='label_41_51_0' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_51_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_51' type='radio' value='\u062e\u06cc\u0631'  id='choice_41_51_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_51_1' id='label_41_51_1' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_51_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_51' type='radio' value='\u062a\u0627 \u062d\u062f\u0648\u062f\u06cc'  id='choice_41_51_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_51_2' id='label_41_51_2' class='gform-field-label gform-field-label--type-inline'>\u062a\u0627 \u062d\u062f\u0648\u062f\u06cc<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_52\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0622\u06cc\u0627 \u062f\u0631 \u0645\u0646\u0632\u0644 \u0628\u062f\u0648\u0646 \u0645\u0645\u0627\u0646\u0639\u062a \u0648\u0627\u0644\u062f\u06cc\u0646 \u0628\u0647 \u0628\u06cc\u0634\u062a\u0631 \u0628\u0627\u0632\u06cc \u0647\u0627\u06cc\u06cc \u06a9\u0647 \u0639\u0644\u0627\u0642\u0647 \u062f\u0627\u0631\u062f \u0645\u06cc \u067e\u0631\u062f\u0627\u0632\u062f\u061f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_52'>\n\t\t\t<div class='gchoice gchoice_41_52_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_52' type='radio' value='\u0628\u0644\u0647'  id='choice_41_52_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_52_0' id='label_41_52_0' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_52_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_52' type='radio' value='\u062e\u06cc\u0631'  id='choice_41_52_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_52_1' id='label_41_52_1' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_52_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_52' type='radio' value='\u062a\u0627 \u062d\u062f\u0648\u062f\u06cc'  id='choice_41_52_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_52_2' id='label_41_52_2' class='gform-field-label gform-field-label--type-inline'>\u062a\u0627 \u062d\u062f\u0648\u062f\u06cc<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_53\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0686\u0642\u062f\u0631 \u062f\u0631 \u0631\u0648\u0632 \u0648\u0642\u062a \u062e\u0648\u062f\u062a\u0627\u0646 \u0631\u0627 \u0635\u0631\u0641 \u0628\u0627\u0632\u06cc\u060c \u0642\u0635\u0647 \u062e\u0648\u0627\u0646\u062f\u0646 \u0648 \u062a\u0648\u062c\u0647 \u0628\u0647 \u062e\u0648\u0627\u0633\u062a\u0647 \u0647\u0627\u06cc \u06a9\u0648\u062f\u06a9\u062a\u0627\u0646 \u0645\u06cc \u0646\u0645\u0627\u06cc\u06cc\u062f\u061f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_53'>\n\t\t\t<div class='gchoice gchoice_41_53_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_53' type='radio' value='\u0628\u0644\u0647'  id='choice_41_53_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_53_0' id='label_41_53_0' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_53_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_53' type='radio' value='\u062e\u06cc\u0631'  id='choice_41_53_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_53_1' id='label_41_53_1' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_53_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_53' type='radio' value='\u062a\u0627 \u062d\u062f\u0648\u062f\u06cc'  id='choice_41_53_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_53_2' id='label_41_53_2' class='gform-field-label gform-field-label--type-inline'>\u062a\u0627 \u062d\u062f\u0648\u062f\u06cc<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_54\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >\u06a9\u0648\u062f\u06a9 \u0634\u0645\u0627 \u062f\u0631 \u06a9\u062f\u0627\u0645 \u06cc\u06a9 \u0627\u0632 \u0632\u0645\u06cc\u0646\u0647 \u0647\u0627\u06cc \u0632\u06cc\u0631 \u0645\u0634\u06a9\u0644 \u062f\u0627\u0631\u062f\u061f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_41_54'><div class='gchoice gchoice_41_54_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_54.1' type='checkbox'  value='\u0635\u0631\u0641 \u063a\u0630\u0627 \u0648 \u062a\u063a\u0630\u06cc\u0647'  id='choice_41_54_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_54_1' id='label_41_54_1' class='gform-field-label gform-field-label--type-inline'>\u0635\u0631\u0641 \u063a\u0630\u0627 \u0648 \u062a\u063a\u0630\u06cc\u0647<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_41_54_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_54.2' type='checkbox'  value='\u0627\u0633\u062a\u062d\u0645\u0627\u0645'  id='choice_41_54_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_54_2' id='label_41_54_2' class='gform-field-label gform-field-label--type-inline'>\u0627\u0633\u062a\u062d\u0645\u0627\u0645<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_41_54_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_54.3' type='checkbox'  value='\u062f\u0633\u062a\u0634\u0648\u06cc\u06cc'  id='choice_41_54_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_54_3' id='label_41_54_3' class='gform-field-label gform-field-label--type-inline'>\u062f\u0633\u062a\u0634\u0648\u06cc\u06cc<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_41_54_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_54.4' type='checkbox'  value='\u06a9\u0648\u062a\u0627\u0647 \u06a9\u0631\u062f\u0646 \u0645\u0648\u06cc \u0633\u0631 \u0648 \u0646\u0627\u062e\u0646 \u0647\u0627'  id='choice_41_54_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_54_4' id='label_41_54_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0648\u062a\u0627\u0647 \u06a9\u0631\u062f\u0646 \u0645\u0648\u06cc \u0633\u0631 \u0648 \u0646\u0627\u062e\u0646 \u0647\u0627<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_41_54_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_54.5' type='checkbox'  value='\u062e\u0648\u0627\u0628\u06cc\u062f\u0646 \u0628\u0647 \u0645\u0648\u0642\u0639'  id='choice_41_54_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_54_5' id='label_41_54_5' class='gform-field-label gform-field-label--type-inline'>\u062e\u0648\u0627\u0628\u06cc\u062f\u0646 \u0628\u0647 \u0645\u0648\u0642\u0639<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_41_54_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_54.6' type='checkbox'  value='\u062c\u0645\u0639 \u0622\u0648\u0631\u06cc \u0648\u0633\u0627\u06cc\u0644\u0634'  id='choice_41_54_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_54_6' id='label_41_54_6' class='gform-field-label gform-field-label--type-inline'>\u062c\u0645\u0639 \u0622\u0648\u0631\u06cc \u0648\u0633\u0627\u06cc\u0644\u0634<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_41_54_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_54.7' type='checkbox'  value='\u0646\u0638\u0645 \u0648 \u0627\u0646\u0636\u0628\u0627\u0637 \u062f\u0631 \u062d\u062f \u0633\u0646\u0634'  id='choice_41_54_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_54_7' id='label_41_54_7' class='gform-field-label gform-field-label--type-inline'>\u0646\u0638\u0645 \u0648 \u0627\u0646\u0636\u0628\u0627\u0637 \u062f\u0631 \u062d\u062f \u0633\u0646\u0634<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_41_54_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_54.8' type='checkbox'  value='\u0644\u062c\u0628\u0627\u0632\u06cc \u0648 \u062a\u0623\u06a9\u06cc\u062f \u0628\u0631 \u062e\u0648\u0627\u0633\u062a\u0646 \u0686\u06cc\u0632\u06cc'  id='choice_41_54_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_54_8' id='label_41_54_8' class='gform-field-label gform-field-label--type-inline'>\u0644\u062c\u0628\u0627\u0632\u06cc \u0648 \u062a\u0623\u06a9\u06cc\u062f \u0628\u0631 \u062e\u0648\u0627\u0633\u062a\u0646 \u0686\u06cc\u0632\u06cc<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_41_54_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_54.9' type='checkbox'  value='\u0646\u0632\u0627\u0639 \u0628\u0627 \u062e\u0648\u0627\u0647\u0631 \u06cc\u0627 \u0628\u0631\u0627\u062f\u0631'  id='choice_41_54_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_54_9' id='label_41_54_9' class='gform-field-label gform-field-label--type-inline'>\u0646\u0632\u0627\u0639 \u0628\u0627 \u062e\u0648\u0627\u0647\u0631 \u06cc\u0627 \u0628\u0631\u0627\u062f\u0631<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_41_54_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_54.11' type='checkbox'  value='\u062e\u0631\u0627\u0628 \u06a9\u0631\u062f\u0646 \u0648\u0633\u0627\u06cc\u0644 \u0645\u0646\u0632\u0644 \u0648 \u0627\u0633\u0628\u0627\u0628 \u0628\u0627\u0632\u06cc \u0647\u0627\u06cc\u0634'  id='choice_41_54_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_54_11' id='label_41_54_11' class='gform-field-label gform-field-label--type-inline'>\u062e\u0631\u0627\u0628 \u06a9\u0631\u062f\u0646 \u0648\u0633\u0627\u06cc\u0644 \u0645\u0646\u0632\u0644 \u0648 \u0627\u0633\u0628\u0627\u0628 \u0628\u0627\u0632\u06cc \u0647\u0627\u06cc\u0634<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_41_54_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_54.12' type='checkbox'  value='\u0647\u06cc\u0686\u06a9\u062f\u0627\u0645'  id='choice_41_54_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_54_12' id='label_41_54_12' class='gform-field-label gform-field-label--type-inline'>\u0647\u06cc\u0686\u06a9\u062f\u0627\u0645<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_55\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0622\u06cc\u0627 \u0647\u0646\u06af\u0627\u0645\u06cc \u06a9\u0647 \u0628\u0647 \u0645\u0634\u06a9\u0644\u06cc \u0628\u0631\u0645\u06cc \u062e\u0648\u0631\u062f\u060c \u0628\u0631\u0627\u06cc \u062d\u0644 \u0622\u0646 \u0645\u06cc \u062a\u0648\u0627\u0646 \u0628\u0627 \u0627\u0648 \u0635\u062d\u0628\u062a \u06a9\u0631\u062f\u061f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_55'>\n\t\t\t<div class='gchoice gchoice_41_55_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_55' type='radio' value='\u0628\u0644\u0647'  id='choice_41_55_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_55_0' id='label_41_55_0' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_55_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_55' type='radio' value='\u062e\u06cc\u0631'  id='choice_41_55_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_55_1' id='label_41_55_1' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_55_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_55' type='radio' value='\u062a\u0627 \u062d\u062f\u0648\u062f\u06cc'  id='choice_41_55_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_55_2' id='label_41_55_2' class='gform-field-label gform-field-label--type-inline'>\u062a\u0627 \u062d\u062f\u0648\u062f\u06cc<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_56\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0622\u06cc\u0627 \u0628\u0647 \u0622\u0646 \u0686\u0647 \u0628\u0647 \u0627\u0648 \u06af\u0641\u062a\u0647 \u0645\u06cc \u0634\u0648\u062f\u060c \u06af\u0648\u0634 \u0641\u0631\u0627 \u0645\u06cc \u062f\u0647\u062f \u0648 \u0639\u0645\u0644 \u0645\u06cc \u0646\u0645\u0627\u06cc\u062f\u061f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_56'>\n\t\t\t<div class='gchoice gchoice_41_56_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_56' type='radio' value='\u0628\u0644\u0647'  id='choice_41_56_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_56_0' id='label_41_56_0' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_56_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_56' type='radio' value='\u062e\u06cc\u0631'  id='choice_41_56_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_56_1' id='label_41_56_1' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_56_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_56' type='radio' value='\u062a\u0627 \u062d\u062f\u0648\u062f\u06cc'  id='choice_41_56_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_56_2' id='label_41_56_2' class='gform-field-label gform-field-label--type-inline'>\u062a\u0627 \u062d\u062f\u0648\u062f\u06cc<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_57\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0622\u06cc\u0627 \u062f\u0631 \u0633\u0647 \u0645\u0627\u0647 \u06af\u0630\u0634\u062a\u0647 \u062c\u0627\u0628\u0647 \u062c\u0627\u06cc\u06cc \u0645\u0646\u0632\u0644 \u0648 \u062a\u063a\u06cc\u06cc\u0631 \u0645\u06a9\u0627\u0646 \u062f\u0627\u0634\u062a\u0647 \u0627\u06cc\u062f\u061f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_57'>\n\t\t\t<div class='gchoice gchoice_41_57_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_57' type='radio' value='\u0628\u0644\u0647'  id='choice_41_57_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_57_0' id='label_41_57_0' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_57_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_57' type='radio' value='\u062e\u06cc\u0631'  id='choice_41_57_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_57_1' id='label_41_57_1' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_57_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_57' type='radio' value='\u062a\u0627 \u062d\u062f\u0648\u062f\u06cc'  id='choice_41_57_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_57_2' id='label_41_57_2' class='gform-field-label gform-field-label--type-inline'>\u062a\u0627 \u062d\u062f\u0648\u062f\u06cc<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_59\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >\u0627\u06cc\u0646 \u0645\u062c\u0645\u0648\u0639\u0647 \u0631\u0627 \u0628\u0631 \u0627\u0633\u0627\u0633 \u0686\u0647 \u0645\u0639\u06cc\u0627\u0631\u0647\u0627\u06cc\u06cc \u0627\u0646\u062a\u062e\u0627\u0628 \u0646\u0645\u0648\u062f\u0647 \u0627\u06cc\u062f\u061f<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_41_59'><div class='gchoice gchoice_41_59_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_59.1' type='checkbox'  value='\u0645\u0633\u0627\u0626\u0644 \u0622\u0645\u0648\u0632\u0634\u06cc(\u062a\u062d\u0635\u06cc\u0644\u06cc) \u0628\u0631\u0627\u06cc\u0645 \u062f\u0631 \u0627\u0648\u0644\u0648\u06cc\u062a \u0627\u0633\u062a'  id='choice_41_59_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_59_1' id='label_41_59_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u0633\u0627\u0626\u0644 \u0622\u0645\u0648\u0632\u0634\u06cc(\u062a\u062d\u0635\u06cc\u0644\u06cc) \u0628\u0631\u0627\u06cc\u0645 \u062f\u0631 \u0627\u0648\u0644\u0648\u06cc\u062a \u0627\u0633\u062a<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_41_59_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_59.2' type='checkbox'  value='\u0622\u0645\u0648\u0632\u0634 \u0645\u0647\u0627\u0631\u062a\u0647\u0627\u06cc \u0632\u0646\u062f\u06af\u06cc(\u0645\u0647\u0627\u0631\u062a \u062d\u0644 \u0645\u0633\u0626\u0644\u0647\u060c\u062e\u0644\u0627\u0642\u06cc\u062a\u060c \u062a\u0641\u06a9\u0631\u0646\u0642\u0627\u062f\u060c\u0645\u0647\u0627\u0631\u062a \u0627\u0631\u062a\u0628\u0627\u0637\u06cc\u060c\u062a\u0635\u0645\u06cc\u0645 \u06af\u06cc\u0631\u06cc\u060c\u06a9\u0646\u062a\u0631\u0644 \u0627\u0633\u062a\u0631\u0633 \u0648...) \u0628\u0631\u0627\u06cc\u0645 \u062f\u0631 \u0627\u0648\u0644\u0648\u06cc\u062a \u0627\u0633\u062a'  id='choice_41_59_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_59_2' id='label_41_59_2' class='gform-field-label gform-field-label--type-inline'>\u0622\u0645\u0648\u0632\u0634 \u0645\u0647\u0627\u0631\u062a\u0647\u0627\u06cc \u0632\u0646\u062f\u06af\u06cc(\u0645\u0647\u0627\u0631\u062a \u062d\u0644 \u0645\u0633\u0626\u0644\u0647\u060c\u062e\u0644\u0627\u0642\u06cc\u062a\u060c \u062a\u0641\u06a9\u0631\u0646\u0642\u0627\u062f\u060c\u0645\u0647\u0627\u0631\u062a \u0627\u0631\u062a\u0628\u0627\u0637\u06cc\u060c\u062a\u0635\u0645\u06cc\u0645 \u06af\u06cc\u0631\u06cc\u060c\u06a9\u0646\u062a\u0631\u0644 \u0627\u0633\u062a\u0631\u0633 \u0648&#8230;) \u0628\u0631\u0627\u06cc\u0645 \u062f\u0631 \u0627\u0648\u0644\u0648\u06cc\u062a \u0627\u0633\u062a<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_41_59_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_59.3' type='checkbox'  value='\u0645\u0633\u0627\u0641\u062a \u0628\u0631\u0627\u06cc\u0645 \u062f\u0631 \u0627\u0648\u0644\u0648\u06cc\u062a \u0627\u0633\u062a'  id='choice_41_59_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_59_3' id='label_41_59_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0633\u0627\u0641\u062a \u0628\u0631\u0627\u06cc\u0645 \u062f\u0631 \u0627\u0648\u0644\u0648\u06cc\u062a \u0627\u0633\u062a<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_41_59_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_59.4' type='checkbox'  value='\u0627\u0639\u062a\u0628\u0627\u0631 \u0648 \u0645\u062c\u0648\u0632 \u0645\u062f\u0631\u0633\u0647 \u0628\u0631\u0627\u06cc\u0645 \u062f\u0631 \u0627\u0648\u0644\u0648\u06cc\u062a \u0627\u0633\u062a'  id='choice_41_59_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_59_4' id='label_41_59_4' class='gform-field-label gform-field-label--type-inline'>\u0627\u0639\u062a\u0628\u0627\u0631 \u0648 \u0645\u062c\u0648\u0632 \u0645\u062f\u0631\u0633\u0647 \u0628\u0631\u0627\u06cc\u0645 \u062f\u0631 \u0627\u0648\u0644\u0648\u06cc\u062a \u0627\u0633\u062a<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_41_59_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_59.5' type='checkbox'  value='\u062f\u0627\u0634\u062a\u0646 \u0631\u0648\u06cc\u06a9\u0631\u062f \u0645\u0630\u0647\u0628\u06cc \u0648 \u0642\u0631\u0622\u0646\u06cc \u0628\u0631\u0627\u06cc\u0645 \u062f\u0631 \u0627\u0648\u0644\u0648\u06cc\u062a \u0627\u0633\u062a'  id='choice_41_59_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_59_5' id='label_41_59_5' class='gform-field-label gform-field-label--type-inline'>\u062f\u0627\u0634\u062a\u0646 \u0631\u0648\u06cc\u06a9\u0631\u062f \u0645\u0630\u0647\u0628\u06cc \u0648 \u0642\u0631\u0622\u0646\u06cc \u0628\u0631\u0627\u06cc\u0645 \u062f\u0631 \u0627\u0648\u0644\u0648\u06cc\u062a \u0627\u0633\u062a<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_60\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0622\u06cc\u0627 \u0648\u06cc\u0698\u06af\u06cc \u0647\u0627\u06cc \u0645\u0646\u062d\u0635\u0631\u0628\u0647 \u0641\u0631\u062f \u06a9\u0648\u062f\u06a9\u062a\u0627\u0646 \u0631\u0627 \u062a\u0627 \u0628\u0647 \u062d\u0627\u0644 \u06a9\u0634\u0641 \u0646\u0645\u0648\u062f\u0647 \u0627\u06cc\u062f\u061f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_60'>\n\t\t\t<div class='gchoice gchoice_41_60_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_60' type='radio' value='\u0628\u0644\u0647'  id='choice_41_60_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_60_0' id='label_41_60_0' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_60_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_60' type='radio' value='\u062e\u06cc\u0631'  id='choice_41_60_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_60_1' id='label_41_60_1' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_60_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_60' type='radio' value='\u062a\u0627 \u062d\u062f\u0648\u062f\u06cc'  id='choice_41_60_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_60_2' id='label_41_60_2' class='gform-field-label gform-field-label--type-inline'>\u062a\u0627 \u062d\u062f\u0648\u062f\u06cc<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_104\" class=\"gfield gfield--type-list gfield--input-type-list field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0646\u0627\u0645 \u0628\u0628\u0631\u06cc\u062f<\/legend><div class='ginput_container ginput_container_list ginput_list '><div class='gfield_list gfield_list_container'><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_104_cell1 gform-grid-col' ><input aria-invalid='false'   aria-label='\u0646\u0627\u0645 \u0628\u0628\u0631\u06cc\u062f, \u0631\u062f\u06cc\u0641 1' data-aria-label-template='\u0646\u0627\u0645 \u0628\u0628\u0631\u06cc\u062f, \u0631\u062f\u06cc\u0641 {0}' type='text' name='input_104[]' value=''   \/><\/div><div class='gfield_list_icons gform-grid-col'>   <button type='button'  class='add_list_item ' aria-label='\u06cc\u06a9 \u0631\u062f\u06cc\u0641 \u062f\u06cc\u06af\u0631 \u0627\u0636\u0627\u0641\u0647 \u06a9\u0646\u06cc\u062f' onclick='gformAddListItem(this, 0)'>\u0627\u0641\u0632\u0648\u062f\u0646<\/button>   <button type='button'  class='delete_list_item' aria-label='\u062d\u0630\u0641 \u0631\u062f\u06cc\u0641 1' data-aria-label-template='\u062d\u0630\u0641 \u0631\u062f\u06cc\u0641 {0}' onclick='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\">\u062d\u0630\u0641<\/button><\/div><\/div><\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_62\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >\u0647\u0631\u06af\u0627\u0647 \u0641\u0631\u0632\u0646\u062f\u062a\u0627\u0646 \u06a9\u0627\u0631 \u062e\u0648\u0628\u06cc \u0627\u0646\u062c\u0627\u0645 \u0645\u06cc \u062f\u0647\u062f \u06a9\u0647 \u0645\u0648\u062c\u0628 \u062e\u0634\u0646\u0648\u062f\u06cc \u0634\u0645\u0627 \u0645\u06cc \u0634\u0648\u062f\u0686\u06af\u0648\u0646\u0647 \u0627\u0648 \u0631\u0627 \u062a\u0634\u0648\u06cc\u0642 \u0645\u06cc \u0646\u0645\u0627\u06cc\u06cc\u062f\u061f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_41_62'><div class='gchoice gchoice_41_62_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_62.1' type='checkbox'  value='\u0627\u06a9\u062b\u0631\u0627\u0648\u0642\u0627\u062a \u0627\u0632\u062a\u0634\u0648\u06cc\u0642\u0647\u0627\u06cc \u06a9\u0644\u0627\u0645\u06cc \u0627\u0633\u062a\u0641\u0627\u062f\u0647 \u0645\u06cc\u06a9\u0646\u0645'  id='choice_41_62_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_62_1' id='label_41_62_1' class='gform-field-label gform-field-label--type-inline'>\u0627\u06a9\u062b\u0631\u0627\u0648\u0642\u0627\u062a \u0627\u0632\u062a\u0634\u0648\u06cc\u0642\u0647\u0627\u06cc \u06a9\u0644\u0627\u0645\u06cc \u0627\u0633\u062a\u0641\u0627\u062f\u0647 \u0645\u06cc\u06a9\u0646\u0645<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_41_62_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_62.2' type='checkbox'  value='\u0627\u06a9\u062b\u0631\u0627\u0648\u0642\u0627\u062a \u0628\u0631\u0627\u06cc\u0634 \u062c\u0627\u06cc\u0632\u0647 \u0645\u06cc\u062e\u0631\u0645'  id='choice_41_62_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_62_2' id='label_41_62_2' class='gform-field-label gform-field-label--type-inline'>\u0627\u06a9\u062b\u0631\u0627\u0648\u0642\u0627\u062a \u0628\u0631\u0627\u06cc\u0634 \u062c\u0627\u06cc\u0632\u0647 \u0645\u06cc\u062e\u0631\u0645<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_41_62_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_62.3' type='checkbox'  value='\u0627\u06a9\u062b\u0631\u0627\u0648\u0642\u0627\u062a \u0627\u0632\u0645\u0634\u0648\u0642\u0647\u0627\u06cc \u0639\u0645\u0644\u06cc(\u067e\u0627\u0631\u06a9 \u06cc\u0627\u0645\u0647\u0645\u0627\u0646\u06cc \u0631\u0641\u062a\u0646 \u0648..)\u0627\u0633\u062a\u0641\u0627\u062f\u0647 \u0645\u06cc\u06a9\u0646\u0645'  id='choice_41_62_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_62_3' id='label_41_62_3' class='gform-field-label gform-field-label--type-inline'>\u0627\u06a9\u062b\u0631\u0627\u0648\u0642\u0627\u062a \u0627\u0632\u0645\u0634\u0648\u0642\u0647\u0627\u06cc \u0639\u0645\u0644\u06cc(\u067e\u0627\u0631\u06a9 \u06cc\u0627\u0645\u0647\u0645\u0627\u0646\u06cc \u0631\u0641\u062a\u0646 \u0648..)\u0627\u0633\u062a\u0641\u0627\u062f\u0647 \u0645\u06cc\u06a9\u0646\u0645<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_41_62_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_62.4' type='checkbox'  value='\u062a\u0634\u0648\u06cc\u0642 \u0627\u0631\u0627\u0626\u0647 \u0646\u0645\u06cc\u062f\u0647\u0645\u060c\u0686\u0631\u0627\u06a9\u0647 \u0627\u0646\u062c\u0627\u0645 \u06a9\u0627\u0631\u062e\u0648\u0628 \u0648\u0638\u06cc\u0641\u0647 \u0647\u0631\u0628\u0686\u0647 \u0627\u06cc\u0633\u062a'  id='choice_41_62_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_62_4' id='label_41_62_4' class='gform-field-label gform-field-label--type-inline'>\u062a\u0634\u0648\u06cc\u0642 \u0627\u0631\u0627\u0626\u0647 \u0646\u0645\u06cc\u062f\u0647\u0645\u060c\u0686\u0631\u0627\u06a9\u0647 \u0627\u0646\u062c\u0627\u0645 \u06a9\u0627\u0631\u062e\u0648\u0628 \u0648\u0638\u06cc\u0641\u0647 \u0647\u0631\u0628\u0686\u0647 \u0627\u06cc\u0633\u062a<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_63\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >\u0647\u0646\u06af\u0627\u0645\u06cc \u06a9\u0647 \u0641\u0631\u0632\u0646\u062f\u062a\u0627\u0646 \u06a9\u0627\u0631 \u063a\u06cc\u0631 \u0645\u0639\u0645\u0648\u0644\u06cc \u0627\u0646\u062c\u0627\u0645 \u0645\u06cc \u062f\u0647\u062f\u06a9\u0647 \u0634\u0645\u0627 \u0646\u0627\u0631\u0627\u062d\u062a \u0645\u06cc \u0634\u0648\u06cc\u062f \u0686\u06af\u0648\u0646\u0647 \u0628\u0627 \u0627\u0648 \u0628\u0631\u062e\u0648\u0631\u062f \u0645\u06cc \u0646\u0645\u0627\u06cc\u06cc\u062f\u061f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_41_63'><div class='gchoice gchoice_41_63_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_63.1' type='checkbox'  value='\u0627\u06a9\u062b\u0631\u0627 \u0627\u0632 \u0686\u06cc\u0632\u06cc \u06a9\u0647 \u062f\u0648\u0633\u062a \u062f\u0627\u0631\u062f \u0645\u062d\u0631\u0648\u0645\u0634 \u0645\u06cc\u06a9\u0646\u0645'  id='choice_41_63_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_63_1' id='label_41_63_1' class='gform-field-label gform-field-label--type-inline'>\u0627\u06a9\u062b\u0631\u0627 \u0627\u0632 \u0686\u06cc\u0632\u06cc \u06a9\u0647 \u062f\u0648\u0633\u062a \u062f\u0627\u0631\u062f \u0645\u062d\u0631\u0648\u0645\u0634 \u0645\u06cc\u06a9\u0646\u0645<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_41_63_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_63.2' type='checkbox'  value='\u0627\u06a9\u062b\u0631\u0627 \u0627\u0632 \u0637\u0631\u06cc\u0642 \u0627\u0646\u062c\u0627\u0645 \u06a9\u0627\u0631\u06cc \u06a9\u0647 \u062f\u0648\u0633\u062a \u0646\u062f\u0627\u0631\u062f \u062c\u0631\u06cc\u0645\u0647 \u0627\u0634 \u0645\u06cc\u06a9\u0646\u0645'  id='choice_41_63_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_63_2' id='label_41_63_2' class='gform-field-label gform-field-label--type-inline'>\u0627\u06a9\u062b\u0631\u0627 \u0627\u0632 \u0637\u0631\u06cc\u0642 \u0627\u0646\u062c\u0627\u0645 \u06a9\u0627\u0631\u06cc \u06a9\u0647 \u062f\u0648\u0633\u062a \u0646\u062f\u0627\u0631\u062f \u062c\u0631\u06cc\u0645\u0647 \u0627\u0634 \u0645\u06cc\u06a9\u0646\u0645<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_41_63_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_63.3' type='checkbox'  value='\u0627\u06a9\u062b\u0631\u0627 \u0628\u06cc \u0627\u0639\u062a\u0646\u0627 \u0628\u0647 \u0645\u0627\u062c\u0631\u0627 \u0647\u0633\u062a\u0645'  id='choice_41_63_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_63_3' id='label_41_63_3' class='gform-field-label gform-field-label--type-inline'>\u0627\u06a9\u062b\u0631\u0627 \u0628\u06cc \u0627\u0639\u062a\u0646\u0627 \u0628\u0647 \u0645\u0627\u062c\u0631\u0627 \u0647\u0633\u062a\u0645<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_41_63_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_63.4' type='checkbox'  value='\u0627\u06a9\u062b\u0631\u0627\u0633\u0639\u06cc \u0645\u06cc\u06a9\u0646\u0645 \u0631\u0641\u062a\u0627\u0631\u0647\u0627\u06cc \u0645\u062a\u0636\u0627\u062f\u0628\u0627\u0622\u0646 \u0631\u0641\u062a\u0627\u0631\u0628\u062f \u0631\u0627\u062a\u0642\u0648\u06cc\u062a \u06a9\u0646\u0645 \u062a\u0627 \u0631\u0641\u062a\u0627\u0631 \u0628\u062f\u06a9\u0645\u0631\u0646\u06af \u0634\u0648\u062f'  id='choice_41_63_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_63_4' id='label_41_63_4' class='gform-field-label gform-field-label--type-inline'>\u0627\u06a9\u062b\u0631\u0627\u0633\u0639\u06cc \u0645\u06cc\u06a9\u0646\u0645 \u0631\u0641\u062a\u0627\u0631\u0647\u0627\u06cc \u0645\u062a\u0636\u0627\u062f\u0628\u0627\u0622\u0646 \u0631\u0641\u062a\u0627\u0631\u0628\u062f \u0631\u0627\u062a\u0642\u0648\u06cc\u062a \u06a9\u0646\u0645 \u062a\u0627 \u0631\u0641\u062a\u0627\u0631 \u0628\u062f\u06a9\u0645\u0631\u0646\u06af \u0634\u0648\u062f<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_41_63_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_63.5' type='checkbox'  value='\u0627\u06a9\u062b\u0631 \u0627\u0648 \u0631\u0627\u0628\u0647 \u0647\u0645\u0633\u0631\u0645 \u0627\u0631\u062c\u0627\u0639\u0634 \u0645\u06cc \u062f\u0647\u0645'  id='choice_41_63_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_63_5' id='label_41_63_5' class='gform-field-label gform-field-label--type-inline'>\u0627\u06a9\u062b\u0631 \u0627\u0648 \u0631\u0627\u0628\u0647 \u0647\u0645\u0633\u0631\u0645 \u0627\u0631\u062c\u0627\u0639\u0634 \u0645\u06cc \u062f\u0647\u0645<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_41_63_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_63.6' type='checkbox'  value='\u0627\u06a9\u062b\u0631\u0627 \u0622\u0631\u0627\u0645\u0634 \u062e\u0648\u062f \u0631\u0627\u062d\u0641\u0638 \u0645\u06cc\u06a9\u0646\u0645 \u0648 \u0633\u0639\u06cc \u0645\u06cc\u06a9\u0646\u0645 \u062f\u0631 \u0634\u0631\u0627\u06cc\u0637 \u0628\u0647\u062a\u0631\u06cc \u0628\u0627 \u062f\u0631 \u0645\u0648\u0631\u062f \u0645\u0648\u0636\u0648\u0639 \u0628\u0627 \u0627\u0648\u0635\u062d\u0628\u062a \u06a9\u0646\u0645'  id='choice_41_63_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_63_6' id='label_41_63_6' class='gform-field-label gform-field-label--type-inline'>\u0627\u06a9\u062b\u0631\u0627 \u0622\u0631\u0627\u0645\u0634 \u062e\u0648\u062f \u0631\u0627\u062d\u0641\u0638 \u0645\u06cc\u06a9\u0646\u0645 \u0648 \u0633\u0639\u06cc \u0645\u06cc\u06a9\u0646\u0645 \u062f\u0631 \u0634\u0631\u0627\u06cc\u0637 \u0628\u0647\u062a\u0631\u06cc \u0628\u0627 \u062f\u0631 \u0645\u0648\u0631\u062f \u0645\u0648\u0636\u0648\u0639 \u0628\u0627 \u0627\u0648\u0635\u062d\u0628\u062a \u06a9\u0646\u0645<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_64\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0627\u06af\u0631 \u067e\u062f\u0631 \u0648 \u0645\u0627\u062f\u0631 \u062c\u062f\u0627 \u0627\u0632 \u06cc\u06a9\u062f\u06cc\u06af\u0631 \u0632\u0646\u062f\u06af\u06cc \u0645\u06cc \u06a9\u0646\u0646\u062f \u0644\u0637\u0641\u0627 \u0628\u0646\u0648\u06cc\u0633\u06cc\u062f \u06a9\u0648\u062f\u06a9 \u062a\u0648\u0633\u0637 \u0686\u0647 \u06a9\u0633\u06cc \u0633\u0631\u067e\u0631\u0633\u062a\u06cc \u0648 \u0645\u0631\u0627\u0642\u0628\u062a \u0645\u06cc \u0634\u0648\u062f\u061f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_64'>\n\t\t\t<div class='gchoice gchoice_41_64_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_64' type='radio' value='\u067e\u062f\u0631'  id='choice_41_64_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_64_0' id='label_41_64_0' class='gform-field-label gform-field-label--type-inline'>\u067e\u062f\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_64_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_64' type='radio' value='\u0645\u0627\u062f\u0631'  id='choice_41_64_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_64_1' id='label_41_64_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u0627\u062f\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_64_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_64' type='radio' value='\u067e\u062f\u0631\u0628\u0632\u0631\u06af \u0645\u0627\u062f\u0631\u0628\u0632\u0631\u06af \u067e\u062f\u0631\u06cc'  id='choice_41_64_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_64_2' id='label_41_64_2' class='gform-field-label gform-field-label--type-inline'>\u067e\u062f\u0631\u0628\u0632\u0631\u06af \u0645\u0627\u062f\u0631\u0628\u0632\u0631\u06af \u067e\u062f\u0631\u06cc<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_64_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_64' type='radio' value='\u067e\u062f\u0631\u0628\u0632\u0631\u06af \u0645\u0627\u062f\u0631\u0628\u0632\u0631\u06af \u0645\u0627\u062f\u0631\u06cc'  id='choice_41_64_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_64_3' id='label_41_64_3' class='gform-field-label gform-field-label--type-inline'>\u067e\u062f\u0631\u0628\u0632\u0631\u06af \u0645\u0627\u062f\u0631\u0628\u0632\u0631\u06af \u0645\u0627\u062f\u0631\u06cc<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_64_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_64' type='radio' value='\u062c\u062f\u0627 \u0632\u0646\u062f\u06af\u06cc \u0646\u0645\u06cc \u06a9\u0646\u06cc\u0645'  id='choice_41_64_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_64_4' id='label_41_64_4' class='gform-field-label gform-field-label--type-inline'>\u062c\u062f\u0627 \u0632\u0646\u062f\u06af\u06cc \u0646\u0645\u06cc \u06a9\u0646\u06cc\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_64_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_64' type='radio' value='gf_other_choice'  id='choice_41_64_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_64_5' id='label_41_64_5' class='gform-field-label gform-field-label--type-inline'>\u0633\u0627\u06cc\u0631<\/label><br \/><input id='input_41_64_other' class='gchoice_other_control' name='input_64_other' type='text' value='\u0633\u0627\u06cc\u0631' aria-label='\u06af\u0632\u06cc\u0646\u0647 \u062f\u06cc\u06af\u0631 \u060c \u0644\u0637\u0641\u0627 \u0645\u0634\u062e\u0635 \u06a9\u0646\u06cc\u062f'  disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_65\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >\u0622\u06cc\u0627 \u0641\u0631\u0632\u0646\u062f\u062a\u0627\u0646 \u062f\u0648\u0631\u0647 \u0637\u0648\u0644\u0627\u0646\u06cc \u0627\u0632 \u067e\u062f\u0631 \u0648 \u0645\u0627\u062f\u0631 \u06cc\u0627 \u0647\u0631 \u062f\u0648 \u062f\u0648\u0631 \u0628\u0648\u062f\u0647 \u0627\u0633\u062a\u061f (\u0627\u06af\u0631 \u0634\u063a\u0644 \u0647\u0631\u06a9\u062f\u0627\u0645 \u0627\u0642\u062a\u0636\u0627 \u0645\u06cc \u06a9\u0646\u062f \u0628\u0647 \u0645\u0623\u0645\u0648\u0631\u06cc\u062a \u06cc\u0627 \u0633\u0641\u0631 \u0628\u0631\u0648\u0646\u062f \u0644\u0637\u0641\u0627 \u0630\u06a9\u0631 \u0646\u0645\u0627\u06cc\u06cc\u062f)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_41_65'><div class='gchoice gchoice_41_65_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_65.1' type='checkbox'  value='\u0628\u0644\u0647'  id='choice_41_65_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_65_1' id='label_41_65_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_41_65_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_65.2' type='checkbox'  value='\u062e\u06cc\u0631'  id='choice_41_65_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_65_2' id='label_41_65_2' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_41_65_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_65.3' type='checkbox'  value='\u062a\u0627 \u062d\u062f\u0648\u062f\u06cc'  id='choice_41_65_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_65_3' id='label_41_65_3' class='gform-field-label gform-field-label--type-inline'>\u062a\u0627 \u062d\u062f\u0648\u062f\u06cc<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_66\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >\u06a9\u0648\u062f\u06a9 \u0634\u0645\u0627 \u06a9\u062f\u0627\u0645 \u062d\u0631\u06a9\u062a \u06cc\u0627 \u0639\u0645\u0644\u06cc \u0631\u0627 \u0628\u0647 \u0637\u0648\u0631 \u0645\u06a9\u0631\u0631 \u0627\u0632 \u062e\u0648\u062f \u0646\u0634\u0627\u0646 \u0645\u06cc \u062f\u0647\u062f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_41_66'>                   \u0648&#8230;<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_41_66'><div class='gchoice gchoice_41_66_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_66.1' type='checkbox'  value='\u0647\u0644 \u062f\u0627\u062f\u0646'  id='choice_41_66_1'   aria-describedby=\"gfield_description_41_66\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_41_66_1' id='label_41_66_1' class='gform-field-label gform-field-label--type-inline'>\u0647\u0644 \u062f\u0627\u062f\u0646<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_41_66_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_66.2' type='checkbox'  value='\u0632\u062f\u0646 \u0628\u0686\u0647 \u0647\u0627'  id='choice_41_66_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_66_2' id='label_41_66_2' class='gform-field-label gform-field-label--type-inline'>\u0632\u062f\u0646 \u0628\u0686\u0647 \u0647\u0627<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_41_66_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_66.3' type='checkbox'  value='\u0642\u0647\u0631 \u06a9\u0631\u062f\u0646'  id='choice_41_66_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_66_3' id='label_41_66_3' class='gform-field-label gform-field-label--type-inline'>\u0642\u0647\u0631 \u06a9\u0631\u062f\u0646<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_41_66_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_66.4' type='checkbox'  value='\u0641\u0631\u06cc\u0627\u062f \u0648 \u062c\u06cc\u063a \u0632\u062f\u0646'  id='choice_41_66_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_66_4' id='label_41_66_4' class='gform-field-label gform-field-label--type-inline'>\u0641\u0631\u06cc\u0627\u062f \u0648 \u062c\u06cc\u063a \u0632\u062f\u0646<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_41_66_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_66.5' type='checkbox'  value='\u06af\u0648\u0634\u0647 \u06af\u06cc\u0631\u06cc'  id='choice_41_66_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_66_5' id='label_41_66_5' class='gform-field-label gform-field-label--type-inline'>\u06af\u0648\u0634\u0647 \u06af\u06cc\u0631\u06cc<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_41_66_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_66.6' type='checkbox'  value='\u0686\u0646\u06af \u0632\u062f\u0646'  id='choice_41_66_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_66_6' id='label_41_66_6' class='gform-field-label gform-field-label--type-inline'>\u0686\u0646\u06af \u0632\u062f\u0646<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_41_66_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_66.7' type='checkbox'  value='\u06af\u0627\u0632 \u06af\u0631\u0641\u062a\u0646'  id='choice_41_66_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_66_7' id='label_41_66_7' class='gform-field-label gform-field-label--type-inline'>\u06af\u0627\u0632 \u06af\u0631\u0641\u062a\u0646<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_41_66_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_66.8' type='checkbox'  value='\u067e\u0631\u062a \u06a9\u0631\u062f\u0646'  id='choice_41_66_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_66_8' id='label_41_66_8' class='gform-field-label gform-field-label--type-inline'>\u067e\u0631\u062a \u06a9\u0631\u062f\u0646<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_41_66_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_66.9' type='checkbox'  value='\u0628\u0647\u0627\u0646\u0647 \u06af\u06cc\u0631\u06cc'  id='choice_41_66_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_66_9' id='label_41_66_9' class='gform-field-label gform-field-label--type-inline'>\u0628\u0647\u0627\u0646\u0647 \u06af\u06cc\u0631\u06cc<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_41_66_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_66.11' type='checkbox'  value='\u0628\u0631 \u0647\u0645 \u0632\u062f\u0646 \u0648\u0633\u0627\u06cc\u0644 \u0648 \u0631\u06cc\u062e\u062a \u0648 \u067e\u0627\u0634'  id='choice_41_66_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_66_11' id='label_41_66_11' class='gform-field-label gform-field-label--type-inline'>\u0628\u0631 \u0647\u0645 \u0632\u062f\u0646 \u0648\u0633\u0627\u06cc\u0644 \u0648 \u0631\u06cc\u062e\u062a \u0648 \u067e\u0627\u0634<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_41_66_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_66.12' type='checkbox'  value='\u0647\u06cc\u0686\u06a9\u062f\u0627\u0645'  id='choice_41_66_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_66_12' id='label_41_66_12' class='gform-field-label gform-field-label--type-inline'>\u0647\u06cc\u0686\u06a9\u062f\u0627\u0645<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_67\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >\u0641\u0631\u0632\u0646\u062f\u062a\u0627\u0646 \u0628\u0647 \u06a9\u062f\u0627\u0645 \u06cc\u06a9 \u0627\u0632 \u0641\u0639\u0627\u0644\u06cc\u062a \u0647\u0627\u06cc \u0632\u06cc\u0631 \u0628\u06cc\u0634\u062a\u0631 \u0639\u0644\u0627\u0642\u0647 \u062f\u0627\u0631\u062f\u061f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_41_67'><div class='gchoice gchoice_41_67_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_67.1' type='checkbox'  value='\u0646\u0642\u0627\u0634\u06cc'  id='choice_41_67_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_67_1' id='label_41_67_1' class='gform-field-label gform-field-label--type-inline'>\u0646\u0642\u0627\u0634\u06cc<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_41_67_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_67.2' type='checkbox'  value='\u0634\u0639\u0631 \u062e\u0648\u0627\u0646\u062f\u0646'  id='choice_41_67_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_67_2' id='label_41_67_2' class='gform-field-label gform-field-label--type-inline'>\u0634\u0639\u0631 \u062e\u0648\u0627\u0646\u062f\u0646<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_41_67_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_67.3' type='checkbox'  value='\u0628\u0627\u0632\u06cc \u0647\u0627\u06cc \u062d\u0631\u06a9\u062a\u06cc'  id='choice_41_67_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_67_3' id='label_41_67_3' class='gform-field-label gform-field-label--type-inline'>\u0628\u0627\u0632\u06cc \u0647\u0627\u06cc \u062d\u0631\u06a9\u062a\u06cc<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_41_67_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_67.4' type='checkbox'  value='\u0642\u0635\u0647 \u06af\u0648\u0634 \u062f\u0627\u062f\u0646 \u0648 \u0628\u06cc\u0627\u0646 \u0622\u0646'  id='choice_41_67_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_67_4' id='label_41_67_4' class='gform-field-label gform-field-label--type-inline'>\u0642\u0635\u0647 \u06af\u0648\u0634 \u062f\u0627\u062f\u0646 \u0648 \u0628\u06cc\u0627\u0646 \u0622\u0646<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_41_67_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_67.5' type='checkbox'  value='\u0622\u0632\u0645\u0627\u06cc\u0634 \u06a9\u0631\u062f\u0646'  id='choice_41_67_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_67_5' id='label_41_67_5' class='gform-field-label gform-field-label--type-inline'>\u0622\u0632\u0645\u0627\u06cc\u0634 \u06a9\u0631\u062f\u0646<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_41_67_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_67.6' type='checkbox'  value='\u062e\u06cc\u0627\u0644 \u067e\u0631\u062f\u0627\u0632\u06cc'  id='choice_41_67_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_67_6' id='label_41_67_6' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0627\u0644 \u067e\u0631\u062f\u0627\u0632\u06cc<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_41_67_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_67.7' type='checkbox'  value='\u0622\u0632\u0645\u0627\u06cc\u0634 \u0647\u0627\u06cc \u0639\u0645\u0644\u06cc'  id='choice_41_67_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_67_7' id='label_41_67_7' class='gform-field-label gform-field-label--type-inline'>\u0622\u0632\u0645\u0627\u06cc\u0634 \u0647\u0627\u06cc \u0639\u0645\u0644\u06cc<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_41_67_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_67.8' type='checkbox'  value='\u0627\u062c\u0631\u0627\u06cc \u0646\u0645\u0627\u06cc\u0634'  id='choice_41_67_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_67_8' id='label_41_67_8' class='gform-field-label gform-field-label--type-inline'>\u0627\u062c\u0631\u0627\u06cc \u0646\u0645\u0627\u06cc\u0634<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_41_67_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_67.9' type='checkbox'  value='\u0633\u0627\u062e\u062a \u06a9\u0627\u0631\u062f\u0633\u062a\u06cc \u0648 ...'  id='choice_41_67_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_67_9' id='label_41_67_9' class='gform-field-label gform-field-label--type-inline'>\u0633\u0627\u062e\u062a \u06a9\u0627\u0631\u062f\u0633\u062a\u06cc \u0648 &#8230;<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_41_86' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='\u0642\u0628\u0644\u06cc'  \/> <input type='button' id='gform_next_button_41_86' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='\u0628\u0639\u062f\u06cc'  \/> <button type='button'  id='gform_save_41_8_link' onclick='gform.submission.handleButtonClick(this);' data-submission-type='save-continue' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  ><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> \u0630\u062e\u06cc\u0631\u0647 \u0648 \u0627\u062f\u0627\u0645\u0647<\/button>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_41_8' class='gform_page' data-js='page-field-id-86' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_41_8' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_41_68\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">\u067e\u0631\u0633\u0634 \u0639\u0645\u0648\u0645\u06cc<\/h3><div class='gsection_description' id='gfield_description_41_68'>\u06cc\u0642\u06cc\u0646\u0627 \u0645\u06cc \u062f\u0627\u0646\u06cc\u062f \u0645\u0648\u0641\u0642\u06cc\u062a \u0647\u0631 \u06a9\u0648\u062f\u06a9 \u0628\u0633\u062a\u06af\u06cc \u0628\u0647 \u0639\u0648\u0627\u0645\u0644\u06cc \u0627\u0632 \u062c\u0645\u0644\u0647 \u0631\u0641\u062a\u0627\u0631 \u0648 \u0646\u06af\u0631\u0634 \u0648\u0627\u0644\u062f\u06cc\u0646\u060c \u0645\u0631\u0628\u06cc\u0627\u0646 \u0648 \u0627\u0641\u0631\u0627\u062f\u06cc \u06a9\u0647 \u0628\u0627 \u06a9\u0648\u062f\u06a9 \u062f\u0631 \u0627\u0631\u062a\u0628\u0627\u0637 \u0645\u06cc \u0628\u0627\u0634\u0646\u062f \u062f\u0627\u0631\u062f \u0634\u0645\u0627 \u067e\u062f\u0631 \u0648 \u0645\u0627\u062f\u0631 \u06af\u0631\u0627\u0645\u06cc \u0628\u0631\u0627\u06cc \u0645\u0648\u0641\u0642\u06cc\u062a \u06a9\u0648\u062f\u06a9\u062a\u0627\u0646 \u062d\u0627\u0636\u0631 \u0628\u0647 \u0627\u0646\u062c\u0627\u0645 \u06a9\u062f\u0627\u0645 \u06cc\u06a9 \u0627\u0632 \u06a9\u0627\u0631\u0647\u0627\u06cc \u0632\u06cc\u0631 \u0647\u0633\u062a\u06cc\u062f\u061f<\/div><\/div><fieldset id=\"field_41_69\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >\u0645\u0637\u0627\u0644\u0639\u0647 \u06cc \u0645\u0637\u0627\u0644\u0628\u06cc \u0628\u0631\u0627\u06cc \u0634\u0646\u0627\u062e\u062a \u0648\u06cc\u0698\u06af\u06cc \u0647\u0627\u06cc \u06a9\u0648\u062f\u06a9<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_41_69'><div class='gchoice gchoice_41_69_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_69.1' type='checkbox'  value='\u067e\u062f\u0631'  id='choice_41_69_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_69_1' id='label_41_69_1' class='gform-field-label gform-field-label--type-inline'>\u067e\u062f\u0631<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_41_69_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_69.2' type='checkbox'  value='\u0645\u0627\u062f\u0631'  id='choice_41_69_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_69_2' id='label_41_69_2' class='gform-field-label gform-field-label--type-inline'>\u0645\u0627\u062f\u0631<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_41_69_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_69.3' type='checkbox'  value='\u0641\u0631\u0635\u062a \u0646\u0645\u06cc \u06a9\u0646\u06cc\u0645'  id='choice_41_69_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_69_3' id='label_41_69_3' class='gform-field-label gform-field-label--type-inline'>\u0641\u0631\u0635\u062a \u0646\u0645\u06cc \u06a9\u0646\u06cc\u0645<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_70\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >\u0628\u0627\u0632\u06cc \u0648 \u0635\u0631\u0641 \u0648\u0642\u062a \u062f\u0631 \u06a9\u0646\u0627\u0631 \u06a9\u0648\u062f\u06a9<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_41_70'><div class='gchoice gchoice_41_70_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_70.1' type='checkbox'  value='\u067e\u062f\u0631'  id='choice_41_70_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_70_1' id='label_41_70_1' class='gform-field-label gform-field-label--type-inline'>\u067e\u062f\u0631<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_41_70_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_70.2' type='checkbox'  value='\u0645\u0627\u062f\u0631'  id='choice_41_70_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_70_2' id='label_41_70_2' class='gform-field-label gform-field-label--type-inline'>\u0645\u0627\u062f\u0631<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_41_70_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_70.3' type='checkbox'  value='\u0641\u0631\u0635\u062a \u0646\u0645\u06cc \u06a9\u0646\u06cc\u0645'  id='choice_41_70_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_70_3' id='label_41_70_3' class='gform-field-label gform-field-label--type-inline'>\u0641\u0631\u0635\u062a \u0646\u0645\u06cc \u06a9\u0646\u06cc\u0645<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_71\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >\u06af\u0631\u062f\u0634 \u062a\u0641\u0631\u06cc\u062d \u0648 \u06a9\u0634\u0641 \u067e\u062f\u06cc\u062f\u0647 \u0647\u0627\u06cc \u067e\u06cc\u0631\u0627\u0645\u0648\u0646 \u0628\u0647 \u0647\u0645\u0631\u0627\u0647 \u06a9\u0648\u062f\u06a9<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_41_71'><div class='gchoice gchoice_41_71_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_71.1' type='checkbox'  value='\u067e\u062f\u0631'  id='choice_41_71_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_71_1' id='label_41_71_1' class='gform-field-label gform-field-label--type-inline'>\u067e\u062f\u0631<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_41_71_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_71.2' type='checkbox'  value='\u0645\u0627\u062f\u0631'  id='choice_41_71_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_71_2' id='label_41_71_2' class='gform-field-label gform-field-label--type-inline'>\u0645\u0627\u062f\u0631<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_41_71_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_71.3' type='checkbox'  value='\u0641\u0631\u0635\u062a \u0646\u0645\u06cc \u06a9\u0646\u06cc\u0645'  id='choice_41_71_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_71_3' id='label_41_71_3' class='gform-field-label gform-field-label--type-inline'>\u0641\u0631\u0635\u062a \u0646\u0645\u06cc \u06a9\u0646\u06cc\u0645<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_72\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >\u062e\u0648\u0627\u0646\u062f\u0646 \u06a9\u062a\u0627\u0628 \u0648 \u0627\u0646\u0648\u0627\u0639 \u0645\u0637\u0627\u0644\u0628 \u0639\u0644\u0645\u06cc \u0645\u062a\u0646\u0627\u0633\u0628 \u0628\u0627 \u06af\u0631\u0648\u0647 \u0633\u0646\u06cc \u06a9\u0648\u062f\u06a9<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_41_72'><div class='gchoice gchoice_41_72_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_72.1' type='checkbox'  value='\u067e\u062f\u0631'  id='choice_41_72_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_72_1' id='label_41_72_1' class='gform-field-label gform-field-label--type-inline'>\u067e\u062f\u0631<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_41_72_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_72.2' type='checkbox'  value='\u0645\u0627\u062f\u0631'  id='choice_41_72_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_72_2' id='label_41_72_2' class='gform-field-label gform-field-label--type-inline'>\u0645\u0627\u062f\u0631<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_41_72_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_72.3' type='checkbox'  value='\u0641\u0631\u0635\u062a \u0646\u0645\u06cc \u06a9\u0646\u06cc\u0645'  id='choice_41_72_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_72_3' id='label_41_72_3' class='gform-field-label gform-field-label--type-inline'>\u0641\u0631\u0635\u062a \u0646\u0645\u06cc \u06a9\u0646\u06cc\u0645<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_73\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >\u062a\u0645\u0631\u06cc\u0646 \u0648 \u062a\u06a9\u0631\u0627\u0631 \u0634\u0639\u0631\u0647\u0627\u06cc \u0622\u0645\u0648\u0632\u0634 \u062f\u0627\u062f\u0647 \u0634\u062f\u0647 \u0628\u0647 \u06a9\u0648\u062f\u06a9<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_41_73'><div class='gchoice gchoice_41_73_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_73.1' type='checkbox'  value='\u067e\u062f\u0631'  id='choice_41_73_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_73_1' id='label_41_73_1' class='gform-field-label gform-field-label--type-inline'>\u067e\u062f\u0631<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_41_73_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_73.2' type='checkbox'  value='\u0645\u0627\u062f\u0631'  id='choice_41_73_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_73_2' id='label_41_73_2' class='gform-field-label gform-field-label--type-inline'>\u0645\u0627\u062f\u0631<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_41_73_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_73.3' type='checkbox'  value='\u0641\u0631\u0635\u062a \u0646\u0645\u06cc \u06a9\u0646\u06cc\u0645'  id='choice_41_73_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_73_3' id='label_41_73_3' class='gform-field-label gform-field-label--type-inline'>\u0641\u0631\u0635\u062a \u0646\u0645\u06cc \u06a9\u0646\u06cc\u0645<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_74\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >\u0622\u0632\u0645\u0627\u06cc\u0634 \u067e\u0698\u0648\u0647\u0634 \u0648 \u062c\u0645\u0639 \u0622\u0648\u0631\u06cc \u0627\u0637\u0644\u0627\u0639\u0627\u062a \u0648 \u0645\u0637\u0627\u0644\u0628 \u0645\u062e\u062a\u0644\u0641 \u062f\u0631 \u06a9\u0646\u0627\u0631 \u06a9\u0648\u062f\u06a9<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_41_74'><div class='gchoice gchoice_41_74_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_74.1' type='checkbox'  value='\u067e\u062f\u0631'  id='choice_41_74_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_74_1' id='label_41_74_1' class='gform-field-label gform-field-label--type-inline'>\u067e\u062f\u0631<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_41_74_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_74.2' type='checkbox'  value='\u0645\u0627\u062f\u0631'  id='choice_41_74_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_74_2' id='label_41_74_2' class='gform-field-label gform-field-label--type-inline'>\u0645\u0627\u062f\u0631<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_41_74_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_74.3' type='checkbox'  value='\u0641\u0631\u0635\u062a \u0646\u0645\u06cc \u06a9\u0646\u06cc\u0645'  id='choice_41_74_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_74_3' id='label_41_74_3' class='gform-field-label gform-field-label--type-inline'>\u0641\u0631\u0635\u062a \u0646\u0645\u06cc \u06a9\u0646\u06cc\u0645<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_75\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >\u0646\u0645\u0627\u06cc\u0634 \u0633\u0627\u062e\u062a \u0648\u0633\u0627\u06cc\u0644 \u06a9\u0627\u0631\u062f\u0633\u062a\u06cc \u0646\u0642\u0627\u0634\u06cc \u0648 \u0641\u0639\u0627\u0644\u06cc\u062a \u0647\u0627\u06cc \u0647\u0646\u0631\u06cc \u062f\u0631 \u06a9\u0646\u0627\u0631 \u06a9\u0648\u062f\u06a9<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_41_75'><div class='gchoice gchoice_41_75_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_75.1' type='checkbox'  value='\u067e\u062f\u0631'  id='choice_41_75_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_75_1' id='label_41_75_1' class='gform-field-label gform-field-label--type-inline'>\u067e\u062f\u0631<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_41_75_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_75.2' type='checkbox'  value='\u0645\u0627\u062f\u0631'  id='choice_41_75_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_75_2' id='label_41_75_2' class='gform-field-label gform-field-label--type-inline'>\u0645\u0627\u062f\u0631<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_41_75_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_75.3' type='checkbox'  value='\u0641\u0631\u0635\u062a \u0646\u0645\u06cc \u06a9\u0646\u06cc\u0645'  id='choice_41_75_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_75_3' id='label_41_75_3' class='gform-field-label gform-field-label--type-inline'>\u0641\u0631\u0635\u062a \u0646\u0645\u06cc \u06a9\u0646\u06cc\u0645<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_76\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >\u067e\u06cc\u06af\u06cc\u0631\u06cc \u0622\u0645\u0648\u0632\u0634 \u0647\u0627\u06cc \u0645\u0631\u0628\u06cc\u0627\u0646 \u0648 \u062a\u0645\u0631\u06cc\u0646 \u0648 \u062a\u06a9\u0631\u0627\u0631 \u0622\u0646 \u0628\u0631\u0627\u06cc \u06a9\u0648\u062f\u06a9<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_41_76'><div class='gchoice gchoice_41_76_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_76.1' type='checkbox'  value='\u067e\u062f\u0631'  id='choice_41_76_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_76_1' id='label_41_76_1' class='gform-field-label gform-field-label--type-inline'>\u067e\u062f\u0631<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_41_76_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_76.2' type='checkbox'  value='\u0645\u0627\u062f\u0631'  id='choice_41_76_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_76_2' id='label_41_76_2' class='gform-field-label gform-field-label--type-inline'>\u0645\u0627\u062f\u0631<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_41_76_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_76.3' type='checkbox'  value='\u0641\u0631\u0635\u062a \u0646\u0645\u06cc \u06a9\u0646\u06cc\u0645'  id='choice_41_76_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_76_3' id='label_41_76_3' class='gform-field-label gform-field-label--type-inline'>\u0641\u0631\u0635\u062a \u0646\u0645\u06cc \u06a9\u0646\u06cc\u0645<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_41_77\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_41_77'>\u0627\u06af\u0631 \u062f\u0644\u0628\u0646\u062f \u0634\u0645\u0627 \u0628\u0647 \u063a\u0630\u0627 \u06cc\u0627 \u0645\u0627\u062f\u0647 \u062e\u0627\u0635\u06cc \u062d\u0633\u0627\u0633\u06cc\u062a \u062f\u0627\u0631\u062f \u0644\u0637\u0641\u0627 \u0645\u0631\u0642\u0648\u0645 \u0628\u0641\u0631\u0645\u0627\u06cc\u06cc\u062f.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_77' id='input_41_77' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_41_78\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_41_78'>\u0627\u06af\u0631 \u0648\u06cc\u0698\u06af\u06cc \u062e\u0627\u0635\u06cc \u063a\u06cc\u0631 \u0627\u0632 \u0645\u0648\u0627\u0631\u062f \u0630\u06a9\u0631 \u0634\u062f\u0647 \u062f\u0631 \u0628\u0627\u0644\u0627 \u062f\u0631 \u0641\u0631\u0632\u0646\u062f\u062a\u0627\u0646 \u0633\u0631\u0627\u063a \u062f\u0627\u0631\u06cc\u062f \u0644\u0637\u0641\u0627 \u06cc\u0627\u062f\u062f\u0627\u0634\u062a \u0628\u0641\u0631\u0645\u0627\u06cc\u06cc\u062f.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_78' id='input_41_78' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_41_87' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='\u0642\u0628\u0644\u06cc'  \/> <input type='button' id='gform_next_button_41_87' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='\u0628\u0639\u062f\u06cc'  \/> <button type='button'  id='gform_save_41_9_link' onclick='gform.submission.handleButtonClick(this);' data-submission-type='save-continue' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  ><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> \u0630\u062e\u06cc\u0631\u0647 \u0648 \u0627\u062f\u0627\u0645\u0647<\/button>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_41_9' class='gform_page' data-js='page-field-id-87' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_41_9' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_41_79\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">\u0633\u0648\u0627\u0628\u0642 \u0628\u0647\u062f\u0627\u0634\u062a\u06cc \u06a9\u0648\u062f\u06a9<\/h3><\/div><fieldset id=\"field_41_80\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u06a9\u0648\u062f\u06a9 \u0634\u0645\u0627 \u0686\u0646\u062f\u0645\u06cc\u0646 \u0641\u0631\u0632\u0646\u062f \u0627\u0633\u062a\u061f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_80'>\n\t\t\t<div class='gchoice gchoice_41_80_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_80' type='radio' value='\u0627\u0648\u0644'  id='choice_41_80_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_80_0' id='label_41_80_0' class='gform-field-label gform-field-label--type-inline'>\u0627\u0648\u0644<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_80_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_80' type='radio' value='\u062f\u0648\u0645'  id='choice_41_80_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_80_1' id='label_41_80_1' class='gform-field-label gform-field-label--type-inline'>\u062f\u0648\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_80_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_80' type='radio' value='\u0633\u0648\u0645'  id='choice_41_80_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_80_2' id='label_41_80_2' class='gform-field-label gform-field-label--type-inline'>\u0633\u0648\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_80_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_80' type='radio' value='\u0686\u0647\u0627\u0631\u0645'  id='choice_41_80_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_80_3' id='label_41_80_3' class='gform-field-label gform-field-label--type-inline'>\u0686\u0647\u0627\u0631\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_80_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_80' type='radio' value='\u067e\u0646\u062c\u0645'  id='choice_41_80_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_80_4' id='label_41_80_4' class='gform-field-label gform-field-label--type-inline'>\u067e\u0646\u062c\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_80_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_80' type='radio' value='\u0634\u0634\u0645'  id='choice_41_80_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_80_5' id='label_41_80_5' class='gform-field-label gform-field-label--type-inline'>\u0634\u0634\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_81\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0646\u0648\u0639 \u062a\u0648\u0644\u062f \u0627\u0648\u061f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_81'>\n\t\t\t<div class='gchoice gchoice_41_81_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_81' type='radio' value='\u0637\u0628\u06cc\u0639\u06cc'  id='choice_41_81_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_81_0' id='label_41_81_0' class='gform-field-label gform-field-label--type-inline'>\u0637\u0628\u06cc\u0639\u06cc<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_81_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_81' type='radio' value='\u0633\u0632\u0627\u0631\u06cc\u0646'  id='choice_41_81_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_81_1' id='label_41_81_1' class='gform-field-label gform-field-label--type-inline'>\u0633\u0632\u0627\u0631\u06cc\u0646<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_88\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0622\u06cc\u0627 \u06a9\u0648\u062f\u06a9 \u0634\u0645\u0627 \u067e\u06cc\u0634 \u0631\u0633 \u0628\u0648\u062f\u0647 \u0627\u0633\u062a\u061f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_88'>\n\t\t\t<div class='gchoice gchoice_41_88_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_88' type='radio' value='\u0628\u0644\u0647'  id='choice_41_88_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_88_0' id='label_41_88_0' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_88_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_88' type='radio' value='\u062e\u06cc\u0631'  id='choice_41_88_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_88_1' id='label_41_88_1' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_41_105\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_41_105'>\u0686\u0647 \u0645\u062f\u062a\u061f<\/label><div class='ginput_container ginput_container_text'><input name='input_105' id='input_41_105' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_41_106\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0622\u06cc\u0627 \u0641\u0631\u0632\u0646\u062f \u0628\u0639\u062f \u0627\u0632 \u062a\u0648\u0644\u062f \u062f\u0686\u0627\u0631 \u0632\u0631\u062f\u06cc \u0634\u062f\u0647 \u0627\u0633\u062a\u061f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_106'>\n\t\t\t<div class='gchoice gchoice_41_106_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_106' type='radio' value='\u0628\u0644\u0647'  id='choice_41_106_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_106_0' id='label_41_106_0' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_106_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_106' type='radio' value='\u062e\u06cc\u0631'  id='choice_41_106_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_106_1' id='label_41_106_1' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_113\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0622\u06cc\u0627 \u0641\u0631\u0632\u0646\u062f \u0628\u0647 \u0647\u0631 \u062f\u0644\u06cc\u0644 \u062a\u0639\u0648\u06cc\u0636 \u062e\u0648\u0646 \u062f\u0627\u0634\u062a\u0647 \u0627\u0633\u062a\u061f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_113'>\n\t\t\t<div class='gchoice gchoice_41_113_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_113' type='radio' value='\u0628\u0644\u0647'  id='choice_41_113_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_113_0' id='label_41_113_0' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_113_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_113' type='radio' value='\u062e\u06cc\u0631'  id='choice_41_113_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_113_1' id='label_41_113_1' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_112\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0622\u06cc\u0627 \u0631\u0634\u062f \u0641\u0631\u0632\u0646\u062f \u062f\u0631 \u062f\u0648\u0631\u0627\u0646 \u062c\u0646\u06cc\u0646\u06cc \u0637\u0628\u06cc\u0639\u06cc \u0628\u0648\u062f\u0647 \u0627\u0633\u062a\u061f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_112'>\n\t\t\t<div class='gchoice gchoice_41_112_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_112' type='radio' value='\u0628\u0644\u0647'  id='choice_41_112_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_112_0' id='label_41_112_0' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_112_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_112' type='radio' value='\u062e\u06cc\u0631'  id='choice_41_112_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_112_1' id='label_41_112_1' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_111\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0622\u06cc\u0627 \u0641\u0631\u0632\u0646\u062f \u0627\u0632 \u062f\u0627\u0631\u0648\u06cc \u062e\u0627\u0635\u06cc \u0628\u0647 \u0637\u0648\u0631 \u0645\u0631\u062a\u0628 \u0627\u0633\u062a\u0641\u0627\u062f\u0647 \u0645\u06cc \u06a9\u0646\u062f\u061f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_111'>\n\t\t\t<div class='gchoice gchoice_41_111_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_111' type='radio' value='\u0628\u0644\u0647'  id='choice_41_111_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_111_0' id='label_41_111_0' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_111_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_111' type='radio' value='\u062e\u06cc\u0631'  id='choice_41_111_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_111_1' id='label_41_111_1' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_41_115\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_41_115'>\u0646\u0627\u0645 \u062f\u0627\u0631\u0648 \u0648 \u0645\u062f\u062a \u0627\u0633\u062a\u0641\u0627\u062f\u0647\u061f<\/label><div class='ginput_container ginput_container_text'><input name='input_115' id='input_41_115' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_41_110\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0622\u06cc\u0627 \u0641\u0631\u0632\u0646\u062f \u062a\u0627 \u0628\u0647 \u062d\u0627\u0644 \u062a\u0648\u0633\u0637 \u0686\u0634\u0645 \u067e\u0632\u0634\u06a9 \u0645\u0639\u0627\u06cc\u0646\u0647 \u0634\u062f\u0647 \u0627\u0633\u062a\u061f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_110'>\n\t\t\t<div class='gchoice gchoice_41_110_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_110' type='radio' value='\u0628\u0644\u0647'  id='choice_41_110_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_110_0' id='label_41_110_0' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_110_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_110' type='radio' value='\u062e\u06cc\u0631'  id='choice_41_110_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_110_1' id='label_41_110_1' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_109\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0622\u06cc\u0627 \u062a\u0627 \u0628\u0647 \u062d\u0627\u0644 \u0622\u0632\u0645\u0627\u06cc\u0634\u0627\u062a \u062e\u0648\u0646\u060c \u0627\u062f\u0631\u0627\u0631 \u0648&#8230; \u0628\u0631\u0627\u06cc \u0641\u0631\u0632\u0646\u062f \u0627\u0646\u062c\u0627\u0645 \u0634\u062f\u0647 \u0627\u0633\u062a\u061f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_41_109'>(\u0644\u0637\u0641\u0627 \u062c\u0648\u0627\u0628\u06cc\u0647 \u06cc \u0622\u0646 \u0631\u0627 \u0628\u0631\u0627\u06cc \u0646\u06af\u0647\u062f\u0627\u0631\u06cc \u067e\u0631\u0648\u0646\u062f\u0647 \u06cc \u0628\u0647\u062f\u0627\u0634\u062a\u06cc \u0641\u0631\u0632\u0646\u062f \u0628\u0647 \u0622\u0645\u0648\u0632\u0634\u06af\u0627\u0647 \u062a\u062d\u0648\u06cc\u0644 \u062f\u0647\u06cc\u062f.)<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_109'>\n\t\t\t<div class='gchoice gchoice_41_109_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_109' type='radio' value='\u0628\u0644\u0647'  id='choice_41_109_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_41_109\"   \/>\n\t\t\t\t\t<label for='choice_41_109_0' id='label_41_109_0' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_109_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_109' type='radio' value='\u062e\u06cc\u0631'  id='choice_41_109_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_109_1' id='label_41_109_1' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_41_114\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_41_114'>\u0641\u0631\u0632\u0646\u062f\u062a\u0627\u0646 \u062f\u0631 \u0686\u0647 \u0633\u0646\u06cc \u0631\u0627\u0647 \u0631\u0641\u062a\u0646 \u0622\u0645\u0648\u062e\u062a\u061f<\/label><div class='ginput_container ginput_container_text'><input name='input_114' id='input_41_114' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_41_108\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0622\u06cc\u0627 \u0641\u0631\u0632\u0646\u062f\u062a\u0627\u0646 \u06a9\u0646\u062a\u0631\u0644 \u0627\u062f\u0631\u0627\u0631 \u0648 \u0645\u062f\u0641\u0648\u0639 \u062e\u0648\u062f \u0631\u0627 \u062f\u0627\u0631\u062f\u061f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_108'>\n\t\t\t<div class='gchoice gchoice_41_108_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_108' type='radio' value='\u0628\u0644\u0647'  id='choice_41_108_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_108_0' id='label_41_108_0' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_108_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_108' type='radio' value='\u062e\u06cc\u0631'  id='choice_41_108_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_108_1' id='label_41_108_1' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_41_116\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_41_116'>\u0627\u06af\u0631 \u067e\u0627\u0633\u062e\u062a\u0627\u0646 \u0645\u0646\u0641\u06cc \u0645\u06cc \u0628\u0627\u0634\u062f \u062a\u0648\u0636\u06cc\u062d \u062f\u0647\u06cc\u062f.<\/label><div class='ginput_container ginput_container_text'><input name='input_116' id='input_41_116' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_41_117\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_41_117'>\u0641\u0631\u0632\u0646\u062f\u062a\u0627\u0646 \u062f\u0631 \u0686\u0647 \u0633\u0646\u06cc \u0634\u0631\u0648\u0639 \u0628\u0647 \u0635\u062d\u0628\u062a \u06a9\u0631\u062f\u0646 \u06a9\u0631\u062f \u0648 \u06a9\u0644\u0645\u0627\u062a \u0631\u0627 \u0628\u0647 \u062f\u0631\u0633\u062a\u06cc \u0628\u06cc\u0627\u0646 \u0646\u0645\u0648\u062f\u061f<\/label><div class='ginput_container ginput_container_text'><input name='input_117' id='input_41_117' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_41_107\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0622\u06cc\u0627 \u0641\u0631\u0632\u0646\u062f\u062a\u0627\u0646 \u0646\u06cc\u0627\u0632\u0647\u0627\u06cc\u0634 (\u0627\u0632 \u062c\u0645\u0644\u0647: \u062f\u0633\u062a\u0634\u0648\u06cc\u06cc\u060c \u062e\u0648\u0627\u0628 \u0648 \u062a\u063a\u0630\u06cc\u0647) \u0631\u0627 \u0628\u06cc\u0627\u0646 \u0645\u06cc \u06a9\u0646\u062f\u061f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_107'>\n\t\t\t<div class='gchoice gchoice_41_107_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_107' type='radio' value='\u0628\u0644\u0647'  id='choice_41_107_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_107_0' id='label_41_107_0' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_107_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_107' type='radio' value='\u062e\u06cc\u0631'  id='choice_41_107_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_107_1' id='label_41_107_1' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_118\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0622\u06cc\u0627 \u0641\u0631\u0632\u0646\u062f\u062a\u0627\u0646 \u0628\u0647 \u0637\u0648\u0631 \u0645\u0631\u062a\u0628 \u0645\u0633\u0648\u0627\u06a9 \u0645\u06cc \u0632\u0646\u062f\u061f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_118'>\n\t\t\t<div class='gchoice gchoice_41_118_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_118' type='radio' value='\u0628\u0644\u0647'  id='choice_41_118_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_118_0' id='label_41_118_0' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_118_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_118' type='radio' value='\u062e\u06cc\u0631'  id='choice_41_118_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_118_1' id='label_41_118_1' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_119\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0622\u06cc\u0627 \u0641\u0631\u0632\u0646\u062f\u062a\u0627\u0646 \u0646\u06a9\u0627\u062a \u0628\u0647\u062f\u0627\u0634\u062a \u0641\u0631\u062f\u06cc \u0631\u0627 \u0628\u0647 \u062e\u0648\u0628\u06cc \u0631\u0639\u0627\u06cc\u062a \u0645\u06cc \u06a9\u0646\u062f\u061f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_119'>\n\t\t\t<div class='gchoice gchoice_41_119_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_119' type='radio' value='\u0628\u0644\u0647'  id='choice_41_119_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_119_0' id='label_41_119_0' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_119_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_119' type='radio' value='\u062e\u06cc\u0631'  id='choice_41_119_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_119_1' id='label_41_119_1' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_119_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_119' type='radio' value='\u062a\u0627\u062d\u062f\u0648\u062f\u06cc'  id='choice_41_119_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_119_2' id='label_41_119_2' class='gform-field-label gform-field-label--type-inline'>\u062a\u0627\u062d\u062f\u0648\u062f\u06cc<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_41_120\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_41_120'>\u0641\u0631\u0632\u0646\u062f\u062a\u0627\u0646 \u0628\u0647 \u0686\u0647 \u063a\u0630\u0627\u06cc\u06cc \u0628\u06cc\u0634\u062a\u0631 \u0639\u0644\u0627\u0642\u0647 \u062f\u0627\u0631\u062f\u061f<\/label><div class='ginput_container ginput_container_text'><input name='input_120' id='input_41_120' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_41_121\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0622\u06cc\u0627 \u0641\u0631\u0632\u0646\u062f\u062a\u0627\u0646 \u0628\u0647 \u063a\u0630\u0627 \u06cc\u0627 \u0647\u0631 \u0686\u06cc\u0632 \u062f\u06cc\u06af\u0631\u06cc \u062d\u0633\u0627\u0633\u06cc\u062a \u062f\u0627\u0631\u062f\u061f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_121'>\n\t\t\t<div class='gchoice gchoice_41_121_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_121' type='radio' value='\u0628\u0644\u0647'  id='choice_41_121_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_121_0' id='label_41_121_0' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_121_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_121' type='radio' value='\u062e\u06cc\u0631'  id='choice_41_121_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_121_1' id='label_41_121_1' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_41_122\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_41_122'>\u062d\u0633\u0627\u0633\u06cc\u062a \u063a\u0630\u0627\u06cc\u06cc<\/label><div class='ginput_container ginput_container_text'><input name='input_122' id='input_41_122' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_41_123\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_41_123'>\u062d\u0633\u0627\u0633\u06cc\u062a \u0628\u0647 \u0633\u0627\u06cc\u0631 \u0645\u0648\u0627\u0631\u062f<\/label><div class='ginput_container ginput_container_text'><input name='input_123' id='input_41_123' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_41_124\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0647\u0646\u06af\u0627\u0645\u06cc \u0641\u0631\u0632\u0646\u062f\u062a\u0627\u0646 \u062a\u062d\u062a \u0641\u0634\u0627\u0631 \u0639\u0635\u0628\u06cc \u0627\u0632 \u0637\u0631\u0641 \u062f\u06cc\u06af\u0631\u0627\u0646 \u0642\u0631\u0627\u0631 \u0645\u06cc \u06af\u06cc\u0631\u062f \u0686\u0647 \u0631\u0641\u062a\u0627\u0631\u0647\u0627\u06cc\u06cc \u0627\u0632 \u062e\u0648\u062f \u0646\u0634\u0627\u0646 \u0645\u06cc \u062f\u0647\u062f\u061f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_124'>\n\t\t\t<div class='gchoice gchoice_41_124_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_124' type='radio' value='\u067e\u0631\u062e\u0627\u0634 \u0645\u06cc \u06a9\u0646\u062f'  id='choice_41_124_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_124_0' id='label_41_124_0' class='gform-field-label gform-field-label--type-inline'>\u067e\u0631\u062e\u0627\u0634 \u0645\u06cc \u06a9\u0646\u062f<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_124_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_124' type='radio' value='\u06af\u0631\u06cc\u0647 \u0645\u06cc \u06a9\u0646\u062f'  id='choice_41_124_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_124_1' id='label_41_124_1' class='gform-field-label gform-field-label--type-inline'>\u06af\u0631\u06cc\u0647 \u0645\u06cc \u06a9\u0646\u062f<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_124_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_124' type='radio' value='\u062e\u0648\u062f\u0634 \u0631\u0627 \u0645\u06cc \u0632\u0646\u062f'  id='choice_41_124_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_124_2' id='label_41_124_2' class='gform-field-label gform-field-label--type-inline'>\u062e\u0648\u062f\u0634 \u0631\u0627 \u0645\u06cc \u0632\u0646\u062f<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_124_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_124' type='radio' value='\u0628\u0627 \u0634\u0645\u0627 \u0635\u062d\u0628\u062a \u0645\u06cc \u06a9\u0646\u062f'  id='choice_41_124_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_124_3' id='label_41_124_3' class='gform-field-label gform-field-label--type-inline'>\u0628\u0627 \u0634\u0645\u0627 \u0635\u062d\u0628\u062a \u0645\u06cc \u06a9\u0646\u062f<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_124_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_124' type='radio' value='\u0633\u06a9\u0648\u062a \u0645\u06cc \u06a9\u0646\u062f \u0648 \u062a\u0646\u0647\u0627\u06cc\u06cc \u0631\u0627 \u0628\u0631 \u0645\u06cc \u06af\u0632\u06cc\u0646\u062f'  id='choice_41_124_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_124_4' id='label_41_124_4' class='gform-field-label gform-field-label--type-inline'>\u0633\u06a9\u0648\u062a \u0645\u06cc \u06a9\u0646\u062f \u0648 \u062a\u0646\u0647\u0627\u06cc\u06cc \u0631\u0627 \u0628\u0631 \u0645\u06cc \u06af\u0632\u06cc\u0646\u062f<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_124_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_124' type='radio' value='gf_other_choice'  id='choice_41_124_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_124_5' id='label_41_124_5' class='gform-field-label gform-field-label--type-inline'>\u0633\u0627\u06cc\u0631<\/label><br \/><input id='input_41_124_other' class='gchoice_other_control' name='input_124_other' type='text' value='\u0633\u0627\u06cc\u0631' aria-label='\u06af\u0632\u06cc\u0646\u0647 \u062f\u06cc\u06af\u0631 \u060c \u0644\u0637\u0641\u0627 \u0645\u0634\u062e\u0635 \u06a9\u0646\u06cc\u062f'  disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_41_89' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='\u0642\u0628\u0644\u06cc'  \/> <input type='button' id='gform_next_button_41_89' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='\u0628\u0639\u062f\u06cc'  \/> <button type='button'  id='gform_save_41_10_link' onclick='gform.submission.handleButtonClick(this);' data-submission-type='save-continue' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  ><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> \u0630\u062e\u06cc\u0631\u0647 \u0648 \u0627\u062f\u0627\u0645\u0647<\/button>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_41_10' class='gform_page' data-js='page-field-id-89' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_41_10' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_41_248\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">\u067e\u0631\u0633\u0634\u0646\u0627\u0645\u0647 \u0631\u0641\u062a\u0627\u0631\u06cc \u062e\u0627\u0646\u0648\u0627\u062f\u0647<\/h3><\/div><div id=\"field_41_159\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  >\u0644\u0637\u0641\u0627 \u062c\u0645\u0644\u0627\u062a \u0632\u06cc\u0631 \u0631\u0627 \u0628\u0627 \u062f\u0642\u062a \u0628\u062e\u0648\u0627\u0646\u06cc\u062f \u0648 \u0628\u0627 \u062a\u0648\u062c\u0647 \u0628\u0647 \u0645\u0642\u06cc\u0627\u0633 \u0632\u06cc\u0631 \u0645\u06cc\u0632\u0627\u0646 \u0645\u0648\u0641\u0642\u06cc\u062a \u062e\u0648\u062f \u0631\u0627 \u0628\u0627 \u0647\u0631 \u06a9\u062f\u0627\u0645 \u0627\u0632 \u0622\u0646\u0647\u0627 \u0645\u0634\u062e\u0635 \u06a9\u0646\u06cc\u062f. \u0644\u0637\u0641\u0627 \u062a\u0627 \u062c\u0627\u06cc\u06cc \u06a9\u0647 \u0645\u0645\u06a9\u0646 \u0627\u0633\u062a \u0647\u06cc\u0686 \u06a9\u062f\u0627\u0645 \u0631\u0627 \u0628\u062f\u0648\u0646 \u067e\u0627\u0633\u062e \u0646\u06af\u0630\u0627\u0631\u06cc\u062f.<\/div><fieldset id=\"field_41_125\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0648\u0627\u0644\u062f\u06cc\u0646 \u0628\u0627\u06cc\u062f \u0628\u0647 \u0628\u0686\u0647 \u0647\u0627\u06cc \u062e\u0648\u062f \u0627\u062c\u0627\u0632\u0647 \u062f\u0647\u0646\u062f \u062a\u0627 \u0647\u0631 \u0622\u0646\u0686\u0647 \u06a9\u0647 \u0645\u06cc \u062e\u0648\u0627\u0647\u0646\u062f \u0627\u0646\u062c\u0627\u0645 \u062f\u0647\u0646\u062f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_125'>\n\t\t\t<div class='gchoice gchoice_41_125_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_125' type='radio' value='4'  id='choice_41_125_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_125_0' id='label_41_125_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_125_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_125' type='radio' value='3'  id='choice_41_125_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_125_1' id='label_41_125_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_125_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_125' type='radio' value='2'  id='choice_41_125_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_125_2' id='label_41_125_2' class='gform-field-label gform-field-label--type-inline'>\u062a\u0642\u0631\u06cc\u0628\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_125_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_125' type='radio' value='1'  id='choice_41_125_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_125_3' id='label_41_125_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_125_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_125' type='radio' value='0'  id='choice_41_125_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_125_4' id='label_41_125_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_126\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0628\u0686\u0647 \u0647\u0627 \u0641\u0642\u0637 \u0628\u0627\u06cc\u062f \u0627\u0632 \u0622\u0646\u0686\u0647 \u0648\u0627\u0644\u062f\u06cc\u0646\u0634\u0627\u0646 \u0645\u06cc \u06af\u0648\u06cc\u0646\u062f \u067e\u06cc\u0631\u0648\u06cc \u06a9\u0646\u0646\u062f\u060c \u062f\u0631 \u063a\u06cc\u0631 \u0627\u06cc\u0646 \u0635\u0648\u0631\u062a \u0628\u0627\u06cc\u062f \u0622\u0646\u0647\u0627 \u0631\u0627 \u062a\u0646\u0628\u06cc\u0647 \u06a9\u0646\u0646\u062f.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_126'>\n\t\t\t<div class='gchoice gchoice_41_126_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_126' type='radio' value='\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_41_126_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_126_0' id='label_41_126_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_126_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_126' type='radio' value='\u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_41_126_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_126_1' id='label_41_126_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_126_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_126' type='radio' value='\u062a\u0642\u0631\u06cc\u0628\u0627 \u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_41_126_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_126_2' id='label_41_126_2' class='gform-field-label gform-field-label--type-inline'>\u062a\u0642\u0631\u06cc\u0628\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_126_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_126' type='radio' value='\u0645\u0648\u0627\u0641\u0642\u0645'  id='choice_41_126_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_126_3' id='label_41_126_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_126_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_126' type='radio' value='\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645'  id='choice_41_126_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_126_4' id='label_41_126_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_128\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0627\u06af\u0631 \u0628\u0647 \u0645\u0634\u06a9\u0644\u0627\u062a \u0628\u0686\u0647 \u0647\u0627 \u062a\u0648\u062c\u0647 \u0634\u0648\u062f \u0627\u06cc\u0646 \u062f\u0631\u062f\u0633\u0631 \u0631\u0627 \u0628\u0647 \u062f\u0646\u0628\u0627\u0644 \u062f\u0627\u0631\u062f \u06a9\u0647 \u06af\u0633\u062a\u0627\u062e \u062a\u0631 \u0634\u062f\u0647 \u0648 \u0627\u0646\u062a\u0638\u0627\u0631\u0627\u062a \u0628\u06cc\u0634\u062a\u0631\u06cc \u0627\u0632 \u0648\u0627\u0644\u062f\u06cc\u0646 \u062e\u0648\u062f \u062e\u0648\u0627\u0647\u0646\u062f \u062f\u0627\u0634\u062a<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_128'>\n\t\t\t<div class='gchoice gchoice_41_128_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_128' type='radio' value='\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_41_128_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_128_0' id='label_41_128_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_128_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_128' type='radio' value='\u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_41_128_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_128_1' id='label_41_128_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_128_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_128' type='radio' value='\u062a\u0642\u0631\u06cc\u0628\u0627 \u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_41_128_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_128_2' id='label_41_128_2' class='gform-field-label gform-field-label--type-inline'>\u062a\u0642\u0631\u06cc\u0628\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_128_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_128' type='radio' value='\u0645\u0648\u0627\u0641\u0642\u0645'  id='choice_41_128_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_128_3' id='label_41_128_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_128_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_128' type='radio' value='\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645'  id='choice_41_128_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_128_4' id='label_41_128_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_127\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0647\u0631\u06af\u0627\u0647 \u0648\u0627\u0644\u062f\u06cc\u0646 \u062a\u0635\u0645\u06cc\u0645\u06cc \u0628\u0631\u0627\u06cc \u0641\u0631\u0632\u0646\u062f \u0628\u06af\u06cc\u0631\u0646\u062f \u0628\u0627\u06cc\u062f \u062f\u0644\u0627\u06cc\u0644 \u0622\u0646 \u0631\u0627 \u0628\u0647 \u0622\u0646\u0647\u0627 \u0628\u06af\u0648\u06cc\u0646\u062f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_127'>\n\t\t\t<div class='gchoice gchoice_41_127_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_127' type='radio' value='\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_41_127_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_127_0' id='label_41_127_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_127_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_127' type='radio' value='\u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_41_127_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_127_1' id='label_41_127_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_127_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_127' type='radio' value='\u062a\u0642\u0631\u06cc\u0628\u0627 \u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_41_127_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_127_2' id='label_41_127_2' class='gform-field-label gform-field-label--type-inline'>\u062a\u0642\u0631\u06cc\u0628\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_127_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_127' type='radio' value='\u0645\u0648\u0627\u0641\u0642\u0645'  id='choice_41_127_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_127_3' id='label_41_127_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_127_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_127' type='radio' value='\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645'  id='choice_41_127_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_127_4' id='label_41_127_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_129\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0627\u06af\u0631 \u0628\u0686\u0647 \u0647\u0627 \u0646\u0633\u0628\u062a \u0628\u0647 \u0645\u062d\u062f\u0648\u062f\u06cc\u062a \u0647\u0627\u06cc \u0627\u06cc\u062c\u0627\u062f \u0634\u062f\u0647 \u062f\u0631 \u062e\u0627\u0646\u0648\u0627\u062f\u0647 \u0627\u0639\u062a\u0631\u0627\u0636 \u062f\u0627\u0634\u062a\u0646\u062f \u0648\u0627\u0644\u062f\u06cc\u0646 \u0628\u0627\u06cc\u062f \u0628\u0627 \u0635\u062d\u0628\u062a \u06a9\u0631\u062f\u0646 \u0622\u0646\u0647\u0627 \u0631\u0627 \u0642\u0627\u0646\u0639 \u06a9\u0646\u0646\u062f.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_129'>\n\t\t\t<div class='gchoice gchoice_41_129_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_129' type='radio' value='\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_41_129_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_129_0' id='label_41_129_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_129_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_129' type='radio' value='\u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_41_129_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_129_1' id='label_41_129_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_129_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_129' type='radio' value='\u062a\u0642\u0631\u06cc\u0628\u0627 \u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_41_129_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_129_2' id='label_41_129_2' class='gform-field-label gform-field-label--type-inline'>\u062a\u0642\u0631\u06cc\u0628\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_129_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_129' type='radio' value='\u0645\u0648\u0627\u0641\u0642\u0645'  id='choice_41_129_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_129_3' id='label_41_129_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_129_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_129' type='radio' value='\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645'  id='choice_41_129_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_129_4' id='label_41_129_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_149\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0648\u0627\u0644\u062f\u06cc\u0646 \u0646\u0628\u0627\u06cc\u062f \u062f\u0631 \u06a9\u0627\u0631\u0647\u0627\u06cc \u0645\u0631\u0628\u0648\u0637 \u0628\u0647 \u0628\u0686\u0647 \u0647\u0627 \u062f\u062e\u0627\u0644\u062a \u06a9\u0646\u0646\u062f\u060c \u0686\u0648\u0646 \u0628\u0686\u0647 \u0647\u0627 \u0628\u0647 \u0637\u0648\u0631 \u0630\u0627\u062a\u06cc \u0631\u0627\u0647 \u062e\u0648\u062f\u0634\u0627\u0646 \u0631\u0627 \u067e\u06cc\u062f\u0627 \u0645\u06cc \u06a9\u0646\u0646\u062f.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_149'>\n\t\t\t<div class='gchoice gchoice_41_149_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_149' type='radio' value='\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_41_149_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_149_0' id='label_41_149_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_149_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_149' type='radio' value='\u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_41_149_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_149_1' id='label_41_149_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_149_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_149' type='radio' value='\u062a\u0642\u0631\u06cc\u0628\u0627 \u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_41_149_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_149_2' id='label_41_149_2' class='gform-field-label gform-field-label--type-inline'>\u062a\u0642\u0631\u06cc\u0628\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_149_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_149' type='radio' value='\u0645\u0648\u0627\u0641\u0642\u0645'  id='choice_41_149_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_149_3' id='label_41_149_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_149_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_149' type='radio' value='\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645'  id='choice_41_149_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_149_4' id='label_41_149_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_148\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0627\u06af\u0631 \u0628\u0686\u0647 \u0647\u0627 \u06a9\u0627\u0645\u0644\u0627 \u0645\u0637\u0627\u0628\u0642 \u0645\u06cc\u0644 \u0648\u0627\u0644\u062f\u06cc\u0646 \u062e\u0648\u062f \u0631\u0641\u062a\u0627\u0631 \u06a9\u0646\u0646\u062f\u060c \u062f\u0631 \u0622\u06cc\u0646\u062f\u0647 \u0627\u0641\u0631\u0627\u062f \u0645\u0648\u0641\u0642\u06cc \u062e\u0648\u0627\u0647\u0646\u062f \u0634\u062f.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_148'>\n\t\t\t<div class='gchoice gchoice_41_148_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_148' type='radio' value='\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_41_148_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_148_0' id='label_41_148_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_148_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_148' type='radio' value='\u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_41_148_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_148_1' id='label_41_148_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_148_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_148' type='radio' value='\u062a\u0642\u0631\u06cc\u0628\u0627 \u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_41_148_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_148_2' id='label_41_148_2' class='gform-field-label gform-field-label--type-inline'>\u062a\u0642\u0631\u06cc\u0628\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_148_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_148' type='radio' value='\u0645\u0648\u0627\u0641\u0642\u0645'  id='choice_41_148_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_148_3' id='label_41_148_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_148_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_148' type='radio' value='\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645'  id='choice_41_148_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_148_4' id='label_41_148_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_147\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0628\u0686\u0647 \u0647\u0627 \u0628\u0627\u06cc\u062f \u06a9\u0627\u0631\u06cc \u0631\u0627 \u06a9\u0647 \u0648\u0627\u0644\u062f\u06cc\u0646 \u0627\u0632 \u0622\u0646\u0647\u0627 \u0627\u0646\u062a\u0638\u0627\u0631 \u062f\u0627\u0631\u0646\u062f \u0627\u0646\u062c\u0627\u0645 \u062f\u0647\u0646\u062f\u060c \u0627\u0645\u0627 \u0627\u06af\u0631 \u0627\u0646\u062a\u0638\u0627\u0631\u0627\u062a \u0648\u0627\u0644\u062f\u06cc\u0646 \u063a\u06cc\u0631 \u0642\u0627\u0628\u0644 \u0642\u0628\u0648\u0644 \u0628\u0648\u062f\u060c \u0628\u0627\u06cc\u062f \u0628\u062a\u0648\u0627\u0646\u0646\u062f \u0622\u0646 \u0631\u0627 \u0622\u0632\u0627\u062f\u0627\u0646\u0647 \u0628\u0627 \u0648\u0627\u0644\u062f\u06cc\u0646 \u062e\u0648\u062f \u0645\u0637\u0631\u062d \u06a9\u0646\u0646\u062f.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_147'>\n\t\t\t<div class='gchoice gchoice_41_147_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_147' type='radio' value='\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_41_147_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_147_0' id='label_41_147_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_147_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_147' type='radio' value='\u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_41_147_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_147_1' id='label_41_147_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_147_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_147' type='radio' value='\u062a\u0642\u0631\u06cc\u0628\u0627 \u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_41_147_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_147_2' id='label_41_147_2' class='gform-field-label gform-field-label--type-inline'>\u062a\u0642\u0631\u06cc\u0628\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_147_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_147' type='radio' value='\u0645\u0648\u0627\u0641\u0642\u0645'  id='choice_41_147_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_147_3' id='label_41_147_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_147_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_147' type='radio' value='\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645'  id='choice_41_147_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_147_4' id='label_41_147_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_146\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0648\u0642\u062a\u06cc \u0648\u0627\u0644\u062f\u06cc\u0646 \u0627\u0632 \u0628\u0686\u0647 \u0647\u0627 \u0645\u06cc \u062e\u0648\u0627\u0647\u0646\u062f \u062a\u0627 \u06a9\u0627\u0631\u06cc \u0631\u0627 \u0627\u0646\u062c\u0627\u0645 \u062f\u0647\u0646\u062f\u060c \u0628\u0686\u0647 \u0647\u0627 \u0628\u0627\u06cc\u062f \u0628\u062f\u0648\u0646 \u0686\u0648\u0646 \u0648 \u0686\u0631\u0627 \u0622\u0646 \u0631\u0627 \u0627\u0646\u062c\u0627\u0645 \u062f\u0647\u0646\u062f.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_146'>\n\t\t\t<div class='gchoice gchoice_41_146_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_146' type='radio' value='\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_41_146_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_146_0' id='label_41_146_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_146_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_146' type='radio' value='\u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_41_146_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_146_1' id='label_41_146_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_146_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_146' type='radio' value='\u062a\u0642\u0631\u06cc\u0628\u0627 \u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_41_146_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_146_2' id='label_41_146_2' class='gform-field-label gform-field-label--type-inline'>\u062a\u0642\u0631\u06cc\u0628\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_146_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_146' type='radio' value='\u0645\u0648\u0627\u0641\u0642\u0645'  id='choice_41_146_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_146_3' id='label_41_146_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_146_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_146' type='radio' value='\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645'  id='choice_41_146_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_146_4' id='label_41_146_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_145\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0648\u0627\u0644\u062f\u06cc\u0646 \u0646\u0628\u0627\u06cc\u062f \u0628\u0686\u0647 \u0647\u0627 \u0631\u0627 \u062f\u0631 \u0645\u0646\u0632\u0644 \u0645\u062d\u062f\u0648\u062f \u06a9\u0646\u0646\u062f\u060c \u0628\u0644\u06a9\u0647 \u0628\u0627\u06cc\u062f \u0622\u0646\u0647\u0627 \u0631\u0627 \u0622\u0632\u0627\u062f \u0628\u06af\u0630\u0627\u0631\u0646\u062f \u062a\u0627 \u062a\u0645\u0627\u0645 \u0644\u0648\u0627\u0632\u0645 \u0627\u0637\u0631\u0627\u0641 \u062e\u0648\u062f \u0631\u0627 \u062f\u0633\u062a\u06a9\u0627\u0631\u06cc \u06a9\u0646\u0646\u062f.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_145'>\n\t\t\t<div class='gchoice gchoice_41_145_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_145' type='radio' value='\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_41_145_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_145_0' id='label_41_145_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_145_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_145' type='radio' value='\u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_41_145_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_145_1' id='label_41_145_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_145_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_145' type='radio' value='\u062a\u0642\u0631\u06cc\u0628\u0627 \u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_41_145_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_145_2' id='label_41_145_2' class='gform-field-label gform-field-label--type-inline'>\u062a\u0642\u0631\u06cc\u0628\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_145_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_145' type='radio' value='\u0645\u0648\u0627\u0641\u0642\u0645'  id='choice_41_145_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_145_3' id='label_41_145_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_145_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_145' type='radio' value='\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645'  id='choice_41_145_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_145_4' id='label_41_145_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_144\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0647\u0631\u06af\u0627\u0647 \u0628\u0686\u0647 \u0647\u0627 \u0628\u0631\u062e\u0644\u0627\u0641 \u0645\u06cc\u0644 \u0648\u0627\u0644\u062f\u06cc\u0646 \u0631\u0641\u062a\u0627\u0631 \u06a9\u0631\u062f\u0646\u062f\u060c \u0648\u0627\u0644\u062f\u06cc\u0646 \u0628\u0627\u06cc\u062f \u0628\u0647 \u062c\u0627\u06cc \u062a\u0646\u0628\u0647 \u0622\u0646\u0647\u0627 \u0631\u0627 \u0631\u0627\u0647\u0646\u0645\u0627\u06cc\u06cc \u06a9\u0646\u0646\u062f.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_144'>\n\t\t\t<div class='gchoice gchoice_41_144_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_144' type='radio' value='\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_41_144_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_144_0' id='label_41_144_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_144_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_144' type='radio' value='\u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_41_144_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_144_1' id='label_41_144_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_144_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_144' type='radio' value='\u062a\u0642\u0631\u06cc\u0628\u0627 \u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_41_144_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_144_2' id='label_41_144_2' class='gform-field-label gform-field-label--type-inline'>\u062a\u0642\u0631\u06cc\u0628\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_144_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_144' type='radio' value='\u0645\u0648\u0627\u0641\u0642\u0645'  id='choice_41_144_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_144_3' id='label_41_144_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_144_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_144' type='radio' value='\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645'  id='choice_41_144_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_144_4' id='label_41_144_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_143\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0648\u0627\u0644\u062f\u06cc\u0646 \u062e\u06cc\u0644\u06cc \u0632\u0648\u062f \u0628\u0627\u06cc\u062f \u0628\u0647 \u0628\u0686\u0647 \u0647\u0627 \u0628\u0641\u0647\u0645\u0627\u0646\u062f \u06a9\u0647 \u0631\u0626\u06cc\u0633 \u062e\u0627\u0646\u0648\u0627\u062f\u0647 \u06a9\u06cc\u0633\u062a<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_143'>\n\t\t\t<div class='gchoice gchoice_41_143_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_143' type='radio' value='\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_41_143_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_143_0' id='label_41_143_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_143_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_143' type='radio' value='\u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_41_143_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_143_1' id='label_41_143_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_143_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_143' type='radio' value='\u062a\u0642\u0631\u06cc\u0628\u0627 \u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_41_143_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_143_2' id='label_41_143_2' class='gform-field-label gform-field-label--type-inline'>\u062a\u0642\u0631\u06cc\u0628\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_143_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_143' type='radio' value='\u0645\u0648\u0627\u0641\u0642\u0645'  id='choice_41_143_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_143_3' id='label_41_143_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_143_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_143' type='radio' value='\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645'  id='choice_41_143_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_143_4' id='label_41_143_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_142\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0648\u0627\u0644\u062f\u06cc\u0646 \u0628\u0627\u06cc\u062f \u062f\u0631 \u062a\u0635\u0645\u06cc\u0645 \u06af\u06cc\u0631\u06cc \u0647\u0627\u06cc \u0645\u0631\u0628\u0648\u0637 \u0628\u0647 \u062e\u0627\u0646\u0648\u0627\u062f\u0647\u060c \u0641\u0642\u0637 \u0622\u0646\u0686\u0647 \u0631\u0627 \u06a9\u0647 \u062e\u0648\u0627\u0633\u062a \u0628\u0686\u0647 \u0647\u0627\u0633\u062a \u0627\u0646\u062c\u0627\u0645 \u062f\u0647\u0646\u062f.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_142'>\n\t\t\t<div class='gchoice gchoice_41_142_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_142' type='radio' value='\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_41_142_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_142_0' id='label_41_142_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_142_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_142' type='radio' value='\u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_41_142_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_142_1' id='label_41_142_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_142_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_142' type='radio' value='\u062a\u0642\u0631\u06cc\u0628\u0627 \u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_41_142_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_142_2' id='label_41_142_2' class='gform-field-label gform-field-label--type-inline'>\u062a\u0642\u0631\u06cc\u0628\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_142_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_142' type='radio' value='\u0645\u0648\u0627\u0641\u0642\u0645'  id='choice_41_142_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_142_3' id='label_41_142_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_142_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_142' type='radio' value='\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645'  id='choice_41_142_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_142_4' id='label_41_142_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_140\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0627\u06af\u0631 \u0648\u0627\u0644\u062f\u06cc\u0646 \u0631\u0641\u062a\u0627\u0631 \u0648 \u062e\u0648\u0627\u0633\u062a \u0628\u0686\u0647 \u0647\u0627 \u0631\u0627 \u0645\u062d\u062f\u0648\u062f \u0646\u06a9\u0646\u0646\u062f\u060c \u0628\u06cc\u0634\u062a\u0631 \u0645\u0634\u06a9\u0644\u0627\u062a \u062d\u0644 \u0645\u06cc \u0634\u0648\u062f.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_140'>\n\t\t\t<div class='gchoice gchoice_41_140_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_140' type='radio' value='\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_41_140_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_140_0' id='label_41_140_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_140_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_140' type='radio' value='\u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_41_140_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_140_1' id='label_41_140_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_140_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_140' type='radio' value='\u062a\u0642\u0631\u06cc\u0628\u0627 \u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_41_140_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_140_2' id='label_41_140_2' class='gform-field-label gform-field-label--type-inline'>\u062a\u0642\u0631\u06cc\u0628\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_140_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_140' type='radio' value='\u0645\u0648\u0627\u0641\u0642\u0645'  id='choice_41_140_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_140_3' id='label_41_140_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_140_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_140' type='radio' value='\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645'  id='choice_41_140_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_140_4' id='label_41_140_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_141\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0648\u0627\u0644\u062f\u06cc\u0646 \u0628\u0627\u06cc\u062f \u0647\u0646\u06af\u0627\u0645 \u062a\u0635\u0645\u06cc\u0645 \u06af\u06cc\u0631\u06cc \u062f\u0631 \u0645\u0648\u0631\u062f \u0645\u0633\u0627\u0626\u0644 \u0648 \u0628\u0631\u0646\u0627\u0645\u0647 \u0647\u0627\u06cc \u062e\u0627\u0646\u0648\u0627\u062f\u0647 \u0646\u0638\u0631 \u0628\u0686\u0647 \u0647\u0627 \u0631\u0627 \u062f\u062e\u0627\u0644\u062a \u062f\u0647\u0646\u062f \u0648 \u0627\u0632 \u0622\u0646\u0647\u0627 \u0646\u06cc\u0632 \u0646\u0638\u0631\u062e\u0648\u0627\u0647\u06cc \u06a9\u0646\u0646\u062f.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_141'>\n\t\t\t<div class='gchoice gchoice_41_141_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_141' type='radio' value='\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_41_141_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_141_0' id='label_41_141_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_141_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_141' type='radio' value='\u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_41_141_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_141_1' id='label_41_141_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_141_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_141' type='radio' value='\u062a\u0642\u0631\u06cc\u0628\u0627 \u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_41_141_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_141_2' id='label_41_141_2' class='gform-field-label gform-field-label--type-inline'>\u062a\u0642\u0631\u06cc\u0628\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_141_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_141' type='radio' value='\u0645\u0648\u0627\u0641\u0642\u0645'  id='choice_41_141_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_141_3' id='label_41_141_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_141_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_141' type='radio' value='\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645'  id='choice_41_141_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_141_4' id='label_41_141_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_139\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0648\u0627\u0644\u062f\u06cc\u0646 \u0628\u0627\u06cc\u062f \u0628\u0627 \u0628\u0686\u0647 \u0647\u0627\u06cc\u06cc \u06a9\u0647 \u0628\u0627 \u0646\u0638\u0631 \u0622\u0646\u0647\u0627 \u0645\u062e\u0627\u0644\u0641\u062a \u0645\u06cc \u06a9\u0646\u0646\u062f\u060c \u0628\u0647 \u0634\u062f\u062a \u0628\u0631\u062e\u0648\u0631\u062f \u0646\u0645\u0627\u06cc\u0646\u062f.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_139'>\n\t\t\t<div class='gchoice gchoice_41_139_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_139' type='radio' value='\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_41_139_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_139_0' id='label_41_139_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_139_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_139' type='radio' value='\u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_41_139_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_139_1' id='label_41_139_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_139_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_139' type='radio' value='\u062a\u0642\u0631\u06cc\u0628\u0627 \u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_41_139_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_139_2' id='label_41_139_2' class='gform-field-label gform-field-label--type-inline'>\u062a\u0642\u0631\u06cc\u0628\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_139_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_139' type='radio' value='\u0645\u0648\u0627\u0641\u0642\u0645'  id='choice_41_139_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_139_3' id='label_41_139_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_139_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_139' type='radio' value='\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645'  id='choice_41_139_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_139_4' id='label_41_139_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_137\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0648\u0627\u0644\u062f\u06cc\u0646 \u0628\u0627\u06cc\u062f \u0628\u0647 \u0628\u0686\u0647 \u0647\u0627 \u0627\u062c\u0627\u0632\u0647 \u062f\u0647\u0646\u062f \u062a\u0627 \u062e\u0648\u062f\u0634\u0627\u0646 \u062f\u0631 \u06a9\u0627\u0631\u0647\u0627 \u062a\u0635\u0645\u06cc\u0645 \u06af\u06cc\u0631\u0646\u062f\u0647 \u0628\u0627\u0634\u0646\u062f.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_137'>\n\t\t\t<div class='gchoice gchoice_41_137_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_137' type='radio' value='\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_41_137_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_137_0' id='label_41_137_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_137_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_137' type='radio' value='\u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_41_137_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_137_1' id='label_41_137_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_137_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_137' type='radio' value='\u062a\u0642\u0631\u06cc\u0628\u0627 \u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_41_137_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_137_2' id='label_41_137_2' class='gform-field-label gform-field-label--type-inline'>\u062a\u0642\u0631\u06cc\u0628\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_137_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_137' type='radio' value='\u0645\u0648\u0627\u0641\u0642\u0645'  id='choice_41_137_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_137_3' id='label_41_137_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_137_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_137' type='radio' value='\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645'  id='choice_41_137_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_137_4' id='label_41_137_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_138\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0634\u0648\u062e\u06cc \u0648 \u0628\u0627\u0632\u06cc \u06a9\u0631\u062f\u0646 \u0628\u0686\u0647 \u0647\u0627 \u062f\u0631 \u062d\u0636\u0648\u0631 \u0648\u0627\u0644\u062f\u06cc\u0646\u060c \u062a\u0648\u0647\u06cc\u0646 \u0628\u0647 \u0622\u0646\u0647\u0627 \u0627\u0633\u062a.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_138'>\n\t\t\t<div class='gchoice gchoice_41_138_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_138' type='radio' value='\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_41_138_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_138_0' id='label_41_138_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_138_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_138' type='radio' value='\u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_41_138_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_138_1' id='label_41_138_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_138_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_138' type='radio' value='\u062a\u0642\u0631\u06cc\u0628\u0627 \u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_41_138_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_138_2' id='label_41_138_2' class='gform-field-label gform-field-label--type-inline'>\u062a\u0642\u0631\u06cc\u0628\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_138_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_138' type='radio' value='\u0645\u0648\u0627\u0641\u0642\u0645'  id='choice_41_138_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_138_3' id='label_41_138_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_138_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_138' type='radio' value='\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645'  id='choice_41_138_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_138_4' id='label_41_138_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_136\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0628\u0686\u0647 \u0647\u0627 \u0628\u0647 \u0628\u0627\u0632\u06cc \u0648 \u062a\u0641\u0631\u06cc\u062d \u0646\u06cc\u0627\u0632 \u062f\u0627\u0631\u0646\u062f\u060c \u0628\u0631\u0627\u06cc \u0627\u06cc\u0646 \u06a9\u0627\u0631 \u0648\u0627\u0644\u062f\u06cc\u0646 \u0628\u0627\u06cc\u062f \u0628\u0647 \u0622\u0646\u0647\u0627 \u0627\u062c\u0627\u0632\u0647 \u062f\u0647\u0646\u062f \u062a\u0627 \u0647\u0631 \u0648\u0642\u062a \u06a9\u0647 \u062f\u0644\u0634\u0627\u0646 \u062e\u0648\u0627\u0633\u062a \u0627\u0632 \u0645\u0646\u0632\u0644 \u062e\u0627\u0631\u062c \u0634\u0648\u0646\u062f.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_136'>\n\t\t\t<div class='gchoice gchoice_41_136_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_136' type='radio' value='\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_41_136_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_136_0' id='label_41_136_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_136_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_136' type='radio' value='\u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_41_136_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_136_1' id='label_41_136_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_136_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_136' type='radio' value='\u062a\u0642\u0631\u06cc\u0628\u0627 \u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_41_136_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_136_2' id='label_41_136_2' class='gform-field-label gform-field-label--type-inline'>\u062a\u0642\u0631\u06cc\u0628\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_136_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_136' type='radio' value='\u0645\u0648\u0627\u0641\u0642\u0645'  id='choice_41_136_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_136_3' id='label_41_136_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_136_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_136' type='radio' value='\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645'  id='choice_41_136_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_136_4' id='label_41_136_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_134\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0628\u0627\u06cc\u062f \u0628\u0647 \u0628\u0686\u0647 \u0647\u0627 \u0627\u062c\u0627\u0632\u0647 \u062f\u0627\u062f\u0647 \u0634\u0648\u062f \u200c\u06a9\u0647 \u0627\u06af\u0631 \u0641\u06a9\u0631 \u0645\u06cc \u06a9\u0646\u0646\u062f \u0646\u0638\u0631\u0634\u0627\u0646 \u0627\u0632 \u0646\u0638\u0631\u0627\u062a \u0648\u0627\u0644\u062f\u06cc\u0646 \u062e\u0648\u062f \u0628\u0647\u062a\u0631 \u0627\u0633\u062a\u060c \u0622\u0646 \u0631\u0627 \u0627\u0628\u0631\u0627\u0632 \u06a9\u0646\u0646\u062f.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_134'>\n\t\t\t<div class='gchoice gchoice_41_134_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_134' type='radio' value='\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_41_134_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_134_0' id='label_41_134_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_134_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_134' type='radio' value='\u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_41_134_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_134_1' id='label_41_134_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_134_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_134' type='radio' value='\u062a\u0642\u0631\u06cc\u0628\u0627 \u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_41_134_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_134_2' id='label_41_134_2' class='gform-field-label gform-field-label--type-inline'>\u062a\u0642\u0631\u06cc\u0628\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_134_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_134' type='radio' value='\u0645\u0648\u0627\u0641\u0642\u0645'  id='choice_41_134_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_134_3' id='label_41_134_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_134_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_134' type='radio' value='\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645'  id='choice_41_134_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_134_4' id='label_41_134_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_135\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0648\u0642\u062a\u06cc \u0628\u0686\u0647 \u0647\u0627 \u0645\u0631\u062a\u06a9\u0628 \u0627\u0634\u062a\u0628\u0627\u0647\u06cc \u0645\u06cc \u0634\u0648\u0646\u062f\u060c \u0647\u06cc\u0686\u06af\u0627\u0647 \u062a\u0628\u0627\u06cc\u062f \u0622\u0646\u0647\u0627 \u0631\u0627 \u0633\u0631\u0632\u0646\u0634 \u06a9\u0631\u062f.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_135'>\n\t\t\t<div class='gchoice gchoice_41_135_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_135' type='radio' value='\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_41_135_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_135_0' id='label_41_135_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_135_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_135' type='radio' value='\u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_41_135_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_135_1' id='label_41_135_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_135_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_135' type='radio' value='\u062a\u0642\u0631\u06cc\u0628\u0627 \u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_41_135_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_135_2' id='label_41_135_2' class='gform-field-label gform-field-label--type-inline'>\u062a\u0642\u0631\u06cc\u0628\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_135_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_135' type='radio' value='\u0645\u0648\u0627\u0641\u0642\u0645'  id='choice_41_135_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_135_3' id='label_41_135_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_135_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_135' type='radio' value='\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645'  id='choice_41_135_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_135_4' id='label_41_135_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_133\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0627\u06af\u0631 \u0648\u0627\u0644\u062f\u06cc\u0646 \u062a\u0635\u0645\u06cc\u0645\u06cc \u0628\u0631\u062e\u0644\u0627\u0641 \u0645\u06cc\u0644 \u0628\u0686\u0647 \u0647\u0627 \u06af\u0631\u0641\u062a\u0646\u062f\u060c \u0628\u0627\u06cc\u062f \u0628\u0627 \u0628\u0686\u0647 \u0647\u0627 \u06af\u0641\u062a\u06af\u0648 \u06a9\u0646\u0646\u062f \u0648 \u062d\u062a\u06cc \u0627\u06af\u0631 \u062f\u0631 \u062a\u0635\u0645\u06cc\u0645 \u062e\u0648\u062f \u0627\u0634\u062a\u0628\u0627\u0647 \u06a9\u0631\u062f\u0647 \u0628\u0648\u062f\u0646\u062f \u0622\u0646 \u0631\u0627 \u0628\u067e\u0630\u06cc\u0631\u0646\u062f.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_133'>\n\t\t\t<div class='gchoice gchoice_41_133_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_133' type='radio' value='\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_41_133_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_133_0' id='label_41_133_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_133_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_133' type='radio' value='\u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_41_133_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_133_1' id='label_41_133_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_133_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_133' type='radio' value='\u062a\u0642\u0631\u06cc\u0628\u0627 \u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_41_133_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_133_2' id='label_41_133_2' class='gform-field-label gform-field-label--type-inline'>\u062a\u0642\u0631\u06cc\u0628\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_133_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_133' type='radio' value='\u0645\u0648\u0627\u0641\u0642\u0645'  id='choice_41_133_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_133_3' id='label_41_133_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_133_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_133' type='radio' value='\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645'  id='choice_41_133_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_133_4' id='label_41_133_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_132\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u06af\u0627\u0647\u06cc \u0627\u0648\u0642\u0627\u062a \u0648\u0627\u0644\u062f\u06cc\u0646 \u0628\u0627\u06cc\u062f \u0628\u0627 \u0628\u0686\u0647 \u0647\u0627\u06cc \u062e\u0648\u062f \u0633\u0627\u0632\u0634 \u06a9\u0646\u0646\u062f\u060c \u0646\u0647 \u0627\u06cc\u0646\u06a9\u0647 \u0647\u0645\u06cc\u0634\u0647 \u0627\u0646\u062a\u0638\u0627\u0631 \u062f\u0627\u0634\u062a\u0647 \u0628\u0627\u0634\u0646\u062f \u06a9\u0647 \u0628\u0686\u0647 \u0647\u0627 \u0628\u0627 \u0622\u0646\u0647\u0627 \u0633\u0627\u0632\u0634 \u06a9\u0646\u0646\u062f.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_132'>\n\t\t\t<div class='gchoice gchoice_41_132_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_132' type='radio' value='\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_41_132_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_132_0' id='label_41_132_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_132_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_132' type='radio' value='\u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_41_132_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_132_1' id='label_41_132_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_132_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_132' type='radio' value='\u062a\u0642\u0631\u06cc\u0628\u0627 \u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_41_132_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_132_2' id='label_41_132_2' class='gform-field-label gform-field-label--type-inline'>\u062a\u0642\u0631\u06cc\u0628\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_132_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_132' type='radio' value='\u0645\u0648\u0627\u0641\u0642\u0645'  id='choice_41_132_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_132_3' id='label_41_132_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_132_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_132' type='radio' value='\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645'  id='choice_41_132_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_132_4' id='label_41_132_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_131\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0628\u0686\u0647 \u0647\u0627 \u0631\u0627 \u0628\u0627\u06cc\u062f \u0622\u0632\u0627\u062f \u06af\u0630\u0627\u0634\u062a \u062a\u0627 \u062e\u0648\u062f\u0634\u0627\u0646 \u062a\u062c\u0631\u0628\u0647 \u06a9\u0646\u0646\u062f.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_131'>\n\t\t\t<div class='gchoice gchoice_41_131_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_131' type='radio' value='\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_41_131_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_131_0' id='label_41_131_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_131_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_131' type='radio' value='\u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_41_131_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_131_1' id='label_41_131_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_131_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_131' type='radio' value='\u062a\u0642\u0631\u06cc\u0628\u0627 \u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_41_131_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_131_2' id='label_41_131_2' class='gform-field-label gform-field-label--type-inline'>\u062a\u0642\u0631\u06cc\u0628\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_131_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_131' type='radio' value='\u0645\u0648\u0627\u0641\u0642\u0645'  id='choice_41_131_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_131_3' id='label_41_131_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_131_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_131' type='radio' value='\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645'  id='choice_41_131_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_131_4' id='label_41_131_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_130\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0628\u0639\u0636\u06cc \u0627\u0632 \u0628\u0686\u0647 \u0647\u0627 \u0630\u0627\u062a\u0627 \u0628\u062f \u0647\u0633\u062a\u0646\u062f \u0648 \u0628\u0627\u06cc\u062f \u0637\u0648\u0631\u06cc \u062a\u0631\u0628\u06cc\u062a \u0634\u0648\u0646\u062f \u06a9\u0647 \u0627\u0632 \u0648\u0627\u0644\u062f\u06cc\u0646 \u062e\u0648\u062f \u0628\u062a\u0631\u0633\u0646\u062f.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_130'>\n\t\t\t<div class='gchoice gchoice_41_130_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_130' type='radio' value='\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_41_130_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_130_0' id='label_41_130_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_130_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_130' type='radio' value='\u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_41_130_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_130_1' id='label_41_130_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_130_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_130' type='radio' value='\u062a\u0642\u0631\u06cc\u0628\u0627 \u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_41_130_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_130_2' id='label_41_130_2' class='gform-field-label gform-field-label--type-inline'>\u062a\u0642\u0631\u06cc\u0628\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_130_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_130' type='radio' value='\u0645\u0648\u0627\u0641\u0642\u0645'  id='choice_41_130_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_130_3' id='label_41_130_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_130_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_130' type='radio' value='\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645'  id='choice_41_130_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_130_4' id='label_41_130_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_150\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0628\u0686\u0647 \u0647\u0627 \u0648\u0642\u062a\u06cc \u0628\u0632\u0631\u06af \u0634\u0648\u0646\u062f \u0627\u0632 \u0633\u062e\u062a\u06af\u06cc\u0631\u06cc \u0648\u0627\u0644\u062f\u06cc\u0646 \u062e\u0648\u062f \u0633\u067e\u0627\u0633\u06af\u0632\u0627\u0631\u06cc \u062e\u0648\u0627\u0647\u0646\u062f \u06a9\u0631\u062f.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_150'>\n\t\t\t<div class='gchoice gchoice_41_150_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_150' type='radio' value='\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_41_150_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_150_0' id='label_41_150_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_150_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_150' type='radio' value='\u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_41_150_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_150_1' id='label_41_150_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_150_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_150' type='radio' value='\u062a\u0642\u0631\u06cc\u0628\u0627 \u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_41_150_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_150_2' id='label_41_150_2' class='gform-field-label gform-field-label--type-inline'>\u062a\u0642\u0631\u06cc\u0628\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_150_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_150' type='radio' value='\u0645\u0648\u0627\u0641\u0642\u0645'  id='choice_41_150_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_150_3' id='label_41_150_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_150_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_150' type='radio' value='\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645'  id='choice_41_150_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_150_4' id='label_41_150_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_158\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0648\u0642\u062a\u06cc \u0628\u0686\u0647 \u0647\u0627 \u062f\u0686\u0627\u0631 \u0645\u0634\u06a9\u0644 \u0648 \u062f\u0631\u062f\u0633\u0631 \u0645\u06cc \u0634\u0648\u0646\u062f (\u06a9\u0627\u0631 \u062e\u0637\u0627\u06cc\u06cc \u0627\u0646\u062c\u0627\u0645 \u0645\u06cc \u062f\u0647\u0646\u062f.) \u0628\u0627\u06cc\u062f \u0628\u062f\u0627\u0646\u0646\u062f \u06a9\u0647 \u0628\u0627 \u0637\u0631\u062d \u06a9\u0631\u062f\u0646 \u0622\u0646 \u0645\u0634\u06a9\u0644 \u0628\u0631\u0627\u06cc \u0648\u0627\u0644\u062f\u06cc\u0646 \u062e\u0648\u062f \u062a\u0646\u0628\u0647 \u0646\u0645\u06cc \u0634\u0648\u0646\u062f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_158'>\n\t\t\t<div class='gchoice gchoice_41_158_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_158' type='radio' value='\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_41_158_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_158_0' id='label_41_158_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_158_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_158' type='radio' value='\u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_41_158_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_158_1' id='label_41_158_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_158_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_158' type='radio' value='\u062a\u0642\u0631\u06cc\u0628\u0627 \u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_41_158_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_158_2' id='label_41_158_2' class='gform-field-label gform-field-label--type-inline'>\u062a\u0642\u0631\u06cc\u0628\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_158_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_158' type='radio' value='\u0645\u0648\u0627\u0641\u0642\u0645'  id='choice_41_158_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_158_3' id='label_41_158_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_158_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_158' type='radio' value='\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645'  id='choice_41_158_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_158_4' id='label_41_158_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_157\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u062f\u0631 \u0645\u062c\u0627\u0644\u0634 \u0648 \u0645\u0647\u0645\u0627\u0646\u06cc \u0647\u0627 \u0628\u0627\u06cc\u062f \u0628\u0686\u0647 \u0647\u0627 \u0631\u0627 \u0622\u0632\u0627\u062f \u06af\u0630\u0627\u0634\u062a \u062a\u0627 \u0645\u062d\u06cc\u0637 \u0627\u0637\u0631\u0627\u0641 \u062e\u0648\u062f \u0631\u0627 \u062f\u0633\u062a\u06a9\u0627\u0631\u06cc \u06a9\u0646\u0646\u062f \u062a\u0627 \u062d\u0633 \u06a9\u0646\u062c\u06a9\u0627\u0648\u06cc \u0622\u0646\u0647\u0627 \u0627\u0631\u0636\u0627 \u0634\u0648\u062f.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_157'>\n\t\t\t<div class='gchoice gchoice_41_157_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_157' type='radio' value='\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_41_157_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_157_0' id='label_41_157_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_157_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_157' type='radio' value='\u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_41_157_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_157_1' id='label_41_157_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_157_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_157' type='radio' value='\u062a\u0642\u0631\u06cc\u0628\u0627 \u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_41_157_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_157_2' id='label_41_157_2' class='gform-field-label gform-field-label--type-inline'>\u062a\u0642\u0631\u06cc\u0628\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_157_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_157' type='radio' value='\u0645\u0648\u0627\u0641\u0642\u0645'  id='choice_41_157_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_157_3' id='label_41_157_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_157_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_157' type='radio' value='\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645'  id='choice_41_157_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_157_4' id='label_41_157_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_155\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0628\u0686\u0647 \u0647\u0627 \u062c\u062f\u06cc \u0648 \u06a9\u0648\u0634\u0627 \u0646\u062e\u0648\u0627\u0647\u0646\u062f \u0628\u0648\u062f \u0645\u06af\u0631 \u0627\u06cc\u0646\u06a9\u0647 \u062f\u0631\u0628\u0627\u0631\u0647 \u06a9\u0627\u0631\u0647\u0627\u06cc \u0622\u0646\u0647\u0627 \u0633\u062e\u062a\u06af\u06cc\u0631\u06cc \u06a9\u0646\u06cc\u0645.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_155'>\n\t\t\t<div class='gchoice gchoice_41_155_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_155' type='radio' value='\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_41_155_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_155_0' id='label_41_155_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_155_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_155' type='radio' value='\u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_41_155_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_155_1' id='label_41_155_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_155_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_155' type='radio' value='\u062a\u0642\u0631\u06cc\u0628\u0627 \u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_41_155_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_155_2' id='label_41_155_2' class='gform-field-label gform-field-label--type-inline'>\u062a\u0642\u0631\u06cc\u0628\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_155_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_155' type='radio' value='\u0645\u0648\u0627\u0641\u0642\u0645'  id='choice_41_155_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_155_3' id='label_41_155_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_155_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_155' type='radio' value='\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645'  id='choice_41_155_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_155_4' id='label_41_155_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_156\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0647\u0631 \u0686\u0646\u062f \u0628\u0686\u0647 \u0647\u0627 \u062a\u062c\u0631\u0628\u0647 \u06cc \u06a9\u0645\u06cc \u062f\u0627\u0631\u0646\u062f\u060c \u0627\u0645\u0627 \u06af\u0627\u0647\u06cc \u0627\u0648\u0642\u0627\u062a \u0622\u0646\u0647\u0627 \u0628\u0647\u062a\u0631 \u0627\u0632 \u0648\u0627\u0644\u062f\u06cc\u0646 \u062e\u0648\u062f \u0646\u0638\u0631 \u0645\u06cc \u062f\u0647\u0646\u062f.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_156'>\n\t\t\t<div class='gchoice gchoice_41_156_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_156' type='radio' value='\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_41_156_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_156_0' id='label_41_156_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_156_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_156' type='radio' value='\u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_41_156_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_156_1' id='label_41_156_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_156_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_156' type='radio' value='\u062a\u0642\u0631\u06cc\u0628\u0627 \u0645\u062e\u0627\u0644\u0641\u0645'  id='choice_41_156_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_156_2' id='label_41_156_2' class='gform-field-label gform-field-label--type-inline'>\u062a\u0642\u0631\u06cc\u0628\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_156_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_156' type='radio' value='\u0645\u0648\u0627\u0641\u0642\u0645'  id='choice_41_156_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_156_3' id='label_41_156_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_156_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_156' type='radio' value='\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645'  id='choice_41_156_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_156_4' id='label_41_156_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_41_249' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='\u0642\u0628\u0644\u06cc'  \/> <input type='button' id='gform_next_button_41_249' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='\u0628\u0639\u062f\u06cc'  \/> <button type='button'  id='gform_save_41_11_link' onclick='gform.submission.handleButtonClick(this);' data-submission-type='save-continue' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  ><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> \u0630\u062e\u06cc\u0631\u0647 \u0648 \u0627\u062f\u0627\u0645\u0647<\/button>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_41_11' class='gform_page' data-js='page-field-id-249' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_41_11' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_41_256\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">\u067e\u0631\u0633\u0634\u0646\u0627\u0645\u0647 \u0631\u0641\u062a\u0627\u0631\u06cc \u0641\u0631\u0632\u0646\u062f<\/h3><\/div><div id=\"field_41_257\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  >\u0644\u0637\u0641\u0627 \u067e\u0627\u0633\u062e \u0647\u0627 \u0631\u0627 \u0628\u062f\u0648\u0646 \u0647\u0631\u06af\u0648\u0646\u0647 \u0645\u0644\u0627\u062d\u0638\u0647! \u0648 \u0647\u0645\u0627\u0646\u0637\u0648\u0631 \u06a9\u0647 \u0648\u062c\u0648\u062f \u062f\u0627\u0631\u062f \u062b\u0628\u062a \u0646\u0645\u0627\u06cc\u06cc\u062f. \u062f\u0631 \u06a9\u0645\u0627\u0644 \u0631\u0627\u0633\u062a\u06cc \u0648 \u0635\u062f\u0627\u0642\u062a&#8230;<\/div><fieldset id=\"field_41_258\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0628\u0686\u0647 \u06af\u0627\u0646\u0647 \u062a\u0631 \u0627\u0632 \u0633\u0646 \u062e\u0648\u062f \u0631\u0641\u062a\u0627\u0631 \u0645\u06cc \u06a9\u0646\u062f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_258'>\n\t\t\t<div class='gchoice gchoice_41_258_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_258' type='radio' value='2'  id='choice_41_258_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_258_0' id='label_41_258_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_258_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_258' type='radio' value='1'  id='choice_41_258_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_258_1' id='label_41_258_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_258_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_258' type='radio' value='0'  id='choice_41_258_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_258_2' id='label_41_258_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_287\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u062d\u0633\u0627\u0633\u06cc\u062a (\u0622\u0644\u0631\u0698\u06cc) \u062f\u0627\u0631\u062f. \u0646\u0648\u0639 \u062d\u0633\u0627\u0633\u06cc\u062a \u0631\u0627 \u062a\u0648\u0636\u06cc\u062d \u062f\u0647\u06cc\u062f.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_287'>\n\t\t\t<div class='gchoice gchoice_41_287_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_287' type='radio' value='2'  id='choice_41_287_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_287_0' id='label_41_287_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_287_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_287' type='radio' value='1'  id='choice_41_287_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_287_1' id='label_41_287_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_287_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_287' type='radio' value='0'  id='choice_41_287_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_287_2' id='label_41_287_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_288\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0632\u06cc\u0627\u062f \u062c\u0631 \u0648 \u0628\u062d\u062b \u0645\u06cc \u06a9\u0646\u062f.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_288'>\n\t\t\t<div class='gchoice gchoice_41_288_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_288' type='radio' value='2'  id='choice_41_288_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_288_0' id='label_41_288_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_288_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_288' type='radio' value='1'  id='choice_41_288_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_288_1' id='label_41_288_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_288_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_288' type='radio' value='0'  id='choice_41_288_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_288_2' id='label_41_288_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_285\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0622\u0633\u0645 \u06cc\u0627 \u062a\u0646\u06af\u06cc \u0646\u0641\u0633 \u062f\u0627\u0631\u062f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_285'>\n\t\t\t<div class='gchoice gchoice_41_285_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_285' type='radio' value='2'  id='choice_41_285_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_285_0' id='label_41_285_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_285_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_285' type='radio' value='1'  id='choice_41_285_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_285_1' id='label_41_285_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_285_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_285' type='radio' value='0'  id='choice_41_285_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_285_2' id='label_41_285_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_284\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0627\u06af\u0631 \u06a9\u0648\u062f\u06a9 \u06cc\u0627 \u0646\u0648\u062c\u0648\u0627\u0646 \u067e\u0633\u0631 \u0627\u0633\u062a \u0645\u06cc \u067e\u0631\u0633\u06cc\u0645 \u0645\u062b\u0644 \u062f\u062e\u062a\u0631\u0647\u0627 \u0631\u0641\u062a\u0627\u0631 \u0645\u06cc \u06a9\u0646\u062f. \u0627\u06af\u0631 \u06a9\u0648\u062f\u06a9 \u06cc\u0627 \u0646\u0648\u062c\u0648\u0627\u0646 \u062f\u062e\u062a\u0631 \u0627\u0633\u062a \u0645\u06cc \u067e\u0631\u0633\u06cc\u0645 \u0645\u062b\u0644 \u067e\u0633\u0631\u0647\u0627 \u0631\u0641\u062a\u0627\u0631 \u0645\u06cc \u06a9\u0646\u062f.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_284'>\n\t\t\t<div class='gchoice gchoice_41_284_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_284' type='radio' value='2'  id='choice_41_284_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_284_0' id='label_41_284_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_284_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_284' type='radio' value='1'  id='choice_41_284_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_284_1' id='label_41_284_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_284_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_284' type='radio' value='0'  id='choice_41_284_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_284_2' id='label_41_284_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_283\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0628\u06cc\u0631\u0648\u0646 \u0627\u0632 \u062a\u0648\u0627\u0644\u062a \u0645\u062f\u0641\u0648\u0639 \u0645\u06cc \u06a9\u0646\u062f\u060c \u062f\u0631 \u0647\u0631 \u0645\u06a9\u0627\u0646\u06cc \u0622\u0628 \u062f\u0647\u0627\u0646\u0634 \u0631\u0627 \u0645\u06cc \u0627\u0646\u062f\u0627\u0632\u062f (\u062a\u0641 \u0645\u06cc \u06a9\u0646\u062f.)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_283'>\n\t\t\t<div class='gchoice gchoice_41_283_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_283' type='radio' value='2'  id='choice_41_283_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_283_0' id='label_41_283_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_283_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_283' type='radio' value='1'  id='choice_41_283_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_283_1' id='label_41_283_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_283_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_283' type='radio' value='0'  id='choice_41_283_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_283_2' id='label_41_283_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_286\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0645\u063a\u0631\u0648\u0631 \u0627\u0633\u062a \u0648 \u0627\u0632 \u062e\u0648\u062f\u0634 \u062a\u0639\u0631\u06cc\u0641 \u0645\u06cc \u06a9\u0646\u062f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_286'>\n\t\t\t<div class='gchoice gchoice_41_286_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_286' type='radio' value='2'  id='choice_41_286_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_286_0' id='label_41_286_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_286_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_286' type='radio' value='1'  id='choice_41_286_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_286_1' id='label_41_286_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_286_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_286' type='radio' value='0'  id='choice_41_286_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_286_2' id='label_41_286_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_282\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0646\u0645\u06cc \u062a\u0648\u0627\u0646\u062f \u062d\u0648\u0627\u0633\u0634 \u0631\u0627 \u062c\u0645\u0639 \u06a9\u0646\u062f\u060c \u0646\u0645\u06cc \u062a\u0648\u0627\u0646\u062f \u062a\u0648\u062c\u0647 \u0627\u0634 \u0631\u0627 \u0628\u0631\u0627\u06cc \u0645\u062f\u062a \u0637\u0648\u0644\u0627\u0646\u06cc \u0646\u06af\u0647 \u062f\u0627\u0631\u062f.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_282'>\n\t\t\t<div class='gchoice gchoice_41_282_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_282' type='radio' value='2'  id='choice_41_282_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_282_0' id='label_41_282_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_282_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_282' type='radio' value='1'  id='choice_41_282_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_282_1' id='label_41_282_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_282_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_282' type='radio' value='0'  id='choice_41_282_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_282_2' id='label_41_282_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_280\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0628\u0639\u0636\u06cc \u0641\u06a9\u0631\u0647\u0627 \u0631\u0627 \u0646\u0645\u06cc \u062a\u0648\u0627\u0646\u062f \u0627\u0632 \u0630\u0647\u0646\u0634 \u062e\u0627\u0631\u062c \u06a9\u0646\u062f ( \u0641\u06a9\u0631\u06cc \u0648 \u0648\u0633\u0648\u0627\u0633\u06cc)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_280'>\n\t\t\t<div class='gchoice gchoice_41_280_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_280' type='radio' value='2'  id='choice_41_280_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_280_0' id='label_41_280_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_280_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_280' type='radio' value='1'  id='choice_41_280_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_280_1' id='label_41_280_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_280_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_280' type='radio' value='0'  id='choice_41_280_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_280_2' id='label_41_280_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_281\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0646\u0645\u06cc \u062a\u0648\u0627\u0646\u062f \u0622\u0631\u0627\u0645 \u0628\u0646\u0634\u06cc\u0646\u062f\u060c \u0628\u06cc \u0642\u0631\u0627\u0631 \u0627\u0633\u062a \u06cc\u0627 \u0632\u06cc\u0627\u062f \u0641\u0639\u0627\u0644 \u0627\u0633\u062a.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_281'>\n\t\t\t<div class='gchoice gchoice_41_281_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_281' type='radio' value='2'  id='choice_41_281_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_281_0' id='label_41_281_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_281_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_281' type='radio' value='1'  id='choice_41_281_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_281_1' id='label_41_281_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_281_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_281' type='radio' value='0'  id='choice_41_281_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_281_2' id='label_41_281_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_279\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0628\u0647 \u0628\u0632\u0631\u06af\u0633\u0627\u0644\u0627\u0646 \u0645\u06cc \u0686\u0633\u0628\u062f\u060c \u06cc\u0627 \u062e\u06cc\u0644\u06cc \u0628\u0647 \u0622\u0646\u0647\u0627 \u0648\u0627\u0628\u0633\u062a\u0647 \u0627\u0633\u062a.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_279'>\n\t\t\t<div class='gchoice gchoice_41_279_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_279' type='radio' value='2'  id='choice_41_279_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_279_0' id='label_41_279_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_279_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_279' type='radio' value='1'  id='choice_41_279_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_279_1' id='label_41_279_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_279_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_279' type='radio' value='0'  id='choice_41_279_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_279_2' id='label_41_279_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_275\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0627\u0632 \u062a\u0646\u0647\u0627\u06cc\u06cc \u0634\u06a9\u0627\u06cc\u062a \u0645\u06cc \u06a9\u0646\u062f.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_275'>\n\t\t\t<div class='gchoice gchoice_41_275_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_275' type='radio' value='2'  id='choice_41_275_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_275_0' id='label_41_275_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_275_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_275' type='radio' value='1'  id='choice_41_275_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_275_1' id='label_41_275_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_275_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_275' type='radio' value='0'  id='choice_41_275_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_275_2' id='label_41_275_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_278\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u06af\u06cc\u062c \u06cc\u0627 \u0633\u0631\u062f\u0631\u06af\u0645 \u0628\u0647 \u0646\u0638\u0631 \u0645\u06cc \u0631\u0633\u062f.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_278'>\n\t\t\t<div class='gchoice gchoice_41_278_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_278' type='radio' value='2'  id='choice_41_278_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_278_0' id='label_41_278_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_278_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_278' type='radio' value='1'  id='choice_41_278_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_278_1' id='label_41_278_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_278_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_278' type='radio' value='0'  id='choice_41_278_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_278_2' id='label_41_278_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_277\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0632\u06cc\u0627\u062f \u06af\u0631\u06cc\u0647 \u0645\u06cc \u06a9\u0646\u062f.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_277'>\n\t\t\t<div class='gchoice gchoice_41_277_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_277' type='radio' value='2'  id='choice_41_277_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_277_0' id='label_41_277_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_277_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_277' type='radio' value='1'  id='choice_41_277_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_277_1' id='label_41_277_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_277_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_277' type='radio' value='0'  id='choice_41_277_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_277_2' id='label_41_277_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_276\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0628\u0627 \u062d\u06cc\u0648\u0627\u0646\u0627\u062a \u0628\u06cc \u0631\u062d\u0645 \u0627\u0633\u062a<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_276'>\n\t\t\t<div class='gchoice gchoice_41_276_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_276' type='radio' value='2'  id='choice_41_276_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_276_0' id='label_41_276_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_276_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_276' type='radio' value='1'  id='choice_41_276_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_276_1' id='label_41_276_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_276_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_276' type='radio' value='0'  id='choice_41_276_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_276_2' id='label_41_276_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_272\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0646\u0633\u0628\u062a \u0628\u0647 \u062f\u06cc\u06af\u0631\u0627\u0646 \u0628\u06cc \u0631\u062d\u0645 \u0627\u0633\u062a\u060c \u0632\u0648\u0631\u06af\u0648\u0633\u062a \u0648 \u062f\u06cc\u06af\u0631\u0627\u0646 \u0631\u0627 \u0622\u0632\u0627\u0631 \u0645\u06cc \u062f\u0647\u062f.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_272'>\n\t\t\t<div class='gchoice gchoice_41_272_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_272' type='radio' value='2'  id='choice_41_272_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_272_0' id='label_41_272_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_272_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_272' type='radio' value='1'  id='choice_41_272_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_272_1' id='label_41_272_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_272_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_272' type='radio' value='0'  id='choice_41_272_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_272_2' id='label_41_272_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_271\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u062e\u06cc\u0627\u0644 \u067e\u0631\u062f\u0627\u0632\u06cc \u0645\u06cc \u06a9\u0646\u062f \u06cc\u0627 \u062f\u0631 \u0627\u0641\u06a9\u0627\u0631 \u062e\u0648\u062f\u0634 \u063a\u0631\u0642 \u0645\u06cc \u0634\u0648\u062f.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_271'>\n\t\t\t<div class='gchoice gchoice_41_271_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_271' type='radio' value='2'  id='choice_41_271_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_271_0' id='label_41_271_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_271_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_271' type='radio' value='1'  id='choice_41_271_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_271_1' id='label_41_271_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_271_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_271' type='radio' value='0'  id='choice_41_271_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_271_2' id='label_41_271_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_270\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0639\u0645\u062f\u062a\u0627 \u0628\u0647 \u062e\u0648\u062f\u0634 \u0635\u062f\u0645\u0647 \u0645\u06cc \u0632\u0646\u062f \u06cc\u0627 \u0642\u0635\u062f \u0627\u0632 \u0628\u06cc\u0646 \u0628\u0631\u062f\u0646 \u062e\u0648\u062f\u0634 \u0631\u0627 \u062f\u0627\u0631\u062f.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_270'>\n\t\t\t<div class='gchoice gchoice_41_270_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_270' type='radio' value='2'  id='choice_41_270_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_270_0' id='label_41_270_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_270_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_270' type='radio' value='1'  id='choice_41_270_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_270_1' id='label_41_270_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_270_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_270' type='radio' value='0'  id='choice_41_270_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_270_2' id='label_41_270_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_269\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u062f\u0644\u0634 \u0645\u06cc \u062e\u0648\u0627\u0647\u062f \u0632\u06cc\u0627\u062f \u0628\u0647 \u0627\u0648 \u062a\u0648\u062c\u0647 \u06a9\u0646\u0646\u062f.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_269'>\n\t\t\t<div class='gchoice gchoice_41_269_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_269' type='radio' value='2'  id='choice_41_269_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_269_0' id='label_41_269_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_269_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_269' type='radio' value='1'  id='choice_41_269_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_269_1' id='label_41_269_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_269_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_269' type='radio' value='0'  id='choice_41_269_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_269_2' id='label_41_269_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_268\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0648\u0633\u0627\u0626\u0644\u0634 \u0631\u0627 \u062e\u0631\u0627\u0628 \u0645\u06cc \u06a9\u0646\u062f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_268'>\n\t\t\t<div class='gchoice gchoice_41_268_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_268' type='radio' value='2'  id='choice_41_268_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_268_0' id='label_41_268_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_268_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_268' type='radio' value='1'  id='choice_41_268_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_268_1' id='label_41_268_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_268_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_268' type='radio' value='0'  id='choice_41_268_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_268_2' id='label_41_268_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_267\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0648\u0633\u0627\u0626\u0644 \u0645\u062a\u0639\u0644\u0642 \u0628\u0647 \u062e\u0627\u0646\u0648\u0627\u062f\u0647 \u0627\u0634 \u06cc\u0627 \u0648\u0633\u0627\u06cc\u0644 \u062f\u06cc\u06af\u0631\u0627\u0646 \u0631\u0627 \u062e\u0631\u0627\u0628 \u0645\u06cc \u06a9\u0646\u062f.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_267'>\n\t\t\t<div class='gchoice gchoice_41_267_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_267' type='radio' value='2'  id='choice_41_267_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_267_0' id='label_41_267_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_267_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_267' type='radio' value='1'  id='choice_41_267_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_267_1' id='label_41_267_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_267_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_267' type='radio' value='0'  id='choice_41_267_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_267_2' id='label_41_267_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_266\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u062f\u0631 \u062e\u0627\u0646\u0647 \u0646\u0627\u0641\u0631\u0645\u0627\u0646\u06cc \u0645\u06cc \u06a9\u0646\u062f (\u062d\u0631\u0641 \u06af\u0648\u0634 \u0646\u0645\u06cc \u062f\u0647\u062f)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_266'>\n\t\t\t<div class='gchoice gchoice_41_266_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_266' type='radio' value='2'  id='choice_41_266_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_266_0' id='label_41_266_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_266_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_266' type='radio' value='1'  id='choice_41_266_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_266_1' id='label_41_266_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_266_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_266' type='radio' value='0'  id='choice_41_266_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_266_2' id='label_41_266_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_265\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u062f\u0631 \u0645\u062f\u0631\u0633\u0647 \u0646\u0627\u0641\u0631\u0645\u0627\u0646\u06cc \u0645\u06cc \u06a9\u0646\u062f (\u062d\u0631\u0641 \u06af\u0648\u0634 \u0646\u0645\u06cc \u062f\u0647\u062f)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_265'>\n\t\t\t<div class='gchoice gchoice_41_265_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_265' type='radio' value='2'  id='choice_41_265_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_265_0' id='label_41_265_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_265_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_265' type='radio' value='1'  id='choice_41_265_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_265_1' id='label_41_265_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_265_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_265' type='radio' value='0'  id='choice_41_265_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_265_2' id='label_41_265_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_264\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u062e\u0648\u0628 \u063a\u0630\u0627 \u0646\u0645\u06cc \u062e\u0648\u0631\u062f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_264'>\n\t\t\t<div class='gchoice gchoice_41_264_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_264' type='radio' value='2'  id='choice_41_264_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_264_0' id='label_41_264_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_264_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_264' type='radio' value='1'  id='choice_41_264_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_264_1' id='label_41_264_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_264_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_264' type='radio' value='0'  id='choice_41_264_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_264_2' id='label_41_264_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_263\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0628\u0627 \u0628\u0686\u0647 \u0647\u0627\u06cc \u062f\u06cc\u06af\u0631 \u0633\u0627\u0632\u06af\u0627\u0631\u06cc \u0646\u062f\u0627\u0631\u062f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_263'>\n\t\t\t<div class='gchoice gchoice_41_263_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_263' type='radio' value='2'  id='choice_41_263_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_263_0' id='label_41_263_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_263_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_263' type='radio' value='1'  id='choice_41_263_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_263_1' id='label_41_263_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_263_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_263' type='radio' value='0'  id='choice_41_263_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_263_2' id='label_41_263_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_262\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0627\u0632 \u0631\u0641\u062a\u0627\u0631 \u0628\u062f \u062e\u0648\u062f \u067e\u0634\u06cc\u0645\u0627\u0646 \u0646\u0645\u06cc \u0634\u0648\u062f.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_262'>\n\t\t\t<div class='gchoice gchoice_41_262_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_262' type='radio' value='2'  id='choice_41_262_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_262_0' id='label_41_262_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_262_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_262' type='radio' value='1'  id='choice_41_262_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_262_1' id='label_41_262_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_262_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_262' type='radio' value='0'  id='choice_41_262_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_262_2' id='label_41_262_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_261\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u062d\u0633\u0648\u062f \u0627\u0633\u062a.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_261'>\n\t\t\t<div class='gchoice gchoice_41_261_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_261' type='radio' value='2'  id='choice_41_261_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_261_0' id='label_41_261_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_261_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_261' type='radio' value='1'  id='choice_41_261_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_261_1' id='label_41_261_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_261_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_261' type='radio' value='0'  id='choice_41_261_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_261_2' id='label_41_261_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_260\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0642\u0648\u0627\u0646\u06cc\u0646 \u0648 \u0642\u0648\u0627\u0639\u062f \u0631\u0627 \u062f\u0631 \u062e\u0627\u0646\u0647\u060c \u0645\u062f\u0631\u0633\u0647 \u0648 \u062c\u0627\u0647\u0627\u06cc \u062f\u06cc\u06af\u0631 \u0646\u0642\u0636 \u0645\u06cc \u06a9\u0646\u062f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_260'>\n\t\t\t<div class='gchoice gchoice_41_260_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_260' type='radio' value='2'  id='choice_41_260_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_260_0' id='label_41_260_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_260_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_260' type='radio' value='1'  id='choice_41_260_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_260_1' id='label_41_260_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_260_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_260' type='radio' value='0'  id='choice_41_260_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_260_2' id='label_41_260_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_327\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0627\u0632 \u062d\u06cc\u0648\u0627\u0646\u0627\u062a\u060c \u0648\u0636\u0639\u06cc\u062a \u0647\u0627\u060c \u0645\u0648\u0642\u0639\u06cc\u062a\u06cc \u0647\u0627 \u06cc\u0627 \u0628\u0639\u0636\u06cc \u062c\u0627\u0647\u0627\u06cc \u062e\u0627\u0635 (\u063a\u06cc\u0631 \u0627\u0632 \u0645\u062f\u0631\u0633\u0647 ) \u0645\u06cc \u062a\u0631\u0633\u062f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_327'>\n\t\t\t<div class='gchoice gchoice_41_327_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_327' type='radio' value='2'  id='choice_41_327_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_327_0' id='label_41_327_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_327_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_327' type='radio' value='1'  id='choice_41_327_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_327_1' id='label_41_327_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_327_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_327' type='radio' value='0'  id='choice_41_327_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_327_2' id='label_41_327_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_41_328\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_41_328'>\u062a\u0648\u0636\u06cc\u062d \u062f\u0647\u06cc\u062f \u0627\u0632 \u0686\u0647 \u0645\u06cc \u062a\u0631\u0633\u062f<\/label><div class='ginput_container ginput_container_text'><input name='input_328' id='input_41_328' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_41_273\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0627\u0632 \u0631\u0641\u062a\u0646 \u0628\u0647 \u0645\u062f\u0631\u0633\u0647 \u0645\u06cc \u062a\u0631\u0633\u062f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_273'>\n\t\t\t<div class='gchoice gchoice_41_273_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_273' type='radio' value='2'  id='choice_41_273_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_273_0' id='label_41_273_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_273_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_273' type='radio' value='1'  id='choice_41_273_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_273_1' id='label_41_273_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_273_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_273' type='radio' value='0'  id='choice_41_273_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_273_2' id='label_41_273_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_274\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0627\u0632 \u0627\u06cc\u0646\u06a9\u0647 \u0641\u06a9\u0631 \u0628\u062f\u06cc \u0628\u0647 \u0633\u0631\u0634 \u0628\u0632\u0646\u062f \u06cc\u0627 \u0639\u0645\u0644 \u0628\u062f\u06cc \u0627\u0646\u062c\u0627\u0645 \u062f\u0647\u062f \u0645\u06cc \u062a\u0631\u0633\u062f.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_274'>\n\t\t\t<div class='gchoice gchoice_41_274_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_274' type='radio' value='2'  id='choice_41_274_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_274_0' id='label_41_274_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_274_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_274' type='radio' value='1'  id='choice_41_274_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_274_1' id='label_41_274_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_274_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_274' type='radio' value='0'  id='choice_41_274_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_274_2' id='label_41_274_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_259\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0627\u062d\u0633\u0627\u0633 \u0645\u06cc \u06a9\u0646\u062f \u06a9\u0647 \u0627\u0632 \u0647\u0631 \u062c\u0647\u062a \u0628\u0627\u06cc\u062f \u0628\u06cc \u0639\u06cc\u0628 \u0648 \u0646\u0642\u0635 \u0628\u0627\u0634\u062f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_259'>\n\t\t\t<div class='gchoice gchoice_41_259_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_259' type='radio' value='2'  id='choice_41_259_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_259_0' id='label_41_259_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_259_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_259' type='radio' value='1'  id='choice_41_259_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_259_1' id='label_41_259_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_259_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_259' type='radio' value='0'  id='choice_41_259_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_259_2' id='label_41_259_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_297\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0627\u062d\u0633\u0627\u0633 \u0645\u06cc \u06a9\u0646\u062f \u06a9\u0647 \u0647\u06cc\u0686 \u06a9\u0633 \u0627\u0648 \u0631\u0627 \u062f\u0648\u0633\u062a \u0646\u062f\u0627\u0631\u062f.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_297'>\n\t\t\t<div class='gchoice gchoice_41_297_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_297' type='radio' value='2'  id='choice_41_297_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_297_0' id='label_41_297_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_297_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_297' type='radio' value='1'  id='choice_41_297_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_297_1' id='label_41_297_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_297_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_297' type='radio' value='0'  id='choice_41_297_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_297_2' id='label_41_297_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_295\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0627\u062d\u0633\u0627\u0633 \u0645\u06cc \u06a9\u0646\u062f \u062f\u06cc\u06af\u0631\u0627\u0646 \u062f\u0633\u062a \u0646\u06cc\u0627\u0641\u062a\u0646\u06cc \u0647\u0633\u062a\u0646\u062f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_295'>\n\t\t\t<div class='gchoice gchoice_41_295_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_295' type='radio' value='2'  id='choice_41_295_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_295_0' id='label_41_295_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_295_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_295' type='radio' value='1'  id='choice_41_295_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_295_1' id='label_41_295_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_295_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_295' type='radio' value='0'  id='choice_41_295_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_295_2' id='label_41_295_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_294\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0627\u062d\u0633\u0627\u0633 \u0628\u06cc \u0627\u0631\u0632\u0634\u06cc \u0645\u06cc \u06a9\u0646\u062f \u0648 \u062e\u0648\u062f\u0634 \u0631\u0627 \u06a9\u0645\u062a\u0631 \u0627\u0632 \u0622\u0646\u0686\u0647 \u0647\u0633\u062a \u0645\u06cc \u067e\u0646\u062f\u0627\u0631\u062f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_294'>\n\t\t\t<div class='gchoice gchoice_41_294_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_294' type='radio' value='2'  id='choice_41_294_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_294_0' id='label_41_294_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_294_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_294' type='radio' value='1'  id='choice_41_294_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_294_1' id='label_41_294_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_294_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_294' type='radio' value='0'  id='choice_41_294_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_294_2' id='label_41_294_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_293\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0632\u06cc\u0627\u062f \u0628\u0647 \u062e\u0648\u062f \u0635\u062f\u0645\u0647 \u0645\u06cc \u0632\u0646\u062f\u060c \u0645\u0633\u062a\u0639\u062f \u0622\u0633\u06cc\u0628 \u062f\u06cc\u062f\u0646 \u0627\u0633\u062a.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_293'>\n\t\t\t<div class='gchoice gchoice_41_293_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_293' type='radio' value='2'  id='choice_41_293_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_293_0' id='label_41_293_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_293_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_293' type='radio' value='1'  id='choice_41_293_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_293_1' id='label_41_293_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_293_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_293' type='radio' value='0'  id='choice_41_293_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_293_2' id='label_41_293_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_326\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0632\u06cc\u0627\u062f \u062c\u0646\u06af \u0648 \u062f\u0639\u0648\u0627 \u0645\u06cc \u06a9\u0646\u062f.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_326'>\n\t\t\t<div class='gchoice gchoice_41_326_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_326' type='radio' value='2'  id='choice_41_326_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_326_0' id='label_41_326_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_326_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_326' type='radio' value='1'  id='choice_41_326_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_326_1' id='label_41_326_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_326_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_326' type='radio' value='0'  id='choice_41_326_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_326_2' id='label_41_326_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_292\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0632\u06cc\u0627\u062f \u0633\u0631 \u0628\u0647 \u0633\u0631 \u062f\u06cc\u06af\u0631\u0627\u0646 \u0645\u06cc \u06af\u0630\u0627\u0631\u062f.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_292'>\n\t\t\t<div class='gchoice gchoice_41_292_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_292' type='radio' value='2'  id='choice_41_292_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_292_0' id='label_41_292_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_292_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_292' type='radio' value='1'  id='choice_41_292_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_292_1' id='label_41_292_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_292_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_292' type='radio' value='0'  id='choice_41_292_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_292_2' id='label_41_292_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_291\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u062f\u0648\u0631 \u0648 \u0628\u0631 \u0628\u0686\u0647 \u0647\u0627\u06cc\u06cc \u0645\u06cc \u06af\u0631\u062f\u062f \u06a9\u0647 \u062f\u0631\u062f\u0633\u0631 \u062f\u0631\u0633\u062a \u0645\u06cc \u06a9\u0646\u0646\u062f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_291'>\n\t\t\t<div class='gchoice gchoice_41_291_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_291' type='radio' value='2'  id='choice_41_291_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_291_0' id='label_41_291_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_291_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_291' type='radio' value='1'  id='choice_41_291_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_291_1' id='label_41_291_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_291_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_291' type='radio' value='0'  id='choice_41_291_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_291_2' id='label_41_291_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_290\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0635\u062f\u0627\u0647\u0627\u06cc\u06cc \u0645\u06cc \u0634\u0646\u0648\u062f \u06a9\u0647 \u0648\u062c\u0648\u062f \u062e\u0627\u0631\u062c\u06cc \u0646\u062f\u0627\u0631\u0646\u062f (\u062f\u06cc\u06af\u0631\u0627\u0646 \u0642\u0627\u062f\u0631 \u0628\u0647 \u0634\u0646\u06cc\u062f\u0646 \u0622\u0646\u0647\u0627 \u0646\u06cc\u0633\u062a\u0646\u062f) \u062a\u0648\u0636\u06cc\u062d \u062f\u0647\u06cc\u062f:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_290'>\n\t\t\t<div class='gchoice gchoice_41_290_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_290' type='radio' value='2'  id='choice_41_290_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_290_0' id='label_41_290_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_290_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_290' type='radio' value='1'  id='choice_41_290_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_290_1' id='label_41_290_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_290_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_290' type='radio' value='0'  id='choice_41_290_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_290_2' id='label_41_290_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_296\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0628\u062f\u0648\u0646 \u0641\u06a9\u0631 \u0639\u0645\u0644 \u0645\u06cc \u06a9\u0646\u062f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_296'>\n\t\t\t<div class='gchoice gchoice_41_296_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_296' type='radio' value='2'  id='choice_41_296_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_296_0' id='label_41_296_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_296_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_296' type='radio' value='1'  id='choice_41_296_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_296_1' id='label_41_296_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_296_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_296' type='radio' value='0'  id='choice_41_296_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_296_2' id='label_41_296_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_289\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u062a\u0646\u0647\u0627\u06cc\u06cc \u0631\u0627 \u062f\u0648\u0633\u062a \u062f\u0627\u0631\u062f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_289'>\n\t\t\t<div class='gchoice gchoice_41_289_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_289' type='radio' value='2'  id='choice_41_289_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_289_0' id='label_41_289_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_289_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_289' type='radio' value='1'  id='choice_41_289_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_289_1' id='label_41_289_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_289_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_289' type='radio' value='0'  id='choice_41_289_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_289_2' id='label_41_289_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_301\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u062f\u0631\u0648\u063a \u0645\u06cc \u06af\u0648\u06cc\u062f\u060c \u062d\u06cc\u0644\u0647 \u06af\u0631\u06cc \u0648 \u062a\u0642\u0644\u0628 \u0645\u06cc \u06a9\u0646\u062f\u060c \u062f\u06cc\u06af\u0631\u0627\u0646 \u0631\u0627 \u06af\u0648\u0644 \u0645\u06cc \u0632\u0646\u062f.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_301'>\n\t\t\t<div class='gchoice gchoice_41_301_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_301' type='radio' value='2'  id='choice_41_301_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_301_0' id='label_41_301_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_301_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_301' type='radio' value='1'  id='choice_41_301_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_301_1' id='label_41_301_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_301_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_301' type='radio' value='0'  id='choice_41_301_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_301_2' id='label_41_301_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_300\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0639\u0627\u062f\u062a \u0628\u0647 \u0646\u0627\u062e\u0646 \u062c\u0648\u06cc\u062f\u0646 \u062f\u0627\u0631\u062f.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_300'>\n\t\t\t<div class='gchoice gchoice_41_300_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_300' type='radio' value='2'  id='choice_41_300_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_300_0' id='label_41_300_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_300_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_300' type='radio' value='1'  id='choice_41_300_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_300_1' id='label_41_300_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_300_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_300' type='radio' value='0'  id='choice_41_300_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_300_2' id='label_41_300_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_299\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0632\u06cc\u0627\u062f \u062d\u0633\u0627\u0633 \u0627\u0633\u062a\u060c \u0632\u0648\u062f \u0639\u0635\u0628\u06cc \u0648 \u0647\u06cc\u062c\u0627\u0646 \u0632\u062f\u0647 \u0645\u06cc \u0634\u0648\u062f\u060c \u062d\u0631\u06a9\u0627\u062a \u0648 \u067e\u0631\u0634 \u0647\u0627\u06cc \u063a\u06cc\u0631 \u0627\u0631\u0627\u062f\u06cc \u062f\u0631 \u0627\u0646\u062f\u0627\u0645 \u0628\u062f\u0646 \u062e\u0648\u062f \u062f\u0627\u0631\u062f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_299'>\n\t\t\t<div class='gchoice gchoice_41_299_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_299' type='radio' value='2'  id='choice_41_299_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_299_0' id='label_41_299_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_299_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_299' type='radio' value='1'  id='choice_41_299_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_299_1' id='label_41_299_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_299_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_299' type='radio' value='0'  id='choice_41_299_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_299_2' id='label_41_299_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_41_304\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_41_304'>\u062a\u0648\u0636\u06cc\u062d \u062f\u0647\u06cc\u062f<\/label><div class='ginput_container ginput_container_text'><input name='input_304' id='input_41_304' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_41_303\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u062e\u0648\u0627\u0628 \u0647\u0627\u06cc \u0648\u062d\u0634\u062a\u0646\u0627\u06a9 \u0645\u06cc \u0628\u06cc\u0646\u062f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_303'>\n\t\t\t<div class='gchoice gchoice_41_303_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_303' type='radio' value='2'  id='choice_41_303_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_303_0' id='label_41_303_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_303_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_303' type='radio' value='1'  id='choice_41_303_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_303_1' id='label_41_303_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_303_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_303' type='radio' value='0'  id='choice_41_303_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_303_2' id='label_41_303_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_302\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0628\u0686\u0647 \u0647\u0627\u06cc \u062f\u06cc\u06af\u0631 \u0631\u0627 \u062f\u0648\u0633\u062a \u0646\u062f\u0627\u0631\u062f\u200c<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_302'>\n\t\t\t<div class='gchoice gchoice_41_302_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_302' type='radio' value='2'  id='choice_41_302_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_302_0' id='label_41_302_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_302_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_302' type='radio' value='1'  id='choice_41_302_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_302_1' id='label_41_302_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_302_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_302' type='radio' value='0'  id='choice_41_302_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_302_2' id='label_41_302_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_298\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u06cc\u0628\u0648\u0633\u062a \u062f\u0627\u0631\u062f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_298'>\n\t\t\t<div class='gchoice gchoice_41_298_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_298' type='radio' value='2'  id='choice_41_298_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_298_0' id='label_41_298_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_298_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_298' type='radio' value='1'  id='choice_41_298_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_298_1' id='label_41_298_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_298_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_298' type='radio' value='0'  id='choice_41_298_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_298_2' id='label_41_298_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_308\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0628\u0633\u06cc\u0627\u0631 \u062a\u0631\u0633\u0648\u0633\u062a \u0648 \u0645\u0636\u0637\u0631\u0628 \u0645\u06cc \u0634\u0648\u062f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_308'>\n\t\t\t<div class='gchoice gchoice_41_308_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_308' type='radio' value='2'  id='choice_41_308_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_308_0' id='label_41_308_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_308_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_308' type='radio' value='1'  id='choice_41_308_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_308_1' id='label_41_308_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_308_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_308' type='radio' value='0'  id='choice_41_308_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_308_2' id='label_41_308_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_307\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0627\u062d\u0633\u0627\u0633 \u0633\u0631\u06af\u06cc\u062c\u0647 \u0645\u06cc \u06a9\u0646\u062f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_307'>\n\t\t\t<div class='gchoice gchoice_41_307_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_307' type='radio' value='2'  id='choice_41_307_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_307_0' id='label_41_307_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_307_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_307' type='radio' value='1'  id='choice_41_307_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_307_1' id='label_41_307_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_307_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_307' type='radio' value='0'  id='choice_41_307_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_307_2' id='label_41_307_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_306\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0632\u06cc\u0627\u062f \u0627\u062d\u0633\u0627\u0633 \u06af\u0646\u0627\u0647 \u0645\u06cc \u06a9\u0646\u062f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_306'>\n\t\t\t<div class='gchoice gchoice_41_306_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_306' type='radio' value='2'  id='choice_41_306_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_306_0' id='label_41_306_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_306_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_306' type='radio' value='1'  id='choice_41_306_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_306_1' id='label_41_306_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_306_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_306' type='radio' value='0'  id='choice_41_306_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_306_2' id='label_41_306_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_309\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0632\u06cc\u0627\u062f \u063a\u0630\u0627 \u0645\u06cc \u062e\u0648\u0631\u062f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_309'>\n\t\t\t<div class='gchoice gchoice_41_309_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_309' type='radio' value='2'  id='choice_41_309_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_309_0' id='label_41_309_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_309_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_309' type='radio' value='1'  id='choice_41_309_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_309_1' id='label_41_309_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_309_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_309' type='radio' value='0'  id='choice_41_309_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_309_2' id='label_41_309_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_305\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0628\u06cc\u0634 \u0627\u0632 \u0627\u0646\u062f\u0627\u0632\u0647 \u0627\u062d\u0633\u0627\u0633 \u062e\u0633\u062a\u06af\u06cc \u0645\u06cc \u06a9\u0646\u062f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_305'>\n\t\t\t<div class='gchoice gchoice_41_305_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_305' type='radio' value='2'  id='choice_41_305_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_305_0' id='label_41_305_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_305_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_305' type='radio' value='1'  id='choice_41_305_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_305_1' id='label_41_305_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_305_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_305' type='radio' value='0'  id='choice_41_305_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_305_2' id='label_41_305_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_310\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0627\u0636\u0627\u0641\u0647 \u0648\u0632\u0646 \u062f\u0627\u0631\u062f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_310'>\n\t\t\t<div class='gchoice gchoice_41_310_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_310' type='radio' value='2'  id='choice_41_310_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_310_0' id='label_41_310_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_310_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_310' type='radio' value='1'  id='choice_41_310_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_310_1' id='label_41_310_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_310_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_310' type='radio' value='0'  id='choice_41_310_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_310_2' id='label_41_310_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_41_318\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><\/div><fieldset id=\"field_41_316\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u062f\u0631\u062f \u062f\u0631 \u0646\u0642\u0627\u0637 \u0645\u062e\u062a\u0644\u0641 \u0628\u062f\u0646<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_316'>\n\t\t\t<div class='gchoice gchoice_41_316_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_316' type='radio' value='2'  id='choice_41_316_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_316_0' id='label_41_316_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_316_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_316' type='radio' value='1'  id='choice_41_316_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_316_1' id='label_41_316_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_316_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_316' type='radio' value='0'  id='choice_41_316_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_316_2' id='label_41_316_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_315\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0633\u0631\u062f\u0631\u062f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_315'>\n\t\t\t<div class='gchoice gchoice_41_315_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_315' type='radio' value='2'  id='choice_41_315_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_315_0' id='label_41_315_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_315_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_315' type='radio' value='1'  id='choice_41_315_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_315_1' id='label_41_315_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_315_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_315' type='radio' value='0'  id='choice_41_315_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_315_2' id='label_41_315_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_314\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u062d\u0627\u0644\u062a \u062a\u0647\u0648\u0639\u060c \u0627\u062d\u0633\u0627\u0633 \u062d\u0627\u0644 \u0628\u0647 \u0647\u0645 \u062e\u0648\u0631\u062f\u0646<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_314'>\n\t\t\t<div class='gchoice gchoice_41_314_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_314' type='radio' value='2'  id='choice_41_314_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_314_0' id='label_41_314_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_314_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_314' type='radio' value='1'  id='choice_41_314_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_314_1' id='label_41_314_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_314_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_314' type='radio' value='0'  id='choice_41_314_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_314_2' id='label_41_314_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_313\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0646\u0627\u0631\u0627\u062d\u062a\u06cc \u0686\u0634\u0645\u06cc \u0627\u06af\u0631 \u0628\u0627 \u0639\u06cc\u0646\u06a9 \u0628\u0631\u0637\u0631\u0641 \u0646\u0645\u06cc \u0634\u0648\u062f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_313'>\n\t\t\t<div class='gchoice gchoice_41_313_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_313' type='radio' value='2'  id='choice_41_313_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_313_0' id='label_41_313_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_313_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_313' type='radio' value='1'  id='choice_41_313_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_313_1' id='label_41_313_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_313_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_313' type='radio' value='0'  id='choice_41_313_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_313_2' id='label_41_313_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_41_319\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_41_319'>\u062a\u0648\u0636\u06cc\u062d \u062f\u0647\u06cc\u062f<\/label><div class='ginput_container ginput_container_text'><input name='input_319' id='input_41_319' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_41_312\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u062c\u0648\u0634 \u06cc\u0627 \u0645\u0634\u06a9\u0644\u0627\u062a \u067e\u0648\u0633\u062a\u06cc<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_312'>\n\t\t\t<div class='gchoice gchoice_41_312_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_312' type='radio' value='2'  id='choice_41_312_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_312_0' id='label_41_312_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_312_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_312' type='radio' value='1'  id='choice_41_312_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_312_1' id='label_41_312_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_312_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_312' type='radio' value='0'  id='choice_41_312_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_312_2' id='label_41_312_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_317\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u062f\u0644 \u062f\u0631\u062f \u06cc\u0627 \u062f\u0644 \u067e\u06cc\u062c\u0647<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_317'>\n\t\t\t<div class='gchoice gchoice_41_317_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_317' type='radio' value='2'  id='choice_41_317_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_317_0' id='label_41_317_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_317_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_317' type='radio' value='1'  id='choice_41_317_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_317_1' id='label_41_317_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_317_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_317' type='radio' value='0'  id='choice_41_317_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_317_2' id='label_41_317_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_311\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0627\u0633\u062a\u0641\u0631\u0627\u063a \u06cc\u0627 \u0628\u0627\u0644\u0627 \u0622\u0648\u0631\u062f\u0646<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_311'>\n\t\t\t<div class='gchoice gchoice_41_311_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_311' type='radio' value='2'  id='choice_41_311_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_311_0' id='label_41_311_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_311_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_311' type='radio' value='1'  id='choice_41_311_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_311_1' id='label_41_311_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_311_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_311' type='radio' value='0'  id='choice_41_311_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_311_2' id='label_41_311_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_41_325\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_41_325'>\u0633\u0627\u06cc\u0631 \u0646\u0627\u0631\u0627\u062d\u062a\u06cc \u0647\u0627 \u0642\u06cc\u062f \u06af\u0631\u062f\u062f<\/label><div class='ginput_container ginput_container_text'><input name='input_325' id='input_41_325' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_41_323\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0628\u06cc \u062f\u0644\u06cc\u0644 \u0628\u0627 \u062f\u06cc\u06af\u0631\u0627\u0646 \u06a9\u062a\u06a9 \u06a9\u0627\u0631\u06cc \u0645\u06cc \u06a9\u0646\u062f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_323'>\n\t\t\t<div class='gchoice gchoice_41_323_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_323' type='radio' value='2'  id='choice_41_323_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_323_0' id='label_41_323_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_323_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_323' type='radio' value='1'  id='choice_41_323_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_323_1' id='label_41_323_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_323_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_323' type='radio' value='0'  id='choice_41_323_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_323_2' id='label_41_323_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_322\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0628\u0627 \u0628\u06cc\u0646\u06cc\u060c \u067e\u0648\u0633\u062a \u0648 \u06cc\u0627 \u062f\u06cc\u06af\u0631 \u0646\u0642\u0627\u0637 \u0628\u062f\u0646\u0634 \u0648\u0631 \u0645\u06cc \u0631\u0648\u062f \u0648 \u0622\u0646 \u0647\u0627 \u0631\u0627 \u0632\u062e\u0645 \u0645\u06cc \u06a9\u0646\u062f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_322'>\n\t\t\t<div class='gchoice gchoice_41_322_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_322' type='radio' value='2'  id='choice_41_322_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_322_0' id='label_41_322_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_322_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_322' type='radio' value='1'  id='choice_41_322_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_322_1' id='label_41_322_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_322_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_322' type='radio' value='0'  id='choice_41_322_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_322_2' id='label_41_322_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_41_329\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_41_329'>\u062a\u0648\u0636\u06cc\u062d \u062f\u0647\u06cc\u062f<\/label><div class='ginput_container ginput_container_text'><input name='input_329' id='input_41_329' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_41_330\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u062a\u0627\u0628\u0644\u062a\u0628\u0627 \u0622\u0644\u062a \u062a\u0646\u0627\u0633\u0644\u06cc \u062e\u0648\u062f \u062f\u0631 \u062d\u0636\u0648\u0631 \u062f\u06cc\u06af\u0631\u0627\u0646 \u0648\u0631 \u0645\u06cc \u0631\u0648\u062f \u0648 \u0628\u0627\u0632\u06cc \u0645\u06cc \u06a9\u0646\u062f.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_330'>\n\t\t\t<div class='gchoice gchoice_41_330_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_330' type='radio' value='2'  id='choice_41_330_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_330_0' id='label_41_330_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_330_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_330' type='radio' value='1'  id='choice_41_330_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_330_1' id='label_41_330_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_330_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_330' type='radio' value='0'  id='choice_41_330_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_330_2' id='label_41_330_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_341\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0628\u0627 \u0622\u0644\u062a \u062a\u0646\u0627\u0633\u0644\u06cc \u062e\u0648\u062f \u0632\u06cc\u0627\u062f \u0628\u0627\u0632\u06cc \u0645\u06cc \u06a9\u0646\u062f.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_341'>\n\t\t\t<div class='gchoice gchoice_41_341_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_341' type='radio' value='2'  id='choice_41_341_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_341_0' id='label_41_341_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_341_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_341' type='radio' value='1'  id='choice_41_341_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_341_1' id='label_41_341_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_341_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_341' type='radio' value='0'  id='choice_41_341_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_341_2' id='label_41_341_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_340\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u062f\u0631 \u062f\u0631\u0633 \u062e\u0648\u0627\u0646\u062f\u0646 \u0636\u0639\u06cc\u0641 \u0627\u0633\u062a.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_340'>\n\t\t\t<div class='gchoice gchoice_41_340_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_340' type='radio' value='2'  id='choice_41_340_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_340_0' id='label_41_340_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_340_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_340' type='radio' value='1'  id='choice_41_340_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_340_1' id='label_41_340_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_340_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_340' type='radio' value='0'  id='choice_41_340_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_340_2' id='label_41_340_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_339\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u062f\u0633\u062a \u0648 \u067e\u0627 \u0686\u0644\u0641\u062a\u06cc \u0627\u0633\u062a<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_339'>\n\t\t\t<div class='gchoice gchoice_41_339_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_339' type='radio' value='2'  id='choice_41_339_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_339_0' id='label_41_339_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_339_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_339' type='radio' value='1'  id='choice_41_339_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_339_1' id='label_41_339_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_339_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_339' type='radio' value='0'  id='choice_41_339_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_339_2' id='label_41_339_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_338\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u062a\u0631\u062c\u06cc\u062d \u0645\u06cc \u062f\u0647\u062f \u0628\u0627 \u0628\u0686\u0647 \u0647\u0627\u06cc \u0628\u0632\u0631\u06af \u062a\u0631 \u0627\u0632 \u062e\u0648\u062f\u0634 \u0628\u0627\u0634\u062f.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_338'>\n\t\t\t<div class='gchoice gchoice_41_338_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_338' type='radio' value='2'  id='choice_41_338_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_338_0' id='label_41_338_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_338_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_338' type='radio' value='1'  id='choice_41_338_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_338_1' id='label_41_338_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_338_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_338' type='radio' value='0'  id='choice_41_338_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_338_2' id='label_41_338_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_337\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u062a\u0631\u062c\u06cc\u062d \u0645\u06cc \u062f\u0647\u062f \u0628\u0627 \u0628\u0686\u0647 \u0647\u0627\u06cc \u06a9\u0648\u0686\u06a9 \u062a\u0631 \u0627\u0632 \u062e\u0648\u062f \u0628\u0627\u0634\u062f.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_337'>\n\t\t\t<div class='gchoice gchoice_41_337_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_337' type='radio' value='2'  id='choice_41_337_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_337_0' id='label_41_337_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_337_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_337' type='radio' value='1'  id='choice_41_337_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_337_1' id='label_41_337_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_337_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_337' type='radio' value='0'  id='choice_41_337_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_337_2' id='label_41_337_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_336\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0627\u0632 \u0635\u062d\u0628\u062a \u06a9\u0631\u062f\u0646 \u0628\u0627 \u0627\u0641\u0631\u0627\u062f \u063a\u0631\u06cc\u0628\u0647 \u062e\u0648\u062f\u062f\u0627\u0631\u06cc \u0645\u06cc \u06a9\u0646\u062f.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_336'>\n\t\t\t<div class='gchoice gchoice_41_336_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_336' type='radio' value='2'  id='choice_41_336_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_336_0' id='label_41_336_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_336_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_336' type='radio' value='1'  id='choice_41_336_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_336_1' id='label_41_336_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_336_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_336' type='radio' value='0'  id='choice_41_336_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_336_2' id='label_41_336_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_335\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u062e\u0648\u062f\u0634 \u0631\u0627 \u0645\u062c\u0628\u0648\u0631 \u0628\u0647 \u0628\u0639\u0636\u06cc \u0627\u0639\u0645\u0627\u0644 \u0645\u06cc \u0628\u06cc\u0646\u062f (\u0627\u0639\u0645\u0627\u0644 \u0648\u0633\u0648\u0627\u0633\u06cc).<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_335'>\n\t\t\t<div class='gchoice gchoice_41_335_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_335' type='radio' value='2'  id='choice_41_335_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_335_0' id='label_41_335_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_335_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_335' type='radio' value='1'  id='choice_41_335_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_335_1' id='label_41_335_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_335_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_335' type='radio' value='0'  id='choice_41_335_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_335_2' id='label_41_335_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_41_342\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_41_342'>\u062a\u0648\u0636\u06cc\u062d \u062f\u0647\u06cc\u062f<\/label><div class='ginput_container ginput_container_text'><input name='input_342' id='input_41_342' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_41_334\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0627\u0632 \u0645\u0646\u0632\u0644 \u0641\u0631\u0627\u0631 \u0645\u06cc \u06a9\u0646\u062f.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_334'>\n\t\t\t<div class='gchoice gchoice_41_334_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_334' type='radio' value='2'  id='choice_41_334_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_334_0' id='label_41_334_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_334_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_334' type='radio' value='1'  id='choice_41_334_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_334_1' id='label_41_334_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_334_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_334' type='radio' value='0'  id='choice_41_334_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_334_2' id='label_41_334_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_333\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0632\u06cc\u0627\u062f \u062c\u06cc\u063a \u0645\u06cc \u06a9\u0634\u062f.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_333'>\n\t\t\t<div class='gchoice gchoice_41_333_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_333' type='radio' value='2'  id='choice_41_333_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_333_0' id='label_41_333_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_333_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_333' type='radio' value='1'  id='choice_41_333_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_333_1' id='label_41_333_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_333_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_333' type='radio' value='0'  id='choice_41_333_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_333_2' id='label_41_333_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_332\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0645\u0631\u0645\u0648\u0632 \u0648 \u062a\u0648\u062f\u0627\u0631 \u0627\u0633\u062a\u060c \u0645\u0637\u0627\u0644\u0628 \u0631\u0627 \u062a\u0648\u06cc \u062e\u0648\u062f\u0634 \u0646\u06af\u0647 \u0645\u06cc \u062f\u0627\u0631\u062f.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_332'>\n\t\t\t<div class='gchoice gchoice_41_332_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_332' type='radio' value='2'  id='choice_41_332_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_332_0' id='label_41_332_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_332_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_332' type='radio' value='1'  id='choice_41_332_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_332_1' id='label_41_332_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_332_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_332' type='radio' value='0'  id='choice_41_332_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_332_2' id='label_41_332_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_331\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0686\u06cc\u0632\u0647\u0627\u06cc\u06cc \u0631\u0627 \u0645\u06cc \u0628\u06cc\u0646\u062f \u06a9\u0647 \u0648\u062c\u0648\u062f \u062e\u0627\u0631\u062c\u06cc \u0646\u062f\u0627\u0631\u0646\u062f (\u062f\u06cc\u06af\u0631\u0627\u0646 \u0642\u0627\u062f\u0631 \u0628\u0647 \u062f\u06cc\u062f\u0646 \u0622\u0646\u0647\u0627 \u0646\u06cc\u0633\u062a\u0646\u062f).<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_331'>\n\t\t\t<div class='gchoice gchoice_41_331_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_331' type='radio' value='2'  id='choice_41_331_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_331_0' id='label_41_331_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_331_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_331' type='radio' value='1'  id='choice_41_331_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_331_1' id='label_41_331_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_331_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_331' type='radio' value='0'  id='choice_41_331_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_331_2' id='label_41_331_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_41_345\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_41_345'>\u062a\u0648\u0636\u06cc\u062d \u062f\u0647\u06cc\u062f<\/label><div class='ginput_container ginput_container_text'><input name='input_345' id='input_41_345' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_41_344\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u06a9\u0645\u0631\u0648 \u0648 \u062e\u062c\u0627\u0644\u062a\u06cc \u0627\u0633\u062a.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_344'>\n\t\t\t<div class='gchoice gchoice_41_344_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_344' type='radio' value='2'  id='choice_41_344_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_344_0' id='label_41_344_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_344_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_344' type='radio' value='1'  id='choice_41_344_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_344_1' id='label_41_344_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_344_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_344' type='radio' value='0'  id='choice_41_344_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_344_2' id='label_41_344_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_343\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0622\u062a\u0634 \u0627\u0641\u0631\u0648\u0632\u06cc \u0645\u06cc \u06a9\u0646\u062f.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_343'>\n\t\t\t<div class='gchoice gchoice_41_343_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_343' type='radio' value='2'  id='choice_41_343_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_343_0' id='label_41_343_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_343_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_343' type='radio' value='1'  id='choice_41_343_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_343_1' id='label_41_343_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_343_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_343' type='radio' value='0'  id='choice_41_343_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_343_2' id='label_41_343_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_358\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0645\u0634\u06a9\u0644\u0627\u062a \u062c\u0646\u0633\u06cc \u062f\u0627\u0631\u062f.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_358'>\n\t\t\t<div class='gchoice gchoice_41_358_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_358' type='radio' value='2'  id='choice_41_358_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_358_0' id='label_41_358_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_358_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_358' type='radio' value='1'  id='choice_41_358_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_358_1' id='label_41_358_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_358_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_358' type='radio' value='0'  id='choice_41_358_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_358_2' id='label_41_358_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_41_360\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_41_360'>\u062a\u0648\u0636\u06cc\u062d \u062f\u0647\u06cc\u062f<\/label><div class='ginput_container ginput_container_text'><input name='input_360' id='input_41_360' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_41_357\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u062e\u0648\u062f\u0646\u0645\u0627\u06cc\u06cc \u06cc\u0627 \u062f\u0644\u0642\u06a9 \u0628\u0627\u0632\u06cc \u0645\u06cc \u06a9\u0646\u062f.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_357'>\n\t\t\t<div class='gchoice gchoice_41_357_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_357' type='radio' value='2'  id='choice_41_357_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_357_0' id='label_41_357_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_357_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_357' type='radio' value='1'  id='choice_41_357_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_357_1' id='label_41_357_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_357_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_357' type='radio' value='0'  id='choice_41_357_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_357_2' id='label_41_357_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_356\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0628\u06cc\u0634 \u0627\u0632 \u062d\u062f \u062a\u0631\u0633\u0648\u0633\u062a \u0637\u0648\u0631\u06cc \u06a9\u0647 \u0632\u0647\u0631 \u062a\u0631\u06a9 \u0645\u06cc\u00ac\u0634\u0648\u062f.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_356'>\n\t\t\t<div class='gchoice gchoice_41_356_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_356' type='radio' value='2'  id='choice_41_356_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_356_0' id='label_41_356_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_356_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_356' type='radio' value='1'  id='choice_41_356_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_356_1' id='label_41_356_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_356_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_356' type='radio' value='0'  id='choice_41_356_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_356_2' id='label_41_356_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_355\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u06a9\u0645\u062a\u0631 \u0627\u0632 \u0628\u0686\u0647 \u0647\u0627\u06cc \u062f\u06cc\u06af\u0631 \u0645\u06cc \u062e\u0648\u0627\u0628\u062f.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_355'>\n\t\t\t<div class='gchoice gchoice_41_355_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_355' type='radio' value='2'  id='choice_41_355_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_355_0' id='label_41_355_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_355_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_355' type='radio' value='1'  id='choice_41_355_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_355_1' id='label_41_355_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_355_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_355' type='radio' value='0'  id='choice_41_355_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_355_2' id='label_41_355_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_354\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u062f\u0631 \u0637\u0648\u0644 \u0631\u0648\u0632 \u0648 \u06cc\u0627 \u0634\u0628 \u0628\u06cc\u0634\u062a\u0631 \u0627\u0632 \u062f\u06cc\u06af\u0631 \u0628\u0686\u0647 \u0647\u0627 \u0645\u06cc \u062e\u0648\u0627\u0628\u062f.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_354'>\n\t\t\t<div class='gchoice gchoice_41_354_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_354' type='radio' value='2'  id='choice_41_354_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_354_0' id='label_41_354_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_354_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_354' type='radio' value='1'  id='choice_41_354_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_354_1' id='label_41_354_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_354_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_354' type='radio' value='0'  id='choice_41_354_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_354_2' id='label_41_354_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_41_361\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_41_361'>\u062a\u0648\u0636\u06cc\u062d \u062f\u0647\u06cc\u062f<\/label><div class='ginput_container ginput_container_text'><input name='input_361' id='input_41_361' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_41_353\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0628\u06cc \u062a\u0648\u062c\u0647 \u0627\u0633\u062a \u06cc\u0627 \u0628\u0647 \u0631\u0627\u062d\u062a\u06cc \u062d\u0648\u0627\u0633\u0634 \u067e\u0631\u062a \u0645\u06cc \u0634\u0648\u062f.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_353'>\n\t\t\t<div class='gchoice gchoice_41_353_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_353' type='radio' value='2'  id='choice_41_353_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_353_0' id='label_41_353_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_353_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_353' type='radio' value='1'  id='choice_41_353_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_353_1' id='label_41_353_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_353_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_353' type='radio' value='0'  id='choice_41_353_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_353_2' id='label_41_353_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_352\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u062f\u0631 \u0635\u062d\u0628\u062a \u06a9\u0631\u062f\u0646 \u0648 \u062f\u0631 \u0628\u06cc\u0627\u0646 \u06a9\u0644\u0645\u0627\u062a \u0645\u0634\u06a9\u0644 \u062f\u0627\u0631\u062f (\u0645\u062b\u0644\u0627\u064b \u0644\u06a9\u0646\u062a \u0632\u0628\u0627\u0646 \u062f\u0627\u0631\u062f).<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_352'>\n\t\t\t<div class='gchoice gchoice_41_352_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_352' type='radio' value='2'  id='choice_41_352_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_352_0' id='label_41_352_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_352_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_352' type='radio' value='1'  id='choice_41_352_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_352_1' id='label_41_352_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_352_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_352' type='radio' value='0'  id='choice_41_352_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_352_2' id='label_41_352_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_41_362\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_41_362'>\u062a\u0648\u0636\u06cc\u062d \u062f\u0647\u06cc\u062f<\/label><div class='ginput_container ginput_container_text'><input name='input_362' id='input_41_362' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_41_351\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0628\u062f\u0648\u0646 \u0647\u062f\u0641 \u0628\u0647 \u062c\u0627\u06cc\u06cc \u062e\u06cc\u0631\u0647 \u0645\u06cc \u0634\u0648\u062f.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_351'>\n\t\t\t<div class='gchoice gchoice_41_351_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_351' type='radio' value='2'  id='choice_41_351_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_351_0' id='label_41_351_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_351_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_351' type='radio' value='1'  id='choice_41_351_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_351_1' id='label_41_351_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_351_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_351' type='radio' value='0'  id='choice_41_351_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_351_2' id='label_41_351_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_350\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u062f\u0631 \u0645\u0646\u0632\u0644 \u0628\u062f\u0648\u0646 \u0627\u062c\u0627\u0632\u0647 \u0648\u0633\u0627\u06cc\u0644 \u0631\u0627 \u0628\u0631\u0645\u06cc \u062f\u0627\u0631\u062f (\u062f\u0632\u062f\u06cc \u0645\u06cc \u06a9\u0646\u062f).<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_350'>\n\t\t\t<div class='gchoice gchoice_41_350_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_350' type='radio' value='2'  id='choice_41_350_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_350_0' id='label_41_350_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_350_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_350' type='radio' value='1'  id='choice_41_350_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_350_1' id='label_41_350_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_350_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_350' type='radio' value='0'  id='choice_41_350_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_350_2' id='label_41_350_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_349\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u062e\u0627\u0631\u062c \u0627\u0632 \u0645\u0646\u0632\u0644 \u0628\u062f\u0648\u0646 \u0627\u062c\u0627\u0632\u0647 \u0648\u0633\u0627\u06cc\u0644 \u0631\u0627 \u0628\u0631\u0645\u06cc \u062f\u0627\u0631\u062f (\u062f\u0632\u062f\u06cc \u0645\u06cc \u06a9\u0646\u062f).<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_349'>\n\t\t\t<div class='gchoice gchoice_41_349_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_349' type='radio' value='2'  id='choice_41_349_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_349_0' id='label_41_349_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_349_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_349' type='radio' value='1'  id='choice_41_349_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_349_1' id='label_41_349_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_349_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_349' type='radio' value='0'  id='choice_41_349_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_349_2' id='label_41_349_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_348\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0686\u06cc\u0632\u0647\u0627\u06cc\u06cc \u0631\u0627 \u06a9\u0647 \u0627\u062d\u062a\u06cc\u0627\u062c \u0646\u062f\u0627\u0631\u062f \u062c\u0645\u0639 \u0645\u06cc \u06a9\u0646\u062f.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_348'>\n\t\t\t<div class='gchoice gchoice_41_348_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_348' type='radio' value='2'  id='choice_41_348_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_348_0' id='label_41_348_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_348_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_348' type='radio' value='1'  id='choice_41_348_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_348_1' id='label_41_348_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_348_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_348' type='radio' value='0'  id='choice_41_348_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_348_2' id='label_41_348_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_41_363\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_41_363'>\u062a\u0648\u0636\u06cc\u062d \u062f\u0647\u06cc\u062f<\/label><div class='ginput_container ginput_container_text'><input name='input_363' id='input_41_363' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_41_347\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0631\u0641\u062a\u0627\u0631\u0647\u0627\u06cc \u0639\u062c\u06cc\u0628 \u0648 \u063a\u0631\u06cc\u0628 \u062f\u0627\u0631\u062f.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_347'>\n\t\t\t<div class='gchoice gchoice_41_347_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_347' type='radio' value='2'  id='choice_41_347_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_347_0' id='label_41_347_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_347_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_347' type='radio' value='1'  id='choice_41_347_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_347_1' id='label_41_347_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_347_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_347' type='radio' value='0'  id='choice_41_347_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_347_2' id='label_41_347_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_41_364\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_41_364'>\u062a\u0648\u0636\u06cc\u062d \u062f\u0647\u06cc\u062f<\/label><div class='ginput_container ginput_container_text'><input name='input_364' id='input_41_364' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_41_359\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0627\u06cc\u062f\u0647\u00ac\u0647\u0627\u06cc \u0639\u062c\u06cc\u0628 \u0648 \u063a\u0631\u06cc\u0628 \u062f\u0627\u0631\u062f.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_359'>\n\t\t\t<div class='gchoice gchoice_41_359_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_359' type='radio' value='2'  id='choice_41_359_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_359_0' id='label_41_359_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_359_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_359' type='radio' value='1'  id='choice_41_359_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_359_1' id='label_41_359_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_359_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_359' type='radio' value='0'  id='choice_41_359_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_359_2' id='label_41_359_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_41_366\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_41_366'>\u062a\u0648\u0636\u06cc\u062d \u062f\u0647\u06cc\u062f<\/label><div class='ginput_container ginput_container_text'><input name='input_366' id='input_41_366' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_41_365\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u06a9\u0644\u0647 \u0634\u0642 \u0648 \u06cc\u06a9 \u062f\u0646\u062f\u0647\u060c \u0639\u0628\u0648\u0633 \u0648 \u0632\u0648\u062f\u0631\u0646\u062c \u0627\u0633\u062a.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_365'>\n\t\t\t<div class='gchoice gchoice_41_365_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_365' type='radio' value='2'  id='choice_41_365_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_365_0' id='label_41_365_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_365_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_365' type='radio' value='1'  id='choice_41_365_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_365_1' id='label_41_365_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_365_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_365' type='radio' value='0'  id='choice_41_365_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_365_2' id='label_41_365_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_346\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u062f\u0631 \u062e\u0644\u0642 \u0648 \u06cc\u0627 \u0627\u062d\u0633\u0627\u0633\u0627\u062a\u0634 \u062a\u063a\u06cc\u06cc\u0631\u0627\u062a \u0646\u0627\u06af\u0647\u0627\u0646\u06cc \u062f\u0627\u0631\u062f.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_346'>\n\t\t\t<div class='gchoice gchoice_41_346_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_346' type='radio' value='2'  id='choice_41_346_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_346_0' id='label_41_346_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_346_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_346' type='radio' value='1'  id='choice_41_346_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_346_1' id='label_41_346_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_346_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_346' type='radio' value='0'  id='choice_41_346_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_346_2' id='label_41_346_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_368\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0632\u06cc\u0627\u062f \u0642\u0647\u0631 \u0645\u06cc \u06a9\u0646\u062f \u0648 \u0627\u062e\u0645\u0648 \u0627\u0633\u062a.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_368'>\n\t\t\t<div class='gchoice gchoice_41_368_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_368' type='radio' value='2'  id='choice_41_368_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_368_0' id='label_41_368_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_368_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_368' type='radio' value='1'  id='choice_41_368_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_368_1' id='label_41_368_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_368_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_368' type='radio' value='0'  id='choice_41_368_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_368_2' id='label_41_368_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_367\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0628\u062f\u06af\u0645\u0627\u0646 \u0648 \u0634\u06a9\u0627\u06a9 \u0627\u0633\u062a.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_367'>\n\t\t\t<div class='gchoice gchoice_41_367_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_367' type='radio' value='2'  id='choice_41_367_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_367_0' id='label_41_367_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_367_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_367' type='radio' value='1'  id='choice_41_367_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_367_1' id='label_41_367_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_367_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_367' type='radio' value='0'  id='choice_41_367_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_367_2' id='label_41_367_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_370\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0641\u062d\u0634 \u0645\u06cc \u062f\u0647\u062f \u06cc\u0627 \u062f\u0631 \u0635\u062d\u0628\u062a \u0647\u0627\u06cc\u0634\u060c \u06a9\u0644\u0645\u0627\u062a \u0632\u0634\u062a \u0648 \u0648\u0642\u06cc\u062d\u0627\u0646\u0647 \u0628\u0647 \u06a9\u0627\u0631 \u0645\u06cc \u0628\u0631\u062f.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_370'>\n\t\t\t<div class='gchoice gchoice_41_370_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_370' type='radio' value='2'  id='choice_41_370_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_370_0' id='label_41_370_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_370_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_370' type='radio' value='1'  id='choice_41_370_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_370_1' id='label_41_370_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_370_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_370' type='radio' value='0'  id='choice_41_370_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_370_2' id='label_41_370_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_369\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0645\u06cc \u06af\u0648\u06cc\u062f \u0627\u0632 \u0632\u0646\u062f\u06af\u06cc \u0633\u06cc\u0631 \u0634\u062f\u0647 \u0627\u0633\u062a \u0648 \u062d\u0631\u0641 \u0647\u0627\u06cc \u0645\u0623\u06cc\u0648\u0633 \u06a9\u0646\u0646\u062f\u0647 \u0645\u06cc \u0632\u0646\u062f.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_369'>\n\t\t\t<div class='gchoice gchoice_41_369_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_369' type='radio' value='2'  id='choice_41_369_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_369_0' id='label_41_369_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_369_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_369' type='radio' value='1'  id='choice_41_369_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_369_1' id='label_41_369_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_369_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_369' type='radio' value='0'  id='choice_41_369_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_369_2' id='label_41_369_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_372\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u062f\u0631 \u062e\u0648\u0627\u0628 \u0631\u0627\u0647 \u0645\u06cc \u0631\u0648\u062f \u06cc\u0627 \u0635\u062d\u0628\u062a \u0645\u06cc \u06a9\u0646\u062f.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_372'>\n\t\t\t<div class='gchoice gchoice_41_372_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_372' type='radio' value='2'  id='choice_41_372_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_372_0' id='label_41_372_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_372_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_372' type='radio' value='1'  id='choice_41_372_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_372_1' id='label_41_372_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_372_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_372' type='radio' value='0'  id='choice_41_372_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_372_2' id='label_41_372_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_41_373\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_41_373'>\u062a\u0648\u0636\u06cc\u062d \u062f\u0647\u06cc\u062f<\/label><div class='ginput_container ginput_container_text'><input name='input_373' id='input_41_373' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_41_371\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0632\u06cc\u0627\u062f \u0635\u062d\u0628\u062a \u0645\u06cc \u06a9\u0646\u062f.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_371'>\n\t\t\t<div class='gchoice gchoice_41_371_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_371' type='radio' value='2'  id='choice_41_371_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_371_0' id='label_41_371_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_371_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_371' type='radio' value='1'  id='choice_41_371_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_371_1' id='label_41_371_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_371_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_371' type='radio' value='0'  id='choice_41_371_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_371_2' id='label_41_371_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_375\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u062f\u06cc\u06af\u0631\u06cc \u0631\u0627 \u0645\u0633\u062e\u0631\u0647 \u0648 \u0627\u0630\u06cc\u062a \u0645\u06cc \u06a9\u0646\u062f.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_375'>\n\t\t\t<div class='gchoice gchoice_41_375_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_375' type='radio' value='2'  id='choice_41_375_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_375_0' id='label_41_375_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_375_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_375' type='radio' value='1'  id='choice_41_375_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_375_1' id='label_41_375_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_375_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_375' type='radio' value='0'  id='choice_41_375_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_375_2' id='label_41_375_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_376\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0628\u062f\u062e\u0644\u0642 \u06cc\u0627 \u062a\u0646\u062f \u0645\u0632\u0627\u062c \u0627\u0633\u062a.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_376'>\n\t\t\t<div class='gchoice gchoice_41_376_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_376' type='radio' value='2'  id='choice_41_376_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_376_0' id='label_41_376_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_376_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_376' type='radio' value='1'  id='choice_41_376_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_376_1' id='label_41_376_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_376_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_376' type='radio' value='0'  id='choice_41_376_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_376_2' id='label_41_376_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_374\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0631\u0627\u062c\u0639 \u0628\u0647 \u0645\u0633\u0627\u0626\u0644 \u062c\u0646\u0633\u06cc \u0632\u06cc\u0627\u062f \u0641\u06a9\u0631 \u0645\u06cc \u06a9\u0646\u062f.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_374'>\n\t\t\t<div class='gchoice gchoice_41_374_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_374' type='radio' value='2'  id='choice_41_374_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_374_0' id='label_41_374_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_374_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_374' type='radio' value='1'  id='choice_41_374_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_374_1' id='label_41_374_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_374_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_374' type='radio' value='0'  id='choice_41_374_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_374_2' id='label_41_374_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_378\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0645\u0631\u062f\u0645 \u0631\u0627 \u062a\u0647\u062f\u06cc\u062f \u0645\u06cc \u06a9\u0646\u062f.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_378'>\n\t\t\t<div class='gchoice gchoice_41_378_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_378' type='radio' value='2'  id='choice_41_378_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_378_0' id='label_41_378_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_378_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_378' type='radio' value='1'  id='choice_41_378_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_378_1' id='label_41_378_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_378_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_378' type='radio' value='0'  id='choice_41_378_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_378_2' id='label_41_378_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_377\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0627\u0646\u06af\u0634\u062a \u0634\u0633\u062a \u062e\u0648\u062f \u0631\u0627 \u0645\u06cc \u0645\u06a9\u062f.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_377'>\n\t\t\t<div class='gchoice gchoice_41_377_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_377' type='radio' value='2'  id='choice_41_377_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_377_0' id='label_41_377_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_377_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_377' type='radio' value='1'  id='choice_41_377_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_377_1' id='label_41_377_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_377_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_377' type='radio' value='0'  id='choice_41_377_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_377_2' id='label_41_377_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_379\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0633\u06cc\u06af\u0627\u0631 \u0645\u06cc \u06a9\u0634\u062f\u060c \u06cc\u0627 \u062a\u0648\u062a\u0648\u0646 \u0648 \u062a\u0646\u0628\u0627\u06a9\u0648 \u0631\u0627 \u0645\u06cc \u062c\u0648\u062f \u06cc\u0627 \u0628\u0648 \u0645\u06cc \u06a9\u0634\u062f.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_379'>\n\t\t\t<div class='gchoice gchoice_41_379_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_379' type='radio' value='2'  id='choice_41_379_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_379_0' id='label_41_379_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_379_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_379' type='radio' value='1'  id='choice_41_379_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_379_1' id='label_41_379_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_379_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_379' type='radio' value='0'  id='choice_41_379_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_379_2' id='label_41_379_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_381\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u062f\u0631 \u062e\u0648\u0627\u0628 \u0631\u0641\u062a\u0646 \u0645\u0634\u06a9\u0644 \u062f\u0627\u0631\u062f.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_381'>\n\t\t\t<div class='gchoice gchoice_41_381_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_381' type='radio' value='2'  id='choice_41_381_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_381_0' id='label_41_381_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_381_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_381' type='radio' value='1'  id='choice_41_381_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_381_1' id='label_41_381_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_381_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_381' type='radio' value='0'  id='choice_41_381_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_381_2' id='label_41_381_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_41_382\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_41_382'>\u062a\u0648\u0636\u06cc\u062d \u062f\u0647\u06cc\u062f<\/label><div class='ginput_container ginput_container_text'><input name='input_382' id='input_41_382' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_41_380\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0627\u0632 \u0645\u062f\u0631\u0633\u0647 \u06af\u0631\u06cc\u0632\u0627\u0646 \u0627\u0633\u062a \u0648 \u0641\u0631\u0627\u0631 \u0645\u06cc \u06a9\u0646\u062f.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_380'>\n\t\t\t<div class='gchoice gchoice_41_380_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_380' type='radio' value='2'  id='choice_41_380_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_380_0' id='label_41_380_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_380_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_380' type='radio' value='1'  id='choice_41_380_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_380_1' id='label_41_380_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_380_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_380' type='radio' value='0'  id='choice_41_380_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_380_2' id='label_41_380_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_384\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u06a9\u0645 \u0641\u0639\u0627\u0644\u06cc\u062a \u0648 \u06a9\u0645 \u0627\u0646\u0631\u0698\u06cc \u0627\u0633\u062a.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_384'>\n\t\t\t<div class='gchoice gchoice_41_384_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_384' type='radio' value='2'  id='choice_41_384_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_384_0' id='label_41_384_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_384_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_384' type='radio' value='1'  id='choice_41_384_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_384_1' id='label_41_384_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_384_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_384' type='radio' value='0'  id='choice_41_384_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_384_2' id='label_41_384_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_385\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u063a\u0645\u06af\u06cc\u0646\u060c \u0646\u0627\u0631\u0627\u062d\u062a \u0648 \u062f\u0644 \u06af\u0631\u0641\u062a\u0647 (\u0627\u0641\u0633\u0631\u062f\u0647) \u0627\u0633\u062a.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_385'>\n\t\t\t<div class='gchoice gchoice_41_385_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_385' type='radio' value='2'  id='choice_41_385_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_385_0' id='label_41_385_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_385_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_385' type='radio' value='1'  id='choice_41_385_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_385_1' id='label_41_385_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_385_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_385' type='radio' value='0'  id='choice_41_385_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_385_2' id='label_41_385_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_383\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0628\u06cc\u0634 \u0627\u0632 \u062d\u062f \u067e\u0631 \u0633\u0631 \u0648 \u0635\u062f\u0627 \u0627\u0633\u062a.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_383'>\n\t\t\t<div class='gchoice gchoice_41_383_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_383' type='radio' value='2'  id='choice_41_383_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_383_0' id='label_41_383_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_383_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_383' type='radio' value='1'  id='choice_41_383_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_383_1' id='label_41_383_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_383_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_383' type='radio' value='0'  id='choice_41_383_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_383_2' id='label_41_383_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_386\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0628\u0631\u0627\u06cc \u0645\u0642\u0627\u0635\u062f \u063a\u06cc\u0631\u062f\u0627\u0631\u0648\u06cc\u06cc \u0645\u0648\u0627\u062f \u0645\u062e\u062f\u0631 \u0645\u0635\u0631\u0641 \u0645\u06cc \u06a9\u0646\u062f (\u0628\u0647 \u063a\u06cc\u0631 \u0627\u0632 \u0627\u0644\u06a9\u0644 \u0648 \u062a\u0646\u0628\u0627\u06a9\u0648).<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_386'>\n\t\t\t<div class='gchoice gchoice_41_386_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_386' type='radio' value='2'  id='choice_41_386_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_386_0' id='label_41_386_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_386_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_386' type='radio' value='1'  id='choice_41_386_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_386_1' id='label_41_386_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_386_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_386' type='radio' value='0'  id='choice_41_386_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_386_2' id='label_41_386_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_41_390\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_41_390'>\u062a\u0648\u0636\u06cc\u062d \u062f\u0647\u06cc\u062f<\/label><div class='ginput_container ginput_container_text'><input name='input_390' id='input_41_390' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_41_388\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0627\u0632 \u0646\u0638\u0631 \u0627\u062c\u062a\u0645\u0627\u0639\u06cc \u0646\u0627\u0647\u0646\u062c\u0627\u0631 \u0627\u0633\u062a \u0648 \u062f\u0633\u062a \u0628\u0647 \u062a\u062e\u0631\u06cc\u0628 \u0627\u0645\u0648\u0627\u0644 \u0639\u0645\u0648\u0645\u06cc \u0645\u06cc\u00ac\u0632\u0646\u062f.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_388'>\n\t\t\t<div class='gchoice gchoice_41_388_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_388' type='radio' value='2'  id='choice_41_388_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_388_0' id='label_41_388_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_388_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_388' type='radio' value='1'  id='choice_41_388_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_388_1' id='label_41_388_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_388_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_388' type='radio' value='0'  id='choice_41_388_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_388_2' id='label_41_388_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_389\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u062f\u0631 \u0631\u0648\u0632 \u0634\u0644\u0648\u0627\u0631\u0634 \u0631\u0627 \u062e\u06cc\u0633 \u0645\u06cc \u06a9\u0646\u062f.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_389'>\n\t\t\t<div class='gchoice gchoice_41_389_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_389' type='radio' value='2'  id='choice_41_389_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_389_0' id='label_41_389_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_389_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_389' type='radio' value='1'  id='choice_41_389_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_389_1' id='label_41_389_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_389_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_389' type='radio' value='0'  id='choice_41_389_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_389_2' id='label_41_389_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_387\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0634\u0628 \u0627\u062f\u0631\u0627\u0631\u06cc \u062f\u0627\u0631\u062f.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_387'>\n\t\t\t<div class='gchoice gchoice_41_387_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_387' type='radio' value='2'  id='choice_41_387_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_387_0' id='label_41_387_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_387_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_387' type='radio' value='1'  id='choice_41_387_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_387_1' id='label_41_387_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_387_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_387' type='radio' value='0'  id='choice_41_387_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_387_2' id='label_41_387_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_392\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0646\u0627\u0644\u0647 \u0645\u06cc \u06a9\u0646\u062f.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_392'>\n\t\t\t<div class='gchoice gchoice_41_392_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_392' type='radio' value='2'  id='choice_41_392_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_392_0' id='label_41_392_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_392_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_392' type='radio' value='1'  id='choice_41_392_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_392_1' id='label_41_392_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_392_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_392' type='radio' value='0'  id='choice_41_392_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_392_2' id='label_41_392_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_393\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0627\u06af\u0631 \u06a9\u0648\u062f\u06a9 \u06cc\u0627 \u0646\u0648\u062c\u0648\u0627\u0646 \u067e\u0633\u0631 \u0627\u0633\u062a \u00ab\u0622\u0631\u0632\u0648 \u0645\u06cc\u00ac\u06a9\u0646\u062f \u062f\u062e\u062a\u0631 \u0628\u0627\u0634\u062f\u00bb \u0627\u06af\u0631 \u06a9\u0648\u062f\u06a9 \u06cc\u0627 \u0646\u0648\u062c\u0648\u0627\u0646 \u062f\u062e\u062a\u0631 \u0627\u0633\u062a \u00ab\u0622\u0631\u0632\u0648 \u0645\u06cc\u00ac\u06a9\u0646\u062f \u067e\u0633\u0631 \u0628\u0627\u0634\u062f\u00bb<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_393'>\n\t\t\t<div class='gchoice gchoice_41_393_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_393' type='radio' value='2'  id='choice_41_393_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_393_0' id='label_41_393_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_393_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_393' type='radio' value='1'  id='choice_41_393_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_393_1' id='label_41_393_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_393_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_393' type='radio' value='0'  id='choice_41_393_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_393_2' id='label_41_393_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_391\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0628\u0627 \u062f\u06cc\u06af\u0631\u0627\u0646 \u0627\u0631\u062a\u0628\u0627\u0637 \u0628\u0631\u0642\u0631\u0627\u0631 \u0646\u0645\u06cc \u06a9\u0646\u062f \u0648 \u06af\u0648\u0634\u0647 \u06af\u06cc\u0631 \u0627\u0633\u062a.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_391'>\n\t\t\t<div class='gchoice gchoice_41_391_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_391' type='radio' value='2'  id='choice_41_391_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_391_0' id='label_41_391_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_391_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_391' type='radio' value='1'  id='choice_41_391_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_391_1' id='label_41_391_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_391_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_391' type='radio' value='0'  id='choice_41_391_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_391_2' id='label_41_391_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_41_394\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u0646\u06af\u0631\u0627\u0646 \u0627\u0633\u062a.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_41_394'>\n\t\t\t<div class='gchoice gchoice_41_394_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_394' type='radio' value='2'  id='choice_41_394_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_394_0' id='label_41_394_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u06cc\u0631<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_394_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_394' type='radio' value='1'  id='choice_41_394_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_394_1' id='label_41_394_1' class='gform-field-label gform-field-label--type-inline'>\u0628\u0639\u0636\u06cc \u0645\u0648\u0627\u0642\u0639<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_41_394_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_394' type='radio' value='0'  id='choice_41_394_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_41_394_2' id='label_41_394_2' class='gform-field-label gform-field-label--type-inline'>\u0628\u0644\u0647<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_41_395\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_41_395'>\u0686\u0646\u0627\u0646\u0686\u0647 \u06a9\u0648\u062f\u06a9 \u06cc\u0627 \u0646\u0648\u062c\u0648\u0627\u0646 \u0645\u0634\u06a9\u0644\u0627\u062a \u062f\u06cc\u06af\u0631\u06cc \u062f\u0627\u0631\u062f \u06a9\u0647 \u062f\u0631 \u0641\u0647\u0631\u0633\u062a \u0628\u0627\u0644\u0627 \u0646\u06cc\u0627\u0645\u062f\u0647 \u0622\u0646\u0647\u0627 \u0631\u0627 \u0628\u0646\u0648\u06cc\u0633\u06cc\u062f.<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_395' id='input_41_395' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_41_255' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='\u0642\u0628\u0644\u06cc'  \/> <input type='button' id='gform_next_button_41_255' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='\u0628\u0639\u062f\u06cc'  \/> <button type='button'  id='gform_save_41_12_link' onclick='gform.submission.handleButtonClick(this);' data-submission-type='save-continue' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  ><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> \u0630\u062e\u06cc\u0631\u0647 \u0648 \u0627\u062f\u0627\u0645\u0647<\/button>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_41_12' class='gform_page' data-js='page-field-id-255' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_41_12' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_41_90\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">\u0645\u0642\u0631\u0631\u0627\u062a \u0639\u0645\u0648\u0645\u06cc<\/h3><\/div><div id=\"field_41_91\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  >\u0633\u0627\u0639\u062a \u0622\u0645\u0648\u0632\u0634 \u067e\u06cc\u0634 \u062f\u0628\u0633\u062a\u0627\u0646 \u0627\u0632 \u0633\u0627\u0639\u062a 8 \u0627\u0644\u06cc 11:30 \u0648 \u0633\u0627\u0639\u062a \u067e\u0630\u06cc\u0631\u0634 7 \u0627\u0644\u06cc 14 \u0645\u06cc \u0628\u0627\u0634\u062f. <br>\n\u0633\u0627\u0639\u062a \u0622\u0645\u0648\u0632\u0634 \u062f\u0628\u0633\u062a\u0627\u0646 \u0627\u0632 \u0633\u0627\u0639\u062a 7:30 \u0627\u0644\u06cc 13:30 \u0648 \u0633\u0627\u0639\u062a \u067e\u0630\u06cc\u0631\u0634 7 \u0627\u0644\u06cc 14 \u0645\u06cc \u0628\u0627\u0634\u062f. <br>\n\u0627\u0632 \u0648\u0627\u0644\u062f\u06cc\u0646 \u06af\u0631\u0627\u0645\u06cc \u062e\u0648\u0627\u0647\u0634\u0645\u0646\u062f \u0627\u0633\u062a \u06a9\u0648\u062f\u06a9 \u062e\u0648\u062f \u0631\u0627 \u0631\u0623\u0633 \u0633\u0627\u0639\u062a \u062b\u0628\u062a \u0646\u0627\u0645 \u0634\u062f\u0647 \u0648 \u062a\u0648\u0633\u0637 \u0627\u0641\u0631\u0627\u062f \u0645\u0639\u0631\u0641\u06cc \u0634\u062f\u0647\u060c \u062a\u062d\u0648\u06cc\u0644 \u0648 \u062a\u0631\u062e\u06cc\u0635 \u0646\u0645\u0627\u06cc\u0646\u062f.<br>\n\u062a\u0639\u0637\u06cc\u0644\u0627\u062a \u067e\u06cc\u0634 \u062f\u0628\u0633\u062a\u0627\u0646 \u062a\u0627\u0628\u0639 \u062a\u0642\u0648\u06cc\u0645 \u0648 \u062a\u0639\u0637\u06cc\u0644\u0627\u062a \u0631\u0633\u0645\u06cc \u06a9\u0634\u0648\u0631 \u0627\u0633\u062a \u0648 \u0634\u0647\u0631\u06cc\u0647 \u06cc \u06a9\u0648\u062f\u06a9 \u0628\u0631\u0627\u06cc \u0627\u06cc\u0646 \u0627\u06cc\u0627\u0645 \u0627\u0632 \u062c\u0645\u0644\u0647 \u0641\u0631\u0648\u0631\u062f\u06cc\u0646 \u0645\u0627\u0647 \u0628\u0647 \u0637\u0648\u0631 \u06a9\u0627\u0645\u0644 \u062f\u0631\u06cc\u0627\u0641\u062a \u0645\u06cc \u06af\u0631\u062f\u062f.<br>\n\u062e\u0648\u0627\u0647\u0634\u0645\u0646\u062f \u0627\u0633\u062a \u063a\u06cc\u0628\u062a \u06a9\u0648\u062f\u06a9 \u062e\u0648\u062f \u0631\u0627 \u062f\u0631 \u0627\u0633\u0631\u0639 \u0648\u0642\u062a \u0628\u0647 \u062f\u0641\u062a\u0631 \u067e\u06cc\u0634 \u062f\u0628\u0633\u062a\u0627\u0646 \u0627\u0637\u0644\u0627\u0639 \u062f\u0647\u06cc\u062f \u0648 \u062f\u0631 \u0635\u0648\u0631\u062a \u0628\u06cc\u0645\u0627\u0631 \u0628\u0648\u062f\u0646 \u06a9\u0648\u062f\u06a9\u060c \u062c\u0647\u062a \u067e\u06cc\u0634\u06af\u06cc\u0631\u06cc \u0627\u0632 \u0634\u06cc\u0648\u0639 \u0628\u06cc\u0645\u0627\u0631\u06cc 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\u0641\u0631\u0645\u0627\u06cc\u06cc\u062f.<br>\n\u062a\u0627\u0631\u06cc\u062e \u0648 \u0645\u0628\u0644\u063a \u0634\u0647\u0631\u06cc\u0647 \u0646\u0648\u0622\u0645\u0648\u0632\u0627\u0646\u060c \u062f\u0631 \u0627\u0628\u062a\u062f\u0627\u06cc \u062b\u0628\u062a \u0646\u0627\u0645 \u062a\u0648\u0633\u0637 \u0648\u0627\u0644\u062f\u06cc\u0646 \u0645\u0634\u062e\u0635 \u06af\u0631\u062f\u06cc\u062f\u0647 \u0648 \u062f\u0631 \u0633\u0627\u0645\u0627\u0646\u0647 \u0627\u06cc\u0646\u062a\u0631\u0646\u062a\u06cc \u062b\u0628\u062a \u0645\u06cc \u0634\u0648\u062f. \u0627\u0648\u0644\u06cc\u0627\u06cc \u0645\u062d\u062a\u0631\u0645 \u0645\u0648\u0638\u0641\u0646\u062f \u0634\u0647\u0631\u06cc\u0647 \u062a\u0639\u06cc\u06cc\u0646 \u0634\u062f\u0647 \u0631\u0627 \u062f\u0631 \u062f\u0642\u06cc\u0642\u0627 \u062f\u0631 \u062a\u0627\u0631\u06cc\u062e \u0647\u0627\u06cc \u0630\u06a9\u0631 \u0634\u062f\u0647 \u062f\u0631 \u0628\u0631\u06af\u0647 \u0642\u0631\u0627\u062f\u0627\u062f \u0628\u067e\u0631\u062f\u0627\u0632\u0646\u062f. <br>\n\u0627\u06cc\u0646\u062c\u0627\u0646\u0628                                \u0648\u0644\u06cc \u06a9\u0648\u062f\u06a9                        \u06cc\u06a9 \u0641\u0642\u0631\u0647 \u0686\u06a9 \u0628\u0647 \u0634\u0645\u0627\u0631\u0647 \u0633\u0631\u06cc\u0627\u0644                                \u0646\u0632\u062f \u0628\u0627\u0646\u06a9                 \u0628\u0647 \u0639\u0646\u0648\u0627\u0646 \u0636\u0645\u0627\u0646\u062a \u067e\u0631\u062f\u0627\u062e\u062a \u0634\u0647\u0631\u06cc\u0647 \u062f\u0631 \u062f\u0641\u062a\u0631 \u067e\u06cc\u0634 \u062f\u0628\u0633\u062a\u0627\u0646 \u0628\u0647 \u0627\u0645\u0627\u0646\u062a \u06af\u0630\u0627\u0634\u062a\u0647 \u062a\u0627 \u062f\u0631 \u0635\u0648\u0631\u062a \u0639\u062f\u0645 \u067e\u0631\u062f\u0627\u062e\u062a \u0634\u0647\u0631\u06cc\u0647\u060c \u0645\u062f\u06cc\u0631 \u0645\u0647\u062f \u0637\u0628\u0642 \u0645\u0642\u0631\u0631\u0627\u062a \u0648 \u0636\u0648\u0627\u0628\u0637 \u0642\u0627\u0646\u0648\u0646\u06cc \u0627\u0642\u062f\u0627\u0645 \u0646\u0645\u0627\u06cc\u062f.<br><br>\n\n\u0646\u0627\u0645 \u0648 \u0646\u0627\u0645 \u062e\u0627\u0646\u0648\u0627\u062f\u06af\u06cc \u0648\u0644\u06cc \u06a9\u0648\u062f\u06a9<br>\n\u0627\u0645\u0636\u0627 \u0648 \u0627\u062b\u0631 \u0627\u0646\u06af\u0634\u062a\n\n<\/div><fieldset id=\"field_41_245\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >\u0645\u0637\u0627\u0644\u0639\u0647 \u0648 \u0642\u0628\u0648\u0644 \u0645\u0642\u0631\u0631\u0627\u062a<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_41_245'><div class='gchoice gchoice_41_245_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_245.1' type='checkbox'  value='\u0645\u0642\u0631\u0631\u0627\u062a \u0631\u0627 \u0645\u0637\u0627\u0644\u0639\u0647 \u0648 \u067e\u0630\u06cc\u0631\u0641\u062a\u0645'  id='choice_41_245_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_245_1' id='label_41_245_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u0642\u0631\u0631\u0627\u062a \u0631\u0627 \u0645\u0637\u0627\u0644\u0639\u0647 \u0648 \u067e\u0630\u06cc\u0631\u0641\u062a\u0645<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_41_251' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='\u0642\u0628\u0644\u06cc'  \/> <input type='button' id='gform_next_button_41_251' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='\u0628\u0639\u062f\u06cc'  \/> <button type='button'  id='gform_save_41_13_link' onclick='gform.submission.handleButtonClick(this);' data-submission-type='save-continue' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  ><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> \u0630\u062e\u06cc\u0631\u0647 \u0648 \u0627\u062f\u0627\u0645\u0647<\/button>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_41_13' class='gform_page' data-js='page-field-id-251' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_41_13' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_41_252\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">\u0627\u0637\u0644\u0627\u0639\u0627\u062a\u06cc \u06a9\u0647 \u062b\u0628\u062a \u06a9\u0631\u062f\u0647 \u0627\u06cc\u062f:<\/h3><\/div><div id=\"field_41_244\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  >{all_fields}<\/div><\/div><\/div>\n        <div class='gform-page-footer gform_page_footer top_label'><input type='submit' id='gform_previous_button_41' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='\u0642\u0628\u0644\u06cc'  \/> <input type='submit' id='gform_submit_button_41' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Submit'  \/> <button type='button'  id='gform_save_41_footer_link' onclick='gform.submission.handleButtonClick(this);' data-submission-type='save-continue' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  ><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> \u0630\u062e\u06cc\u0631\u0647 \u0648 \u0627\u062f\u0627\u0645\u0647<\/button>\n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_41' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_41' id='gform_theme_41' value='gravity-theme' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_41' id='gform_style_settings_41' value='{&quot;inputPrimaryColor&quot;:&quot;#204ce5&quot;}' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_41' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='41' \/>\n            <input type='hidden' class='gform_hidden' name='gform_save' 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