{"id":783,"date":"2022-06-11T13:07:37","date_gmt":"2022-06-11T13:07:37","guid":{"rendered":"https:\/\/farsi.targetedindividuals.ir\/?page_id=783"},"modified":"2022-07-30T12:58:16","modified_gmt":"2022-07-30T12:58:16","slug":"survey","status":"publish","type":"page","link":"https:\/\/farsi.targetedindividuals.ir\/index.php\/support\/survey\/","title":{"rendered":"Survey"},"content":{"rendered":"<div id=\"pl-783\"  class=\"panel-layout\" ><div id=\"pg-783-0\"  class=\"panel-grid panel-has-style\" ><div class=\"siteorigin-panels-stretch panel-row-style panel-row-style-for-783-0\" data-stretch-type=\"full-stretched-padded\" ><div id=\"pgc-783-0-0\"  class=\"panel-grid-cell\" ><div id=\"panel-783-0-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"0\" ><div class=\"panel-widget-style panel-widget-style-for-783-0-0-0\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<h1 style=\"text-align: center;\"><span style=\"color: #000000;\">\u0627\u0646\u06af\u06cc\u0632\u0647 \u0646\u0638\u0631\u0633\u0646\u062c\u06cc<\/span><\/h1>\n<p style=\"text-align: right;\"><span style=\"color: #000000;\">\u062a\u0627 \u0628\u0647 \u0627\u0645\u0631\u0648\u0632\u0647\u06cc\u0686 \u0622\u0645\u0627\u0631\u06cc \u062a\u0635\u062f\u06cc\u0642 \u0634\u0647 \u0627\u06cc \u062f\u0631 \u0645\u0648\u0631\u062f \u0642\u0631\u0628\u0627\u0646\u06cc\u0627\u0646 \u062f\u0631\u062f\u0633\u062a \u0646\u06cc\u0633\u062a. \u0645\u0646 \u0628\u062f\u06cc\u0646 \u0648\u0633\u06cc\u0644\u0647 \u062a\u0644\u0627\u0634 \u0645\u06cc\u200c\u06a9\u0646\u0645 \u062a\u0627 \u0627\u06cc\u0646 \u0627\u0637\u0644\u0627\u0639\u0627\u062a \u0631\u0627 \u062c\u0645\u0639\u200c\u0622\u0648\u0631\u06cc \u06a9\u0646\u0645 \u0648 \u0622\u0646 \u0631\u0627 \u0628\u0631\u0627\u06cc \u0647\u0645\u0647 \u0639\u0644\u0627\u0642\u0647\u200c\u0645\u0646\u062f\u0627\u0646 \u0628\u0647 \u0646\u0645\u0627\u06cc\u0634 \u0628\u06af\u0630\u0627\u0631\u0645. \u0627\u06cc\u0646 \u0632\u0645\u0627\u0646\u06cc \u0627\u0645\u06a9\u0627\u0646 \u067e\u0630\u06cc\u0631 \u062e\u0648\u0627\u0647\u062f \u0634\u062f \u06a9\u0647 \u062a\u0639\u062f\u0627\u062f \u0627\u0634\u062e\u0627\u0635\u06cc \u06a9\u0647 \u0641\u0631\u0645 \u0631\u0627 \u067e\u0631 \u0645\u06cc \u06a9\u0646\u0646\u062f \u0642\u0627\u0628\u0644 \u062a\u0648\u062c\u0647 \u0628\u0627\u0634\u062f (\u062d\u062f\u0627\u0642\u0644 \u06f5\u06f0 \u0646\u0641\u0631). \u062f\u0631 \u063a\u06cc\u0631 \u0627\u06cc\u0646 \u0635\u0648\u0631\u062a \u0646\u0645\u06cc \u0634\u0648\u062f \u0627\u0632 \u0627\u06cc\u0646 \u0627\u0637\u0644\u0627\u0639\u0627\u062a \u0646\u062a\u06cc\u062c\u0647 \u0627\u06cc \u06af\u0631\u0641\u062a.<\/span><span style=\"color: #ffffff;\">1<\/span><\/p>\n<h4 style=\"text-align: right;\"><span style=\"color: #000000;\">\u0634\u0631\u062d \u0628\u0639\u0636\u06cc \u0627\u0632 \u06af\u0632\u06cc\u0646\u0647 \u0647\u0627<\/span><\/h4>\n<p style=\"text-align: right;\"><span style=\"color: #ff6600;\">\u0627\u0639\u062f\u0627\u062f \u0628\u0627\u06cc\u062f \u0628\u0647 \u0627\u0646\u06af\u0644\u06cc\u0633\u06cc \u0646\u0648\u0634\u062a\u0647 \u0634\u0648\u0646\u062f \u06cc\u0627 \u0628\u0627 \u0641\u0644\u0627\u0634 \u0628\u0627\u0644\u0627 \u0648 \u067e\u0627\u06cc\u0646 \u06a9\u0645 \u0648 \u0632\u06cc\u0627\u062f \u0634\u0648\u0646\u062f.<\/span><span style=\"color: #ffffff;\">\u06f1<\/span><\/p>\n<p style=\"text-align: right;\">\u067e\u0631 \u06a9\u0631\u062f\u0646 \u06af\u0632\u06cc\u0646\u0647 \u0647\u0627\u06cc \u0642\u0633\u0645\u062a \u0627\u0648\u0644 (\u0627\u0646\u0647\u0627\u06cc\u06cc \u06a9\u0647 \u0628\u0627 \u0633\u062a\u0627\u0631\u0647 \u0642\u0631\u0645\u0632\u0634\u0631\u0648\u0639 \u0645\u06cc\u0634\u0648\u0646\u062f) \u0627\u062c\u0628\u0627\u0631\u06cc \u0627\u0633\u062a \u062f\u0631 \u063a\u06cc\u0631 \u0627\u06cc\u0646 \u0635\u0648\u0631\u062a \u0634\u0645\u0627 \u0642\u0627\u062f\u0631 \u0628\u0647 \u0641\u0631\u0633\u062a\u0627\u062f\u0646 \u0641\u0631\u0645 \u062e\u0648\u062f \u0646\u0645\u06cc \u0628\u0627\u0634\u06cc\u062f. \u0627\u06af\u0631 \u0645\u0627\u06cc\u0644 \u0628\u0627\u0634\u06cc\u062f \u0645\u06cc \u062a\u0648\u0627\u0646\u06cc\u062f \u0646\u0627\u0645 \u062f\u06cc\u06af\u0631\u06cc \u063a\u06cc\u0631 \u0627\u0632 \u0646\u0627\u0645 \u0648\u0627\u0642\u0639\u06cc \u062e\u0648\u062f \u062f\u0631\u062c \u06a9\u0646\u06cc\u062f.<span style=\"color: #ffffff;\">\u06f1<\/span><\/p>\n<p style=\"text-align: right;\"><span style=\"color: #000000;\">\u062f\u0644\u06cc\u0644: \u0686\u0631\u0627 \u0641\u06a9\u0631 \u0645\u06cc \u06a9\u0646\u06cc\u062f \u0628\u0647 \u06cc\u06a9 \u0642\u0631\u0628\u0627\u0646\u06cc \u062a\u0628\u062f\u06cc\u0644 \u0634\u062f\u0647 \u0627\u06cc\u062f\u061f \u062a\u0645\u0627\u0645 \u06af\u0632\u06cc\u0646\u0647 \u0647\u0627 \u0631\u0627 \u0628\u0627 \u062f\u0642\u062a \u0628\u0631\u0631\u0633\u06cc \u06a9\u0646\u06cc\u062f \u0648 \u0628\u0647\u062a\u0631\u06cc\u0646 \u06af\u0632\u06cc\u0646\u0647 \u0631\u0627 \u0627\u0646\u062a\u062e\u0627\u0628 \u06a9\u0646\u06cc\u062f. \u062d\u062a\u06cc \u0627\u06af\u0631 \u062f\u0644\u06cc\u0644 \u0634\u0645\u0627 \u062f\u0631 \u0627\u06cc\u0646 \u0644\u06cc\u0633\u062a \u062f\u0631\u062c \u0646\u0634\u062f\u0647 \u0634\u0645\u0627 \u0645\u06cc \u062a\u0648\u0627\u0646\u06cc\u062f \u06af\u0632\u06cc\u0646\u0647 \"<em>\u062f\u0644\u06cc\u0644 \u062f\u06cc\u06af\u0631\u06cc<\/em>\" \u0631\u0627 \u0627\u0646\u062a\u062e\u0627\u0628 \u0646\u0645\u0627\u06cc\u06cc\u062f\u060c \u0633\u067e\u0633 \u0642\u0633\u0645\u062a\u06cc \u0627\u0634\u06a9\u0627\u0631 \u062e\u0648\u0627\u0647\u062f \u0634\u062f \u06a9\u0647 \u0634\u0645\u0627 \u0642\u0627\u062f\u0631 \u0628\u0647 \u062f\u0631\u062c \u062f\u0644\u06cc\u0644 \u062e\u0648\u062f \u0645\u06cc \u0646\u0645\u0627\u06cc\u062f.<\/span><span style=\"color: #ffffff;\">\u06f1<\/span><br \/>\n<span style=\"color: #000000;\">\u062f\u0631 \u0642\u0633\u0645\u062a \u0647\u0627\u06cc \u0628\u0639\u062f\u060c \u0641\u0642\u0637 \u0648 \u0641\u0642\u0637 \u0632\u0645\u0627\u0646\u06cc \u06af\u0632\u06cc\u0646\u0647 \u0627\u06cc \u0631\u0627 \u0627\u0646\u062a\u062d\u0627\u0628 \u06a9\u0646\u06cc\u062f \u06a9\u0647 \u0627\u0637\u0645\u06cc\u0646\u0627\u0646 \u062f\u0627\u0631\u06cc\u062f \u06a9\u0647 \u0627\u06cc\u0646 \u0645\u0634\u06a9\u0644 \u062a\u0648\u0633\u0637 \u0627\u0632\u0627\u0631\u062f\u0647\u0646\u062f\u06af\u0627\u0646 \u0627\u06cc\u062c\u0627\u062f \u0645\u06cc \u0634\u0648\u0646\u062f. \u0627\u06af\u0631 \u0645\u0634\u06a9\u0644 \u0634\u0645\u0627 \u0637\u0628\u06cc\u0639\u06cc \u0627\u0633\u062a \u0622\u0646\u0647\u0627 \u0631\u0627 \u062f\u0631 \u0627\u06cc\u0646\u062c\u0627 \u0639\u0646\u0648\u0627\u0646 \u0646\u06a9\u0646\u06cc\u062f. \u0627\u0646\u062a\u062e\u0627\u0628 \u0634\u0645\u0627 \u0645\u06cc \u062a\u0648\u0627\u0646\u062f \u0647\u06cc\u0686\u060c \u06cc\u06a9 \u0648 \u06cc\u0627 \u0686\u0646\u062f\u06cc\u0646 \u06af\u0632\u06cc\u0646\u0647 \u0628\u0627\u0634\u062f. \u062f\u0631 \u0627\u062e\u0631 \u0634\u0645\u0627 \u0628\u0631\u0627\u06cc \u0627\u0636\u0627\u0641\u0647 \u06a9\u0631\u062f\u0646 \u0647\u0631 \u0645\u0637\u0644\u0628\u06cc \u06a9\u0647 \u0645\u0627\u06cc\u0644 \u0628\u0627\u0634\u06cc\u062f \u06af\u0632\u06cc\u0646\u0647 \"<em>\u0627\u0635\u0627\u0641\u0647 \u0646\u0645\u0648\u062f\u0646 \u0645\u0637\u0644\u0628<\/em>\" \u0631\u0627 \u0627\u0646\u062a\u062e\u0627\u0628 \u0646\u0645\u0627\u06cc\u06cc\u062f\u060c \u0633\u067e\u0633 \u0642\u0633\u0645\u062a\u06cc \u0627\u0634\u06a9\u0627\u0631 \u062e\u0648\u0627\u0647\u062f \u0634\u062f \u06a9\u0647 \u0634\u0645\u0627 \u0631\u0627 \u0642\u0627\u062f\u0631 \u0628\u0647 \u062f\u0631\u062c \u0645\u0637\u0644\u0628 \u062e\u0648\u062f \u0645\u06cc \u0646\u0645\u0627\u06cc\u062f.<span style=\"color: #ffffff;\">\u06f1<\/span><\/span><\/p>\n<\/div>\n<\/div><\/div><\/div><\/div><\/div><\/div><div id=\"pg-783-1\"  class=\"panel-grid panel-has-style\" ><div class=\"panel-row-style panel-row-style-for-783-1\" ><div id=\"pgc-783-1-0\"  class=\"panel-grid-cell\" ><div id=\"panel-783-1-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"1\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<div class=\"caldera-grid\" id=\"caldera_form_1\" data-cf-ver=\"1.9.4\" data-cf-form-id=\"CF62a43b322976f\"><div id=\"caldera_notices_1\" data-spinner=\"https:\/\/farsi.targetedindividuals.ir\/wp-admin\/images\/spinner.gif\"><\/div><form data-instance=\"1\" class=\"CF62a43b322976f caldera_forms_form cfajax-trigger\" method=\"POST\" enctype=\"multipart\/form-data\" id=\"CF62a43b322976f_1\" data-form-id=\"CF62a43b322976f\" aria-label=\"\u062c\u0645\u0639 \u0627\u0648\u0631\u06cc \u0627\u0645\u0627\u0631 \u062f\u0631 \u0645\u0648\u0631\u062f \u0627\u0632\u0627\u0631 \u06af\u0631\u0648\u0647\u06cc\" data-target=\"#caldera_notices_1\" data-template=\"#cfajax_CF62a43b322976f-tmpl\" data-cfajax=\"CF62a43b322976f\" data-load-element=\"_parent\" data-load-class=\"cf_processing\" data-post-disable=\"0\" data-action=\"cf_process_ajax_submit\" data-request=\"https:\/\/farsi.targetedindividuals.ir\/cf-api\/CF62a43b322976f\" data-hiderows=\"true\">\r\n<input type=\"hidden\" id=\"_cf_verify_CF62a43b322976f\" name=\"_cf_verify\" value=\"d0c6ee95b9\"  data-nonce-time=\"1781442001\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php\/wp-json\/wp\/v2\/pages\/783\" \/><div id=\"cf2-CF62a43b322976f_1\"><\/div><input type=\"hidden\" name=\"_cf_frm_id\" value=\"CF62a43b322976f\">\r\n<input type=\"hidden\" name=\"_cf_frm_ct\" value=\"1\">\r\n<input type=\"hidden\" name=\"cfajax\" value=\"CF62a43b322976f\">\r\n<input type=\"hidden\" name=\"_cf_cr_pst\" value=\"783\">\r\n<div class=\"hide\" style=\"display:none; overflow:hidden;height:0;width:0;\">\r\n<label>Twitter<\/label><input type=\"text\" name=\"twitter\" value=\"\" autocomplete=\"off\">\r\n<\/div><div id=\"CF62a43b322976f_1-row-1\"  class=\"row  first_row\"><div  class=\"col-sm-12  single\"><span class=\"caldera-forms-conditional-field\" role=\"region\" aria-live=\"polite\" id=\"conditional_fld_9352919_1\" data-field-id=\"fld_9352919_1\"><div data-field-wrapper=\"fld_9352919\" class=\"form-group right\" id=\"fld_9352919_1-wrap\">\r\n\t<label id=\"fld_9352919Label\" for=\"fld_9352919_1\" class=\"control-label screen-reader-text sr-only\">explanation1<\/label>\r\n\t<div class=\"\">\r\n\t\t<textarea name=\"fld_9352919\" value=\" \u0645\u0648\u0627\u0631\u062f\u06cc \u06a9\u0647 \u0628\u0627 \u0633\u062a\u0627\u0631\u0647 \u0642\u0631\u0645\u0632 \u062f\u0631\u062c \u0634\u062f\u0647 \u0627\u0646\u062f \u0627\u0644\u0632\u0627\u0645\u06cc  \u0645\u06cc \u0628\u0627\u0634\u0646\u062f. \u062f\u0631 \u063a\u06cc\u0631 \u0627\u06cc\u0646 \u0635\u0648\u0631\u062a \u0627\u0637\u0644\u0627\u0639\u0627\u062a \u0634\u0645\u0627 \u0642\u0627\u0628\u0644 \u0627\u0631\u0633\u0627\u0644 \u0646\u06cc\u0633\u062a\" data-field=\"fld_9352919\" class=\"form-control\" id=\"fld_9352919_1\" rows=\"2\" default=\" \u0645\u0648\u0627\u0631\u062f\u06cc \u06a9\u0647 \u0628\u0627 \u0633\u062a\u0627\u0631\u0647 \u0642\u0631\u0645\u0632 \u062f\u0631\u062c \u0634\u062f\u0647 \u0627\u0646\u062f \u0627\u0644\u0632\u0627\u0645\u06cc  \u0645\u06cc \u0628\u0627\u0634\u0646\u062f. \u062f\u0631 \u063a\u06cc\u0631 \u0627\u06cc\u0646 \u0635\u0648\u0631\u062a \u0627\u0637\u0644\u0627\u0639\u0627\u062a \u0634\u0645\u0627 \u0642\u0627\u0628\u0644 \u0627\u0631\u0633\u0627\u0644 \u0646\u06cc\u0633\u062a\"    aria-labelledby=\"fld_9352919Label\" > \u0645\u0648\u0627\u0631\u062f\u06cc \u06a9\u0647 \u0628\u0627 \u0633\u062a\u0627\u0631\u0647 \u0642\u0631\u0645\u0632 \u062f\u0631\u062c \u0634\u062f\u0647 \u0627\u0646\u062f \u0627\u0644\u0632\u0627\u0645\u06cc  \u0645\u06cc \u0628\u0627\u0634\u0646\u062f. \u062f\u0631 \u063a\u06cc\u0631 \u0627\u06cc\u0646 \u0635\u0648\u0631\u062a \u0627\u0637\u0644\u0627\u0639\u0627\u062a \u0634\u0645\u0627 \u0642\u0627\u0628\u0644 \u0627\u0631\u0633\u0627\u0644 \u0646\u06cc\u0633\u062a<\/textarea>\n\t\t\t<\/div>\r\n<\/div>\r\n<\/span><\/div><\/div><div id=\"CF62a43b322976f_1-row-2\"  class=\"row \"><div  class=\"col-sm-2  first_col\"><div data-field-wrapper=\"fld_361992\" class=\"form-group\" id=\"fld_361992_1-wrap\">\r\n\t<label id=\"fld_361992Label\" for=\"fld_361992_1\" class=\"control-label\">\u0634\u0645\u0627\u0631\u0647 \u0645\u0648\u0628\u0627\u06cc\u0644<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"tel\" data-field=\"fld_361992\" class=\" form-control\" id=\"fld_361992_1\" name=\"fld_361992\" value=\"+989\" data-type=\"phone_better\"   aria-labelledby=\"fld_361992Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-2 \"><div data-field-wrapper=\"fld_4411373\" class=\"form-group right\" id=\"fld_4411373_1-wrap\">\r\n\t<label id=\"fld_4411373Label\" for=\"fld_4411373_1\" class=\"control-label\">\u0627\u0633\u062a\u0627\u0646 \u0627\u0642\u0627\u0645\u062a<\/label>\r\n\t<div class=\"\">\r\n\t\t<select name=\"fld_4411373\" value=\"opt8247052\" data-field=\"fld_4411373\" class=\"form-control\" id=\"fld_4411373_1\"    aria-labelledby=\"fld_4411373Label\" >\n\t\t\t\t\t\t\t<option value=\"\u0622\u0630\u0631\u0628\u0627\u06cc\u062c\u0627\u0646 \u0634\u0631\u0642\u06cc\"  data-calc-value=\"\u0622\u0630\u0631\u0628\u0627\u06cc\u062c\u0627\u0646 \u0634\u0631\u0642\u06cc\" >\n\t\t\t\t\t\t\u0622\u0630\u0631\u0628\u0627\u06cc\u062c\u0627\u0646 \u0634\u0631\u0642\u06cc\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\" \u0622\u0630\u0631\u0628\u0627\u06cc\u062c\u0627\u0646 \u063a\u0631\u0628\u06cc\"  data-calc-value=\" \u0622\u0630\u0631\u0628\u0627\u06cc\u062c\u0627\u0646 \u063a\u0631\u0628\u06cc\" >\n\t\t\t\t\t\t \u0622\u0630\u0631\u0628\u0627\u06cc\u062c\u0627\u0646 \u063a\u0631\u0628\u06cc\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\" \u0627\u0631\u062f\u0628\u06cc\u0644\"  data-calc-value=\" \u0627\u0631\u062f\u0628\u06cc\u0644\" >\n\t\t\t\t\t\t \u0627\u0631\u062f\u0628\u06cc\u0644\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\" \u0627\u0635\u0641\u0647\u0627\u0646\"  data-calc-value=\" \u0627\u0635\u0641\u0647\u0627\u0646\" >\n\t\t\t\t\t\t \u0627\u0635\u0641\u0647\u0627\u0646\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\" \u0627\u0644\u0628\u0631\u0632\"  data-calc-value=\" \u0627\u0644\u0628\u0631\u0632\" >\n\t\t\t\t\t\t \u0627\u0644\u0628\u0631\u0632\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\" \u0627\u06cc\u0644\u0627\u0645\"  data-calc-value=\" \u0627\u06cc\u0644\u0627\u0645\" >\n\t\t\t\t\t\t \u0627\u06cc\u0644\u0627\u0645\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\" \u0628\u0648\u0634\u0647\u0631\"  data-calc-value=\" \u0628\u0648\u0634\u0647\u0631\" >\n\t\t\t\t\t\t \u0628\u0648\u0634\u0647\u0631\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\" \u062a\u0647\u0631\u0627\u0646\" selected=\"selected\" data-calc-value=\" \u062a\u0647\u0631\u0627\u0646\" >\n\t\t\t\t\t\t \u062a\u0647\u0631\u0627\u0646\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\" \u0686\u0647\u0627\u0631\u0645\u062d\u0627\u0644 \u0648 \u0628\u062e\u062a\u06cc\u0627\u0631\u06cc\"  data-calc-value=\" \u0686\u0647\u0627\u0631\u0645\u062d\u0627\u0644 \u0648 \u0628\u062e\u062a\u06cc\u0627\u0631\u06cc\" >\n\t\t\t\t\t\t \u0686\u0647\u0627\u0631\u0645\u062d\u0627\u0644 \u0648 \u0628\u062e\u062a\u06cc\u0627\u0631\u06cc\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\" \u062e\u0631\u0627\u0633\u0627\u0646 \u062c\u0646\u0648\u0628\u06cc\"  data-calc-value=\" \u062e\u0631\u0627\u0633\u0627\u0646 \u062c\u0646\u0648\u0628\u06cc\" >\n\t\t\t\t\t\t \u062e\u0631\u0627\u0633\u0627\u0646 \u062c\u0646\u0648\u0628\u06cc\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\" \u062e\u0631\u0627\u0633\u0627\u0646 \u0631\u0636\u0648\u06cc\"  data-calc-value=\" \u062e\u0631\u0627\u0633\u0627\u0646 \u0631\u0636\u0648\u06cc\" >\n\t\t\t\t\t\t \u062e\u0631\u0627\u0633\u0627\u0646 \u0631\u0636\u0648\u06cc\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\" \u062e\u0631\u0627\u0633\u0627\u0646 \u0634\u0645\u0627\u0644\u06cc\"  data-calc-value=\" \u062e\u0631\u0627\u0633\u0627\u0646 \u0634\u0645\u0627\u0644\u06cc\" >\n\t\t\t\t\t\t \u062e\u0631\u0627\u0633\u0627\u0646 \u0634\u0645\u0627\u0644\u06cc\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\" \u062e\u0648\u0632\u0633\u062a\u0627\u0646\"  data-calc-value=\" \u062e\u0648\u0632\u0633\u062a\u0627\u0646\" >\n\t\t\t\t\t\t \u062e\u0648\u0632\u0633\u062a\u0627\u0646\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\" \u0632\u0646\u062c\u0627\u0646\"  data-calc-value=\" \u0632\u0646\u062c\u0627\u0646\" >\n\t\t\t\t\t\t \u0632\u0646\u062c\u0627\u0646\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\" \u0633\u0645\u0646\u0627\u0646\"  data-calc-value=\" \u0633\u0645\u0646\u0627\u0646\" >\n\t\t\t\t\t\t \u0633\u0645\u0646\u0627\u0646\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\" \u0633\u06cc\u0633\u062a\u0627\u0646 \u0648 \u0628\u0644\u0648\u0686\u0633\u062a\u0627\u0646\"  data-calc-value=\" \u0633\u06cc\u0633\u062a\u0627\u0646 \u0648 \u0628\u0644\u0648\u0686\u0633\u062a\u0627\u0646\" >\n\t\t\t\t\t\t \u0633\u06cc\u0633\u062a\u0627\u0646 \u0648 \u0628\u0644\u0648\u0686\u0633\u062a\u0627\u0646\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\" \u0641\u0627\u0631\u0633\"  data-calc-value=\" \u0641\u0627\u0631\u0633\" >\n\t\t\t\t\t\t \u0641\u0627\u0631\u0633\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\" \u0642\u0632\u0648\u06cc\u0646\"  data-calc-value=\" \u0642\u0632\u0648\u06cc\u0646\" >\n\t\t\t\t\t\t \u0642\u0632\u0648\u06cc\u0646\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\" \u0642\u0645\"  data-calc-value=\" \u0642\u0645\" >\n\t\t\t\t\t\t \u0642\u0645\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\" \u06a9\u0631\u062f\u0633\u062a\u0627\u0646\"  data-calc-value=\" \u06a9\u0631\u062f\u0633\u062a\u0627\u0646\" >\n\t\t\t\t\t\t \u06a9\u0631\u062f\u0633\u062a\u0627\u0646\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\" \u06a9\u0631\u0645\u0627\u0646\"  data-calc-value=\" \u06a9\u0631\u0645\u0627\u0646\" >\n\t\t\t\t\t\t \u06a9\u0631\u0645\u0627\u0646\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\" \u06a9\u0631\u0645\u0627\u0646\u0634\u0627\u0647\"  data-calc-value=\" \u06a9\u0631\u0645\u0627\u0646\u0634\u0627\u0647\" >\n\t\t\t\t\t\t \u06a9\u0631\u0645\u0627\u0646\u0634\u0627\u0647\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\" \u06a9\u0647\u06af\u06cc\u0644\u0648\u06cc\u0647 \u0648 \u0628\u0648\u06cc\u0631\u0627\u062d\u0645\u062f\"  data-calc-value=\" \u06a9\u0647\u06af\u06cc\u0644\u0648\u06cc\u0647 \u0648 \u0628\u0648\u06cc\u0631\u0627\u062d\u0645\u062f\" >\n\t\t\t\t\t\t \u06a9\u0647\u06af\u06cc\u0644\u0648\u06cc\u0647 \u0648 \u0628\u0648\u06cc\u0631\u0627\u062d\u0645\u062f\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\" \u06af\u0644\u0633\u062a\u0627\u0646\"  data-calc-value=\" \u06af\u0644\u0633\u062a\u0627\u0646\" >\n\t\t\t\t\t\t \u06af\u0644\u0633\u062a\u0627\u0646\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\" \u06af\u06cc\u0644\u0627\u0646\"  data-calc-value=\" \u06af\u06cc\u0644\u0627\u0646\" >\n\t\t\t\t\t\t \u06af\u06cc\u0644\u0627\u0646\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\" \u0644\u0631\u0633\u062a\u0627\u0646\"  data-calc-value=\" \u0644\u0631\u0633\u062a\u0627\u0646\" >\n\t\t\t\t\t\t \u0644\u0631\u0633\u062a\u0627\u0646\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\" \u0645\u0627\u0632\u0646\u062f\u0631\u0627\u0646\"  data-calc-value=\" \u0645\u0627\u0632\u0646\u062f\u0631\u0627\u0646\" >\n\t\t\t\t\t\t \u0645\u0627\u0632\u0646\u062f\u0631\u0627\u0646\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\" \u0645\u0631\u06a9\u0632\u06cc\"  data-calc-value=\" \u0645\u0631\u06a9\u0632\u06cc\" >\n\t\t\t\t\t\t \u0645\u0631\u06a9\u0632\u06cc\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\" \u0647\u0631\u0645\u0632\u06af\u0627\u0646\"  data-calc-value=\" \u0647\u0631\u0645\u0632\u06af\u0627\u0646\" >\n\t\t\t\t\t\t \u0647\u0631\u0645\u0632\u06af\u0627\u0646\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\" \u0647\u0645\u062f\u0627\u0646\"  data-calc-value=\" \u0647\u0645\u062f\u0627\u0646\" >\n\t\t\t\t\t\t \u0647\u0645\u062f\u0627\u0646\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\" \u06cc\u0632\u062f\"  data-calc-value=\" \u06cc\u0632\u062f\" >\n\t\t\t\t\t\t \u06cc\u0632\u062f\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-1 \"><div data-field-wrapper=\"fld_3554703\" class=\"form-group right\" id=\"fld_3554703_1-wrap\">\r\n\t<label id=\"fld_3554703Label\" for=\"fld_3554703_1\" class=\"control-label\">\u0634\u0647\u0631 <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_3554703\" class=\" form-control\" id=\"fld_3554703_1\" name=\"fld_3554703\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_3554703Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-2 \"><div data-field-wrapper=\"fld_5889627\" class=\"form-group right\" id=\"fld_5889627_1-wrap\">\r\n\t<label id=\"fld_5889627Label\" for=\"fld_5889627_1\" class=\"control-label\">\u0633\u0627\u0644 \u0634\u0631\u0648\u0639 \u0622\u0632\u0627\u0631 <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"number\" data-field=\"fld_5889627\" class=\" form-control\" id=\"fld_5889627_1\" name=\"fld_5889627\" value=\"\" data-type=\"number\" min=\"1\" max=\"60\" step=\"1\" data-parsley-type=\"number\" aria-required=\"true\"   aria-labelledby=\"fld_5889627Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-1 \"><div data-field-wrapper=\"fld_2637942\" class=\"form-group right\" id=\"fld_2637942_1-wrap\">\r\n\t<label id=\"fld_2637942Label\" for=\"fld_2637942_1\" class=\"control-label\">\u0633\u0646 <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"number\" data-field=\"fld_2637942\" class=\" form-control\" id=\"fld_2637942_1\" name=\"fld_2637942\" value=\"\" data-type=\"number\" min=\"10\" max=\"90\" step=\"1\" data-parsley-type=\"number\" aria-required=\"true\"   aria-labelledby=\"fld_2637942Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-4  last_col\"><div data-field-wrapper=\"fld_9073910\" class=\"form-group right\" id=\"fld_9073910_1-wrap\">\r\n\t<label id=\"fld_9073910Label\" for=\"fld_9073910_1\" class=\"control-label\">\u0646\u0627\u0645 (\u0644\u0627\u0632\u0645 \u0646\u06cc\u0633\u062a \u0646\u0627\u0645 \u0648\u0627\u0642\u0639\u06cc \u0634\u0645\u0627 \u0628\u0627\u0634\u062f)<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_9073910\" class=\" form-control\" id=\"fld_9073910_1\" name=\"fld_9073910\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_9073910Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF62a43b322976f_1-row-3\"  class=\"row \"><div  class=\"col-sm-3  first_col\"><div data-field-wrapper=\"fld_6464624\" class=\"form-group dropDown\" id=\"fld_6464624_1-wrap\">\r\n\t<label id=\"fld_6464624Label\" for=\"fld_6464624_1\" class=\"control-label\">\u0645\u06cc\u0632\u0627\u0646 \u062a\u062d\u0633\u06cc\u0644\u0627\u062a <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<select name=\"fld_6464624\" value=\"opt1332210\" data-field=\"fld_6464624\" class=\"form-control\" id=\"fld_6464624_1\"  required=\"required\"  aria-labelledby=\"fld_6464624Label\" >\n\t\t\t\t\t\t\t<option value=\"\u062f\u06cc\u067e\u0644\u0645\" selected=\"selected\" data-calc-value=\"\u062f\u06cc\u067e\u0644\u0645\" >\n\t\t\t\t\t\t\u062f\u06cc\u067e\u0644\u0645\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"\u0644\u06cc\u0633\u0627\u0646\u0633\"  data-calc-value=\"\u0644\u06cc\u0633\u0627\u0646\u0633\" >\n\t\t\t\t\t\t\u0644\u06cc\u0633\u0627\u0646\u0633\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"\u0641\u0648\u0642 \u0644\u06cc\u0633\u0627\u0646\u0633\"  data-calc-value=\"\u0641\u0648\u0642 \u0644\u06cc\u0633\u0627\u0646\u0633\" >\n\t\t\t\t\t\t\u0641\u0648\u0642 \u0644\u06cc\u0633\u0627\u0646\u0633\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"\u062f\u06a9\u062a\u0631\u0627\"  data-calc-value=\"\u062f\u06a9\u062a\u0631\u0627\" >\n\t\t\t\t\t\t\u062f\u06a9\u062a\u0631\u0627\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"\u062a\u062d\u0633\u06cc\u0644 \u0646\u06a9\u0631\u062f\u0647\"  data-calc-value=\"\u062a\u062d\u0633\u06cc\u0644 \u0646\u06a9\u0631\u062f\u0647\" >\n\t\t\t\t\t\t\u062a\u062d\u0633\u06cc\u0644 \u0646\u06a9\u0631\u062f\u0647\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"\u063a\u06cc\u0631\u0647\"  data-calc-value=\"\u063a\u06cc\u0631\u0647\" >\n\t\t\t\t\t\t\u063a\u06cc\u0631\u0647\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-3 \"><div data-field-wrapper=\"fld_1471240\" class=\"form-group dropDown\" id=\"fld_1471240_1-wrap\">\r\n\t<label id=\"fld_1471240Label\" for=\"fld_1471240_1\" class=\"control-label\">\u0634\u063a\u0644 <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<select name=\"fld_1471240\" value=\"opt1743640\" data-field=\"fld_1471240\" class=\"form-control\" id=\"fld_1471240_1\"  required=\"required\"  aria-labelledby=\"fld_1471240Label\" >\n\t\t\t\t\t\t\t<option value=\"\u0627\u0632\u0627\u062f\" selected=\"selected\" data-calc-value=\"\u0627\u0632\u0627\u062f\" >\n\t\t\t\t\t\t\u0627\u0632\u0627\u062f\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"\u06a9\u0627\u0631\u0645\u0646\u062f\"  data-calc-value=\"\u06a9\u0627\u0631\u0645\u0646\u062f\" >\n\t\t\t\t\t\t\u06a9\u0627\u0631\u0645\u0646\u062f\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"\u0628\u06cc\u06a9\u0627\u0631\"  data-calc-value=\"\u0628\u06cc\u06a9\u0627\u0631\" >\n\t\t\t\t\t\t\u0628\u06cc\u06a9\u0627\u0631\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"\u063a\u06cc\u0631\u0647\"  data-calc-value=\"\u063a\u06cc\u0631\u0647\" >\n\t\t\t\t\t\t\u063a\u06cc\u0631\u0647\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-2 \"><div data-field-wrapper=\"fld_4306270\" class=\"form-group dropDown\" id=\"fld_4306270_1-wrap\">\r\n\t<label id=\"fld_4306270Label\" for=\"fld_4306270_1\" class=\"control-label\">\u0631\u0646\u06af \u067e\u0648\u0633\u062a <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<select name=\"fld_4306270\" value=\"opt1840141\" data-field=\"fld_4306270\" class=\"form-control\" id=\"fld_4306270_1\"  required=\"required\"  aria-labelledby=\"fld_4306270Label\" >\n\t\t\t\t\t\t\t<option value=\"\u06a9\u0631\u0645 (\u0627\u06cc\u0631\u0627\u0646\u06cc)\" selected=\"selected\" data-calc-value=\"\u06a9\u0631\u0645 (\u0627\u06cc\u0631\u0627\u0646\u06cc)\" >\n\t\t\t\t\t\t\u06a9\u0631\u0645 (\u0627\u06cc\u0631\u0627\u0646\u06cc)\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"\u0633\u0641\u06cc\u062f\"  data-calc-value=\"\u0633\u0641\u06cc\u062f\" >\n\t\t\t\t\t\t\u0633\u0641\u06cc\u062f\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"\u0633\u06cc\u0627\u0647\"  data-calc-value=\"\u0633\u06cc\u0627\u0647\" >\n\t\t\t\t\t\t\u0633\u06cc\u0627\u0647\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"\u0633\u0631\u062e \u067e\u0648\u0633\u062a\"  data-calc-value=\"\u0633\u0631\u062e \u067e\u0648\u0633\u062a\" >\n\t\t\t\t\t\t\u0633\u0631\u062e \u067e\u0648\u0633\u062a\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"\u0627\u0633\u06cc\u0627\u06cc \u062f\u0648\u0631(\u0698\u0627\u067e\u0646\u06cc)\"  data-calc-value=\"\u0627\u0633\u06cc\u0627\u06cc \u062f\u0648\u0631(\u0698\u0627\u067e\u0646\u06cc)\" >\n\t\t\t\t\t\t\u0627\u0633\u06cc\u0627\u06cc \u062f\u0648\u0631(\u0698\u0627\u067e\u0646\u06cc)\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"\u0644\u0627\u062a\u06cc\u0646\"  data-calc-value=\"\u0644\u0627\u062a\u06cc\u0646\" >\n\t\t\t\t\t\t\u0644\u0627\u062a\u06cc\u0646\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-2 \"><div data-field-wrapper=\"fld_825972\" class=\"form-group dropDown\" id=\"fld_825972_1-wrap\">\r\n\t<label id=\"fld_825972Label\" for=\"fld_825972_1\" class=\"control-label\">\u0645\u0630\u0647\u0628 <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<select name=\"fld_825972\" value=\"opt1213110\" data-field=\"fld_825972\" class=\"form-control\" id=\"fld_825972_1\"  required=\"required\"  aria-labelledby=\"fld_825972Label\" >\n\t\t\t\t\t\t\t<option value=\"\u0645\u0633\u0644\u0645\u0627\u0646\" selected=\"selected\" data-calc-value=\"\u0645\u0633\u0644\u0645\u0627\u0646\" >\n\t\t\t\t\t\t\u0645\u0633\u0644\u0645\u0627\u0646\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"\u0645\u0633\u06cc\u062d\u06cc\"  data-calc-value=\"\u0645\u0633\u06cc\u062d\u06cc\" >\n\t\t\t\t\t\t\u0645\u0633\u06cc\u062d\u06cc\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"\u06cc\u0647\u0648\u062f\u06cc\"  data-calc-value=\"\u06cc\u0647\u0648\u062f\u06cc\" >\n\t\t\t\t\t\t\u06cc\u0647\u0648\u062f\u06cc\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"\u0632\u0631\u062a\u0634\u062a\"  data-calc-value=\"\u0632\u0631\u062a\u0634\u062a\" >\n\t\t\t\t\t\t\u0632\u0631\u062a\u0634\u062a\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"\u0628\u0648\u062f\u0627\u06cc\u06cc\"  data-calc-value=\"\u0628\u0648\u062f\u0627\u06cc\u06cc\" >\n\t\t\t\t\t\t\u0628\u0648\u062f\u0627\u06cc\u06cc\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"\u063a\u06cc\u0631\u0647\"  data-calc-value=\"\u063a\u06cc\u0631\u0647\" >\n\t\t\t\t\t\t\u063a\u06cc\u0631\u0647\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-2  last_col\"><div data-field-wrapper=\"fld_9816344\" class=\"form-group dropDown\" id=\"fld_9816344_1-wrap\">\r\n\t<label id=\"fld_9816344Label\" for=\"fld_9816344_1\" class=\"control-label\">\u062c\u0646\u0633\u06cc\u062a <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<select name=\"fld_9816344\" value=\"opt1291605\" data-field=\"fld_9816344\" class=\"form-control\" id=\"fld_9816344_1\"  required=\"required\"  aria-labelledby=\"fld_9816344Label\" >\n\t\t\t\t\t\t\t<option value=\"\u0645\u0631\u062f\" selected=\"selected\" data-calc-value=\"\u0645\u0631\u062f\" >\n\t\t\t\t\t\t\u0645\u0631\u062f\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"\u0632\u0646\"  data-calc-value=\"\u0632\u0646\" >\n\t\t\t\t\t\t\u0632\u0646\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF62a43b322976f_1-row-4\"  class=\"row \"><div  class=\"col-sm-12  single\"><hr id=\"fld_716172_1\" class=\"\" style=\"width: 100%\" \/><\/div><\/div><div id=\"CF62a43b322976f_1-row-5\"  class=\"row \"><div  class=\"col-sm-6  first_col\"><div data-field-wrapper=\"fld_9019611\" class=\"form-group right\" id=\"fld_9019611_1-wrap\">\r\n\t<label id=\"fld_9019611Label\" for=\"fld_9019611_1\" class=\"control-label\">\u0627\u062f\u0631\u0633 \u0627\u06cc\u0645\u06cc\u0644 \u0634\u0645\u0627 <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"email\" data-field=\"fld_9019611\" class=\" form-control\" id=\"fld_9019611_1\" name=\"fld_9019611\" value=\"\" data-type=\"email\" aria-required=\"true\"   aria-labelledby=\"fld_9019611Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-6  last_col\"><div data-field-wrapper=\"fld_4746262\" class=\"form-group right\" id=\"fld_4746262_1-wrap\">\r\n\t<label id=\"fld_4746262Label\" for=\"fld_4746262_1\" class=\"control-label\">(\u062f\u0644\u06cc\u0644 \u0642\u0631\u0628\u0627\u0646\u06cc \u0628\u0648\u062f\u0646 \u0634\u0645\u0627 (\u0628\u0647\u062a\u0631\u06cc\u0646 \u062d\u062f\u0633 <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<select name=\"fld_4746262\" value=\"opt1448712\" data-field=\"fld_4746262\" class=\"form-control\" id=\"fld_4746262_1\"  required=\"required\"  aria-labelledby=\"fld_4746262Label\" >\n\t\t\t\t\t\t\t<option value=\"\u062d\u0633\u0627\u062f\u062a\" selected=\"selected\" data-calc-value=\"\u062d\u0633\u0627\u062f\u062a\" >\n\t\t\t\t\t\t\u062d\u0633\u0627\u062f\u062a\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"\u0627\u0646\u062a\u0642\u0627\u0645\"  data-calc-value=\"\u0627\u0646\u062a\u0642\u0627\u0645\" >\n\t\t\t\t\t\t\u0627\u0646\u062a\u0642\u0627\u0645\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"\u0637\u0631\u0632 \u062a\u0641\u06a9\u0631\"  data-calc-value=\"\u0637\u0631\u0632 \u062a\u0641\u06a9\u0631\" >\n\t\t\t\t\t\t\u0637\u0631\u0632 \u062a\u0641\u06a9\u0631\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"\u0631\u0646\u06af \u067e\u0648\u0633\u062a\"  data-calc-value=\"\u0631\u0646\u06af \u067e\u0648\u0633\u062a\" >\n\t\t\t\t\t\t\u0631\u0646\u06af \u067e\u0648\u0633\u062a\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"\u0645\u0630\u0647\u0628\"  data-calc-value=\"\u0645\u0630\u0647\u0628\" >\n\t\t\t\t\t\t\u0645\u0630\u0647\u0628\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"\u0645\u0644\u06cc\u062a\"  data-calc-value=\"\u0645\u0644\u06cc\u062a\" >\n\t\t\t\t\t\t\u0645\u0644\u06cc\u062a\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"\u062a\u062d\u062a \u0641\u0634\u0627\u0631 \u06af\u0630\u0627\u0634\u062a\u0646) \u0633\u0627\u06a9\u062a \u06a9\u0631\u062f\u0646)\"  data-calc-value=\"\u062a\u062d\u062a \u0641\u0634\u0627\u0631 \u06af\u0630\u0627\u0634\u062a\u0646) \u0633\u0627\u06a9\u062a \u06a9\u0631\u062f\u0646)\" >\n\t\t\t\t\t\t\u062a\u062d\u062a \u0641\u0634\u0627\u0631 \u06af\u0630\u0627\u0634\u062a\u0646) \u0633\u0627\u06a9\u062a \u06a9\u0631\u062f\u0646)\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"\u062a\u0645\u0627\u06cc\u0644\u0627\u062a \u062c\u0646\u0633\u06cc\"  data-calc-value=\"\u062a\u0645\u0627\u06cc\u0644\u0627\u062a \u062c\u0646\u0633\u06cc\" >\n\t\t\t\t\t\t\u062a\u0645\u0627\u06cc\u0644\u0627\u062a \u062c\u0646\u0633\u06cc\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"\u062f\u0644\u06cc\u0644 \u062f\u06cc\u06af\u0631\u06cc\"  data-calc-value=\"\u062f\u0644\u06cc\u0644 \u062f\u06cc\u06af\u0631\u06cc\" >\n\t\t\t\t\t\t\u062f\u0644\u06cc\u0644 \u062f\u06cc\u06af\u0631\u06cc\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"\u0646\u0645\u06cc\u062f\u0627\u0646\u0645\"  data-calc-value=\"\u0646\u0645\u06cc\u062f\u0627\u0646\u0645\" >\n\t\t\t\t\t\t\u0646\u0645\u06cc\u062f\u0627\u0646\u0645\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF62a43b322976f_1-row-6\"  class=\"row \"><div  class=\"col-sm-12  single\"><span class=\"caldera-forms-conditional-field\" role=\"region\" aria-live=\"polite\" id=\"conditional_fld_428631_1\" data-field-id=\"fld_428631_1\"><\/span><\/div><\/div><div id=\"CF62a43b322976f_1-row-7\"  class=\"row \"><div  class=\"col-sm-12  single\"><span class=\"caldera-forms-conditional-field\" role=\"region\" aria-live=\"polite\" id=\"conditional_fld_3233189_1\" data-field-id=\"fld_3233189_1\"><div data-field-wrapper=\"fld_3233189\" class=\"form-group right\" id=\"fld_3233189_1-wrap\">\r\n\t<label id=\"fld_3233189Label\" for=\"fld_3233189_1\" class=\"control-label screen-reader-text sr-only\">explanation2<\/label>\r\n\t<div class=\"\">\r\n\t\t<textarea name=\"fld_3233189\" value=\".\u0644\u06cc\u0633\u062a \u0645\u0634\u06a9\u0644\u0627\u062a\u06cc \u06a9\u0647 \u0645\u0645\u06a9\u0646 \u0627\u0633\u062a \u062f\u0627\u0634\u062a\u0647 \u0628\u0627\u0634\u06cc\u062f. \u0634\u0645\u0627 \u0645\u06cc \u062a\u0648\u0627\u0646\u06cc\u062f \u0628\u06cc\u0634 \u0627\u0632 \u06cc\u06a9 \u06af\u0632\u06cc\u0646\u0647 \u0627\u0646\u062a\u062e\u0627\u0628 \u06a9\u0646\u06cc\u062f\" data-field=\"fld_3233189\" class=\"form-control\" id=\"fld_3233189_1\" rows=\"2\" default=\".\u0644\u06cc\u0633\u062a \u0645\u0634\u06a9\u0644\u0627\u062a\u06cc \u06a9\u0647 \u0645\u0645\u06a9\u0646 \u0627\u0633\u062a \u062f\u0627\u0634\u062a\u0647 \u0628\u0627\u0634\u06cc\u062f. \u0634\u0645\u0627 \u0645\u06cc \u062a\u0648\u0627\u0646\u06cc\u062f \u0628\u06cc\u0634 \u0627\u0632 \u06cc\u06a9 \u06af\u0632\u06cc\u0646\u0647 \u0627\u0646\u062a\u062e\u0627\u0628 \u06a9\u0646\u06cc\u062f\"    aria-labelledby=\"fld_3233189Label\" >.\u0644\u06cc\u0633\u062a \u0645\u0634\u06a9\u0644\u0627\u062a\u06cc \u06a9\u0647 \u0645\u0645\u06a9\u0646 \u0627\u0633\u062a \u062f\u0627\u0634\u062a\u0647 \u0628\u0627\u0634\u06cc\u062f. \u0634\u0645\u0627 \u0645\u06cc \u062a\u0648\u0627\u0646\u06cc\u062f \u0628\u06cc\u0634 \u0627\u0632 \u06cc\u06a9 \u06af\u0632\u06cc\u0646\u0647 \u0627\u0646\u062a\u062e\u0627\u0628 \u06a9\u0646\u06cc\u062f<\/textarea>\n\t\t\t<\/div>\r\n<\/div>\r\n<\/span><\/div><\/div><div id=\"CF62a43b322976f_1-row-8\"  class=\"row \"><div  class=\"col-sm-3  first_col\"><div data-field-wrapper=\"fld_3992483\" class=\"form-group dropDown\" id=\"fld_3992483_1-wrap\">\r\n\t<label id=\"fld_3992483Label\" for=\"fld_3992483_1\" class=\"control-label\">\u062f\u0631\u062f<\/label>\r\n\t<div class=\"\">\r\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_3992483_1_opt1560859\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"\u0627\u0633\u062a\u062e\u0648\u0627\u0646\"\n                                data-field=\"fld_3992483\"\n                                id=\"fld_3992483_1_opt1560859\"\n                                class=\"fld_3992483_1\"\n                                name=\"fld_3992483[opt1560859]\"\n                                value=\"\u0627\u0633\u062a\u062e\u0648\u0627\u0646\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_3992483_1\"\n                                                                data-calc-value=\"\u0627\u0633\u062a\u062e\u0648\u0627\u0646\"\n                            >\n                    \u0627\u0633\u062a\u062e\u0648\u0627\u0646                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_3992483_1_opt1954055\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"\u062f\u0646\u062f\u0627\u0646\"\n                                data-field=\"fld_3992483\"\n                                id=\"fld_3992483_1_opt1954055\"\n                                class=\"fld_3992483_1\"\n                                name=\"fld_3992483[opt1954055]\"\n                                value=\"\u062f\u0646\u062f\u0627\u0646\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_3992483_1\"\n                                                                data-calc-value=\"\u062f\u0646\u062f\u0627\u0646\"\n                            >\n                    \u062f\u0646\u062f\u0627\u0646                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_3992483_1_opt1403205\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"\u0686\u0634\u0645\"\n                                data-field=\"fld_3992483\"\n                                id=\"fld_3992483_1_opt1403205\"\n                                class=\"fld_3992483_1\"\n                                name=\"fld_3992483[opt1403205]\"\n                                value=\"\u0686\u0634\u0645\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_3992483_1\"\n                                                                data-calc-value=\"\u0686\u0634\u0645\"\n                            >\n                    \u0686\u0634\u0645                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_3992483_1_opt1670804\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"\u0633\u0631\u062f\u0631\u062f\"\n                                data-field=\"fld_3992483\"\n                                id=\"fld_3992483_1_opt1670804\"\n                                class=\"fld_3992483_1\"\n                                name=\"fld_3992483[opt1670804]\"\n                                value=\"\u0633\u0631\u062f\u0631\u062f\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_3992483_1\"\n                                                                data-calc-value=\"\u0633\u0631\u062f\u0631\u062f\"\n                            >\n                    \u0633\u0631\u062f\u0631\u062f                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_3992483_1_opt1919623\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"\u0642\u0644\u0628\"\n                                data-field=\"fld_3992483\"\n                                id=\"fld_3992483_1_opt1919623\"\n                                class=\"fld_3992483_1\"\n                                name=\"fld_3992483[opt1919623]\"\n                                value=\"\u0642\u0644\u0628\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_3992483_1\"\n                                                                data-calc-value=\"\u0642\u0644\u0628\"\n                            >\n                    \u0642\u0644\u0628                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_3992483_1_opt1365601\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"\u0645\u0627\u0647\u06cc\u0686\u0647\"\n                                data-field=\"fld_3992483\"\n                                id=\"fld_3992483_1_opt1365601\"\n                                class=\"fld_3992483_1\"\n                                name=\"fld_3992483[opt1365601]\"\n                                value=\"\u0645\u0627\u0647\u06cc\u0686\u0647\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_3992483_1\"\n                                                                data-calc-value=\"\u0645\u0627\u0647\u06cc\u0686\u0647\"\n                            >\n                    \u0645\u0627\u0647\u06cc\u0686\u0647                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-3 \"><div data-field-wrapper=\"fld_9393986\" class=\"form-group dropDown\" id=\"fld_9393986_1-wrap\">\r\n\t<label id=\"fld_9393986Label\" for=\"fld_9393986_1\" class=\"control-label\">\u0627\u062d\u0633\u0627\u0633\u0627\u062a \u0630\u0647\u0646\u06cc<\/label>\r\n\t<div class=\"\">\r\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_9393986_1_opt1246879\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"\u062a\u0631\u0633\"\n                                data-field=\"fld_9393986\"\n                                id=\"fld_9393986_1_opt1246879\"\n                                class=\"fld_9393986_1\"\n                                name=\"fld_9393986[opt1246879]\"\n                                value=\"\u062a\u0631\u0633\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_9393986_1\"\n                                                                data-calc-value=\"\u062a\u0631\u0633\"\n                            >\n                    \u062a\u0631\u0633                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_9393986_1_opt1098470\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"\u062e\u0633\u062a\u06af\u06cc\"\n                                data-field=\"fld_9393986\"\n                                id=\"fld_9393986_1_opt1098470\"\n                                class=\"fld_9393986_1\"\n                                name=\"fld_9393986[opt1098470]\"\n                                value=\"\u062e\u0633\u062a\u06af\u06cc\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_9393986_1\"\n                                                                data-calc-value=\"\u062e\u0633\u062a\u06af\u06cc\"\n                            >\n                    \u062e\u0633\u062a\u06af\u06cc                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_9393986_1_opt1326483\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"\u062e\u0648\u0627\u0628\"\n                                data-field=\"fld_9393986\"\n                                id=\"fld_9393986_1_opt1326483\"\n                                class=\"fld_9393986_1\"\n                                name=\"fld_9393986[opt1326483]\"\n                                value=\"\u062e\u0648\u0627\u0628\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_9393986_1\"\n                                                                data-calc-value=\"\u062e\u0648\u0627\u0628\"\n                            >\n                    \u062e\u0648\u0627\u0628                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_9393986_1_opt1408109\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"\u0634\u06a9\u0627\u06a9\u06cc\"\n                                data-field=\"fld_9393986\"\n                                id=\"fld_9393986_1_opt1408109\"\n                                class=\"fld_9393986_1\"\n                                name=\"fld_9393986[opt1408109]\"\n                                value=\"\u0634\u06a9\u0627\u06a9\u06cc\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_9393986_1\"\n                                                                data-calc-value=\"\u0634\u06a9\u0627\u06a9\u06cc\"\n                            >\n                    \u0634\u06a9\u0627\u06a9\u06cc                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_9393986_1_opt1814637\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"\u063a\u0645 \u0648 \u0627\u0646\u062f\u0648\u0647\"\n                                data-field=\"fld_9393986\"\n                                id=\"fld_9393986_1_opt1814637\"\n                                class=\"fld_9393986_1\"\n                                name=\"fld_9393986[opt1814637]\"\n                                value=\"\u063a\u0645 \u0648 \u0627\u0646\u062f\u0648\u0647\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_9393986_1\"\n                                                                data-calc-value=\"\u063a\u0645 \u0648 \u0627\u0646\u062f\u0648\u0647\"\n                            >\n                    \u063a\u0645 \u0648 \u0627\u0646\u062f\u0648\u0647                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_9393986_1_opt1309874\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"\u0646\u06af\u0631\u0627\u0646\u06cc\"\n                                data-field=\"fld_9393986\"\n                                id=\"fld_9393986_1_opt1309874\"\n                                class=\"fld_9393986_1\"\n                                name=\"fld_9393986[opt1309874]\"\n                                value=\"\u0646\u06af\u0631\u0627\u0646\u06cc\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_9393986_1\"\n                                                                data-calc-value=\"\u0646\u06af\u0631\u0627\u0646\u06cc\"\n                            >\n                    \u0646\u06af\u0631\u0627\u0646\u06cc                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-3 \"><div data-field-wrapper=\"fld_9954010\" class=\"form-group dropDown\" id=\"fld_9954010_1-wrap\">\r\n\t<label id=\"fld_9954010Label\" for=\"fld_9954010_1\" class=\"control-label\">\u0627\u062d\u0633\u0627\u0633 \u0633\u0648\u0632\u0634<\/label>\r\n\t<div class=\"\">\r\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_9954010_1_opt1946497\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"\u0628\u06cc\u0646\u06cc\"\n                                data-field=\"fld_9954010\"\n                                id=\"fld_9954010_1_opt1946497\"\n                                class=\"fld_9954010_1\"\n                                name=\"fld_9954010[opt1946497]\"\n                                value=\"\u0628\u06cc\u0646\u06cc\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_9954010_1\"\n                                                                data-calc-value=\"\u0628\u06cc\u0646\u06cc\"\n                            >\n                    \u0628\u06cc\u0646\u06cc                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_9954010_1_opt1720820\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"\u067e\u0648\u0633\u062a\"\n                                data-field=\"fld_9954010\"\n                                id=\"fld_9954010_1_opt1720820\"\n                                class=\"fld_9954010_1\"\n                                name=\"fld_9954010[opt1720820]\"\n                                value=\"\u067e\u0648\u0633\u062a\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_9954010_1\"\n                                                                data-calc-value=\"\u067e\u0648\u0633\u062a\"\n                            >\n                    \u067e\u0648\u0633\u062a                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_9954010_1_opt1599097\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"\u0686\u0634\u0645\"\n                                data-field=\"fld_9954010\"\n                                id=\"fld_9954010_1_opt1599097\"\n                                class=\"fld_9954010_1\"\n                                name=\"fld_9954010[opt1599097]\"\n                                value=\"\u0686\u0634\u0645\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_9954010_1\"\n                                                                data-calc-value=\"\u0686\u0634\u0645\"\n                            >\n                    \u0686\u0634\u0645                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_9954010_1_opt2003790\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"\u062f\u0647\u0627\u0646\"\n                                data-field=\"fld_9954010\"\n                                id=\"fld_9954010_1_opt2003790\"\n                                class=\"fld_9954010_1\"\n                                name=\"fld_9954010[opt2003790]\"\n                                value=\"\u062f\u0647\u0627\u0646\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_9954010_1\"\n                                                                data-calc-value=\"\u062f\u0647\u0627\u0646\"\n                            >\n                    \u062f\u0647\u0627\u0646                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_9954010_1_opt1362562\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"\u0632\u0628\u0627\u0646\"\n                                data-field=\"fld_9954010\"\n                                id=\"fld_9954010_1_opt1362562\"\n                                class=\"fld_9954010_1\"\n                                name=\"fld_9954010[opt1362562]\"\n                                value=\"\u0632\u0628\u0627\u0646\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_9954010_1\"\n                                                                data-calc-value=\"\u0632\u0628\u0627\u0646\"\n                            >\n                    \u0632\u0628\u0627\u0646                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_9954010_1_opt1713381\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"\u06a9\u0641 \u067e\u0627\"\n                                data-field=\"fld_9954010\"\n                                id=\"fld_9954010_1_opt1713381\"\n                                class=\"fld_9954010_1\"\n                                name=\"fld_9954010[opt1713381]\"\n                                value=\"\u06a9\u0641 \u067e\u0627\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_9954010_1\"\n                                                                data-calc-value=\"\u06a9\u0641 \u067e\u0627\"\n                            >\n                    \u06a9\u0641 \u067e\u0627                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-3  last_col\"><div data-field-wrapper=\"fld_1812829\" class=\"form-group dropDown\" id=\"fld_1812829_1-wrap\">\r\n\t<label id=\"fld_1812829Label\" for=\"fld_1812829_1\" class=\"control-label\">\u0639\u0645\u0644\u06a9\u0631\u062f\u0647\u0627\u06cc \u0646\u0627\u0628\u0647 \u0647\u0646\u06af\u0627\u0645<\/label>\r\n\t<div class=\"\">\r\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_1812829_1_opt1940105\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"\u0627\u0628 \u0631\u06cc\u0632\u0634 \u0628\u06cc\u0646\u06cc\"\n                                data-field=\"fld_1812829\"\n                                id=\"fld_1812829_1_opt1940105\"\n                                class=\"fld_1812829_1\"\n                                name=\"fld_1812829[opt1940105]\"\n                                value=\"\u0627\u0628 \u0631\u06cc\u0632\u0634 \u0628\u06cc\u0646\u06cc\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_1812829_1\"\n                                                                data-calc-value=\"\u0627\u0628 \u0631\u06cc\u0632\u0634 \u0628\u06cc\u0646\u06cc\"\n                            >\n                    \u0627\u0628 \u0631\u06cc\u0632\u0634 \u0628\u06cc\u0646\u06cc                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_1812829_1_opt1939357\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"\u0627\u062f\u0631\u0627\u0631\"\n                                data-field=\"fld_1812829\"\n                                id=\"fld_1812829_1_opt1939357\"\n                                class=\"fld_1812829_1\"\n                                name=\"fld_1812829[opt1939357]\"\n                                value=\"\u0627\u062f\u0631\u0627\u0631\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_1812829_1\"\n                                                                data-calc-value=\"\u0627\u062f\u0631\u0627\u0631\"\n                            >\n                    \u0627\u062f\u0631\u0627\u0631                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_1812829_1_opt1682227\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"\u0627\u0633\u062a\u0641\u0631\u0627\u063a\"\n                                data-field=\"fld_1812829\"\n                                id=\"fld_1812829_1_opt1682227\"\n                                class=\"fld_1812829_1\"\n                                name=\"fld_1812829[opt1682227]\"\n                                value=\"\u0627\u0633\u062a\u0641\u0631\u0627\u063a\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_1812829_1\"\n                                                                data-calc-value=\"\u0627\u0633\u062a\u0641\u0631\u0627\u063a\"\n                            >\n                    \u0627\u0633\u062a\u0641\u0631\u0627\u063a                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_1812829_1_opt1392045\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"\u062a\u0647\u0648\u0639\"\n                                data-field=\"fld_1812829\"\n                                id=\"fld_1812829_1_opt1392045\"\n                                class=\"fld_1812829_1\"\n                                name=\"fld_1812829[opt1392045]\"\n                                value=\"\u062a\u0647\u0648\u0639\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_1812829_1\"\n                                                                data-calc-value=\"\u062a\u0647\u0648\u0639\"\n                            >\n                    \u062a\u0647\u0648\u0639                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_1812829_1_opt1585468\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"\u062a\u062d\u0631\u06cc\u06a9 \u0639\u0636\u0644\u0647\"\n                                data-field=\"fld_1812829\"\n                                id=\"fld_1812829_1_opt1585468\"\n                                class=\"fld_1812829_1\"\n                                name=\"fld_1812829[opt1585468]\"\n                                value=\"\u062a\u062d\u0631\u06cc\u06a9 \u0639\u0636\u0644\u0647\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_1812829_1\"\n                                                                data-calc-value=\"\u062a\u062d\u0631\u06cc\u06a9 \u0639\u0636\u0644\u0647\"\n                            >\n                    \u062a\u062d\u0631\u06cc\u06a9 \u0639\u0636\u0644\u0647                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_1812829_1_opt1648327\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"\u062e\u0627\u0631\u0634\"\n                                data-field=\"fld_1812829\"\n                                id=\"fld_1812829_1_opt1648327\"\n                                class=\"fld_1812829_1\"\n                                name=\"fld_1812829[opt1648327]\"\n                                value=\"\u062e\u0627\u0631\u0634\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_1812829_1\"\n                                                                data-calc-value=\"\u062e\u0627\u0631\u0634\"\n                            >\n                    \u062e\u0627\u0631\u0634                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_1812829_1_opt1946484\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"\u062e\u0631\u0648\u062c \u0628\u0627\u062f \u0627\u0632 \u067e\u0634\u062a\"\n                                data-field=\"fld_1812829\"\n                                id=\"fld_1812829_1_opt1946484\"\n                                class=\"fld_1812829_1\"\n                                name=\"fld_1812829[opt1946484]\"\n                                value=\"\u062e\u0631\u0648\u062c \u0628\u0627\u062f \u0627\u0632 \u067e\u0634\u062a\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_1812829_1\"\n                                                                data-calc-value=\"\u062e\u0631\u0648\u062c \u0628\u0627\u062f \u0627\u0632 \u067e\u0634\u062a\"\n                            >\n                    \u062e\u0631\u0648\u062c \u0628\u0627\u062f \u0627\u0632 \u067e\u0634\u062a                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_1812829_1_opt1764657\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"\u062e\u0631 \u0648 \u067e\u0641\"\n                                data-field=\"fld_1812829\"\n                                id=\"fld_1812829_1_opt1764657\"\n                                class=\"fld_1812829_1\"\n                                name=\"fld_1812829[opt1764657]\"\n                                value=\"\u062e\u0631 \u0648 \u067e\u0641\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_1812829_1\"\n                                                                data-calc-value=\"\u062e\u0631 \u0648 \u067e\u0641\"\n                            >\n                    \u062e\u0631 \u0648 \u067e\u0641                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_1812829_1_opt1231289\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"\u0635\u0631\u0641\u0647\"\n                                data-field=\"fld_1812829\"\n                                id=\"fld_1812829_1_opt1231289\"\n                                class=\"fld_1812829_1\"\n                                name=\"fld_1812829[opt1231289]\"\n                                value=\"\u0635\u0631\u0641\u0647\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_1812829_1\"\n                                                                data-calc-value=\"\u0635\u0631\u0641\u0647\"\n                            >\n                    \u0635\u0631\u0641\u0647                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_1812829_1_opt1208223\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"\u0636\u0631\u0628\u0627\u0646 \u0642\u0644\u0628\"\n                                data-field=\"fld_1812829\"\n                                id=\"fld_1812829_1_opt1208223\"\n                                class=\"fld_1812829_1\"\n                                name=\"fld_1812829[opt1208223]\"\n                                value=\"\u0636\u0631\u0628\u0627\u0646 \u0642\u0644\u0628\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_1812829_1\"\n                                                                data-calc-value=\"\u0636\u0631\u0628\u0627\u0646 \u0642\u0644\u0628\"\n                            >\n                    \u0636\u0631\u0628\u0627\u0646 \u0642\u0644\u0628                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_1812829_1_opt2049794\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"\u0639\u0631\u0642 \u06a9\u0631\u062f\u0646\"\n                                data-field=\"fld_1812829\"\n                                id=\"fld_1812829_1_opt2049794\"\n                                class=\"fld_1812829_1\"\n                                name=\"fld_1812829[opt2049794]\"\n                                value=\"\u0639\u0631\u0642 \u06a9\u0631\u062f\u0646\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_1812829_1\"\n                                                                data-calc-value=\"\u0639\u0631\u0642 \u06a9\u0631\u062f\u0646\"\n                            >\n                    \u0639\u0631\u0642 \u06a9\u0631\u062f\u0646                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_1812829_1_opt1104601\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"\u0639\u0637\u0633\u0647\"\n                                data-field=\"fld_1812829\"\n                                id=\"fld_1812829_1_opt1104601\"\n                                class=\"fld_1812829_1\"\n                                name=\"fld_1812829[opt1104601]\"\n                                value=\"\u0639\u0637\u0633\u0647\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_1812829_1\"\n                                                                data-calc-value=\"\u0639\u0637\u0633\u0647\"\n                            >\n                    \u0639\u0637\u0633\u0647                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_1812829_1_opt2046046\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"\u0645\u062f\u0641\u0648\u0639\"\n                                data-field=\"fld_1812829\"\n                                id=\"fld_1812829_1_opt2046046\"\n                                class=\"fld_1812829_1\"\n                                name=\"fld_1812829[opt2046046]\"\n                                value=\"\u0645\u062f\u0641\u0648\u0639\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_1812829_1\"\n                                                                data-calc-value=\"\u0645\u062f\u0641\u0648\u0639\"\n                            >\n                    \u0645\u062f\u0641\u0648\u0639                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF62a43b322976f_1-row-9\"  class=\"row \"><div  class=\"col-sm-12  single\"><span class=\"caldera-forms-conditional-field\" role=\"region\" aria-live=\"polite\" id=\"conditional_fld_3711211_1\" data-field-id=\"fld_3711211_1\"><div data-field-wrapper=\"fld_3711211\" class=\"form-group right\" id=\"fld_3711211_1-wrap\">\r\n\t<label id=\"fld_3711211Label\" for=\"fld_3711211_1\" class=\"control-label screen-reader-text sr-only\">explanation3<\/label>\r\n\t<div class=\"\">\r\n\t\t<textarea name=\"fld_3711211\" value=\"\u06af\u0632\u06cc\u0646\u0647 \u0647\u0627\u06cc \u0632\u06cc\u0631 \u0631\u0627 \u0641\u0642\u0637 \u0648 \u0641\u0642\u0637 \u0632\u0645\u0627\u0646\u06cc \u0627\u0646\u062a\u062e\u0627\u0628 \u06a9\u0646\u06cc\u062f \u06a9\u0647 \u0627\u0637\u0645\u06cc\u0646\u0627\u0646 \u062f\u0627\u0634\u062a\u0647 \u0628\u0627\u0634\u06cc\u062f \u0639\u0644\u062a \u0622\u0646 \u0622\u0632\u0627\u0631 \u06af\u0631\u0648\u0647\u06cc \u0647\u0633\u062a\" data-field=\"fld_3711211\" class=\"form-control\" id=\"fld_3711211_1\" rows=\"2\" default=\"\u06af\u0632\u06cc\u0646\u0647 \u0647\u0627\u06cc \u0632\u06cc\u0631 \u0631\u0627 \u0641\u0642\u0637 \u0648 \u0641\u0642\u0637 \u0632\u0645\u0627\u0646\u06cc \u0627\u0646\u062a\u062e\u0627\u0628 \u06a9\u0646\u06cc\u062f \u06a9\u0647 \u0627\u0637\u0645\u06cc\u0646\u0627\u0646 \u062f\u0627\u0634\u062a\u0647 \u0628\u0627\u0634\u06cc\u062f \u0639\u0644\u062a \u0622\u0646 \u0622\u0632\u0627\u0631 \u06af\u0631\u0648\u0647\u06cc \u0647\u0633\u062a\"    aria-labelledby=\"fld_3711211Label\" >\u06af\u0632\u06cc\u0646\u0647 \u0647\u0627\u06cc \u0632\u06cc\u0631 \u0631\u0627 \u0641\u0642\u0637 \u0648 \u0641\u0642\u0637 \u0632\u0645\u0627\u0646\u06cc \u0627\u0646\u062a\u062e\u0627\u0628 \u06a9\u0646\u06cc\u062f \u06a9\u0647 \u0627\u0637\u0645\u06cc\u0646\u0627\u0646 \u062f\u0627\u0634\u062a\u0647 \u0628\u0627\u0634\u06cc\u062f \u0639\u0644\u062a \u0622\u0646 \u0622\u0632\u0627\u0631 \u06af\u0631\u0648\u0647\u06cc \u0647\u0633\u062a<\/textarea>\n\t\t\t<\/div>\r\n<\/div>\r\n<\/span><\/div><\/div><div id=\"CF62a43b322976f_1-row-10\"  class=\"row \"><div  class=\"col-sm-3  first_col\"><div data-field-wrapper=\"fld_9793110\" class=\"form-group right\" id=\"fld_9793110_1-wrap\">\r\n\t<label id=\"fld_9793110Label\" for=\"fld_9793110_1\" class=\"control-label\">\u0627\u0634\u06a9\u0644\u0627\u062a \u062f\u06cc\u06af\u0631<\/label>\r\n\t<div class=\"\">\r\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_9793110_1_opt1768537\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\" \u0627\u0632 \u06a9\u0627\u0631 \u0627\u0646\u062f\u0627\u062e\u062a\u0646 \u06af\u0641\u062a\u0627\u0631\"\n                                data-field=\"fld_9793110\"\n                                id=\"fld_9793110_1_opt1768537\"\n                                class=\"fld_9793110_1\"\n                                name=\"fld_9793110[opt1768537]\"\n                                value=\" \u0627\u0632 \u06a9\u0627\u0631 \u0627\u0646\u062f\u0627\u062e\u062a\u0646 \u06af\u0641\u062a\u0627\u0631\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_9793110_1\"\n                                                                data-calc-value=\" \u0627\u0632 \u06a9\u0627\u0631 \u0627\u0646\u062f\u0627\u062e\u062a\u0646 \u06af\u0641\u062a\u0627\u0631\"\n                            >\n                     \u0627\u0632 \u06a9\u0627\u0631 \u0627\u0646\u062f\u0627\u062e\u062a\u0646 \u06af\u0641\u062a\u0627\u0631                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_9793110_1_opt1926595\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"\u0627\u0632 \u06a9\u0627\u0631 \u0627\u0646\u062f\u0627\u062e\u062a\u0646 \u0645\u0627\u0647\u06cc\u0686\u0647\"\n                                data-field=\"fld_9793110\"\n                                id=\"fld_9793110_1_opt1926595\"\n                                class=\"fld_9793110_1\"\n                                name=\"fld_9793110[opt1926595]\"\n                                value=\"\u0627\u0632 \u06a9\u0627\u0631 \u0627\u0646\u062f\u0627\u062e\u062a\u0646 \u0645\u0627\u0647\u06cc\u0686\u0647\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_9793110_1\"\n                                                                data-calc-value=\"\u0627\u0632 \u06a9\u0627\u0631 \u0627\u0646\u062f\u0627\u062e\u062a\u0646 \u0645\u0627\u0647\u06cc\u0686\u0647\"\n                            >\n                    \u0627\u0632 \u06a9\u0627\u0631 \u0627\u0646\u062f\u0627\u062e\u062a\u0646 \u0645\u0627\u0647\u06cc\u0686\u0647                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_9793110_1_opt1453693\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"\u0628\u0647\u0645 \u0631\u06cc\u062e\u062a\u0646 \u062a\u0645\u0631\u06a9\u0632\"\n                                data-field=\"fld_9793110\"\n                                id=\"fld_9793110_1_opt1453693\"\n                                class=\"fld_9793110_1\"\n                                name=\"fld_9793110[opt1453693]\"\n                                value=\"\u0628\u0647\u0645 \u0631\u06cc\u062e\u062a\u0646 \u062a\u0645\u0631\u06a9\u0632\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_9793110_1\"\n                                                                data-calc-value=\"\u0628\u0647\u0645 \u0631\u06cc\u062e\u062a\u0646 \u062a\u0645\u0631\u06a9\u0632\"\n                            >\n                    \u0628\u0647\u0645 \u0631\u06cc\u062e\u062a\u0646 \u062a\u0645\u0631\u06a9\u0632                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_9793110_1_opt1278333\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"\u0628\u0633\u062a\u0647 \u0634\u062f\u0646 \u06af\u0644\u0648\"\n                                data-field=\"fld_9793110\"\n                                id=\"fld_9793110_1_opt1278333\"\n                                class=\"fld_9793110_1\"\n                                name=\"fld_9793110[opt1278333]\"\n                                value=\"\u0628\u0633\u062a\u0647 \u0634\u062f\u0646 \u06af\u0644\u0648\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_9793110_1\"\n                                                                data-calc-value=\"\u0628\u0633\u062a\u0647 \u0634\u062f\u0646 \u06af\u0644\u0648\"\n                            >\n                    \u0628\u0633\u062a\u0647 \u0634\u062f\u0646 \u06af\u0644\u0648                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_9793110_1_opt1341871\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"\u0628\u0647\u0645 \u0631\u06cc\u062e\u062a\u0646 \u0641\u06a9\u0648\u0633 \u0686\u0634\u0645\"\n                                data-field=\"fld_9793110\"\n                                id=\"fld_9793110_1_opt1341871\"\n                                class=\"fld_9793110_1\"\n                                name=\"fld_9793110[opt1341871]\"\n                                value=\"\u0628\u0647\u0645 \u0631\u06cc\u062e\u062a\u0646 \u0641\u06a9\u0648\u0633 \u0686\u0634\u0645\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_9793110_1\"\n                                                                data-calc-value=\"\u0628\u0647\u0645 \u0631\u06cc\u062e\u062a\u0646 \u0641\u06a9\u0648\u0633 \u0686\u0634\u0645\"\n                            >\n                    \u0628\u0647\u0645 \u0631\u06cc\u062e\u062a\u0646 \u0641\u06a9\u0648\u0633 \u0686\u0634\u0645                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_9793110_1_opt1866293\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"\u067e\u0627\u0631\u0627\u0632\u06cc\u062a \u06af\u0648\u0634\"\n                                data-field=\"fld_9793110\"\n                                id=\"fld_9793110_1_opt1866293\"\n                                class=\"fld_9793110_1\"\n                                name=\"fld_9793110[opt1866293]\"\n                                value=\"\u067e\u0627\u0631\u0627\u0632\u06cc\u062a \u06af\u0648\u0634\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_9793110_1\"\n                                                                data-calc-value=\"\u067e\u0627\u0631\u0627\u0632\u06cc\u062a \u06af\u0648\u0634\"\n                            >\n                    \u067e\u0627\u0631\u0627\u0632\u06cc\u062a \u06af\u0648\u0634                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_9793110_1_opt1298076\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"\u062a\u067e\u0634 \u0642\u0644\u0628\"\n                                data-field=\"fld_9793110\"\n                                id=\"fld_9793110_1_opt1298076\"\n                                class=\"fld_9793110_1\"\n                                name=\"fld_9793110[opt1298076]\"\n                                value=\"\u062a\u067e\u0634 \u0642\u0644\u0628\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_9793110_1\"\n                                                                data-calc-value=\"\u062a\u067e\u0634 \u0642\u0644\u0628\"\n                            >\n                    \u062a\u067e\u0634 \u0642\u0644\u0628                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_9793110_1_opt2015792\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"\u062a\u0646\u06af\u06cc \u0646\u0641\u0633\"\n                                data-field=\"fld_9793110\"\n                                id=\"fld_9793110_1_opt2015792\"\n                                class=\"fld_9793110_1\"\n                                name=\"fld_9793110[opt2015792]\"\n                                value=\"\u062a\u0646\u06af\u06cc \u0646\u0641\u0633\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_9793110_1\"\n                                                                data-calc-value=\"\u062a\u0646\u06af\u06cc \u0646\u0641\u0633\"\n                            >\n                    \u062a\u0646\u06af\u06cc \u0646\u0641\u0633                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_9793110_1_opt2014141\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"\u062a\u062d\u0631\u06cc\u06a9\u0627\u062a \u062c\u0646\u0633\u06cc\"\n                                data-field=\"fld_9793110\"\n                                id=\"fld_9793110_1_opt2014141\"\n                                class=\"fld_9793110_1\"\n                                name=\"fld_9793110[opt2014141]\"\n                                value=\"\u062a\u062d\u0631\u06cc\u06a9\u0627\u062a \u062c\u0646\u0633\u06cc\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_9793110_1\"\n                                                                data-calc-value=\"\u062a\u062d\u0631\u06cc\u06a9\u0627\u062a \u062c\u0646\u0633\u06cc\"\n                            >\n                    \u062a\u062d\u0631\u06cc\u06a9\u0627\u062a \u062c\u0646\u0633\u06cc                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_9793110_1_opt1768732\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"\u062d\u0631\u06a9\u062a \u0632\u06cc\u0631 \u067e\u0648\u0633\u062a\"\n                                data-field=\"fld_9793110\"\n                                id=\"fld_9793110_1_opt1768732\"\n                                class=\"fld_9793110_1\"\n                                name=\"fld_9793110[opt1768732]\"\n                                value=\"\u062d\u0631\u06a9\u062a \u0632\u06cc\u0631 \u067e\u0648\u0633\u062a\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_9793110_1\"\n                                                                data-calc-value=\"\u062d\u0631\u06a9\u062a \u0632\u06cc\u0631 \u067e\u0648\u0633\u062a\"\n                            >\n                    \u062d\u0631\u06a9\u062a \u0632\u06cc\u0631 \u067e\u0648\u0633\u062a                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_9793110_1_opt1060465\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"\u0641\u0634\u0627\u0631 \u062e\u0648\u0646\"\n                                data-field=\"fld_9793110\"\n                                id=\"fld_9793110_1_opt1060465\"\n                                class=\"fld_9793110_1\"\n                                name=\"fld_9793110[opt1060465]\"\n                                value=\"\u0641\u0634\u0627\u0631 \u062e\u0648\u0646\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_9793110_1\"\n                                                                data-calc-value=\"\u0641\u0634\u0627\u0631 \u062e\u0648\u0646\"\n                            >\n                    \u0641\u0634\u0627\u0631 \u062e\u0648\u0646                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_9793110_1_opt1245755\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"\u0641\u0631\u0627\u0645\u0648\u0634\u06cc\"\n                                data-field=\"fld_9793110\"\n                                id=\"fld_9793110_1_opt1245755\"\n                                class=\"fld_9793110_1\"\n                                name=\"fld_9793110[opt1245755]\"\n                                value=\"\u0641\u0631\u0627\u0645\u0648\u0634\u06cc\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_9793110_1\"\n                                                                data-calc-value=\"\u0641\u0631\u0627\u0645\u0648\u0634\u06cc\"\n                            >\n                    \u0641\u0631\u0627\u0645\u0648\u0634\u06cc                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_9793110_1_opt1662648\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"\u0641\u0634\u0627\u0631 \u0642\u0641\u0633\u0647 \u0633\u06cc\u0646\u0647\"\n                                data-field=\"fld_9793110\"\n                                id=\"fld_9793110_1_opt1662648\"\n                                class=\"fld_9793110_1\"\n                                name=\"fld_9793110[opt1662648]\"\n                                value=\"\u0641\u0634\u0627\u0631 \u0642\u0641\u0633\u0647 \u0633\u06cc\u0646\u0647\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_9793110_1\"\n                                                                data-calc-value=\"\u0641\u0634\u0627\u0631 \u0642\u0641\u0633\u0647 \u0633\u06cc\u0646\u0647\"\n                            >\n                    \u0641\u0634\u0627\u0631 \u0642\u0641\u0633\u0647 \u0633\u06cc\u0646\u0647                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_9793110_1_opt1639584\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"\u0642\u0637\u0639 \u062c\u0631\u06cc\u0627\u0646 \u062e\u0648\u0646 \u062f\u0631 \u062f\u0633\u062a\"\n                                data-field=\"fld_9793110\"\n                                id=\"fld_9793110_1_opt1639584\"\n                                class=\"fld_9793110_1\"\n                                name=\"fld_9793110[opt1639584]\"\n                                value=\"\u0642\u0637\u0639 \u062c\u0631\u06cc\u0627\u0646 \u062e\u0648\u0646 \u062f\u0631 \u062f\u0633\u062a\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_9793110_1\"\n                                                                data-calc-value=\"\u0642\u0637\u0639 \u062c\u0631\u06cc\u0627\u0646 \u062e\u0648\u0646 \u062f\u0631 \u062f\u0633\u062a\"\n                            >\n                    \u0642\u0637\u0639 \u062c\u0631\u06cc\u0627\u0646 \u062e\u0648\u0646 \u062f\u0631 \u062f\u0633\u062a                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-3 \"><div data-field-wrapper=\"fld_5527895\" class=\"form-group right\" id=\"fld_5527895_1-wrap\">\r\n\t<label id=\"fld_5527895Label\" for=\"fld_5527895_1\" class=\"control-label\">\u062e\u0633\u0627\u0631\u062a \u0645\u0627\u0644\u06cc<\/label>\r\n\t<div class=\"\">\r\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_5527895_1_opt1800942\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"\u0628\u0627\u0632 \u06a9\u0631\u062f\u0646 \u062f\u0631 \u0645\u0646\u0632\u0644\"\n                                data-field=\"fld_5527895\"\n                                id=\"fld_5527895_1_opt1800942\"\n                                class=\"fld_5527895_1\"\n                                name=\"fld_5527895[opt1800942]\"\n                                value=\"\u0628\u0627\u0632 \u06a9\u0631\u062f\u0646 \u062f\u0631 \u0645\u0646\u0632\u0644\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_5527895_1\"\n                                                                data-calc-value=\"\u0628\u0627\u0632 \u06a9\u0631\u062f\u0646 \u062f\u0631 \u0645\u0646\u0632\u0644\"\n                            >\n                    \u0628\u0627\u0632 \u06a9\u0631\u062f\u0646 \u062f\u0631 \u0645\u0646\u0632\u0644                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_5527895_1_opt1569069\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"\u062a\u063a\u06cc\u06cc\u0631 \u06a9\u0627\u0631\u0628\u0631\u06cc \u062f\u0633\u062a\u06af\u0627\u0647 \u0647\u0627\"\n                                data-field=\"fld_5527895\"\n                                id=\"fld_5527895_1_opt1569069\"\n                                class=\"fld_5527895_1\"\n                                name=\"fld_5527895[opt1569069]\"\n                                value=\"\u062a\u063a\u06cc\u06cc\u0631 \u06a9\u0627\u0631\u0628\u0631\u06cc \u062f\u0633\u062a\u06af\u0627\u0647 \u0647\u0627\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_5527895_1\"\n                                                                data-calc-value=\"\u062a\u063a\u06cc\u06cc\u0631 \u06a9\u0627\u0631\u0628\u0631\u06cc \u062f\u0633\u062a\u06af\u0627\u0647 \u0647\u0627\"\n                            >\n                    \u062a\u063a\u06cc\u06cc\u0631 \u06a9\u0627\u0631\u0628\u0631\u06cc \u062f\u0633\u062a\u06af\u0627\u0647 \u0647\u0627                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_5527895_1_opt1101494\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"\u062c\u0627\u0628\u062c\u0627\u06cc\u06cc \u0627\u0634\u06cc\u0627 \u062f\u0631 \u0645\u0646\u0632\u0644\"\n                                data-field=\"fld_5527895\"\n                                id=\"fld_5527895_1_opt1101494\"\n                                class=\"fld_5527895_1\"\n                                name=\"fld_5527895[opt1101494]\"\n                                value=\"\u062c\u0627\u0628\u062c\u0627\u06cc\u06cc \u0627\u0634\u06cc\u0627 \u062f\u0631 \u0645\u0646\u0632\u0644\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_5527895_1\"\n                                                                data-calc-value=\"\u062c\u0627\u0628\u062c\u0627\u06cc\u06cc \u0627\u0634\u06cc\u0627 \u062f\u0631 \u0645\u0646\u0632\u0644\"\n                            >\n                    \u062c\u0627\u0628\u062c\u0627\u06cc\u06cc \u0627\u0634\u06cc\u0627 \u062f\u0631 \u0645\u0646\u0632\u0644                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_5527895_1_opt1548593\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"\u0633\u0631\u0642\u062a  \u0627\u0645\u0648\u0627\u0644\"\n                                data-field=\"fld_5527895\"\n                                id=\"fld_5527895_1_opt1548593\"\n                                class=\"fld_5527895_1\"\n                                name=\"fld_5527895[opt1548593]\"\n                                value=\"\u0633\u0631\u0642\u062a  \u0627\u0645\u0648\u0627\u0644\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_5527895_1\"\n                                                                data-calc-value=\"\u0633\u0631\u0642\u062a  \u0627\u0645\u0648\u0627\u0644\"\n                            >\n                    \u0633\u0631\u0642\u062a  \u0627\u0645\u0648\u0627\u0644                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_5527895_1_opt1962423\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"\u0635\u062f\u0645\u0647 \u0628\u0647 \u0627\u0645\u0648\u0627\u0644\"\n                                data-field=\"fld_5527895\"\n                                id=\"fld_5527895_1_opt1962423\"\n                                class=\"fld_5527895_1\"\n                                name=\"fld_5527895[opt1962423]\"\n                                value=\"\u0635\u062f\u0645\u0647 \u0628\u0647 \u0627\u0645\u0648\u0627\u0644\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_5527895_1\"\n                                                                data-calc-value=\"\u0635\u062f\u0645\u0647 \u0628\u0647 \u0627\u0645\u0648\u0627\u0644\"\n                            >\n                    \u0635\u062f\u0645\u0647 \u0628\u0647 \u0627\u0645\u0648\u0627\u0644                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_5527895_1_opt1344137\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"\u0635\u062f\u0645\u0647 \u0628\u0647 \u0645\u0627\u0634\u06cc\u0646\"\n                                data-field=\"fld_5527895\"\n                                id=\"fld_5527895_1_opt1344137\"\n                                class=\"fld_5527895_1\"\n                                name=\"fld_5527895[opt1344137]\"\n                                value=\"\u0635\u062f\u0645\u0647 \u0628\u0647 \u0645\u0627\u0634\u06cc\u0646\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_5527895_1\"\n                                                                data-calc-value=\"\u0635\u062f\u0645\u0647 \u0628\u0647 \u0645\u0627\u0634\u06cc\u0646\"\n                            >\n                    \u0635\u062f\u0645\u0647 \u0628\u0647 \u0645\u0627\u0634\u06cc\u0646                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_5527895_1_opt1987314\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"\u0635\u062f\u0645\u0647 \u06cc\u0627 \u06a9\u0634\u062a\u0646 \u062d\u06cc\u0648\u0627\u0646 \u062e\u0627\u0646\u06af\u06cc\"\n                                data-field=\"fld_5527895\"\n                                id=\"fld_5527895_1_opt1987314\"\n                                class=\"fld_5527895_1\"\n                                name=\"fld_5527895[opt1987314]\"\n                                value=\"\u0635\u062f\u0645\u0647 \u06cc\u0627 \u06a9\u0634\u062a\u0646 \u062d\u06cc\u0648\u0627\u0646 \u062e\u0627\u0646\u06af\u06cc\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_5527895_1\"\n                                                                data-calc-value=\"\u0635\u062f\u0645\u0647 \u06cc\u0627 \u06a9\u0634\u062a\u0646 \u062d\u06cc\u0648\u0627\u0646 \u062e\u0627\u0646\u06af\u06cc\"\n                            >\n                    \u0635\u062f\u0645\u0647 \u06cc\u0627 \u06a9\u0634\u062a\u0646 \u062d\u06cc\u0648\u0627\u0646 \u062e\u0627\u0646\u06af\u06cc                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_5527895_1_opt1607243\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"\u0635\u062f\u0645\u0647 \u06cc\u0627 \u0627\u0632 \u0628\u06cc\u0646 \u0628\u0631\u062f\u0646 \u06af\u06cc\u0627\u0647\"\n                                data-field=\"fld_5527895\"\n                                id=\"fld_5527895_1_opt1607243\"\n                                class=\"fld_5527895_1\"\n                                name=\"fld_5527895[opt1607243]\"\n                                value=\"\u0635\u062f\u0645\u0647 \u06cc\u0627 \u0627\u0632 \u0628\u06cc\u0646 \u0628\u0631\u062f\u0646 \u06af\u06cc\u0627\u0647\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_5527895_1\"\n                                                                data-calc-value=\"\u0635\u062f\u0645\u0647 \u06cc\u0627 \u0627\u0632 \u0628\u06cc\u0646 \u0628\u0631\u062f\u0646 \u06af\u06cc\u0627\u0647\"\n                            >\n                    \u0635\u062f\u0645\u0647 \u06cc\u0627 \u0627\u0632 \u0628\u06cc\u0646 \u0628\u0631\u062f\u0646 \u06af\u06cc\u0627\u0647                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-3 \"><div data-field-wrapper=\"fld_7533391\" class=\"form-group right\" id=\"fld_7533391_1-wrap\">\r\n\t<label id=\"fld_7533391Label\" for=\"fld_7533391_1\" class=\"control-label\">\u0627\u0632\u0627\u0631 \u06af\u0631\u0648\u0647\u06cc<\/label>\r\n\t<div class=\"\">\r\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_7533391_1_opt1081306\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"\u0627\u0641\u0634\u0627\u06cc \u0627\u0633\u0631\u0627\u0631\u0647\u0627\u06cc \u0634\u0645\u0627\"\n                                data-field=\"fld_7533391\"\n                                id=\"fld_7533391_1_opt1081306\"\n                                class=\"fld_7533391_1\"\n                                name=\"fld_7533391[opt1081306]\"\n                                value=\"\u0627\u0641\u0634\u0627\u06cc \u0627\u0633\u0631\u0627\u0631\u0647\u0627\u06cc \u0634\u0645\u0627\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_7533391_1\"\n                                                                data-calc-value=\"\u0627\u0641\u0634\u0627\u06cc \u0627\u0633\u0631\u0627\u0631\u0647\u0627\u06cc \u0634\u0645\u0627\"\n                            >\n                    \u0627\u0641\u0634\u0627\u06cc \u0627\u0633\u0631\u0627\u0631\u0647\u0627\u06cc \u0634\u0645\u0627                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_7533391_1_opt1260728\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"\u062a\u0626\u0627\u062a\u0631 \u0628\u0627\u0632\u06cc\"\n                                data-field=\"fld_7533391\"\n                                id=\"fld_7533391_1_opt1260728\"\n                                class=\"fld_7533391_1\"\n                                name=\"fld_7533391[opt1260728]\"\n                                value=\"\u062a\u0626\u0627\u062a\u0631 \u0628\u0627\u0632\u06cc\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_7533391_1\"\n                                                                data-calc-value=\"\u062a\u0626\u0627\u062a\u0631 \u0628\u0627\u0632\u06cc\"\n                            >\n                    \u062a\u0626\u0627\u062a\u0631 \u0628\u0627\u0632\u06cc                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_7533391_1_opt1898271\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"\u062a\u0639\u0642\u06cc\u0628 \u0628\u06cc\u0631\u0648\u0646 \u0645\u0646\u0632\u0644\"\n                                data-field=\"fld_7533391\"\n                                id=\"fld_7533391_1_opt1898271\"\n                                class=\"fld_7533391_1\"\n                                name=\"fld_7533391[opt1898271]\"\n                                value=\"\u062a\u0639\u0642\u06cc\u0628 \u0628\u06cc\u0631\u0648\u0646 \u0645\u0646\u0632\u0644\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_7533391_1\"\n                                                                data-calc-value=\"\u062a\u0639\u0642\u06cc\u0628 \u0628\u06cc\u0631\u0648\u0646 \u0645\u0646\u0632\u0644\"\n                            >\n                    \u062a\u0639\u0642\u06cc\u0628 \u0628\u06cc\u0631\u0648\u0646 \u0645\u0646\u0632\u0644                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_7533391_1_opt1814616\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"\u062a\u063a\u06cc\u06cc\u0631 \u062f\u0627\u062f\u0646 \u0631\u0645\u0632\"\n                                data-field=\"fld_7533391\"\n                                id=\"fld_7533391_1_opt1814616\"\n                                class=\"fld_7533391_1\"\n                                name=\"fld_7533391[opt1814616]\"\n                                value=\"\u062a\u063a\u06cc\u06cc\u0631 \u062f\u0627\u062f\u0646 \u0631\u0645\u0632\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_7533391_1\"\n                                                                data-calc-value=\"\u062a\u063a\u06cc\u06cc\u0631 \u062f\u0627\u062f\u0646 \u0631\u0645\u0632\"\n                            >\n                    \u062a\u063a\u06cc\u06cc\u0631 \u062f\u0627\u062f\u0646 \u0631\u0645\u0632                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_7533391_1_opt1276775\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"\u0634\u0627\u06cc\u0639\u0647 \u067e\u0631\u0627\u06a9\u0646\u06cc\"\n                                data-field=\"fld_7533391\"\n                                id=\"fld_7533391_1_opt1276775\"\n                                class=\"fld_7533391_1\"\n                                name=\"fld_7533391[opt1276775]\"\n                                value=\"\u0634\u0627\u06cc\u0639\u0647 \u067e\u0631\u0627\u06a9\u0646\u06cc\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_7533391_1\"\n                                                                data-calc-value=\"\u0634\u0627\u06cc\u0639\u0647 \u067e\u0631\u0627\u06a9\u0646\u06cc\"\n                            >\n                    \u0634\u0627\u06cc\u0639\u0647 \u067e\u0631\u0627\u06a9\u0646\u06cc                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_7533391_1_opt1644681\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"\u0634\u06a9\u0646\u062c\u0647 \u0647\u0627\u06cc \u0633\u0648\u062a\u06cc\"\n                                data-field=\"fld_7533391\"\n                                id=\"fld_7533391_1_opt1644681\"\n                                class=\"fld_7533391_1\"\n                                name=\"fld_7533391[opt1644681]\"\n                                value=\"\u0634\u06a9\u0646\u062c\u0647 \u0647\u0627\u06cc \u0633\u0648\u062a\u06cc\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_7533391_1\"\n                                                                data-calc-value=\"\u0634\u06a9\u0646\u062c\u0647 \u0647\u0627\u06cc \u0633\u0648\u062a\u06cc\"\n                            >\n                    \u0634\u06a9\u0646\u062c\u0647 \u0647\u0627\u06cc \u0633\u0648\u062a\u06cc                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_7533391_1_opt1205256\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"\u0634\u06a9\u0646\u062c\u0647 \u0647\u0627\u06cc \u0646\u0648\u0631\u06cc\"\n                                data-field=\"fld_7533391\"\n                                id=\"fld_7533391_1_opt1205256\"\n                                class=\"fld_7533391_1\"\n                                name=\"fld_7533391[opt1205256]\"\n                                value=\"\u0634\u06a9\u0646\u062c\u0647 \u0647\u0627\u06cc \u0646\u0648\u0631\u06cc\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_7533391_1\"\n                                                                data-calc-value=\"\u0634\u06a9\u0646\u062c\u0647 \u0647\u0627\u06cc \u0646\u0648\u0631\u06cc\"\n                            >\n                    \u0634\u06a9\u0646\u062c\u0647 \u0647\u0627\u06cc \u0646\u0648\u0631\u06cc                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_7533391_1_opt1828021\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"\u0638\u0647\u0648\u0631 \u0645\u06a9\u0631\u0631 \u0627\u062a\u0634 \u0646\u0634\u0627\u0646\u06cc\"\n                                data-field=\"fld_7533391\"\n                                id=\"fld_7533391_1_opt1828021\"\n                                class=\"fld_7533391_1\"\n                                name=\"fld_7533391[opt1828021]\"\n                                value=\"\u0638\u0647\u0648\u0631 \u0645\u06a9\u0631\u0631 \u0627\u062a\u0634 \u0646\u0634\u0627\u0646\u06cc\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_7533391_1\"\n                                                                data-calc-value=\"\u0638\u0647\u0648\u0631 \u0645\u06a9\u0631\u0631 \u0627\u062a\u0634 \u0646\u0634\u0627\u0646\u06cc\"\n                            >\n                    \u0638\u0647\u0648\u0631 \u0645\u06a9\u0631\u0631 \u0627\u062a\u0634 \u0646\u0634\u0627\u0646\u06cc                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_7533391_1_opt1258703\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"\u0638\u0647\u0648\u0631 \u0645\u06a9\u0631\u0631 \u0627\u0645\u0628\u0648\u0644\u0627\u0646\u0633\"\n                                data-field=\"fld_7533391\"\n                                id=\"fld_7533391_1_opt1258703\"\n                                class=\"fld_7533391_1\"\n                                name=\"fld_7533391[opt1258703]\"\n                                value=\"\u0638\u0647\u0648\u0631 \u0645\u06a9\u0631\u0631 \u0627\u0645\u0628\u0648\u0644\u0627\u0646\u0633\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_7533391_1\"\n                                                                data-calc-value=\"\u0638\u0647\u0648\u0631 \u0645\u06a9\u0631\u0631 \u0627\u0645\u0628\u0648\u0644\u0627\u0646\u0633\"\n                            >\n                    \u0638\u0647\u0648\u0631 \u0645\u06a9\u0631\u0631 \u0627\u0645\u0628\u0648\u0644\u0627\u0646\u0633                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_7533391_1_opt1594674\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"\u0638\u0647\u0648\u0631 \u0645\u06a9\u0631\u0631 \u067e\u0644\u06cc\u0633\"\n                                data-field=\"fld_7533391\"\n                                id=\"fld_7533391_1_opt1594674\"\n                                class=\"fld_7533391_1\"\n                                name=\"fld_7533391[opt1594674]\"\n                                value=\"\u0638\u0647\u0648\u0631 \u0645\u06a9\u0631\u0631 \u067e\u0644\u06cc\u0633\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_7533391_1\"\n                                                                data-calc-value=\"\u0638\u0647\u0648\u0631 \u0645\u06a9\u0631\u0631 \u067e\u0644\u06cc\u0633\"\n                            >\n                    \u0638\u0647\u0648\u0631 \u0645\u06a9\u0631\u0631 \u067e\u0644\u06cc\u0633                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_7533391_1_opt1072077\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"\u06a9\u0646\u062a\u0631\u0644 \u0627\u0632 \u0631\u0627\u0647 \u062f\u0648\u0631 \u062f\u0633\u062a\u06af\u0627\u0647 \u0647\u0627\"\n                                data-field=\"fld_7533391\"\n                                id=\"fld_7533391_1_opt1072077\"\n                                class=\"fld_7533391_1\"\n                                name=\"fld_7533391[opt1072077]\"\n                                value=\"\u06a9\u0646\u062a\u0631\u0644 \u0627\u0632 \u0631\u0627\u0647 \u062f\u0648\u0631 \u062f\u0633\u062a\u06af\u0627\u0647 \u0647\u0627\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_7533391_1\"\n                                                                data-calc-value=\"\u06a9\u0646\u062a\u0631\u0644 \u0627\u0632 \u0631\u0627\u0647 \u062f\u0648\u0631 \u062f\u0633\u062a\u06af\u0627\u0647 \u0647\u0627\"\n                            >\n                    \u06a9\u0646\u062a\u0631\u0644 \u0627\u0632 \u0631\u0627\u0647 \u062f\u0648\u0631 \u062f\u0633\u062a\u06af\u0627\u0647 \u0647\u0627                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-3  last_col\"><div data-field-wrapper=\"fld_1807223\" class=\"form-group right\" id=\"fld_1807223_1-wrap\">\r\n\t<label id=\"fld_1807223Label\" for=\"fld_1807223_1\" class=\"control-label\">\u0645\u0631\u0627\u062c\u0639\u0647 \u0628\u0647 \u067e\u0632\u0634\u06a9 \u0648 \u067e\u0644\u06cc\u0633<\/label>\r\n\t<div class=\"\">\r\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_1807223_1_opt1886232\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"\u067e\u0632\u0634\u06a9\"\n                                data-field=\"fld_1807223\"\n                                id=\"fld_1807223_1_opt1886232\"\n                                class=\"fld_1807223_1\"\n                                name=\"fld_1807223[opt1886232]\"\n                                value=\"\u067e\u0632\u0634\u06a9\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_1807223_1\"\n                                                                data-calc-value=\"\u067e\u0632\u0634\u06a9\"\n                            >\n                    \u067e\u0632\u0634\u06a9                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_1807223_1_opt1735368\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"\u067e\u0644\u06cc\u0633\"\n                                data-field=\"fld_1807223\"\n                                id=\"fld_1807223_1_opt1735368\"\n                                class=\"fld_1807223_1\"\n                                name=\"fld_1807223[opt1735368]\"\n                                value=\"\u067e\u0644\u06cc\u0633\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_1807223_1\"\n                                                                data-calc-value=\"\u067e\u0644\u06cc\u0633\"\n                            >\n                    \u067e\u0644\u06cc\u0633                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_1807223_1_opt1426116\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"\u0631\u0648\u0627\u0646 \u067e\u0632\u0634\u06a9\"\n                                data-field=\"fld_1807223\"\n                                id=\"fld_1807223_1_opt1426116\"\n                                class=\"fld_1807223_1\"\n                                name=\"fld_1807223[opt1426116]\"\n                                value=\"\u0631\u0648\u0627\u0646 \u067e\u0632\u0634\u06a9\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_1807223_1\"\n                                                                data-calc-value=\"\u0631\u0648\u0627\u0646 \u067e\u0632\u0634\u06a9\"\n                            >\n                    \u0631\u0648\u0627\u0646 \u067e\u0632\u0634\u06a9                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_1807223_1_opt1613560\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"\u0631\u0648\u0627\u0646 \u0634\u0646\u0627\u0633\"\n                                data-field=\"fld_1807223\"\n                                id=\"fld_1807223_1_opt1613560\"\n                                class=\"fld_1807223_1\"\n                                name=\"fld_1807223[opt1613560]\"\n                                value=\"\u0631\u0648\u0627\u0646 \u0634\u0646\u0627\u0633\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_1807223_1\"\n                                                                data-calc-value=\"\u0631\u0648\u0627\u0646 \u0634\u0646\u0627\u0633\"\n                            >\n                    \u0631\u0648\u0627\u0646 \u0634\u0646\u0627\u0633                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_1807223_1_opt1068670\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"\u0645\u0631\u0627\u062c\u0639 \u0642\u0636\u0627\u06cc\u06cc\"\n                                data-field=\"fld_1807223\"\n                                id=\"fld_1807223_1_opt1068670\"\n                                class=\"fld_1807223_1\"\n                                name=\"fld_1807223[opt1068670]\"\n                                value=\"\u0645\u0631\u0627\u062c\u0639 \u0642\u0636\u0627\u06cc\u06cc\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_1807223_1\"\n                                                                data-calc-value=\"\u0645\u0631\u0627\u062c\u0639 \u0642\u0636\u0627\u06cc\u06cc\"\n                            >\n                    \u0645\u0631\u0627\u062c\u0639 \u0642\u0636\u0627\u06cc\u06cc                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_6002430\" class=\"form-group right_border\" id=\"fld_6002430_1-wrap\">\r\n<label id=\"fld_6002430Label\" for=\"fld_6002430_1\" class=\"control-label\">\u0631\u0627\u0647 \u062d\u0644\u06cc \u0628\u0631\u0627\u06cc \u062f\u0631\u0645\u0627\u0646 \u06cc\u0627\u0641\u062a\u0647 \u0627\u06cc\u062f\u061f<\/label>\r\n<div class=\"\">\r\n\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"\u0628\u0644\u06cc\" for=\"fld_6002430_1_opt2043373\"><input type=\"radio\" id=\"fld_6002430_1_opt2043373\" data-field=\"fld_6002430\" class=\"fld_6002430_1\" name=\"fld_6002430\" value=\"\u0628\u0644\u06cc\"    data-radio-field=\"fld_6002430_1\" data-type=\"radio\" data-calc-value=\"\u0628\u0644\u06cc\" \/>\n\t\t\t\u0628\u0644\u06cc\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"\u062e\u06cc\u0631\" for=\"fld_6002430_1_opt1247343\"><input type=\"radio\" id=\"fld_6002430_1_opt1247343\" data-field=\"fld_6002430\" class=\"fld_6002430_1\" name=\"fld_6002430\" value=\"\u062e\u06cc\u0631\" checked=\"checked\"   data-radio-field=\"fld_6002430_1\" data-type=\"radio\" data-calc-value=\"\u062e\u06cc\u0631\" \/>\n\t\t\t\u062e\u06cc\u0631\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_3502628\" class=\"form-group right_border\" id=\"fld_3502628_1-wrap\">\r\n<label id=\"fld_3502628Label\" for=\"fld_3502628_1\" class=\"control-label\">\u0628\u0627 \u06a9\u0633\u06cc \u062f\u0631 \u0645\u0648\u0631\u062f \u0622\u0632\u0627\u0631 \u06af\u0631\u0648\u0647\u06cc \u0635\u062d\u0628\u062a \u06a9\u0631\u062f\u0647 \u0627\u06cc\u062f\u061f<\/label>\r\n<div class=\"\">\r\n\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"\u0628\u0644\u06cc\" for=\"fld_3502628_1_opt2043373\"><input type=\"radio\" id=\"fld_3502628_1_opt2043373\" data-field=\"fld_3502628\" class=\"fld_3502628_1\" name=\"fld_3502628\" value=\"\u0628\u0644\u06cc\"    data-radio-field=\"fld_3502628_1\" data-type=\"radio\" data-calc-value=\"\u0628\u0644\u06cc\" \/>\n\t\t\t\u0628\u0644\u06cc\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"\u062e\u06cc\u0631\" for=\"fld_3502628_1_opt1247343\"><input type=\"radio\" id=\"fld_3502628_1_opt1247343\" data-field=\"fld_3502628\" class=\"fld_3502628_1\" name=\"fld_3502628\" value=\"\u062e\u06cc\u0631\" checked=\"checked\"   data-radio-field=\"fld_3502628_1\" data-type=\"radio\" data-calc-value=\"\u062e\u06cc\u0631\" \/>\n\t\t\t\u062e\u06cc\u0631\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF62a43b322976f_1-row-11\"  class=\"row \"><div  class=\"col-sm-12  single\"><span class=\"caldera-forms-conditional-field\" role=\"region\" aria-live=\"polite\" id=\"conditional_fld_7708941_1\" data-field-id=\"fld_7708941_1\"><\/span><\/div><\/div><div id=\"CF62a43b322976f_1-row-12\"  class=\"row \"><div  class=\"col-sm-12  single\"><span class=\"caldera-forms-conditional-field\" role=\"region\" aria-live=\"polite\" id=\"conditional_fld_8841310_1\" data-field-id=\"fld_8841310_1\"><div data-field-wrapper=\"fld_8841310\" class=\"form-group right\" id=\"fld_8841310_1-wrap\">\r\n\t<label id=\"fld_8841310Label\" for=\"fld_8841310_1\" class=\"control-label screen-reader-text sr-only\">explanation4<\/label>\r\n\t<div class=\"\">\r\n\t\t<textarea name=\"fld_8841310\" value=\"\u0627\u06af\u0631 \u062a\u0645\u0627\u06cc\u0644 \u062f\u0627\u0631\u06cc\u062f \u0645\u0637\u0644\u0628\u06cc \u0631\u0627 \u0639\u0646\u0648\u0627\u0646   \u06a9\u0646\u06cc\u062f \u06a9\u0647 \u062f\u0631 \u0627\u06cc\u0646\u062c\u0627 \u062f\u0631\u062c \u0646\u0634\u062f\u0647 \u0627\u0633\u062a \u06af\u0632\u06cc\u0646\u0647  \u0632\u06cc\u0631 \u0631\u0627 \u0627\u0646\u062a\u062e\u0627\u0628 \u06a9\u0646\u06cc\u062f \u0633\u067e\u0633  \u0642\u0633\u0645\u062a\u06cc \u0638\u0627\u0647\u0631 \u0645\u06cc \u0634\u0648\u062f \u06a9\u0647 \u0634\u0645\u0627 \u0645\u06cc \u062a\u0648\u0627\u0646\u06cc\u062f \u0645\u0637\u0644\u0628 \u062e\u0648\u062f \u0631\u0627 \u062f\u0631 \u0622\u0646\u062c\u0627 \u062f\u0631\u062c \u06a9\u0646\u06cc\u062f\" data-field=\"fld_8841310\" class=\"form-control\" id=\"fld_8841310_1\" rows=\"2\" default=\"\u0627\u06af\u0631 \u062a\u0645\u0627\u06cc\u0644 \u062f\u0627\u0631\u06cc\u062f \u0645\u0637\u0644\u0628\u06cc \u0631\u0627 \u0639\u0646\u0648\u0627\u0646   \u06a9\u0646\u06cc\u062f \u06a9\u0647 \u062f\u0631 \u0627\u06cc\u0646\u062c\u0627 \u062f\u0631\u062c \u0646\u0634\u062f\u0647 \u0627\u0633\u062a \u06af\u0632\u06cc\u0646\u0647  \u0632\u06cc\u0631 \u0631\u0627 \u0627\u0646\u062a\u062e\u0627\u0628 \u06a9\u0646\u06cc\u062f \u0633\u067e\u0633  \u0642\u0633\u0645\u062a\u06cc \u0638\u0627\u0647\u0631 \u0645\u06cc \u0634\u0648\u062f \u06a9\u0647 \u0634\u0645\u0627 \u0645\u06cc \u062a\u0648\u0627\u0646\u06cc\u062f \u0645\u0637\u0644\u0628 \u062e\u0648\u062f \u0631\u0627 \u062f\u0631 \u0622\u0646\u062c\u0627 \u062f\u0631\u062c \u06a9\u0646\u06cc\u062f\"    aria-labelledby=\"fld_8841310Label\" >\u0627\u06af\u0631 \u062a\u0645\u0627\u06cc\u0644 \u062f\u0627\u0631\u06cc\u062f \u0645\u0637\u0644\u0628\u06cc \u0631\u0627 \u0639\u0646\u0648\u0627\u0646   \u06a9\u0646\u06cc\u062f \u06a9\u0647 \u062f\u0631 \u0627\u06cc\u0646\u062c\u0627 \u062f\u0631\u062c \u0646\u0634\u062f\u0647 \u0627\u0633\u062a \u06af\u0632\u06cc\u0646\u0647  \u0632\u06cc\u0631 \u0631\u0627 \u0627\u0646\u062a\u062e\u0627\u0628 \u06a9\u0646\u06cc\u062f \u0633\u067e\u0633  \u0642\u0633\u0645\u062a\u06cc \u0638\u0627\u0647\u0631 \u0645\u06cc \u0634\u0648\u062f \u06a9\u0647 \u0634\u0645\u0627 \u0645\u06cc \u062a\u0648\u0627\u0646\u06cc\u062f \u0645\u0637\u0644\u0628 \u062e\u0648\u062f \u0631\u0627 \u062f\u0631 \u0622\u0646\u062c\u0627 \u062f\u0631\u062c \u06a9\u0646\u06cc\u062f<\/textarea>\n\t\t\t<\/div>\r\n<\/div>\r\n<\/span><\/div><\/div><div id=\"CF62a43b322976f_1-row-13\"  class=\"row \"><div  class=\"col-sm-9  first_col\"><span class=\"caldera-forms-conditional-field\" role=\"region\" aria-live=\"polite\" id=\"conditional_fld_3610792_1\" data-field-id=\"fld_3610792_1\"><\/span><\/div><div  class=\"col-sm-3  last_col\"><div data-field-wrapper=\"fld_737545\" class=\"form-group right\" id=\"fld_737545_1-wrap\">\r\n\t<label id=\"fld_737545Label\" for=\"fld_737545_1\" class=\"control-label screen-reader-text sr-only\">\u0627\u0636\u0627\u0641\u0647 \u0646\u0645\u0648\u062f\u0646 \u0645\u0637\u0644\u0628<\/label>\r\n\t<div class=\"\">\r\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_737545_1_opt1796485\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"\u062f\u0631 \u0635\u0648\u0631\u062a \u062a\u0645\u0627\u06cc\u0644 \u0645\u06cc \u062a\u0648\u0627\u0646\u06cc\u062f \u0645\u0637\u0644\u0628\u06cc \u0627\u0636\u0627\u0641\u0647 \u0646\u0645\u0627\u06cc\u06cc\u062f\"\n                                data-field=\"fld_737545\"\n                                id=\"fld_737545_1_opt1796485\"\n                                class=\"fld_737545_1\"\n                                name=\"fld_737545[opt1796485]\"\n                                value=\"\u062f\u0631 \u0635\u0648\u0631\u062a \u062a\u0645\u0627\u06cc\u0644 \u0645\u06cc \u062a\u0648\u0627\u0646\u06cc\u062f \u0645\u0637\u0644\u0628\u06cc \u0627\u0636\u0627\u0641\u0647 \u0646\u0645\u0627\u06cc\u06cc\u062f\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_737545_1\"\n                                                                data-calc-value=\"\u062f\u0631 \u0635\u0648\u0631\u062a \u062a\u0645\u0627\u06cc\u0644 \u0645\u06cc \u062a\u0648\u0627\u0646\u06cc\u062f \u0645\u0637\u0644\u0628\u06cc \u0627\u0636\u0627\u0641\u0647 \u0646\u0645\u0627\u06cc\u06cc\u062f\"\n                            >\n                    \u062f\u0631 \u0635\u0648\u0631\u062a \u062a\u0645\u0627\u06cc\u0644 \u0645\u06cc \u062a\u0648\u0627\u0646\u06cc\u062f \u0645\u0637\u0644\u0628\u06cc \u0627\u0636\u0627\u0641\u0647 \u0646\u0645\u0627\u06cc\u06cc\u062f                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF62a43b322976f_1-row-14\"  class=\"row  last_row\"><div  class=\"col-sm-4  first_col\"><div data-field-wrapper=\"fld_6819594\" class=\"form-group\" id=\"fld_6819594_1-wrap\">\r\n<div class=\"\">\r\n\t<input  class=\"ssbtn\" type=\"submit\" name=\"fld_6819594\" id=\"fld_6819594_1\" value=\"\u0627\u0631\u0633\u0627\u0644\" data-field=\"fld_6819594\"  >\n<\/div>\r\n<\/div>\r\n\t<input class=\"button_trigger_1\" type=\"hidden\" name=\"fld_6819594\" id=\"fld_6819594_1_btn\" value=\"\" data-field=\"fld_6819594\"  \/>\n<\/div><div  class=\"col-sm-2 \"><div data-field-wrapper=\"fld_1149260\" class=\"form-group right\" id=\"fld_1149260_1-wrap\">\r\n<label id=\"fld_1149260Label\" for=\"fld_1149260_1\" class=\"control-label screen-reader-text sr-only\">map_reg<\/label>\r\n<div class=\"\">\r\n\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"\u0628\u0644\u06cc\" for=\"fld_1149260_1_opt1723351\"><input type=\"radio\" id=\"fld_1149260_1_opt1723351\" data-field=\"fld_1149260\" class=\"fld_1149260_1\" name=\"fld_1149260\" value=\"\u0628\u0644\u06cc\" checked=\"checked\"   data-radio-field=\"fld_1149260_1\" data-type=\"radio\" data-calc-value=\"\u0628\u0644\u06cc\" \/>\n\t\t\t\u0628\u0644\u06cc\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"\u062e\u06cc\u0631\" for=\"fld_1149260_1_opt1228085\"><input type=\"radio\" id=\"fld_1149260_1_opt1228085\" data-field=\"fld_1149260\" class=\"fld_1149260_1\" name=\"fld_1149260\" value=\"\u062e\u06cc\u0631\"    data-radio-field=\"fld_1149260_1\" data-type=\"radio\" data-calc-value=\"\u062e\u06cc\u0631\" \/>\n\t\t\t\u062e\u06cc\u0631\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-6  last_col\"><span class=\"caldera-forms-conditional-field\" role=\"region\" aria-live=\"polite\" id=\"conditional_fld_7715529_1\" data-field-id=\"fld_7715529_1\"><div data-field-wrapper=\"fld_7715529\" class=\"form-group right\" id=\"fld_7715529_1-wrap\">\r\n\t<label id=\"fld_7715529Label\" for=\"fld_7715529_1\" class=\"control-label screen-reader-text sr-only\">map_reg_txt<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"map_reg_txt\"   type=\"text\" data-field=\"fld_7715529\" class=\" form-control\" id=\"fld_7715529_1\" name=\"fld_7715529\" value=\"\u0645\u0627\u06cc\u0644 \u0628\u0647 \u0627\u0636\u0627\u0641\u0647 \u06a9\u0631\u062f\u0646 \u0646\u0627\u0645 \u062e\u0648\u062f \u062f\u0631 \u0646\u0642\u0634\u0647 \u0642\u0631\u0628\u0627\u0646\u06cc\u0627\u0646 \u0647\u0633\u062a\u06cc\u062f\u061f\" data-type=\"text\"   aria-labelledby=\"fld_7715529Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/span><\/div><\/div><\/form>\r\n<\/div>\r\n<script type=\"text\/javascript\">\r\nif( typeof caldera_conditionals === \"undefined\" ){ var caldera_conditionals = {}; }caldera_conditionals.CF62a43b322976f_1 = {\"fld_9352919_1\":{\"type\":\"disable\",\"group\":{\"rw_pamksai\":{\"cl_jytsdkifdh\":{\"id\":\"cl_jytsdkifdh\",\"field\":\"fld_9019611\",\"value\":\"222222222rr444\",\"compare\":\"isnot\",\"parent\":\"rw_pamksai\"}}}},\"fld_428631_1\":{\"type\":\"show\",\"group\":{\"rw_rvsuvsfn\":{\"cl_cwqrxvfv\":{\"id\":\"cl_cwqrxvfv\",\"field\":\"fld_4746262\",\"value\":\"\\u062f\\u0644\\u06cc\\u0644 \\u062f\\u06cc\\u06af\\u0631\\u06cc\",\"compare\":\"is\",\"parent\":\"rw_rvsuvsfn\",\"label\":\"\\u062f\\u0644\\u06cc\\u0644 \\u062f\\u06cc\\u06af\\u0631\\u06cc\"}}}},\"fld_3233189_1\":{\"type\":\"disable\",\"group\":{\"rw_pamksai\":{\"cl_jytsdkifdh\":{\"id\":\"cl_jytsdkifdh\",\"field\":\"fld_9019611\",\"value\":\"222222222rr444\",\"compare\":\"isnot\",\"parent\":\"rw_pamksai\"}}}},\"fld_3711211_1\":{\"type\":\"disable\",\"group\":{\"rw_pamksai\":{\"cl_jytsdkifdh\":{\"id\":\"cl_jytsdkifdh\",\"field\":\"fld_9019611\",\"value\":\"222222222rr444\",\"compare\":\"isnot\",\"parent\":\"rw_pamksai\"}}}},\"fld_7708941_1\":{\"type\":\"show\",\"group\":{\"rw_xjwsqbhs\":{\"cl_ytnfkjbkt\":{\"id\":\"cl_ytnfkjbkt\",\"field\":\"fld_6002430\",\"value\":\"\\u0628\\u0644\\u06cc\",\"compare\":\"is\",\"parent\":\"rw_xjwsqbhs\",\"label\":\"\\u0628\\u0644\\u06cc\"}}}},\"fld_8841310_1\":{\"type\":\"disable\",\"group\":{\"rw_pamksai\":{\"cl_jytsdkifdh\":{\"id\":\"cl_jytsdkifdh\",\"field\":\"fld_9019611\",\"value\":\"222222222rr444\",\"compare\":\"isnot\",\"parent\":\"rw_pamksai\"}}}},\"fld_3610792_1\":{\"type\":\"show\",\"group\":{\"rw_qhoyl\":{\"cl_gvyozscew\":{\"id\":\"cl_gvyozscew\",\"field\":\"fld_737545\",\"value\":\"\\u062f\\u0631 \\u0635\\u0648\\u0631\\u062a \\u062a\\u0645\\u0627\\u06cc\\u0644 \\u0645\\u06cc \\u062a\\u0648\\u0627\\u0646\\u06cc\\u062f \\u0645\\u0637\\u0644\\u0628\\u06cc \\u0627\\u0636\\u0627\\u0641\\u0647 \\u0646\\u0645\\u0627\\u06cc\\u06cc\\u062f\",\"compare\":\"is\",\"parent\":\"rw_qhoyl\",\"label\":\"\\u062f\\u0631 \\u0635\\u0648\\u0631\\u062a \\u062a\\u0645\\u0627\\u06cc\\u0644 \\u0645\\u06cc \\u062a\\u0648\\u0627\\u0646\\u06cc\\u062f \\u0645\\u0637\\u0644\\u0628\\u06cc \\u0627\\u0636\\u0627\\u0641\\u0647 \\u0646\\u0645\\u0627\\u06cc\\u06cc\\u062f\"}}}},\"fld_7715529_1\":{\"type\":\"disable\",\"group\":{\"rw_pamksai\":{\"cl_jytsdkifdh\":{\"id\":\"cl_jytsdkifdh\",\"field\":\"fld_9019611\",\"value\":\"222222222rr444\",\"compare\":\"isnot\",\"parent\":\"rw_pamksai\"}}}}};\r\n<\/script>\r\n<script type=\"text\/html\" id=\"conditional-fld_428631_1-tmpl\">\r\n<div data-field-wrapper=\"fld_428631\" class=\"form-group right\" id=\"fld_428631_1-wrap\">\r\n\t<label id=\"fld_428631Label\" for=\"fld_428631_1\" class=\"control-label screen-reader-text sr-only\">otherReasonText<\/label>\r\n\t<div class=\"\">\r\n\t\t<textarea name=\"fld_428631\" value=\"\" data-field=\"fld_428631\" class=\"form-control\" id=\"fld_428631_1\"    aria-labelledby=\"fld_428631Label\" aria-describedby=\"fld_428631Caption\"><\/textarea>\n\t<span id=\"fld_428631Caption\" class=\"help-block\">\u0627\u06af\u0631 \u0645\u0627\u06cc\u0644 \u0647\u0633\u062a\u06cc\u062f \u062f\u0644\u06cc\u0644 \u062e\u0648\u062f \u0631\u0627 \u062f\u0631 \u0642\u0633\u0645\u062a \u0628\u0627\u0644\u0627  \u062a\u0648\u0635\u06cc\u062d \u062f\u0647\u06cc\u062f<\/span>\r\n\t<\/div>\r\n<\/div>\r\n<\/script>\r\n\r\n<script type=\"text\/html\" id=\"conditional-fld_7708941_1-tmpl\">\r\n<div data-field-wrapper=\"fld_7708941\" class=\"form-group right_border\" id=\"fld_7708941_1-wrap\">\r\n\t<label id=\"fld_7708941Label\" for=\"fld_7708941_1\" class=\"control-label\">\u0627\u06af\u0631 \u062f\u0631\u0645\u0627\u0646\u06cc \u0628\u0631\u0627\u06cc \u0647\u0631 \u06a9\u062f\u0627\u0645 \u0627\u0632 \u062f\u0631\u062f\u0647\u0627 \u067e\u06cc\u062f\u0627 \u06a9\u0631\u062f\u0647 \u0627\u06cc\u062f \u0644\u0637\u0641\u0627 \u0627\u0648\u0644 \u0645\u0634\u06a9\u0644 \u0631\u0627 \u062a\u0648\u0636\u06cc\u062d \u062f\u0647\u06cc\u062f \u0648 \u0633\u067e\u0633 \u062f\u0631\u0645\u0627\u0646 \u06cc\u0627\u0641\u062a \u0634\u062f\u0647<\/label>\r\n\t<div class=\"\">\r\n\t\t<textarea name=\"fld_7708941\" value=\"\" data-field=\"fld_7708941\" class=\"form-control\" id=\"fld_7708941_1\"    aria-labelledby=\"fld_7708941Label\"><\/textarea>\n\t\t<\/div>\r\n<\/div>\r\n<\/script>\r\n\r\n<script type=\"text\/html\" id=\"conditional-fld_3610792_1-tmpl\">\r\n<div data-field-wrapper=\"fld_3610792\" class=\"form-group right\" id=\"fld_3610792_1-wrap\">\r\n\t<label id=\"fld_3610792Label\" for=\"fld_3610792_1\" class=\"control-label screen-reader-text sr-only\">extraText<\/label>\r\n\t<div class=\"\">\r\n\t\t<textarea name=\"fld_3610792\" value=\"\" data-field=\"fld_3610792\" class=\"form-control\" id=\"fld_3610792_1\"    aria-labelledby=\"fld_3610792Label\" aria-describedby=\"fld_3610792Caption\"><\/textarea>\n\t<span id=\"fld_3610792Caption\" class=\"help-block\">\u0645\u062a\u0646 \u062e\u0648\u062f \u0631\u0627 \u062f\u0631 \u0642\u0633\u0645\u062a \u0628\u0627\u0644\u0627 \u062f\u0631\u062c \u0646\u0645\u0627\u06cc\u06cc\u062f<\/span>\r\n\t<\/div>\r\n<\/div>\r\n<\/script>\r\n\n<\/div>\n<\/div><\/div><\/div><\/div><\/div><\/div>","protected":false},"excerpt":{"rendered":"<p>\u0627\u0646\u06af\u06cc\u0632\u0647 \u0646\u0638\u0631\u0633\u0646\u062c\u06cc \u062a\u0627 \u0628\u0647 \u0627\u0645\u0631\u0648\u0632\u0647\u06cc\u0686 \u0622\u0645\u0627\u0631\u06cc \u062a\u0635\u062f\u06cc\u0642 \u0634\u0647 \u0627\u06cc \u062f\u0631 \u0645\u0648\u0631\u062f \u0642\u0631\u0628\u0627\u0646\u06cc\u0627\u0646 \u062f\u0631\u062f\u0633\u062a \u0646\u06cc\u0633\u062a. \u0645\u0646 \u0628\u062f\u06cc\u0646 \u0648\u0633\u06cc\u0644\u0647 \u062a\u0644\u0627\u0634 \u0645\u06cc\u200c\u06a9\u0646\u0645 \u062a\u0627 \u0627\u06cc\u0646 \u0627\u0637\u0644\u0627\u0639\u0627\u062a \u0631\u0627 \u062c\u0645\u0639\u200c\u0622\u0648\u0631\u06cc \u06a9\u0646\u0645 \u0648 \u0622\u0646 \u0631\u0627 \u0628\u0631\u0627\u06cc \u0647\u0645\u0647 \u0639\u0644\u0627\u0642\u0647\u200c\u0645\u0646\u062f\u0627\u0646 \u0628\u0647 \u0646\u0645\u0627\u06cc\u0634 \u0628\u06af\u0630\u0627\u0631\u0645. \u0627\u06cc\u0646 \u0632\u0645\u0627\u0646\u06cc \u0627\u0645\u06a9\u0627\u0646 \u067e\u0630\u06cc\u0631 \u062e\u0648\u0627\u0647\u062f \u0634\u062f \u06a9\u0647 \u062a\u0639\u062f\u0627\u062f \u0627\u0634\u062e\u0627\u0635\u06cc \u06a9\u0647 \u0641\u0631\u0645 \u0631\u0627 \u067e\u0631 \u0645\u06cc \u06a9\u0646\u0646\u062f \u0642\u0627\u0628\u0644 \u062a\u0648\u062c\u0647 \u0628\u0627\u0634\u062f (\u062d\u062f\u0627\u0642\u0644 \u06f5\u06f0 \u0646\u0641\u0631). &hellip; <\/p>\n<p class=\"link-more\"><a href=\"https:\/\/farsi.targetedindividuals.ir\/index.php\/support\/survey\/\" class=\"more-link\">Continue reading<span class=\"screen-reader-text\"> &#8220;Survey&#8221;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":103,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/farsi.targetedindividuals.ir\/index.php\/wp-json\/wp\/v2\/pages\/783"}],"collection":[{"href":"https:\/\/farsi.targetedindividuals.ir\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/farsi.targetedindividuals.ir\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/farsi.targetedindividuals.ir\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/farsi.targetedindividuals.ir\/index.php\/wp-json\/wp\/v2\/comments?post=783"}],"version-history":[{"count":10,"href":"https:\/\/farsi.targetedindividuals.ir\/index.php\/wp-json\/wp\/v2\/pages\/783\/revisions"}],"predecessor-version":[{"id":1200,"href":"https:\/\/farsi.targetedindividuals.ir\/index.php\/wp-json\/wp\/v2\/pages\/783\/revisions\/1200"}],"up":[{"embeddable":true,"href":"https:\/\/farsi.targetedindividuals.ir\/index.php\/wp-json\/wp\/v2\/pages\/103"}],"wp:attachment":[{"href":"https:\/\/farsi.targetedindividuals.ir\/index.php\/wp-json\/wp\/v2\/media?parent=783"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}