{"id":772,"date":"2025-06-01T16:13:32","date_gmt":"2025-06-01T12:43:32","guid":{"rendered":"https:\/\/bettertalk.ir\/?p=772"},"modified":"2025-06-01T16:13:37","modified_gmt":"2025-06-01T12:43:37","slug":"%d8%b1%db%8c%d9%88%d9%86-%d8%a8%d8%b2%d8%b1%da%af%d8%b3%d8%a7%d9%84","status":"publish","type":"post","link":"https:\/\/talentloop.ir\/?p=772","title":{"rendered":"\u0631\u06cc\u0648\u0646-\u0628\u0632\u0631\u06af\u0633\u0627\u0644"},"content":{"rendered":"<script type=\"text\/javascript\">var 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\u0627\u0648\u0631\u062f\u0647 \u0634\u062f\u0647 \u0627\u0633\u062a \u06a9\u0647 \u0642\u0633\u0645\u062a\u06cc \u0627\u0632 \u0622\u0646 \u062a\u0635\u0648\u06cc\u0631 \u0648\u062c\u0648\u062f \u0646\u062f\u0627\u0631\u062f. \u0644\u0627\u0632\u0645 \u0627\u0633\u062a \u06a9\u0647 \u0634\u0645\u0627 \u0628\u0627 \u0627\u0646\u062a\u062e\u0627\u0628 \u06af\u0632\u06cc\u0646\u0647 \u062f\u0631\u0633\u062a \u0647\u0631 \u062a\u0635\u0648\u06cc\u0631 \u0631\u0627 \u06a9\u0627\u0645\u0644 \u06a9\u0646\u06cc\u062f.\u0632\u0645\u0627\u0646 \u0622\u0632\u0645\u0648\u0646 45 \u062f\u0642\u06cc\u0642\u0647 \u0628\u0631\u0627\u06cc 60 \u0633\u0648\u0627\u0644 \u0627\u0633\u062a. \u062d\u062a\u0645\u0627 \u0628\u0627\u06cc\u062f \u0628\u0647 \u062a\u0645\u0627\u0645 \u0633\u0648\u0627\u0644\u0627\u062a \u067e\u0627\u0633\u062e \u062f\u0647\u06cc\u062f. \u062f\u0631\u0635\u0648\u0631\u062a\u06cc \u06a9\u0647 \u062c\u0648\u0627\u0628 \u0633\u0648\u0627\u0644\u06cc \u0627\u0632 \u062a\u0633\u062a \u0631\u0627 \u0646\u0645\u06cc \u062f\u0627\u0646\u06cc\u062f\u060c \u0646\u0632\u062f\u06cc\u06a9 \u062a\u0631\u06cc\u0646 \u06af\u0632\u06cc\u0646\u0647 \u0628\u0647 \u062c\u0648\u0627\u0628 \u0631\u0627 \u0627\u0646\u062a\u062e\u0627\u0628 \u06a9\u0646\u06cc\u062f<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_2'  action='\/index.php?rest_route=%2Fwp%2Fv2%2Fposts%2F772' data-formid='2' novalidate>\n                        <div class='gform-body gform_body'><ul id='gform_fields_2' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_2_145\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_145\" ><label class='gfield_label gform-field-label' for='input_2_145'>\u06a9\u062f \u062a\u062e\u0635\u0635\u06cc<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_145' id='input_2_145' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_2_1\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_1\" ><img decoding=\"async\" src=\"http:\/\/dpnami.ir\/wp-admin\/images\/rayvenb\/1.png\"><\/li><li id=\"field_2_2\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_2\" ><label class='gfield_label gform-field-label' >\u06af\u0632\u06cc\u0646\u0647 \u0647\u0627\u06cc \u062a\u0635\u0648\u06cc\u0631 1<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_2'>\n\t\t\t<li class='gchoice gchoice_2_2_0'>\n\t\t\t\t<input name='input_2' type='radio' value='0'  id='choice_2_2_0'    \/>\n\t\t\t\t<label for='choice_2_2_0' id='label_2_2_0' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_2_1'>\n\t\t\t\t<input name='input_2' type='radio' value='0'  id='choice_2_2_1'    \/>\n\t\t\t\t<label for='choice_2_2_1' id='label_2_2_1' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_2_2'>\n\t\t\t\t<input name='input_2' type='radio' value='0'  id='choice_2_2_2'    \/>\n\t\t\t\t<label for='choice_2_2_2' id='label_2_2_2' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_2_3'>\n\t\t\t\t<input name='input_2' type='radio' value='1'  id='choice_2_2_3'    \/>\n\t\t\t\t<label for='choice_2_2_3' id='label_2_2_3' class='gform-field-label gform-field-label--type-inline'>4<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_2_4'>\n\t\t\t\t<input name='input_2' type='radio' value='0'  id='choice_2_2_4'    \/>\n\t\t\t\t<label for='choice_2_2_4' id='label_2_2_4' class='gform-field-label gform-field-label--type-inline'>5<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_2_5'>\n\t\t\t\t<input name='input_2' type='radio' value='0'  id='choice_2_2_5'    \/>\n\t\t\t\t<label for='choice_2_2_5' id='label_2_2_5' class='gform-field-label gform-field-label--type-inline'>6<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_3\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_3\" ><img decoding=\"async\" src=\"http:\/\/dpnami.ir\/wp-admin\/images\/rayvenb\/2.png\"><\/li><li id=\"field_2_4\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_4\" ><label class='gfield_label gform-field-label' >\u06af\u0632\u06cc\u0646\u0647 \u0647\u0627\u06cc \u062a\u0635\u0648\u06cc\u0631 2<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_4'>\n\t\t\t<li class='gchoice gchoice_2_4_0'>\n\t\t\t\t<input name='input_4' type='radio' value='0'  id='choice_2_4_0'    \/>\n\t\t\t\t<label for='choice_2_4_0' id='label_2_4_0' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_4_1'>\n\t\t\t\t<input name='input_4' type='radio' value='0'  id='choice_2_4_1'    \/>\n\t\t\t\t<label for='choice_2_4_1' id='label_2_4_1' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_4_2'>\n\t\t\t\t<input name='input_4' type='radio' value='0'  id='choice_2_4_2'    \/>\n\t\t\t\t<label for='choice_2_4_2' id='label_2_4_2' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_4_3'>\n\t\t\t\t<input name='input_4' type='radio' value='0'  id='choice_2_4_3'    \/>\n\t\t\t\t<label for='choice_2_4_3' id='label_2_4_3' class='gform-field-label gform-field-label--type-inline'>4<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_4_4'>\n\t\t\t\t<input name='input_4' type='radio' value='1'  id='choice_2_4_4'    \/>\n\t\t\t\t<label for='choice_2_4_4' id='label_2_4_4' class='gform-field-label gform-field-label--type-inline'>5<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_4_5'>\n\t\t\t\t<input name='input_4' type='radio' value='0'  id='choice_2_4_5'    \/>\n\t\t\t\t<label for='choice_2_4_5' id='label_2_4_5' class='gform-field-label gform-field-label--type-inline'>6<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_5\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_5\" ><img decoding=\"async\" src=\"http:\/\/dpnami.ir\/wp-admin\/images\/rayvenb\/3.png\"><\/li><li id=\"field_2_6\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_6\" ><label class='gfield_label gform-field-label' >\u06af\u0632\u06cc\u0646\u0647 \u0647\u0627\u06cc \u062a\u0635\u0648\u06cc\u0631 3<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_6'>\n\t\t\t<li class='gchoice gchoice_2_6_0'>\n\t\t\t\t<input name='input_6' type='radio' value='1'  id='choice_2_6_0'    \/>\n\t\t\t\t<label for='choice_2_6_0' id='label_2_6_0' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_6_1'>\n\t\t\t\t<input name='input_6' type='radio' value='0'  id='choice_2_6_1'    \/>\n\t\t\t\t<label for='choice_2_6_1' id='label_2_6_1' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_6_2'>\n\t\t\t\t<input name='input_6' type='radio' value='0'  id='choice_2_6_2'    \/>\n\t\t\t\t<label for='choice_2_6_2' id='label_2_6_2' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_6_3'>\n\t\t\t\t<input name='input_6' type='radio' value='0'  id='choice_2_6_3'    \/>\n\t\t\t\t<label for='choice_2_6_3' id='label_2_6_3' class='gform-field-label gform-field-label--type-inline'>4<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_6_4'>\n\t\t\t\t<input name='input_6' type='radio' value='0'  id='choice_2_6_4'    \/>\n\t\t\t\t<label for='choice_2_6_4' id='label_2_6_4' class='gform-field-label gform-field-label--type-inline'>5<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_6_5'>\n\t\t\t\t<input name='input_6' type='radio' value='0'  id='choice_2_6_5'    \/>\n\t\t\t\t<label for='choice_2_6_5' id='label_2_6_5' class='gform-field-label gform-field-label--type-inline'>6<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_7\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_7\" ><img decoding=\"async\" src=\"http:\/\/dpnami.ir\/wp-admin\/images\/rayvenb\/4.png\"><\/li><li id=\"field_2_8\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_8\" ><label class='gfield_label gform-field-label' >\u06af\u0632\u06cc\u0646\u0647 \u0647\u0627\u06cc \u062a\u0635\u0648\u06cc\u0631 4<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_8'>\n\t\t\t<li class='gchoice gchoice_2_8_0'>\n\t\t\t\t<input name='input_8' type='radio' value='0'  id='choice_2_8_0'    \/>\n\t\t\t\t<label for='choice_2_8_0' id='label_2_8_0' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_8_1'>\n\t\t\t\t<input name='input_8' type='radio' value='1'  id='choice_2_8_1'    \/>\n\t\t\t\t<label for='choice_2_8_1' id='label_2_8_1' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_8_2'>\n\t\t\t\t<input name='input_8' type='radio' value='0'  id='choice_2_8_2'    \/>\n\t\t\t\t<label for='choice_2_8_2' id='label_2_8_2' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_8_3'>\n\t\t\t\t<input name='input_8' type='radio' value='0'  id='choice_2_8_3'    \/>\n\t\t\t\t<label for='choice_2_8_3' id='label_2_8_3' class='gform-field-label gform-field-label--type-inline'>4<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_8_4'>\n\t\t\t\t<input name='input_8' type='radio' value='0'  id='choice_2_8_4'    \/>\n\t\t\t\t<label for='choice_2_8_4' id='label_2_8_4' class='gform-field-label gform-field-label--type-inline'>5<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_8_5'>\n\t\t\t\t<input name='input_8' type='radio' value='0'  id='choice_2_8_5'    \/>\n\t\t\t\t<label for='choice_2_8_5' id='label_2_8_5' class='gform-field-label gform-field-label--type-inline'>6<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_9\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_9\" ><img decoding=\"async\" src=\"http:\/\/dpnami.ir\/wp-admin\/images\/rayvenb\/5.png\"><\/li><li id=\"field_2_10\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_10\" ><label class='gfield_label gform-field-label' >\u06af\u0632\u06cc\u0646\u0647 \u0647\u0627\u06cc \u062a\u0635\u0648\u06cc\u0631 5<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_10'>\n\t\t\t<li class='gchoice gchoice_2_10_0'>\n\t\t\t\t<input name='input_10' type='radio' value='0'  id='choice_2_10_0'    \/>\n\t\t\t\t<label for='choice_2_10_0' id='label_2_10_0' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_10_1'>\n\t\t\t\t<input name='input_10' type='radio' value='0'  id='choice_2_10_1'    \/>\n\t\t\t\t<label for='choice_2_10_1' id='label_2_10_1' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_10_2'>\n\t\t\t\t<input name='input_10' type='radio' value='0'  id='choice_2_10_2'    \/>\n\t\t\t\t<label for='choice_2_10_2' id='label_2_10_2' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_10_3'>\n\t\t\t\t<input name='input_10' type='radio' value='0'  id='choice_2_10_3'    \/>\n\t\t\t\t<label for='choice_2_10_3' id='label_2_10_3' class='gform-field-label gform-field-label--type-inline'>4<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_10_4'>\n\t\t\t\t<input name='input_10' type='radio' value='0'  id='choice_2_10_4'    \/>\n\t\t\t\t<label for='choice_2_10_4' id='label_2_10_4' class='gform-field-label gform-field-label--type-inline'>5<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_10_5'>\n\t\t\t\t<input name='input_10' type='radio' value='1'  id='choice_2_10_5'    \/>\n\t\t\t\t<label for='choice_2_10_5' id='label_2_10_5' class='gform-field-label gform-field-label--type-inline'>6<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_11\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_11\" ><img decoding=\"async\" src=\"http:\/\/dpnami.ir\/wp-admin\/images\/rayvenb\/6.png\"><\/li><li id=\"field_2_12\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_12\" ><label class='gfield_label gform-field-label' >\u06af\u0632\u06cc\u0646\u0647 \u0647\u0627\u06cc \u062a\u0635\u0648\u06cc\u0631 6<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_12'>\n\t\t\t<li class='gchoice gchoice_2_12_0'>\n\t\t\t\t<input name='input_12' type='radio' value='0'  id='choice_2_12_0'    \/>\n\t\t\t\t<label for='choice_2_12_0' id='label_2_12_0' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_12_1'>\n\t\t\t\t<input name='input_12' type='radio' value='0'  id='choice_2_12_1'    \/>\n\t\t\t\t<label for='choice_2_12_1' id='label_2_12_1' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_12_2'>\n\t\t\t\t<input name='input_12' type='radio' value='1'  id='choice_2_12_2'    \/>\n\t\t\t\t<label for='choice_2_12_2' id='label_2_12_2' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_12_3'>\n\t\t\t\t<input name='input_12' type='radio' value='0'  id='choice_2_12_3'    \/>\n\t\t\t\t<label for='choice_2_12_3' id='label_2_12_3' class='gform-field-label gform-field-label--type-inline'>4<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_12_4'>\n\t\t\t\t<input name='input_12' type='radio' value='0'  id='choice_2_12_4'    \/>\n\t\t\t\t<label for='choice_2_12_4' id='label_2_12_4' class='gform-field-label gform-field-label--type-inline'>5<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_12_5'>\n\t\t\t\t<input name='input_12' type='radio' value='0'  id='choice_2_12_5'    \/>\n\t\t\t\t<label for='choice_2_12_5' id='label_2_12_5' class='gform-field-label gform-field-label--type-inline'>6<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_13\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_13\" ><img decoding=\"async\" src=\"http:\/\/dpnami.ir\/wp-admin\/images\/rayvenb\/7.png\"><\/li><li id=\"field_2_14\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_14\" ><label class='gfield_label gform-field-label' >\u06af\u0632\u06cc\u0646\u0647 \u0647\u0627\u06cc \u062a\u0635\u0648\u06cc\u0631 7<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_14'>\n\t\t\t<li class='gchoice gchoice_2_14_0'>\n\t\t\t\t<input name='input_14' type='radio' value='0'  id='choice_2_14_0'    \/>\n\t\t\t\t<label for='choice_2_14_0' id='label_2_14_0' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_14_1'>\n\t\t\t\t<input name='input_14' type='radio' value='0'  id='choice_2_14_1'    \/>\n\t\t\t\t<label for='choice_2_14_1' id='label_2_14_1' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_14_2'>\n\t\t\t\t<input name='input_14' type='radio' value='0'  id='choice_2_14_2'    \/>\n\t\t\t\t<label for='choice_2_14_2' id='label_2_14_2' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_14_3'>\n\t\t\t\t<input name='input_14' type='radio' value='0'  id='choice_2_14_3'    \/>\n\t\t\t\t<label for='choice_2_14_3' id='label_2_14_3' class='gform-field-label gform-field-label--type-inline'>4<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_14_4'>\n\t\t\t\t<input name='input_14' type='radio' value='0'  id='choice_2_14_4'    \/>\n\t\t\t\t<label for='choice_2_14_4' id='label_2_14_4' class='gform-field-label gform-field-label--type-inline'>5<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_14_5'>\n\t\t\t\t<input name='input_14' type='radio' value='1'  id='choice_2_14_5'    \/>\n\t\t\t\t<label for='choice_2_14_5' id='label_2_14_5' class='gform-field-label gform-field-label--type-inline'>6<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_15\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_15\" ><img decoding=\"async\" src=\"http:\/\/dpnami.ir\/wp-admin\/images\/rayvenb\/8.png\"><\/li><li id=\"field_2_16\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_16\" ><label class='gfield_label gform-field-label' >\u06af\u0632\u06cc\u0646\u0647 \u0647\u0627\u06cc \u062a\u0635\u0648\u06cc\u0631 8<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_16'>\n\t\t\t<li class='gchoice gchoice_2_16_0'>\n\t\t\t\t<input name='input_16' type='radio' value='0'  id='choice_2_16_0'    \/>\n\t\t\t\t<label for='choice_2_16_0' id='label_2_16_0' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_16_1'>\n\t\t\t\t<input name='input_16' type='radio' value='1'  id='choice_2_16_1'    \/>\n\t\t\t\t<label for='choice_2_16_1' id='label_2_16_1' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_16_2'>\n\t\t\t\t<input name='input_16' type='radio' value='0'  id='choice_2_16_2'    \/>\n\t\t\t\t<label for='choice_2_16_2' id='label_2_16_2' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_16_3'>\n\t\t\t\t<input name='input_16' type='radio' value='0'  id='choice_2_16_3'    \/>\n\t\t\t\t<label for='choice_2_16_3' id='label_2_16_3' class='gform-field-label gform-field-label--type-inline'>4<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_16_4'>\n\t\t\t\t<input name='input_16' type='radio' value='0'  id='choice_2_16_4'    \/>\n\t\t\t\t<label for='choice_2_16_4' id='label_2_16_4' class='gform-field-label gform-field-label--type-inline'>5<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_16_5'>\n\t\t\t\t<input name='input_16' type='radio' value='0'  id='choice_2_16_5'    \/>\n\t\t\t\t<label for='choice_2_16_5' id='label_2_16_5' class='gform-field-label gform-field-label--type-inline'>6<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_17\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_17\" ><img decoding=\"async\" src=\"http:\/\/dpnami.ir\/wp-admin\/images\/rayvenb\/9.png\"><\/li><li id=\"field_2_18\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_18\" ><label class='gfield_label gform-field-label' >\u06af\u0632\u06cc\u0646\u0647 \u0647\u0627\u06cc \u062a\u0635\u0648\u06cc\u0631 9<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_18'>\n\t\t\t<li class='gchoice gchoice_2_18_0'>\n\t\t\t\t<input name='input_18' type='radio' value='1'  id='choice_2_18_0'    \/>\n\t\t\t\t<label for='choice_2_18_0' id='label_2_18_0' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_18_1'>\n\t\t\t\t<input name='input_18' type='radio' value='0'  id='choice_2_18_1'    \/>\n\t\t\t\t<label for='choice_2_18_1' id='label_2_18_1' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_18_2'>\n\t\t\t\t<input name='input_18' type='radio' value='0'  id='choice_2_18_2'    \/>\n\t\t\t\t<label for='choice_2_18_2' id='label_2_18_2' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_18_3'>\n\t\t\t\t<input name='input_18' type='radio' value='0'  id='choice_2_18_3'    \/>\n\t\t\t\t<label for='choice_2_18_3' id='label_2_18_3' class='gform-field-label gform-field-label--type-inline'>4<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_18_4'>\n\t\t\t\t<input name='input_18' type='radio' value='0'  id='choice_2_18_4'    \/>\n\t\t\t\t<label for='choice_2_18_4' id='label_2_18_4' class='gform-field-label gform-field-label--type-inline'>5<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_18_5'>\n\t\t\t\t<input name='input_18' type='radio' value='0'  id='choice_2_18_5'    \/>\n\t\t\t\t<label for='choice_2_18_5' id='label_2_18_5' class='gform-field-label gform-field-label--type-inline'>6<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_19\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_19\" ><img decoding=\"async\" src=\"http:\/\/dpnami.ir\/wp-admin\/images\/rayvenb\/10.png\"><\/li><li id=\"field_2_20\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_20\" ><label class='gfield_label gform-field-label' >\u06af\u0632\u06cc\u0646\u0647 \u0647\u0627\u06cc \u062a\u0635\u0648\u06cc\u0631 10<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_20'>\n\t\t\t<li class='gchoice gchoice_2_20_0'>\n\t\t\t\t<input name='input_20' type='radio' value='0'  id='choice_2_20_0'    \/>\n\t\t\t\t<label for='choice_2_20_0' id='label_2_20_0' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_20_1'>\n\t\t\t\t<input name='input_20' type='radio' value='0'  id='choice_2_20_1'    \/>\n\t\t\t\t<label for='choice_2_20_1' id='label_2_20_1' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_20_2'>\n\t\t\t\t<input name='input_20' type='radio' value='1'  id='choice_2_20_2'    \/>\n\t\t\t\t<label for='choice_2_20_2' id='label_2_20_2' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_20_3'>\n\t\t\t\t<input name='input_20' type='radio' value='0'  id='choice_2_20_3'    \/>\n\t\t\t\t<label for='choice_2_20_3' id='label_2_20_3' class='gform-field-label gform-field-label--type-inline'>4<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_20_4'>\n\t\t\t\t<input name='input_20' type='radio' value='0'  id='choice_2_20_4'    \/>\n\t\t\t\t<label for='choice_2_20_4' id='label_2_20_4' class='gform-field-label gform-field-label--type-inline'>5<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_20_5'>\n\t\t\t\t<input name='input_20' type='radio' value='0'  id='choice_2_20_5'    \/>\n\t\t\t\t<label for='choice_2_20_5' id='label_2_20_5' class='gform-field-label gform-field-label--type-inline'>6<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_21\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_21\" ><img decoding=\"async\" src=\"http:\/\/dpnami.ir\/wp-admin\/images\/rayvenb\/11.png\"><\/li><li id=\"field_2_22\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_22\" ><label class='gfield_label gform-field-label' >\u06af\u0632\u06cc\u0646\u0647 \u0647\u0627\u06cc \u062a\u0635\u0648\u06cc\u0631 11<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_22'>\n\t\t\t<li class='gchoice gchoice_2_22_0'>\n\t\t\t\t<input name='input_22' type='radio' value='0'  id='choice_2_22_0'    \/>\n\t\t\t\t<label for='choice_2_22_0' id='label_2_22_0' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_22_1'>\n\t\t\t\t<input name='input_22' type='radio' value='0'  id='choice_2_22_1'    \/>\n\t\t\t\t<label for='choice_2_22_1' id='label_2_22_1' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_22_2'>\n\t\t\t\t<input name='input_22' type='radio' value='0'  id='choice_2_22_2'    \/>\n\t\t\t\t<label for='choice_2_22_2' id='label_2_22_2' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_22_3'>\n\t\t\t\t<input name='input_22' type='radio' value='1'  id='choice_2_22_3'    \/>\n\t\t\t\t<label for='choice_2_22_3' id='label_2_22_3' class='gform-field-label gform-field-label--type-inline'>4<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_22_4'>\n\t\t\t\t<input name='input_22' type='radio' value='0'  id='choice_2_22_4'    \/>\n\t\t\t\t<label for='choice_2_22_4' id='label_2_22_4' class='gform-field-label gform-field-label--type-inline'>5<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_22_5'>\n\t\t\t\t<input name='input_22' type='radio' value='0'  id='choice_2_22_5'    \/>\n\t\t\t\t<label for='choice_2_22_5' id='label_2_22_5' class='gform-field-label gform-field-label--type-inline'>6<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_23\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_23\" ><img decoding=\"async\" src=\"http:\/\/dpnami.ir\/wp-admin\/images\/rayvenb\/12.png\"><\/li><li id=\"field_2_24\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_24\" ><label class='gfield_label gform-field-label' >\u06af\u0632\u06cc\u0646\u0647 \u0647\u0627\u06cc \u062a\u0635\u0648\u06cc\u0631 12<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_24'>\n\t\t\t<li class='gchoice gchoice_2_24_0'>\n\t\t\t\t<input name='input_24' type='radio' value='0'  id='choice_2_24_0'    \/>\n\t\t\t\t<label for='choice_2_24_0' id='label_2_24_0' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_24_1'>\n\t\t\t\t<input name='input_24' type='radio' value='0'  id='choice_2_24_1'    \/>\n\t\t\t\t<label for='choice_2_24_1' id='label_2_24_1' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_24_2'>\n\t\t\t\t<input name='input_24' type='radio' value='0'  id='choice_2_24_2'    \/>\n\t\t\t\t<label for='choice_2_24_2' id='label_2_24_2' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_24_3'>\n\t\t\t\t<input name='input_24' type='radio' value='0'  id='choice_2_24_3'    \/>\n\t\t\t\t<label for='choice_2_24_3' id='label_2_24_3' class='gform-field-label gform-field-label--type-inline'>4<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_24_4'>\n\t\t\t\t<input name='input_24' type='radio' value='1'  id='choice_2_24_4'    \/>\n\t\t\t\t<label for='choice_2_24_4' id='label_2_24_4' class='gform-field-label gform-field-label--type-inline'>5<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_24_5'>\n\t\t\t\t<input name='input_24' type='radio' value='0'  id='choice_2_24_5'    \/>\n\t\t\t\t<label for='choice_2_24_5' id='label_2_24_5' class='gform-field-label gform-field-label--type-inline'>6<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_25\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_25\" ><img decoding=\"async\" src=\"http:\/\/dpnami.ir\/wp-admin\/images\/rayvenb\/13.png\"><\/li><li id=\"field_2_26\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_26\" ><label class='gfield_label gform-field-label' >\u06af\u0632\u06cc\u0646\u0647 \u0647\u0627\u06cc \u062a\u0635\u0648\u06cc\u0631 13<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_26'>\n\t\t\t<li class='gchoice gchoice_2_26_0'>\n\t\t\t\t<input name='input_26' type='radio' value='0'  id='choice_2_26_0'    \/>\n\t\t\t\t<label for='choice_2_26_0' id='label_2_26_0' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_26_1'>\n\t\t\t\t<input name='input_26' type='radio' value='1'  id='choice_2_26_1'    \/>\n\t\t\t\t<label for='choice_2_26_1' id='label_2_26_1' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_26_2'>\n\t\t\t\t<input name='input_26' type='radio' value='0'  id='choice_2_26_2'    \/>\n\t\t\t\t<label for='choice_2_26_2' id='label_2_26_2' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_26_3'>\n\t\t\t\t<input name='input_26' type='radio' value='0'  id='choice_2_26_3'    \/>\n\t\t\t\t<label for='choice_2_26_3' id='label_2_26_3' class='gform-field-label gform-field-label--type-inline'>4<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_26_4'>\n\t\t\t\t<input name='input_26' type='radio' value='0'  id='choice_2_26_4'    \/>\n\t\t\t\t<label for='choice_2_26_4' id='label_2_26_4' class='gform-field-label gform-field-label--type-inline'>5<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_26_5'>\n\t\t\t\t<input name='input_26' type='radio' value='0'  id='choice_2_26_5'    \/>\n\t\t\t\t<label for='choice_2_26_5' id='label_2_26_5' class='gform-field-label gform-field-label--type-inline'>6<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_28\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_28\" ><img decoding=\"async\" src=\"http:\/\/dpnami.ir\/wp-admin\/images\/rayvenb\/14.png\"><\/li><li id=\"field_2_31\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_31\" ><label class='gfield_label gform-field-label' >\u06af\u0632\u06cc\u0646\u0647 \u0647\u0627\u06cc \u062a\u0635\u0648\u06cc\u0631 14<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_31'>\n\t\t\t<li class='gchoice gchoice_2_31_0'>\n\t\t\t\t<input name='input_31' type='radio' value='0'  id='choice_2_31_0'    \/>\n\t\t\t\t<label for='choice_2_31_0' id='label_2_31_0' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_31_1'>\n\t\t\t\t<input name='input_31' type='radio' value='0'  id='choice_2_31_1'    \/>\n\t\t\t\t<label for='choice_2_31_1' id='label_2_31_1' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_31_2'>\n\t\t\t\t<input name='input_31' type='radio' value='0'  id='choice_2_31_2'    \/>\n\t\t\t\t<label for='choice_2_31_2' id='label_2_31_2' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_31_3'>\n\t\t\t\t<input name='input_31' type='radio' value='0'  id='choice_2_31_3'    \/>\n\t\t\t\t<label for='choice_2_31_3' id='label_2_31_3' class='gform-field-label gform-field-label--type-inline'>4<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_31_4'>\n\t\t\t\t<input name='input_31' type='radio' value='0'  id='choice_2_31_4'    \/>\n\t\t\t\t<label for='choice_2_31_4' id='label_2_31_4' class='gform-field-label gform-field-label--type-inline'>5<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_31_5'>\n\t\t\t\t<input name='input_31' type='radio' value='1'  id='choice_2_31_5'    \/>\n\t\t\t\t<label for='choice_2_31_5' id='label_2_31_5' class='gform-field-label gform-field-label--type-inline'>6<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_30\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_30\" ><img decoding=\"async\" src=\"http:\/\/dpnami.ir\/wp-admin\/images\/rayvenb\/15.png\"><\/li><li id=\"field_2_29\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_29\" ><label class='gfield_label gform-field-label' >\u06af\u0632\u06cc\u0646\u0647 \u0647\u0627\u06cc \u062a\u0635\u0648\u06cc\u0631 15<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_29'>\n\t\t\t<li class='gchoice gchoice_2_29_0'>\n\t\t\t\t<input name='input_29' type='radio' value='1'  id='choice_2_29_0'    \/>\n\t\t\t\t<label for='choice_2_29_0' id='label_2_29_0' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_29_1'>\n\t\t\t\t<input name='input_29' type='radio' value='0'  id='choice_2_29_1'    \/>\n\t\t\t\t<label for='choice_2_29_1' id='label_2_29_1' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_29_2'>\n\t\t\t\t<input name='input_29' type='radio' value='0'  id='choice_2_29_2'    \/>\n\t\t\t\t<label for='choice_2_29_2' id='label_2_29_2' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_29_3'>\n\t\t\t\t<input name='input_29' type='radio' value='0'  id='choice_2_29_3'    \/>\n\t\t\t\t<label for='choice_2_29_3' id='label_2_29_3' class='gform-field-label gform-field-label--type-inline'>4<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_29_4'>\n\t\t\t\t<input name='input_29' type='radio' value='0'  id='choice_2_29_4'    \/>\n\t\t\t\t<label for='choice_2_29_4' id='label_2_29_4' class='gform-field-label gform-field-label--type-inline'>5<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_29_5'>\n\t\t\t\t<input name='input_29' type='radio' value='0'  id='choice_2_29_5'    \/>\n\t\t\t\t<label for='choice_2_29_5' id='label_2_29_5' class='gform-field-label gform-field-label--type-inline'>6<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_33\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_33\" ><img decoding=\"async\" src=\"http:\/\/dpnami.ir\/wp-admin\/images\/rayvenb\/16.png\"><\/li><li id=\"field_2_34\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_34\" ><label class='gfield_label gform-field-label' >\u06af\u0632\u06cc\u0646\u0647 \u0647\u0627\u06cc \u062a\u0635\u0648\u06cc\u0631 16<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_34'>\n\t\t\t<li class='gchoice gchoice_2_34_0'>\n\t\t\t\t<input name='input_34' type='radio' value='0'  id='choice_2_34_0'    \/>\n\t\t\t\t<label for='choice_2_34_0' id='label_2_34_0' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_34_1'>\n\t\t\t\t<input name='input_34' type='radio' value='1'  id='choice_2_34_1'    \/>\n\t\t\t\t<label for='choice_2_34_1' id='label_2_34_1' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_34_2'>\n\t\t\t\t<input name='input_34' type='radio' value='0'  id='choice_2_34_2'    \/>\n\t\t\t\t<label for='choice_2_34_2' id='label_2_34_2' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_34_3'>\n\t\t\t\t<input name='input_34' type='radio' value='0'  id='choice_2_34_3'    \/>\n\t\t\t\t<label for='choice_2_34_3' id='label_2_34_3' class='gform-field-label gform-field-label--type-inline'>4<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_34_4'>\n\t\t\t\t<input name='input_34' type='radio' value='0'  id='choice_2_34_4'    \/>\n\t\t\t\t<label for='choice_2_34_4' id='label_2_34_4' class='gform-field-label gform-field-label--type-inline'>5<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_34_5'>\n\t\t\t\t<input name='input_34' type='radio' value='0'  id='choice_2_34_5'    \/>\n\t\t\t\t<label for='choice_2_34_5' id='label_2_34_5' class='gform-field-label gform-field-label--type-inline'>6<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_35\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_35\" ><img decoding=\"async\" src=\"http:\/\/dpnami.ir\/wp-admin\/images\/rayvenb\/17.png\"><\/li><li id=\"field_2_38\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_38\" ><label class='gfield_label gform-field-label' >\u06af\u0632\u06cc\u0646\u0647 \u0647\u0627\u06cc \u062a\u0635\u0648\u06cc\u0631 17<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_38'>\n\t\t\t<li class='gchoice gchoice_2_38_0'>\n\t\t\t\t<input name='input_38' type='radio' value='1'  id='choice_2_38_0'    \/>\n\t\t\t\t<label for='choice_2_38_0' id='label_2_38_0' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_38_1'>\n\t\t\t\t<input name='input_38' type='radio' value='0'  id='choice_2_38_1'    \/>\n\t\t\t\t<label for='choice_2_38_1' id='label_2_38_1' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_38_2'>\n\t\t\t\t<input name='input_38' type='radio' value='0'  id='choice_2_38_2'    \/>\n\t\t\t\t<label for='choice_2_38_2' id='label_2_38_2' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_38_3'>\n\t\t\t\t<input name='input_38' type='radio' value='0'  id='choice_2_38_3'    \/>\n\t\t\t\t<label for='choice_2_38_3' id='label_2_38_3' class='gform-field-label gform-field-label--type-inline'>4<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_38_4'>\n\t\t\t\t<input name='input_38' type='radio' value='0'  id='choice_2_38_4'    \/>\n\t\t\t\t<label for='choice_2_38_4' id='label_2_38_4' class='gform-field-label gform-field-label--type-inline'>5<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_38_5'>\n\t\t\t\t<input name='input_38' type='radio' value='0'  id='choice_2_38_5'    \/>\n\t\t\t\t<label for='choice_2_38_5' id='label_2_38_5' class='gform-field-label gform-field-label--type-inline'>6<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_37\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_37\" ><img decoding=\"async\" src=\"http:\/\/dpnami.ir\/wp-admin\/images\/rayvenb\/18.png\"><\/li><li id=\"field_2_36\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_36\" ><label class='gfield_label gform-field-label' >\u06af\u0632\u06cc\u0646\u0647 \u0647\u0627\u06cc \u062a\u0635\u0648\u06cc\u0631 18<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_36'>\n\t\t\t<li class='gchoice gchoice_2_36_0'>\n\t\t\t\t<input name='input_36' type='radio' value='0'  id='choice_2_36_0'    \/>\n\t\t\t\t<label for='choice_2_36_0' id='label_2_36_0' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_36_1'>\n\t\t\t\t<input name='input_36' type='radio' value='0'  id='choice_2_36_1'    \/>\n\t\t\t\t<label for='choice_2_36_1' id='label_2_36_1' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_36_2'>\n\t\t\t\t<input name='input_36' type='radio' value='1'  id='choice_2_36_2'    \/>\n\t\t\t\t<label for='choice_2_36_2' id='label_2_36_2' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_36_3'>\n\t\t\t\t<input name='input_36' type='radio' value='0'  id='choice_2_36_3'    \/>\n\t\t\t\t<label for='choice_2_36_3' id='label_2_36_3' class='gform-field-label gform-field-label--type-inline'>4<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_36_4'>\n\t\t\t\t<input name='input_36' type='radio' value='0'  id='choice_2_36_4'    \/>\n\t\t\t\t<label for='choice_2_36_4' id='label_2_36_4' class='gform-field-label gform-field-label--type-inline'>5<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_36_5'>\n\t\t\t\t<input name='input_36' type='radio' value='0'  id='choice_2_36_5'    \/>\n\t\t\t\t<label for='choice_2_36_5' id='label_2_36_5' class='gform-field-label gform-field-label--type-inline'>6<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_39\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_39\" ><img decoding=\"async\" src=\"http:\/\/dpnami.ir\/wp-admin\/images\/rayvenb\/19.png\"><\/li><li id=\"field_2_40\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_40\" ><label class='gfield_label gform-field-label' >\u06af\u0632\u06cc\u0646\u0647 \u0647\u0627\u06cc \u062a\u0635\u0648\u06cc\u0631 19<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_40'>\n\t\t\t<li class='gchoice gchoice_2_40_0'>\n\t\t\t\t<input name='input_40' type='radio' value='0'  id='choice_2_40_0'    \/>\n\t\t\t\t<label for='choice_2_40_0' id='label_2_40_0' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_40_1'>\n\t\t\t\t<input name='input_40' type='radio' value='0'  id='choice_2_40_1'    \/>\n\t\t\t\t<label for='choice_2_40_1' id='label_2_40_1' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_40_2'>\n\t\t\t\t<input name='input_40' type='radio' value='0'  id='choice_2_40_2'    \/>\n\t\t\t\t<label for='choice_2_40_2' id='label_2_40_2' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_40_3'>\n\t\t\t\t<input name='input_40' type='radio' value='0'  id='choice_2_40_3'    \/>\n\t\t\t\t<label for='choice_2_40_3' id='label_2_40_3' class='gform-field-label gform-field-label--type-inline'>4<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_40_4'>\n\t\t\t\t<input name='input_40' type='radio' value='1'  id='choice_2_40_4'    \/>\n\t\t\t\t<label for='choice_2_40_4' id='label_2_40_4' class='gform-field-label gform-field-label--type-inline'>5<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_40_5'>\n\t\t\t\t<input name='input_40' type='radio' value='0'  id='choice_2_40_5'    \/>\n\t\t\t\t<label for='choice_2_40_5' id='label_2_40_5' class='gform-field-label gform-field-label--type-inline'>6<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_41\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_41\" ><img decoding=\"async\" src=\"http:\/\/dpnami.ir\/wp-admin\/images\/rayvenb\/20.png\"><\/li><li id=\"field_2_42\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_42\" ><label class='gfield_label gform-field-label' >\u06af\u0632\u06cc\u0646\u0647 \u0647\u0627\u06cc \u062a\u0635\u0648\u06cc\u0631 20<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_42'>\n\t\t\t<li class='gchoice gchoice_2_42_0'>\n\t\t\t\t<input name='input_42' type='radio' value='0'  id='choice_2_42_0'    \/>\n\t\t\t\t<label for='choice_2_42_0' id='label_2_42_0' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_42_1'>\n\t\t\t\t<input name='input_42' type='radio' value='0'  id='choice_2_42_1'    \/>\n\t\t\t\t<label for='choice_2_42_1' id='label_2_42_1' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_42_2'>\n\t\t\t\t<input name='input_42' type='radio' value='0'  id='choice_2_42_2'    \/>\n\t\t\t\t<label for='choice_2_42_2' id='label_2_42_2' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_42_3'>\n\t\t\t\t<input name='input_42' type='radio' value='0'  id='choice_2_42_3'    \/>\n\t\t\t\t<label for='choice_2_42_3' id='label_2_42_3' class='gform-field-label gform-field-label--type-inline'>4<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_42_4'>\n\t\t\t\t<input name='input_42' type='radio' value='0'  id='choice_2_42_4'    \/>\n\t\t\t\t<label for='choice_2_42_4' id='label_2_42_4' class='gform-field-label gform-field-label--type-inline'>5<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_42_5'>\n\t\t\t\t<input name='input_42' type='radio' value='1'  id='choice_2_42_5'    \/>\n\t\t\t\t<label for='choice_2_42_5' id='label_2_42_5' class='gform-field-label gform-field-label--type-inline'>6<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_43\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_43\" ><img decoding=\"async\" src=\"http:\/\/dpnami.ir\/wp-admin\/images\/rayvenb\/21.png\"><\/li><li id=\"field_2_44\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_44\" ><label class='gfield_label gform-field-label' >\u06af\u0632\u06cc\u0646\u0647 \u0647\u0627\u06cc \u062a\u0635\u0648\u06cc\u0631 21<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_44'>\n\t\t\t<li class='gchoice gchoice_2_44_0'>\n\t\t\t\t<input name='input_44' type='radio' value='0'  id='choice_2_44_0'    \/>\n\t\t\t\t<label for='choice_2_44_0' id='label_2_44_0' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_44_1'>\n\t\t\t\t<input name='input_44' type='radio' value='0'  id='choice_2_44_1'    \/>\n\t\t\t\t<label for='choice_2_44_1' id='label_2_44_1' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_44_2'>\n\t\t\t\t<input name='input_44' type='radio' value='0'  id='choice_2_44_2'    \/>\n\t\t\t\t<label for='choice_2_44_2' id='label_2_44_2' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_44_3'>\n\t\t\t\t<input name='input_44' type='radio' value='1'  id='choice_2_44_3'    \/>\n\t\t\t\t<label for='choice_2_44_3' id='label_2_44_3' class='gform-field-label gform-field-label--type-inline'>4<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_44_4'>\n\t\t\t\t<input name='input_44' type='radio' value='0'  id='choice_2_44_4'    \/>\n\t\t\t\t<label for='choice_2_44_4' id='label_2_44_4' class='gform-field-label gform-field-label--type-inline'>5<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_44_5'>\n\t\t\t\t<input name='input_44' type='radio' value='0'  id='choice_2_44_5'    \/>\n\t\t\t\t<label for='choice_2_44_5' id='label_2_44_5' class='gform-field-label gform-field-label--type-inline'>6<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_46\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_46\" ><img decoding=\"async\" src=\"http:\/\/dpnami.ir\/wp-admin\/images\/rayvenb\/22.png\"><\/li><li id=\"field_2_47\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_47\" ><label class='gfield_label gform-field-label' >\u06af\u0632\u06cc\u0646\u0647 \u0647\u0627\u06cc \u062a\u0635\u0648\u06cc\u0631 22<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_47'>\n\t\t\t<li class='gchoice gchoice_2_47_0'>\n\t\t\t\t<input name='input_47' type='radio' value='0'  id='choice_2_47_0'    \/>\n\t\t\t\t<label for='choice_2_47_0' id='label_2_47_0' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_47_1'>\n\t\t\t\t<input name='input_47' type='radio' value='0'  id='choice_2_47_1'    \/>\n\t\t\t\t<label for='choice_2_47_1' id='label_2_47_1' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_47_2'>\n\t\t\t\t<input name='input_47' type='radio' value='1'  id='choice_2_47_2'    \/>\n\t\t\t\t<label for='choice_2_47_2' id='label_2_47_2' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_47_3'>\n\t\t\t\t<input name='input_47' type='radio' value='0'  id='choice_2_47_3'    \/>\n\t\t\t\t<label for='choice_2_47_3' id='label_2_47_3' class='gform-field-label gform-field-label--type-inline'>4<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_47_4'>\n\t\t\t\t<input name='input_47' type='radio' value='0'  id='choice_2_47_4'    \/>\n\t\t\t\t<label for='choice_2_47_4' id='label_2_47_4' class='gform-field-label gform-field-label--type-inline'>5<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_47_5'>\n\t\t\t\t<input name='input_47' type='radio' value='0'  id='choice_2_47_5'    \/>\n\t\t\t\t<label for='choice_2_47_5' id='label_2_47_5' class='gform-field-label gform-field-label--type-inline'>6<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_51\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_51\" ><img decoding=\"async\" src=\"http:\/\/dpnami.ir\/wp-admin\/images\/rayvenb\/23.png\"><\/li><li id=\"field_2_52\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_52\" ><label class='gfield_label gform-field-label' >\u06af\u0632\u06cc\u0646\u0647 \u0647\u0627\u06cc \u062a\u0635\u0648\u06cc\u0631 23<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_52'>\n\t\t\t<li class='gchoice gchoice_2_52_0'>\n\t\t\t\t<input name='input_52' type='radio' value='0'  id='choice_2_52_0'    \/>\n\t\t\t\t<label for='choice_2_52_0' id='label_2_52_0' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_52_1'>\n\t\t\t\t<input name='input_52' type='radio' value='0'  id='choice_2_52_1'    \/>\n\t\t\t\t<label for='choice_2_52_1' id='label_2_52_1' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_52_2'>\n\t\t\t\t<input name='input_52' type='radio' value='0'  id='choice_2_52_2'    \/>\n\t\t\t\t<label for='choice_2_52_2' id='label_2_52_2' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_52_3'>\n\t\t\t\t<input name='input_52' type='radio' value='1'  id='choice_2_52_3'    \/>\n\t\t\t\t<label for='choice_2_52_3' id='label_2_52_3' class='gform-field-label gform-field-label--type-inline'>4<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_52_4'>\n\t\t\t\t<input name='input_52' type='radio' value='0'  id='choice_2_52_4'    \/>\n\t\t\t\t<label for='choice_2_52_4' id='label_2_52_4' class='gform-field-label gform-field-label--type-inline'>5<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_52_5'>\n\t\t\t\t<input name='input_52' type='radio' value='0'  id='choice_2_52_5'    \/>\n\t\t\t\t<label for='choice_2_52_5' id='label_2_52_5' class='gform-field-label gform-field-label--type-inline'>6<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_53\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_53\" ><img decoding=\"async\" src=\"http:\/\/dpnami.ir\/wp-admin\/images\/rayvenb\/24.png\"><\/li><li id=\"field_2_54\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_54\" ><label class='gfield_label gform-field-label' >\u06af\u0632\u06cc\u0646\u0647 \u0647\u0627\u06cc \u062a\u0635\u0648\u06cc\u0631 24<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_54'>\n\t\t\t<li class='gchoice gchoice_2_54_0'>\n\t\t\t\t<input name='input_54' type='radio' value='0'  id='choice_2_54_0'    \/>\n\t\t\t\t<label for='choice_2_54_0' id='label_2_54_0' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_54_1'>\n\t\t\t\t<input name='input_54' type='radio' value='0'  id='choice_2_54_1'    \/>\n\t\t\t\t<label for='choice_2_54_1' id='label_2_54_1' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_54_2'>\n\t\t\t\t<input name='input_54' type='radio' value='0'  id='choice_2_54_2'    \/>\n\t\t\t\t<label for='choice_2_54_2' id='label_2_54_2' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_54_3'>\n\t\t\t\t<input name='input_54' type='radio' value='0'  id='choice_2_54_3'    \/>\n\t\t\t\t<label for='choice_2_54_3' id='label_2_54_3' class='gform-field-label gform-field-label--type-inline'>4<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_54_4'>\n\t\t\t\t<input name='input_54' type='radio' value='1'  id='choice_2_54_4'    \/>\n\t\t\t\t<label for='choice_2_54_4' id='label_2_54_4' class='gform-field-label gform-field-label--type-inline'>5<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_54_5'>\n\t\t\t\t<input name='input_54' type='radio' value='0'  id='choice_2_54_5'    \/>\n\t\t\t\t<label for='choice_2_54_5' id='label_2_54_5' class='gform-field-label gform-field-label--type-inline'>6<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_55\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_55\" ><img decoding=\"async\" src=\"http:\/\/dpnami.ir\/wp-admin\/images\/rayvenb\/25.png\"><\/li><li id=\"field_2_56\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_56\" ><label class='gfield_label gform-field-label' >\u06af\u0632\u06cc\u0646\u0647 \u0647\u0627\u06cc \u062a\u0635\u0648\u06cc\u0631 25<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_56'>\n\t\t\t<li class='gchoice gchoice_2_56_0'>\n\t\t\t\t<input name='input_56' type='radio' value='0'  id='choice_2_56_0'    \/>\n\t\t\t\t<label for='choice_2_56_0' id='label_2_56_0' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_56_1'>\n\t\t\t\t<input name='input_56' type='radio' value='0'  id='choice_2_56_1'    \/>\n\t\t\t\t<label for='choice_2_56_1' id='label_2_56_1' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_56_2'>\n\t\t\t\t<input name='input_56' type='radio' value='0'  id='choice_2_56_2'    \/>\n\t\t\t\t<label for='choice_2_56_2' id='label_2_56_2' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_56_3'>\n\t\t\t\t<input name='input_56' type='radio' value='0'  id='choice_2_56_3'    \/>\n\t\t\t\t<label for='choice_2_56_3' id='label_2_56_3' class='gform-field-label gform-field-label--type-inline'>4<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_56_4'>\n\t\t\t\t<input name='input_56' type='radio' value='0'  id='choice_2_56_4'    \/>\n\t\t\t\t<label for='choice_2_56_4' id='label_2_56_4' class='gform-field-label gform-field-label--type-inline'>5<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_56_5'>\n\t\t\t\t<input name='input_56' type='radio' value='0'  id='choice_2_56_5'    \/>\n\t\t\t\t<label for='choice_2_56_5' id='label_2_56_5' class='gform-field-label gform-field-label--type-inline'>6<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_56_6'>\n\t\t\t\t<input name='input_56' type='radio' value='0'  id='choice_2_56_6'    \/>\n\t\t\t\t<label for='choice_2_56_6' id='label_2_56_6' class='gform-field-label gform-field-label--type-inline'>7<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_56_7'>\n\t\t\t\t<input name='input_56' type='radio' value='1'  id='choice_2_56_7'    \/>\n\t\t\t\t<label for='choice_2_56_7' id='label_2_56_7' class='gform-field-label gform-field-label--type-inline'>8<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_57\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_57\" ><img decoding=\"async\" src=\"http:\/\/dpnami.ir\/wp-admin\/images\/rayvenb\/26.png\"><\/li><li id=\"field_2_58\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_58\" ><label class='gfield_label gform-field-label' >\u06af\u0632\u06cc\u0646\u0647 \u0647\u0627\u06cc \u062a\u0635\u0648\u06cc\u0631 26<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_58'>\n\t\t\t<li class='gchoice gchoice_2_58_0'>\n\t\t\t\t<input name='input_58' type='radio' value='0'  id='choice_2_58_0'    \/>\n\t\t\t\t<label for='choice_2_58_0' id='label_2_58_0' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_58_1'>\n\t\t\t\t<input name='input_58' type='radio' value='1'  id='choice_2_58_1'    \/>\n\t\t\t\t<label for='choice_2_58_1' id='label_2_58_1' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_58_2'>\n\t\t\t\t<input name='input_58' type='radio' value='0'  id='choice_2_58_2'    \/>\n\t\t\t\t<label for='choice_2_58_2' id='label_2_58_2' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_58_3'>\n\t\t\t\t<input name='input_58' type='radio' value='0'  id='choice_2_58_3'    \/>\n\t\t\t\t<label for='choice_2_58_3' id='label_2_58_3' class='gform-field-label gform-field-label--type-inline'>4<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_58_4'>\n\t\t\t\t<input name='input_58' type='radio' value='0'  id='choice_2_58_4'    \/>\n\t\t\t\t<label for='choice_2_58_4' id='label_2_58_4' class='gform-field-label gform-field-label--type-inline'>5<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_58_5'>\n\t\t\t\t<input name='input_58' type='radio' value='0'  id='choice_2_58_5'    \/>\n\t\t\t\t<label for='choice_2_58_5' id='label_2_58_5' class='gform-field-label gform-field-label--type-inline'>6<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_58_6'>\n\t\t\t\t<input name='input_58' type='radio' value='0'  id='choice_2_58_6'    \/>\n\t\t\t\t<label for='choice_2_58_6' id='label_2_58_6' class='gform-field-label gform-field-label--type-inline'>7<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_58_7'>\n\t\t\t\t<input name='input_58' type='radio' value='0'  id='choice_2_58_7'    \/>\n\t\t\t\t<label for='choice_2_58_7' id='label_2_58_7' class='gform-field-label gform-field-label--type-inline'>8<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_59\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_59\" ><img decoding=\"async\" src=\"http:\/\/dpnami.ir\/wp-admin\/images\/rayvenb\/27.png\"><\/li><li id=\"field_2_60\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_60\" ><label class='gfield_label gform-field-label' >\u06af\u0632\u06cc\u0646\u0647 \u0647\u0627\u06cc \u062a\u0635\u0648\u06cc\u0631 27<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_60'>\n\t\t\t<li class='gchoice gchoice_2_60_0'>\n\t\t\t\t<input name='input_60' type='radio' value='0'  id='choice_2_60_0'    \/>\n\t\t\t\t<label for='choice_2_60_0' id='label_2_60_0' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_60_1'>\n\t\t\t\t<input name='input_60' type='radio' value='0'  id='choice_2_60_1'    \/>\n\t\t\t\t<label for='choice_2_60_1' id='label_2_60_1' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_60_2'>\n\t\t\t\t<input name='input_60' type='radio' value='1'  id='choice_2_60_2'    \/>\n\t\t\t\t<label for='choice_2_60_2' id='label_2_60_2' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_60_3'>\n\t\t\t\t<input name='input_60' type='radio' value='0'  id='choice_2_60_3'    \/>\n\t\t\t\t<label for='choice_2_60_3' id='label_2_60_3' class='gform-field-label gform-field-label--type-inline'>4<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_60_4'>\n\t\t\t\t<input name='input_60' type='radio' value='0'  id='choice_2_60_4'    \/>\n\t\t\t\t<label for='choice_2_60_4' id='label_2_60_4' class='gform-field-label gform-field-label--type-inline'>5<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_60_5'>\n\t\t\t\t<input name='input_60' type='radio' value='0'  id='choice_2_60_5'    \/>\n\t\t\t\t<label for='choice_2_60_5' id='label_2_60_5' class='gform-field-label gform-field-label--type-inline'>6<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_60_6'>\n\t\t\t\t<input name='input_60' type='radio' value='0'  id='choice_2_60_6'    \/>\n\t\t\t\t<label for='choice_2_60_6' id='label_2_60_6' class='gform-field-label gform-field-label--type-inline'>7<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_60_7'>\n\t\t\t\t<input name='input_60' type='radio' value='0'  id='choice_2_60_7'    \/>\n\t\t\t\t<label for='choice_2_60_7' id='label_2_60_7' class='gform-field-label gform-field-label--type-inline'>8<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_61\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_61\" ><img decoding=\"async\" src=\"http:\/\/dpnami.ir\/wp-admin\/images\/rayvenb\/28.png\"><\/li><li id=\"field_2_67\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_67\" ><label class='gfield_label gform-field-label' >\u06af\u0632\u06cc\u0646\u0647 \u0647\u0627\u06cc \u062a\u0635\u0648\u06cc\u0631 28<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_67'>\n\t\t\t<li class='gchoice gchoice_2_67_0'>\n\t\t\t\t<input name='input_67' type='radio' value='0'  id='choice_2_67_0'    \/>\n\t\t\t\t<label for='choice_2_67_0' id='label_2_67_0' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_67_1'>\n\t\t\t\t<input name='input_67' type='radio' value='0'  id='choice_2_67_1'    \/>\n\t\t\t\t<label for='choice_2_67_1' id='label_2_67_1' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_67_2'>\n\t\t\t\t<input name='input_67' type='radio' value='0'  id='choice_2_67_2'    \/>\n\t\t\t\t<label for='choice_2_67_2' id='label_2_67_2' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_67_3'>\n\t\t\t\t<input name='input_67' type='radio' value='0'  id='choice_2_67_3'    \/>\n\t\t\t\t<label for='choice_2_67_3' id='label_2_67_3' class='gform-field-label gform-field-label--type-inline'>4<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_67_4'>\n\t\t\t\t<input name='input_67' type='radio' value='0'  id='choice_2_67_4'    \/>\n\t\t\t\t<label for='choice_2_67_4' id='label_2_67_4' class='gform-field-label gform-field-label--type-inline'>5<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_67_5'>\n\t\t\t\t<input name='input_67' type='radio' value='0'  id='choice_2_67_5'    \/>\n\t\t\t\t<label for='choice_2_67_5' id='label_2_67_5' class='gform-field-label gform-field-label--type-inline'>6<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_67_6'>\n\t\t\t\t<input name='input_67' type='radio' value='0'  id='choice_2_67_6'    \/>\n\t\t\t\t<label for='choice_2_67_6' id='label_2_67_6' class='gform-field-label gform-field-label--type-inline'>7<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_67_7'>\n\t\t\t\t<input name='input_67' type='radio' value='1'  id='choice_2_67_7'    \/>\n\t\t\t\t<label for='choice_2_67_7' id='label_2_67_7' class='gform-field-label gform-field-label--type-inline'>8<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_70\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_70\" ><img decoding=\"async\" src=\"http:\/\/dpnami.ir\/wp-admin\/images\/rayvenb\/29.png\"><\/li><li id=\"field_2_69\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_69\" ><label class='gfield_label gform-field-label' >\u06af\u0632\u06cc\u0646\u0647 \u0647\u0627\u06cc \u062a\u0635\u0648\u06cc\u0631 29<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_69'>\n\t\t\t<li class='gchoice gchoice_2_69_0'>\n\t\t\t\t<input name='input_69' type='radio' value='0'  id='choice_2_69_0'    \/>\n\t\t\t\t<label for='choice_2_69_0' id='label_2_69_0' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_69_1'>\n\t\t\t\t<input name='input_69' type='radio' value='0'  id='choice_2_69_1'    \/>\n\t\t\t\t<label for='choice_2_69_1' id='label_2_69_1' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_69_2'>\n\t\t\t\t<input name='input_69' type='radio' value='0'  id='choice_2_69_2'    \/>\n\t\t\t\t<label for='choice_2_69_2' id='label_2_69_2' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_69_3'>\n\t\t\t\t<input name='input_69' type='radio' value='0'  id='choice_2_69_3'    \/>\n\t\t\t\t<label for='choice_2_69_3' id='label_2_69_3' class='gform-field-label gform-field-label--type-inline'>4<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_69_4'>\n\t\t\t\t<input name='input_69' type='radio' value='0'  id='choice_2_69_4'    \/>\n\t\t\t\t<label for='choice_2_69_4' id='label_2_69_4' class='gform-field-label gform-field-label--type-inline'>5<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_69_5'>\n\t\t\t\t<input name='input_69' type='radio' value='0'  id='choice_2_69_5'    \/>\n\t\t\t\t<label for='choice_2_69_5' id='label_2_69_5' class='gform-field-label gform-field-label--type-inline'>6<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_69_6'>\n\t\t\t\t<input name='input_69' type='radio' value='1'  id='choice_2_69_6'    \/>\n\t\t\t\t<label for='choice_2_69_6' id='label_2_69_6' class='gform-field-label gform-field-label--type-inline'>7<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_69_7'>\n\t\t\t\t<input name='input_69' type='radio' value='0'  id='choice_2_69_7'    \/>\n\t\t\t\t<label for='choice_2_69_7' id='label_2_69_7' class='gform-field-label gform-field-label--type-inline'>8<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_72\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_72\" ><img decoding=\"async\" src=\"http:\/\/dpnami.ir\/wp-admin\/images\/rayvenb\/30.png\"><\/li><li id=\"field_2_71\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_71\" ><label class='gfield_label gform-field-label' >\u06af\u0632\u06cc\u0646\u0647 \u0647\u0627\u06cc \u062a\u0635\u0648\u06cc\u0631 30<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_71'>\n\t\t\t<li class='gchoice gchoice_2_71_0'>\n\t\t\t\t<input name='input_71' type='radio' value='0'  id='choice_2_71_0'    \/>\n\t\t\t\t<label for='choice_2_71_0' id='label_2_71_0' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_71_1'>\n\t\t\t\t<input name='input_71' type='radio' value='0'  id='choice_2_71_1'    \/>\n\t\t\t\t<label for='choice_2_71_1' id='label_2_71_1' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_71_2'>\n\t\t\t\t<input name='input_71' type='radio' value='0'  id='choice_2_71_2'    \/>\n\t\t\t\t<label for='choice_2_71_2' id='label_2_71_2' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_71_3'>\n\t\t\t\t<input name='input_71' type='radio' value='1'  id='choice_2_71_3'    \/>\n\t\t\t\t<label for='choice_2_71_3' id='label_2_71_3' class='gform-field-label gform-field-label--type-inline'>4<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_71_4'>\n\t\t\t\t<input name='input_71' type='radio' value='0'  id='choice_2_71_4'    \/>\n\t\t\t\t<label for='choice_2_71_4' id='label_2_71_4' class='gform-field-label gform-field-label--type-inline'>5<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_71_5'>\n\t\t\t\t<input name='input_71' type='radio' value='0'  id='choice_2_71_5'    \/>\n\t\t\t\t<label for='choice_2_71_5' id='label_2_71_5' class='gform-field-label gform-field-label--type-inline'>6<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_71_6'>\n\t\t\t\t<input name='input_71' type='radio' value='0'  id='choice_2_71_6'    \/>\n\t\t\t\t<label for='choice_2_71_6' id='label_2_71_6' class='gform-field-label gform-field-label--type-inline'>7<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_71_7'>\n\t\t\t\t<input name='input_71' type='radio' value='0'  id='choice_2_71_7'    \/>\n\t\t\t\t<label for='choice_2_71_7' id='label_2_71_7' class='gform-field-label gform-field-label--type-inline'>8<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_74\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_74\" ><img decoding=\"async\" src=\"http:\/\/dpnami.ir\/wp-admin\/images\/rayvenb\/31.png\"><\/li><li id=\"field_2_73\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_73\" ><label class='gfield_label gform-field-label' >\u06af\u0632\u06cc\u0646\u0647 \u0647\u0627\u06cc \u062a\u0635\u0648\u06cc\u0631 31<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_73'>\n\t\t\t<li class='gchoice gchoice_2_73_0'>\n\t\t\t\t<input name='input_73' type='radio' value='0'  id='choice_2_73_0'    \/>\n\t\t\t\t<label for='choice_2_73_0' id='label_2_73_0' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_73_1'>\n\t\t\t\t<input name='input_73' type='radio' value='0'  id='choice_2_73_1'    \/>\n\t\t\t\t<label for='choice_2_73_1' id='label_2_73_1' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_73_2'>\n\t\t\t\t<input name='input_73' type='radio' value='0'  id='choice_2_73_2'    \/>\n\t\t\t\t<label for='choice_2_73_2' id='label_2_73_2' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_73_3'>\n\t\t\t\t<input name='input_73' type='radio' value='0'  id='choice_2_73_3'    \/>\n\t\t\t\t<label for='choice_2_73_3' id='label_2_73_3' class='gform-field-label gform-field-label--type-inline'>4<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_73_4'>\n\t\t\t\t<input name='input_73' type='radio' value='1'  id='choice_2_73_4'    \/>\n\t\t\t\t<label for='choice_2_73_4' id='label_2_73_4' class='gform-field-label gform-field-label--type-inline'>5<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_73_5'>\n\t\t\t\t<input name='input_73' type='radio' value='0'  id='choice_2_73_5'    \/>\n\t\t\t\t<label for='choice_2_73_5' id='label_2_73_5' class='gform-field-label gform-field-label--type-inline'>6<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_73_6'>\n\t\t\t\t<input name='input_73' type='radio' value='0'  id='choice_2_73_6'    \/>\n\t\t\t\t<label for='choice_2_73_6' id='label_2_73_6' class='gform-field-label gform-field-label--type-inline'>7<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_73_7'>\n\t\t\t\t<input name='input_73' type='radio' value='0'  id='choice_2_73_7'    \/>\n\t\t\t\t<label for='choice_2_73_7' id='label_2_73_7' class='gform-field-label gform-field-label--type-inline'>8<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_76\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_76\" ><img decoding=\"async\" src=\"http:\/\/dpnami.ir\/wp-admin\/images\/rayvenb\/32.png\"><\/li><li id=\"field_2_75\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_75\" ><label class='gfield_label gform-field-label' >\u06af\u0632\u06cc\u0646\u0647 \u0647\u0627\u06cc \u062a\u0635\u0648\u06cc\u0631 32<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_75'>\n\t\t\t<li class='gchoice gchoice_2_75_0'>\n\t\t\t\t<input name='input_75' type='radio' value='1'  id='choice_2_75_0'    \/>\n\t\t\t\t<label for='choice_2_75_0' id='label_2_75_0' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_75_1'>\n\t\t\t\t<input name='input_75' type='radio' value='0'  id='choice_2_75_1'    \/>\n\t\t\t\t<label for='choice_2_75_1' id='label_2_75_1' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_75_2'>\n\t\t\t\t<input name='input_75' type='radio' value='0'  id='choice_2_75_2'    \/>\n\t\t\t\t<label for='choice_2_75_2' id='label_2_75_2' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_75_3'>\n\t\t\t\t<input name='input_75' type='radio' value='0'  id='choice_2_75_3'    \/>\n\t\t\t\t<label for='choice_2_75_3' id='label_2_75_3' class='gform-field-label gform-field-label--type-inline'>4<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_75_4'>\n\t\t\t\t<input name='input_75' type='radio' value='0'  id='choice_2_75_4'    \/>\n\t\t\t\t<label for='choice_2_75_4' id='label_2_75_4' class='gform-field-label gform-field-label--type-inline'>5<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_75_5'>\n\t\t\t\t<input name='input_75' type='radio' value='0'  id='choice_2_75_5'    \/>\n\t\t\t\t<label for='choice_2_75_5' id='label_2_75_5' class='gform-field-label gform-field-label--type-inline'>6<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_75_6'>\n\t\t\t\t<input name='input_75' type='radio' value='0'  id='choice_2_75_6'    \/>\n\t\t\t\t<label for='choice_2_75_6' id='label_2_75_6' class='gform-field-label gform-field-label--type-inline'>7<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_75_7'>\n\t\t\t\t<input name='input_75' type='radio' value='0'  id='choice_2_75_7'    \/>\n\t\t\t\t<label for='choice_2_75_7' id='label_2_75_7' class='gform-field-label gform-field-label--type-inline'>8<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_78\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_78\" ><img decoding=\"async\" src=\"http:\/\/dpnami.ir\/wp-admin\/images\/rayvenb\/33.png\"><\/li><li id=\"field_2_77\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_77\" ><label class='gfield_label gform-field-label' >\u06af\u0632\u06cc\u0646\u0647 \u0647\u0627\u06cc \u062a\u0635\u0648\u06cc\u0631 33<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_77'>\n\t\t\t<li class='gchoice gchoice_2_77_0'>\n\t\t\t\t<input name='input_77' type='radio' value='0'  id='choice_2_77_0'    \/>\n\t\t\t\t<label for='choice_2_77_0' id='label_2_77_0' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_77_1'>\n\t\t\t\t<input name='input_77' type='radio' value='0'  id='choice_2_77_1'    \/>\n\t\t\t\t<label for='choice_2_77_1' id='label_2_77_1' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_77_2'>\n\t\t\t\t<input name='input_77' type='radio' value='0'  id='choice_2_77_2'    \/>\n\t\t\t\t<label for='choice_2_77_2' id='label_2_77_2' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_77_3'>\n\t\t\t\t<input name='input_77' type='radio' value='0'  id='choice_2_77_3'    \/>\n\t\t\t\t<label for='choice_2_77_3' id='label_2_77_3' class='gform-field-label gform-field-label--type-inline'>4<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_77_4'>\n\t\t\t\t<input name='input_77' type='radio' value='0'  id='choice_2_77_4'    \/>\n\t\t\t\t<label for='choice_2_77_4' id='label_2_77_4' class='gform-field-label gform-field-label--type-inline'>5<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_77_5'>\n\t\t\t\t<input name='input_77' type='radio' value='0'  id='choice_2_77_5'    \/>\n\t\t\t\t<label for='choice_2_77_5' id='label_2_77_5' class='gform-field-label gform-field-label--type-inline'>6<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_77_6'>\n\t\t\t\t<input name='input_77' type='radio' value='1'  id='choice_2_77_6'    \/>\n\t\t\t\t<label for='choice_2_77_6' id='label_2_77_6' class='gform-field-label gform-field-label--type-inline'>7<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_77_7'>\n\t\t\t\t<input name='input_77' type='radio' value='0'  id='choice_2_77_7'    \/>\n\t\t\t\t<label for='choice_2_77_7' id='label_2_77_7' class='gform-field-label gform-field-label--type-inline'>8<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_80\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_80\" ><img decoding=\"async\" src=\"http:\/\/dpnami.ir\/wp-admin\/images\/rayvenb\/34.png\"><\/li><li id=\"field_2_79\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_79\" ><label class='gfield_label gform-field-label' >\u06af\u0632\u06cc\u0646\u0647 \u0647\u0627\u06cc \u062a\u0635\u0648\u06cc\u0631 34<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_79'>\n\t\t\t<li class='gchoice gchoice_2_79_0'>\n\t\t\t\t<input name='input_79' type='radio' value='0'  id='choice_2_79_0'    \/>\n\t\t\t\t<label for='choice_2_79_0' id='label_2_79_0' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_79_1'>\n\t\t\t\t<input name='input_79' type='radio' value='0'  id='choice_2_79_1'    \/>\n\t\t\t\t<label for='choice_2_79_1' id='label_2_79_1' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_79_2'>\n\t\t\t\t<input name='input_79' type='radio' value='0'  id='choice_2_79_2'    \/>\n\t\t\t\t<label for='choice_2_79_2' id='label_2_79_2' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_79_3'>\n\t\t\t\t<input name='input_79' type='radio' value='0'  id='choice_2_79_3'    \/>\n\t\t\t\t<label for='choice_2_79_3' id='label_2_79_3' class='gform-field-label gform-field-label--type-inline'>4<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_79_4'>\n\t\t\t\t<input name='input_79' type='radio' value='0'  id='choice_2_79_4'    \/>\n\t\t\t\t<label for='choice_2_79_4' id='label_2_79_4' class='gform-field-label gform-field-label--type-inline'>5<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_79_5'>\n\t\t\t\t<input name='input_79' type='radio' value='1'  id='choice_2_79_5'    \/>\n\t\t\t\t<label for='choice_2_79_5' id='label_2_79_5' class='gform-field-label gform-field-label--type-inline'>6<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_79_6'>\n\t\t\t\t<input name='input_79' type='radio' value='0'  id='choice_2_79_6'    \/>\n\t\t\t\t<label for='choice_2_79_6' id='label_2_79_6' class='gform-field-label gform-field-label--type-inline'>7<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_79_7'>\n\t\t\t\t<input name='input_79' type='radio' value='0'  id='choice_2_79_7'    \/>\n\t\t\t\t<label for='choice_2_79_7' id='label_2_79_7' class='gform-field-label gform-field-label--type-inline'>8<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_82\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_82\" ><img decoding=\"async\" src=\"http:\/\/dpnami.ir\/wp-admin\/images\/rayvenb\/35.png\"><\/li><li id=\"field_2_83\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_83\" ><label class='gfield_label gform-field-label' >\u06af\u0632\u06cc\u0646\u0647 \u0647\u0627\u06cc \u062a\u0635\u0648\u06cc\u0631 35<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_83'>\n\t\t\t<li class='gchoice gchoice_2_83_0'>\n\t\t\t\t<input name='input_83' type='radio' value='0'  id='choice_2_83_0'    \/>\n\t\t\t\t<label for='choice_2_83_0' id='label_2_83_0' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_83_1'>\n\t\t\t\t<input name='input_83' type='radio' value='0'  id='choice_2_83_1'    \/>\n\t\t\t\t<label for='choice_2_83_1' id='label_2_83_1' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_83_2'>\n\t\t\t\t<input name='input_83' type='radio' value='0'  id='choice_2_83_2'    \/>\n\t\t\t\t<label for='choice_2_83_2' id='label_2_83_2' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_83_3'>\n\t\t\t\t<input name='input_83' type='radio' value='0'  id='choice_2_83_3'    \/>\n\t\t\t\t<label for='choice_2_83_3' id='label_2_83_3' class='gform-field-label gform-field-label--type-inline'>4<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_83_4'>\n\t\t\t\t<input name='input_83' type='radio' value='1'  id='choice_2_83_4'    \/>\n\t\t\t\t<label for='choice_2_83_4' id='label_2_83_4' class='gform-field-label gform-field-label--type-inline'>5<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_83_5'>\n\t\t\t\t<input name='input_83' type='radio' value='0'  id='choice_2_83_5'    \/>\n\t\t\t\t<label for='choice_2_83_5' id='label_2_83_5' class='gform-field-label gform-field-label--type-inline'>6<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_83_6'>\n\t\t\t\t<input name='input_83' type='radio' value='0'  id='choice_2_83_6'    \/>\n\t\t\t\t<label for='choice_2_83_6' id='label_2_83_6' class='gform-field-label gform-field-label--type-inline'>7<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_83_7'>\n\t\t\t\t<input name='input_83' type='radio' value='0'  id='choice_2_83_7'    \/>\n\t\t\t\t<label for='choice_2_83_7' id='label_2_83_7' class='gform-field-label gform-field-label--type-inline'>8<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_84\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_84\" ><img decoding=\"async\" src=\"http:\/\/dpnami.ir\/wp-admin\/images\/rayvenb\/36.png\"><\/li><li id=\"field_2_81\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_81\" ><label class='gfield_label gform-field-label' >\u06af\u0632\u06cc\u0646\u0647 \u0647\u0627\u06cc \u062a\u0635\u0648\u06cc\u0631 36<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_81'>\n\t\t\t<li class='gchoice gchoice_2_81_0'>\n\t\t\t\t<input name='input_81' type='radio' value='0'  id='choice_2_81_0'    \/>\n\t\t\t\t<label for='choice_2_81_0' id='label_2_81_0' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_81_1'>\n\t\t\t\t<input name='input_81' type='radio' value='1'  id='choice_2_81_1'    \/>\n\t\t\t\t<label for='choice_2_81_1' id='label_2_81_1' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_81_2'>\n\t\t\t\t<input name='input_81' type='radio' value='0'  id='choice_2_81_2'    \/>\n\t\t\t\t<label for='choice_2_81_2' id='label_2_81_2' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_81_3'>\n\t\t\t\t<input name='input_81' type='radio' value='0'  id='choice_2_81_3'    \/>\n\t\t\t\t<label for='choice_2_81_3' id='label_2_81_3' class='gform-field-label gform-field-label--type-inline'>4<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_81_4'>\n\t\t\t\t<input name='input_81' type='radio' value='0'  id='choice_2_81_4'    \/>\n\t\t\t\t<label for='choice_2_81_4' id='label_2_81_4' class='gform-field-label gform-field-label--type-inline'>5<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_81_5'>\n\t\t\t\t<input name='input_81' type='radio' value='0'  id='choice_2_81_5'    \/>\n\t\t\t\t<label for='choice_2_81_5' id='label_2_81_5' class='gform-field-label gform-field-label--type-inline'>6<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_81_6'>\n\t\t\t\t<input name='input_81' type='radio' value='0'  id='choice_2_81_6'    \/>\n\t\t\t\t<label for='choice_2_81_6' id='label_2_81_6' class='gform-field-label gform-field-label--type-inline'>7<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_81_7'>\n\t\t\t\t<input name='input_81' type='radio' value='0'  id='choice_2_81_7'    \/>\n\t\t\t\t<label for='choice_2_81_7' id='label_2_81_7' class='gform-field-label gform-field-label--type-inline'>8<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_86\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_86\" ><img decoding=\"async\" src=\"http:\/\/dpnami.ir\/wp-admin\/images\/rayvenb\/37.png\"><\/li><li id=\"field_2_85\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_85\" ><label class='gfield_label gform-field-label' >\u06af\u0632\u06cc\u0646\u0647 \u0647\u0627\u06cc \u062a\u0635\u0648\u06cc\u0631 37<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_85'>\n\t\t\t<li class='gchoice gchoice_2_85_0'>\n\t\t\t\t<input name='input_85' type='radio' value='0'  id='choice_2_85_0'    \/>\n\t\t\t\t<label for='choice_2_85_0' id='label_2_85_0' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_85_1'>\n\t\t\t\t<input name='input_85' type='radio' value='0'  id='choice_2_85_1'    \/>\n\t\t\t\t<label for='choice_2_85_1' id='label_2_85_1' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_85_2'>\n\t\t\t\t<input name='input_85' type='radio' value='1'  id='choice_2_85_2'    \/>\n\t\t\t\t<label for='choice_2_85_2' id='label_2_85_2' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_85_3'>\n\t\t\t\t<input name='input_85' type='radio' value='0'  id='choice_2_85_3'    \/>\n\t\t\t\t<label for='choice_2_85_3' id='label_2_85_3' class='gform-field-label gform-field-label--type-inline'>4<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_85_4'>\n\t\t\t\t<input name='input_85' type='radio' value='0'  id='choice_2_85_4'    \/>\n\t\t\t\t<label for='choice_2_85_4' id='label_2_85_4' class='gform-field-label gform-field-label--type-inline'>5<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_85_5'>\n\t\t\t\t<input name='input_85' type='radio' value='0'  id='choice_2_85_5'    \/>\n\t\t\t\t<label for='choice_2_85_5' id='label_2_85_5' class='gform-field-label gform-field-label--type-inline'>6<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_85_6'>\n\t\t\t\t<input name='input_85' type='radio' value='0'  id='choice_2_85_6'    \/>\n\t\t\t\t<label for='choice_2_85_6' id='label_2_85_6' class='gform-field-label gform-field-label--type-inline'>7<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_85_7'>\n\t\t\t\t<input name='input_85' type='radio' value='0'  id='choice_2_85_7'    \/>\n\t\t\t\t<label for='choice_2_85_7' id='label_2_85_7' class='gform-field-label gform-field-label--type-inline'>8<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_88\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_88\" ><img decoding=\"async\" src=\"http:\/\/dpnami.ir\/wp-admin\/images\/rayvenb\/38.png\"><\/li><li id=\"field_2_87\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_87\" ><label class='gfield_label gform-field-label' >\u06af\u0632\u06cc\u0646\u0647 \u0647\u0627\u06cc \u062a\u0635\u0648\u06cc\u0631 38<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_87'>\n\t\t\t<li class='gchoice gchoice_2_87_0'>\n\t\t\t\t<input name='input_87' type='radio' value='0'  id='choice_2_87_0'    \/>\n\t\t\t\t<label for='choice_2_87_0' id='label_2_87_0' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_87_1'>\n\t\t\t\t<input name='input_87' type='radio' value='0'  id='choice_2_87_1'    \/>\n\t\t\t\t<label for='choice_2_87_1' id='label_2_87_1' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_87_2'>\n\t\t\t\t<input name='input_87' type='radio' value='0'  id='choice_2_87_2'    \/>\n\t\t\t\t<label for='choice_2_87_2' id='label_2_87_2' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_87_3'>\n\t\t\t\t<input name='input_87' type='radio' value='1'  id='choice_2_87_3'    \/>\n\t\t\t\t<label for='choice_2_87_3' id='label_2_87_3' class='gform-field-label gform-field-label--type-inline'>4<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_87_4'>\n\t\t\t\t<input name='input_87' type='radio' value='0'  id='choice_2_87_4'    \/>\n\t\t\t\t<label for='choice_2_87_4' id='label_2_87_4' class='gform-field-label gform-field-label--type-inline'>5<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_87_5'>\n\t\t\t\t<input name='input_87' type='radio' value='0'  id='choice_2_87_5'    \/>\n\t\t\t\t<label for='choice_2_87_5' id='label_2_87_5' class='gform-field-label gform-field-label--type-inline'>6<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_87_6'>\n\t\t\t\t<input name='input_87' type='radio' value='0'  id='choice_2_87_6'    \/>\n\t\t\t\t<label for='choice_2_87_6' id='label_2_87_6' class='gform-field-label gform-field-label--type-inline'>7<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_87_7'>\n\t\t\t\t<input name='input_87' type='radio' value='0'  id='choice_2_87_7'    \/>\n\t\t\t\t<label for='choice_2_87_7' id='label_2_87_7' class='gform-field-label gform-field-label--type-inline'>8<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_90\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_90\" ><img decoding=\"async\" src=\"http:\/\/dpnami.ir\/wp-admin\/images\/rayvenb\/39.png\"><\/li><li id=\"field_2_89\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_89\" ><label class='gfield_label gform-field-label' >\u06af\u0632\u06cc\u0646\u0647 \u0647\u0627\u06cc \u062a\u0635\u0648\u06cc\u0631 39<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_89'>\n\t\t\t<li class='gchoice gchoice_2_89_0'>\n\t\t\t\t<input name='input_89' type='radio' value='0'  id='choice_2_89_0'    \/>\n\t\t\t\t<label for='choice_2_89_0' id='label_2_89_0' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_89_1'>\n\t\t\t\t<input name='input_89' type='radio' value='0'  id='choice_2_89_1'    \/>\n\t\t\t\t<label for='choice_2_89_1' id='label_2_89_1' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_89_2'>\n\t\t\t\t<input name='input_89' type='radio' value='1'  id='choice_2_89_2'    \/>\n\t\t\t\t<label for='choice_2_89_2' id='label_2_89_2' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_89_3'>\n\t\t\t\t<input name='input_89' type='radio' value='0'  id='choice_2_89_3'    \/>\n\t\t\t\t<label for='choice_2_89_3' id='label_2_89_3' class='gform-field-label gform-field-label--type-inline'>4<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_89_4'>\n\t\t\t\t<input name='input_89' type='radio' value='0'  id='choice_2_89_4'    \/>\n\t\t\t\t<label for='choice_2_89_4' id='label_2_89_4' class='gform-field-label gform-field-label--type-inline'>5<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_89_5'>\n\t\t\t\t<input name='input_89' type='radio' value='0'  id='choice_2_89_5'    \/>\n\t\t\t\t<label for='choice_2_89_5' id='label_2_89_5' class='gform-field-label gform-field-label--type-inline'>6<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_89_6'>\n\t\t\t\t<input name='input_89' type='radio' value='0'  id='choice_2_89_6'    \/>\n\t\t\t\t<label for='choice_2_89_6' id='label_2_89_6' class='gform-field-label gform-field-label--type-inline'>7<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_89_7'>\n\t\t\t\t<input name='input_89' type='radio' value='0'  id='choice_2_89_7'    \/>\n\t\t\t\t<label for='choice_2_89_7' id='label_2_89_7' class='gform-field-label gform-field-label--type-inline'>8<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_92\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_92\" ><img decoding=\"async\" src=\"http:\/\/dpnami.ir\/wp-admin\/images\/rayvenb\/40.png\"><\/li><li id=\"field_2_93\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_93\" ><label class='gfield_label gform-field-label' >\u06af\u0632\u06cc\u0646\u0647 \u0647\u0627\u06cc \u062a\u0635\u0648\u06cc\u0631 40<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_93'>\n\t\t\t<li class='gchoice gchoice_2_93_0'>\n\t\t\t\t<input name='input_93' type='radio' value='0'  id='choice_2_93_0'    \/>\n\t\t\t\t<label for='choice_2_93_0' id='label_2_93_0' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_93_1'>\n\t\t\t\t<input name='input_93' type='radio' value='0'  id='choice_2_93_1'    \/>\n\t\t\t\t<label for='choice_2_93_1' id='label_2_93_1' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_93_2'>\n\t\t\t\t<input name='input_93' type='radio' value='0'  id='choice_2_93_2'    \/>\n\t\t\t\t<label for='choice_2_93_2' id='label_2_93_2' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_93_3'>\n\t\t\t\t<input name='input_93' type='radio' value='0'  id='choice_2_93_3'    \/>\n\t\t\t\t<label for='choice_2_93_3' id='label_2_93_3' class='gform-field-label gform-field-label--type-inline'>4<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_93_4'>\n\t\t\t\t<input name='input_93' type='radio' value='0'  id='choice_2_93_4'    \/>\n\t\t\t\t<label for='choice_2_93_4' id='label_2_93_4' class='gform-field-label gform-field-label--type-inline'>5<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_93_5'>\n\t\t\t\t<input name='input_93' type='radio' value='0'  id='choice_2_93_5'    \/>\n\t\t\t\t<label for='choice_2_93_5' id='label_2_93_5' class='gform-field-label gform-field-label--type-inline'>6<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_93_6'>\n\t\t\t\t<input name='input_93' type='radio' value='1'  id='choice_2_93_6'    \/>\n\t\t\t\t<label for='choice_2_93_6' id='label_2_93_6' class='gform-field-label gform-field-label--type-inline'>7<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_93_7'>\n\t\t\t\t<input name='input_93' type='radio' value='0'  id='choice_2_93_7'    \/>\n\t\t\t\t<label for='choice_2_93_7' id='label_2_93_7' class='gform-field-label gform-field-label--type-inline'>8<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_94\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_94\" ><img decoding=\"async\" src=\"http:\/\/dpnami.ir\/wp-admin\/images\/rayvenb\/41.png\"><\/li><li id=\"field_2_91\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_91\" ><label class='gfield_label gform-field-label' >\u06af\u0632\u06cc\u0646\u0647 \u0647\u0627\u06cc \u062a\u0635\u0648\u06cc\u0631 41<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_91'>\n\t\t\t<li class='gchoice gchoice_2_91_0'>\n\t\t\t\t<input name='input_91' type='radio' value='0'  id='choice_2_91_0'    \/>\n\t\t\t\t<label for='choice_2_91_0' id='label_2_91_0' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_91_1'>\n\t\t\t\t<input name='input_91' type='radio' value='0'  id='choice_2_91_1'    \/>\n\t\t\t\t<label for='choice_2_91_1' id='label_2_91_1' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_91_2'>\n\t\t\t\t<input name='input_91' type='radio' value='0'  id='choice_2_91_2'    \/>\n\t\t\t\t<label for='choice_2_91_2' id='label_2_91_2' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_91_3'>\n\t\t\t\t<input name='input_91' type='radio' value='0'  id='choice_2_91_3'    \/>\n\t\t\t\t<label for='choice_2_91_3' id='label_2_91_3' class='gform-field-label gform-field-label--type-inline'>4<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_91_4'>\n\t\t\t\t<input name='input_91' type='radio' value='0'  id='choice_2_91_4'    \/>\n\t\t\t\t<label for='choice_2_91_4' id='label_2_91_4' class='gform-field-label gform-field-label--type-inline'>5<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_91_5'>\n\t\t\t\t<input name='input_91' type='radio' value='0'  id='choice_2_91_5'    \/>\n\t\t\t\t<label for='choice_2_91_5' id='label_2_91_5' class='gform-field-label gform-field-label--type-inline'>6<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_91_6'>\n\t\t\t\t<input name='input_91' type='radio' value='0'  id='choice_2_91_6'    \/>\n\t\t\t\t<label for='choice_2_91_6' id='label_2_91_6' class='gform-field-label gform-field-label--type-inline'>7<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_91_7'>\n\t\t\t\t<input name='input_91' type='radio' value='1'  id='choice_2_91_7'    \/>\n\t\t\t\t<label for='choice_2_91_7' id='label_2_91_7' class='gform-field-label gform-field-label--type-inline'>8<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_96\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_96\" ><img decoding=\"async\" src=\"http:\/\/dpnami.ir\/wp-admin\/images\/rayvenb\/42.png\"><\/li><li id=\"field_2_95\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_95\" ><label class='gfield_label gform-field-label' >\u06af\u0632\u06cc\u0646\u0647 \u0647\u0627\u06cc \u062a\u0635\u0648\u06cc\u0631 42<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_95'>\n\t\t\t<li class='gchoice gchoice_2_95_0'>\n\t\t\t\t<input name='input_95' type='radio' value='0'  id='choice_2_95_0'    \/>\n\t\t\t\t<label for='choice_2_95_0' id='label_2_95_0' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_95_1'>\n\t\t\t\t<input name='input_95' type='radio' value='0'  id='choice_2_95_1'    \/>\n\t\t\t\t<label for='choice_2_95_1' id='label_2_95_1' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_95_2'>\n\t\t\t\t<input name='input_95' type='radio' value='0'  id='choice_2_95_2'    \/>\n\t\t\t\t<label for='choice_2_95_2' id='label_2_95_2' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_95_3'>\n\t\t\t\t<input name='input_95' type='radio' value='0'  id='choice_2_95_3'    \/>\n\t\t\t\t<label for='choice_2_95_3' id='label_2_95_3' class='gform-field-label gform-field-label--type-inline'>4<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_95_4'>\n\t\t\t\t<input name='input_95' type='radio' value='0'  id='choice_2_95_4'    \/>\n\t\t\t\t<label for='choice_2_95_4' id='label_2_95_4' class='gform-field-label gform-field-label--type-inline'>5<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_95_5'>\n\t\t\t\t<input name='input_95' type='radio' value='1'  id='choice_2_95_5'    \/>\n\t\t\t\t<label for='choice_2_95_5' id='label_2_95_5' class='gform-field-label gform-field-label--type-inline'>6<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_95_6'>\n\t\t\t\t<input name='input_95' type='radio' value='0'  id='choice_2_95_6'    \/>\n\t\t\t\t<label for='choice_2_95_6' id='label_2_95_6' class='gform-field-label gform-field-label--type-inline'>7<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_95_7'>\n\t\t\t\t<input name='input_95' type='radio' value='0'  id='choice_2_95_7'    \/>\n\t\t\t\t<label for='choice_2_95_7' id='label_2_95_7' class='gform-field-label gform-field-label--type-inline'>8<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_98\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_98\" ><img decoding=\"async\" src=\"http:\/\/dpnami.ir\/wp-admin\/images\/rayvenb\/43.png\"><\/li><li id=\"field_2_97\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_97\" ><label class='gfield_label gform-field-label' >\u06af\u0632\u06cc\u0646\u0647 \u0647\u0627\u06cc \u062a\u0635\u0648\u06cc\u0631 43<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_97'>\n\t\t\t<li class='gchoice gchoice_2_97_0'>\n\t\t\t\t<input name='input_97' type='radio' value='0'  id='choice_2_97_0'    \/>\n\t\t\t\t<label for='choice_2_97_0' id='label_2_97_0' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_97_1'>\n\t\t\t\t<input name='input_97' type='radio' value='0'  id='choice_2_97_1'    \/>\n\t\t\t\t<label for='choice_2_97_1' id='label_2_97_1' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_97_2'>\n\t\t\t\t<input name='input_97' type='radio' value='0'  id='choice_2_97_2'    \/>\n\t\t\t\t<label for='choice_2_97_2' id='label_2_97_2' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_97_3'>\n\t\t\t\t<input name='input_97' type='radio' value='0'  id='choice_2_97_3'    \/>\n\t\t\t\t<label for='choice_2_97_3' id='label_2_97_3' class='gform-field-label gform-field-label--type-inline'>4<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_97_4'>\n\t\t\t\t<input name='input_97' type='radio' value='1'  id='choice_2_97_4'    \/>\n\t\t\t\t<label for='choice_2_97_4' id='label_2_97_4' class='gform-field-label gform-field-label--type-inline'>5<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_97_5'>\n\t\t\t\t<input name='input_97' type='radio' value='0'  id='choice_2_97_5'    \/>\n\t\t\t\t<label for='choice_2_97_5' id='label_2_97_5' class='gform-field-label gform-field-label--type-inline'>6<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_97_6'>\n\t\t\t\t<input name='input_97' type='radio' value='0'  id='choice_2_97_6'    \/>\n\t\t\t\t<label for='choice_2_97_6' id='label_2_97_6' class='gform-field-label gform-field-label--type-inline'>7<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_97_7'>\n\t\t\t\t<input name='input_97' type='radio' value='0'  id='choice_2_97_7'    \/>\n\t\t\t\t<label for='choice_2_97_7' id='label_2_97_7' class='gform-field-label gform-field-label--type-inline'>8<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_100\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_100\" ><img decoding=\"async\" src=\"http:\/\/dpnami.ir\/wp-admin\/images\/rayvenb\/44.png\"><\/li><li id=\"field_2_99\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_99\" ><label class='gfield_label gform-field-label' >\u06af\u0632\u06cc\u0646\u0647 \u0647\u0627\u06cc \u062a\u0635\u0648\u06cc\u0631 44<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_99'>\n\t\t\t<li class='gchoice gchoice_2_99_0'>\n\t\t\t\t<input name='input_99' type='radio' value='0'  id='choice_2_99_0'    \/>\n\t\t\t\t<label for='choice_2_99_0' id='label_2_99_0' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_99_1'>\n\t\t\t\t<input name='input_99' type='radio' value='0'  id='choice_2_99_1'    \/>\n\t\t\t\t<label for='choice_2_99_1' id='label_2_99_1' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_99_2'>\n\t\t\t\t<input name='input_99' type='radio' value='0'  id='choice_2_99_2'    \/>\n\t\t\t\t<label for='choice_2_99_2' id='label_2_99_2' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_99_3'>\n\t\t\t\t<input name='input_99' type='radio' value='1'  id='choice_2_99_3'    \/>\n\t\t\t\t<label for='choice_2_99_3' id='label_2_99_3' class='gform-field-label gform-field-label--type-inline'>4<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_99_4'>\n\t\t\t\t<input name='input_99' type='radio' value='0'  id='choice_2_99_4'    \/>\n\t\t\t\t<label for='choice_2_99_4' id='label_2_99_4' class='gform-field-label gform-field-label--type-inline'>5<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_99_5'>\n\t\t\t\t<input name='input_99' type='radio' value='0'  id='choice_2_99_5'    \/>\n\t\t\t\t<label for='choice_2_99_5' id='label_2_99_5' class='gform-field-label gform-field-label--type-inline'>6<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_99_6'>\n\t\t\t\t<input name='input_99' type='radio' value='0'  id='choice_2_99_6'    \/>\n\t\t\t\t<label for='choice_2_99_6' id='label_2_99_6' class='gform-field-label gform-field-label--type-inline'>7<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_99_7'>\n\t\t\t\t<input name='input_99' type='radio' value='0'  id='choice_2_99_7'    \/>\n\t\t\t\t<label for='choice_2_99_7' id='label_2_99_7' class='gform-field-label gform-field-label--type-inline'>8<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_102\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_102\" ><img decoding=\"async\" src=\"http:\/\/dpnami.ir\/wp-admin\/images\/rayvenb\/45.png\"><\/li><li id=\"field_2_101\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_101\" ><label class='gfield_label gform-field-label' >\u06af\u0632\u06cc\u0646\u0647 \u0647\u0627\u06cc \u062a\u0635\u0648\u06cc\u0631 45<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_101'>\n\t\t\t<li class='gchoice gchoice_2_101_0'>\n\t\t\t\t<input name='input_101' type='radio' value='1'  id='choice_2_101_0'    \/>\n\t\t\t\t<label for='choice_2_101_0' id='label_2_101_0' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_101_1'>\n\t\t\t\t<input name='input_101' type='radio' value='0'  id='choice_2_101_1'    \/>\n\t\t\t\t<label for='choice_2_101_1' id='label_2_101_1' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_101_2'>\n\t\t\t\t<input name='input_101' type='radio' value='0'  id='choice_2_101_2'    \/>\n\t\t\t\t<label for='choice_2_101_2' id='label_2_101_2' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_101_3'>\n\t\t\t\t<input name='input_101' type='radio' value='0'  id='choice_2_101_3'    \/>\n\t\t\t\t<label for='choice_2_101_3' id='label_2_101_3' class='gform-field-label gform-field-label--type-inline'>4<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_101_4'>\n\t\t\t\t<input name='input_101' type='radio' value='0'  id='choice_2_101_4'    \/>\n\t\t\t\t<label for='choice_2_101_4' id='label_2_101_4' class='gform-field-label gform-field-label--type-inline'>5<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_101_5'>\n\t\t\t\t<input name='input_101' type='radio' value='0'  id='choice_2_101_5'    \/>\n\t\t\t\t<label for='choice_2_101_5' id='label_2_101_5' class='gform-field-label gform-field-label--type-inline'>6<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_101_6'>\n\t\t\t\t<input name='input_101' type='radio' value='0'  id='choice_2_101_6'    \/>\n\t\t\t\t<label for='choice_2_101_6' id='label_2_101_6' class='gform-field-label gform-field-label--type-inline'>7<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_101_7'>\n\t\t\t\t<input name='input_101' type='radio' value='0'  id='choice_2_101_7'    \/>\n\t\t\t\t<label for='choice_2_101_7' id='label_2_101_7' class='gform-field-label gform-field-label--type-inline'>8<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_104\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_104\" ><img decoding=\"async\" src=\"http:\/\/dpnami.ir\/wp-admin\/images\/rayvenb\/46.png\"><\/li><li id=\"field_2_103\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_103\" ><label class='gfield_label gform-field-label' >\u06af\u0632\u06cc\u0646\u0647 \u0647\u0627\u06cc \u062a\u0635\u0648\u06cc\u0631 46<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_103'>\n\t\t\t<li class='gchoice gchoice_2_103_0'>\n\t\t\t\t<input name='input_103' type='radio' value='0'  id='choice_2_103_0'    \/>\n\t\t\t\t<label for='choice_2_103_0' id='label_2_103_0' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_103_1'>\n\t\t\t\t<input name='input_103' type='radio' value='1'  id='choice_2_103_1'    \/>\n\t\t\t\t<label for='choice_2_103_1' id='label_2_103_1' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_103_2'>\n\t\t\t\t<input name='input_103' type='radio' value='0'  id='choice_2_103_2'    \/>\n\t\t\t\t<label for='choice_2_103_2' id='label_2_103_2' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_103_3'>\n\t\t\t\t<input name='input_103' type='radio' value='0'  id='choice_2_103_3'    \/>\n\t\t\t\t<label for='choice_2_103_3' id='label_2_103_3' class='gform-field-label gform-field-label--type-inline'>4<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_103_4'>\n\t\t\t\t<input name='input_103' type='radio' value='0'  id='choice_2_103_4'    \/>\n\t\t\t\t<label for='choice_2_103_4' id='label_2_103_4' class='gform-field-label gform-field-label--type-inline'>5<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_103_5'>\n\t\t\t\t<input name='input_103' type='radio' value='0'  id='choice_2_103_5'    \/>\n\t\t\t\t<label for='choice_2_103_5' id='label_2_103_5' class='gform-field-label gform-field-label--type-inline'>6<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_103_6'>\n\t\t\t\t<input name='input_103' type='radio' value='0'  id='choice_2_103_6'    \/>\n\t\t\t\t<label for='choice_2_103_6' id='label_2_103_6' class='gform-field-label gform-field-label--type-inline'>7<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_103_7'>\n\t\t\t\t<input name='input_103' type='radio' value='0'  id='choice_2_103_7'    \/>\n\t\t\t\t<label for='choice_2_103_7' id='label_2_103_7' class='gform-field-label gform-field-label--type-inline'>8<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_106\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_106\" ><img decoding=\"async\" src=\"http:\/\/dpnami.ir\/wp-admin\/images\/rayvenb\/47.png\"><\/li><li id=\"field_2_105\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_105\" ><label class='gfield_label gform-field-label' >\u06af\u0632\u06cc\u0646\u0647 \u0647\u0627\u06cc \u062a\u0635\u0648\u06cc\u0631 47<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_105'>\n\t\t\t<li class='gchoice gchoice_2_105_0'>\n\t\t\t\t<input name='input_105' type='radio' value='0'  id='choice_2_105_0'    \/>\n\t\t\t\t<label for='choice_2_105_0' id='label_2_105_0' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_105_1'>\n\t\t\t\t<input name='input_105' type='radio' value='0'  id='choice_2_105_1'    \/>\n\t\t\t\t<label for='choice_2_105_1' id='label_2_105_1' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_105_2'>\n\t\t\t\t<input name='input_105' type='radio' value='0'  id='choice_2_105_2'    \/>\n\t\t\t\t<label for='choice_2_105_2' id='label_2_105_2' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_105_3'>\n\t\t\t\t<input name='input_105' type='radio' value='0'  id='choice_2_105_3'    \/>\n\t\t\t\t<label for='choice_2_105_3' id='label_2_105_3' class='gform-field-label gform-field-label--type-inline'>4<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_105_4'>\n\t\t\t\t<input name='input_105' type='radio' value='1'  id='choice_2_105_4'    \/>\n\t\t\t\t<label for='choice_2_105_4' id='label_2_105_4' class='gform-field-label gform-field-label--type-inline'>5<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_105_5'>\n\t\t\t\t<input name='input_105' type='radio' value='0'  id='choice_2_105_5'    \/>\n\t\t\t\t<label for='choice_2_105_5' id='label_2_105_5' class='gform-field-label gform-field-label--type-inline'>6<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_105_6'>\n\t\t\t\t<input name='input_105' type='radio' value='0'  id='choice_2_105_6'    \/>\n\t\t\t\t<label for='choice_2_105_6' id='label_2_105_6' class='gform-field-label gform-field-label--type-inline'>7<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_105_7'>\n\t\t\t\t<input name='input_105' type='radio' value='0'  id='choice_2_105_7'    \/>\n\t\t\t\t<label for='choice_2_105_7' id='label_2_105_7' class='gform-field-label gform-field-label--type-inline'>8<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_108\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_108\" ><img decoding=\"async\" src=\"http:\/\/dpnami.ir\/wp-admin\/images\/rayvenb\/48.png\"><\/li><li id=\"field_2_107\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_107\" ><label class='gfield_label gform-field-label' >\u06af\u0632\u06cc\u0646\u0647 \u0647\u0627\u06cc \u062a\u0635\u0648\u06cc\u0631 48<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_107'>\n\t\t\t<li class='gchoice gchoice_2_107_0'>\n\t\t\t\t<input name='input_107' type='radio' value='0'  id='choice_2_107_0'    \/>\n\t\t\t\t<label for='choice_2_107_0' id='label_2_107_0' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_107_1'>\n\t\t\t\t<input name='input_107' type='radio' value='0'  id='choice_2_107_1'    \/>\n\t\t\t\t<label for='choice_2_107_1' id='label_2_107_1' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_107_2'>\n\t\t\t\t<input name='input_107' type='radio' value='0'  id='choice_2_107_2'    \/>\n\t\t\t\t<label for='choice_2_107_2' id='label_2_107_2' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_107_3'>\n\t\t\t\t<input name='input_107' type='radio' value='0'  id='choice_2_107_3'    \/>\n\t\t\t\t<label for='choice_2_107_3' id='label_2_107_3' class='gform-field-label gform-field-label--type-inline'>4<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_107_4'>\n\t\t\t\t<input name='input_107' type='radio' value='0'  id='choice_2_107_4'    \/>\n\t\t\t\t<label for='choice_2_107_4' id='label_2_107_4' class='gform-field-label gform-field-label--type-inline'>5<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_107_5'>\n\t\t\t\t<input name='input_107' type='radio' value='1'  id='choice_2_107_5'    \/>\n\t\t\t\t<label for='choice_2_107_5' id='label_2_107_5' class='gform-field-label gform-field-label--type-inline'>6<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_107_6'>\n\t\t\t\t<input name='input_107' type='radio' value='0'  id='choice_2_107_6'    \/>\n\t\t\t\t<label for='choice_2_107_6' id='label_2_107_6' class='gform-field-label gform-field-label--type-inline'>7<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_107_7'>\n\t\t\t\t<input name='input_107' type='radio' value='0'  id='choice_2_107_7'    \/>\n\t\t\t\t<label for='choice_2_107_7' id='label_2_107_7' class='gform-field-label gform-field-label--type-inline'>8<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_110\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_110\" ><img decoding=\"async\" src=\"http:\/\/dpnami.ir\/wp-admin\/images\/rayvenb\/49.png\"><\/li><li id=\"field_2_109\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_109\" ><label class='gfield_label gform-field-label' >\u06af\u0632\u06cc\u0646\u0647 \u0647\u0627\u06cc \u062a\u0635\u0648\u06cc\u0631 49<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_109'>\n\t\t\t<li class='gchoice gchoice_2_109_0'>\n\t\t\t\t<input name='input_109' type='radio' value='0'  id='choice_2_109_0'    \/>\n\t\t\t\t<label for='choice_2_109_0' id='label_2_109_0' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_109_1'>\n\t\t\t\t<input name='input_109' type='radio' value='0'  id='choice_2_109_1'    \/>\n\t\t\t\t<label for='choice_2_109_1' id='label_2_109_1' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_109_2'>\n\t\t\t\t<input name='input_109' type='radio' value='0'  id='choice_2_109_2'    \/>\n\t\t\t\t<label for='choice_2_109_2' id='label_2_109_2' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_109_3'>\n\t\t\t\t<input name='input_109' type='radio' value='0'  id='choice_2_109_3'    \/>\n\t\t\t\t<label for='choice_2_109_3' id='label_2_109_3' class='gform-field-label gform-field-label--type-inline'>4<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_109_4'>\n\t\t\t\t<input name='input_109' type='radio' value='0'  id='choice_2_109_4'    \/>\n\t\t\t\t<label for='choice_2_109_4' id='label_2_109_4' class='gform-field-label gform-field-label--type-inline'>5<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_109_5'>\n\t\t\t\t<input name='input_109' type='radio' value='0'  id='choice_2_109_5'    \/>\n\t\t\t\t<label for='choice_2_109_5' id='label_2_109_5' class='gform-field-label gform-field-label--type-inline'>6<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_109_6'>\n\t\t\t\t<input name='input_109' type='radio' value='1'  id='choice_2_109_6'    \/>\n\t\t\t\t<label for='choice_2_109_6' id='label_2_109_6' class='gform-field-label gform-field-label--type-inline'>7<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_109_7'>\n\t\t\t\t<input name='input_109' type='radio' value='0'  id='choice_2_109_7'    \/>\n\t\t\t\t<label for='choice_2_109_7' id='label_2_109_7' class='gform-field-label gform-field-label--type-inline'>8<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_112\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_112\" ><img decoding=\"async\" src=\"http:\/\/dpnami.ir\/wp-admin\/images\/rayvenb\/50.png\"><\/li><li id=\"field_2_111\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_111\" ><label class='gfield_label gform-field-label' >\u06af\u0632\u06cc\u0646\u0647 \u0647\u0627\u06cc \u062a\u0635\u0648\u06cc\u0631 50<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_111'>\n\t\t\t<li class='gchoice gchoice_2_111_0'>\n\t\t\t\t<input name='input_111' type='radio' value='0'  id='choice_2_111_0'    \/>\n\t\t\t\t<label for='choice_2_111_0' id='label_2_111_0' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_111_1'>\n\t\t\t\t<input name='input_111' type='radio' value='0'  id='choice_2_111_1'    \/>\n\t\t\t\t<label for='choice_2_111_1' id='label_2_111_1' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_111_2'>\n\t\t\t\t<input name='input_111' type='radio' value='0'  id='choice_2_111_2'    \/>\n\t\t\t\t<label for='choice_2_111_2' id='label_2_111_2' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_111_3'>\n\t\t\t\t<input name='input_111' type='radio' value='0'  id='choice_2_111_3'    \/>\n\t\t\t\t<label for='choice_2_111_3' id='label_2_111_3' class='gform-field-label gform-field-label--type-inline'>4<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_111_4'>\n\t\t\t\t<input name='input_111' type='radio' value='0'  id='choice_2_111_4'    \/>\n\t\t\t\t<label for='choice_2_111_4' id='label_2_111_4' class='gform-field-label gform-field-label--type-inline'>5<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_111_5'>\n\t\t\t\t<input name='input_111' type='radio' value='1'  id='choice_2_111_5'    \/>\n\t\t\t\t<label for='choice_2_111_5' id='label_2_111_5' class='gform-field-label gform-field-label--type-inline'>6<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_111_6'>\n\t\t\t\t<input name='input_111' type='radio' value='0'  id='choice_2_111_6'    \/>\n\t\t\t\t<label for='choice_2_111_6' id='label_2_111_6' class='gform-field-label gform-field-label--type-inline'>7<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_111_7'>\n\t\t\t\t<input name='input_111' type='radio' value='0'  id='choice_2_111_7'    \/>\n\t\t\t\t<label for='choice_2_111_7' id='label_2_111_7' class='gform-field-label gform-field-label--type-inline'>8<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_114\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_114\" ><img decoding=\"async\" src=\"http:\/\/dpnami.ir\/wp-admin\/images\/rayvenb\/51.png\"><\/li><li id=\"field_2_113\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_113\" ><label class='gfield_label gform-field-label' >\u06af\u0632\u06cc\u0646\u0647 \u0647\u0627\u06cc \u062a\u0635\u0648\u06cc\u0631 51<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_113'>\n\t\t\t<li class='gchoice gchoice_2_113_0'>\n\t\t\t\t<input name='input_113' type='radio' value='0'  id='choice_2_113_0'    \/>\n\t\t\t\t<label for='choice_2_113_0' id='label_2_113_0' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_113_1'>\n\t\t\t\t<input name='input_113' type='radio' value='0'  id='choice_2_113_1'    \/>\n\t\t\t\t<label for='choice_2_113_1' id='label_2_113_1' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_113_2'>\n\t\t\t\t<input name='input_113' type='radio' value='0'  id='choice_2_113_2'    \/>\n\t\t\t\t<label for='choice_2_113_2' id='label_2_113_2' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_113_3'>\n\t\t\t\t<input name='input_113' type='radio' value='0'  id='choice_2_113_3'    \/>\n\t\t\t\t<label for='choice_2_113_3' id='label_2_113_3' class='gform-field-label gform-field-label--type-inline'>4<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_113_4'>\n\t\t\t\t<input name='input_113' type='radio' value='0'  id='choice_2_113_4'    \/>\n\t\t\t\t<label for='choice_2_113_4' id='label_2_113_4' class='gform-field-label gform-field-label--type-inline'>5<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_113_5'>\n\t\t\t\t<input name='input_113' type='radio' value='0'  id='choice_2_113_5'    \/>\n\t\t\t\t<label for='choice_2_113_5' id='label_2_113_5' class='gform-field-label gform-field-label--type-inline'>6<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_113_6'>\n\t\t\t\t<input name='input_113' type='radio' value='0'  id='choice_2_113_6'    \/>\n\t\t\t\t<label for='choice_2_113_6' id='label_2_113_6' class='gform-field-label gform-field-label--type-inline'>7<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_113_7'>\n\t\t\t\t<input name='input_113' type='radio' value='1'  id='choice_2_113_7'    \/>\n\t\t\t\t<label for='choice_2_113_7' id='label_2_113_7' class='gform-field-label gform-field-label--type-inline'>8<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_116\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_116\" ><img decoding=\"async\" src=\"http:\/\/dpnami.ir\/wp-admin\/images\/rayvenb\/52.png\"><\/li><li id=\"field_2_115\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_115\" ><label class='gfield_label gform-field-label' >\u06af\u0632\u06cc\u0646\u0647 \u0647\u0627\u06cc \u062a\u0635\u0648\u06cc\u0631 52<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_115'>\n\t\t\t<li class='gchoice gchoice_2_115_0'>\n\t\t\t\t<input name='input_115' type='radio' value='0'  id='choice_2_115_0'    \/>\n\t\t\t\t<label for='choice_2_115_0' id='label_2_115_0' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_115_1'>\n\t\t\t\t<input name='input_115' type='radio' value='1'  id='choice_2_115_1'    \/>\n\t\t\t\t<label for='choice_2_115_1' id='label_2_115_1' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_115_2'>\n\t\t\t\t<input name='input_115' type='radio' value='0'  id='choice_2_115_2'    \/>\n\t\t\t\t<label for='choice_2_115_2' id='label_2_115_2' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_115_3'>\n\t\t\t\t<input name='input_115' type='radio' value='0'  id='choice_2_115_3'    \/>\n\t\t\t\t<label for='choice_2_115_3' id='label_2_115_3' class='gform-field-label gform-field-label--type-inline'>4<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_115_4'>\n\t\t\t\t<input name='input_115' type='radio' value='0'  id='choice_2_115_4'    \/>\n\t\t\t\t<label for='choice_2_115_4' id='label_2_115_4' class='gform-field-label gform-field-label--type-inline'>5<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_115_5'>\n\t\t\t\t<input name='input_115' type='radio' value='0'  id='choice_2_115_5'    \/>\n\t\t\t\t<label for='choice_2_115_5' id='label_2_115_5' class='gform-field-label gform-field-label--type-inline'>6<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_115_6'>\n\t\t\t\t<input name='input_115' type='radio' value='0'  id='choice_2_115_6'    \/>\n\t\t\t\t<label for='choice_2_115_6' id='label_2_115_6' class='gform-field-label gform-field-label--type-inline'>7<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_115_7'>\n\t\t\t\t<input name='input_115' type='radio' value='0'  id='choice_2_115_7'    \/>\n\t\t\t\t<label for='choice_2_115_7' id='label_2_115_7' class='gform-field-label gform-field-label--type-inline'>8<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_118\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_118\" ><img decoding=\"async\" src=\"http:\/\/dpnami.ir\/wp-admin\/images\/rayvenb\/53.png\"><\/li><li id=\"field_2_117\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_117\" ><label class='gfield_label gform-field-label' >\u06af\u0632\u06cc\u0646\u0647 \u0647\u0627\u06cc \u062a\u0635\u0648\u06cc\u0631 53<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_117'>\n\t\t\t<li class='gchoice gchoice_2_117_0'>\n\t\t\t\t<input name='input_117' type='radio' value='1'  id='choice_2_117_0'    \/>\n\t\t\t\t<label for='choice_2_117_0' id='label_2_117_0' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_117_1'>\n\t\t\t\t<input name='input_117' type='radio' value='0'  id='choice_2_117_1'    \/>\n\t\t\t\t<label for='choice_2_117_1' id='label_2_117_1' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_117_2'>\n\t\t\t\t<input name='input_117' type='radio' value='0'  id='choice_2_117_2'    \/>\n\t\t\t\t<label for='choice_2_117_2' id='label_2_117_2' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_117_3'>\n\t\t\t\t<input name='input_117' type='radio' value='0'  id='choice_2_117_3'    \/>\n\t\t\t\t<label for='choice_2_117_3' id='label_2_117_3' class='gform-field-label gform-field-label--type-inline'>4<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_117_4'>\n\t\t\t\t<input name='input_117' type='radio' value='0'  id='choice_2_117_4'    \/>\n\t\t\t\t<label for='choice_2_117_4' id='label_2_117_4' class='gform-field-label gform-field-label--type-inline'>5<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_117_5'>\n\t\t\t\t<input name='input_117' type='radio' value='0'  id='choice_2_117_5'    \/>\n\t\t\t\t<label for='choice_2_117_5' id='label_2_117_5' class='gform-field-label gform-field-label--type-inline'>6<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_117_6'>\n\t\t\t\t<input name='input_117' type='radio' value='0'  id='choice_2_117_6'    \/>\n\t\t\t\t<label for='choice_2_117_6' id='label_2_117_6' class='gform-field-label gform-field-label--type-inline'>7<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_117_7'>\n\t\t\t\t<input name='input_117' type='radio' value='0'  id='choice_2_117_7'    \/>\n\t\t\t\t<label for='choice_2_117_7' id='label_2_117_7' class='gform-field-label gform-field-label--type-inline'>8<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_120\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_120\" ><img decoding=\"async\" src=\"http:\/\/dpnami.ir\/wp-admin\/images\/rayvenb\/54.png\"><\/li><li id=\"field_2_119\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_119\" ><label class='gfield_label gform-field-label' >\u06af\u0632\u06cc\u0646\u0647 \u0647\u0627\u06cc \u062a\u0635\u0648\u06cc\u0631 54<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_119'>\n\t\t\t<li class='gchoice gchoice_2_119_0'>\n\t\t\t\t<input name='input_119' type='radio' value='0'  id='choice_2_119_0'    \/>\n\t\t\t\t<label for='choice_2_119_0' id='label_2_119_0' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_119_1'>\n\t\t\t\t<input name='input_119' type='radio' value='0'  id='choice_2_119_1'    \/>\n\t\t\t\t<label for='choice_2_119_1' id='label_2_119_1' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_119_2'>\n\t\t\t\t<input name='input_119' type='radio' value='0'  id='choice_2_119_2'    \/>\n\t\t\t\t<label for='choice_2_119_2' id='label_2_119_2' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_119_3'>\n\t\t\t\t<input name='input_119' type='radio' value='0'  id='choice_2_119_3'    \/>\n\t\t\t\t<label for='choice_2_119_3' id='label_2_119_3' class='gform-field-label gform-field-label--type-inline'>4<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_119_4'>\n\t\t\t\t<input name='input_119' type='radio' value='1'  id='choice_2_119_4'    \/>\n\t\t\t\t<label for='choice_2_119_4' id='label_2_119_4' class='gform-field-label gform-field-label--type-inline'>5<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_119_5'>\n\t\t\t\t<input name='input_119' type='radio' value='0'  id='choice_2_119_5'    \/>\n\t\t\t\t<label for='choice_2_119_5' id='label_2_119_5' class='gform-field-label gform-field-label--type-inline'>6<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_119_6'>\n\t\t\t\t<input name='input_119' type='radio' value='0'  id='choice_2_119_6'    \/>\n\t\t\t\t<label for='choice_2_119_6' id='label_2_119_6' class='gform-field-label gform-field-label--type-inline'>7<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_119_7'>\n\t\t\t\t<input name='input_119' type='radio' value='0'  id='choice_2_119_7'    \/>\n\t\t\t\t<label for='choice_2_119_7' id='label_2_119_7' class='gform-field-label gform-field-label--type-inline'>8<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_122\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_122\" ><img decoding=\"async\" src=\"http:\/\/dpnami.ir\/wp-admin\/images\/rayvenb\/55.png\"><\/li><li id=\"field_2_121\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_121\" ><label class='gfield_label gform-field-label' >\u06af\u0632\u06cc\u0646\u0647 \u0647\u0627\u06cc \u062a\u0635\u0648\u06cc\u0631 55<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_121'>\n\t\t\t<li class='gchoice gchoice_2_121_0'>\n\t\t\t\t<input name='input_121' type='radio' value='1'  id='choice_2_121_0'    \/>\n\t\t\t\t<label for='choice_2_121_0' id='label_2_121_0' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_121_1'>\n\t\t\t\t<input name='input_121' type='radio' value='0'  id='choice_2_121_1'    \/>\n\t\t\t\t<label for='choice_2_121_1' id='label_2_121_1' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_121_2'>\n\t\t\t\t<input name='input_121' type='radio' value='0'  id='choice_2_121_2'    \/>\n\t\t\t\t<label for='choice_2_121_2' id='label_2_121_2' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_121_3'>\n\t\t\t\t<input name='input_121' type='radio' value='0'  id='choice_2_121_3'    \/>\n\t\t\t\t<label for='choice_2_121_3' id='label_2_121_3' class='gform-field-label gform-field-label--type-inline'>4<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_121_4'>\n\t\t\t\t<input name='input_121' type='radio' value='0'  id='choice_2_121_4'    \/>\n\t\t\t\t<label for='choice_2_121_4' id='label_2_121_4' class='gform-field-label gform-field-label--type-inline'>5<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_121_5'>\n\t\t\t\t<input name='input_121' type='radio' value='0'  id='choice_2_121_5'    \/>\n\t\t\t\t<label for='choice_2_121_5' id='label_2_121_5' class='gform-field-label gform-field-label--type-inline'>6<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_121_6'>\n\t\t\t\t<input name='input_121' type='radio' value='0'  id='choice_2_121_6'    \/>\n\t\t\t\t<label for='choice_2_121_6' id='label_2_121_6' class='gform-field-label gform-field-label--type-inline'>7<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_121_7'>\n\t\t\t\t<input name='input_121' type='radio' value='0'  id='choice_2_121_7'    \/>\n\t\t\t\t<label for='choice_2_121_7' id='label_2_121_7' class='gform-field-label gform-field-label--type-inline'>8<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_124\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_124\" ><img decoding=\"async\" src=\"http:\/\/dpnami.ir\/wp-admin\/images\/rayvenb\/56.png\"><\/li><li id=\"field_2_123\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_123\" ><label class='gfield_label gform-field-label' >\u06af\u0632\u06cc\u0646\u0647 \u0647\u0627\u06cc \u062a\u0635\u0648\u06cc\u0631 56<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_123'>\n\t\t\t<li class='gchoice gchoice_2_123_0'>\n\t\t\t\t<input name='input_123' type='radio' value='0'  id='choice_2_123_0'    \/>\n\t\t\t\t<label for='choice_2_123_0' id='label_2_123_0' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_123_1'>\n\t\t\t\t<input name='input_123' type='radio' value='0'  id='choice_2_123_1'    \/>\n\t\t\t\t<label for='choice_2_123_1' id='label_2_123_1' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_123_2'>\n\t\t\t\t<input name='input_123' type='radio' value='0'  id='choice_2_123_2'    \/>\n\t\t\t\t<label for='choice_2_123_2' id='label_2_123_2' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_123_3'>\n\t\t\t\t<input name='input_123' type='radio' value='0'  id='choice_2_123_3'    \/>\n\t\t\t\t<label for='choice_2_123_3' id='label_2_123_3' class='gform-field-label gform-field-label--type-inline'>4<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_123_4'>\n\t\t\t\t<input name='input_123' type='radio' value='0'  id='choice_2_123_4'    \/>\n\t\t\t\t<label for='choice_2_123_4' id='label_2_123_4' class='gform-field-label gform-field-label--type-inline'>5<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_123_5'>\n\t\t\t\t<input name='input_123' type='radio' value='1'  id='choice_2_123_5'    \/>\n\t\t\t\t<label for='choice_2_123_5' id='label_2_123_5' class='gform-field-label gform-field-label--type-inline'>6<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_123_6'>\n\t\t\t\t<input name='input_123' type='radio' value='0'  id='choice_2_123_6'    \/>\n\t\t\t\t<label for='choice_2_123_6' id='label_2_123_6' class='gform-field-label gform-field-label--type-inline'>7<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_123_7'>\n\t\t\t\t<input name='input_123' type='radio' value='0'  id='choice_2_123_7'    \/>\n\t\t\t\t<label for='choice_2_123_7' id='label_2_123_7' class='gform-field-label gform-field-label--type-inline'>8<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_126\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_126\" ><img decoding=\"async\" src=\"http:\/\/dpnami.ir\/wp-admin\/images\/rayvenb\/57.png\"><\/li><li id=\"field_2_125\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_125\" ><label class='gfield_label gform-field-label' >\u06af\u0632\u06cc\u0646\u0647 \u0647\u0627\u06cc \u062a\u0635\u0648\u06cc\u0631 57<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_125'>\n\t\t\t<li class='gchoice gchoice_2_125_0'>\n\t\t\t\t<input name='input_125' type='radio' value='0'  id='choice_2_125_0'    \/>\n\t\t\t\t<label for='choice_2_125_0' id='label_2_125_0' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_125_1'>\n\t\t\t\t<input name='input_125' type='radio' value='0'  id='choice_2_125_1'    \/>\n\t\t\t\t<label for='choice_2_125_1' id='label_2_125_1' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_125_2'>\n\t\t\t\t<input name='input_125' type='radio' value='1'  id='choice_2_125_2'    \/>\n\t\t\t\t<label for='choice_2_125_2' id='label_2_125_2' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_125_3'>\n\t\t\t\t<input name='input_125' type='radio' value='0'  id='choice_2_125_3'    \/>\n\t\t\t\t<label for='choice_2_125_3' id='label_2_125_3' class='gform-field-label gform-field-label--type-inline'>4<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_125_4'>\n\t\t\t\t<input name='input_125' type='radio' value='0'  id='choice_2_125_4'    \/>\n\t\t\t\t<label for='choice_2_125_4' id='label_2_125_4' class='gform-field-label gform-field-label--type-inline'>5<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_125_5'>\n\t\t\t\t<input name='input_125' type='radio' value='0'  id='choice_2_125_5'    \/>\n\t\t\t\t<label for='choice_2_125_5' id='label_2_125_5' class='gform-field-label gform-field-label--type-inline'>6<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_125_6'>\n\t\t\t\t<input name='input_125' type='radio' value='0'  id='choice_2_125_6'    \/>\n\t\t\t\t<label for='choice_2_125_6' id='label_2_125_6' class='gform-field-label gform-field-label--type-inline'>7<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_125_7'>\n\t\t\t\t<input name='input_125' type='radio' value='0'  id='choice_2_125_7'    \/>\n\t\t\t\t<label for='choice_2_125_7' id='label_2_125_7' class='gform-field-label gform-field-label--type-inline'>8<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_128\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_128\" ><img decoding=\"async\" src=\"http:\/\/dpnami.ir\/wp-admin\/images\/rayvenb\/58.png\"><\/li><li id=\"field_2_127\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_127\" ><label class='gfield_label gform-field-label' >\u06af\u0632\u06cc\u0646\u0647 \u0647\u0627\u06cc \u062a\u0635\u0648\u06cc\u0631 58<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_127'>\n\t\t\t<li class='gchoice gchoice_2_127_0'>\n\t\t\t\t<input name='input_127' type='radio' value='0'  id='choice_2_127_0'    \/>\n\t\t\t\t<label for='choice_2_127_0' id='label_2_127_0' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_127_1'>\n\t\t\t\t<input name='input_127' type='radio' value='1'  id='choice_2_127_1'    \/>\n\t\t\t\t<label for='choice_2_127_1' id='label_2_127_1' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_127_2'>\n\t\t\t\t<input name='input_127' type='radio' value='0'  id='choice_2_127_2'    \/>\n\t\t\t\t<label for='choice_2_127_2' id='label_2_127_2' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_127_3'>\n\t\t\t\t<input name='input_127' type='radio' value='0'  id='choice_2_127_3'    \/>\n\t\t\t\t<label for='choice_2_127_3' id='label_2_127_3' class='gform-field-label gform-field-label--type-inline'>4<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_127_4'>\n\t\t\t\t<input name='input_127' type='radio' value='0'  id='choice_2_127_4'    \/>\n\t\t\t\t<label for='choice_2_127_4' id='label_2_127_4' class='gform-field-label gform-field-label--type-inline'>5<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_127_5'>\n\t\t\t\t<input name='input_127' type='radio' value='0'  id='choice_2_127_5'    \/>\n\t\t\t\t<label for='choice_2_127_5' id='label_2_127_5' class='gform-field-label gform-field-label--type-inline'>6<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_127_6'>\n\t\t\t\t<input name='input_127' type='radio' value='0'  id='choice_2_127_6'    \/>\n\t\t\t\t<label for='choice_2_127_6' id='label_2_127_6' class='gform-field-label gform-field-label--type-inline'>7<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_127_7'>\n\t\t\t\t<input name='input_127' type='radio' value='0'  id='choice_2_127_7'    \/>\n\t\t\t\t<label for='choice_2_127_7' id='label_2_127_7' class='gform-field-label gform-field-label--type-inline'>8<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_130\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_130\" ><img decoding=\"async\" src=\"http:\/\/dpnami.ir\/wp-admin\/images\/rayvenb\/59.png\"><\/li><li id=\"field_2_129\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_129\" ><label class='gfield_label gform-field-label' >\u06af\u0632\u06cc\u0646\u0647 \u0647\u0627\u06cc \u062a\u0635\u0648\u06cc\u0631 59<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_129'>\n\t\t\t<li class='gchoice gchoice_2_129_0'>\n\t\t\t\t<input name='input_129' type='radio' value='0'  id='choice_2_129_0'    \/>\n\t\t\t\t<label for='choice_2_129_0' id='label_2_129_0' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_129_1'>\n\t\t\t\t<input name='input_129' type='radio' value='0'  id='choice_2_129_1'    \/>\n\t\t\t\t<label for='choice_2_129_1' id='label_2_129_1' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_129_2'>\n\t\t\t\t<input name='input_129' type='radio' value='0'  id='choice_2_129_2'    \/>\n\t\t\t\t<label for='choice_2_129_2' id='label_2_129_2' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_129_3'>\n\t\t\t\t<input name='input_129' type='radio' value='1'  id='choice_2_129_3'    \/>\n\t\t\t\t<label for='choice_2_129_3' id='label_2_129_3' class='gform-field-label gform-field-label--type-inline'>4<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_129_4'>\n\t\t\t\t<input name='input_129' type='radio' value='0'  id='choice_2_129_4'    \/>\n\t\t\t\t<label for='choice_2_129_4' id='label_2_129_4' class='gform-field-label gform-field-label--type-inline'>5<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_129_5'>\n\t\t\t\t<input name='input_129' type='radio' value='0'  id='choice_2_129_5'    \/>\n\t\t\t\t<label for='choice_2_129_5' id='label_2_129_5' class='gform-field-label gform-field-label--type-inline'>6<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_129_6'>\n\t\t\t\t<input name='input_129' type='radio' value='0'  id='choice_2_129_6'    \/>\n\t\t\t\t<label for='choice_2_129_6' id='label_2_129_6' class='gform-field-label gform-field-label--type-inline'>7<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_129_7'>\n\t\t\t\t<input name='input_129' type='radio' value='0'  id='choice_2_129_7'    \/>\n\t\t\t\t<label for='choice_2_129_7' id='label_2_129_7' class='gform-field-label gform-field-label--type-inline'>8<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_132\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_132\" ><img decoding=\"async\" src=\"http:\/\/dpnami.ir\/wp-admin\/images\/rayvenb\/60.png\"><\/li><li id=\"field_2_131\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_131\" ><label class='gfield_label gform-field-label' >\u06af\u0632\u06cc\u0646\u0647 \u0647\u0627\u06cc \u062a\u0635\u0648\u06cc\u0631 60<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_131'>\n\t\t\t<li class='gchoice gchoice_2_131_0'>\n\t\t\t\t<input name='input_131' type='radio' value='0'  id='choice_2_131_0'    \/>\n\t\t\t\t<label for='choice_2_131_0' id='label_2_131_0' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice 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gform-field-label--type-inline'>5<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_131_5'>\n\t\t\t\t<input name='input_131' type='radio' value='0'  id='choice_2_131_5'    \/>\n\t\t\t\t<label for='choice_2_131_5' id='label_2_131_5' class='gform-field-label gform-field-label--type-inline'>6<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_131_6'>\n\t\t\t\t<input name='input_131' type='radio' value='0'  id='choice_2_131_6'    \/>\n\t\t\t\t<label for='choice_2_131_6' id='label_2_131_6' class='gform-field-label gform-field-label--type-inline'>7<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_131_7'>\n\t\t\t\t<input name='input_131' type='radio' value='0'  id='choice_2_131_7'    \/>\n\t\t\t\t<label for='choice_2_131_7' id='label_2_131_7' class='gform-field-label gform-field-label--type-inline'>8<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_142\" class=\"gfield gfield--type-select gfield--input-type-select gfield_contains_required 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