{"id":814,"date":"2025-07-16T12:20:37","date_gmt":"2025-07-16T08:50:37","guid":{"rendered":"https:\/\/bettertalk.ir\/?p=814"},"modified":"2025-07-16T12:31:00","modified_gmt":"2025-07-16T09:01:00","slug":"%d8%b3%d8%a8%da%a9-%d8%b2%d9%86%d8%af%da%af%db%8c","status":"publish","type":"post","link":"https:\/\/talentloop.ir\/?p=814","title":{"rendered":"\u0633\u0628\u06a9 \u0632\u0646\u062f\u06af\u06cc"},"content":{"rendered":"<script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener(\"DOMContentLoaded\",o):document.addEventListener(\"gform_main_scripts_loaded\",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook(\"action\",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook(\"filter\",o,n,r,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,n){gform.removeHook(\"action\",o,n)},removeFilter:function(o,n,r){gform.removeHook(\"filter\",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var e=gform.hooks[o][n];null==i&&(i=n+\"_\"+e.length),gform.hooks[o][n].push({tag:i,callable:r,priority:t=null==t?10:t})},doHook:function(n,o,r){var t;if(r=Array.prototype.slice.call(r,1),null!=gform.hooks[n][o]&&((o=gform.hooks[n][o]).sort(function(o,n){return o.priority-n.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==n?t.apply(null,r):r[0]=t.apply(null,r)})),\"filter\"==n)return r[0]},removeHook:function(o,n,t,i){var r;null!=gform.hooks[o][n]&&(r=(r=gform.hooks[o][n]).filter(function(o,n,r){return!!(null!=i&&i!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][n]=r)}});<\/script>\n                <div class='gf_browser_gecko gform_wrapper gform-theme gform-theme--foundation gform-theme--framework gform-theme--orbital' data-form-theme='orbital' data-form-index='0' id='gform_wrapper_73' ><style>#gform_wrapper_73[data-form-index=\"0\"].gform-theme,[data-parent-form=\"73_0\"]{--gf-color-primary: #204ce5;--gf-color-primary-rgb: 32, 76, 229;--gf-color-primary-contrast: #fff;--gf-color-primary-contrast-rgb: 255, 255, 255;--gf-color-primary-darker: #001AB3;--gf-color-primary-lighter: #527EFF;--gf-color-secondary: #fff;--gf-color-secondary-rgb: 255, 255, 255;--gf-color-secondary-contrast: #112337;--gf-color-secondary-contrast-rgb: 17, 35, 55;--gf-color-secondary-darker: #F5F5F5;--gf-color-secondary-lighter: #FFFFFF;--gf-color-out-ctrl-light: rgba(17, 35, 55, 0.1);--gf-color-out-ctrl-light-rgb: 17, 35, 55;--gf-color-out-ctrl-light-darker: rgba(104, 110, 119, 0.35);--gf-color-out-ctrl-light-lighter: #F5F5F5;--gf-color-out-ctrl-dark: #585e6a;--gf-color-out-ctrl-dark-rgb: 88, 94, 106;--gf-color-out-ctrl-dark-darker: #112337;--gf-color-out-ctrl-dark-lighter: rgba(17, 35, 55, 0.65);--gf-color-in-ctrl: #fff;--gf-color-in-ctrl-rgb: 255, 255, 255;--gf-color-in-ctrl-contrast: #112337;--gf-color-in-ctrl-contrast-rgb: 17, 35, 55;--gf-color-in-ctrl-darker: #F5F5F5;--gf-color-in-ctrl-lighter: #FFFFFF;--gf-color-in-ctrl-primary: #204ce5;--gf-color-in-ctrl-primary-rgb: 32, 76, 229;--gf-color-in-ctrl-primary-contrast: #fff;--gf-color-in-ctrl-primary-contrast-rgb: 255, 255, 255;--gf-color-in-ctrl-primary-darker: #001AB3;--gf-color-in-ctrl-primary-lighter: #527EFF;--gf-color-in-ctrl-light: rgba(17, 35, 55, 0.1);--gf-color-in-ctrl-light-rgb: 17, 35, 55;--gf-color-in-ctrl-light-darker: rgba(104, 110, 119, 0.35);--gf-color-in-ctrl-light-lighter: #F5F5F5;--gf-color-in-ctrl-dark: #585e6a;--gf-color-in-ctrl-dark-rgb: 88, 94, 106;--gf-color-in-ctrl-dark-darker: #112337;--gf-color-in-ctrl-dark-lighter: rgba(17, 35, 55, 0.65);--gf-radius: 3px;--gf-font-size-secondary: 14px;--gf-font-size-tertiary: 13px;--gf-icon-ctrl-number: url(\"data:image\/svg+xml,%3Csvg width='8' height='14' viewBox='0 0 8 14' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'%3E%3Cpath fill-rule='evenodd' clip-rule='evenodd' d='M4 0C4.26522 5.96046e-08 4.51957 0.105357 4.70711 0.292893L7.70711 3.29289C8.09763 3.68342 8.09763 4.31658 7.70711 4.70711C7.31658 5.09763 6.68342 5.09763 6.29289 4.70711L4 2.41421L1.70711 4.70711C1.31658 5.09763 0.683417 5.09763 0.292893 4.70711C-0.0976311 4.31658 -0.097631 3.68342 0.292893 3.29289L3.29289 0.292893C3.48043 0.105357 3.73478 0 4 0ZM0.292893 9.29289C0.683417 8.90237 1.31658 8.90237 1.70711 9.29289L4 11.5858L6.29289 9.29289C6.68342 8.90237 7.31658 8.90237 7.70711 9.29289C8.09763 9.68342 8.09763 10.3166 7.70711 10.7071L4.70711 13.7071C4.31658 14.0976 3.68342 14.0976 3.29289 13.7071L0.292893 10.7071C-0.0976311 10.3166 -0.0976311 9.68342 0.292893 9.29289Z' fill='rgba(17, 35, 55, 0.65)'\/%3E%3C\/svg%3E\");--gf-icon-ctrl-select: url(\"data:image\/svg+xml,%3Csvg width='10' height='6' viewBox='0 0 10 6' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'%3E%3Cpath fill-rule='evenodd' clip-rule='evenodd' d='M0.292893 0.292893C0.683417 -0.097631 1.31658 -0.097631 1.70711 0.292893L5 3.58579L8.29289 0.292893C8.68342 -0.0976311 9.31658 -0.0976311 9.70711 0.292893C10.0976 0.683417 10.0976 1.31658 9.70711 1.70711L5.70711 5.70711C5.31658 6.09763 4.68342 6.09763 4.29289 5.70711L0.292893 1.70711C-0.0976311 1.31658 -0.0976311 0.683418 0.292893 0.292893Z' fill='rgba(17, 35, 55, 0.65)'\/%3E%3C\/svg%3E\");--gf-icon-ctrl-search: url(\"data:image\/svg+xml,%3Csvg version='1.1' xmlns='http:\/\/www.w3.org\/2000\/svg' width='640' height='640'%3E%3Cpath d='M256 128c-70.692 0-128 57.308-128 128 0 70.691 57.308 128 128 128 70.691 0 128-57.309 128-128 0-70.692-57.309-128-128-128zM64 256c0-106.039 85.961-192 192-192s192 85.961 192 192c0 41.466-13.146 79.863-35.498 111.248l154.125 154.125c12.496 12.496 12.496 32.758 0 45.254s-32.758 12.496-45.254 0L367.248 412.502C335.862 434.854 297.467 448 256 448c-106.039 0-192-85.962-192-192z' fill='rgba(17, 35, 55, 0.65)'\/%3E%3C\/svg%3E\");--gf-label-space-y-secondary: var(--gf-label-space-y-md-secondary);--gf-ctrl-border-color: #686e77;--gf-ctrl-size: var(--gf-ctrl-size-md);--gf-ctrl-label-color-primary: #112337;--gf-ctrl-label-color-secondary: #112337;--gf-ctrl-choice-size: var(--gf-ctrl-choice-size-md);--gf-ctrl-checkbox-check-size: var(--gf-ctrl-checkbox-check-size-md);--gf-ctrl-radio-check-size: var(--gf-ctrl-radio-check-size-md);--gf-ctrl-btn-font-size: var(--gf-ctrl-btn-font-size-md);--gf-ctrl-btn-padding-x: var(--gf-ctrl-btn-padding-x-md);--gf-ctrl-btn-size: var(--gf-ctrl-btn-size-md);--gf-ctrl-btn-border-color-secondary: #686e77;--gf-ctrl-file-btn-bg-color-hover: #EBEBEB;--gf-field-pg-steps-number-color: rgba(17, 35, 55, 0.8);}<\/style>\n                        <div class='gform_heading'>\n                            <h2 class=\"gform_title\">\u0622\u0632\u0645\u0648\u0646 \u0633\u0628\u06a9 \u0632\u0646\u062f\u06af\u06cc-&#8220;mod4&#8221;<\/h2>\n                            <p class='gform_description'>\u062f\u0631 \u0627\u062f\u0627\u0645\u0647 \u0633\u0648\u0627\u0644\u0627\u062a\u06cc \u062f\u0631 \u0645\u0648\u0631\u062f \u0632\u0646\u062f\u06af\u06cc \u0634\u0645\u0627 \u0645\u0637\u0631\u062d \u0634\u062f\u0647 \u0627\u0633\u062a. \u0644\u0637\u0641\u0627 \u0647\u0645\u0647 \u0633\u0648\u0627\u0644\u0627\u062a \u0631\u0627 \u0628\u062e\u0648\u0627\u0646\u06cc\u062f \u0648 \u0628\u0627 \u062f\u0642\u062a \u0628\u0647 \u0633\u0648\u0627\u0644\u0627\u062a \u067e\u0627\u0633\u062e \u062f\u0647\u06cc\u062f . \u062f\u0631 \u0635\u0648\u0631\u062a\u06cc \u06a9\u0647 \u0633\u0648\u0627\u0644\u06cc \u062f\u0631 \u0645\u0648\u0631\u062f \u0634\u0645\u0627 \u0635\u062f\u0642 \u0646\u0645\u06cc \u06a9\u0646\u062f \u0648 \u06cc\u0627 \u0627\u0637\u0644\u0627\u0639\u0627\u062a\u06cc \u062f\u0631 \u0645\u0648\u0631\u062f \u0622\u0646 \u0646\u062f\u0627\u0631\u06cc\u062f \u06af\u0632\u06cc\u0646\u0647 \u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645 \u0631\u0627 \u0627\u0646\u062a\u062e\u0627\u0628 \u06a9\u0646\u06cc\u062f<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_73'  action='\/index.php?rest_route=%2Fwp%2Fv2%2Fposts%2F814' data-formid='73' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_73' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_73_1\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_73_1\" ><label class='gfield_label gform-field-label' for='input_73_1'>\u06a9\u062f \u062a\u062e\u0635\u0635\u06cc<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_73_1' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><fieldset id=\"field_73_3\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_73_3\" ><legend class='gfield_label gform-field-label' >1-\u0633\u0639\u06cc \u0645\u06cc \u06a9\u0646\u0645 \u0628\u062f\u0646\u0645 \u0631\u0627 \u0633\u0627\u0644\u0645 \u0648 \u062a\u0646\u062f\u0631\u0633\u062a \u0646\u06af\u0647 \u062f\u0627\u0631\u0645 .<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_73_3'>\n\t\t\t<div class='gchoice gchoice_73_3_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_3' type='radio' value='1'  id='choice_73_3_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_3_0' id='label_73_3_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_3_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_3' type='radio' value='2'  id='choice_73_3_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_3_1' id='label_73_3_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_3_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_3' type='radio' value='3'  id='choice_73_3_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_3_2' id='label_73_3_2' class='gform-field-label gform-field-label--type-inline'>\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_3_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_3' type='radio' value='4'  id='choice_73_3_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_3_3' id='label_73_3_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_3_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_3' type='radio' value='5'  id='choice_73_3_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_3_4' id='label_73_3_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_73_4\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_73_4\" ><legend class='gfield_label gform-field-label' >2-\u0645\u0631\u0627\u0642\u0628 \u0633\u0644\u0627\u0645\u062a\u06cc \u0627\u0645 \u0647\u0633\u062a\u0645.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_73_4'>\n\t\t\t<div class='gchoice gchoice_73_4_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_4' type='radio' value='1'  id='choice_73_4_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_4_0' id='label_73_4_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_4_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_4' type='radio' value='2'  id='choice_73_4_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_4_1' id='label_73_4_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_4_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_4' type='radio' value='3'  id='choice_73_4_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_4_2' id='label_73_4_2' class='gform-field-label gform-field-label--type-inline'>\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_4_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_4' type='radio' value='4'  id='choice_73_4_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_4_3' id='label_73_4_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_4_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_4' type='radio' value='5'  id='choice_73_4_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_4_4' id='label_73_4_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_73_5\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_73_5\" ><legend class='gfield_label gform-field-label' >3-\u0628\u0631\u0627\u06cc \u0645\u0639\u0627\u06cc\u0646\u0627\u062a \u067e\u0632\u0634\u06a9\u06cc \u0628\u0647 \u0635\u0648\u0631\u062a \u0645\u0646\u0638\u0645 \u0628\u0647 \u067e\u0632\u0634\u06a9 \u0645\u0631\u0627\u062c\u0639\u0647 \u0645\u06cc \u06a9\u0646\u0645.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_73_5'>\n\t\t\t<div class='gchoice gchoice_73_5_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='1'  id='choice_73_5_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_5_0' id='label_73_5_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_5_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='2'  id='choice_73_5_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_5_1' id='label_73_5_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_5_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='3'  id='choice_73_5_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_5_2' id='label_73_5_2' class='gform-field-label gform-field-label--type-inline'>\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_5_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='4'  id='choice_73_5_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_5_3' id='label_73_5_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_5_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='5'  id='choice_73_5_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_5_4' id='label_73_5_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_73_6\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_73_6\" ><legend class='gfield_label gform-field-label' >4-\u0642\u0627\u062f\u0631 \u0628\u0647 \u0627\u0633\u062a\u0631\u0627\u062d\u062a \u0648 \u0627\u06cc\u062c\u0627\u062f \u0622\u0631\u0627\u0645\u0634 \u0645\u06cc \u0628\u0627\u0634\u0645.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_73_6'>\n\t\t\t<div class='gchoice gchoice_73_6_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_6' type='radio' value='1'  id='choice_73_6_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_6_0' id='label_73_6_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_6_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_6' type='radio' value='2'  id='choice_73_6_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_6_1' id='label_73_6_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_6_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_6' type='radio' value='3'  id='choice_73_6_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_6_2' id='label_73_6_2' class='gform-field-label gform-field-label--type-inline'>\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_6_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_6' type='radio' value='4'  id='choice_73_6_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_6_3' id='label_73_6_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_6_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_6' type='radio' value='5'  id='choice_73_6_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_6_4' id='label_73_6_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_73_7\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_73_7\" ><legend class='gfield_label gform-field-label' >5-\u0641\u0627\u0642\u062f \u0628\u06cc\u0645\u0627\u0631\u06cc\u0647\u0627\u06cc \u0645\u0632\u0645\u0646 \u06cc\u0627 \u0645\u0639\u0644\u0648\u0644\u06cc\u062a \u062c\u0633\u0645\u06cc \u0647\u0633\u062a\u0645.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_73_7'>\n\t\t\t<div class='gchoice gchoice_73_7_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_7' type='radio' value='1'  id='choice_73_7_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_7_0' id='label_73_7_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_7_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_7' type='radio' value='2'  id='choice_73_7_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_7_1' id='label_73_7_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_7_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_7' type='radio' value='3'  id='choice_73_7_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_7_2' id='label_73_7_2' class='gform-field-label gform-field-label--type-inline'>\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_7_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_7' type='radio' value='4'  id='choice_73_7_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_7_3' id='label_73_7_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_7_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_7' type='radio' value='5'  id='choice_73_7_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_7_4' id='label_73_7_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_73_8\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_73_8\" ><legend class='gfield_label gform-field-label' >6-\u0647\u0631 \u0634\u0628 \u062d\u062f\u0627\u0642\u0644 7 \u062a\u0627 8 \u0633\u0627\u0639\u062a \u0645\u06cc\u062e\u0648\u0627\u0628\u0645 \u0648 \u0633\u0631\u062d\u0627\u0644 \u0628\u06cc\u062f\u0627\u0631 \u0645\u06cc \u0634\u0648\u0645.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_73_8'>\n\t\t\t<div class='gchoice gchoice_73_8_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='1'  id='choice_73_8_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_8_0' id='label_73_8_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_8_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='2'  id='choice_73_8_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_8_1' id='label_73_8_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_8_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='3'  id='choice_73_8_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_8_2' id='label_73_8_2' class='gform-field-label gform-field-label--type-inline'>\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_8_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='4'  id='choice_73_8_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_8_3' id='label_73_8_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_8_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='5'  id='choice_73_8_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_8_4' id='label_73_8_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_73_9\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_73_9\" ><legend class='gfield_label gform-field-label' >7-\u0628\u06cc\u0634\u062a\u0631 \u0645\u0648\u0627\u0642\u0639 \u0628\u0647 \u0639\u0644\u062a \u0628\u06cc\u0645\u0627\u0631\u06cc\u060c \u0627\u0632 \u0645\u062d\u0644 \u06a9\u0627\u0631 \u063a\u06cc\u0628\u062a \u0645\u06cc \u06a9\u0646\u0645.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_73_9'>\n\t\t\t<div class='gchoice gchoice_73_9_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='1'  id='choice_73_9_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_9_0' id='label_73_9_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_9_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='2'  id='choice_73_9_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_9_1' id='label_73_9_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_9_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='3'  id='choice_73_9_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_9_2' id='label_73_9_2' class='gform-field-label gform-field-label--type-inline'>\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_9_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='4'  id='choice_73_9_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_9_3' id='label_73_9_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_9_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='5'  id='choice_73_9_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_9_4' id='label_73_9_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_73_10\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_73_10\" ><legend class='gfield_label gform-field-label' >8-\u0627\u0632 \u0646\u0638\u0631 \u0633\u0644\u0627\u0645\u062a \u062c\u0633\u0645\u0627\u0646\u06cc \u062a\u0642\u0631\u06cc\u0628\u0627\u064b \u0647\u0645\u0633\u0637\u062d \u0627\u0641\u0631\u0627\u062f \u0647\u0645 \u0633\u0646 \u062e\u0648\u062f \u0645\u06cc \u0628\u0627\u0634\u0645.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_73_10'>\n\t\t\t<div class='gchoice gchoice_73_10_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='1'  id='choice_73_10_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_10_0' id='label_73_10_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_10_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='2'  id='choice_73_10_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_10_1' id='label_73_10_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_10_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='3'  id='choice_73_10_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_10_2' id='label_73_10_2' class='gform-field-label gform-field-label--type-inline'>\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_10_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='4'  id='choice_73_10_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_10_3' id='label_73_10_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_10_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='5'  id='choice_73_10_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_10_4' id='label_73_10_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_73_11\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_73_11\" ><legend class='gfield_label gform-field-label' >9-\u0645\u0642\u0627\u0648\u0645\u062a \u0628\u062f\u0646\u06cc \u062e\u0648\u0628\u06cc \u062f\u0627\u0631\u0645.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_73_11'>\n\t\t\t<div class='gchoice gchoice_73_11_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_11' type='radio' value='1'  id='choice_73_11_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_11_0' id='label_73_11_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_11_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_11' type='radio' value='2'  id='choice_73_11_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_11_1' id='label_73_11_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_11_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_11' type='radio' value='3'  id='choice_73_11_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_11_2' id='label_73_11_2' class='gform-field-label gform-field-label--type-inline'>\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_11_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_11' type='radio' value='4'  id='choice_73_11_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_11_3' id='label_73_11_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_11_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_11' type='radio' value='5'  id='choice_73_11_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_11_4' id='label_73_11_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_73_12\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_73_12\" ><legend class='gfield_label gform-field-label' >10-\u062f\u0631 \u0647\u0641\u062a\u0647 \u062d\u062f\u0627\u0642\u0644 \u0686\u0646\u062f\u06cc\u0646 \u0628\u0627\u0631 \u0646\u0631\u0645\u0634 \u0648 \u062a\u0642\u0648\u06cc\u062a \u0639\u0636\u0644\u0627\u0646\u06cc \u0627\u0646\u062c\u0627\u0645 \u0645\u06cc \u062f\u0647\u0645.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_73_12'>\n\t\t\t<div class='gchoice gchoice_73_12_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_12' type='radio' value='1'  id='choice_73_12_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_12_0' id='label_73_12_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_12_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_12' type='radio' value='2'  id='choice_73_12_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_12_1' id='label_73_12_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_12_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_12' type='radio' value='3'  id='choice_73_12_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_12_2' id='label_73_12_2' class='gform-field-label gform-field-label--type-inline'>\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_12_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_12' type='radio' value='4'  id='choice_73_12_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_12_3' id='label_73_12_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_12_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_12' type='radio' value='5'  id='choice_73_12_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_12_4' id='label_73_12_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_73_13\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_73_13\" ><legend class='gfield_label gform-field-label' >11-\u062d\u062f\u0627\u0642\u0644 30 \u062f\u0642\u06cc\u0642\u0647 \u062f\u0631 \u0631\u0648\u0632 \u0648 3 \u0628\u0627\u0631 \u062f\u0631 \u0647\u0641\u062a\u0647 \u0628\u0647 \u0648\u0631\u0632\u0634 \u0647\u0627\u06cc \u067e\u0631 \u0646\u0634\u0627\u0637 \u0645\u0627\u0646\u0646\u062f \u067e\u06cc\u0627\u062f\u0647 \u0631\u0648\u06cc\u060c \u0628\u062f\u0646\u0633\u0627\u0632\u06cc\u060c \u0648 \u06cc\u0627 \u0627\u06cc\u0631\u0648\u0628\u06cc\u06a9 \u0645\u06cc \u067e\u0631\u062f\u0627\u0632\u0645.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_73_13'>\n\t\t\t<div class='gchoice gchoice_73_13_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='1'  id='choice_73_13_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_13_0' id='label_73_13_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_13_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='2'  id='choice_73_13_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_13_1' id='label_73_13_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_13_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='3'  id='choice_73_13_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_13_2' id='label_73_13_2' class='gform-field-label gform-field-label--type-inline'>\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_13_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='4'  id='choice_73_13_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_13_3' id='label_73_13_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_13_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='5'  id='choice_73_13_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_13_4' id='label_73_13_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_73_14\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_73_14\" ><legend class='gfield_label gform-field-label' >12-\u0627\u0646\u0631\u0698\u06cc \u0644\u0627\u0632\u0645 \u062c\u0647\u062a \u06af\u0630\u0631\u0627\u0646\u062f\u0646 \u06cc\u06a9 \u0631\u0648\u0632 \u0628\u062f\u0648\u0646 \u0627\u062d\u0633\u0627\u0633 \u062e\u0633\u062a\u06af\u06cc \u0631\u0627 \u062f\u0627\u0631\u0645.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_73_14'>\n\t\t\t<div class='gchoice gchoice_73_14_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_14' type='radio' value='1'  id='choice_73_14_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_14_0' id='label_73_14_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_14_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_14' type='radio' value='2'  id='choice_73_14_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_14_1' id='label_73_14_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_14_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_14' type='radio' value='3'  id='choice_73_14_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_14_2' id='label_73_14_2' class='gform-field-label gform-field-label--type-inline'>\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_14_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_14' type='radio' value='4'  id='choice_73_14_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_14_3' id='label_73_14_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_14_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_14' type='radio' value='5'  id='choice_73_14_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_14_4' id='label_73_14_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_73_15\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_73_15\" ><legend class='gfield_label gform-field-label' >13-\u0631\u0648\u0632\u0627\u0646\u0647 \u062d\u062f\u0627\u0642\u0644 30 \u062f\u0642\u06cc\u0642\u0647 \u0628\u0647 \u0641\u0639\u0627\u0644\u06cc\u062a\u0647\u0627\u06cc \u062c\u0633\u0645\u0627\u0646\u06cc \u067e\u0631\u0646\u0634\u0627\u0637 \u0645\u0627\u0646\u0646\u062f \u067e\u06cc\u0627\u062f\u0647 \u0631\u0648\u06cc \u0633\u0631\u06cc\u0639 \u0645\u06cc \u067e\u0631\u062f\u0627\u0632\u0645.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_73_15'>\n\t\t\t<div class='gchoice gchoice_73_15_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='1'  id='choice_73_15_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_15_0' id='label_73_15_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_15_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='2'  id='choice_73_15_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_15_1' id='label_73_15_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_15_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='3'  id='choice_73_15_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_15_2' id='label_73_15_2' class='gform-field-label gform-field-label--type-inline'>\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_15_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='4'  id='choice_73_15_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_15_3' id='label_73_15_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_15_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='5'  id='choice_73_15_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_15_4' id='label_73_15_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_73_16\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_73_16\" ><legend class='gfield_label gform-field-label' >14-\u0627\u06a9\u062b\u0631 \u0627\u0648\u0642\u0627\u062a \u0641\u0631\u0627\u063a\u062a \u062e\u0648\u062f \u0631\u0627 \u0635\u0631\u0641 \u0648\u0631\u0632\u0634 \u06cc\u0627 \u0627\u0646\u062c\u0627\u0645 \u0641\u0639\u0627\u0644\u06cc\u062a\u0647\u0627\u06cc \u0628\u062f\u0646\u06cc \u0645\u0627\u0646\u0646\u062f \u062f\u0648\u0686\u0631\u062e\u0647 \u0633\u0648\u0627\u0631\u06cc\u060c \u067e\u06cc\u0627\u062f\u0647 \u0631\u0648\u06cc\u060c \u0634\u0646\u0627\u060c \u0648 \u0648\u0631\u0632\u0634\u0647\u0627\u06cc \u062f\u06cc\u06af\u0631 \u0645\u06cc \u0646\u0645\u0627\u06cc\u0645.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_73_16'>\n\t\t\t<div class='gchoice gchoice_73_16_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_16' type='radio' value='1'  id='choice_73_16_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_16_0' id='label_73_16_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_16_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_16' type='radio' value='2'  id='choice_73_16_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_16_1' id='label_73_16_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_16_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_16' type='radio' value='3'  id='choice_73_16_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_16_2' id='label_73_16_2' class='gform-field-label gform-field-label--type-inline'>\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_16_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_16' type='radio' value='4'  id='choice_73_16_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_16_3' id='label_73_16_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_16_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_16' type='radio' value='5'  id='choice_73_16_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_16_4' id='label_73_16_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_73_17\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_73_17\" ><legend class='gfield_label gform-field-label' >15-\u0627\u062d\u0633\u0627\u0633 \u062a\u0646\u062f\u0631\u0633\u062a\u06cc \u0645\u06cc \u0646\u0645\u0627\u06cc\u0645.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_73_17'>\n\t\t\t<div class='gchoice gchoice_73_17_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_17' type='radio' value='1'  id='choice_73_17_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_17_0' id='label_73_17_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_17_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_17' type='radio' value='2'  id='choice_73_17_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_17_1' id='label_73_17_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_17_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_17' type='radio' value='3'  id='choice_73_17_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_17_2' id='label_73_17_2' class='gform-field-label gform-field-label--type-inline'>\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_17_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_17' type='radio' value='4'  id='choice_73_17_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_17_3' id='label_73_17_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_17_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_17' type='radio' value='5'  id='choice_73_17_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_17_4' id='label_73_17_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_73_18\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_73_18\" ><legend class='gfield_label gform-field-label' >16-\u0627\u0632 \u0645\u0635\u0631\u0641 \u0628\u06cc\u0631\u0648\u06cc\u0647 \u0646\u0645\u06a9 \u0648 \u0634\u06a9\u0631 \u062e\u0648\u062f\u062f\u0627\u0631\u06cc \u0645\u06cc \u06a9\u0646\u0645.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_73_18'>\n\t\t\t<div class='gchoice gchoice_73_18_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_18' type='radio' value='1'  id='choice_73_18_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_18_0' id='label_73_18_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_18_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_18' type='radio' value='2'  id='choice_73_18_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_18_1' id='label_73_18_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_18_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_18' type='radio' value='3'  id='choice_73_18_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_18_2' id='label_73_18_2' class='gform-field-label gform-field-label--type-inline'>\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_18_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_18' type='radio' value='4'  id='choice_73_18_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_18_3' id='label_73_18_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_18_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_18' type='radio' value='5'  id='choice_73_18_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_18_4' id='label_73_18_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_73_19\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_73_19\" ><legend class='gfield_label gform-field-label' >17-\u0631\u0648\u0632\u0627\u0646\u0647 5 \u0628\u0627\u0631 \u06cc\u0627 \u0628\u06cc\u0634\u062a\u0631 \u0627\u0632 \u0645\u06cc\u0648\u0647 \u0647\u0627 \u0648 \u0633\u0628\u0632\u06cc\u062c\u0627\u062a \u0627\u0633\u062a\u0641\u0627\u062f\u0647 \u0645\u06cc \u06a9\u0646\u0645.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_73_19'>\n\t\t\t<div class='gchoice gchoice_73_19_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_19' type='radio' value='1'  id='choice_73_19_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_19_0' id='label_73_19_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_19_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_19' type='radio' value='2'  id='choice_73_19_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_19_1' id='label_73_19_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_19_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_19' type='radio' value='3'  id='choice_73_19_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_19_2' id='label_73_19_2' class='gform-field-label gform-field-label--type-inline'>\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_19_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_19' type='radio' value='4'  id='choice_73_19_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_19_3' id='label_73_19_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_19_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_19' type='radio' value='5'  id='choice_73_19_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_19_4' id='label_73_19_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_73_20\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_73_20\" ><legend class='gfield_label gform-field-label' >18-\u0628\u0631\u0646\u0627\u0645\u0647 \u063a\u0630\u0627\u06cc\u06cc \u0645\u062a\u0639\u0627\u062f\u0644\u06cc \u062f\u0627\u0631\u0645.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_73_20'>\n\t\t\t<div class='gchoice gchoice_73_20_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_20' type='radio' value='1'  id='choice_73_20_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_20_0' id='label_73_20_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_20_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_20' type='radio' value='2'  id='choice_73_20_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_20_1' id='label_73_20_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_20_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_20' type='radio' value='3'  id='choice_73_20_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_20_2' id='label_73_20_2' class='gform-field-label gform-field-label--type-inline'>\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_20_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_20' type='radio' value='4'  id='choice_73_20_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_20_3' id='label_73_20_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_20_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_20' type='radio' value='5'  id='choice_73_20_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_20_4' id='label_73_20_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_73_21\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_73_21\" ><legend class='gfield_label gform-field-label' >19-\u0631\u0648\u0632\u0627\u0646\u0647 \u0686\u0646\u062f\u06cc\u0646 \u0646\u0648\u0628\u062a \u0627\u0632 \u063a\u0630\u0627\u0647\u0627\u06cc \u062d\u0627\u0648\u06cc \u0641\u06cc\u0628\u0631 \u0627\u0633\u062a\u0641\u0627\u062f\u0647 \u0645\u06cc \u06a9\u0646\u0645.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_73_21'>\n\t\t\t<div class='gchoice gchoice_73_21_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_21' type='radio' value='1'  id='choice_73_21_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_21_0' id='label_73_21_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_21_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_21' type='radio' value='2'  id='choice_73_21_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_21_1' id='label_73_21_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_21_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_21' type='radio' value='3'  id='choice_73_21_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_21_2' id='label_73_21_2' class='gform-field-label gform-field-label--type-inline'>\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_21_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_21' type='radio' value='4'  id='choice_73_21_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_21_3' id='label_73_21_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_21_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_21' type='radio' value='5'  id='choice_73_21_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_21_4' id='label_73_21_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_73_22\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_73_22\" ><legend class='gfield_label gform-field-label' >20-\u0648\u0632\u0646 \u062e\u0648\u062f \u0631\u0627 \u0647\u0645\u06cc\u0634\u0647 \u062f\u0631 \u062d\u062f \u0645\u0637\u0644\u0648\u0628\u06cc \u0646\u06af\u0647 \u0645\u06cc \u062f\u0627\u0631\u0645.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_73_22'>\n\t\t\t<div class='gchoice gchoice_73_22_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_22' type='radio' value='1'  id='choice_73_22_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_22_0' id='label_73_22_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_22_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_22' type='radio' value='2'  id='choice_73_22_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_22_1' id='label_73_22_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_22_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_22' type='radio' value='3'  id='choice_73_22_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_22_2' id='label_73_22_2' class='gform-field-label gform-field-label--type-inline'>\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_22_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_22' type='radio' value='4'  id='choice_73_22_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_22_3' id='label_73_22_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_22_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_22' type='radio' value='5'  id='choice_73_22_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_22_4' id='label_73_22_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_73_23\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_73_23\" ><legend class='gfield_label gform-field-label' >21-\u0627\u0632 \u0645\u0635\u0631\u0641 \u0686\u0631\u0628\u06cc \u0647\u0627\u06cc \u0627\u0634\u0628\u0627\u0639 \u0634\u062f\u0647 \u0648 \u063a\u0630\u0627\u0647\u0627\u06cc \u0686\u0631\u0628 \u062e\u0648\u062f\u062f\u0627\u0631\u06cc \u0645\u06cc \u06a9\u0646\u0645.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_73_23'>\n\t\t\t<div class='gchoice gchoice_73_23_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_23' type='radio' value='1'  id='choice_73_23_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_23_0' id='label_73_23_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_23_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_23' type='radio' value='2'  id='choice_73_23_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_23_1' id='label_73_23_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_23_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_23' type='radio' value='3'  id='choice_73_23_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_23_2' id='label_73_23_2' class='gform-field-label gform-field-label--type-inline'>\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_23_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_23' type='radio' value='4'  id='choice_73_23_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_23_3' id='label_73_23_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_23_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_23' type='radio' value='5'  id='choice_73_23_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_23_4' id='label_73_23_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_73_24\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_73_24\" ><legend class='gfield_label gform-field-label' >22-\u0627\u0632 \u0645\u0635\u0631\u0641 \u0628\u06cc\u0631\u0648\u06cc\u0647 \u063a\u0630\u0627\u0647\u0627\u06cc\u06cc \u0645\u0627\u0646\u0646\u062f \u062c\u06af\u0631\u060c \u062a\u062e\u0645 \u0645\u0631\u063a\u060c \u0648 \u06af\u0648\u0634\u062a \u0642\u0631\u0645\u0632 \u06a9\u0647 \u0645\u0646\u062c\u0631 \u0628\u0647 \u0627\u0641\u0632\u0627\u06cc\u0634 \u06a9\u0644\u0633\u062a\u0631\u0648\u0644 \u062e\u0648\u0646 \u0645\u06cc \u0634\u0648\u062f \u062e\u0648\u062f\u062f\u0627\u0631\u06cc \u0645\u06cc \u06a9\u0646\u0645.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_73_24'>\n\t\t\t<div class='gchoice gchoice_73_24_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_24' type='radio' value='1'  id='choice_73_24_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_24_0' id='label_73_24_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_24_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_24' type='radio' value='2'  id='choice_73_24_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_24_1' id='label_73_24_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_24_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_24' type='radio' value='3'  id='choice_73_24_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_24_2' id='label_73_24_2' class='gform-field-label gform-field-label--type-inline'>\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_24_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_24' type='radio' value='4'  id='choice_73_24_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_24_3' id='label_73_24_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_24_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_24' type='radio' value='5'  id='choice_73_24_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_24_4' id='label_73_24_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_73_25\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_73_25\" ><legend class='gfield_label gform-field-label' >23-\u0627\u0632 \u067e\u0631\u062f\u0627\u062e\u062a\u0646 \u0628\u0647 \u0631\u0627\u0628\u0637\u0647 \u062c\u0646\u0633\u06cc \u0646\u0627\u0645\u0634\u0631\u0648\u0639 \u0648 \u062e\u0637\u0631\u0633\u0627\u0632 \u0627\u062c\u062a\u0646\u0627\u0628 \u0645\u06cc \u06a9\u0646\u0645.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_73_25'>\n\t\t\t<div class='gchoice gchoice_73_25_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_25' type='radio' value='1'  id='choice_73_25_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_25_0' id='label_73_25_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_25_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_25' type='radio' value='2'  id='choice_73_25_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_25_1' id='label_73_25_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_25_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_25' type='radio' value='3'  id='choice_73_25_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_25_2' id='label_73_25_2' class='gform-field-label gform-field-label--type-inline'>\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_25_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_25' type='radio' value='4'  id='choice_73_25_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_25_3' id='label_73_25_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_25_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_25' type='radio' value='5'  id='choice_73_25_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_25_4' id='label_73_25_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_73_26\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_73_26\" ><legend class='gfield_label gform-field-label' >24-\u0648\u0627\u06a9\u0633\u06cc\u0646\u0627\u0633\u06cc\u0648\u0646 \u0647\u0627\u06cc\u0645 \u0631\u0627 \u0628\u0647 \u0645\u0648\u0642\u0639 \u0627\u0646\u062c\u0627\u0645 \u0645\u06cc \u062f\u0647\u0645.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_73_26'>\n\t\t\t<div class='gchoice gchoice_73_26_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_26' type='radio' value='1'  id='choice_73_26_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_26_0' id='label_73_26_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_26_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_26' type='radio' value='2'  id='choice_73_26_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_26_1' id='label_73_26_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_26_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_26' type='radio' value='3'  id='choice_73_26_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_26_2' id='label_73_26_2' class='gform-field-label gform-field-label--type-inline'>\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_26_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_26' type='radio' value='4'  id='choice_73_26_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_26_3' id='label_73_26_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_26_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_26' type='radio' value='5'  id='choice_73_26_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_26_4' id='label_73_26_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_73_27\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_73_27\" ><legend class='gfield_label gform-field-label' >25-\u0628\u0639\u062f \u0627\u0632 \u062f\u0633\u062a\u0634\u0648\u06cc\u06cc \u062f\u0633\u062a\u0647\u0627\u06cc\u0645 \u0631\u0627 \u0628\u0627 \u0622\u0628 \u0648 \u0635\u0627\u0628\u0648\u0646 \u0645\u06cc \u0634\u0648\u06cc\u0645.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_73_27'>\n\t\t\t<div class='gchoice gchoice_73_27_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_27' type='radio' value='1'  id='choice_73_27_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_27_0' id='label_73_27_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_27_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_27' type='radio' value='2'  id='choice_73_27_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_27_1' id='label_73_27_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_27_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_27' type='radio' value='3'  id='choice_73_27_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_27_2' id='label_73_27_2' class='gform-field-label gform-field-label--type-inline'>\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_27_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_27' type='radio' value='4'  id='choice_73_27_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_27_3' id='label_73_27_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_27_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_27' type='radio' value='5'  id='choice_73_27_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_27_4' id='label_73_27_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_73_28\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_73_28\" ><legend class='gfield_label gform-field-label' >26-\u0627\u0632 \u0642\u0631\u0627\u0631 \u06af\u0631\u0641\u062a\u0646 \u0628\u06cc\u0634 \u0627\u0632 \u062d\u062f \u062f\u0631 \u0645\u0639\u0631\u0636 \u0622\u0641\u062a\u0627\u0628 \u062e\u0648\u062f\u062f\u0627\u0631\u06cc \u0645\u06cc \u0646\u0645\u0627\u06cc\u0645.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_73_28'>\n\t\t\t<div class='gchoice gchoice_73_28_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_28' type='radio' value='1'  id='choice_73_28_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_28_0' id='label_73_28_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_28_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_28' type='radio' value='2'  id='choice_73_28_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_28_1' id='label_73_28_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_28_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_28' type='radio' value='3'  id='choice_73_28_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_28_2' id='label_73_28_2' class='gform-field-label gform-field-label--type-inline'>\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_28_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_28' type='radio' value='4'  id='choice_73_28_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_28_3' id='label_73_28_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_28_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_28' type='radio' value='5'  id='choice_73_28_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_28_4' id='label_73_28_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_73_29\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_73_29\" ><legend class='gfield_label gform-field-label' >27-\u0641\u0634\u0627\u0631 \u0648 \u0686\u0631\u0628\u06cc \u062e\u0648\u0646 \u062e\u0648\u062f \u0631\u0627 \u0628\u0647 \u0635\u0648\u0631\u062a \u0645\u0646\u0638\u0645 \u06a9\u0646\u062a\u0631\u0644 \u0645\u06cc \u0646\u0645\u0627\u06cc\u0645.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_73_29'>\n\t\t\t<div class='gchoice gchoice_73_29_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_29' type='radio' value='1'  id='choice_73_29_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_29_0' id='label_73_29_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_29_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_29' type='radio' value='2'  id='choice_73_29_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_29_1' id='label_73_29_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_29_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_29' type='radio' value='3'  id='choice_73_29_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_29_2' id='label_73_29_2' class='gform-field-label gform-field-label--type-inline'>\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_29_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_29' type='radio' value='4'  id='choice_73_29_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_29_3' id='label_73_29_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_29_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_29' type='radio' value='5'  id='choice_73_29_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_29_4' id='label_73_29_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_73_30\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_73_30\" ><legend class='gfield_label gform-field-label' >28-\u0632\u0646\u062f\u06af\u06cc \u0641\u0639\u0627\u0644\u06cc \u062f\u0627\u0631\u0645.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_73_30'>\n\t\t\t<div class='gchoice gchoice_73_30_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_30' type='radio' value='1'  id='choice_73_30_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_30_0' id='label_73_30_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_30_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_30' type='radio' value='2'  id='choice_73_30_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_30_1' id='label_73_30_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_30_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_30' type='radio' value='3'  id='choice_73_30_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_30_2' id='label_73_30_2' class='gform-field-label gform-field-label--type-inline'>\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_30_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_30' type='radio' value='4'  id='choice_73_30_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_30_3' id='label_73_30_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_30_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_30' type='radio' value='5'  id='choice_73_30_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_30_4' id='label_73_30_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_73_31\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_73_31\" ><legend class='gfield_label gform-field-label' >29-\u0627\u0632 \u0646\u0638\u0631 \u0633\u0644\u0627\u0645\u062a \u062c\u0633\u0645\u0627\u0646\u06cc \u062a\u0642\u0631\u06cc\u0628\u0627 \u0647\u0645 \u0633\u0637\u062d \u0627\u0641\u0631\u0627\u062f \u0647\u0645 \u0633\u0646 \u062e\u0648\u062f \u0645\u06cc \u0628\u0627\u0634\u0645.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_73_31'>\n\t\t\t<div class='gchoice gchoice_73_31_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_31' type='radio' value='1'  id='choice_73_31_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_31_0' id='label_73_31_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_31_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_31' type='radio' value='2'  id='choice_73_31_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_31_1' id='label_73_31_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_31_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_31' type='radio' value='3'  id='choice_73_31_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_31_2' id='label_73_31_2' class='gform-field-label gform-field-label--type-inline'>\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_31_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_31' type='radio' value='4'  id='choice_73_31_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_31_3' id='label_73_31_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_31_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_31' type='radio' value='5'  id='choice_73_31_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_31_4' id='label_73_31_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_73_32\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_73_32\" ><legend class='gfield_label gform-field-label' >30-\u0628\u0647 \u0622\u06cc\u0646\u062f\u0647 \u0627\u0645\u06cc\u062f\u0648\u0627\u0631 \u0647\u0633\u062a\u0645.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_73_32'>\n\t\t\t<div class='gchoice gchoice_73_32_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_32' type='radio' value='1'  id='choice_73_32_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_32_0' id='label_73_32_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_32_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_32' type='radio' value='2'  id='choice_73_32_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_32_1' id='label_73_32_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_32_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_32' type='radio' value='3'  id='choice_73_32_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_32_2' id='label_73_32_2' class='gform-field-label gform-field-label--type-inline'>\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_32_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_32' type='radio' value='4'  id='choice_73_32_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_32_3' id='label_73_32_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_32_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_32' type='radio' value='5'  id='choice_73_32_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_32_4' id='label_73_32_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_73_33\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_73_33\" ><legend class='gfield_label gform-field-label' >31-\u0627\u062d\u0633\u0627\u0633\u0627\u062a \u0648 \u0627\u0641\u06a9\u0627\u0631 \u0645\u062b\u0628\u062a \u062f\u0627\u0631\u0645.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_73_33'>\n\t\t\t<div class='gchoice gchoice_73_33_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_33' type='radio' value='1'  id='choice_73_33_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_33_0' id='label_73_33_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_33_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_33' type='radio' value='2'  id='choice_73_33_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_33_1' id='label_73_33_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_33_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_33' type='radio' value='3'  id='choice_73_33_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_33_2' id='label_73_33_2' class='gform-field-label gform-field-label--type-inline'>\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_33_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_33' type='radio' value='4'  id='choice_73_33_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_33_3' id='label_73_33_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_33_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_33' type='radio' value='5'  id='choice_73_33_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_33_4' id='label_73_33_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_73_34\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_73_34\" ><legend class='gfield_label gform-field-label' >32-\u0642\u0627\u062f\u0631 \u0628\u0647 \u0628\u06cc\u0627\u0646 \u0627\u062d\u0633\u0627\u0633\u0627\u062a\u0645 \u0645\u06cc \u0628\u0627\u0634\u0645.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_73_34'>\n\t\t\t<div class='gchoice gchoice_73_34_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_34' type='radio' value='1'  id='choice_73_34_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_34_0' id='label_73_34_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_34_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_34' type='radio' value='2'  id='choice_73_34_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_34_1' id='label_73_34_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_34_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_34' type='radio' value='3'  id='choice_73_34_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_34_2' id='label_73_34_2' class='gform-field-label gform-field-label--type-inline'>\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_34_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_34' type='radio' value='4'  id='choice_73_34_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_34_3' id='label_73_34_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_34_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_34' type='radio' value='5'  id='choice_73_34_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_34_4' id='label_73_34_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_73_35\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_73_35\" ><legend class='gfield_label gform-field-label' >33-\u062f\u0631 \u0645\u062c\u0645\u0648\u0639 \u062e\u0648\u062f\u0645 \u0631\u0627 \u062f\u0648\u0633\u062a \u062f\u0627\u0631\u0645.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_73_35'>\n\t\t\t<div class='gchoice gchoice_73_35_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_35' type='radio' value='1'  id='choice_73_35_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_35_0' id='label_73_35_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_35_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_35' type='radio' value='2'  id='choice_73_35_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_35_1' id='label_73_35_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_35_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_35' type='radio' value='3'  id='choice_73_35_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_35_2' id='label_73_35_2' class='gform-field-label gform-field-label--type-inline'>\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_35_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_35' type='radio' value='4'  id='choice_73_35_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_35_3' id='label_73_35_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_35_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_35' type='radio' value='5'  id='choice_73_35_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_35_4' id='label_73_35_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_73_36\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_73_36\" ><legend class='gfield_label gform-field-label' >34-\u0627\u0632 \u0686\u0627\u0644\u0634 \u0648 \u062a\u063a\u06cc\u06cc\u0631 \u062f\u0631 \u0632\u0646\u062f\u06af\u06cc \u0644\u0630\u062a \u0645\u06cc \u0628\u0631\u0645.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_73_36'>\n\t\t\t<div class='gchoice gchoice_73_36_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_36' type='radio' value='1'  id='choice_73_36_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_36_0' id='label_73_36_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_36_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_36' type='radio' value='2'  id='choice_73_36_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_36_1' id='label_73_36_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_36_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_36' type='radio' value='3'  id='choice_73_36_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_36_2' id='label_73_36_2' class='gform-field-label gform-field-label--type-inline'>\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_36_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_36' type='radio' value='4'  id='choice_73_36_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_36_3' id='label_73_36_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_36_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_36' type='radio' value='5'  id='choice_73_36_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_36_4' id='label_73_36_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_73_37\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_73_37\" ><legend class='gfield_label gform-field-label' >35-\u0642\u0627\u062f\u0631 \u0628\u0647 \u0645\u0647\u0627\u0631 \u0648 \u06a9\u0646\u062a\u0631\u0644 \u0627\u0633\u062a\u0631\u0633 \u0647\u0627\u06cc \u0632\u0646\u062f\u06af\u06cc \u0627\u0645 \u0647\u0633\u062a\u0645.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_73_37'>\n\t\t\t<div class='gchoice gchoice_73_37_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_37' type='radio' value='1'  id='choice_73_37_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_37_0' id='label_73_37_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_37_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_37' type='radio' value='2'  id='choice_73_37_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_37_1' id='label_73_37_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_37_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_37' type='radio' value='3'  id='choice_73_37_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_37_2' id='label_73_37_2' class='gform-field-label gform-field-label--type-inline'>\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_37_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_37' type='radio' value='4'  id='choice_73_37_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_37_3' id='label_73_37_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_37_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_37' type='radio' value='5'  id='choice_73_37_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_37_4' id='label_73_37_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_73_38\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_73_38\" ><legend class='gfield_label gform-field-label' >36-\u0627\u0632 \u0647\u0646\u0631 (\u0646\u0642\u0627\u0634\u06cc\u060c \u0645\u062c\u0633\u0645\u0647 \u0633\u0627\u0632\u06cc\u060c \u0645\u0648\u0633\u06cc\u0642\u06cc\u060c \u062e\u0637\u060c \u0648 &#8230;.) \u0644\u0630\u062a \u0645\u06cc \u0628\u0631\u0645.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_73_38'>\n\t\t\t<div class='gchoice gchoice_73_38_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_38' type='radio' value='1'  id='choice_73_38_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_38_0' id='label_73_38_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_38_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_38' type='radio' value='2'  id='choice_73_38_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_38_1' id='label_73_38_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_38_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_38' type='radio' value='3'  id='choice_73_38_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_38_2' id='label_73_38_2' class='gform-field-label gform-field-label--type-inline'>\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_38_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_38' type='radio' value='4'  id='choice_73_38_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_38_3' id='label_73_38_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_38_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_38' type='radio' value='5'  id='choice_73_38_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_38_4' id='label_73_38_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_73_39\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_73_39\" ><legend class='gfield_label gform-field-label' >37-\u0645\u0639\u062a\u0642\u062f\u0645 \u0646\u0638\u0627\u0645 \u062e\u0644\u0642\u062a \u062f\u0627\u0631\u0627\u06cc \u0647\u062f\u0641 \u0645\u06cc \u0628\u0627\u0634\u062f.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_73_39'>\n\t\t\t<div class='gchoice gchoice_73_39_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_39' type='radio' value='1'  id='choice_73_39_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_39_0' id='label_73_39_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_39_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_39' type='radio' value='2'  id='choice_73_39_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_39_1' id='label_73_39_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_39_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_39' type='radio' value='3'  id='choice_73_39_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_39_2' id='label_73_39_2' class='gform-field-label gform-field-label--type-inline'>\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_39_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_39' type='radio' value='4'  id='choice_73_39_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_39_3' id='label_73_39_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_39_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_39' type='radio' value='5'  id='choice_73_39_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_39_4' id='label_73_39_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_73_40\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_73_40\" ><legend class='gfield_label gform-field-label' >38-\u0632\u0646\u062f\u06af\u06cc \u0627\u0645 \u0645\u0639\u0646\u0627 \u062f\u0627\u0631\u062f.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_73_40'>\n\t\t\t<div class='gchoice gchoice_73_40_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_40' type='radio' value='1'  id='choice_73_40_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_40_0' id='label_73_40_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_40_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_40' type='radio' value='2'  id='choice_73_40_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_40_1' id='label_73_40_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_40_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_40' type='radio' value='3'  id='choice_73_40_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_40_2' id='label_73_40_2' class='gform-field-label gform-field-label--type-inline'>\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_40_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_40' type='radio' value='4'  id='choice_73_40_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_40_3' id='label_73_40_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_40_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_40' type='radio' value='5'  id='choice_73_40_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_40_4' id='label_73_40_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_73_41\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_73_41\" ><legend class='gfield_label gform-field-label' >39-\u0628\u0647 \u0686\u06cc\u0632\u06cc \u0639\u0638\u06cc\u0645 \u062a\u0631 \u0627\u0632 \u062e\u0648\u062f \u0627\u062d\u0633\u0627\u0633 \u0648\u0627\u0628\u0633\u062a\u06af\u06cc \u0648 \u062a\u0639\u0644\u0642 \u062f\u0627\u0631\u0645.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_73_41'>\n\t\t\t<div class='gchoice gchoice_73_41_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_41' type='radio' value='1'  id='choice_73_41_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_41_0' id='label_73_41_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_41_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_41' type='radio' value='2'  id='choice_73_41_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_41_1' id='label_73_41_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_41_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_41' type='radio' value='3'  id='choice_73_41_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_41_2' id='label_73_41_2' class='gform-field-label gform-field-label--type-inline'>\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_41_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_41' type='radio' value='4'  id='choice_73_41_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_41_3' id='label_73_41_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_41_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_41' type='radio' value='5'  id='choice_73_41_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_41_4' id='label_73_41_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_73_42\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_73_42\" ><legend class='gfield_label gform-field-label' >40-\u0645\u0639\u062a\u0642\u062f\u0645 \u0632\u0646\u062f\u06af\u06cc \u062f\u0627\u0631\u0627\u06cc \u0647\u062f\u0641 \u0627\u0633\u062a.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_73_42'>\n\t\t\t<div class='gchoice gchoice_73_42_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_42' type='radio' value='1'  id='choice_73_42_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_42_0' id='label_73_42_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_42_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_42' type='radio' value='2'  id='choice_73_42_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_42_1' id='label_73_42_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_42_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_42' type='radio' value='3'  id='choice_73_42_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_42_2' id='label_73_42_2' class='gform-field-label gform-field-label--type-inline'>\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_42_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_42' type='radio' value='4'  id='choice_73_42_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_42_3' id='label_73_42_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_42_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_42' type='radio' value='5'  id='choice_73_42_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_42_4' id='label_73_42_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_73_43\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_73_43\" ><legend class='gfield_label gform-field-label' >41-\u0633\u0639\u06cc \u0645\u06cc \u06a9\u0646\u0645 \u062f\u0631 \u0632\u0646\u062f\u06af\u06cc \u06a9\u0627\u0631\u0647\u0627\u06cc\u06cc \u0627\u0646\u062c\u0627\u0645 \u062f\u0647\u0645 \u06a9\u0647 \u0627\u0631\u0632\u0634 \u0645\u0627\u0646\u062f\u06af\u0627\u0631\u06cc \u062f\u0627\u0634\u062a\u0647 \u0628\u0627\u0634\u062f.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_73_43'>\n\t\t\t<div class='gchoice gchoice_73_43_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_43' type='radio' value='1'  id='choice_73_43_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_43_0' id='label_73_43_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_43_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_43' type='radio' value='2'  id='choice_73_43_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_43_1' id='label_73_43_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_43_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_43' type='radio' value='3'  id='choice_73_43_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_43_2' id='label_73_43_2' class='gform-field-label gform-field-label--type-inline'>\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_43_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_43' type='radio' value='4'  id='choice_73_43_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_43_3' id='label_73_43_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_43_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_43' type='radio' value='5'  id='choice_73_43_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_43_4' id='label_73_43_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_73_44\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_73_44\" ><legend class='gfield_label gform-field-label' >42-\u0647\u062f\u0641 \u0648 \u062c\u0647\u062a \u0632\u0646\u062f\u06af\u06cc \u0627\u0645 \u0645\u0634\u062e\u0635 \u0627\u0633\u062a.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_73_44'>\n\t\t\t<div class='gchoice gchoice_73_44_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_44' type='radio' value='1'  id='choice_73_44_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_44_0' id='label_73_44_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_44_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_44' type='radio' value='2'  id='choice_73_44_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_44_1' id='label_73_44_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_44_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_44' type='radio' value='3'  id='choice_73_44_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_44_2' id='label_73_44_2' class='gform-field-label gform-field-label--type-inline'>\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_44_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_44' type='radio' value='4'  id='choice_73_44_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_44_3' id='label_73_44_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_44_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_44' type='radio' value='5'  id='choice_73_44_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_44_4' id='label_73_44_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_73_45\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_73_45\" ><legend class='gfield_label gform-field-label' >43-\u062f\u0648\u0633\u062a\u0627\u0646 \u0635\u0645\u06cc\u0645\u06cc \u062f\u0627\u0631\u0645.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_73_45'>\n\t\t\t<div class='gchoice gchoice_73_45_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_45' type='radio' value='1'  id='choice_73_45_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_45_0' id='label_73_45_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_45_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_45' type='radio' value='2'  id='choice_73_45_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_45_1' id='label_73_45_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_45_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_45' type='radio' value='3'  id='choice_73_45_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_45_2' id='label_73_45_2' class='gform-field-label gform-field-label--type-inline'>\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_45_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_45' type='radio' value='4'  id='choice_73_45_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_45_3' id='label_73_45_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_45_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_45' type='radio' value='5'  id='choice_73_45_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_45_4' id='label_73_45_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_73_46\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_73_46\" ><legend class='gfield_label gform-field-label' >44-\u062a\u0648\u0627\u0646\u0627\u06cc\u06cc \u0627\u0628\u0631\u0627\u0632 \u0639\u0634\u0642 \u0648 \u062f\u0648\u0633\u062a\u06cc \u0646\u0633\u0628\u062a \u0628\u0647 \u062f\u06cc\u06af\u0631\u0627\u0646 \u0631\u0627 \u062f\u0627\u0631\u0645.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_73_46'>\n\t\t\t<div class='gchoice gchoice_73_46_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_46' type='radio' value='1'  id='choice_73_46_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_46_0' id='label_73_46_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_46_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_46' type='radio' value='2'  id='choice_73_46_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_46_1' id='label_73_46_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_46_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_46' type='radio' value='3'  id='choice_73_46_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_46_2' id='label_73_46_2' class='gform-field-label gform-field-label--type-inline'>\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_46_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_46' type='radio' value='4'  id='choice_73_46_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_46_3' id='label_73_46_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_46_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_46' type='radio' value='5'  id='choice_73_46_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_46_4' id='label_73_46_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_73_47\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_73_47\" ><legend class='gfield_label gform-field-label' >45-\u0627\u062d\u0633\u0627\u0633\u0627\u062a \u062f\u06cc\u06af\u0631\u0627\u0646 \u0628\u0631\u0627\u06cc \u0645\u0646 \u0642\u0627\u0628\u0644 \u0627\u062d\u062a\u0631\u0627\u0645 \u0645\u06cc \u0628\u0627\u0634\u062f.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_73_47'>\n\t\t\t<div class='gchoice gchoice_73_47_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_47' type='radio' value='1'  id='choice_73_47_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_47_0' id='label_73_47_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_47_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_47' type='radio' value='2'  id='choice_73_47_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_47_1' id='label_73_47_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_47_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_47' type='radio' value='3'  id='choice_73_47_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_47_2' id='label_73_47_2' class='gform-field-label gform-field-label--type-inline'>\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_47_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_47' type='radio' value='4'  id='choice_73_47_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_47_3' id='label_73_47_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_47_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_47' type='radio' value='5'  id='choice_73_47_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_47_4' id='label_73_47_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_73_48\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_73_48\" ><legend class='gfield_label gform-field-label' >46-\u0642\u0627\u062f\u0631 \u0628\u0647 \u06af\u0633\u062a\u0631\u0634 \u0631\u0648\u0627\u0628\u0637 \u062e\u0648\u0634\u0628\u06cc\u0646\u0627\u0646\u0647 \u0628\u0627 \u062f\u06cc\u06af\u0631\u0627\u0646 \u0647\u0633\u062a\u0645.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_73_48'>\n\t\t\t<div class='gchoice gchoice_73_48_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_48' type='radio' value='1'  id='choice_73_48_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_48_0' id='label_73_48_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_48_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_48' type='radio' value='2'  id='choice_73_48_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_48_1' id='label_73_48_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_48_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_48' type='radio' value='3'  id='choice_73_48_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_48_2' id='label_73_48_2' class='gform-field-label gform-field-label--type-inline'>\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_48_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_48' type='radio' value='4'  id='choice_73_48_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_48_3' id='label_73_48_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_48_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_48' type='radio' value='5'  id='choice_73_48_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_48_4' id='label_73_48_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_73_49\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_73_49\" ><legend class='gfield_label gform-field-label' >47-\u0627\u062d\u0633\u0627\u0633\u0627\u062a \u0648 \u0627\u0641\u06a9\u0627\u0631 \u0645\u062b\u0628\u062a \u062f\u0627\u0631\u0645.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_73_49'>\n\t\t\t<div class='gchoice gchoice_73_49_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_49' type='radio' value='1'  id='choice_73_49_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_49_0' id='label_73_49_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_49_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_49' type='radio' value='2'  id='choice_73_49_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_49_1' id='label_73_49_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_49_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_49' type='radio' value='3'  id='choice_73_49_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_49_2' id='label_73_49_2' class='gform-field-label gform-field-label--type-inline'>\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_49_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_49' type='radio' value='4'  id='choice_73_49_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_49_3' id='label_73_49_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_49_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_49' type='radio' value='5'  id='choice_73_49_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_49_4' id='label_73_49_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_73_50\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_73_50\" ><legend class='gfield_label gform-field-label' >48-\u0627\u0632 \u0627\u0641\u0631\u0627\u062f\u06cc \u0647\u0633\u062a\u0645 \u06a9\u0647 \u062f\u0631 \u0645\u0648\u0627\u0642\u0639 \u0645\u0648\u0631\u062f \u0646\u06cc\u0627\u0632\u060c \u062f\u0631 \u06a9\u0646\u0627\u0631 \u0645\u0631\u062f\u0645 \u0645\u06cc \u0628\u0627\u0634\u0645.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_73_50'>\n\t\t\t<div class='gchoice gchoice_73_50_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_50' type='radio' value='1'  id='choice_73_50_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_50_0' id='label_73_50_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_50_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_50' type='radio' value='2'  id='choice_73_50_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_50_1' id='label_73_50_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_50_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_50' type='radio' value='3'  id='choice_73_50_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_50_2' id='label_73_50_2' class='gform-field-label gform-field-label--type-inline'>\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_50_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_50' type='radio' value='4'  id='choice_73_50_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_50_3' id='label_73_50_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_50_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_50' type='radio' value='5'  id='choice_73_50_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_50_4' id='label_73_50_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_73_51\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_73_51\" ><legend class='gfield_label gform-field-label' >49-\u0647\u0646\u06af\u0627\u0645\u06cc\u06a9\u0647 \u062f\u0631 \u0632\u0646\u062f\u06af\u06cc \u0628\u0627 \u0645\u0634\u06a9\u0644\u06cc \u0645\u0648\u0627\u062c\u0647 \u0645\u06cc \u0634\u0648\u0645 \u0628\u0627 \u062f\u06cc\u06af\u0631\u0627\u0646 \u0635\u062d\u0628\u062a \u0648 \u0645\u0634\u0648\u0631\u062a \u0645\u06cc \u06a9\u0646\u0645.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_73_51'>\n\t\t\t<div class='gchoice gchoice_73_51_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_51' type='radio' value='1'  id='choice_73_51_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_51_0' id='label_73_51_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_51_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_51' type='radio' value='2'  id='choice_73_51_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_51_1' id='label_73_51_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_51_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_51' type='radio' value='3'  id='choice_73_51_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_51_2' id='label_73_51_2' class='gform-field-label gform-field-label--type-inline'>\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_51_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_51' type='radio' value='4'  id='choice_73_51_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_51_3' id='label_73_51_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_51_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_51' type='radio' value='5'  id='choice_73_51_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_51_4' id='label_73_51_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_73_52\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_73_52\" ><legend class='gfield_label gform-field-label' >50-\u0627\u0632 \u0645\u0635\u0631\u0641 \u062e\u0648\u062f \u0633\u0631\u0627\u0646\u0647 \u0648 \u0628\u06cc \u0631\u0648\u06cc\u0647 \u062f\u0627\u0631\u0648 \u067e\u0631\u0647\u06cc\u0632 \u0645\u06cc \u0646\u0645\u0627\u06cc\u0645.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_73_52'>\n\t\t\t<div class='gchoice gchoice_73_52_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_52' type='radio' value='1'  id='choice_73_52_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_52_0' id='label_73_52_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_52_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_52' type='radio' value='2'  id='choice_73_52_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_52_1' id='label_73_52_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_52_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_52' type='radio' value='3'  id='choice_73_52_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_52_2' id='label_73_52_2' class='gform-field-label gform-field-label--type-inline'>\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_52_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_52' type='radio' value='4'  id='choice_73_52_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_52_3' id='label_73_52_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_52_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_52' type='radio' value='5'  id='choice_73_52_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_52_4' id='label_73_52_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_73_53\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_73_53\" ><legend class='gfield_label gform-field-label' >51-\u0633\u06cc\u06af\u0627\u0631 \u0646\u0645\u06cc \u06a9\u0634\u0645.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_73_53'>\n\t\t\t<div class='gchoice gchoice_73_53_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_53' type='radio' value='1'  id='choice_73_53_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_53_0' id='label_73_53_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_53_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_53' type='radio' value='2'  id='choice_73_53_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_53_1' id='label_73_53_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_53_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_53' type='radio' value='3'  id='choice_73_53_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_53_2' id='label_73_53_2' class='gform-field-label gform-field-label--type-inline'>\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_53_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_53' type='radio' value='4'  id='choice_73_53_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_53_3' id='label_73_53_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_53_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_53' type='radio' value='5'  id='choice_73_53_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_53_4' id='label_73_53_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_73_54\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_73_54\" ><legend class='gfield_label gform-field-label' >52-\u0627\u0632 \u0645\u0635\u0631\u0641 \u0645\u0648\u0627\u062f \u0645\u062e\u062f\u0631 \u0627\u062c\u062a\u0646\u0627\u0628 \u0645\u06cc \u06a9\u0646\u0645.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_73_54'>\n\t\t\t<div class='gchoice gchoice_73_54_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_54' type='radio' value='1'  id='choice_73_54_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_54_0' id='label_73_54_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_54_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_54' type='radio' value='2'  id='choice_73_54_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_54_1' id='label_73_54_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_54_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_54' type='radio' value='3'  id='choice_73_54_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_54_2' id='label_73_54_2' class='gform-field-label gform-field-label--type-inline'>\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_54_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_54' type='radio' value='4'  id='choice_73_54_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_54_3' id='label_73_54_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_54_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_54' type='radio' value='5'  id='choice_73_54_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_54_4' id='label_73_54_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_73_55\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_73_55\" ><legend class='gfield_label gform-field-label' >53-\u0627\u0632 \u0645\u0635\u0631\u0641 \u062f\u0627\u0631\u0648\u0647\u0627 \u0648 \u0645\u0648\u0627\u062f \u0645\u062e\u062f\u0631 \u062e\u0637\u0631\u0622\u0641\u0631\u06cc\u0646 \u0627\u062c\u062a\u0646\u0627\u0628 \u0645\u06cc \u06a9\u0646\u0645.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_73_55'>\n\t\t\t<div class='gchoice gchoice_73_55_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_55' type='radio' value='1'  id='choice_73_55_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_55_0' id='label_73_55_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_55_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_55' type='radio' value='2'  id='choice_73_55_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_55_1' id='label_73_55_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_55_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_55' type='radio' value='3'  id='choice_73_55_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_55_2' id='label_73_55_2' class='gform-field-label gform-field-label--type-inline'>\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_55_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_55' type='radio' value='4'  id='choice_73_55_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_55_3' id='label_73_55_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_55_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_55' type='radio' value='5'  id='choice_73_55_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_55_4' id='label_73_55_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_73_56\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_73_56\" ><legend class='gfield_label gform-field-label' >54-\u0627\u0632 \u0645\u0639\u0627\u0634\u0631\u062a \u0628\u0627 \u0627\u0641\u0631\u0627\u062f \u0645\u0639\u062a\u0627\u062f \u0648 \u0627\u0644\u06a9\u0644\u06cc \u0627\u062c\u062a\u0646\u0627\u0628 \u0645\u06cc \u0646\u0645\u0627\u06cc\u0645.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_73_56'>\n\t\t\t<div class='gchoice gchoice_73_56_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_56' type='radio' value='1'  id='choice_73_56_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_56_0' id='label_73_56_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_56_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_56' type='radio' value='2'  id='choice_73_56_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_56_1' id='label_73_56_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_56_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_56' type='radio' value='3'  id='choice_73_56_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_56_2' id='label_73_56_2' class='gform-field-label gform-field-label--type-inline'>\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_56_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_56' type='radio' value='4'  id='choice_73_56_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_56_3' id='label_73_56_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_56_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_56' type='radio' value='5'  id='choice_73_56_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_56_4' id='label_73_56_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_73_57\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_73_57\" ><legend class='gfield_label gform-field-label' >55-\u0627\u0632 \u0646\u0648\u0634\u06cc\u062f\u0646 \u0645\u0648\u0627\u062f \u0627\u0644\u06a9\u0644\u06cc \u0627\u062c\u062a\u0646\u0627\u0628 \u0645\u06cc \u06a9\u0646\u0645.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_73_57'>\n\t\t\t<div class='gchoice gchoice_73_57_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_57' type='radio' value='1'  id='choice_73_57_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_57_0' id='label_73_57_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_57_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_57' type='radio' value='2'  id='choice_73_57_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_57_1' id='label_73_57_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_57_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_57' type='radio' value='3'  id='choice_73_57_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_57_2' id='label_73_57_2' class='gform-field-label gform-field-label--type-inline'>\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_57_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_57' type='radio' value='4'  id='choice_73_57_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_57_3' id='label_73_57_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_57_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_57' type='radio' value='5'  id='choice_73_57_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_57_4' id='label_73_57_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_73_58\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_73_58\" ><legend class='gfield_label gform-field-label' >56-\u0647\u0646\u06af\u0627\u0645 \u0631\u0627\u0646\u0646\u062f\u06af\u06cc \u0627\u0632 \u0642\u0648\u0627\u0646\u06cc\u0646 \u0631\u0627\u0647\u0646\u0645\u0627\u06cc\u06cc \u0648 \u0631\u0627\u0646\u0646\u062f\u06af\u06cc \u062a\u0628\u0639\u06cc\u062a \u0645\u06cc \u06a9\u0646\u0645.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_73_58'>\n\t\t\t<div class='gchoice gchoice_73_58_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_58' type='radio' value='1'  id='choice_73_58_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_58_0' id='label_73_58_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_58_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_58' type='radio' value='2'  id='choice_73_58_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_58_1' id='label_73_58_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_58_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_58' type='radio' value='3'  id='choice_73_58_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_58_2' id='label_73_58_2' class='gform-field-label gform-field-label--type-inline'>\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_58_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_58' type='radio' value='4'  id='choice_73_58_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_58_3' id='label_73_58_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_58_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_58' type='radio' value='5'  id='choice_73_58_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_58_4' id='label_73_58_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_73_59\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_73_59\" ><legend class='gfield_label gform-field-label' >57-\u0645\u0648\u0627\u062f \u0634\u0648\u06cc\u0646\u062f\u0647 \u0648 \u0627\u0633\u06cc\u062f\u06cc \u062e\u0637\u0631\u0646\u0627\u0643 \u0631\u0627 \u062f\u0631 \u062c\u0627\u06cc \u0645\u0637\u0645\u0626\u0646 \u0646\u06af\u0647\u062f\u0627\u0631\u06cc \u0645\u06cc \u06a9\u0646\u0645.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_73_59'>\n\t\t\t<div class='gchoice gchoice_73_59_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_59' type='radio' value='1'  id='choice_73_59_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_59_0' id='label_73_59_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_59_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_59' type='radio' value='2'  id='choice_73_59_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_59_1' id='label_73_59_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_59_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_59' type='radio' value='3'  id='choice_73_59_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_59_2' id='label_73_59_2' class='gform-field-label gform-field-label--type-inline'>\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_59_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_59' type='radio' value='4'  id='choice_73_59_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_59_3' id='label_73_59_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_59_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_59' type='radio' value='5'  id='choice_73_59_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_59_4' id='label_73_59_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_73_60\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_73_60\" ><legend class='gfield_label gform-field-label' >58-\u0647\u0646\u06af\u0627\u0645 \u0631\u0627\u0646\u0646\u062f\u06af\u06cc \u0627\u0632 \u06a9\u0645\u0631\u0628\u0646\u062f \u0627\u06cc\u0645\u0646\u06cc \u0627\u0633\u062a\u0641\u0627\u062f\u0647 \u0645\u06cc \u06a9\u0646\u0645.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_73_60'>\n\t\t\t<div class='gchoice gchoice_73_60_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_60' type='radio' value='1'  id='choice_73_60_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_60_0' id='label_73_60_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_60_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_60' type='radio' value='2'  id='choice_73_60_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_60_1' id='label_73_60_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_60_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_60' type='radio' value='3'  id='choice_73_60_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_60_2' id='label_73_60_2' class='gform-field-label gform-field-label--type-inline'>\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_60_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_60' type='radio' value='4'  id='choice_73_60_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_60_3' id='label_73_60_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_60_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_60' type='radio' value='5'  id='choice_73_60_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_60_4' id='label_73_60_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_73_61\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_73_61\" ><legend class='gfield_label gform-field-label' >59-\u0647\u0646\u06af\u0627\u0645 \u0631\u0627\u0646\u0646\u062f\u06af\u06cc \u06a9\u0648\u062f\u06a9\u0627\u0646 \u0631\u0627 \u062f\u0631 \u0635\u0646\u062f\u0644\u06cc \u0639\u0642\u0628 \u0648 \u0645\u062c\u0647\u0632 \u0628\u0647 \u06a9\u0645\u0631\u0628\u0646\u062f \u0627\u06cc\u0645\u0646\u06cc \u0642\u0631\u0627\u0631 \u0645\u06cc \u062f\u0647\u0645.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_73_61'>\n\t\t\t<div class='gchoice gchoice_73_61_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_61' type='radio' value='1'  id='choice_73_61_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_61_0' id='label_73_61_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_61_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_61' type='radio' value='2'  id='choice_73_61_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_61_1' id='label_73_61_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_61_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_61' type='radio' value='3'  id='choice_73_61_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_61_2' id='label_73_61_2' class='gform-field-label gform-field-label--type-inline'>\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_61_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_61' type='radio' value='4'  id='choice_73_61_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_61_3' id='label_73_61_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_61_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_61' type='radio' value='5'  id='choice_73_61_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_61_4' id='label_73_61_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_73_62\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_73_62\" ><legend class='gfield_label gform-field-label' >60-\u0647\u0646\u06af\u0627\u0645 \u0627\u0633\u062a\u0641\u0627\u062f\u0647 \u0627\u0632 \u0645\u0648\u0627\u062f \u0634\u0648\u06cc\u0646\u062f\u0647\u060c \u067e\u0627\u0643 \u06a9\u0646\u0646\u062f\u0647 \u0648 \u0636\u062f\u0639\u0641\u0648\u0646\u06cc \u06a9\u0646\u0646\u062f\u0647 (\u062c\u0648\u0647\u0631\u0646\u0645\u06a9 \u0648 &#8230; )\u060c \u062f\u0633\u062a\u0648\u0631\u0627\u0644\u0639\u0645\u0644 \u0622\u0646\u0647\u0627 \u0631\u0627 \u0628\u0647 \u062f\u0642\u062a \u0645\u06cc \u062e\u0648\u0627\u0646\u0645.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_73_62'>\n\t\t\t<div class='gchoice gchoice_73_62_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_62' type='radio' value='1'  id='choice_73_62_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_62_0' id='label_73_62_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_62_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_62' type='radio' value='2'  id='choice_73_62_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_62_1' id='label_73_62_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_62_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_62' type='radio' value='3'  id='choice_73_62_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_62_2' id='label_73_62_2' class='gform-field-label gform-field-label--type-inline'>\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_62_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_62' type='radio' value='4'  id='choice_73_62_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_62_3' id='label_73_62_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_62_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_62' type='radio' value='5'  id='choice_73_62_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_62_4' id='label_73_62_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_73_63\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_73_63\" ><legend class='gfield_label gform-field-label' >61-\u0647\u0646\u06af\u0627\u0645 \u0631\u0627\u0646\u0646\u062f\u06af\u06cc \u0627\u0632 \u062a\u0644\u0641\u0646 \u0647\u0645\u0631\u0627\u0647 \u0627\u0633\u062a\u0641\u0627\u062f\u0647 \u0646\u0645\u06cc \u06a9\u0646\u0645.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_73_63'>\n\t\t\t<div class='gchoice gchoice_73_63_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_63' type='radio' value='1'  id='choice_73_63_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_63_0' id='label_73_63_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_63_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_63' type='radio' value='2'  id='choice_73_63_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_63_1' id='label_73_63_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_63_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_63' type='radio' value='3'  id='choice_73_63_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_63_2' id='label_73_63_2' class='gform-field-label gform-field-label--type-inline'>\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_63_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_63' type='radio' value='4'  id='choice_73_63_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_63_3' id='label_73_63_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_63_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_63' type='radio' value='5'  id='choice_73_63_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_63_4' id='label_73_63_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_73_64\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_73_64\" ><legend class='gfield_label gform-field-label' >62-\u0647\u0646\u06af\u0627\u0645 \u0627\u0633\u062a\u0641\u0627\u062f\u0647 \u0627\u0632 \u062f\u0648\u0686\u0631\u062e\u0647 \u0648 \u0645\u0648\u062a\u0648\u0631\u0633\u06cc\u06a9\u0644\u062a \u0627\u0632 \u06a9\u0644\u0627\u0647 \u0627\u06cc\u0645\u0646\u06cc \u0627\u0633\u062a\u0641\u0627\u062f\u0647 \u0645\u06cc \u06a9\u0646\u0645<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_73_64'>\n\t\t\t<div class='gchoice gchoice_73_64_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_64' type='radio' value='1'  id='choice_73_64_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_64_0' id='label_73_64_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_64_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_64' type='radio' value='2'  id='choice_73_64_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_64_1' id='label_73_64_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_64_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_64' type='radio' value='3'  id='choice_73_64_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_64_2' id='label_73_64_2' class='gform-field-label gform-field-label--type-inline'>\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_64_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_64' type='radio' value='4'  id='choice_73_64_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_64_3' id='label_73_64_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_64_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_64' type='radio' value='5'  id='choice_73_64_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_64_4' id='label_73_64_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_73_65\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_73_65\" ><legend class='gfield_label gform-field-label' >63-\u0627\u0632 \u0633\u0648\u0627\u0631 \u0634\u062f\u0646 \u0628\u0647 \u0648\u0633\u0627\u06cc\u0644 \u067e\u0631\u062e\u0637\u0631 (\u0645\u0627\u0646\u0646\u062f \u0645\u0648\u062a\u0648\u0631\u0633\u06cc\u06a9\u0644\u062a) \u062e\u0648\u062f\u062f\u0627\u0631\u06cc \u0645\u06cc \u06a9\u0646\u0645.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_73_65'>\n\t\t\t<div class='gchoice gchoice_73_65_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_65' type='radio' value='1'  id='choice_73_65_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_65_0' id='label_73_65_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_65_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_65' type='radio' value='2'  id='choice_73_65_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_65_1' id='label_73_65_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_65_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_65' type='radio' value='3'  id='choice_73_65_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_65_2' id='label_73_65_2' class='gform-field-label gform-field-label--type-inline'>\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_65_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_65' type='radio' value='4'  id='choice_73_65_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_65_3' id='label_73_65_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_65_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_65' type='radio' value='5'  id='choice_73_65_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_65_4' id='label_73_65_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_73_66\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_73_66\" ><legend class='gfield_label gform-field-label' >64-\u0627\u0632 \u06a9\u06cc\u0641\u06cc\u062a \u0648 \u0633\u0627\u0644\u0645 \u0628\u0648\u062f\u0646 \u0622\u0628\u06cc \u06a9\u0647 \u0645\u0635\u0631\u0641 \u0645\u06cc \u06a9\u0646\u0645 \u0622\u06af\u0627\u0647 \u0647\u0633\u062a\u0645.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_73_66'>\n\t\t\t<div class='gchoice gchoice_73_66_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_66' type='radio' value='1'  id='choice_73_66_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_66_0' id='label_73_66_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_66_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_66' type='radio' value='2'  id='choice_73_66_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_66_1' id='label_73_66_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_66_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_66' type='radio' value='3'  id='choice_73_66_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_66_2' id='label_73_66_2' class='gform-field-label gform-field-label--type-inline'>\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_66_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_66' type='radio' value='4'  id='choice_73_66_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_66_3' id='label_73_66_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_66_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_66' type='radio' value='5'  id='choice_73_66_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_66_4' id='label_73_66_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_73_67\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_73_67\" ><legend class='gfield_label gform-field-label' >65-\u0645\u06cc\u0648\u0647 \u0648 \u0633\u0628\u0632\u06cc \u0631\u0627 \u0642\u0628\u0644 \u0627\u0632 \u0645\u0635\u0631\u0641 \u0645\u06cc \u0634\u0648\u06cc\u0645.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_73_67'>\n\t\t\t<div class='gchoice gchoice_73_67_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_67' type='radio' value='1'  id='choice_73_67_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_67_0' id='label_73_67_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_67_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_67' type='radio' value='2'  id='choice_73_67_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_67_1' id='label_73_67_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_67_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_67' type='radio' value='3'  id='choice_73_67_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_67_2' id='label_73_67_2' class='gform-field-label gform-field-label--type-inline'>\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_67_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_67' type='radio' value='4'  id='choice_73_67_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_67_3' id='label_73_67_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_67_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_67' type='radio' value='5'  id='choice_73_67_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_67_4' id='label_73_67_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_73_68\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_73_68\" ><legend class='gfield_label gform-field-label' >66-\u0633\u0639\u06cc \u0645\u06cc \u06a9\u0646\u0645 \u0645\u062d\u06cc\u0637 \u0632\u0646\u062f\u06af\u06cc \u0627\u0645 \u0645\u0645\u0644\u0648 \u0627\u0632 \u06af\u0644 \u0648 \u06af\u06cc\u0627\u0647 \u0628\u0627\u0634\u062f.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_73_68'>\n\t\t\t<div class='gchoice gchoice_73_68_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_68' type='radio' value='1'  id='choice_73_68_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_68_0' id='label_73_68_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_68_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_68' type='radio' value='2'  id='choice_73_68_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_68_1' id='label_73_68_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_68_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_68' type='radio' value='3'  id='choice_73_68_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_68_2' id='label_73_68_2' class='gform-field-label gform-field-label--type-inline'>\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_68_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_68' type='radio' value='4'  id='choice_73_68_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_68_3' id='label_73_68_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_68_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_68' type='radio' value='5'  id='choice_73_68_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_68_4' id='label_73_68_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_73_69\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_73_69\" ><legend class='gfield_label gform-field-label' >67-\u062f\u0631 \u0645\u0635\u0631\u0641 \u0627\u0646\u0631\u0698\u06cc (\u0628\u0631\u0642\u060c \u06af\u0627\u0632) \u0648 \u0622\u0628 \u0622\u0634\u0627\u0645\u06cc\u062f\u0646\u06cc \u0635\u0631\u0641\u0647 \u062c\u0648\u06cc\u06cc \u0645\u06cc \u06a9\u0646\u0645.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_73_69'>\n\t\t\t<div class='gchoice gchoice_73_69_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_69' type='radio' value='1'  id='choice_73_69_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_69_0' id='label_73_69_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_69_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_69' type='radio' value='2'  id='choice_73_69_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_69_1' id='label_73_69_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_69_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_69' type='radio' value='3'  id='choice_73_69_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_69_2' id='label_73_69_2' class='gform-field-label gform-field-label--type-inline'>\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_69_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_69' type='radio' value='4'  id='choice_73_69_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_69_3' id='label_73_69_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_69_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_69' type='radio' value='5'  id='choice_73_69_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_69_4' id='label_73_69_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_73_71\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_73_71\" ><legend class='gfield_label gform-field-label' >68-\u062f\u0631 \u0645\u062d\u06cc\u0637 \u062e\u0627\u0646\u0647 \u0648 \u06a9\u0627\u0631 \u0627\u0632 \u062d\u0634\u0631\u0647 \u06a9\u0634\u0647\u0627 \u0627\u0633\u062a\u0641\u0627\u062f\u0647 \u0646\u0645\u06cc \u06a9\u0646\u0645 \u06cc\u0627 \u062f\u0631\u0635\u0648\u0631\u062a \u0644\u0632\u0648\u0645 \u0628\u0647 \u062f\u0633\u062a\u0648\u0631\u0627\u0644\u0639\u0645\u0644 \u0622\u0646\u0647\u0627 \u062a\u0648\u062c\u0647 \u0645\u06cc \u06a9\u0646\u0645.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_73_71'>\n\t\t\t<div class='gchoice gchoice_73_71_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_71' type='radio' value='1'  id='choice_73_71_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_71_0' id='label_73_71_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_71_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_71' type='radio' value='2'  id='choice_73_71_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_71_1' id='label_73_71_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_71_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_71' type='radio' value='3'  id='choice_73_71_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_71_2' id='label_73_71_2' class='gform-field-label gform-field-label--type-inline'>\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_71_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_71' type='radio' value='4'  id='choice_73_71_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_71_3' id='label_73_71_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_71_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_71' type='radio' value='5'  id='choice_73_71_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_71_4' id='label_73_71_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_73_70\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_73_70\" ><legend class='gfield_label gform-field-label' >69-\u0642\u0648\u0637\u06cc \u0647\u0627\u06cc \u0622\u0644\u0648\u0645\u06cc\u0646\u06cc\u0648\u0645\u06cc\u060c \u0634\u06cc\u0634\u0647 \u0647\u0627 \u0648 \u06a9\u0627\u063a\u0630\u0647\u0627 \u0631\u0627 \u0628\u0627\u0632\u06cc\u0627\u0641\u062a \u0645\u06cc \u0646\u0645\u0627\u06cc\u0645.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_73_70'>\n\t\t\t<div class='gchoice gchoice_73_70_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_70' type='radio' value='1'  id='choice_73_70_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_70_0' id='label_73_70_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_70_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_70' type='radio' value='2'  id='choice_73_70_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_70_1' id='label_73_70_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_70_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_70' type='radio' value='3'  id='choice_73_70_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_70_2' id='label_73_70_2' class='gform-field-label gform-field-label--type-inline'>\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_70_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_70' type='radio' value='4'  id='choice_73_70_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_70_3' id='label_73_70_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_70_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_70' type='radio' value='5'  id='choice_73_70_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_70_4' id='label_73_70_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_73_72\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_73_72\" ><legend class='gfield_label gform-field-label' >70-\u0639\u0644\u0627\u0642\u0647 \u0645\u0646\u062f \u0628\u0647 \u0645\u0633\u0627\u0626\u0644 \u0645\u062d\u06cc\u0637 \u0632\u06cc\u0633\u062a (\u0645\u0627\u0646\u0646\u062f \u062a\u062e\u0631\u06cc\u0628 \u0644\u0627\u06cc\u0647 \u0627\u0648\u0632\u0646\u060c \u062c\u0646\u06af\u0644\u0647\u0627 \u0648 &#8230;) \u0647\u0633\u062a\u0645.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_73_72'>\n\t\t\t<div class='gchoice gchoice_73_72_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_72' type='radio' value='1'  id='choice_73_72_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_72_0' id='label_73_72_0' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_72_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_72' type='radio' value='2'  id='choice_73_72_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_72_1' id='label_73_72_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062e\u0627\u0644\u0641\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_72_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_72' type='radio' value='3'  id='choice_73_72_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_72_2' id='label_73_72_2' class='gform-field-label gform-field-label--type-inline'>\u0646\u0638\u0631\u06cc \u0646\u062f\u0627\u0631\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_72_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_72' type='radio' value='4'  id='choice_73_72_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_72_3' id='label_73_72_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_73_72_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_72' type='radio' value='5'  id='choice_73_72_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_73_72_4' id='label_73_72_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0645\u0644\u0627 \u0645\u0648\u0627\u0641\u0642\u0645<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div><\/div>\n        <div class='gform_footer top_label'> <input type='submit' id='gform_submit_button_73' class='gform_button button' value='\u062b\u0628\u062a \u0622\u0632\u0645\u0648\u0646'  onclick='if(window[\"gf_submitting_73\"]){return false;}  if( !jQuery(\"#gform_73\")[0].checkValidity || jQuery(\"#gform_73\")[0].checkValidity()){window[\"gf_submitting_73\"]=true;}  ' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_73\"]){return false;} if( !jQuery(\"#gform_73\")[0].checkValidity || jQuery(\"#gform_73\")[0].checkValidity()){window[\"gf_submitting_73\"]=true;}  jQuery(\"#gform_73\").trigger(\"submit\",[true]); }' \/> \n            <input type='hidden' class='gform_hidden' name='is_submit_73' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='73' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_73' value='["{\"3\":[\"a854dda1270550ff6c88106d9f8197ba\",\"f0f43c2759bc74561b9ed60ffbadcee0\",\"731e4b201fcfcdbb010eeb76ca5b095e\",\"ac6f99c30b7b54d0b680bfbd2ebc30cb\",\"a40fee85f941781d25458ab5895d76b8\"],\"4\":[\"a854dda1270550ff6c88106d9f8197ba\",\"f0f43c2759bc74561b9ed60ffbadcee0\",\"731e4b201fcfcdbb010eeb76ca5b095e\",\"ac6f99c30b7b54d0b680bfbd2ebc30cb\",\"a40fee85f941781d25458ab5895d76b8\"],\"5\":[\"a854dda1270550ff6c88106d9f8197ba\",\"f0f43c2759bc74561b9ed60ffbadcee0\",\"731e4b201fcfcdbb010eeb76ca5b095e\",\"ac6f99c30b7b54d0b680bfbd2ebc30cb\",\"a40fee85f941781d25458ab5895d76b8\"],\"6\":[\"a854dda1270550ff6c88106d9f8197ba\",\"f0f43c2759bc74561b9ed60ffbadcee0\",\"731e4b201fcfcdbb010eeb76ca5b095e\",\"ac6f99c30b7b54d0b680bfbd2ebc30cb\",\"a40fee85f941781d25458ab5895d76b8\"],\"7\":[\"a854dda1270550ff6c88106d9f8197ba\",\"f0f43c2759bc74561b9ed60ffbadcee0\",\"731e4b201fcfcdbb010eeb76ca5b095e\",\"ac6f99c30b7b54d0b680bfbd2ebc30cb\",\"a40fee85f941781d25458ab5895d76b8\"],\"8\":[\"a854dda1270550ff6c88106d9f8197ba\",\"f0f43c2759bc74561b9ed60ffbadcee0\",\"731e4b201fcfcdbb010eeb76ca5b095e\",\"ac6f99c30b7b54d0b680bfbd2ebc30cb\",\"a40fee85f941781d25458ab5895d76b8\"],\"9\":[\"a854dda1270550ff6c88106d9f8197ba\",\"f0f43c2759bc74561b9ed60ffbadcee0\",\"731e4b201fcfcdbb010eeb76ca5b095e\",\"ac6f99c30b7b54d0b680bfbd2ebc30cb\",\"a40fee85f941781d25458ab5895d76b8\"],\"10\":[\"a854dda1270550ff6c88106d9f8197ba\",\"f0f43c2759bc74561b9ed60ffbadcee0\",\"731e4b201fcfcdbb010eeb76ca5b095e\",\"ac6f99c30b7b54d0b680bfbd2ebc30cb\",\"a40fee85f941781d25458ab5895d76b8\"],\"11\":[\"a854dda1270550ff6c88106d9f8197ba\",\"f0f43c2759bc74561b9ed60ffbadcee0\",\"731e4b201fcfcdbb010eeb76ca5b095e\",\"ac6f99c30b7b54d0b680bfbd2ebc30cb\",\"a40fee85f941781d25458ab5895d76b8\"],\"12\":[\"a854dda1270550ff6c88106d9f8197ba\",\"f0f43c2759bc74561b9ed60ffbadcee0\",\"731e4b201fcfcdbb010eeb76ca5b095e\",\"ac6f99c30b7b54d0b680bfbd2ebc30cb\",\"a40fee85f941781d25458ab5895d76b8\"],\"13\":[\"a854dda1270550ff6c88106d9f8197ba\",\"f0f43c2759bc74561b9ed60ffbadcee0\",\"731e4b201fcfcdbb010eeb76ca5b095e\",\"ac6f99c30b7b54d0b680bfbd2ebc30cb\",\"a40fee85f941781d25458ab5895d76b8\"],\"14\":[\"a854dda1270550ff6c88106d9f8197ba\",\"f0f43c2759bc74561b9ed60ffbadcee0\",\"731e4b201fcfcdbb010eeb76ca5b095e\",\"ac6f99c30b7b54d0b680bfbd2ebc30cb\",\"a40fee85f941781d25458ab5895d76b8\"],\"15\":[\"a854dda1270550ff6c88106d9f8197ba\",\"f0f43c2759bc74561b9ed60ffbadcee0\",\"731e4b201fcfcdbb010eeb76ca5b095e\",\"ac6f99c30b7b54d0b680bfbd2ebc30cb\",\"a40fee85f941781d25458ab5895d76b8\"],\"16\":[\"a854dda1270550ff6c88106d9f8197ba\",\"f0f43c2759bc74561b9ed60ffbadcee0\",\"731e4b201fcfcdbb010eeb76ca5b095e\",\"ac6f99c30b7b54d0b680bfbd2ebc30cb\",\"a40fee85f941781d25458ab5895d76b8\"],\"17\":[\"a854dda1270550ff6c88106d9f8197ba\",\"f0f43c2759bc74561b9ed60ffbadcee0\",\"731e4b201fcfcdbb010eeb76ca5b095e\",\"ac6f99c30b7b54d0b680bfbd2ebc30cb\",\"a40fee85f941781d25458ab5895d76b8\"],\"18\":[\"a854dda1270550ff6c88106d9f8197ba\",\"f0f43c2759bc74561b9ed60ffbadcee0\",\"731e4b201fcfcdbb010eeb76ca5b095e\",\"ac6f99c30b7b54d0b680bfbd2ebc30cb\",\"a40fee85f941781d25458ab5895d76b8\"],\"19\":[\"a854dda1270550ff6c88106d9f8197ba\",\"f0f43c2759bc74561b9ed60ffbadcee0\",\"731e4b201fcfcdbb010eeb76ca5b095e\",\"ac6f99c30b7b54d0b680bfbd2ebc30cb\",\"a40fee85f941781d25458ab5895d76b8\"],\"20\":[\"a854dda1270550ff6c88106d9f8197ba\",\"f0f43c2759bc74561b9ed60ffbadcee0\",\"731e4b201fcfcdbb010eeb76ca5b095e\",\"ac6f99c30b7b54d0b680bfbd2ebc30cb\",\"a40fee85f941781d25458ab5895d76b8\"],\"21\":[\"a854dda1270550ff6c88106d9f8197ba\",\"f0f43c2759bc74561b9ed60ffbadcee0\",\"731e4b201fcfcdbb010eeb76ca5b095e\",\"ac6f99c30b7b54d0b680bfbd2ebc30cb\",\"a40fee85f941781d25458ab5895d76b8\"],\"22\":[\"a854dda1270550ff6c88106d9f8197ba\",\"f0f43c2759bc74561b9ed60ffbadcee0\",\"731e4b201fcfcdbb010eeb76ca5b095e\",\"ac6f99c30b7b54d0b680bfbd2ebc30cb\",\"a40fee85f941781d25458ab5895d76b8\"],\"23\":[\"a854dda1270550ff6c88106d9f8197ba\",\"f0f43c2759bc74561b9ed60ffbadcee0\",\"731e4b201fcfcdbb010eeb76ca5b095e\",\"ac6f99c30b7b54d0b680bfbd2ebc30cb\",\"a40fee85f941781d25458ab5895d76b8\"],\"24\":[\"a854dda1270550ff6c88106d9f8197ba\",\"f0f43c2759bc74561b9ed60ffbadcee0\",\"731e4b201fcfcdbb010eeb76ca5b095e\",\"ac6f99c30b7b54d0b680bfbd2ebc30cb\",\"a40fee85f941781d25458ab5895d76b8\"],\"25\":[\"a854dda1270550ff6c88106d9f8197ba\",\"f0f43c2759bc74561b9ed60ffbadcee0\",\"731e4b201fcfcdbb010eeb76ca5b095e\",\"ac6f99c30b7b54d0b680bfbd2ebc30cb\",\"a40fee85f941781d25458ab5895d76b8\"],\"26\":[\"a854dda1270550ff6c88106d9f8197ba\",\"f0f43c2759bc74561b9ed60ffbadcee0\",\"731e4b201fcfcdbb010eeb76ca5b095e\",\"ac6f99c30b7b54d0b680bfbd2ebc30cb\",\"a40fee85f941781d25458ab5895d76b8\"],\"27\":[\"a854dda1270550ff6c88106d9f8197ba\",\"f0f43c2759bc74561b9ed60ffbadcee0\",\"731e4b201fcfcdbb010eeb76ca5b095e\",\"ac6f99c30b7b54d0b680bfbd2ebc30cb\",\"a40fee85f941781d25458ab5895d76b8\"],\"28\":[\"a854dda1270550ff6c88106d9f8197ba\",\"f0f43c2759bc74561b9ed60ffbadcee0\",\"731e4b201fcfcdbb010eeb76ca5b095e\",\"ac6f99c30b7b54d0b680bfbd2ebc30cb\",\"a40fee85f941781d25458ab5895d76b8\"],\"29\":[\"a854dda1270550ff6c88106d9f8197ba\",\"f0f43c2759bc74561b9ed60ffbadcee0\",\"731e4b201fcfcdbb010eeb76ca5b095e\",\"ac6f99c30b7b54d0b680bfbd2ebc30cb\",\"a40fee85f941781d25458ab5895d76b8\"],\"30\":[\"a854dda1270550ff6c88106d9f8197ba\",\"f0f43c2759bc74561b9ed60ffbadcee0\",\"731e4b201fcfcdbb010eeb76ca5b095e\",\"ac6f99c30b7b54d0b680bfbd2ebc30cb\",\"a40fee85f941781d25458ab5895d76b8\"],\"31\":[\"a854dda1270550ff6c88106d9f8197ba\",\"f0f43c2759bc74561b9ed60ffbadcee0\",\"731e4b201fcfcdbb010eeb76ca5b095e\",\"ac6f99c30b7b54d0b680bfbd2ebc30cb\",\"a40fee85f941781d25458ab5895d76b8\"],\"32\":[\"a854dda1270550ff6c88106d9f8197ba\",\"f0f43c2759bc74561b9ed60ffbadcee0\",\"731e4b201fcfcdbb010eeb76ca5b095e\",\"ac6f99c30b7b54d0b680bfbd2ebc30cb\",\"a40fee85f941781d25458ab5895d76b8\"],\"33\":[\"a854dda1270550ff6c88106d9f8197ba\",\"f0f43c2759bc74561b9ed60ffbadcee0\",\"731e4b201fcfcdbb010eeb76ca5b095e\",\"ac6f99c30b7b54d0b680bfbd2ebc30cb\",\"a40fee85f941781d25458ab5895d76b8\"],\"34\":[\"a854dda1270550ff6c88106d9f8197ba\",\"f0f43c2759bc74561b9ed60ffbadcee0\",\"731e4b201fcfcdbb010eeb76ca5b095e\",\"ac6f99c30b7b54d0b680bfbd2ebc30cb\",\"a40fee85f941781d25458ab5895d76b8\"],\"35\":[\"a854dda1270550ff6c88106d9f8197ba\",\"f0f43c2759bc74561b9ed60ffbadcee0\",\"731e4b201fcfcdbb010eeb76ca5b095e\",\"ac6f99c30b7b54d0b680bfbd2ebc30cb\",\"a40fee85f941781d25458ab5895d76b8\"],\"36\":[\"a854dda1270550ff6c88106d9f8197ba\",\"f0f43c2759bc74561b9ed60ffbadcee0\",\"731e4b201fcfcdbb010eeb76ca5b095e\",\"ac6f99c30b7b54d0b680bfbd2ebc30cb\",\"a40fee85f941781d25458ab5895d76b8\"],\"37\":[\"a854dda1270550ff6c88106d9f8197ba\",\"f0f43c2759bc74561b9ed60ffbadcee0\",\"731e4b201fcfcdbb010eeb76ca5b095e\",\"ac6f99c30b7b54d0b680bfbd2ebc30cb\",\"a40fee85f941781d25458ab5895d76b8\"],\"38\":[\"a854dda1270550ff6c88106d9f8197ba\",\"f0f43c2759bc74561b9ed60ffbadcee0\",\"731e4b201fcfcdbb010eeb76ca5b095e\",\"ac6f99c30b7b54d0b680bfbd2ebc30cb\",\"a40fee85f941781d25458ab5895d76b8\"],\"39\":[\"a854dda1270550ff6c88106d9f8197ba\",\"f0f43c2759bc74561b9ed60ffbadcee0\",\"731e4b201fcfcdbb010eeb76ca5b095e\",\"ac6f99c30b7b54d0b680bfbd2ebc30cb\",\"a40fee85f941781d25458ab5895d76b8\"],\"40\":[\"a854dda1270550ff6c88106d9f8197ba\",\"f0f43c2759bc74561b9ed60ffbadcee0\",\"731e4b201fcfcdbb010eeb76ca5b095e\",\"ac6f99c30b7b54d0b680bfbd2ebc30cb\",\"a40fee85f941781d25458ab5895d76b8\"],\"41\":[\"a854dda1270550ff6c88106d9f8197ba\",\"f0f43c2759bc74561b9ed60ffbadcee0\",\"731e4b201fcfcdbb010eeb76ca5b095e\",\"ac6f99c30b7b54d0b680bfbd2ebc30cb\",\"a40fee85f941781d25458ab5895d76b8\"],\"42\":[\"a854dda1270550ff6c88106d9f8197ba\",\"f0f43c2759bc74561b9ed60ffbadcee0\",\"731e4b201fcfcdbb010eeb76ca5b095e\",\"ac6f99c30b7b54d0b680bfbd2ebc30cb\",\"a40fee85f941781d25458ab5895d76b8\"],\"43\":[\"a854dda1270550ff6c88106d9f8197ba\",\"f0f43c2759bc74561b9ed60ffbadcee0\",\"731e4b201fcfcdbb010eeb76ca5b095e\",\"ac6f99c30b7b54d0b680bfbd2ebc30cb\",\"a40fee85f941781d25458ab5895d76b8\"],\"44\":[\"a854dda1270550ff6c88106d9f8197ba\",\"f0f43c2759bc74561b9ed60ffbadcee0\",\"731e4b201fcfcdbb010eeb76ca5b095e\",\"ac6f99c30b7b54d0b680bfbd2ebc30cb\",\"a40fee85f941781d25458ab5895d76b8\"],\"45\":[\"a854dda1270550ff6c88106d9f8197ba\",\"f0f43c2759bc74561b9ed60ffbadcee0\",\"731e4b201fcfcdbb010eeb76ca5b095e\",\"ac6f99c30b7b54d0b680bfbd2ebc30cb\",\"a40fee85f941781d25458ab5895d76b8\"],\"46\":[\"a854dda1270550ff6c88106d9f8197ba\",\"f0f43c2759bc74561b9ed60ffbadcee0\",\"731e4b201fcfcdbb010eeb76ca5b095e\",\"ac6f99c30b7b54d0b680bfbd2ebc30cb\",\"a40fee85f941781d25458ab5895d76b8\"],\"47\":[\"a854dda1270550ff6c88106d9f8197ba\",\"f0f43c2759bc74561b9ed60ffbadcee0\",\"731e4b201fcfcdbb010eeb76ca5b095e\",\"ac6f99c30b7b54d0b680bfbd2ebc30cb\",\"a40fee85f941781d25458ab5895d76b8\"],\"48\":[\"a854dda1270550ff6c88106d9f8197ba\",\"f0f43c2759bc74561b9ed60ffbadcee0\",\"731e4b201fcfcdbb010eeb76ca5b095e\",\"ac6f99c30b7b54d0b680bfbd2ebc30cb\",\"a40fee85f941781d25458ab5895d76b8\"],\"49\":[\"a854dda1270550ff6c88106d9f8197ba\",\"f0f43c2759bc74561b9ed60ffbadcee0\",\"731e4b201fcfcdbb010eeb76ca5b095e\",\"ac6f99c30b7b54d0b680bfbd2ebc30cb\",\"a40fee85f941781d25458ab5895d76b8\"],\"50\":[\"a854dda1270550ff6c88106d9f8197ba\",\"f0f43c2759bc74561b9ed60ffbadcee0\",\"731e4b201fcfcdbb010eeb76ca5b095e\",\"ac6f99c30b7b54d0b680bfbd2ebc30cb\",\"a40fee85f941781d25458ab5895d76b8\"],\"51\":[\"a854dda1270550ff6c88106d9f8197ba\",\"f0f43c2759bc74561b9ed60ffbadcee0\",\"731e4b201fcfcdbb010eeb76ca5b095e\",\"ac6f99c30b7b54d0b680bfbd2ebc30cb\",\"a40fee85f941781d25458ab5895d76b8\"],\"52\":[\"a854dda1270550ff6c88106d9f8197ba\",\"f0f43c2759bc74561b9ed60ffbadcee0\",\"731e4b201fcfcdbb010eeb76ca5b095e\",\"ac6f99c30b7b54d0b680bfbd2ebc30cb\",\"a40fee85f941781d25458ab5895d76b8\"],\"53\":[\"a854dda1270550ff6c88106d9f8197ba\",\"f0f43c2759bc74561b9ed60ffbadcee0\",\"731e4b201fcfcdbb010eeb76ca5b095e\",\"ac6f99c30b7b54d0b680bfbd2ebc30cb\",\"a40fee85f941781d25458ab5895d76b8\"],\"54\":[\"a854dda1270550ff6c88106d9f8197ba\",\"f0f43c2759bc74561b9ed60ffbadcee0\",\"731e4b201fcfcdbb010eeb76ca5b095e\",\"ac6f99c30b7b54d0b680bfbd2ebc30cb\",\"a40fee85f941781d25458ab5895d76b8\"],\"55\":[\"a854dda1270550ff6c88106d9f8197ba\",\"f0f43c2759bc74561b9ed60ffbadcee0\",\"731e4b201fcfcdbb010eeb76ca5b095e\",\"ac6f99c30b7b54d0b680bfbd2ebc30cb\",\"a40fee85f941781d25458ab5895d76b8\"],\"56\":[\"a854dda1270550ff6c88106d9f8197ba\",\"f0f43c2759bc74561b9ed60ffbadcee0\",\"731e4b201fcfcdbb010eeb76ca5b095e\",\"ac6f99c30b7b54d0b680bfbd2ebc30cb\",\"a40fee85f941781d25458ab5895d76b8\"],\"57\":[\"a854dda1270550ff6c88106d9f8197ba\",\"f0f43c2759bc74561b9ed60ffbadcee0\",\"731e4b201fcfcdbb010eeb76ca5b095e\",\"ac6f99c30b7b54d0b680bfbd2ebc30cb\",\"a40fee85f941781d25458ab5895d76b8\"],\"58\":[\"a854dda1270550ff6c88106d9f8197ba\",\"f0f43c2759bc74561b9ed60ffbadcee0\",\"731e4b201fcfcdbb010eeb76ca5b095e\",\"ac6f99c30b7b54d0b680bfbd2ebc30cb\",\"a40fee85f941781d25458ab5895d76b8\"],\"59\":[\"a854dda1270550ff6c88106d9f8197ba\",\"f0f43c2759bc74561b9ed60ffbadcee0\",\"731e4b201fcfcdbb010eeb76ca5b095e\",\"ac6f99c30b7b54d0b680bfbd2ebc30cb\",\"a40fee85f941781d25458ab5895d76b8\"],\"60\":[\"a854dda1270550ff6c88106d9f8197ba\",\"f0f43c2759bc74561b9ed60ffbadcee0\",\"731e4b201fcfcdbb010eeb76ca5b095e\",\"ac6f99c30b7b54d0b680bfbd2ebc30cb\",\"a40fee85f941781d25458ab5895d76b8\"],\"61\":[\"a854dda1270550ff6c88106d9f8197ba\",\"f0f43c2759bc74561b9ed60ffbadcee0\",\"731e4b201fcfcdbb010eeb76ca5b095e\",\"ac6f99c30b7b54d0b680bfbd2ebc30cb\",\"a40fee85f941781d25458ab5895d76b8\"],\"62\":[\"a854dda1270550ff6c88106d9f8197ba\",\"f0f43c2759bc74561b9ed60ffbadcee0\",\"731e4b201fcfcdbb010eeb76ca5b095e\",\"ac6f99c30b7b54d0b680bfbd2ebc30cb\",\"a40fee85f941781d25458ab5895d76b8\"],\"63\":[\"a854dda1270550ff6c88106d9f8197ba\",\"f0f43c2759bc74561b9ed60ffbadcee0\",\"731e4b201fcfcdbb010eeb76ca5b095e\",\"ac6f99c30b7b54d0b680bfbd2ebc30cb\",\"a40fee85f941781d25458ab5895d76b8\"],\"64\":[\"a854dda1270550ff6c88106d9f8197ba\",\"f0f43c2759bc74561b9ed60ffbadcee0\",\"731e4b201fcfcdbb010eeb76ca5b095e\",\"ac6f99c30b7b54d0b680bfbd2ebc30cb\",\"a40fee85f941781d25458ab5895d76b8\"],\"65\":[\"a854dda1270550ff6c88106d9f8197ba\",\"f0f43c2759bc74561b9ed60ffbadcee0\",\"731e4b201fcfcdbb010eeb76ca5b095e\",\"ac6f99c30b7b54d0b680bfbd2ebc30cb\",\"a40fee85f941781d25458ab5895d76b8\"],\"66\":[\"a854dda1270550ff6c88106d9f8197ba\",\"f0f43c2759bc74561b9ed60ffbadcee0\",\"731e4b201fcfcdbb010eeb76ca5b095e\",\"ac6f99c30b7b54d0b680bfbd2ebc30cb\",\"a40fee85f941781d25458ab5895d76b8\"],\"67\":[\"a854dda1270550ff6c88106d9f8197ba\",\"f0f43c2759bc74561b9ed60ffbadcee0\",\"731e4b201fcfcdbb010eeb76ca5b095e\",\"ac6f99c30b7b54d0b680bfbd2ebc30cb\",\"a40fee85f941781d25458ab5895d76b8\"],\"68\":[\"a854dda1270550ff6c88106d9f8197ba\",\"f0f43c2759bc74561b9ed60ffbadcee0\",\"731e4b201fcfcdbb010eeb76ca5b095e\",\"ac6f99c30b7b54d0b680bfbd2ebc30cb\",\"a40fee85f941781d25458ab5895d76b8\"],\"69\":[\"a854dda1270550ff6c88106d9f8197ba\",\"f0f43c2759bc74561b9ed60ffbadcee0\",\"731e4b201fcfcdbb010eeb76ca5b095e\",\"ac6f99c30b7b54d0b680bfbd2ebc30cb\",\"a40fee85f941781d25458ab5895d76b8\"],\"71\":[\"a854dda1270550ff6c88106d9f8197ba\",\"f0f43c2759bc74561b9ed60ffbadcee0\",\"731e4b201fcfcdbb010eeb76ca5b095e\",\"ac6f99c30b7b54d0b680bfbd2ebc30cb\",\"a40fee85f941781d25458ab5895d76b8\"],\"70\":[\"a854dda1270550ff6c88106d9f8197ba\",\"f0f43c2759bc74561b9ed60ffbadcee0\",\"731e4b201fcfcdbb010eeb76ca5b095e\",\"ac6f99c30b7b54d0b680bfbd2ebc30cb\",\"a40fee85f941781d25458ab5895d76b8\"],\"72\":[\"a854dda1270550ff6c88106d9f8197ba\",\"f0f43c2759bc74561b9ed60ffbadcee0\",\"731e4b201fcfcdbb010eeb76ca5b095e\",\"ac6f99c30b7b54d0b680bfbd2ebc30cb\",\"a40fee85f941781d25458ab5895d76b8\"]}","810b2189cfdce609ee08927d580789b7"]' \/>\n            <input type='hidden' class='gform_hidden' name='gform_target_page_number_73' id='gform_target_page_number_73' value='0' \/>\n            <input type='hidden' class='gform_hidden' name='gform_source_page_number_73' id='gform_source_page_number_73' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n                        <\/form>\n                        <\/div><script>\ngform.initializeOnLoaded( function() {gformInitSpinner( 73, 'https:\/\/talentloop.ir\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', false );jQuery('#gform_ajax_frame_73').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_73');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_73').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 && ! is_redirect && ! is_confirmation;var mt = parseInt(jQuery('html').css('margin-top'), 10) + parseInt(jQuery('body').css('margin-top'), 10) + 100;if(is_form){jQuery('#gform_wrapper_73').html(form_content.html());if(form_content.hasClass('gform_validation_error')){jQuery('#gform_wrapper_73').addClass('gform_validation_error');} else {jQuery('#gform_wrapper_73').removeClass('gform_validation_error');}setTimeout( function() { \/* delay the scroll by 50 milliseconds to fix a bug in chrome *\/  }, 50 );if(window['gformInitDatepicker']) {gformInitDatepicker();}if(window['gformInitPriceFields']) {gformInitPriceFields();}var current_page = jQuery('#gform_source_page_number_73').val();gformInitSpinner( 73, 'https:\/\/talentloop.ir\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', false );jQuery(document).trigger('gform_page_loaded', [73, current_page]);window['gf_submitting_73'] = false;}else if(!is_redirect){var confirmation_content = jQuery(this).contents().find('.GF_AJAX_POSTBACK').html();if(!confirmation_content){confirmation_content = contents;}jQuery('#gform_wrapper_73').replaceWith(confirmation_content);jQuery(document).trigger('gform_confirmation_loaded', [73]);window['gf_submitting_73'] = false;wp.a11y.speak(jQuery('#gform_confirmation_message_73').text());}else{jQuery('#gform_73').append(contents);if(window['gformRedirect']) {gformRedirect();}}jQuery(document).trigger(\"gform_pre_post_render\", [{ formId: \"73\", currentPage: \"current_page\", abort: function() { this.preventDefault(); } }]);                if (event && event.defaultPrevented) {                return;         }        const gformWrapperDiv = document.getElementById( \"gform_wrapper_73\" );        if ( gformWrapperDiv ) {            const visibilitySpan = document.createElement( \"span\" );            visibilitySpan.id = \"gform_visibility_test_73\";            gformWrapperDiv.insertAdjacentElement( \"afterend\", visibilitySpan );        }        const visibilityTestDiv = document.getElementById( \"gform_visibility_test_73\" );        let postRenderFired = false;                function triggerPostRender() {            if ( postRenderFired ) {                return;            }            postRenderFired = true;            jQuery( document ).trigger( 'gform_post_render', [73, current_page] );            gform.utils.trigger( { event: 'gform\/postRender', native: false, data: { formId: 73, currentPage: current_page } } );            if ( visibilityTestDiv ) {                visibilityTestDiv.parentNode.removeChild( visibilityTestDiv );            }        }        function debounce( func, wait, immediate ) {            var timeout;            return function() {                var context = this, args = arguments;                var later = function() {                    timeout = null;                    if ( !immediate ) func.apply( context, args );                };                var callNow = immediate && !timeout;                clearTimeout( timeout );                timeout = setTimeout( later, wait );                if ( callNow ) func.apply( context, args );            };        }        const debouncedTriggerPostRender = debounce( function() {            triggerPostRender();        }, 200 );        if ( visibilityTestDiv && visibilityTestDiv.offsetParent === null ) {            const observer = new MutationObserver( ( mutations ) => {                mutations.forEach( ( mutation ) => {                    if ( mutation.type === 'attributes' && visibilityTestDiv.offsetParent !== null ) {                        debouncedTriggerPostRender();                        observer.disconnect();                    }                });            });            observer.observe( document.body, {                attributes: true,                childList: false,                subtree: true,                attributeFilter: [ 'style', 'class' ],            });        } else {            triggerPostRender();        }    } );} );\n<\/script>","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":705,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[31,35],"tags":[],"class_list":["post-814","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-31","category----8-"],"_links":{"self":[{"href":"https:\/\/talentloop.ir\/index.php?rest_route=\/wp\/v2\/posts\/814","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/talentloop.ir\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/talentloop.ir\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/talentloop.ir\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/talentloop.ir\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=814"}],"version-history":[{"count":1,"href":"https:\/\/talentloop.ir\/index.php?rest_route=\/wp\/v2\/posts\/814\/revisions"}],"predecessor-version":[{"id":815,"href":"https:\/\/talentloop.ir\/index.php?rest_route=\/wp\/v2\/posts\/814\/revisions\/815"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/talentloop.ir\/index.php?rest_route=\/wp\/v2\/media\/705"}],"wp:attachment":[{"href":"https:\/\/talentloop.ir\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=814"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/talentloop.ir\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=814"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/talentloop.ir\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=814"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}