{"id":32228,"date":"2025-07-12T10:37:17","date_gmt":"2025-07-12T07:07:17","guid":{"rendered":"https:\/\/shorasabashahr.ir\/?page_id=32228"},"modified":"2025-07-12T10:39:46","modified_gmt":"2025-07-12T07:09:46","slug":"%d9%81%d8%b1%d9%85-%d9%85%d8%b4%d8%a7%d8%b1%da%a9%d8%aa-%d9%85%d9%88%d8%b6%d9%88%d8%b9%db%8c","status":"publish","type":"page","link":"https:\/\/shorasabashahr.ir\/?page_id=32228","title":{"rendered":"\u0641\u0631\u0645 \u0645\u0634\u0627\u0631\u06a9\u062a \u0645\u0648\u0636\u0648\u0639\u06cc"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"32228\" class=\"elementor elementor-32228\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a95acb2 e-flex e-con-boxed e-con e-parent\" data-id=\"a95acb2\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-62a15e4 elementor-widget__width-inherit elementor-widget elementor-widget-shortcode\" data-id=\"62a15e4\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework teeweb-gravity-forms-style_wrapper' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_120' style='display:none'><style>#gform_wrapper_120[data-form-index=\"0\"].gform-theme,[data-parent-form=\"120_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-img-choice-size: var(--gf-field-img-choice-size-md);--gf-field-img-choice-card-space: var(--gf-field-img-choice-card-space-md);--gf-field-img-choice-check-ind-size: var(--gf-field-img-choice-check-ind-size-md);--gf-field-img-choice-check-ind-icon-size: var(--gf-field-img-choice-check-ind-icon-size-md);--gf-field-pg-steps-number-color: rgba(17, 35, 55, 0.8);}<\/style>\n                        <div class='gform_heading'>\n                            <h3 class=\"gform_title\">\u0641\u0631\u0645 \u0645\u0634\u0627\u0631\u06a9\u062a \u0645\u0648\u0636\u0648\u0639\u06cc<\/h3>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_120' class='teeweb-gravity-forms-style' action='\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F32228' data-formid='120' novalidate>\n                        <div class='gform-body gform_body'><ul id='gform_fields_120' class='gform_fields top_label form_sublabel_above description_above validation_below'><li id=\"field_120_4\" class=\"gfield gfield--type-section gsection field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">\u0627\u0637\u0644\u0627\u0639\u0627\u062a \u0634\u062e\u0635\u06cc<\/h2><div class='gsection_description' id='gfield_description_120_4'>\u0627\u0637\u0644\u0627\u0639\u0627\u062a \u0634\u062e\u0635\u06cc \u062e\u0648\u062f \u0631\u0627 \u0648\u0627\u0631\u062f \u06a9\u0646\u06cc\u062f<\/div><\/li><li id=\"field_120_78\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gf_list_inline gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >\u0645\u0634\u0627\u0631\u06a9\u062a \u06a9\u0646\u0646\u062f\u0647<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_120_78'>\n\t\t\t<li class='gchoice gchoice_120_78_0'>\n\t\t\t\t<input name='input_78' type='radio' value='\u0634\u062e\u0635 \u062d\u0642\u06cc\u0642\u06cc'  id='choice_120_78_0'    \/>\n\t\t\t\t<label for='choice_120_78_0' id='label_120_78_0' class='gform-field-label gform-field-label--type-inline'>\u0634\u062e\u0635 \u062d\u0642\u06cc\u0642\u06cc<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_120_78_1'>\n\t\t\t\t<input name='input_78' type='radio' value='\u0634\u062e\u0635 \u062d\u0642\u0648\u0642\u06cc'  id='choice_120_78_1'    \/>\n\t\t\t\t<label for='choice_120_78_1' id='label_120_78_1' class='gform-field-label gform-field-label--type-inline'>\u0634\u062e\u0635 \u062d\u0642\u0648\u0642\u06cc<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_120_57\" class=\"gfield gfield--type-text gf_first_quarter gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_120_57'>\u0646\u0627\u0645  :<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_57' id='input_120_57' type='text' value='' class='small'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_120_79\" class=\"gfield gfield--type-text gfield--width-full gf_first_quarter gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_120_79'>\u0646\u0627\u0645  \u0634\u0631\u06a9\u062a :<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_79' id='input_120_79' type='text' value='' class='small'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_120_83\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gf_fourth_quarter gf_list_inline gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >\u0646\u0648\u0639 \u0634\u0631\u06a9\u062a<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_120_83'>\n\t\t\t<li class='gchoice gchoice_120_83_0'>\n\t\t\t\t<input name='input_83' type='radio' value='\u062e\u0635\u0648\u0635\u06cc'  id='choice_120_83_0'    \/>\n\t\t\t\t<label for='choice_120_83_0' id='label_120_83_0' class='gform-field-label gform-field-label--type-inline'>\u062e\u0635\u0648\u0635\u06cc<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_120_83_1'>\n\t\t\t\t<input name='input_83' type='radio' value='\u062f\u0648\u0644\u062a\u06cc'  id='choice_120_83_1'    \/>\n\t\t\t\t<label for='choice_120_83_1' id='label_120_83_1' class='gform-field-label gform-field-label--type-inline'>\u062f\u0648\u0644\u062a\u06cc<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_120_83_2'>\n\t\t\t\t<input name='input_83' type='radio' value='\u062a\u0639\u0627\u0648\u0646\u06cc'  id='choice_120_83_2'    \/>\n\t\t\t\t<label for='choice_120_83_2' id='label_120_83_2' class='gform-field-label gform-field-label--type-inline'>\u062a\u0639\u0627\u0648\u0646\u06cc<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_120_83_3'>\n\t\t\t\t<input name='input_83' type='radio' value='\u0633\u0627\u06cc\u0631'  id='choice_120_83_3'    \/>\n\t\t\t\t<label for='choice_120_83_3' id='label_120_83_3' class='gform-field-label gform-field-label--type-inline'>\u0633\u0627\u06cc\u0631<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_120_77\" class=\"gfield gfield--type-number gfield--width-full gf_second_quarter gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_120_77'>\u0634\u0646\u0627\u0633\u0647 \u0645\u0644\u06cc \u0634\u0631\u06a9\u062a :<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_77' id='input_120_77' type='number' step='any'   value='' class='small'     aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_120_103\" class=\"gfield gfield--type-text gfield--width-full gf_third_quarter gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_120_103'>\u062a\u0644\u0641\u0646 \u0634\u0631\u06a9\u062a:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_103' id='input_120_103' type='text' value='' class='small'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_120_102\" class=\"gfield gfield--type-text gfield--width-full gf_first_quarter gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_120_102'>\u0646\u0627\u0645 \u0648 \u0646\u0627\u0645 \u062e\u0627\u0646\u0648\u0627\u062f\u06af\u06cc \u0646\u0645\u0627\u06cc\u0646\u062f\u0647 :<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_102' id='input_120_102' type='text' value='' class='small'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_120_65\" class=\"gfield gfield--type-text gfield--width-full gf_second_quarter gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_120_65'>\u0646\u0627\u0645 \u062e\u0627\u0646\u0648\u0627\u062f\u06af\u06cc :<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_65' id='input_120_65' type='text' value='' class='small'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_120_80\" class=\"gfield gfield--type-number gfield--width-full gf_first_quarter gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_120_80'>\u06a9\u062f \u0645\u0644\u06cc :<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_80' id='input_120_80' type='number' step='any'   value='' class='small'     aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_120_82\" class=\"gfield gfield--type-text gfield--width-full gf_third_quarter gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_120_82'>\u0634\u0645\u0627\u0631\u0647 \u0647\u0645\u0631\u0627\u0647:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_82' id='input_120_82' type='text' value='' class='small'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_120_19\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_120_19'>\u0646\u0634\u0627\u0646\u06cc<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_19' id='input_120_19' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_120_63\" class=\"gfield gfield--type-text gf_fourth_quarter gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_120_63'>\u062a\u0644\u0641\u0646 \u0647\u0645\u0631\u0627\u0647:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_63' id='input_120_63' type='text' value='' class='small'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_120_5\" class=\"gfield gfield--type-radio gfield--type-choice gf_first_quarter gf_list_inline gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >\u062c\u0646\u0633\u06cc\u062a:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_120_5'>\n\t\t\t<li class='gchoice gchoice_120_5_0'>\n\t\t\t\t<input name='input_5' type='radio' value='\u0645\u0631\u062f'  id='choice_120_5_0'    \/>\n\t\t\t\t<label for='choice_120_5_0' id='label_120_5_0' class='gform-field-label gform-field-label--type-inline'>\u0645\u0631\u062f<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_120_5_1'>\n\t\t\t\t<input name='input_5' type='radio' value='\u0632\u0646'  id='choice_120_5_1'    \/>\n\t\t\t\t<label for='choice_120_5_1' id='label_120_5_1' class='gform-field-label gform-field-label--type-inline'>\u0632\u0646<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_120_58\" class=\"gfield gfield--type-radio gfield--type-choice gf_second_quarter gf_list_inline gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >\u0648\u0636\u0639\u06cc\u062a \u062a\u0627\u0647\u0644:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_120_58'>\n\t\t\t<li class='gchoice gchoice_120_58_0'>\n\t\t\t\t<input name='input_58' type='radio' value='\u0645\u062c\u0631\u062f'  id='choice_120_58_0'    \/>\n\t\t\t\t<label for='choice_120_58_0' id='label_120_58_0' class='gform-field-label gform-field-label--type-inline'>\u0645\u062c\u0631\u062f<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_120_58_1'>\n\t\t\t\t<input name='input_58' type='radio' value='\u0645\u062a\u0627\u0647\u0644'  id='choice_120_58_1'    \/>\n\t\t\t\t<label for='choice_120_58_1' id='label_120_58_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062a\u0627\u0647\u0644<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_120_54\" class=\"gfield gfield--type-date gfield--input-type-datedropdown gf_third_quarter gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >\u062a\u0627\u0631\u06cc\u062e \u062a\u0648\u0644\u062f :<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div id='input_120_54' class='ginput_container ginput_complex gform-grid-row'><div class=\"clear-multi\"><div class='gfield_date_dropdown_day ginput_container ginput_container_date gform-grid-col' id='input_120_54_2_container'><label for='input_120_54_2' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>\u0631\u0648\u0632<\/label><select name='input_54[]' id='input_120_54_2'   aria-required='true'  ><option value=''>\u0631\u0648\u0632<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option><option value='13' >13<\/option><option value='14' >14<\/option><option value='15' >15<\/option><option value='16' >16<\/option><option value='17' >17<\/option><option value='18' >18<\/option><option value='19' >19<\/option><option value='20' >20<\/option><option value='21' >21<\/option><option value='22' >22<\/option><option value='23' >23<\/option><option value='24' >24<\/option><option value='25' >25<\/option><option value='26' >26<\/option><option value='27' >27<\/option><option value='28' >28<\/option><option value='29' >29<\/option><option value='30' >30<\/option><option value='31' >31<\/option><\/select><\/div><div class='gfield_date_dropdown_month ginput_container ginput_container_date gform-grid-col' id='input_120_54_1_container'><label for='input_120_54_1' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>\u0645\u0627\u0647<\/label><select name='input_54[]' id='input_120_54_1'   aria-required='true'  ><option value=''>\u0645\u0627\u0647<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option><\/select><\/div><div class='gfield_date_dropdown_year ginput_container ginput_container_date gform-grid-col' id='input_120_54_3_container'><label for='input_120_54_3' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>\u0633\u0627\u0644<\/label><select name='input_54[]' id='input_120_54_3'   aria-required='true'  ><option value=''>\u0633\u0627\u0644<\/option><option value='2027' >2027<\/option><option value='2026' >2026<\/option><option value='2025' >2025<\/option><option value='2024' >2024<\/option><option value='2023' >2023<\/option><option value='2022' >2022<\/option><option value='2021' >2021<\/option><option value='2020' >2020<\/option><option value='2019' >2019<\/option><option value='2018' >2018<\/option><option value='2017' >2017<\/option><option value='2016' >2016<\/option><option value='2015' >2015<\/option><option value='2014' >2014<\/option><option value='2013' >2013<\/option><option value='2012' >2012<\/option><option value='2011' >2011<\/option><option value='2010' >2010<\/option><option value='2009' >2009<\/option><option value='2008' >2008<\/option><option value='2007' >2007<\/option><option value='2006' >2006<\/option><option value='2005' >2005<\/option><option value='2004' >2004<\/option><option value='2003' >2003<\/option><option value='2002' >2002<\/option><option value='2001' >2001<\/option><option value='2000' >2000<\/option><option value='1999' >1999<\/option><option value='1998' >1998<\/option><option value='1997' >1997<\/option><option value='1996' >1996<\/option><option value='1995' >1995<\/option><option value='1994' >1994<\/option><option value='1993' >1993<\/option><option value='1992' >1992<\/option><option value='1991' >1991<\/option><option value='1990' >1990<\/option><option value='1989' >1989<\/option><option value='1988' >1988<\/option><option value='1987' >1987<\/option><option value='1986' >1986<\/option><option value='1985' >1985<\/option><option value='1984' >1984<\/option><option value='1983' >1983<\/option><option value='1982' >1982<\/option><option value='1981' >1981<\/option><option value='1980' >1980<\/option><option value='1979' >1979<\/option><option value='1978' >1978<\/option><option value='1977' >1977<\/option><option value='1976' >1976<\/option><option value='1975' >1975<\/option><option value='1974' >1974<\/option><option value='1973' >1973<\/option><option value='1972' >1972<\/option><option value='1971' >1971<\/option><option value='1970' >1970<\/option><option value='1969' >1969<\/option><option value='1968' >1968<\/option><option value='1967' >1967<\/option><option value='1966' >1966<\/option><option value='1965' >1965<\/option><option value='1964' >1964<\/option><option value='1963' >1963<\/option><option value='1962' >1962<\/option><option value='1961' >1961<\/option><option value='1960' >1960<\/option><option value='1959' >1959<\/option><option value='1958' >1958<\/option><option value='1957' >1957<\/option><option value='1956' >1956<\/option><option value='1955' >1955<\/option><option value='1954' >1954<\/option><option value='1953' >1953<\/option><option value='1952' >1952<\/option><option value='1951' >1951<\/option><option value='1950' >1950<\/option><option value='1949' >1949<\/option><option value='1948' >1948<\/option><option value='1947' >1947<\/option><option value='1946' >1946<\/option><option value='1945' >1945<\/option><option value='1944' >1944<\/option><option value='1943' >1943<\/option><option value='1942' >1942<\/option><option value='1941' >1941<\/option><option value='1940' >1940<\/option><option value='1939' >1939<\/option><option value='1938' >1938<\/option><option value='1937' >1937<\/option><option value='1936' >1936<\/option><option value='1935' >1935<\/option><option value='1934' >1934<\/option><option value='1933' >1933<\/option><option value='1932' >1932<\/option><option value='1931' >1931<\/option><option value='1930' >1930<\/option><option value='1929' >1929<\/option><option value='1928' >1928<\/option><option value='1927' >1927<\/option><option value='1926' >1926<\/option><option value='1925' >1925<\/option><option value='1924' >1924<\/option><option value='1923' >1923<\/option><option value='1922' >1922<\/option><option value='1921' >1921<\/option><option value='1920' >1920<\/option><\/select><\/div><\/div><\/div><\/li><li id=\"field_120_24\" class=\"gfield gfield--type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">\u0627\u0637\u0644\u0627\u0639\u0627\u062a \u0634\u063a\u0644\u06cc \u0648 \u062a\u062d\u0635\u06cc\u0644\u06cc<\/h2><\/li><li id=\"field_120_47\" class=\"gfield gfield--type-radio gfield--type-choice gf_list_inline gf_inline gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >\u0645\u062f\u0631\u06a9 \u062a\u062d\u0635\u06cc\u0644\u06cc<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_120_47'>\n\t\t\t<li class='gchoice gchoice_120_47_0'>\n\t\t\t\t<input name='input_47' type='radio' value='\u0632\u06cc\u0631 \u062f\u06cc\u067e\u0644\u0645'  id='choice_120_47_0'    \/>\n\t\t\t\t<label for='choice_120_47_0' id='label_120_47_0' class='gform-field-label gform-field-label--type-inline'>\u0632\u06cc\u0631 \u062f\u06cc\u067e\u0644\u0645<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_120_47_1'>\n\t\t\t\t<input name='input_47' type='radio' value='\u062f\u06cc\u067e\u0644\u0645'  id='choice_120_47_1'    \/>\n\t\t\t\t<label for='choice_120_47_1' id='label_120_47_1' class='gform-field-label gform-field-label--type-inline'>\u062f\u06cc\u067e\u0644\u0645<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_120_47_2'>\n\t\t\t\t<input name='input_47' type='radio' value='\u0641\u0648\u0642 \u062f\u06cc\u067e\u0644\u0645'  id='choice_120_47_2'    \/>\n\t\t\t\t<label for='choice_120_47_2' id='label_120_47_2' class='gform-field-label gform-field-label--type-inline'>\u0641\u0648\u0642 \u062f\u06cc\u067e\u0644\u0645<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_120_47_3'>\n\t\t\t\t<input name='input_47' type='radio' value='\u06a9\u0627\u0631\u0634\u0646\u0627\u0633\u06cc'  id='choice_120_47_3'    \/>\n\t\t\t\t<label for='choice_120_47_3' id='label_120_47_3' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0631\u0634\u0646\u0627\u0633\u06cc<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_120_47_4'>\n\t\t\t\t<input name='input_47' type='radio' value='\u06a9\u0627\u0631\u0634\u0646\u0627\u0633\u06cc \u0627\u0631\u0634\u062f'  id='choice_120_47_4'    \/>\n\t\t\t\t<label for='choice_120_47_4' id='label_120_47_4' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0627\u0631\u0634\u0646\u0627\u0633\u06cc \u0627\u0631\u0634\u062f<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_120_47_5'>\n\t\t\t\t<input name='input_47' type='radio' value='\u062f\u06a9\u062a\u0631\u0627'  id='choice_120_47_5'    \/>\n\t\t\t\t<label for='choice_120_47_5' id='label_120_47_5' class='gform-field-label gform-field-label--type-inline'>\u062f\u06a9\u062a\u0631\u0627<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_120_47_6'>\n\t\t\t\t<input name='input_47' type='radio' value='\u0633\u0627\u06cc\u0631'  id='choice_120_47_6'    \/>\n\t\t\t\t<label for='choice_120_47_6' id='label_120_47_6' class='gform-field-label gform-field-label--type-inline'>\u0633\u0627\u06cc\u0631<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_120_26\" class=\"gfield gfield--type-text gf_third_quarter gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_120_26'>\u0631\u0634\u062a\u0647 \u062a\u062d\u0635\u06cc\u0644\u06cc:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_26' id='input_120_26' type='text' value='' class='small'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_120_48\" class=\"gfield gfield--type-text gf_fourth_quarter gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_120_48'>\u0639\u0646\u0648\u0627\u0646 \u0634\u063a\u0644:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_48' id='input_120_48' type='text' value='' class='small'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_120_167\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full gf_list_4col_vertical gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >\u0646\u0648\u0639 \u0645\u0634\u0627\u0631\u06a9\u062a<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_120_167'><li class='gchoice gchoice_120_167_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_167.1' type='checkbox'  value='\u0627\u06cc\u062f\u0647 \u062e\u0644\u0627\u0642\u0627\u0646\u0647\/\u0645\u0634\u0627\u0631\u06a9\u062a \u0641\u06a9\u0631\u06cc'  id='choice_120_167_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_167_1' id='label_120_167_1' class='gform-field-label gform-field-label--type-inline'>\u0627\u06cc\u062f\u0647 \u062e\u0644\u0627\u0642\u0627\u0646\u0647\/\u0645\u0634\u0627\u0631\u06a9\u062a \u0641\u06a9\u0631\u06cc<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_120_167_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_167.2' type='checkbox'  value='\u0645\u0634\u0627\u0631\u06a9\u062a \u0639\u0645\u0644\u06cc'  id='choice_120_167_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_167_2' id='label_120_167_2' class='gform-field-label gform-field-label--type-inline'>\u0645\u0634\u0627\u0631\u06a9\u062a \u0639\u0645\u0644\u06cc<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_120_167_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_167.3' type='checkbox'  value='\u0645\u0634\u0627\u0631\u06a9\u062a \u0645\u0627\u0644\u06cc'  id='choice_120_167_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_167_3' id='label_120_167_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0634\u0627\u0631\u06a9\u062a \u0645\u0627\u0644\u06cc<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_120_132\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >\u062f\u0633\u062a\u0647 \u0628\u0646\u062f\u06cc \u0645\u0634\u0627\u0631\u06a9\u062a \u0647\u0627<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_120_132'><li class='gchoice gchoice_120_132_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_132.1' type='checkbox'  value='\u0627\u0645\u0648\u0631 \u0641\u0631\u0647\u0646\u06af\u06cc'  id='choice_120_132_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_132_1' id='label_120_132_1' class='gform-field-label gform-field-label--type-inline'>\u0627\u0645\u0648\u0631 \u0641\u0631\u0647\u0646\u06af\u06cc<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_120_129\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full gf_list_3col_vertical field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_120_129'><li class='gchoice gchoice_120_129_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_129.1' type='checkbox'  value='\u0645\u0634\u0627\u0631\u06a9\u062a \u0639\u0645\u0644\u06cc \u062f\u0631 \u0628\u0631\u06af\u0632\u0627\u0631\u06cc \u0645\u0631\u0627\u0633\u0645\u0627\u062a'  id='choice_120_129_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_129_1' id='label_120_129_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u0634\u0627\u0631\u06a9\u062a \u0639\u0645\u0644\u06cc \u062f\u0631 \u0628\u0631\u06af\u0632\u0627\u0631\u06cc \u0645\u0631\u0627\u0633\u0645\u0627\u062a<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_120_129_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_129.2' type='checkbox'  value='\u0645\u0634\u0627\u0631\u06a9\u062a \u0639\u0645\u0644\u06cc \u062f\u0631 \u062a\u062f\u0648\u06cc\u0646 \u0645\u062c\u0644\u0627\u062a \u0645\u062d\u0644\u06cc'  id='choice_120_129_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_129_2' id='label_120_129_2' class='gform-field-label gform-field-label--type-inline'>\u0645\u0634\u0627\u0631\u06a9\u062a \u0639\u0645\u0644\u06cc \u062f\u0631 \u062a\u062f\u0648\u06cc\u0646 \u0645\u062c\u0644\u0627\u062a \u0645\u062d\u0644\u06cc<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_120_129_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_129.3' type='checkbox'  value='\u0645\u0634\u0627\u0631\u06a9\u062a \u0639\u0645\u0644\u06cc \u062f\u0631 \u0628\u0631\u06af\u0632\u0627\u0631\u06cc \u0645\u0633\u0627\u0628\u0642\u0627\u062a'  id='choice_120_129_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_129_3' id='label_120_129_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0634\u0627\u0631\u06a9\u062a \u0639\u0645\u0644\u06cc \u062f\u0631 \u0628\u0631\u06af\u0632\u0627\u0631\u06cc \u0645\u0633\u0627\u0628\u0642\u0627\u062a<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_120_129_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_129.4' type='checkbox'  value='\u0645\u0634\u0627\u0631\u06a9\u062a \u0639\u0645\u0644\u06cc \u062f\u0631 \u0631\u0627\u0647 \u0627\u0646\u062f\u0627\u0632\u06cc \u06a9\u062a\u0627\u0628\u062e\u0627\u0646\u0647 \u0645\u062c\u0627\u0632\u06cc \u0634\u0647\u0631'  id='choice_120_129_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_129_4' id='label_120_129_4' class='gform-field-label gform-field-label--type-inline'>\u0645\u0634\u0627\u0631\u06a9\u062a \u0639\u0645\u0644\u06cc \u062f\u0631 \u0631\u0627\u0647 \u0627\u0646\u062f\u0627\u0632\u06cc \u06a9\u062a\u0627\u0628\u062e\u0627\u0646\u0647 \u0645\u062c\u0627\u0632\u06cc \u0634\u0647\u0631<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_120_129_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_129.5' type='checkbox'  value='\u0645\u0634\u0627\u0631\u06a9\u062a \u0639\u0645\u0644\u06cc \u062f\u0631 \u0628\u0631\u06af\u0632\u0627\u0631\u06cc \u0627\u0645\u0648\u0631\u0627\u062a \u0641\u0631\u0647\u0646\u06af\u06cc'  id='choice_120_129_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_129_5' id='label_120_129_5' class='gform-field-label gform-field-label--type-inline'>\u0645\u0634\u0627\u0631\u06a9\u062a \u0639\u0645\u0644\u06cc \u062f\u0631 \u0628\u0631\u06af\u0632\u0627\u0631\u06cc \u0627\u0645\u0648\u0631\u0627\u062a \u0641\u0631\u0647\u0646\u06af\u06cc<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_120_169\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full gf_list_3col_vertical field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_120_169'><li class='gchoice gchoice_120_169_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_169.1' type='checkbox'  value='\u06a9\u0645\u06a9 \u0645\u0627\u0644\u06cc \u0628\u0647 \u0627\u062d\u062f\u0627\u062b \u0645\u062c\u0645\u0648\u0639\u0647 \u0647\u0627 \u0648 \u0627\u0645\u0627\u06a9\u0646 \u0641\u0631\u0647\u0646\u06af\u06cc'  id='choice_120_169_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_169_1' id='label_120_169_1' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0645\u06a9 \u0645\u0627\u0644\u06cc \u0628\u0647 \u0627\u062d\u062f\u0627\u062b \u0645\u062c\u0645\u0648\u0639\u0647 \u0647\u0627 \u0648 \u0627\u0645\u0627\u06a9\u0646 \u0641\u0631\u0647\u0646\u06af\u06cc<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_120_169_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_169.2' type='checkbox'  value='\u06a9\u0645\u06a9 \u0645\u0627\u0644\u06cc \u0628\u0647 \u0628\u0631\u06af\u0632\u0627\u0631\u06cc \u0628\u0631\u0646\u0627\u0645\u0647 \u0647\u0627\u06cc \u0641\u0631\u0647\u0646\u06af\u06cc'  id='choice_120_169_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_169_2' id='label_120_169_2' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0645\u06a9 \u0645\u0627\u0644\u06cc \u0628\u0647 \u0628\u0631\u06af\u0632\u0627\u0631\u06cc \u0628\u0631\u0646\u0627\u0645\u0647 \u0647\u0627\u06cc \u0641\u0631\u0647\u0646\u06af\u06cc<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_120_169_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_169.3' type='checkbox'  value='\u06a9\u0645\u06a9 \u0645\u0627\u0644\u06cc \u0628\u0647 \u062a\u062c\u0647\u06cc\u0632 \u0645\u062c\u0645\u0648\u0639\u0647 \u0647\u0627 \u0648 \u0627\u0645\u0627\u06a9\u0646 \u0641\u0631\u0647\u0646\u06af\u06cc'  id='choice_120_169_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_169_3' id='label_120_169_3' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0645\u06a9 \u0645\u0627\u0644\u06cc \u0628\u0647 \u062a\u062c\u0647\u06cc\u0632 \u0645\u062c\u0645\u0648\u0639\u0647 \u0647\u0627 \u0648 \u0627\u0645\u0627\u06a9\u0646 \u0641\u0631\u0647\u0646\u06af\u06cc<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_120_189\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_120_189'><li class='gchoice gchoice_120_189_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_189.1' type='checkbox'  value='\u0633\u0627\u06cc\u0631 \u0628\u0627 \u0630\u06a9\u0631 \u0639\u0646\u0648\u0627\u0646'  id='choice_120_189_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_189_1' id='label_120_189_1' class='gform-field-label gform-field-label--type-inline'>\u0633\u0627\u06cc\u0631 \u0628\u0627 \u0630\u06a9\u0631 \u0639\u0646\u0648\u0627\u0646<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_120_212\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_120_212'><li class='gchoice gchoice_120_212_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_212.1' type='checkbox'  value='\u0633\u0627\u06cc\u0631 \u0628\u0627 \u0630\u06a9\u0631 \u0639\u0646\u0648\u0627\u0646'  id='choice_120_212_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_212_1' id='label_120_212_1' class='gform-field-label gform-field-label--type-inline'>\u0633\u0627\u06cc\u0631 \u0628\u0627 \u0630\u06a9\u0631 \u0639\u0646\u0648\u0627\u0646<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_120_153\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text' for='input_120_153'><\/label><div class='ginput_container ginput_container_text'><input name='input_153' id='input_120_153' type='text' value='' class='small'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_120_190\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text' for='input_120_190'><\/label><div class='ginput_container ginput_container_text'><input name='input_190' id='input_120_190' type='text' value='' class='small'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_120_118\" class=\"gfield gfield--type-textarea gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_120_118'>\u0634\u0631\u062d \u0645\u0634\u0627\u0631\u06a9\u062a \u062f\u0631 \u0627\u0645\u0648\u0631 \u0641\u0631\u0647\u0646\u06af\u06cc<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_118' id='input_120_118' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_120_178\" class=\"gfield gfield--type-textarea gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_120_178'>\u0634\u0631\u062d \u0645\u0634\u0627\u0631\u06a9\u062a \u062f\u0631 \u0627\u0645\u0648\u0631 \u0641\u0631\u0647\u0646\u06af\u06cc<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_178' id='input_120_178' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_120_220\" class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_120_220'>\u0645\u0628\u0644\u063a \u0645\u0648\u0631\u062f \u0646\u0638\u0631 :<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_220' id='input_120_220' type='text' value='' class='small'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_120_227\" class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_120_227'>\u0646\u062d\u0648\u0647 \u067e\u0631\u062f\u0627\u062e\u062a :<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_227' id='input_120_227' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_120_133\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_120_133'><li class='gchoice gchoice_120_133_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_133.1' type='checkbox'  value='\u0627\u0645\u0648\u0631 \u0627\u062c\u062a\u0645\u0627\u0639\u06cc'  id='choice_120_133_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_133_1' id='label_120_133_1' class='gform-field-label gform-field-label--type-inline'>\u0627\u0645\u0648\u0631 \u0627\u062c\u062a\u0645\u0627\u0639\u06cc<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_120_131\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full gf_list_3col_vertical field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_120_131'><li class='gchoice gchoice_120_131_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_131.1' type='checkbox'  value='\u0645\u0634\u0627\u0631\u06a9\u062a \u0639\u0645\u0644\u06cc \u062f\u0631 \u0628\u0631\u06af\u0632\u0627\u0631\u06cc \u06a9\u0645\u067e\u06cc\u0646 \u0647\u0627\u06cc \u0627\u062c\u062a\u0645\u0627\u0639\u06cc \u0648 \u0645\u0631\u062f\u0645\u06cc'  id='choice_120_131_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_131_1' id='label_120_131_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u0634\u0627\u0631\u06a9\u062a \u0639\u0645\u0644\u06cc \u062f\u0631 \u0628\u0631\u06af\u0632\u0627\u0631\u06cc \u06a9\u0645\u067e\u06cc\u0646 \u0647\u0627\u06cc \u0627\u062c\u062a\u0645\u0627\u0639\u06cc \u0648 \u0645\u0631\u062f\u0645\u06cc<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_120_131_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_131.2' type='checkbox'  value='\u0645\u0634\u0627\u0631\u06a9\u062a \u0639\u0645\u0644\u06cc \u062f\u0631 \u0633\u0627\u0632\u0645\u0627\u0646\u062f\u0647\u06cc \u0645\u0639\u062a\u0627\u062f\u06cc\u0646 \u0634\u0647\u0631'  id='choice_120_131_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_131_2' id='label_120_131_2' class='gform-field-label gform-field-label--type-inline'>\u0645\u0634\u0627\u0631\u06a9\u062a \u0639\u0645\u0644\u06cc \u062f\u0631 \u0633\u0627\u0632\u0645\u0627\u0646\u062f\u0647\u06cc \u0645\u0639\u062a\u0627\u062f\u06cc\u0646 \u0634\u0647\u0631<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_120_131_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_131.3' type='checkbox'  value='\u0645\u0634\u0627\u0631\u06a9\u062a \u0639\u0645\u0644\u06cc \u062f\u0631 \u0633\u0627\u0645\u0627\u0646\u062f\u0647\u06cc \u06a9\u0648\u062f\u06a9\u0627\u0646 \u06a9\u0627\u0631'  id='choice_120_131_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_131_3' id='label_120_131_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0634\u0627\u0631\u06a9\u062a \u0639\u0645\u0644\u06cc \u062f\u0631 \u0633\u0627\u0645\u0627\u0646\u062f\u0647\u06cc \u06a9\u0648\u062f\u06a9\u0627\u0646 \u06a9\u0627\u0631<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_120_131_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_131.4' type='checkbox'  value='\u0645\u0634\u0627\u0631\u06a9\u062a \u0639\u0645\u0644\u06cc \u062f\u0631 \u0633\u0627\u0645\u0627\u0646\u062f\u0647\u06cc \u0632\u0646\u0627\u0646 \u0628\u062f\u0633\u0631\u067e\u0631\u0633\u062a \u0648 \u0628\u06cc \u0633\u0631\u067e\u0631\u0633\u062a'  id='choice_120_131_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_131_4' id='label_120_131_4' class='gform-field-label gform-field-label--type-inline'>\u0645\u0634\u0627\u0631\u06a9\u062a \u0639\u0645\u0644\u06cc \u062f\u0631 \u0633\u0627\u0645\u0627\u0646\u062f\u0647\u06cc \u0632\u0646\u0627\u0646 \u0628\u062f\u0633\u0631\u067e\u0631\u0633\u062a \u0648 \u0628\u06cc \u0633\u0631\u067e\u0631\u0633\u062a<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_120_131_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_131.5' type='checkbox'  value='\u0645\u0634\u0627\u0631\u06a9\u062a \u0639\u0645\u0644\u06cc \u062f\u0631 \u0627\u06cc\u062c\u0627\u062f \u0627\u0634\u062a\u063a\u0627\u0644'  id='choice_120_131_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_131_5' id='label_120_131_5' class='gform-field-label gform-field-label--type-inline'>\u0645\u0634\u0627\u0631\u06a9\u062a \u0639\u0645\u0644\u06cc \u062f\u0631 \u0627\u06cc\u062c\u0627\u062f \u0627\u0634\u062a\u063a\u0627\u0644<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_120_170\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full gf_list_3col_vertical field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_120_170'><li class='gchoice gchoice_120_170_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_170.1' type='checkbox'  value='\u06a9\u0645\u06a9 \u0645\u0627\u0644\u06cc \u0628\u0647 \u0627\u062d\u062f\u0627\u062b \u0627\u0645\u0627\u06a9\u0646 \u062e\u062f\u0645\u0627\u062a \u0627\u062c\u062a\u0645\u0627\u0639\u06cc'  id='choice_120_170_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_170_1' id='label_120_170_1' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0645\u06a9 \u0645\u0627\u0644\u06cc \u0628\u0647 \u0627\u062d\u062f\u0627\u062b \u0627\u0645\u0627\u06a9\u0646 \u062e\u062f\u0645\u0627\u062a \u0627\u062c\u062a\u0645\u0627\u0639\u06cc<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_120_170_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_170.2' type='checkbox'  value='\u06a9\u0645\u06a9 \u0645\u0627\u0644\u06cc \u0628\u0647 \u0628\u0631\u06af\u0632\u0627\u0631\u06cc \u062e\u062f\u0645\u0627\u062a \u0627\u062c\u062a\u0645\u0627\u0639\u06cc'  id='choice_120_170_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_170_2' id='label_120_170_2' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0645\u06a9 \u0645\u0627\u0644\u06cc \u0628\u0647 \u0628\u0631\u06af\u0632\u0627\u0631\u06cc \u062e\u062f\u0645\u0627\u062a \u0627\u062c\u062a\u0645\u0627\u0639\u06cc<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_120_170_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_170.3' type='checkbox'  value='\u06a9\u0645\u06a9 \u0645\u0627\u0644\u06cc \u0628\u0647 \u062a\u062c\u0647\u06cc\u0632 \u0627\u0645\u0627\u06a9\u0646 \u062e\u062f\u0645\u0627\u062a \u0627\u062c\u062a\u0645\u0627\u0639\u06cc'  id='choice_120_170_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_170_3' id='label_120_170_3' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0645\u06a9 \u0645\u0627\u0644\u06cc \u0628\u0647 \u062a\u062c\u0647\u06cc\u0632 \u0627\u0645\u0627\u06a9\u0646 \u062e\u062f\u0645\u0627\u062a \u0627\u062c\u062a\u0645\u0627\u0639\u06cc<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_120_191\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_120_191'><li class='gchoice gchoice_120_191_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_191.1' type='checkbox'  value='\u0633\u0627\u06cc\u0631 \u0628\u0627 \u0630\u06a9\u0631 \u0639\u0646\u0648\u0627\u0646'  id='choice_120_191_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_191_1' id='label_120_191_1' class='gform-field-label gform-field-label--type-inline'>\u0633\u0627\u06cc\u0631 \u0628\u0627 \u0630\u06a9\u0631 \u0639\u0646\u0648\u0627\u0646<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_120_213\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_120_213'><li class='gchoice gchoice_120_213_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_213.1' type='checkbox'  value='\u0633\u0627\u06cc\u0631 \u0628\u0627 \u0630\u06a9\u0631 \u0639\u0646\u0648\u0627\u0646'  id='choice_120_213_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_213_1' id='label_120_213_1' class='gform-field-label gform-field-label--type-inline'>\u0633\u0627\u06cc\u0631 \u0628\u0627 \u0630\u06a9\u0631 \u0639\u0646\u0648\u0627\u0646<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_120_154\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text' for='input_120_154'><\/label><div class='ginput_container ginput_container_text'><input name='input_154' id='input_120_154' type='text' value='' class='small'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_120_193\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text' for='input_120_193'><\/label><div class='ginput_container ginput_container_text'><input name='input_193' id='input_120_193' type='text' value='' class='small'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_120_128\" class=\"gfield gfield--type-textarea gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_120_128'>\u0634\u0631\u062d \u0645\u0634\u0627\u0631\u06a9\u062a \u062f\u0631 \u0627\u0645\u0648\u0631 \u0627\u062c\u062a\u0645\u0627\u0639\u06cc<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_128' id='input_120_128' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_120_179\" class=\"gfield gfield--type-textarea gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_120_179'>\u0634\u0631\u062d \u0645\u0634\u0627\u0631\u06a9\u062a \u062f\u0631 \u0627\u0645\u0648\u0631 \u0627\u062c\u062a\u0645\u0627\u0639\u06cc<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_179' id='input_120_179' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_120_228\" class=\"gfield gfield--type-text gfield--width-full gf_first_quarter gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_120_228'>\u0645\u0628\u0644\u063a \u0645\u0648\u0631\u062f \u0646\u0638\u0631 :<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_228' id='input_120_228' type='text' value='' class='small'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_120_229\" class=\"gfield gfield--type-text gfield--width-full gf_second gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_120_229'>\u0646\u062d\u0648\u0647 \u067e\u0631\u062f\u0627\u062e\u062a :<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_229' id='input_120_229' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_120_134\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_120_134'><li class='gchoice gchoice_120_134_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_134.1' type='checkbox'  value='\u0639\u0645\u0631\u0627\u0646 \u0634\u0647\u0631\u06cc'  id='choice_120_134_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_134_1' id='label_120_134_1' class='gform-field-label gform-field-label--type-inline'>\u0639\u0645\u0631\u0627\u0646 \u0634\u0647\u0631\u06cc<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_120_135\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full gf_list_3col_vertical field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_120_135'><li class='gchoice gchoice_120_135_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_135.1' type='checkbox'  value='\u0645\u0634\u0627\u0631\u06a9\u062a \u0639\u0645\u0644\u06cc \u062f\u0631 \u0627\u062c\u0631\u0627 \u0648 \u062a\u06a9\u0645\u06cc\u0644 \u0637\u0631\u062d \u0647\u0627\u06cc \u0639\u0645\u0631\u0627\u0646\u06cc'  id='choice_120_135_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_135_1' id='label_120_135_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u0634\u0627\u0631\u06a9\u062a \u0639\u0645\u0644\u06cc \u062f\u0631 \u0627\u062c\u0631\u0627 \u0648 \u062a\u06a9\u0645\u06cc\u0644 \u0637\u0631\u062d \u0647\u0627\u06cc \u0639\u0645\u0631\u0627\u0646\u06cc<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_120_135_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_135.2' type='checkbox'  value='\u0645\u0634\u0627\u0631\u06a9\u062a \u0639\u0645\u0644\u06cc \u062f\u0631 \u0646\u0638\u0627\u0631\u062a \u0637\u0631\u062d \u0647\u0627\u06cc \u0639\u0645\u0631\u0627\u0646\u06cc'  id='choice_120_135_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_135_2' id='label_120_135_2' class='gform-field-label gform-field-label--type-inline'>\u0645\u0634\u0627\u0631\u06a9\u062a \u0639\u0645\u0644\u06cc \u062f\u0631 \u0646\u0638\u0627\u0631\u062a \u0637\u0631\u062d \u0647\u0627\u06cc \u0639\u0645\u0631\u0627\u0646\u06cc<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_120_171\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full gf_list_3col_vertical field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_120_171'><li class='gchoice gchoice_120_171_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_171.1' type='checkbox'  value='\u06a9\u0645\u06a9 \u0645\u0627\u0644\u06cc \u0628\u0647 \u0627\u062d\u062f\u0627\u062b \u067e\u0631\u0648\u0632\u0647 \u0647\u0627\u06cc \u0639\u0645\u0631\u0627\u0646\u06cc'  id='choice_120_171_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_171_1' id='label_120_171_1' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0645\u06a9 \u0645\u0627\u0644\u06cc \u0628\u0647 \u0627\u062d\u062f\u0627\u062b \u067e\u0631\u0648\u0632\u0647 \u0647\u0627\u06cc \u0639\u0645\u0631\u0627\u0646\u06cc<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_120_171_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_171.2' type='checkbox'  value='\u06a9\u0645\u06a9 \u0645\u0627\u0644\u06cc \u0628\u0647 \u062a\u062c\u0647\u06cc\u0632 \u067e\u0631\u0648\u0698\u0647 \u0647\u0627\u06cc \u0639\u0645\u0631\u0627\u0646\u06cc'  id='choice_120_171_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_171_2' id='label_120_171_2' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0645\u06a9 \u0645\u0627\u0644\u06cc \u0628\u0647 \u062a\u062c\u0647\u06cc\u0632 \u067e\u0631\u0648\u0698\u0647 \u0647\u0627\u06cc \u0639\u0645\u0631\u0627\u0646\u06cc<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_120_194\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_120_194'><li class='gchoice gchoice_120_194_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_194.1' type='checkbox'  value='\u0633\u0627\u06cc\u0631 \u0628\u0627 \u0630\u06a9\u0631 \u0639\u0646\u0648\u0627\u0646'  id='choice_120_194_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_194_1' id='label_120_194_1' class='gform-field-label gform-field-label--type-inline'>\u0633\u0627\u06cc\u0631 \u0628\u0627 \u0630\u06a9\u0631 \u0639\u0646\u0648\u0627\u0646<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_120_214\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_120_214'><li class='gchoice gchoice_120_214_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_214.1' type='checkbox'  value='\u0633\u0627\u06cc\u0631 \u0628\u0627 \u0630\u06a9\u0631 \u0639\u0646\u0648\u0627\u0646'  id='choice_120_214_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_214_1' id='label_120_214_1' class='gform-field-label gform-field-label--type-inline'>\u0633\u0627\u06cc\u0631 \u0628\u0627 \u0630\u06a9\u0631 \u0639\u0646\u0648\u0627\u0646<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_120_195\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text' for='input_120_195'><\/label><div class='ginput_container ginput_container_text'><input name='input_195' id='input_120_195' type='text' value='' class='small'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_120_196\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text' for='input_120_196'><\/label><div class='ginput_container ginput_container_text'><input name='input_196' id='input_120_196' type='text' value='' class='small'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_120_108\" class=\"gfield gfield--type-textarea gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_120_108'>\u0634\u0631\u062d \u0645\u0634\u0627\u0631\u06a9\u062a \u062f\u0631 \u0639\u0645\u0631\u0627\u0646 \u0634\u0647\u0631\u06cc<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_108' id='input_120_108' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_120_180\" class=\"gfield gfield--type-textarea gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_120_180'>\u0634\u0631\u062d \u0645\u0634\u0627\u0631\u06a9\u062a \u062f\u0631 \u0639\u0645\u0631\u0627\u0646 \u0634\u0647\u0631\u06cc<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_180' id='input_120_180' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_120_230\" class=\"gfield gfield--type-text gfield--width-full gf_first_quarter gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_120_230'>\u0645\u0628\u0644\u063a \u0645\u0648\u0631\u062f \u0646\u0638\u0631 :<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_230' id='input_120_230' type='text' value='' class='small'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_120_231\" class=\"gfield gfield--type-text gfield--width-full gf_second gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_120_231'>\u0646\u062d\u0648\u0647 \u067e\u0631\u062f\u0627\u062e\u062a :<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_231' id='input_120_231' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_120_136\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_120_136'><li class='gchoice gchoice_120_136_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_136.1' type='checkbox'  value='\u062a\u0648\u0633\u0639\u0647 \u062e\u062f\u0645\u0627\u062a \u0634\u0647\u0631\u06cc'  id='choice_120_136_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_136_1' id='label_120_136_1' class='gform-field-label gform-field-label--type-inline'>\u062a\u0648\u0633\u0639\u0647 \u062e\u062f\u0645\u0627\u062a \u0634\u0647\u0631\u06cc<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_120_137\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full gf_list_3col_vertical field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_120_137'><li class='gchoice gchoice_120_137_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_137.1' type='checkbox'  value='\u0645\u0634\u0627\u0631\u06a9\u062a \u0639\u0645\u0644\u06cc \u062f\u0631 \u0627\u062c\u0631\u0627 \u0648 \u062a\u06a9\u0645\u06cc\u0644 \u0648\u0627\u062d\u062f\u0647\u0627\u06cc \u0634\u0647\u0631\u06cc'  id='choice_120_137_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_137_1' id='label_120_137_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u0634\u0627\u0631\u06a9\u062a \u0639\u0645\u0644\u06cc \u062f\u0631 \u0627\u062c\u0631\u0627 \u0648 \u062a\u06a9\u0645\u06cc\u0644 \u0648\u0627\u062d\u062f\u0647\u0627\u06cc \u0634\u0647\u0631\u06cc<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_120_137_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_137.2' type='checkbox'  value='\u0645\u0634\u0627\u0631\u06a9\u062a \u0639\u0645\u0644\u06cc \u062f\u0631 \u0646\u0638\u0627\u0631\u062a \u0648\u0627\u062d\u062f\u0647\u0627\u06cc \u062e\u062f\u0645\u0627\u062a \u0634\u0647\u0631\u06cc'  id='choice_120_137_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_137_2' id='label_120_137_2' class='gform-field-label gform-field-label--type-inline'>\u0645\u0634\u0627\u0631\u06a9\u062a \u0639\u0645\u0644\u06cc \u062f\u0631 \u0646\u0638\u0627\u0631\u062a \u0648\u0627\u062d\u062f\u0647\u0627\u06cc \u062e\u062f\u0645\u0627\u062a \u0634\u0647\u0631\u06cc<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_120_172\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full gf_list_3col_vertical field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_120_172'><li class='gchoice gchoice_120_172_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_172.1' type='checkbox'  value='\u06a9\u0645\u06a9 \u0645\u0627\u0644\u06cc \u0628\u0647 \u067e\u0631\u0648\u0698\u0647 \u0647\u0627\u06cc \u062e\u062f\u0645\u0627\u062a\u06cc \u0634\u0647\u0631'  id='choice_120_172_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_172_1' id='label_120_172_1' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0645\u06a9 \u0645\u0627\u0644\u06cc \u0628\u0647 \u067e\u0631\u0648\u0698\u0647 \u0647\u0627\u06cc \u062e\u062f\u0645\u0627\u062a\u06cc \u0634\u0647\u0631<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_120_172_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_172.2' type='checkbox'  value='\u06a9\u0645\u06a9 \u0645\u0627\u0644\u06cc \u0628\u0647 \u062a\u062c\u0647\u06cc\u0632 \u067e\u0631\u0648\u0698\u0647 \u0647\u0627\u06cc \u062e\u062f\u0645\u0627\u062a\u06cc \u0634\u0647\u0631'  id='choice_120_172_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_172_2' id='label_120_172_2' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0645\u06a9 \u0645\u0627\u0644\u06cc \u0628\u0647 \u062a\u062c\u0647\u06cc\u0632 \u067e\u0631\u0648\u0698\u0647 \u0647\u0627\u06cc \u062e\u062f\u0645\u0627\u062a\u06cc \u0634\u0647\u0631<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_120_197\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_120_197'><li class='gchoice gchoice_120_197_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_197.1' type='checkbox'  value='\u0633\u0627\u06cc\u0631 \u0628\u0627 \u0630\u06a9\u0631 \u0639\u0646\u0648\u0627\u0646'  id='choice_120_197_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_197_1' id='label_120_197_1' class='gform-field-label gform-field-label--type-inline'>\u0633\u0627\u06cc\u0631 \u0628\u0627 \u0630\u06a9\u0631 \u0639\u0646\u0648\u0627\u0646<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_120_215\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_120_215'><li class='gchoice gchoice_120_215_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_215.1' type='checkbox'  value='\u0633\u0627\u06cc\u0631 \u0628\u0627 \u0630\u06a9\u0631 \u0639\u0646\u0648\u0627\u0646'  id='choice_120_215_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_215_1' id='label_120_215_1' class='gform-field-label gform-field-label--type-inline'>\u0633\u0627\u06cc\u0631 \u0628\u0627 \u0630\u06a9\u0631 \u0639\u0646\u0648\u0627\u0646<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_120_198\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text' for='input_120_198'><\/label><div class='ginput_container ginput_container_text'><input name='input_198' id='input_120_198' type='text' value='' class='small'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_120_199\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text' for='input_120_199'><\/label><div class='ginput_container ginput_container_text'><input name='input_199' id='input_120_199' type='text' value='' class='small'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_120_109\" class=\"gfield gfield--type-textarea gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_120_109'>\u0634\u0631\u062d \u0645\u0634\u0627\u0631\u06a9\u062a \u062f\u0631 \u062e\u062f\u0645\u0627\u062a \u0634\u0647\u0631\u06cc<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_109' id='input_120_109' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_120_181\" class=\"gfield gfield--type-textarea gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_120_181'>\u0634\u0631\u062d \u0645\u0634\u0627\u0631\u06a9\u062a \u062f\u0631 \u062e\u062f\u0645\u0627\u062a \u0634\u0647\u0631\u06cc<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_181' id='input_120_181' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_120_232\" class=\"gfield gfield--type-text gfield--width-full gf_first_quarter gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_120_232'>\u0645\u0628\u0644\u063a \u0645\u0648\u0631\u062f \u0646\u0638\u0631 :<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_232' id='input_120_232' type='text' value='' class='small'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_120_233\" class=\"gfield gfield--type-text gfield--width-full gf_second gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_120_233'>\u0646\u062d\u0648\u0647 \u067e\u0631\u062f\u0627\u062e\u062a :<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_233' id='input_120_233' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_120_138\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_120_138'><li class='gchoice gchoice_120_138_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_138.1' type='checkbox'  value='\u062a\u0648\u0633\u0639\u0647 \u0622\u0645\u0648\u0632\u0634'  id='choice_120_138_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_138_1' id='label_120_138_1' class='gform-field-label gform-field-label--type-inline'>\u062a\u0648\u0633\u0639\u0647 \u0622\u0645\u0648\u0632\u0634<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_120_139\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full gf_list_4col_vertical field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_120_139'><li class='gchoice gchoice_120_139_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_139.1' type='checkbox'  value='\u062b\u0628\u062a \u0646\u0627\u0645 \u0645\u062f\u0631\u0633\u06cc\u0646 \u062f\u0627\u0648\u0637\u0644\u0628'  id='choice_120_139_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_139_1' id='label_120_139_1' class='gform-field-label gform-field-label--type-inline'>\u062b\u0628\u062a \u0646\u0627\u0645 \u0645\u062f\u0631\u0633\u06cc\u0646 \u062f\u0627\u0648\u0637\u0644\u0628<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_120_139_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_139.2' type='checkbox'  value='\u062a\u0647\u06cc\u0647 \u0645\u062d\u062a\u0648\u0627\u06cc \u0622\u0645\u0648\u0632\u0634\u06cc'  id='choice_120_139_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_139_2' id='label_120_139_2' class='gform-field-label gform-field-label--type-inline'>\u062a\u0647\u06cc\u0647 \u0645\u062d\u062a\u0648\u0627\u06cc \u0622\u0645\u0648\u0632\u0634\u06cc<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_120_139_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_139.3' type='checkbox'  value='\u0628\u0627\u0631\u06af\u0630\u0627\u0631\u06cc \u0645\u062d\u062a\u0648\u0627\u06cc \u0622\u0645\u0648\u0632\u0634\u06cc'  id='choice_120_139_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_139_3' id='label_120_139_3' class='gform-field-label gform-field-label--type-inline'>\u0628\u0627\u0631\u06af\u0630\u0627\u0631\u06cc \u0645\u062d\u062a\u0648\u0627\u06cc \u0622\u0645\u0648\u0632\u0634\u06cc<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_120_173\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full gf_list_4col_vertical field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_120_173'><li class='gchoice gchoice_120_173_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_173.1' type='checkbox'  value='\u06a9\u0645\u06a9 \u0645\u0627\u0644\u06cc \u0628\u0647 \u0627\u062d\u062f\u0627\u062b \u0627\u0645\u0627\u06a9\u0646 \u0622\u0645\u0648\u0632\u0634\u06cc'  id='choice_120_173_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_173_1' id='label_120_173_1' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0645\u06a9 \u0645\u0627\u0644\u06cc \u0628\u0647 \u0627\u062d\u062f\u0627\u062b \u0627\u0645\u0627\u06a9\u0646 \u0622\u0645\u0648\u0632\u0634\u06cc<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_120_173_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_173.2' type='checkbox'  value='\u06a9\u0645\u06a9 \u0645\u0627\u0644\u06cc \u0628\u0647 \u062a\u062c\u0647\u06cc\u0632 \u0627\u0645\u0627\u06a9\u0646 \u0622\u0645\u0648\u0632\u0634\u06cc'  id='choice_120_173_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_173_2' id='label_120_173_2' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0645\u06a9 \u0645\u0627\u0644\u06cc \u0628\u0647 \u062a\u062c\u0647\u06cc\u0632 \u0627\u0645\u0627\u06a9\u0646 \u0622\u0645\u0648\u0632\u0634\u06cc<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_120_173_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_173.3' type='checkbox'  value='\u06a9\u0645\u06a9 \u0645\u0627\u0644\u06cc \u0628\u0647 \u0628\u0631\u06af\u0632\u0627\u0631\u06cc \u0628\u0631\u0646\u0627\u0645\u0647 \u0647\u0627\u06cc \u0622\u0645\u0648\u0632\u0634\u06cc'  id='choice_120_173_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_173_3' id='label_120_173_3' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0645\u06a9 \u0645\u0627\u0644\u06cc \u0628\u0647 \u0628\u0631\u06af\u0632\u0627\u0631\u06cc \u0628\u0631\u0646\u0627\u0645\u0647 \u0647\u0627\u06cc \u0622\u0645\u0648\u0632\u0634\u06cc<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_120_164\" class=\"gfield gfield--type-fileupload gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_120_164'>\u0627\u0631\u0633\u0627\u0644 \u0645\u062d\u062a\u0648\u0627<\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='52428800' \/><input name='input_164' id='input_120_164' type='file' class='large' aria-describedby=\"gfield_upload_rules_120_164\" onchange='javascript:gformValidateFileSize( this, 52428800 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_120_164'>Max. file size: 50 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_120_164'><\/div><\/div><\/li><li id=\"field_120_200\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_120_200'><li class='gchoice gchoice_120_200_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_200.1' type='checkbox'  value='\u0633\u0627\u06cc\u0631 \u0628\u0627 \u0630\u06a9\u0631 \u0639\u0646\u0648\u0627\u0646'  id='choice_120_200_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_200_1' id='label_120_200_1' class='gform-field-label gform-field-label--type-inline'>\u0633\u0627\u06cc\u0631 \u0628\u0627 \u0630\u06a9\u0631 \u0639\u0646\u0648\u0627\u0646<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_120_216\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_120_216'><li class='gchoice gchoice_120_216_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_216.1' type='checkbox'  value='\u0633\u0627\u06cc\u0631 \u0628\u0627 \u0630\u06a9\u0631 \u0639\u0646\u0648\u0627\u0646'  id='choice_120_216_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_216_1' id='label_120_216_1' class='gform-field-label gform-field-label--type-inline'>\u0633\u0627\u06cc\u0631 \u0628\u0627 \u0630\u06a9\u0631 \u0639\u0646\u0648\u0627\u0646<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_120_201\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text' for='input_120_201'><\/label><div class='ginput_container ginput_container_text'><input name='input_201' id='input_120_201' type='text' value='' class='small'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_120_202\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text' for='input_120_202'><\/label><div class='ginput_container ginput_container_text'><input name='input_202' id='input_120_202' type='text' value='' class='small'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_120_125\" class=\"gfield gfield--type-textarea gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_120_125'>\u0634\u0631\u062d \u0645\u0634\u0627\u0631\u06a9\u062a \u062f\u0631 \u0622\u0645\u0648\u0632\u0634<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_125' id='input_120_125' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_120_182\" class=\"gfield gfield--type-textarea gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_120_182'>\u0634\u0631\u062d \u0645\u0634\u0627\u0631\u06a9\u062a \u062f\u0631 \u0622\u0645\u0648\u0632\u0634<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_182' id='input_120_182' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_120_234\" class=\"gfield gfield--type-text gfield--width-full gf_first_quarter gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_120_234'>\u0645\u0628\u0644\u063a \u0645\u0648\u0631\u062f \u0646\u0638\u0631 :<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_234' id='input_120_234' type='text' value='' class='small'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_120_235\" class=\"gfield gfield--type-text gfield--width-full gf_second gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_120_235'>\u0646\u062d\u0648\u0647 \u067e\u0631\u062f\u0627\u062e\u062a :<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_235' id='input_120_235' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_120_140\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_120_140'><li class='gchoice gchoice_120_140_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_140.1' type='checkbox'  value='\u0645\u062d\u06cc\u0637 \u0632\u06cc\u0633\u062a \u0648 \u0641\u0636\u0627\u06cc \u0633\u0628\u0632'  id='choice_120_140_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_140_1' id='label_120_140_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u062d\u06cc\u0637 \u0632\u06cc\u0633\u062a \u0648 \u0641\u0636\u0627\u06cc \u0633\u0628\u0632<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_120_141\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full gf_list_3col_vertical field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_120_141'><li class='gchoice gchoice_120_141_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_141.1' type='checkbox'  value='\u0645\u0634\u0627\u0631\u06a9\u062a \u0639\u0645\u0644\u06cc \u062f\u0631 \u0627\u062c\u0631\u0627 \u0648 \u062a\u06a9\u0645\u06cc\u0644 \u0637\u0631\u062d \u0647\u0627\u06cc \u0632\u06cc\u0633\u062a \u0645\u062d\u06cc\u0637\u06cc'  id='choice_120_141_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_141_1' id='label_120_141_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u0634\u0627\u0631\u06a9\u062a \u0639\u0645\u0644\u06cc \u062f\u0631 \u0627\u062c\u0631\u0627 \u0648 \u062a\u06a9\u0645\u06cc\u0644 \u0637\u0631\u062d \u0647\u0627\u06cc \u0632\u06cc\u0633\u062a \u0645\u062d\u06cc\u0637\u06cc<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_120_141_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_141.2' type='checkbox'  value='\u0645\u0634\u0627\u0631\u06a9\u062a \u0639\u0645\u0644\u06cc \u062f\u0631 \u0646\u0638\u0627\u0631\u062a \u0637\u0631\u062d \u0647\u0627\u06cc \u0645\u062d\u06cc\u0637 \u0632\u06cc\u0633\u062a\u06cc'  id='choice_120_141_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_141_2' id='label_120_141_2' class='gform-field-label gform-field-label--type-inline'>\u0645\u0634\u0627\u0631\u06a9\u062a \u0639\u0645\u0644\u06cc \u062f\u0631 \u0646\u0638\u0627\u0631\u062a \u0637\u0631\u062d \u0647\u0627\u06cc \u0645\u062d\u06cc\u0637 \u0632\u06cc\u0633\u062a\u06cc<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_120_141_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_141.3' type='checkbox'  value='\u062b\u0628\u062a \u0646\u0627\u0645 \u0647\u0645\u06cc\u0627\u0631 \u0645\u062d\u06cc\u0637 \u0632\u06cc\u0633\u062a'  id='choice_120_141_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_141_3' id='label_120_141_3' class='gform-field-label gform-field-label--type-inline'>\u062b\u0628\u062a \u0646\u0627\u0645 \u0647\u0645\u06cc\u0627\u0631 \u0645\u062d\u06cc\u0637 \u0632\u06cc\u0633\u062a<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_120_174\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full gf_list_3col_vertical field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_120_174'><li class='gchoice gchoice_120_174_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_174.1' type='checkbox'  value='\u06a9\u0645\u06a9 \u0645\u0627\u0644\u06cc \u0628\u0647 \u0627\u062c\u0631\u0627\u06cc \u0641\u0636\u0627\u06cc \u0633\u0628\u0632 \u0634\u0647\u0631\u06cc'  id='choice_120_174_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_174_1' id='label_120_174_1' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0645\u06a9 \u0645\u0627\u0644\u06cc \u0628\u0647 \u0627\u062c\u0631\u0627\u06cc \u0641\u0636\u0627\u06cc \u0633\u0628\u0632 \u0634\u0647\u0631\u06cc<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_120_174_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_174.2' type='checkbox'  value='\u06a9\u0645\u06a9 \u0645\u0627\u0644\u06cc \u0628\u0647 \u062a\u062c\u0647\u06cc\u0632 \u0641\u0636\u0627\u06cc \u0633\u0628\u0632 \u0634\u0647\u0631\u06cc'  id='choice_120_174_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_174_2' id='label_120_174_2' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0645\u06a9 \u0645\u0627\u0644\u06cc \u0628\u0647 \u062a\u062c\u0647\u06cc\u0632 \u0641\u0636\u0627\u06cc \u0633\u0628\u0632 \u0634\u0647\u0631\u06cc<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_120_218\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_120_218'><li class='gchoice gchoice_120_218_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_218.1' type='checkbox'  value='\u0633\u0627\u06cc\u0631 \u0628\u0627 \u0630\u06a9\u0631 \u0639\u0646\u0648\u0627\u0646'  id='choice_120_218_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_218_1' id='label_120_218_1' class='gform-field-label gform-field-label--type-inline'>\u0633\u0627\u06cc\u0631 \u0628\u0627 \u0630\u06a9\u0631 \u0639\u0646\u0648\u0627\u0646<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_120_217\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_120_217'><li class='gchoice gchoice_120_217_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_217.1' type='checkbox'  value='\u0633\u0627\u06cc\u0631 \u0628\u0627 \u0630\u06a9\u0631 \u0639\u0646\u0648\u0627\u0646'  id='choice_120_217_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_217_1' id='label_120_217_1' class='gform-field-label gform-field-label--type-inline'>\u0633\u0627\u06cc\u0631 \u0628\u0627 \u0630\u06a9\u0631 \u0639\u0646\u0648\u0627\u0646<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_120_204\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text' for='input_120_204'><\/label><div class='ginput_container ginput_container_text'><input name='input_204' id='input_120_204' type='text' value='' class='small'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_120_206\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text' for='input_120_206'><\/label><div class='ginput_container ginput_container_text'><input name='input_206' id='input_120_206' type='text' value='' class='small'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_120_205\" class=\"gfield gfield--type-textarea gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_120_205'>\u0634\u0631\u062d \u0645\u0634\u0627\u0631\u06a9\u062a \u062f\u0631 \u0645\u062d\u06cc\u0637 \u0632\u06cc\u0633\u062a \u0648 \u0641\u0636\u0627\u06cc \u0633\u0628\u0632<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_205' id='input_120_205' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_120_183\" class=\"gfield gfield--type-textarea gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_120_183'>\u0634\u0631\u062d \u0645\u0634\u0627\u0631\u06a9\u062a \u062f\u0631 \u0645\u062d\u06cc\u0637 \u0632\u06cc\u0633\u062a \u0648 \u0641\u0636\u0627\u06cc \u0633\u0628\u0632<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_183' id='input_120_183' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_120_236\" class=\"gfield gfield--type-text gfield--width-full gf_first_quarter gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_120_236'>\u0645\u0628\u0644\u063a \u0645\u0648\u0631\u062f \u0646\u0638\u0631 :<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_236' id='input_120_236' type='text' value='' class='small'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_120_237\" class=\"gfield gfield--type-text gfield--width-full gf_second gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_120_237'>\u0646\u062d\u0648\u0647 \u067e\u0631\u062f\u0627\u062e\u062a :<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_237' id='input_120_237' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_120_142\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_120_142'><li class='gchoice gchoice_120_142_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_142.1' type='checkbox'  value='\u062a\u0648\u0633\u0639\u0647 \u06af\u0631\u062f\u0634\u06af\u0631\u06cc'  id='choice_120_142_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_142_1' id='label_120_142_1' class='gform-field-label gform-field-label--type-inline'>\u062a\u0648\u0633\u0639\u0647 \u06af\u0631\u062f\u0634\u06af\u0631\u06cc<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_120_143\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full gf_list_3col_vertical field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_120_143'><li class='gchoice gchoice_120_143_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_143.1' type='checkbox'  value='\u0645\u0634\u0627\u0631\u06a9\u062a \u0639\u0645\u0644\u06cc \u062f\u0631 \u0627\u062c\u0631\u0627 \u0648 \u062a\u06a9\u0645\u06cc\u0644 \u0637\u0631\u062d \u0647\u0627\u06cc \u06af\u0631\u062f\u0634\u06af\u0631\u06cc'  id='choice_120_143_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_143_1' id='label_120_143_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u0634\u0627\u0631\u06a9\u062a \u0639\u0645\u0644\u06cc \u062f\u0631 \u0627\u062c\u0631\u0627 \u0648 \u062a\u06a9\u0645\u06cc\u0644 \u0637\u0631\u062d \u0647\u0627\u06cc \u06af\u0631\u062f\u0634\u06af\u0631\u06cc<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_120_175\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full gf_list_3col_vertical field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_120_175'><li class='gchoice gchoice_120_175_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_175.1' type='checkbox'  value='\u06a9\u0645\u06a9 \u0645\u0627\u0644\u06cc \u0628\u0647 \u0627\u062d\u062f\u0627\u062b \u0627\u0642\u0627\u0645\u062a\u06af\u0627\u0647 \u0647\u0627\u06cc \u06af\u0631\u062f\u0634\u06af\u0631\u06cc'  id='choice_120_175_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_175_1' id='label_120_175_1' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0645\u06a9 \u0645\u0627\u0644\u06cc \u0628\u0647 \u0627\u062d\u062f\u0627\u062b \u0627\u0642\u0627\u0645\u062a\u06af\u0627\u0647 \u0647\u0627\u06cc \u06af\u0631\u062f\u0634\u06af\u0631\u06cc<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_120_175_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_175.2' type='checkbox'  value='\u06a9\u0645\u06a9 \u0645\u0627\u0644\u06cc \u0628\u0647 \u0628\u0631\u06af\u0632\u0627\u0631\u06cc \u0628\u0631\u0646\u0627\u0645\u0647 \u0647\u0627\u06cc \u06af\u0631\u062f\u0634\u06af\u0631\u06cc'  id='choice_120_175_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_175_2' id='label_120_175_2' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0645\u06a9 \u0645\u0627\u0644\u06cc \u0628\u0647 \u0628\u0631\u06af\u0632\u0627\u0631\u06cc \u0628\u0631\u0646\u0627\u0645\u0647 \u0647\u0627\u06cc \u06af\u0631\u062f\u0634\u06af\u0631\u06cc<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_120_175_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_175.3' type='checkbox'  value='\u06a9\u0645\u06a9 \u0645\u0627\u0644\u06cc \u0628\u0647 \u062a\u062c\u0647\u06cc\u0632 \u0627\u0642\u0627\u0645\u062a\u06af\u0627\u0647 \u0647\u0627\u06cc \u06af\u0631\u062f\u0634\u06af\u0631\u06cc'  id='choice_120_175_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_175_3' id='label_120_175_3' class='gform-field-label gform-field-label--type-inline'>\u06a9\u0645\u06a9 \u0645\u0627\u0644\u06cc \u0628\u0647 \u062a\u062c\u0647\u06cc\u0632 \u0627\u0642\u0627\u0645\u062a\u06af\u0627\u0647 \u0647\u0627\u06cc \u06af\u0631\u062f\u0634\u06af\u0631\u06cc<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_120_207\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_120_207'><li class='gchoice gchoice_120_207_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_207.1' type='checkbox'  value='\u0633\u0627\u06cc\u0631 \u0628\u0627 \u0630\u06a9\u0631 \u0639\u0646\u0648\u0627\u0646'  id='choice_120_207_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_207_1' id='label_120_207_1' class='gform-field-label gform-field-label--type-inline'>\u0633\u0627\u06cc\u0631 \u0628\u0627 \u0630\u06a9\u0631 \u0639\u0646\u0648\u0627\u0646<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_120_219\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_120_219'><li class='gchoice gchoice_120_219_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_219.1' type='checkbox'  value='\u0633\u0627\u06cc\u0631 \u0628\u0627 \u0630\u06a9\u0631 \u0639\u0646\u0648\u0627\u0646'  id='choice_120_219_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_219_1' id='label_120_219_1' class='gform-field-label gform-field-label--type-inline'>\u0633\u0627\u06cc\u0631 \u0628\u0627 \u0630\u06a9\u0631 \u0639\u0646\u0648\u0627\u0646<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_120_208\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text' for='input_120_208'><\/label><div class='ginput_container ginput_container_text'><input name='input_208' id='input_120_208' type='text' value='' class='small'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_120_209\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text' for='input_120_209'><\/label><div class='ginput_container ginput_container_text'><input name='input_209' id='input_120_209' type='text' value='' class='small'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_120_123\" class=\"gfield gfield--type-textarea gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_120_123'>\u0634\u0631\u062d \u0645\u0634\u0627\u0631\u06a9\u062a \u062f\u0631 \u062a\u0648\u0633\u0639\u0647 \u06af\u0631\u062f\u0634\u06af\u0631\u06cc<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_123' id='input_120_123' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_120_184\" class=\"gfield gfield--type-textarea gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_120_184'>\u0634\u0631\u062d \u0645\u0634\u0627\u0631\u06a9\u062a \u062f\u0631 \u062a\u0648\u0633\u0639\u0647 \u06af\u0631\u062f\u0634\u06af\u0631\u06cc<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_184' id='input_120_184' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_120_238\" class=\"gfield gfield--type-text gfield--width-full gf_first_quarter gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_120_238'>\u0645\u0628\u0644\u063a \u0645\u0648\u0631\u062f \u0646\u0638\u0631 :<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_238' id='input_120_238' type='text' value='' class='small'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_120_239\" class=\"gfield gfield--type-text gfield--width-full gf_second gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_120_239'>\u0646\u062d\u0648\u0647 \u067e\u0631\u062f\u0627\u062e\u062a :<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_239' id='input_120_239' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_120_144\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_120_144'><li class='gchoice gchoice_120_144_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_144.1' type='checkbox'  value='\u062a\u0648\u0633\u0639\u0647 \u06a9\u0633\u0628 \u0648 \u06a9\u0627\u0631'  id='choice_120_144_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_144_1' id='label_120_144_1' class='gform-field-label gform-field-label--type-inline'>\u062a\u0648\u0633\u0639\u0647 \u06a9\u0633\u0628 \u0648 \u06a9\u0627\u0631<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_120_145\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full gf_list_3col_vertical field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_120_145'><li class='gchoice gchoice_120_145_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_145.1' type='checkbox'  value='\u0645\u0634\u0627\u0631\u06a9\u062a \u062f\u0631 \u062c\u0645\u0639 \u0622\u0648\u0631\u06cc \u0641\u0631\u0635\u062a \u0647\u0627\u06cc \u0627\u0634\u062a\u063a\u0627\u0644 \u0634\u0647\u0631'  id='choice_120_145_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_145_1' id='label_120_145_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u0634\u0627\u0631\u06a9\u062a \u062f\u0631 \u062c\u0645\u0639 \u0622\u0648\u0631\u06cc \u0641\u0631\u0635\u062a \u0647\u0627\u06cc \u0627\u0634\u062a\u063a\u0627\u0644 \u0634\u0647\u0631<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_120_145_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_145.2' type='checkbox'  value='\u0645\u0634\u0627\u0631\u06a9\u062a \u062f\u0631 \u062c\u0645\u0639 \u0622\u0648\u0631\u06cc \u0627\u0637\u0644\u0627\u0639\u0627\u062a \u06a9\u0627\u0631\u0622\u0641\u0631\u06cc\u0646\u0627\u0646'  id='choice_120_145_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_145_2' id='label_120_145_2' class='gform-field-label gform-field-label--type-inline'>\u0645\u0634\u0627\u0631\u06a9\u062a \u062f\u0631 \u062c\u0645\u0639 \u0622\u0648\u0631\u06cc \u0627\u0637\u0644\u0627\u0639\u0627\u062a \u06a9\u0627\u0631\u0622\u0641\u0631\u06cc\u0646\u0627\u0646<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_120_145_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_145.3' type='checkbox'  value='\u0645\u0634\u0627\u0631\u06a9\u062a \u062f\u0631 \u0628\u0631\u06af\u0632\u0627\u0631\u06cc \u0646\u0645\u0627\u06cc\u0634\u06af\u0627\u0647 \u0647\u0627\u06cc \u0645\u062d\u0644\u06cc'  id='choice_120_145_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_145_3' id='label_120_145_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0634\u0627\u0631\u06a9\u062a \u062f\u0631 \u0628\u0631\u06af\u0632\u0627\u0631\u06cc \u0646\u0645\u0627\u06cc\u0634\u06af\u0627\u0647 \u0647\u0627\u06cc \u0645\u062d\u0644\u06cc<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_120_145_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_145.4' type='checkbox'  value='\u0633\u0627\u06cc\u0631 \u0628\u0627 \u0630\u06a9\u0631 \u0639\u0646\u0648\u0627\u0646'  id='choice_120_145_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_145_4' id='label_120_145_4' class='gform-field-label gform-field-label--type-inline'>\u0633\u0627\u06cc\u0631 \u0628\u0627 \u0630\u06a9\u0631 \u0639\u0646\u0648\u0627\u0646<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_120_211\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text' for='input_120_211'><\/label><div class='ginput_container ginput_container_text'><input name='input_211' id='input_120_211' type='text' value='' class='small'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_120_122\" class=\"gfield gfield--type-textarea gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_120_122'>\u0634\u0631\u062d \u0645\u0634\u0627\u0631\u06a9\u062a \u062f\u0631 \u062a\u0648\u0633\u0639\u0647 \u06a9\u0633\u0628 \u0648 \u06a9\u0627\u0631<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_122' id='input_120_122' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_120_185\" class=\"gfield gfield--type-textarea gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_120_185'>\u0634\u0631\u062d \u0645\u0634\u0627\u0631\u06a9\u062a \u062f\u0631 \u062a\u0648\u0633\u0639\u0647 \u06a9\u0633\u0628 \u0648 \u06a9\u0627\u0631<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_185' id='input_120_185' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_120_146\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_120_146'><li class='gchoice gchoice_120_146_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_146.1' type='checkbox'  value='\u062a\u0648\u0633\u0639\u0647 \u0645\u0634\u0627\u0631\u06a9\u062a'  id='choice_120_146_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_146_1' id='label_120_146_1' class='gform-field-label gform-field-label--type-inline'>\u062a\u0648\u0633\u0639\u0647 \u0645\u0634\u0627\u0631\u06a9\u062a<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_120_165\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full gf_list_4col_vertical field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_120_165'><li class='gchoice gchoice_120_165_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_165.1' type='checkbox'  value='\u062a\u0647\u06cc\u0647 \u0628\u0627\u0646\u06a9 \u062e\u06cc\u0631\u06cc\u0646'  id='choice_120_165_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_165_1' id='label_120_165_1' class='gform-field-label gform-field-label--type-inline'>\u062a\u0647\u06cc\u0647 \u0628\u0627\u0646\u06a9 \u062e\u06cc\u0631\u06cc\u0646<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_120_165_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_165.2' type='checkbox'  value='\u0645\u0630\u0627\u06a9\u0631\u0647 \u0628\u0627 \u062e\u06cc\u0631\u06cc\u0646'  id='choice_120_165_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_165_2' id='label_120_165_2' class='gform-field-label gform-field-label--type-inline'>\u0645\u0630\u0627\u06a9\u0631\u0647 \u0628\u0627 \u062e\u06cc\u0631\u06cc\u0646<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_120_165_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_165.3' type='checkbox'  value='\u0633\u0627\u06cc\u0631 \u0628\u0627 \u0630\u06a9\u0631 \u0639\u0646\u0648\u0627\u0646'  id='choice_120_165_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_165_3' id='label_120_165_3' class='gform-field-label gform-field-label--type-inline'>\u0633\u0627\u06cc\u0631 \u0628\u0627 \u0630\u06a9\u0631 \u0639\u0646\u0648\u0627\u0646<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_120_166\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text' for='input_120_166'><\/label><div class='ginput_container ginput_container_text'><input name='input_166' id='input_120_166' type='text' value='' class='small'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_120_121\" class=\"gfield gfield--type-textarea gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_120_121'>\u0634\u0631\u062d  \u062a\u0648\u0633\u0639\u0647 \u0645\u0634\u0627\u0631\u06a9\u062a<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_121' id='input_120_121' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_120_186\" class=\"gfield gfield--type-textarea gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_120_186'>\u0634\u0631\u062d  \u062a\u0648\u0633\u0639\u0647 \u0645\u0634\u0627\u0631\u06a9\u062a<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_186' id='input_120_186' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_120_148\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_120_148'><li class='gchoice gchoice_120_148_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_148.1' type='checkbox'  value='\u062a\u0648\u0633\u0639\u0647 \u0633\u0631\u0645\u0627\u06cc\u0647 \u06af\u0630\u0627\u0631\u06cc'  id='choice_120_148_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_148_1' id='label_120_148_1' class='gform-field-label gform-field-label--type-inline'>\u062a\u0648\u0633\u0639\u0647 \u0633\u0631\u0645\u0627\u06cc\u0647 \u06af\u0630\u0627\u0631\u06cc<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_120_149\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full gf_list_3col_vertical field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_120_149'><li class='gchoice gchoice_120_149_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_149.1' type='checkbox'  value='\u0645\u0634\u0627\u0631\u06a9\u062a \u062f\u0631 \u062a\u0647\u06cc\u0647 \u0641\u0631\u0635\u062a \u0647\u0627\u06cc \u0633\u0631\u0645\u0627\u06cc\u0647 \u06af\u0630\u0627\u0631\u06cc \u0634\u0647\u0631'  id='choice_120_149_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_149_1' id='label_120_149_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u0634\u0627\u0631\u06a9\u062a \u062f\u0631 \u062a\u0647\u06cc\u0647 \u0641\u0631\u0635\u062a \u0647\u0627\u06cc \u0633\u0631\u0645\u0627\u06cc\u0647 \u06af\u0630\u0627\u0631\u06cc \u0634\u0647\u0631<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_120_149_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_149.2' type='checkbox'  value='\u0645\u0634\u0627\u0631\u06a9\u062a \u062f\u0631 \u062a\u0647\u06cc\u0647 \u0628\u0627\u0646\u06a9 \u0627\u0637\u0644\u0627\u0639\u0627\u062a \u0633\u0631\u0645\u0627\u06cc\u0647 \u06af\u0630\u0627\u0631\u0627\u0646'  id='choice_120_149_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_149_2' id='label_120_149_2' class='gform-field-label gform-field-label--type-inline'>\u0645\u0634\u0627\u0631\u06a9\u062a \u062f\u0631 \u062a\u0647\u06cc\u0647 \u0628\u0627\u0646\u06a9 \u0627\u0637\u0644\u0627\u0639\u0627\u062a \u0633\u0631\u0645\u0627\u06cc\u0647 \u06af\u0630\u0627\u0631\u0627\u0646<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_120_149_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_149.3' type='checkbox'  value='\u0645\u0634\u0627\u0631\u06a9\u062a \u062f\u0631 \u062a\u0647\u06cc\u0647 \u067e\u0631\u0648\u067e\u0648\u0632\u0627\u0644 \u0628\u0631\u0627\u06cc \u0627\u0637\u0644\u0627\u0639\u0627\u062a \u0633\u0631\u0645\u0627\u06cc\u0647 \u06af\u0630\u0627\u0631\u06cc \u0634\u0647\u0631'  id='choice_120_149_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_149_3' id='label_120_149_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0634\u0627\u0631\u06a9\u062a \u062f\u0631 \u062a\u0647\u06cc\u0647 \u067e\u0631\u0648\u067e\u0648\u0632\u0627\u0644 \u0628\u0631\u0627\u06cc \u0627\u0637\u0644\u0627\u0639\u0627\u062a \u0633\u0631\u0645\u0627\u06cc\u0647 \u06af\u0630\u0627\u0631\u06cc \u0634\u0647\u0631<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_120_149_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_149.4' type='checkbox'  value='\u0633\u0627\u06cc\u0631 \u0628\u0627 \u0630\u06a9\u0631 \u0639\u0646\u0648\u0627\u0646'  id='choice_120_149_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_149_4' id='label_120_149_4' class='gform-field-label gform-field-label--type-inline'>\u0633\u0627\u06cc\u0631 \u0628\u0627 \u0630\u06a9\u0631 \u0639\u0646\u0648\u0627\u0646<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_120_161\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text' for='input_120_161'><\/label><div class='ginput_container ginput_container_text'><input name='input_161' id='input_120_161' type='text' value='' class='small'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_120_127\" class=\"gfield gfield--type-textarea gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_120_127'>\u0634\u0631\u062d \u0645\u0634\u0627\u0631\u06a9\u062a \u062f\u0631 \u062a\u0648\u0633\u0639\u0647 \u0633\u0631\u0645\u0627\u06cc\u0647 \u06af\u0630\u0627\u0631\u06cc<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_127' id='input_120_127' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_120_187\" class=\"gfield gfield--type-textarea gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_120_187'>\u0634\u0631\u062d \u0645\u0634\u0627\u0631\u06a9\u062a \u062f\u0631 \u062a\u0648\u0633\u0639\u0647 \u0633\u0631\u0645\u0627\u06cc\u0647 \u06af\u0630\u0627\u0631\u06cc<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_187' id='input_120_187' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_120_150\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_120_150'><li class='gchoice gchoice_120_150_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_150.1' type='checkbox'  value='\u0633\u0627\u06cc\u0631 \u0628\u0627 \u0630\u06a9\u0631 \u0639\u0646\u0648\u0627\u0646'  id='choice_120_150_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_150_1' id='label_120_150_1' class='gform-field-label gform-field-label--type-inline'>\u0633\u0627\u06cc\u0631 \u0628\u0627 \u0630\u06a9\u0631 \u0639\u0646\u0648\u0627\u0646<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_120_152\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text' for='input_120_152'><\/label><div class='ginput_container ginput_container_text'><input name='input_152' id='input_120_152' type='text' value='' class='small'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_120_163\" class=\"gfield gfield--type-textarea gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_120_163'>\u0634\u0631\u062d \u0633\u0627\u06cc\u0631<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_163' id='input_120_163' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_120_188\" class=\"gfield gfield--type-textarea gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_120_188'>\u0634\u0631\u062d \u0633\u0627\u06cc\u0631<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_188' id='input_120_188' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_120_110\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full gf_list_5col gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >\u0645\u062d\u062f\u0648\u062f\u0647 \u0627\u062c\u0631\u0627\u06cc\u06cc \u0645\u0634\u0645\u0648\u0644 \u0637\u0631\u062d:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_120_110'><li class='gchoice gchoice_select_all'>\n\t\t\t\t\t\t<input class='gfield-choice-input' type='checkbox' id='choice_110_select_all'   onclick='gformToggleCheckboxes( this )' onkeypress='gformToggleCheckboxes( this )' \/>\n\t\t\t\t\t\t<label for='choice_110_select_all' id='label_110_select_all' class='gform-field-label  gform-field-label--type-inline' data-label-select='\u0627\u0646\u062a\u062e\u0627\u0628 \u06a9\u0631\u062f\u0646 \u0647\u0645\u0647' data-label-deselect='\u0627\u0646\u062a\u062e\u0627\u0628 \u0646\u06a9\u0631\u062f\u0646 \u0647\u0645\u0647'>\u0627\u0646\u062a\u062e\u0627\u0628 \u06a9\u0631\u062f\u0646 \u0647\u0645\u0647<\/label>\n\t\t\t\t\t<\/li><li class='gchoice gchoice_120_110_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_110.1' type='checkbox'  value='\u0645\u0646\u0637\u0642\u0647 1'  id='choice_120_110_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_110_1' id='label_120_110_1' class='gform-field-label gform-field-label--type-inline'>\u0645\u0646\u0637\u0642\u0647 1<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_120_110_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_110.2' type='checkbox'  value='\u0645\u0646\u0637\u0642\u0647 2'  id='choice_120_110_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_110_2' id='label_120_110_2' class='gform-field-label gform-field-label--type-inline'>\u0645\u0646\u0637\u0642\u0647 2<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_120_110_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_110.3' type='checkbox'  value='\u0645\u0646\u0637\u0642\u0647 3'  id='choice_120_110_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_110_3' id='label_120_110_3' class='gform-field-label gform-field-label--type-inline'>\u0645\u0646\u0637\u0642\u0647 3<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_120_110_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_110.4' type='checkbox'  value='\u0645\u0646\u0637\u0642\u0647 4'  id='choice_120_110_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_110_4' id='label_120_110_4' class='gform-field-label gform-field-label--type-inline'>\u0645\u0646\u0637\u0642\u0647 4<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_120_110_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_110.5' type='checkbox'  value='\u0645\u0646\u0637\u0642\u0647 5'  id='choice_120_110_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_110_5' id='label_120_110_5' class='gform-field-label gform-field-label--type-inline'>\u0645\u0646\u0637\u0642\u0647 5<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_120_110_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_110.6' type='checkbox'  value='\u0645\u0646\u0637\u0642\u0647 6'  id='choice_120_110_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_110_6' id='label_120_110_6' class='gform-field-label gform-field-label--type-inline'>\u0645\u0646\u0637\u0642\u0647 6<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_120_110_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_110.7' type='checkbox'  value='\u0645\u0646\u0637\u0642\u0647 7'  id='choice_120_110_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_110_7' id='label_120_110_7' class='gform-field-label gform-field-label--type-inline'>\u0645\u0646\u0637\u0642\u0647 7<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_120_110_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_110.8' type='checkbox'  value='\u0645\u0646\u0637\u0642\u0647 8'  id='choice_120_110_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_110_8' id='label_120_110_8' class='gform-field-label gform-field-label--type-inline'>\u0645\u0646\u0637\u0642\u0647 8<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_120_110_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_110.9' type='checkbox'  value='\u0645\u0646\u0637\u0642\u0647 9'  id='choice_120_110_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_110_9' id='label_120_110_9' class='gform-field-label gform-field-label--type-inline'>\u0645\u0646\u0637\u0642\u0647 9<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_120_110_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_110.11' type='checkbox'  value='\u0645\u0646\u0637\u0642\u0647 10'  id='choice_120_110_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_120_110_11' id='label_120_110_11' class='gform-field-label gform-field-label--type-inline'>\u0645\u0646\u0637\u0642\u0647 10<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_120_120\" class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_120_120'>\u062c\u0645\u0639\u06cc\u062a \u062a\u0642\u0631\u06cc\u0628\u06cc \u062a\u0627\u062b\u06cc\u0631\u067e\u0630\u06cc\u0631 \u062f\u0631 \u0635\u0648\u0631\u062a \u0627\u0635\u0644\u0627\u062d \u06cc\u0627 \u0627\u062c\u0631\u0627\u06cc \u0637\u0631\u062d (\u0646\u0641\u0631) :<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_120' id='input_120_120' type='text' value='' class='small'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_120_67\" class=\"gfield gfield--type-fileupload field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_120_67'>\u0627\u0631\u0633\u0627\u0644 \u0641\u0627\u06cc\u0644<\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='5242880' \/><input name='input_67' id='input_120_67' type='file' class='medium' aria-describedby=\"gfield_upload_rules_120_67\" onchange='javascript:gformValidateFileSize( this, 5242880 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_120_67'>Accepted file types: jpg, jpeg, pdf, Max. file size: 5 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_120_67'><\/div><\/div><\/li><li id=\"field_120_71\" class=\"gfield gfield--type-captcha field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_120_71'>\u06a9\u062f \u0627\u0645\u0646\u06cc\u062a\u06cc<\/label><div id='input_120_71' class='ginput_container ginput_recaptcha' data-sitekey='6LcsmL0rAAAAAKWNo4s8IfpazxZ7mOeS807XBtO7'  data-theme='light' data-tabindex='0'  data-badge=''><\/div><\/li><li id=\"field_120_240\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_120_240'>Comments<\/label><div class='gfield_description' id='gfield_description_120_240'>\u0627\u06cc\u0646 \u0641\u06cc\u0644\u062f \u0628\u0631\u0627\u06cc \u0627\u0639\u062a\u0628\u0627\u0631 \u0633\u0646\u062c\u06cc \u0627\u0633\u062a \u0648 \u0628\u0627\u06cc\u062f \u0628\u062f\u0648\u0646 \u062a\u063a\u06cc\u06cc\u0631 \u0628\u0627\u0642\u06cc \u0628\u0645\u0627\u0646\u062f .<\/div><div class='ginput_container'><input name='input_240' id='input_120_240' type='text' value='' autocomplete='new-password'\/><\/div><\/li><\/ul><\/div>\n        <div class='gform-footer gform_footer top_label'> <input type='submit' id='gform_submit_button_120' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='\u0627\u0631\u0633\u0627\u0644'  \/> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_120' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_120' id='gform_theme_120' value='legacy' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_120' id='gform_style_settings_120' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_120' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='120' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_120' value='WyJ7XCI3OFwiOltcIjkyNGE4MDg5YzYwOTMwNDA4ZjMxODY4YWY4NjQ1MWNkXCIsXCI3NjAwOWNhNDk4MjNkOTBhZjUyNmRjYTcxYzM3MTM0NlwiXSxcIjgzXCI6W1wiMDg3MjhjYWE1YzJiOTA2ZTUxYWFlYzI1YjUxODk2ZWRcIixcIjg3YWQxMmE2ZTBkYmJlMmYxYjc2OGExYzU1OWM1ZjEwXCIsXCI2YTRjZDc5NjVkMTVhNzMxOTMwOWYzNTFlMGZlM2U0OVwiLFwiMjFlZjk4YzFjYTJkYTY5ZjJhMTJmY2MzNGI3NmFiNWFcIl0sXCIxNjcuMVwiOlwiZGFiMjMyYzM5ZDE5ODk3NTgwYTA2ZGUxMmYxZTE1ZWJcIixcIjE2Ny4yXCI6XCIyNzY2NjE2ZTM3ZWFiNWU0NzExOGUwOGFhYWI2ZDQxNVwiLFwiMTY3LjNcIjpcIjNhZTM4ZGJmZDg1ZjAyYmZmZDgyNjE4ZDJkMDcxMTlhXCIsXCIxMzIuMVwiOlwiMTQxMTI1ZjE2MWY4OTA4OGE2MzU2ZGI0YTEwNWU5Y2FcIixcIjEyOS4xXCI6XCJkZDBiZjM5NDdkZGUzODQyYzM5MmNlZjkyNGE3Yjc5MVwiLFwiMTI5LjJcIjpcImMxNGY3Njk5NzI2YzBjZWY5YzlmOGNjOTdlMTM1MzdjXCIsXCIxMjkuM1wiOlwiZTdmN2I0Yzg2M2NjNjVjNzM3YjhlMTA4MTJmZjYxMTJcIixcIjEyOS40XCI6XCI2NWZkZjc0ZDUyNDE2N2U3NWQ2ZTAyYWYyZDQyZDE2OFwiLFwiMTI5LjVcIjpcIjQwY2FiN2Y4OTM0M2NiYjU1Zjc5Njg3MDY3MDI0ODM5XCIsXCIxNjkuMVwiOlwiMjhjNTgwOGIyODQ4YTdlNzc5MTFjNDAwZjljY2RhYWJcIixcIjE2OS4yXCI6XCI5ZWJiMTAzMzA1YWQzYzI2M2FhMzJlOTliODVlY2I4OVwiLFwiMTY5LjNcIjpcImMyYTMzN2U3MDU5ZTZlOWQyNzM4ZDNjNTVhZjMwNzExXCIsXCIxODkuMVwiOlwiZTIzOTgxZTI1OWUxYmVjMjU2ZWRhYWIxNDc0ZWY0YjZcIixcIjIxMi4xXCI6XCJlMjM5ODFlMjU5ZTFiZWMyNTZlZGFhYjE0NzRlZjRiNlwiLFwiMTMzLjFcIjpcIjgwOTEzNTEyYzhlZjFiNzYyNzlmZDQwODAxY2FjNzgxXCIsXCIxMzEuMVwiOlwiOWI2MGNjYjAzOGY1Zjg3YjJjMjA2ZTRjYzY2NzQ5MzNcIixcIjEzMS4yXCI6XCI1MjQzOWVlZTcxYWYzODUyMDExMDdiODNkNTM0NWQ5NFwiLFwiMTMxLjNcIjpcImVkNjQ4M2E3N2QyYzJiZWI1OTU5MzdmMjM2ZjE4Mjk5XCIsXCIxMzEuNFwiOlwiNzQ5YTE3ZDU5NjI4ZDljMTY1YTZiYTIxOTE4NTkwZDRcIixcIjEzMS41XCI6XCJiMWJkMzY2NDY1OGU5MmQ2OWUwOWVhNTJkZTBjNGFkYlwiLFwiMTcwLjFcIjpcImU1MGRmZTQyZWIyNDZkZmYyN2Q5ODNlOTQyM2ZlYjIyXCIsXCIxNzAuMlwiOlwiNWUyMDE0MTljNjQ4NzYxZjk5NzhmM2VlNTVlNGNhOTlcIixcIjE3MC4zXCI6XCJkNjNkZWVkMDE5YmZjNjJlYTE1ZmEzNWUxMjlkOTEyMVwiLFwiMTkxLjFcIjpcImUyMzk4MWUyNTllMWJlYzI1NmVkYWFiMTQ3NGVmNGI2XCIsXCIyMTMuMVwiOlwiZTIzOTgxZTI1OWUxYmVjMjU2ZWRhYWIxNDc0ZWY0YjZcIixcIjEzNC4xXCI6XCIwMDU2NTI2MTMwYjQwNDU4MmM2YWMwZTQzOGFmZWM4MlwiLFwiMTM1LjFcIjpcImZiYmRiZjFmNzA0NDA0ZmI2NjNkMmU5ZTRkNTE4ZjEwXCIsXCIxMzUuMlwiOlwiNzA2YjliNDQyY2QzYWI1YTgwNGEzOGU3NWMwYTVjMDZcIixcIjE3MS4xXCI6XCJiMzc2ZDVhYTIzNjQ4MmFkNmUwYjg3NGY0NWE1ZDQyNlwiLFwiMTcxLjJcIjpcIjZmZWM5OGNlYTgyYTcwZTlhYzQ3OTI2NTQ5YTcyNzE4XCIsXCIxOTQuMVwiOlwiZTIzOTgxZTI1OWUxYmVjMjU2ZWRhYWIxNDc0ZWY0YjZcIixcIjIxNC4xXCI6XCJlMjM5ODFlMjU5ZTFiZWMyNTZlZGFhYjE0NzRlZjRiNlwiLFwiMTM2LjFcIjpcIjhiN2EwZWE1ZWIzZmY2MWYyM2MwMTAxNzcyOWQxNTZjXCIsXCIxMzcuMVwiOlwiYWViMDAzNGYxZjcxODg4YTE0NmI1NTU0NzM1ZWFmMDlcIixcIjEzNy4yXCI6XCJhNTRjMDZlN2YzYzA1YzRmZWYwMjFhOTg1NTdkZGQ3NlwiLFwiMTcyLjFcIjpcImRkNzg0Y2Q3ZDFiZGU3MWU4MzY3Y2IwNTUyYTliNjYzXCIsXCIxNzIuMlwiOlwiOGYxMDg1ZTA2ZjczNGM3NjYzYWFhNDE0YzQyMDZlYTlcIixcIjE5Ny4xXCI6XCJlMjM5ODFlMjU5ZTFiZWMyNTZlZGFhYjE0NzRlZjRiNlwiLFwiMjE1LjFcIjpcImUyMzk4MWUyNTllMWJlYzI1NmVkYWFiMTQ3NGVmNGI2XCIsXCIxMzguMVwiOlwiMDljYTcwMGRhNjNjZDI5ZGNmNWUxZmMyZmFiYzJlZjhcIixcIjEzOS4xXCI6XCI0ZGIxOTRiMjZiZGZlZjQ4ZTA1Njg1YjA5YjI2YjdhM1wiLFwiMTM5LjJcIjpcIjAzM2M4ZjVkOTg4Y2JjNjNjYzcxZjA4ZjU0NmFmYjljXCIsXCIxMzkuM1wiOlwiOTQyM2NhMWNjNzk0ZDZmMGM0ZDBiMWQ0ZWQ5ZDhhNWJcIixcIjE3My4xXCI6XCJjOTI3YTI1ZWIxM2JlZjM3ZjBlNzgzYWY1Zjk5YWEzY1wiLFwiMTczLjJcIjpcImY0MWFiMzQ3NzJjMTM2OTcyYjJhZGJlNTRlYmIwMGQ3XCIsXCIxNzMuM1wiOlwiZDlhNGY0NTFiOTJjY2VhMTRhMTRlMWY0NmRjYTg2ZmVcIixcIjIwMC4xXCI6XCJlMjM5ODFlMjU5ZTFiZWMyNTZlZGFhYjE0NzRlZjRiNlwiLFwiMjE2LjFcIjpcImUyMzk4MWUyNTllMWJlYzI1NmVkYWFiMTQ3NGVmNGI2XCIsXCIxNDAuMVwiOlwiY2YwNDRiMmFhNjdiY2ZlOWEzNjE1ZGI2Y2YwNTRlNTZcIixcIjE0MS4xXCI6XCJmZmUxMTNkYmFkNDE2YzQ5ZDYwM2JlMzcxNjE0Zjc1ZFwiLFwiMTQxLjJcIjpcImZmOWEyNjgyZTU1ZmU0NGQwNTM1NTJhOGI3NzRmMGNlXCIsXCIxNDEuM1wiOlwiZGQ5YzFjZmZmYTUxZTcwZWZhYzJlZmIwZTE2MzYwNDNcIixcIjE3NC4xXCI6XCI3ZDY0ZDYwZGUzMjIxNGEzZDU3NmZiNGZmZWRhOTZhY1wiLFwiMTc0LjJcIjpcIjg0MWM4NzU1OWEwYjEyZTdkZjk1NTAzMzJkMzRiODdlXCIsXCIyMTguMVwiOlwiZTIzOTgxZTI1OWUxYmVjMjU2ZWRhYWIxNDc0ZWY0YjZcIixcIjIxNy4xXCI6XCJlMjM5ODFlMjU5ZTFiZWMyNTZlZGFhYjE0NzRlZjRiNlwiLFwiMTQyLjFcIjpcImFiNmJjMTJjNzM4MzMyMmMyNjZjOTFjNjg0MWMyOTI1XCIsXCIxNDMuMVwiOlwiYmZlYzFlZTZkZWYyODIyYzA5NDJjNzlmOGUzMTFhNDRcIixcIjE3NS4xXCI6XCJmMjJkNWM5OGFkYTk3MWJkMjc2MzI1NWQwYmMxZTE3MVwiLFwiMTc1LjJcIjpcIjlhYmFkODE5N2E1ZmY4YzY3YTFhMDFjNTgzOTMwNjEyXCIsXCIxNzUuM1wiOlwiNTUzOWZkOWQzZGUwOTIzMGFjZDc3YTBmOTNhMzg0YmJcIixcIjIwNy4xXCI6XCJlMjM5ODFlMjU5ZTFiZWMyNTZlZGFhYjE0NzRlZjRiNlwiLFwiMjE5LjFcIjpcImUyMzk4MWUyNTllMWJlYzI1NmVkYWFiMTQ3NGVmNGI2XCIsXCIxNDQuMVwiOlwiZmVjZmI5OWE1MDU0NTZhNjk1ZWJmYTEyMWYwMjQwZTZcIixcIjE0NS4xXCI6XCI0ZTYzNzlkNzExMTM4ZWM2OWRmYzQxNWRmYWRmM2U0MVwiLFwiMTQ1LjJcIjpcIjk4OTBhZWYxMWU5MjI2NjZmMGFlMzkwMzY5Yzk1NzJmXCIsXCIxNDUuM1wiOlwiZTUzYTgzZjU0YmI5YjBlMGE0NWYzYzA1Y2E4N2NmNGNcIixcIjE0NS40XCI6XCJlMjM5ODFlMjU5ZTFiZWMyNTZlZGFhYjE0NzRlZjRiNlwiLFwiMTQ2LjFcIjpcIjZhNDkwYWE3ZmZlNDllZDY3Zjk5Nzk4YTViNGFlNDYyXCIsXCIxNjUuMVwiOlwiNTdkZjEwMWNhMTNlYmQwYWE5MDgwOTBkMTEyZWZmNGJcIixcIjE2NS4yXCI6XCJiMmRjODY4NmU3M2E0ZjRmNWM1NGI1N2ZlZWJhNGI4ZFwiLFwiMTY1LjNcIjpcImUyMzk4MWUyNTllMWJlYzI1NmVkYWFiMTQ3NGVmNGI2XCIsXCIxNDguMVwiOlwiNDhhNGRmYzU3ZTlkNTkzMTBhNWI4MjVjOTk3YjY5YTZcIixcIjE0OS4xXCI6XCI5NDNiOTRjMjM4YzdjOWVmY2M3MDM0NzAxMTM2MWMyOVwiLFwiMTQ5LjJcIjpcIjc5ZTU4NmQ1M2VmYTdiMGIwNDY5NzAwNzNjNjRjNTQ1XCIsXCIxNDkuM1wiOlwiZTg0ZGY5NTQxZTU3Mjc5NzM1OWY5YmYyNzhmOTY3YTJcIixcIjE0OS40XCI6XCJlMjM5ODFlMjU5ZTFiZWMyNTZlZGFhYjE0NzRlZjRiNlwiLFwiMTUwLjFcIjpcImUyMzk4MWUyNTllMWJlYzI1NmVkYWFiMTQ3NGVmNGI2XCJ9IiwiODU0NzlhNjA2YzRiMDgwNjJkYTU2NTc0YThkNjcwNDMiXQ==' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_120' id='gform_target_page_number_120' value='0' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_120' id='gform_source_page_number_120' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n                        <\/form>\n                        <\/div><script>\ngform.initializeOnLoaded( function() {gformInitSpinner( 120, 'https:\/\/shorasabashahr.ir\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery('#gform_ajax_frame_120').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_120');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_120').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){form_content.find('form').css('opacity', 0);jQuery('#gform_wrapper_120').html(form_content.html());if(form_content.hasClass('gform_validation_error')){jQuery('#gform_wrapper_120').addClass('gform_validation_error');} else {jQuery('#gform_wrapper_120').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_120').val();gformInitSpinner( 120, 'https:\/\/shorasabashahr.ir\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery(document).trigger('gform_page_loaded', [120, current_page]);window['gf_submitting_120'] = 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_120').replaceWith(confirmation_content);jQuery(document).trigger('gform_confirmation_loaded', [120]);window['gf_submitting_120'] = false;wp.a11y.speak(jQuery('#gform_confirmation_message_120').text());}else{jQuery('#gform_120').append(contents);if(window['gformRedirect']) {gformRedirect();}}jQuery(document).trigger(\"gform_pre_post_render\", [{ formId: \"120\", currentPage: \"current_page\", abort: function() { this.preventDefault(); } }]);        if (event && event.defaultPrevented) {                return;        }        const gformWrapperDiv = document.getElementById( \"gform_wrapper_120\" );        if ( gformWrapperDiv ) {            const visibilitySpan = document.createElement( \"span\" );            visibilitySpan.id = \"gform_visibility_test_120\";            gformWrapperDiv.insertAdjacentElement( \"afterend\", visibilitySpan );        }        const visibilityTestDiv = document.getElementById( \"gform_visibility_test_120\" );        let postRenderFired = false;        function triggerPostRender() {            if ( postRenderFired ) {                return;            }            postRenderFired = true;            gform.core.triggerPostRenderEvents( 120, 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>\n<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-32228","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/shorasabashahr.ir\/index.php?rest_route=\/wp\/v2\/pages\/32228","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/shorasabashahr.ir\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/shorasabashahr.ir\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/shorasabashahr.ir\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/shorasabashahr.ir\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=32228"}],"version-history":[{"count":4,"href":"https:\/\/shorasabashahr.ir\/index.php?rest_route=\/wp\/v2\/pages\/32228\/revisions"}],"predecessor-version":[{"id":32241,"href":"https:\/\/shorasabashahr.ir\/index.php?rest_route=\/wp\/v2\/pages\/32228\/revisions\/32241"}],"wp:attachment":[{"href":"https:\/\/shorasabashahr.ir\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=32228"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}