{"id":4165,"date":"2024-08-13T22:34:12","date_gmt":"2024-08-13T18:04:12","guid":{"rendered":"https:\/\/famcan.org\/?page_id=4165"},"modified":"2024-09-16T11:10:02","modified_gmt":"2024-09-16T06:40:02","slug":"risk-assessment","status":"publish","type":"page","link":"https:\/\/famcan.org\/fa\/risk-assessment\/","title":{"rendered":"\u0631\u06cc\u0633\u06a9 \u0633\u0646\u062c\u06cc"},"content":{"rendered":"\n\t<div id=\"gap-558914427\" class=\"gap-element clearfix show-for-small\" style=\"display:block; height:auto;\">\n\t\t\n<style>\n#gap-558914427 {\n  padding-top: 15px;\n}\n<\/style>\n\t<\/div>\n\t\n\n<div class=\"row\"  id=\"row-802467479\">\n\n\n\t<div id=\"col-1639944210\" class=\"col medium-1 small-12 large-1\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t<div class=\"is-border\"\n\t\tstyle=\"border-width:0px 0px 0px 2px;margin:0px 0px 0px -30px;\">\n\t<\/div>\n\t\t\t\n\n\t<div id=\"text-1531775121\" class=\"text\">\n\t\t\n\n<h4 style=\"text-align: left;\"><span style=\"font-size: 75%;\" data-line-height=\"s\">\u0631\u06cc\u0633\u06a9 \u0633\u0646\u062c\u06cc<\/span><\/h4>\n\t\t\n<style>\n#text-1531775121 {\n  color: rgb(189, 32, 38);\n}\n#text-1531775121 > * {\n  color: rgb(189, 32, 38);\n}\n<\/style>\n\t<\/div>\n\t\n\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1639944210 > .col-inner {\n  padding: 0px 4px 0px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\n\n\t<div id=\"col-1221721320\" class=\"col medium-11 small-12 large-11\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n\n<p><span style=\"font-weight: 400;\">\u067e\u0631\u0633\u0634\u0646\u0627\u0645\u0647 \u0627\u0631\u0632\u06cc\u0627\u0628\u06cc \u0627\u0633\u062a\u0639\u062f\u0627\u062f \u0627\u0628\u062a\u0644\u0627 \u0628\u0647 \u0633\u0646\u062f\u0631\u0645 \u0647\u0627\u06cc \u0627\u0631\u062b\u06cc \u0633\u0631\u0637\u0627\u0646 <\/span><\/p>\n\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1221721320 > .col-inner {\n  margin: 0px 26px 0px 18px;\n}\n<\/style>\n\t<\/div>\n\n\t\n\n\t<div id=\"col-2115203946\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n\n<div class=\"row\"  id=\"row-516901713\">\n\n\n\t<div id=\"col-994360090\" class=\"col medium-1 small-12 large-1\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n\n\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n\n\t<div id=\"col-2075855489\" class=\"col medium-10 small-12 large-10\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n\n<p><strong>\u0628\u0627 \u067e\u0627\u0633\u062e \u062f\u0642\u06cc\u0642 \u0634\u0645\u0627 \u0628\u0647 \u0627\u06cc\u0646 \u067e\u0631\u0633\u0634\u0647\u0627\u060c \u0645\u0627 (\u0641\u0645\u06a9\u0646) \u062e\u0648\u0627\u0647\u06cc\u0645 \u062a\u0648\u0627\u0646\u0633\u062a \u0628\u0627 \u0627\u0633\u062a\u0641\u0627\u062f\u0647 \u0627\u0632 \u0628\u0647\u200c\u0631\u0648\u0632\u062a\u0631\u06cc\u0646 \u0627\u0628\u0632\u0627\u0631 \u0647\u0648\u0634 \u0645\u0635\u0646\u0648\u0639\u06cc\u060c \u0627\u062d\u062a\u0645\u0627\u0644 \u0631\u062e\u062f\u0627\u062f \u0633\u0631\u0637\u0627\u0646 \u0627\u0631\u062b\u06cc \u0631\u0627 \u0628\u0631\u0627\u06cc \u0634\u0645\u0627 \u0645\u062d\u0627\u0633\u0628\u0647 \u06a9\u0646\u06cc\u0645. \u0633\u067e\u0633 \u0627\u0642\u062f\u0627\u0645\u0627\u062a \u067e\u0632\u0634\u06a9\u06cc \u0644\u0627\u0632\u0645 \u0645\u062e\u0635\u0648\u0635 \u0634\u0645\u0627 \u0631\u0627 \u0628\u0647 \u0627\u0637\u0644\u0627\u0639 \u062a\u0627\u0646 \u0628\u0631\u0633\u0627\u0646\u06cc\u0645.<\/strong><br \/><strong>\u0627\u06af\u0631 \u0627\u0632 \u0627\u0642\u0648\u0627\u0645 \u0634\u0645\u0627 \u0641\u0631\u062f\u06cc \u0645\u0628\u062a\u0644\u0627 \u0628\u0647 \u0633\u0631\u0637\u0627\u0646 \u0634\u062f\u0647 \u0627\u0633\u062a \u06a9\u0647 \u0627\u0642\u0648\u0627\u0645 \u062f\u0631\u062c\u0647 \u0627\u0648\u0644 \u0627\u0648 \u0647\u0645 \u0645\u0628\u062a\u0644\u0627 \u0628\u0647 \u0633\u0631\u0637\u0627\u0646 \u0634\u062f\u0647 \u0627\u0646\u062f\u060c \u0641\u0631\u0645 \u0631\u0627 \u0628\u0631\u0627\u06cc \u0627\u06cc\u0634\u0627\u0646 \u067e\u0631 \u0646\u0645\u0627\u06cc\u06cc\u062f.<\/strong><br \/><strong>\u0628\u0631\u0627\u06cc \u0645\u062b\u0627\u0644 \u0627\u06af\u0631 \u06cc\u06a9 \u0641\u0631\u062f \u0628\u0627 \u0646\u0633\u0628\u062a \u062f\u0631\u062c\u0647 \u0627\u0648\u0644 \u062f\u0631 \u062e\u0627\u0646\u0648\u0627\u062f\u0647 \u062e\u0648\u062f \u062f\u0627\u0631\u06cc\u062f \u06a9\u0647 \u0628\u0647 \u0633\u0631\u0637\u0627\u0646 \u062a\u062e\u0645\u062f\u0627\u0646 \u0648 \u062f\u062e\u062a\u0631\u0634 \u0628\u0647 \u0633\u0631\u0637\u0627\u0646 \u067e\u0633\u062a\u0627\u0646 \u0645\u0628\u062a\u0644\u0627 \u0634\u062f\u0647 \u0627\u0646\u062f\u060c \u0641\u0631\u0645 \u0631\u0627 \u0628\u0631\u0627\u06cc \u0641\u0631\u062f \u0645\u0628\u062a\u0644\u0627 \u0628\u0647 \u0633\u0631\u0637\u0627\u0646 \u062a\u062e\u0645\u062f\u0627\u0646 \u067e\u0631 \u06a9\u0646\u06cc\u062f.<\/strong><\/p>\n<ul>\n<li><strong>\u0627\u0637\u0644\u0627\u0639\u0627\u062a \u0634\u0645\u0627 \u067e\u06cc\u0634 \u0645\u0627 \u0645\u062d\u0641\u0648\u0638 \u0628\u0627\u0642\u06cc \u0645\u06cc\u200c\u0645\u0627\u0646\u062f.<\/strong><\/li>\n<\/ul>\n\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n\n\t<div id=\"col-1124733669\" class=\"col medium-1 small-12 large-1\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n\n\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n\n<\/div>\n\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n\n\n<style>\n#row-802467479 > .col > .col-inner {\n  padding: 0px 0px -20px 0px;\n}\n<\/style>\n<\/div>\n\t<div id=\"gap-965495666\" class=\"gap-element clearfix\" style=\"display:block; height:auto;\">\n\t\t\n<style>\n#gap-965495666 {\n  padding-top: 0px;\n}\n<\/style>\n\t<\/div>\n\t\n\n<div class=\"row\"  id=\"row-1074885989\">\n\n\n\t<div id=\"col-1295445505\" class=\"col medium-1 small-12 large-1\"  >\n\t\t\t\t<div class=\"col-inner text-right\"  >\n\t\t\t\n\t\t\t\n\n\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n\n\t<div id=\"col-686355130\" class=\"col medium-10 small-12 large-10\"  >\n\t\t\t\t<div class=\"col-inner text-right\"  >\n\t\t\t\n\t\t\t\n\n\t<div id=\"text-2410910864\" class=\"text\">\n\t\t\n\n<p style=\"text-align: right; direction:RTL; \"><div class=\"wpforms-container wpforms-container-full wpforms-render-modern\" id=\"wpforms-4185\"><form id=\"wpforms-form-4185\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"4185\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/fa\/wp-json\/wp\/v2\/pages\/4165?wpforms_form_id=4185\" data-token=\"6e3214c79e194f61fce9a021e2d5de98\" data-token-time=\"1777213691\"><noscript class=\"wpforms-error-noscript\">\u0644\u0637\u0641\u0627\u064b \u0628\u0631\u0627\u06cc \u062a\u06a9\u0645\u06cc\u0644 \u0627\u06cc\u0646 \u0641\u0631\u0645\u060c \u062c\u0627\u0648\u0627 \u0627\u0633\u06a9\u0631\u06cc\u067e\u062a \u0631\u0627 \u062f\u0631 \u0645\u0631\u0648\u0631\u06af\u0631 \u062e\u0648\u062f \u0641\u0639\u0627\u0644 \u06a9\u0646\u06cc\u062f.<\/noscript><div class=\"wpforms-hidden\" id=\"wpforms-error-noscript\">\u0644\u0637\u0641\u0627\u064b \u0628\u0631\u0627\u06cc \u062a\u06a9\u0645\u06cc\u0644 \u0627\u06cc\u0646 \u0641\u0631\u0645\u060c \u062c\u0627\u0648\u0627 \u0627\u0633\u06a9\u0631\u06cc\u067e\u062a \u0631\u0627 \u062f\u0631 \u0645\u0631\u0648\u0631\u06af\u0631 \u062e\u0648\u062f \u0641\u0639\u0627\u0644 \u06a9\u0646\u06cc\u062f.<\/div><div class=\"wpforms-page-indicator progress\" data-indicator=\"progress\" data-indicator-color=\"#066aab\" data-scroll=\"1\" role=\"progressbar\" aria-valuenow=\"1\" aria-valuemin=\"1\" aria-valuemax=\"5\" tabindex=\"-1\"><span class=\"wpforms-page-indicator-page-title\" data-page-1-title=\"\u0627\u0637\u0644\u0627\u0639\u0627\u062a \u0634\u062e\u0635\u06cc\">\u0627\u0637\u0644\u0627\u0639\u0627\u062a \u0634\u062e\u0635\u06cc<\/span><span class=\"wpforms-page-indicator-page-title-sep\" > - <\/span><span class=\"wpforms-page-indicator-steps\">\u06af\u0627\u0645 <span class=\"wpforms-page-indicator-steps-current\">1<\/span> \u0627\u0632 5<\/span><div class=\"wpforms-page-indicator-page-progress-wrap\"><div class=\"wpforms-page-indicator-page-progress\" style=\"width:20%;background-color:#066aab\"><\/div><\/div><\/div><div class=\"wpforms-field-container\"><div class=\"wpforms-page wpforms-page-1 \" data-page=\"1\"><div id=\"wpforms-4185-field_4-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-type=\"pagebreak\" data-field-id=\"4\"><\/div><div id=\"wpforms-4185-field_1-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-2-columns wpforms-conditional-trigger\" data-field-type=\"radio\" data-field-id=\"1\"><fieldset><legend class=\"wpforms-field-label\">\u062c\u0646\u0633\u06cc\u062a \u062e\u0648\u062f \u0631\u0627 \u0645\u0634\u062e\u0635 \u06a9\u0646\u06cc\u062f. <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-4185-field_1\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-4185-field_1_1\" name=\"wpforms[fields][1]\" value=\"\u0632\u0646\" aria-errormessage=\"wpforms-4185-field_1_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4185-field_1_1\">\u0632\u0646<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-4185-field_1_2\" name=\"wpforms[fields][1]\" value=\"\u0645\u0631\u062f\" aria-errormessage=\"wpforms-4185-field_1_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4185-field_1_2\">\u0645\u0631\u062f<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-4185-field_155-container\" class=\"wpforms-field wpforms-field-text wpforms-birth-limit\" data-field-type=\"text\" data-field-id=\"155\"><label class=\"wpforms-field-label\" for=\"wpforms-4185-field_155\">\u0633\u0627\u0644 \u062a\u0648\u0644\u062f <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-4185-field_155\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][155]\" aria-errormessage=\"wpforms-4185-field_155-error\" required><\/div><div id=\"wpforms-4185-field_30-container\" class=\"wpforms-field wpforms-field-layout\" data-field-type=\"layout\" data-field-id=\"30\"><label class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">\u0686\u06cc\u062f\u0645\u0627\u0646<\/label><div class=\"wpforms-field-layout-rows wpforms-field-large\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-4185-field_9-container\" class=\"wpforms-field wpforms-field-text wpforms-number-limit\" data-field-type=\"text\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-4185-field_9\">\u0642\u062f (\u0633\u0627\u0646\u062a\u06cc \u0645\u062a\u0631) <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-4185-field_9\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][9]\" aria-errormessage=\"wpforms-4185-field_9-error\" required><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-4185-field_10-container\" class=\"wpforms-field wpforms-field-text wpforms-number-limit\" data-field-type=\"text\" data-field-id=\"10\"><label class=\"wpforms-field-label\" for=\"wpforms-4185-field_10\">\u0648\u0632\u0646 (\u06a9\u06cc\u0644\u0648\u06af\u0631\u0645) <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-4185-field_10\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][10]\" aria-errormessage=\"wpforms-4185-field_10-error\" required><\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-4185-field_158-container\" class=\"wpforms-field wpforms-field-layout\" data-field-type=\"layout\" data-field-id=\"158\"><label class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">\u0686\u06cc\u062f\u0645\u0627\u0646<\/label><div class=\"wpforms-field-layout-rows wpforms-field-large\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-4185-field_112-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-hide\" data-field-type=\"text\" data-field-id=\"112\"><label class=\"wpforms-field-label\" for=\"wpforms-4185-field_112\"> \u06a9\u062f \u0645\u0644\u06cc <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-4185-field_112\" class=\"wpforms-field-medium wpforms-field-required wpforms-masked-input\" data-rule-inputmask-incomplete=\"1\" data-inputmask-mask=\"9999999999\" name=\"wpforms[fields][112]\" aria-errormessage=\"wpforms-4185-field_112-error\" required><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-4185-field_157-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-conditional-trigger\" data-field-type=\"checkbox\" data-field-id=\"157\"><fieldset><legend class=\"wpforms-field-label\"><\/legend><ul id=\"wpforms-4185-field_157\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-4185-field_157_1\" name=\"wpforms[fields][157][]\" value=\"\u0627\u062a\u0628\u0627\u0639 \u0647\u0633\u062a\u0645\" aria-errormessage=\"wpforms-4185-field_157_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4185-field_157_1\">\u0627\u062a\u0628\u0627\u0639 \u0647\u0633\u062a\u0645<\/label><\/li><\/ul><\/fieldset><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-4185-field_159-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"text\" data-field-id=\"159\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-4185-field_159\">\u06a9\u062f \u0627\u062a\u0628\u0627\u0639 <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-4185-field_159\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][159]\" aria-errormessage=\"wpforms-4185-field_159-error\" required><\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-4185-field_3-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-type=\"pagebreak\" data-field-id=\"3\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-next wpforms-disabled\"\n\t\t\t\t\tdata-action=\"next\" data-page=\"1\" data-formid=\"4185\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">\u0628\u0639\u062f\u06cc<\/button><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-2  \" data-page=\"2\" style=\"display:none;\"><div id=\"wpforms-4185-field_145-container\" class=\"wpforms-field wpforms-field-number-slider wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"number-slider\" data-field-id=\"145\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-4185-field_145\">\u0627\u0648\u0644\u06cc\u0646 \u0628\u0627\u0631 \u06a9\u0647 \u062f\u0686\u0627\u0631 \u0642\u0627\u0639\u062f\u06af\u06cc \u0634\u062f\u06cc\u062f \u0686\u0646\u062f \u0633\u0627\u0644 \u062f\u0627\u0634\u062a\u06cc\u062f\u061f<\/label>\n<input\n\ttype=\"range\"\n\tid=\"wpforms-4185-field_145\" class=\"wpforms-field-medium\" name=\"wpforms[fields][145]\" value=\"8\" aria-errormessage=\"wpforms-4185-field_145-error\"\t\tmin=\"8\"\n\tmax=\"18\"\n\tstep=\"1\">\n\n<div class=\"wpforms-field-number-slider-hint\"\n\tdata-hint=\"\u0645\u0642\u062f\u0627\u0631 \u0627\u0646\u062a\u062e\u0627\u0628 \u0634\u062f\u0647: {value}\">\n\t\u0645\u0642\u062f\u0627\u0631 \u0627\u0646\u062a\u062e\u0627\u0628 \u0634\u062f\u0647: <b>8<\/b><\/div>\n<\/div><div id=\"wpforms-4185-field_12-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-3-columns wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-type=\"radio\" data-field-id=\"12\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">\u0622\u06cc\u0627 \u0634\u0645\u0627 \u06cc\u0627\u0626\u0633\u0647 \u0634\u062f\u0647\u200c\u0627\u06cc\u062f\u061f <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-4185-field_12\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-4185-field_12_1\" name=\"wpforms[fields][12]\" value=\"\u0628\u0644\u0647\" aria-errormessage=\"wpforms-4185-field_12_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4185-field_12_1\">\u0628\u0644\u0647<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-4185-field_12_2\" name=\"wpforms[fields][12]\" value=\"\u062e\u06cc\u0631\" aria-errormessage=\"wpforms-4185-field_12_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4185-field_12_2\">\u062e\u06cc\u0631<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-4185-field_12_3\" name=\"wpforms[fields][12]\" value=\"\u0645\u0648\u0642\u062a\u0627(\u062f\u0631 \u0627\u062b\u0631 \u0645\u0635\u0631\u0641 \u062f\u0627\u0631\u0648 \u062f\u0686\u0627\u0631 \u06cc\u0627\u0626\u0633\u06af\u06cc \u0634\u062f\u0647 \u0627\u0645)\" aria-errormessage=\"wpforms-4185-field_12_3-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4185-field_12_3\">\u0645\u0648\u0642\u062a\u0627(\u062f\u0631 \u0627\u062b\u0631 \u0645\u0635\u0631\u0641 \u062f\u0627\u0631\u0648 \u062f\u0686\u0627\u0631 \u06cc\u0627\u0626\u0633\u06af\u06cc \u0634\u062f\u0647 \u0627\u0645)<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-4185-field_13-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-3-columns wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"radio\" data-field-id=\"13\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">\u062f\u0631 \u0686\u0647 \u0633\u0646\u06cc \u06cc\u0627\u0626\u0633\u0647 \u0634\u062f\u0647\u200c\u0627\u06cc\u062f\u061f <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-4185-field_13\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-4185-field_13_1\" name=\"wpforms[fields][13]\" value=\"\u06a9\u0645\u062a\u0631 \u0627\u063240 \u0633\u0627\u0644\" aria-errormessage=\"wpforms-4185-field_13_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4185-field_13_1\">\u06a9\u0645\u062a\u0631 \u0627\u063240 \u0633\u0627\u0644<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-4185-field_13_2\" name=\"wpforms[fields][13]\" value=\"\u0628\u06cc\u0646 40 \u062a\u0627 44 \u0633\u0627\u0644\u06af\u06cc\" aria-errormessage=\"wpforms-4185-field_13_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4185-field_13_2\">\u0628\u06cc\u0646 40 \u062a\u0627 44 \u0633\u0627\u0644\u06af\u06cc<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-4185-field_13_3\" name=\"wpforms[fields][13]\" value=\"\u0628\u06cc\u0646 45 \u062a\u0627 49 \u0633\u0627\u0644\u06af\u06cc\" aria-errormessage=\"wpforms-4185-field_13_3-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4185-field_13_3\">\u0628\u06cc\u0646 45 \u062a\u0627 49 \u0633\u0627\u0644\u06af\u06cc<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-4185-field_13_4\" name=\"wpforms[fields][13]\" value=\"\u0628\u06cc\u0646 50 \u062a\u0627 54  \u0633\u0627\u0644\u06af\u06cc\" aria-errormessage=\"wpforms-4185-field_13_4-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4185-field_13_4\">\u0628\u06cc\u0646 50 \u062a\u0627 54  \u0633\u0627\u0644\u06af\u06cc<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-4185-field_13_5\" name=\"wpforms[fields][13]\" value=\"\u0628\u06cc\u0634\u062a\u0631 \u0627\u0632 54 \u0633\u0627\u0644\" aria-errormessage=\"wpforms-4185-field_13_5-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4185-field_13_5\">\u0628\u06cc\u0634\u062a\u0631 \u0627\u0632 54 \u0633\u0627\u0644<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-4185-field_14-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-3-columns wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"radio\" data-field-id=\"14\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">\u0622\u06cc\u0627 \u062a\u0627 \u0628\u0647 \u062d\u0627\u0644 \u0627\u0632 \u062f\u0631\u0645\u0627\u0646 \u062c\u0627\u06cc\u06af\u0632\u06cc\u0646\u06cc \u0647\u0648\u0631\u0645\u0648\u0646\u06cc (HRT) \u0628\u0631\u0627\u06cc \u06cc\u0627\u0626\u0633\u06af\u06cc \u0627\u0633\u062a\u0641\u0627\u062f\u0647 \u06a9\u0631\u062f\u0647 \u0627\u06cc\u062f\u061f <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-4185-field_14\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-4185-field_14_1\" name=\"wpforms[fields][14]\" value=\"\u0628\u0644\u0647\" aria-errormessage=\"wpforms-4185-field_14_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4185-field_14_1\">\u0628\u0644\u0647<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-4185-field_14_2\" name=\"wpforms[fields][14]\" value=\"\u062e\u06cc\u0631\" aria-errormessage=\"wpforms-4185-field_14_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4185-field_14_2\">\u062e\u06cc\u0631<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-4185-field_14_3\" name=\"wpforms[fields][14]\" value=\"\u0646\u0645\u06cc\u200c\u062f\u0627\u0646\u0645\" aria-errormessage=\"wpforms-4185-field_14_3-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4185-field_14_3\">\u0646\u0645\u06cc\u200c\u062f\u0627\u0646\u0645<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-4185-field_15-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-3-columns wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-type=\"radio\" data-field-id=\"15\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">\u0622\u06cc\u0627 \u062a\u0627 \u0628\u0647 \u062d\u0627\u0644 \u062f\u0627\u0631\u0648\u06cc \u0636\u062f \u0628\u0627\u0631\u062f\u0627\u0631\u06cc \u0645\u0635\u0631\u0641 \u06a9\u0631\u062f\u0647\u200c\u0627\u06cc\u062f\u061f <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-4185-field_15\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-4185-field_15_1\" name=\"wpforms[fields][15]\" value=\"\u0628\u0644\u0647\" aria-errormessage=\"wpforms-4185-field_15_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4185-field_15_1\">\u0628\u0644\u0647<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-4185-field_15_2\" name=\"wpforms[fields][15]\" value=\"\u062e\u06cc\u0631\" aria-errormessage=\"wpforms-4185-field_15_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4185-field_15_2\">\u062e\u06cc\u0631<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-4185-field_15_3\" name=\"wpforms[fields][15]\" value=\"\u0646\u0645\u06cc\u200c\u062f\u0627\u0646\u0645\" aria-errormessage=\"wpforms-4185-field_15_3-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4185-field_15_3\">\u0646\u0645\u06cc\u200c\u062f\u0627\u0646\u0645<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-4185-field_16-container\" class=\"wpforms-field wpforms-field-select wpforms-conditional-field wpforms-conditional-show wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"16\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-4185-field_16\">\u062f\u0631 \u0645\u062c\u0645\u0648\u0639 \u0686\u0647 \u0645\u062f\u062a \u0645\u0635\u0631\u0641 \u06a9\u0631\u062f\u0647\u200c\u0627\u06cc\u062f\u061f <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><select id=\"wpforms-4185-field_16\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][16]\" required=\"required\"><option value=\"\u0627\u0646\u062a\u062e\u0627\u0628 \u0646\u0645\u0627\u06cc\u06cc\u062f\" >\u0627\u0646\u062a\u062e\u0627\u0628 \u0646\u0645\u0627\u06cc\u06cc\u062f<\/option><option value=\"\u06a9\u0645\u062a\u0631 \u0627\u0632 \u06cc\u06a9\u0633\u0627\u0644\" >\u06a9\u0645\u062a\u0631 \u0627\u0632 \u06cc\u06a9\u0633\u0627\u0644<\/option><option value=\"1-4 \u0633\u0627\u0644\" >1-4 \u0633\u0627\u0644<\/option><option value=\"5-9 \u0633\u0627\u0644\" >5-9 \u0633\u0627\u0644<\/option><option value=\"10-14 \u0633\u0627\u0644\" >10-14 \u0633\u0627\u0644<\/option><option value=\"15\u0633\u0627\u0644 \u06cc\u0627 \u0628\u06cc\u0634\u062a\u0631\" >15\u0633\u0627\u0644 \u06cc\u0627 \u0628\u06cc\u0634\u062a\u0631<\/option><\/select><\/div><div id=\"wpforms-4185-field_17-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-3-columns wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"radio\" data-field-id=\"17\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">\u0622\u06cc\u0627 \u062f\u0631 \u062f\u0648\u0633\u0627\u0644 \u0627\u062e\u06cc\u0631 \u0647\u0645 \u062f\u0627\u0631\u0648\u06cc \u0636\u062f \u0628\u0627\u0631\u062f\u0627\u0631\u06cc  \u0645\u0635\u0631\u0641 \u06a9\u0631\u062f\u0647 \u0627\u06cc\u062f\u061f <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-4185-field_17\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-4185-field_17_1\" name=\"wpforms[fields][17]\" value=\"\u0628\u0644\u0647\" aria-errormessage=\"wpforms-4185-field_17_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4185-field_17_1\">\u0628\u0644\u0647<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-4185-field_17_2\" name=\"wpforms[fields][17]\" value=\"\u062e\u06cc\u0631\" aria-errormessage=\"wpforms-4185-field_17_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4185-field_17_2\">\u062e\u06cc\u0631<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-4185-field_17_3\" name=\"wpforms[fields][17]\" value=\"\u0646\u0645\u06cc\u200c\u062f\u0627\u0646\u0645\" aria-errormessage=\"wpforms-4185-field_17_3-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4185-field_17_3\">\u0646\u0645\u06cc\u200c\u062f\u0627\u0646\u0645<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-4185-field_18-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-3-columns wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-type=\"radio\" data-field-id=\"18\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">\u0622\u06cc\u0627 \u062a\u0627 \u0628\u0647 \u062d\u0627\u0644 \u0645\u0627\u0645\u0648\u06af\u0631\u0627\u0641\u06cc \u0627\u0646\u062c\u0627\u0645 \u062f\u0627\u062f\u0647 \u0627\u06cc\u062f\u061f <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-4185-field_18\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-4185-field_18_1\" name=\"wpforms[fields][18]\" value=\"\u0628\u0644\u0647\" aria-errormessage=\"wpforms-4185-field_18_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4185-field_18_1\">\u0628\u0644\u0647<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-4185-field_18_2\" name=\"wpforms[fields][18]\" value=\"\u062e\u06cc\u0631\" aria-errormessage=\"wpforms-4185-field_18_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4185-field_18_2\">\u062e\u06cc\u0631<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-4185-field_18_3\" name=\"wpforms[fields][18]\" value=\"\u0646\u0645\u06cc\u200c\u062f\u0627\u0646\u0645\" aria-errormessage=\"wpforms-4185-field_18_3-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4185-field_18_3\">\u0646\u0645\u06cc\u200c\u062f\u0627\u0646\u0645<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-4185-field_163-container\" class=\"wpforms-field wpforms-field-file-upload wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"file-upload\" data-field-id=\"163\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-4185-field_163\">\u0644\u0637\u0641\u0627\u064b \u062a\u0635\u0648\u06cc\u0631 \u06af\u0632\u0627\u0631\u0634 \u0645\u0627\u0645\u0648\u06af\u0631\u0627\u0641\u06cc \u0631\u0627 \u0628\u0627\u0631\u06af\u0630\u0627\u0631\u06cc \u06a9\u0646\u06cc\u062f.<\/label><div\n\t\tclass=\"wpforms-uploader\"\n\t\tdata-field-id=\"163\"\n\t\tdata-form-id=\"4185\"\n\t\tdata-input-name=\"wpforms_4185_163\"\n\t\tdata-extensions=\"png,pdf,jpg\"\n\t\tdata-max-size=\"134217728\"\n\t\tdata-max-file-number=\"1\"\n\t\tdata-post-max-size=\"134217728\"\n\t\tdata-max-parallel-uploads=\"4\"\n\t\tdata-parallel-uploads=\"true\"\n\t\tdata-file-chunk-size=\"2097152\">\n\t<div class=\"dz-message\">\n\t\t<svg viewBox=\"0 0 1024 1024\" focusable=\"false\" data-icon=\"inbox\" width=\"50px\" height=\"50px\" fill=\"currentColor\" aria-hidden=\"true\">\n\t\t\t<path d=\"M885.2 446.3l-.2-.8-112.2-285.1c-5-16.1-19.9-27.2-36.8-27.2H281.2c-17 0-32.1 11.3-36.9 27.6L139.4 443l-.3.7-.2.8c-1.3 4.9-1.7 9.9-1 14.8-.1 1.6-.2 3.2-.2 4.8V830a60.9 60.9 0 0 0 60.8 60.8h627.2c33.5 0 60.8-27.3 60.9-60.8V464.1c0-1.3 0-2.6-.1-3.7.4-4.9 0-9.6-1.3-14.1zm-295.8-43l-.3 15.7c-.8 44.9-31.8 75.1-77.1 75.1-22.1 0-41.1-7.1-54.8-20.6S436 441.2 435.6 419l-.3-15.7H229.5L309 210h399.2l81.7 193.3H589.4zm-375 76.8h157.3c24.3 57.1 76 90.8 140.4 90.8 33.7 0 65-9.4 90.3-27.2 22.2-15.6 39.5-37.4 50.7-63.6h156.5V814H214.4V480.1z\"><\/path>\n\t\t<\/svg>\n\t\t<span class=\"modern-title\">\u0628\u0631\u0627\u06cc \u0622\u067e\u0644\u0648\u062f\u060c \u0641\u0627\u06cc\u0644\u06cc \u0631\u0627 \u0628\u0647 \u0627\u06cc\u0646 \u0642\u0633\u0645\u062a \u0628\u06a9\u0634\u06cc\u062f \u06cc\u0627 \u06a9\u0644\u06cc\u06a9 \u06a9\u0646\u06cc\u062f.<\/span>\n\n\t\t\t<\/div>\n<\/div>\n<input\n\t\ttype=\"text\"\n\t\tautocomplete=\"off\"\n\t\treadonly\n\t\tclass=\"dropzone-input\"\n\t\tstyle=\"position:absolute!important;clip:rect(0,0,0,0)!important;height:1px!important;width:1px!important;border:0!important;overflow:hidden!important;padding:0!important;margin:0!important;\"\n\t\tid=\"wpforms-4185-field_163\"\n\t\tname=\"wpforms_4185_163\" \t\tvalue=\"\">\n<\/div><div id=\"wpforms-4185-field_19-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-3-columns wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-type=\"radio\" data-field-id=\"19\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">\u0628\u0639\u0636\u06cc \u062e\u0627\u0646\u0645 \u0647\u0627 \u067e\u0633\u062a\u0627\u0646 \u0628\u0627 \u0628\u0627\u0641\u062a \u0645\u062a\u0631\u0627\u06a9\u0645 \u062f\u0627\u0631\u0646\u062f\u060c \u0622\u06cc\u0627 \u0628\u0631\u0627\u06cc \u0634\u0645\u0627 \u0646\u06cc\u0632 \u062f\u0631 \u06af\u0632\u0627\u0631\u0634 \u0645\u0627\u0645\u0648\u06af\u0631\u0627\u0641\u06cc \u0627\u06cc\u0646\u0686\u0646\u06cc\u0646 \u06af\u0632\u0627\u0631\u0634 \u0634\u062f\u0647 \u0627\u0633\u062a\u061f <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-4185-field_19\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-4185-field_19_1\" name=\"wpforms[fields][19]\" value=\"\u0628\u0644\u0647\" aria-errormessage=\"wpforms-4185-field_19_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4185-field_19_1\">\u0628\u0644\u0647<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-4185-field_19_2\" name=\"wpforms[fields][19]\" value=\"\u062e\u06cc\u0631\" aria-errormessage=\"wpforms-4185-field_19_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4185-field_19_2\">\u062e\u06cc\u0631<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-4185-field_19_3\" name=\"wpforms[fields][19]\" value=\"\u0646\u0645\u06cc\u200c\u062f\u0627\u0646\u0645\" aria-errormessage=\"wpforms-4185-field_19_3-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4185-field_19_3\">\u0646\u0645\u06cc\u200c\u062f\u0627\u0646\u0645<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-4185-field_20-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-3-columns wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-type=\"radio\" data-field-id=\"20\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">\u0622\u06cc\u0627 \u0645\u06cc\u0632\u0627\u0646 \u062a\u0631\u0627\u06a9\u0645 \u0628\u0627\u0641\u062a \u067e\u0633\u062a\u0627\u0646 \u0634\u0645\u0627 \u0628\u0631 \u0627\u0633\u0627\u0633 BI-RADS \u0627\u0646\u062f\u0627\u0632\u0647 \u06af\u06cc\u0631\u06cc \u0634\u062f\u0647\u061f  <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-4185-field_20\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-4185-field_20_1\" name=\"wpforms[fields][20]\" value=\"\u0628\u0644\u0647\" aria-errormessage=\"wpforms-4185-field_20_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4185-field_20_1\">\u0628\u0644\u0647<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-4185-field_20_2\" name=\"wpforms[fields][20]\" value=\"\u062e\u06cc\u0631\" aria-errormessage=\"wpforms-4185-field_20_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4185-field_20_2\">\u062e\u06cc\u0631<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-4185-field_20_3\" name=\"wpforms[fields][20]\" value=\"\u0646\u0645\u06cc\u200c\u062f\u0627\u0646\u0645\" aria-errormessage=\"wpforms-4185-field_20_3-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4185-field_20_3\">\u0646\u0645\u06cc\u200c\u062f\u0627\u0646\u0645<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-4185-field_21-container\" class=\"wpforms-field wpforms-field-select wpforms-conditional-field wpforms-conditional-show wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"21\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-4185-field_21\">\u0646\u062a\u06cc\u062c\u0647 \u0627\u0646\u062f\u0627\u0632\u0647 \u06af\u06cc\u0631\u06cc BI-RADS \u0631\u0627 \u0645\u0634\u062e\u0635 \u06a9\u0646\u06cc\u062f: <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><select id=\"wpforms-4185-field_21\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][21]\" required=\"required\"><option value=\"\u0627\u0646\u062a\u062e\u0627\u0628 \u06a9\u0646\u06cc\u062f\" >\u0627\u0646\u062a\u062e\u0627\u0628 \u06a9\u0646\u06cc\u062f<\/option><option value=\"BI-RADS a\" >BI-RADS a<\/option><option value=\"BI-RADS b\" >BI-RADS b<\/option><option value=\"BI-RADS c\" >BI-RADS c<\/option><option value=\"BI-RADS d\" >BI-RADS d<\/option><\/select><\/div><div id=\"wpforms-4185-field_22-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-3-columns wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"radio\" data-field-id=\"22\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">\u0622\u06cc\u0627 \u062a\u0627 \u0628\u0647 \u062d\u0627\u0644 \u0628\u0631\u0627\u06cc \u0634\u0645\u0627 \u0627\u0646\u062f\u0648\u0645\u062a\u0631\u06cc\u0648\u0632 \u062a\u0634\u062e\u06cc\u0635 \u062f\u0627\u062f\u0647 \u0627\u0646\u062f\u061f <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-4185-field_22\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-4185-field_22_1\" name=\"wpforms[fields][22]\" value=\"\u0628\u0644\u0647\" aria-errormessage=\"wpforms-4185-field_22_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4185-field_22_1\">\u0628\u0644\u0647<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-4185-field_22_2\" name=\"wpforms[fields][22]\" value=\"\u062e\u06cc\u0631\" aria-errormessage=\"wpforms-4185-field_22_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4185-field_22_2\">\u062e\u06cc\u0631<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-4185-field_22_3\" name=\"wpforms[fields][22]\" value=\"\u0646\u0645\u06cc\u200c\u062f\u0627\u0646\u0645\" aria-errormessage=\"wpforms-4185-field_22_3-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4185-field_22_3\">\u0646\u0645\u06cc\u200c\u062f\u0627\u0646\u0645<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-4185-field_23-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-3-columns wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"radio\" data-field-id=\"23\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">\u0622\u06cc\u0627 \u062a\u0627 \u0628\u0647 \u062d\u0627\u0644 \u0628\u0631\u0627\u06cc \u062c\u0644\u0648\u06af\u06cc\u0631\u06cc \u0627\u0632 \u0628\u0627\u0631\u062f\u0627\u0631\u06cc \u062c\u0631\u0627\u062d\u06cc \u0628\u0633\u062a\u0646 \u0644\u0648\u0644\u0647 (\u0641\u0627\u0644\u0648\u067e) \u0627\u0646\u062c\u0627\u0645 \u062f\u0627\u062f\u0647\u200c\u0627\u06cc\u062f\u061f <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-4185-field_23\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-4185-field_23_1\" name=\"wpforms[fields][23]\" value=\"\u0628\u0644\u0647\" aria-errormessage=\"wpforms-4185-field_23_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4185-field_23_1\">\u0628\u0644\u0647<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-4185-field_23_2\" name=\"wpforms[fields][23]\" value=\"\u062e\u06cc\u0631\" aria-errormessage=\"wpforms-4185-field_23_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4185-field_23_2\">\u062e\u06cc\u0631<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-4185-field_23_3\" name=\"wpforms[fields][23]\" value=\"\u0646\u0645\u06cc\u200c\u062f\u0627\u0646\u0645\" aria-errormessage=\"wpforms-4185-field_23_3-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4185-field_23_3\">\u0646\u0645\u06cc\u200c\u062f\u0627\u0646\u0645<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-4185-field_33-container\" class=\"wpforms-field wpforms-field-divider wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"divider\" data-field-id=\"33\" style=\"display:none;\"><div id=\"wpforms-4185-field_33-description\" class=\"wpforms-field-description\">\u0622\u06cc\u0627 \u062a\u0627 \u0628\u0647 \u062d\u0627\u0644 \u062a\u062d\u062a \u062c\u0631\u0627\u062d\u06cc \u0647\u0627\u06cc\u06cc \u06a9\u0647 \u062f\u0631 \u067e\u0627\u06cc\u06cc\u0646 \u0630\u06a9\u0631 \u0634\u062f\u0647 \u0642\u0631\u0627\u0631 \u06af\u0631\u0641\u062a\u0647\u200c\u0627\u06cc\u062f\u061f<\/div><\/div><div id=\"wpforms-4185-field_36-container\" class=\"wpforms-field wpforms-field-layout\" data-field-type=\"layout\" data-field-id=\"36\"><label class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">\u0686\u06cc\u062f\u0645\u0627\u0646<\/label><div class=\"wpforms-field-layout-rows wpforms-field-large\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-4185-field_34-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"radio\" data-field-id=\"34\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">\u0628\u0631\u062f\u0627\u0634\u062a\u0646 \u0647\u0631 \u062f\u0648 \u067e\u0633\u062a\u0627\u0646: <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-4185-field_34\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-4185-field_34_1\" name=\"wpforms[fields][34]\" value=\"\u0628\u0644\u0647\" aria-errormessage=\"wpforms-4185-field_34_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4185-field_34_1\">\u0628\u0644\u0647<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-4185-field_34_2\" name=\"wpforms[fields][34]\" value=\"\u062e\u06cc\u0631\" aria-errormessage=\"wpforms-4185-field_34_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4185-field_34_2\">\u062e\u06cc\u0631<\/label><\/li><\/ul><\/fieldset><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-4185-field_35-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"radio\" data-field-id=\"35\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">\u0628\u0631\u062f\u0627\u0634\u062a\u0646 \u0647\u0631 \u062f\u0648 \u062a\u062e\u0645\u062f\u0627\u0646: <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-4185-field_35\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-4185-field_35_1\" name=\"wpforms[fields][35]\" value=\"\u0628\u0644\u0647\" aria-errormessage=\"wpforms-4185-field_35_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4185-field_35_1\">\u0628\u0644\u0647<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-4185-field_35_2\" name=\"wpforms[fields][35]\" value=\"\u062e\u06cc\u0631\" aria-errormessage=\"wpforms-4185-field_35_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4185-field_35_2\">\u062e\u06cc\u0631<\/label><\/li><\/ul><\/fieldset><\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-4185-field_37-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-type=\"pagebreak\" data-field-id=\"37\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-prev wpforms-disabled\"\n\t\t\t\t\tdata-action=\"prev\" data-page=\"2\" data-formid=\"4185\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">\u0642\u0628\u0644\u06cc<\/button><button class=\"wpforms-page-button wpforms-page-next wpforms-disabled\"\n\t\t\t\t\tdata-action=\"next\" data-page=\"2\" data-formid=\"4185\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">\u0628\u0639\u062f\u06cc<\/button><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-3  \" data-page=\"3\" style=\"display:none;\"><div id=\"wpforms-4185-field_38-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-2-columns wpforms-conditional-trigger\" data-field-type=\"radio\" data-field-id=\"38\"><fieldset><legend class=\"wpforms-field-label\">\u0622\u06cc\u0627 \u062a\u0627 \u0628\u0647 \u062d\u0627\u0644 \u0628\u0631\u0627\u06cc \u0634\u0645\u0627 \u0633\u0631\u0637\u0627\u0646 \u062a\u0634\u062e\u06cc\u0635 \u062f\u0627\u062f\u0647\u200c\u0627\u0646\u062f\u061f <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-4185-field_38\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-4185-field_38_1\" name=\"wpforms[fields][38]\" value=\"\u0628\u0644\u0647\" aria-errormessage=\"wpforms-4185-field_38_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4185-field_38_1\">\u0628\u0644\u0647<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-4185-field_38_2\" name=\"wpforms[fields][38]\" value=\"\u062e\u06cc\u0631\" aria-errormessage=\"wpforms-4185-field_38_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4185-field_38_2\">\u062e\u06cc\u0631<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-4185-field_148-container\" class=\"wpforms-field wpforms-field-repeater wpforms-conditional-field wpforms-conditional-show wpforms-field-repeater-display-blocks\" data-rows-min=\"1\" data-rows-max=\"10\" data-clone-num=\"2\" data-field-type=\"repeater\" data-field-id=\"148\" style=\"display:none;\"><h3 class=\"wpforms-field-label\">\n\t\t\t\t\n\t\t\t<\/h3><input type=\"hidden\" class=\"wpforms-field-repeater-clone-list\" name=\"wpforms[fields][148][clone_list]\" value=\"[]\"><script type=\"text\/html\" class=\"tmpl-wpforms-field-repeater-template\"><div id=\"wpforms-4185-repeater-field_148-clone_{CLONE}\" class=\"wpforms-field-repeater-clone-wrap\" data-clone=\"{CLONE}\">\n\t\t\t\t<h3 class=\"wpforms-field-repeater-block-title\">\n\t\t\t\t <span class=\"wpforms-wpforms-field-repeater-block-num\">#{CLONE}<\/span>\n\t\t\t<\/h3><div class=\"wpforms-field-layout-rows wpforms-field-medium wpforms-field-repeater-display-blocks wpforms-field-repeater-preset-67-33\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-67\"><div id=\"wpforms-4185-field_149_{CLONE}-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"149_{CLONE}\"><label class=\"wpforms-field-label\" for=\"wpforms-4185-field_149_{CLONE}\">\u0646\u0648\u0639 \u06cc\u0627 \u0627\u0646\u0648\u0627\u0639 \u0633\u0631\u0637\u0627\u0646 \u0648 \u0633\u0646 \u0627\u0628\u062a\u0644\u0627 \u0631\u0627 \u0645\u0634\u062e\u0635 \u06a9\u0646\u06cc\u062f. (\u062d\u062f\u0627\u0642\u0644 \u06cc\u06a9 \u0627\u0646\u062a\u062e\u0627\u0628 \u0648 \u0628\u06cc\u0634\u062a\u0631) <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><select id=\"wpforms-4185-field_149_{CLONE}\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][149_{CLONE}]\" required=\"required\"><option value=\"\u0627\u0646\u062a\u062e\u0627\u0628 \u06a9\u0646\u06cc\u062f\" >\u0627\u0646\u062a\u062e\u0627\u0628 \u06a9\u0646\u06cc\u062f<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u067e\u0633\u062a\u0627\u0646\" >\u0633\u0631\u0637\u0627\u0646 \u067e\u0633\u062a\u0627\u0646<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u067e\u0633\u062a\u0627\u0646 \u062f\u0648 \u0628\u0627\u0631 (\u06cc\u0627 \u062f\u0648\u0637\u0631\u0641\u0647)\" >\u0633\u0631\u0637\u0627\u0646 \u067e\u0633\u062a\u0627\u0646 \u062f\u0648 \u0628\u0627\u0631 (\u06cc\u0627 \u062f\u0648\u0637\u0631\u0641\u0647)<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u062a\u062e\u0645\u062f\u0627\u0646\" >\u0633\u0631\u0637\u0627\u0646 \u062a\u062e\u0645\u062f\u0627\u0646<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u067e\u0627\u0646\u06a9\u0631\u0627\u0633\" >\u0633\u0631\u0637\u0627\u0646 \u067e\u0627\u0646\u06a9\u0631\u0627\u0633<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u067e\u0631\u0648\u0633\u062a\u0627\u062a\" >\u0633\u0631\u0637\u0627\u0646 \u067e\u0631\u0648\u0633\u062a\u0627\u062a<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u0631\u062d\u0645\" >\u0633\u0631\u0637\u0627\u0646 \u0631\u062d\u0645<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u0631\u0648\u062f\u0647 \u0628\u0632\u0631\u06af\" >\u0633\u0631\u0637\u0627\u0646 \u0631\u0648\u062f\u0647 \u0628\u0632\u0631\u06af<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u0645\u062b\u0627\u0646\u0647\" >\u0633\u0631\u0637\u0627\u0646 \u0645\u062b\u0627\u0646\u0647<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u0645\u0639\u062f\u0647\" >\u0633\u0631\u0637\u0627\u0646 \u0645\u0639\u062f\u0647<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u06a9\u0644\u06cc\u0647 \u06cc\u0627 \u0645\u062c\u0627\u0631\u06cc \u0627\u062f\u0631\u0627\u0631\" >\u0633\u0631\u0637\u0627\u0646 \u06a9\u0644\u06cc\u0647 \u06cc\u0627 \u0645\u062c\u0627\u0631\u06cc \u0627\u062f\u0631\u0627\u0631<\/option><option value=\"\u062a\u0648\u0645\u0648\u0631 \u0645\u063a\u0632\u06cc\" >\u062a\u0648\u0645\u0648\u0631 \u0645\u063a\u0632\u06cc<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u0647\u0627\u06cc \u062f\u06cc\u06af\u0631\" >\u0633\u0631\u0637\u0627\u0646 \u0647\u0627\u06cc \u062f\u06cc\u06af\u0631<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u0628\u0647 \u0635\u0648\u0631\u062a \u0645\u062a\u0627\u0633\u062a\u0627\u062a\u06cc\u06a9 \u0628\u0648\u062f\u0647\" >\u0633\u0631\u0637\u0627\u0646 \u0628\u0647 \u0635\u0648\u0631\u062a \u0645\u062a\u0627\u0633\u062a\u0627\u062a\u06cc\u06a9 \u0628\u0648\u062f\u0647<\/option><\/select><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-4185-field_152_{CLONE}-container\" class=\"wpforms-field wpforms-field-number\" data-field-type=\"number\" data-field-id=\"152_{CLONE}\"><label class=\"wpforms-field-label\" for=\"wpforms-4185-field_152_{CLONE}\">\u0633\u0646 \u0627\u0628\u062a\u0644\u0627 <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"number\" id=\"wpforms-4185-field_152_{CLONE}\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][152_{CLONE}]\" aria-errormessage=\"wpforms-4185-field_152_{CLONE}-error\" required><\/div><\/div><\/div><\/div><div class=\"wpforms-field-repeater-display-blocks-buttons\" data-button-type=\"buttons_with_icons\">\n\t\t\t\t<button type=\"button\" class=\"wpforms-field-repeater-button-add\">\n\t\t\t\t\t<svg width=\"16\" height=\"17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M12.129 7.984v1.032a.392.392 0 0 1-.387.387H8.903v2.839a.392.392 0 0 1-.387.387H7.484a.373.373 0 0 1-.387-.387V9.403H4.258a.373.373 0 0 1-.387-.387V7.984c0-.194.161-.387.387-.387h2.839V4.758c0-.193.161-.387.387-.387h1.032c.194 0 .387.194.387.387v2.839h2.839c.193 0 .387.193.387.387ZM16 8.5c0 4.42-3.58 8-8 8s-8-3.58-8-8 3.58-8 8-8 8 3.58 8 8Zm-1.548 0c0-3.548-2.904-6.452-6.452-6.452A6.45 6.45 0 0 0 1.548 8.5 6.43 6.43 0 0 0 8 14.952 6.45 6.45 0 0 0 14.452 8.5Z\" fill=\"currentColor\"\/><\/svg><span>\u0627\u0636\u0627\u0641\u0647<\/span>\n\t\t\t\t<\/button>\n\t\t\t\t<button type=\"button\" class=\"wpforms-field-repeater-button-remove wpforms-disabled\">\n\t\t\t\t\t<svg width=\"16\" height=\"17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M4.258 9.403a.373.373 0 0 1-.387-.387V7.984c0-.194.161-.387.387-.387h7.484c.193 0 .387.193.387.387v1.032a.392.392 0 0 1-.387.387H4.258ZM16 8.5c0 4.42-3.58 8-8 8s-8-3.58-8-8 3.58-8 8-8 8 3.58 8 8Zm-1.548 0c0-3.548-2.904-6.452-6.452-6.452A6.45 6.45 0 0 0 1.548 8.5 6.43 6.43 0 0 0 8 14.952 6.45 6.45 0 0 0 14.452 8.5Z\" fill=\"currentColor\"\/><\/svg><span>\u062d\u0630\u0641<\/span>\n\t\t\t\t<\/button>\n\t\t\t<\/div>\n\t\t\t<\/div><\/script><div class=\"wpforms-field-layout-rows wpforms-field-medium wpforms-field-repeater-display-blocks wpforms-field-repeater-preset-67-33\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-67\"><div id=\"wpforms-4185-field_149-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"149\"><label class=\"wpforms-field-label\" for=\"wpforms-4185-field_149\">\u0646\u0648\u0639 \u06cc\u0627 \u0627\u0646\u0648\u0627\u0639 \u0633\u0631\u0637\u0627\u0646 \u0648 \u0633\u0646 \u0627\u0628\u062a\u0644\u0627 \u0631\u0627 \u0645\u0634\u062e\u0635 \u06a9\u0646\u06cc\u062f. (\u062d\u062f\u0627\u0642\u0644 \u06cc\u06a9 \u0627\u0646\u062a\u062e\u0627\u0628 \u0648 \u0628\u06cc\u0634\u062a\u0631) <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><select id=\"wpforms-4185-field_149\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][149]\" required=\"required\"><option value=\"\u0627\u0646\u062a\u062e\u0627\u0628 \u06a9\u0646\u06cc\u062f\" >\u0627\u0646\u062a\u062e\u0627\u0628 \u06a9\u0646\u06cc\u062f<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u067e\u0633\u062a\u0627\u0646\" >\u0633\u0631\u0637\u0627\u0646 \u067e\u0633\u062a\u0627\u0646<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u067e\u0633\u062a\u0627\u0646 \u062f\u0648 \u0628\u0627\u0631 (\u06cc\u0627 \u062f\u0648\u0637\u0631\u0641\u0647)\" >\u0633\u0631\u0637\u0627\u0646 \u067e\u0633\u062a\u0627\u0646 \u062f\u0648 \u0628\u0627\u0631 (\u06cc\u0627 \u062f\u0648\u0637\u0631\u0641\u0647)<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u062a\u062e\u0645\u062f\u0627\u0646\" >\u0633\u0631\u0637\u0627\u0646 \u062a\u062e\u0645\u062f\u0627\u0646<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u067e\u0627\u0646\u06a9\u0631\u0627\u0633\" >\u0633\u0631\u0637\u0627\u0646 \u067e\u0627\u0646\u06a9\u0631\u0627\u0633<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u067e\u0631\u0648\u0633\u062a\u0627\u062a\" >\u0633\u0631\u0637\u0627\u0646 \u067e\u0631\u0648\u0633\u062a\u0627\u062a<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u0631\u062d\u0645\" >\u0633\u0631\u0637\u0627\u0646 \u0631\u062d\u0645<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u0631\u0648\u062f\u0647 \u0628\u0632\u0631\u06af\" >\u0633\u0631\u0637\u0627\u0646 \u0631\u0648\u062f\u0647 \u0628\u0632\u0631\u06af<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u0645\u062b\u0627\u0646\u0647\" >\u0633\u0631\u0637\u0627\u0646 \u0645\u062b\u0627\u0646\u0647<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u0645\u0639\u062f\u0647\" >\u0633\u0631\u0637\u0627\u0646 \u0645\u0639\u062f\u0647<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u06a9\u0644\u06cc\u0647 \u06cc\u0627 \u0645\u062c\u0627\u0631\u06cc \u0627\u062f\u0631\u0627\u0631\" >\u0633\u0631\u0637\u0627\u0646 \u06a9\u0644\u06cc\u0647 \u06cc\u0627 \u0645\u062c\u0627\u0631\u06cc \u0627\u062f\u0631\u0627\u0631<\/option><option value=\"\u062a\u0648\u0645\u0648\u0631 \u0645\u063a\u0632\u06cc\" >\u062a\u0648\u0645\u0648\u0631 \u0645\u063a\u0632\u06cc<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u0647\u0627\u06cc \u062f\u06cc\u06af\u0631\" >\u0633\u0631\u0637\u0627\u0646 \u0647\u0627\u06cc \u062f\u06cc\u06af\u0631<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u0628\u0647 \u0635\u0648\u0631\u062a \u0645\u062a\u0627\u0633\u062a\u0627\u062a\u06cc\u06a9 \u0628\u0648\u062f\u0647\" >\u0633\u0631\u0637\u0627\u0646 \u0628\u0647 \u0635\u0648\u0631\u062a \u0645\u062a\u0627\u0633\u062a\u0627\u062a\u06cc\u06a9 \u0628\u0648\u062f\u0647<\/option><\/select><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-4185-field_152-container\" class=\"wpforms-field wpforms-field-number\" data-field-type=\"number\" data-field-id=\"152\"><label class=\"wpforms-field-label\" for=\"wpforms-4185-field_152\">\u0633\u0646 \u0627\u0628\u062a\u0644\u0627 <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"number\" id=\"wpforms-4185-field_152\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][152]\" aria-errormessage=\"wpforms-4185-field_152-error\" required><\/div><\/div><\/div><\/div><div class=\"wpforms-field-repeater-display-blocks-buttons\" data-button-type=\"buttons_with_icons\">\n\t\t\t\t<button type=\"button\" class=\"wpforms-field-repeater-button-add\">\n\t\t\t\t\t<svg width=\"16\" height=\"17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M12.129 7.984v1.032a.392.392 0 0 1-.387.387H8.903v2.839a.392.392 0 0 1-.387.387H7.484a.373.373 0 0 1-.387-.387V9.403H4.258a.373.373 0 0 1-.387-.387V7.984c0-.194.161-.387.387-.387h2.839V4.758c0-.193.161-.387.387-.387h1.032c.194 0 .387.194.387.387v2.839h2.839c.193 0 .387.193.387.387ZM16 8.5c0 4.42-3.58 8-8 8s-8-3.58-8-8 3.58-8 8-8 8 3.58 8 8Zm-1.548 0c0-3.548-2.904-6.452-6.452-6.452A6.45 6.45 0 0 0 1.548 8.5 6.43 6.43 0 0 0 8 14.952 6.45 6.45 0 0 0 14.452 8.5Z\" fill=\"currentColor\"\/><\/svg><span>\u0627\u0636\u0627\u0641\u0647<\/span>\n\t\t\t\t<\/button>\n\t\t\t\t<button type=\"button\" class=\"wpforms-field-repeater-button-remove wpforms-disabled\">\n\t\t\t\t\t<svg width=\"16\" height=\"17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M4.258 9.403a.373.373 0 0 1-.387-.387V7.984c0-.194.161-.387.387-.387h7.484c.193 0 .387.193.387.387v1.032a.392.392 0 0 1-.387.387H4.258ZM16 8.5c0 4.42-3.58 8-8 8s-8-3.58-8-8 3.58-8 8-8 8 3.58 8 8Zm-1.548 0c0-3.548-2.904-6.452-6.452-6.452A6.45 6.45 0 0 0 1.548 8.5 6.43 6.43 0 0 0 8 14.952 6.45 6.45 0 0 0 14.452 8.5Z\" fill=\"currentColor\"\/><\/svg><span>\u062d\u0630\u0641<\/span>\n\t\t\t\t<\/button>\n\t\t\t<\/div><\/div><div id=\"wpforms-4185-field_41-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-type=\"pagebreak\" data-field-id=\"41\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-prev wpforms-disabled\"\n\t\t\t\t\tdata-action=\"prev\" data-page=\"3\" data-formid=\"4185\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">\u0642\u0628\u0644\u06cc<\/button><button class=\"wpforms-page-button wpforms-page-next wpforms-disabled\"\n\t\t\t\t\tdata-action=\"next\" data-page=\"3\" data-formid=\"4185\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">\u0628\u0639\u062f\u06cc<\/button><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-4  \" data-page=\"4\" style=\"display:none;\"><div id=\"wpforms-4185-field_42-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-2-columns wpforms-conditional-trigger\" data-field-type=\"radio\" data-field-id=\"42\"><fieldset><legend class=\"wpforms-field-label\">\u0622\u06cc\u0627 \u0634\u0645\u0627 \u0635\u0627\u062d\u0628 \u0641\u0631\u0632\u0646\u062f \u0647\u0633\u062a\u06cc\u062f \u061f <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-4185-field_42\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-4185-field_42_1\" name=\"wpforms[fields][42]\" value=\"\u0628\u0644\u0647\" aria-errormessage=\"wpforms-4185-field_42_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4185-field_42_1\">\u0628\u0644\u0647<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-4185-field_42_2\" name=\"wpforms[fields][42]\" value=\"\u062e\u06cc\u0631\" aria-errormessage=\"wpforms-4185-field_42_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4185-field_42_2\">\u062e\u06cc\u0631<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-4185-field_162-container\" class=\"wpforms-field wpforms-field-number-slider wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"number-slider\" data-field-id=\"162\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-4185-field_162\">\u062f\u0631 \u0627\u0648\u0644\u06cc\u0646 \u0632\u0627\u06cc\u0645\u0627\u0646 \u0632\u0646\u062f\u0647 \u0686\u0646\u062f \u0633\u0627\u0644 \u062f\u0627\u0634\u062a\u06cc\u062f\u061f<\/label>\n<input\n\ttype=\"range\"\n\tid=\"wpforms-4185-field_162\" class=\"wpforms-field-medium\" name=\"wpforms[fields][162]\" value=\"10\" aria-errormessage=\"wpforms-4185-field_162-error\"\t\tmin=\"10\"\n\tmax=\"50\"\n\tstep=\"1\">\n\n<div class=\"wpforms-field-number-slider-hint\"\n\tdata-hint=\"\u0645\u0642\u062f\u0627\u0631 \u0627\u0646\u062a\u062e\u0627\u0628 \u0634\u062f\u0647: {value}\">\n\t\u0645\u0642\u062f\u0627\u0631 \u0627\u0646\u062a\u062e\u0627\u0628 \u0634\u062f\u0647: <b>10<\/b><\/div>\n<\/div><div id=\"wpforms-4185-field_43-container\" class=\"wpforms-field wpforms-field-divider wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"divider\" data-field-id=\"43\" style=\"display:none;\"><h3 id=\"wpforms-4185-field_43\" aria-errormessage=\"wpforms-4185-field_43-error\" aria-describedby=\"wpforms-4185-field_43-description\">\u062a\u0648\u0636\u06cc\u062d\u0627\u062a<\/h3><div id=\"wpforms-4185-field_43-description\" class=\"wpforms-field-description\">\u062a\u0639\u062f\u0627\u062f \u0641\u0631\u0632\u0646\u062f\u0627\u0646 \u062e\u0648\u062f \u0631\u0627 \u0645\u0634\u062e\u0635 \u06a9\u0646\u06cc\u062f (\u062f\u0631 \u0642\u06cc\u062f \u062d\u06cc\u0627\u062a \u0648 \u0641\u0648\u062a \u0634\u062f\u0647).<\/div><\/div><div id=\"wpforms-4185-field_46-container\" class=\"wpforms-field wpforms-field-layout\" data-field-type=\"layout\" data-field-id=\"46\"><label class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">\u0686\u06cc\u062f\u0645\u0627\u0646<\/label><div class=\"wpforms-field-layout-rows wpforms-field-large\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-4185-field_136-container\" class=\"wpforms-field wpforms-field-number-slider wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"number-slider\" data-field-id=\"136\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-4185-field_136\">\u062a\u0639\u062f\u0627\u062f \u062f\u062e\u062a\u0631\u0627\u0646<\/label>\n<input\n\ttype=\"range\"\n\tid=\"wpforms-4185-field_136\" class=\"wpforms-field-medium\" name=\"wpforms[fields][136]\" value=\"0\" aria-errormessage=\"wpforms-4185-field_136-error\"\t\tmin=\"0\"\n\tmax=\"20\"\n\tstep=\"1\">\n\n<div class=\"wpforms-field-number-slider-hint\"\n\tdata-hint=\"\u0645\u0642\u062f\u0627\u0631 \u0627\u0646\u062a\u062e\u0627\u0628 \u0634\u062f\u0647: {value}\">\n\t\u0645\u0642\u062f\u0627\u0631 \u0627\u0646\u062a\u062e\u0627\u0628 \u0634\u062f\u0647: <b>0<\/b><\/div>\n<\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-4185-field_135-container\" class=\"wpforms-field wpforms-field-number-slider wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"number-slider\" data-field-id=\"135\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-4185-field_135\">\u062a\u0639\u062f\u0627\u062f \u067e\u0633\u0631\u0627\u0646<\/label>\n<input\n\ttype=\"range\"\n\tid=\"wpforms-4185-field_135\" class=\"wpforms-field-medium\" name=\"wpforms[fields][135]\" value=\"0\" aria-errormessage=\"wpforms-4185-field_135-error\"\t\tmin=\"0\"\n\tmax=\"20\"\n\tstep=\"1\">\n\n<div class=\"wpforms-field-number-slider-hint\"\n\tdata-hint=\"\u0645\u0642\u062f\u0627\u0631 \u0627\u0646\u062a\u062e\u0627\u0628 \u0634\u062f\u0647: {value}\">\n\t\u0645\u0642\u062f\u0627\u0631 \u0627\u0646\u062a\u062e\u0627\u0628 \u0634\u062f\u0647: <b>0<\/b><\/div>\n<\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-4185-field_120-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-2-columns wpforms-conditional-trigger\" data-field-type=\"radio\" data-field-id=\"120\"><fieldset><legend class=\"wpforms-field-label\">\u0622\u06cc\u0627 \u0627\u0632 \u0645\u06cc\u0627\u0646 \u0641\u0631\u0632\u0646\u062f\u0627\u0646 \u0634\u0645\u0627 \u062a\u0627 \u0628\u0647 \u062d\u0627\u0644 \u0628\u0631\u0627\u06cc \u06a9\u0633\u06cc \u0633\u0631\u0637\u0627\u0646 \u062a\u0634\u062e\u06cc\u0635 \u062f\u0627\u062f\u0647 \u0634\u062f\u0647 \u061f<\/legend><ul id=\"wpforms-4185-field_120\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-4185-field_120_1\" name=\"wpforms[fields][120]\" value=\"\u0628\u0644\u0647\" aria-errormessage=\"wpforms-4185-field_120_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4185-field_120_1\">\u0628\u0644\u0647<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-4185-field_120_2\" name=\"wpforms[fields][120]\" value=\"\u062e\u06cc\u0631\" aria-errormessage=\"wpforms-4185-field_120_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4185-field_120_2\">\u062e\u06cc\u0631<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-4185-field_50-container\" class=\"wpforms-field wpforms-field-repeater wpforms-conditional-field wpforms-conditional-show wpforms-field-repeater-display-rows\" data-rows-min=\"1\" data-rows-max=\"20\" data-clone-num=\"2\" data-field-type=\"repeater\" data-field-id=\"50\" style=\"display:none;\"><h3 class=\"wpforms-field-label\">\n\t\t\t\t\u062f\u0631 \u062c\u062f\u0648\u0644 \u0646\u0627\u0645\u060c \u0646\u0648\u0639 \u06cc\u0627 \u0627\u0646\u0648\u0627\u0639 \u0633\u0631\u0637\u0627\u0646 \u0648 \u0633\u0646 \u0627\u0628\u062a\u0644\u0627 \u0631\u0627 \u062f\u0631\u062c \u06a9\u0646\u06cc\u062f . \n\t\t\t<\/h3><div id=\"wpforms-4185-field_50-description\" class=\"wpforms-field-description\">* \u0627\u06af\u0631 \u0633\u0646 \u0627\u0628\u062a\u0644\u0627 \u0631\u0627 \u062d\u062f\u0648\u062f\u06cc \u0645\u06cc\u200c\u062f\u0627\u0646\u06cc\u062f\u060c \u062d\u062f \u067e\u0627\u0626\u06cc\u0646 \u062f\u0647\u0647 \u0631\u0627 \u0648\u0627\u0631\u062f \u06a9\u0646\u06cc\u062f. \u0645\u062b\u0644\u0627\u064b \u0627\u06af\u0631 \u0633\u0646 \u067e\u0646\u062c\u0627\u0647 \u0648 \u062e\u0631\u062f\u0647\u200c\u0627\u06cc \u0627\u0633\u062a\u060c 50 \u0648\u0627\u0631\u062f \u06a9\u0646\u06cc\u062f.<\/div><input type=\"hidden\" class=\"wpforms-field-repeater-clone-list\" name=\"wpforms[fields][50][clone_list]\" value=\"[]\"><script type=\"text\/html\" class=\"tmpl-wpforms-field-repeater-template\"><div id=\"wpforms-4185-repeater-field_50-clone_{CLONE}\" class=\"wpforms-field-repeater-clone-wrap\" data-clone=\"{CLONE}\">\n\t\t\t\t<div class=\"wpforms-field-layout-rows wpforms-field-medium wpforms-field-repeater-display-rows wpforms-field-repeater-preset-25-25-25-25\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-4185-field_49_{CLONE}-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"49_{CLONE}\"><label class=\"wpforms-field-label\" for=\"wpforms-4185-field_49_{CLONE}\">\u0646\u0627\u0645<\/label><input type=\"text\" id=\"wpforms-4185-field_49_{CLONE}\" class=\"wpforms-field-medium\" name=\"wpforms[fields][49_{CLONE}]\" aria-errormessage=\"wpforms-4185-field_49_{CLONE}-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-4185-field_122_{CLONE}-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"122_{CLONE}\"><label class=\"wpforms-field-label\" for=\"wpforms-4185-field_122_{CLONE}\">\u0646\u0648\u0639 \u0633\u0631\u0637\u0627\u0646<\/label><select id=\"wpforms-4185-field_122_{CLONE}\" class=\"wpforms-field-medium\" name=\"wpforms[fields][122_{CLONE}]\"><option value=\"\u0627\u0646\u062a\u062e\u0627\u0628 \u06a9\u0646\u06cc\u062f\" >\u0627\u0646\u062a\u062e\u0627\u0628 \u06a9\u0646\u06cc\u062f<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u067e\u0633\u062a\u0627\u0646\" >\u0633\u0631\u0637\u0627\u0646 \u067e\u0633\u062a\u0627\u0646<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u067e\u0633\u062a\u0627\u0646 \u062f\u0648 \u0628\u0627\u0631 (\u06cc\u0627 \u062f\u0648\u0637\u0631\u0641\u0647)\" >\u0633\u0631\u0637\u0627\u0646 \u067e\u0633\u062a\u0627\u0646 \u062f\u0648 \u0628\u0627\u0631 (\u06cc\u0627 \u062f\u0648\u0637\u0631\u0641\u0647)<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u062a\u062e\u0645\u062f\u0627\u0646\" >\u0633\u0631\u0637\u0627\u0646 \u062a\u062e\u0645\u062f\u0627\u0646<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u067e\u0627\u0646\u06a9\u0631\u0627\u0633\" >\u0633\u0631\u0637\u0627\u0646 \u067e\u0627\u0646\u06a9\u0631\u0627\u0633<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u067e\u0631\u0648\u0633\u062a\u0627\u062a\" >\u0633\u0631\u0637\u0627\u0646 \u067e\u0631\u0648\u0633\u062a\u0627\u062a<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u0631\u062d\u0645\" >\u0633\u0631\u0637\u0627\u0646 \u0631\u062d\u0645<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u0631\u0648\u062f\u0647 \u0628\u0632\u0631\u06af\" >\u0633\u0631\u0637\u0627\u0646 \u0631\u0648\u062f\u0647 \u0628\u0632\u0631\u06af<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u0645\u062b\u0627\u0646\u0647\" >\u0633\u0631\u0637\u0627\u0646 \u0645\u062b\u0627\u0646\u0647<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u0645\u0639\u062f\u0647\" >\u0633\u0631\u0637\u0627\u0646 \u0645\u0639\u062f\u0647<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u06a9\u0644\u06cc\u0647 \u06cc\u0627 \u0645\u062c\u0627\u0631\u06cc \u0627\u062f\u0631\u0627\u0631\" >\u0633\u0631\u0637\u0627\u0646 \u06a9\u0644\u06cc\u0647 \u06cc\u0627 \u0645\u062c\u0627\u0631\u06cc \u0627\u062f\u0631\u0627\u0631<\/option><option value=\"\u062a\u0648\u0645\u0648\u0631 \u0645\u063a\u0632\u06cc\" >\u062a\u0648\u0645\u0648\u0631 \u0645\u063a\u0632\u06cc<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u0647\u0627\u06cc \u062f\u06cc\u06af\u0631\" >\u0633\u0631\u0637\u0627\u0646 \u0647\u0627\u06cc \u062f\u06cc\u06af\u0631<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u0628\u0647 \u0635\u0648\u0631\u062a \u0645\u062a\u0627\u0633\u062a\u0627\u062a\u06cc\u06a9 \u0628\u0648\u062f\u0647\" >\u0633\u0631\u0637\u0627\u0646 \u0628\u0647 \u0635\u0648\u0631\u062a \u0645\u062a\u0627\u0633\u062a\u0627\u062a\u06cc\u06a9 \u0628\u0648\u062f\u0647<\/option><\/select><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-4185-field_52_{CLONE}-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"52_{CLONE}\"><label class=\"wpforms-field-label\" for=\"wpforms-4185-field_52_{CLONE}\">\u0633\u0646 \u0627\u0628\u062a\u0644\u0627<\/label><input type=\"text\" id=\"wpforms-4185-field_52_{CLONE}\" class=\"wpforms-field-medium\" name=\"wpforms[fields][52_{CLONE}]\" aria-errormessage=\"wpforms-4185-field_52_{CLONE}-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-4185-field_53_{CLONE}-container\" class=\"wpforms-field wpforms-field-text wpforms-birth-limit\" data-field-type=\"text\" data-field-id=\"53_{CLONE}\"><label class=\"wpforms-field-label\" for=\"wpforms-4185-field_53_{CLONE}\">\u0633\u0627\u0644 \u062a\u0648\u0644\u062f<\/label><input type=\"text\" id=\"wpforms-4185-field_53_{CLONE}\" class=\"wpforms-field-medium\" name=\"wpforms[fields][53_{CLONE}]\" aria-errormessage=\"wpforms-4185-field_53_{CLONE}-error\" ><\/div><\/div><div class=\"wpforms-field-repeater-display-rows-buttons\">\n\t\t\t\t<button type=\"button\" class=\"wpforms-field-repeater-button-add\" title=\"Add\">\n\t\t\t\t\t<svg width=\"16\" height=\"17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M12.129 7.984v1.032a.392.392 0 0 1-.387.387H8.903v2.839a.392.392 0 0 1-.387.387H7.484a.373.373 0 0 1-.387-.387V9.403H4.258a.373.373 0 0 1-.387-.387V7.984c0-.194.161-.387.387-.387h2.839V4.758c0-.193.161-.387.387-.387h1.032c.194 0 .387.194.387.387v2.839h2.839c.193 0 .387.193.387.387ZM16 8.5c0 4.42-3.58 8-8 8s-8-3.58-8-8 3.58-8 8-8 8 3.58 8 8Zm-1.548 0c0-3.548-2.904-6.452-6.452-6.452A6.45 6.45 0 0 0 1.548 8.5 6.43 6.43 0 0 0 8 14.952 6.45 6.45 0 0 0 14.452 8.5Z\" fill=\"currentColor\"\/><\/svg>\n\t\t\t\t<\/button>\n\t\t\t\t<button type=\"button\" class=\"wpforms-field-repeater-button-remove wpforms-disabled\" title=\"Remove\">\n\t\t\t\t\t<svg width=\"16\" height=\"17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M4.258 9.403a.373.373 0 0 1-.387-.387V7.984c0-.194.161-.387.387-.387h7.484c.193 0 .387.193.387.387v1.032a.392.392 0 0 1-.387.387H4.258ZM16 8.5c0 4.42-3.58 8-8 8s-8-3.58-8-8 3.58-8 8-8 8 3.58 8 8Zm-1.548 0c0-3.548-2.904-6.452-6.452-6.452A6.45 6.45 0 0 0 1.548 8.5 6.43 6.43 0 0 0 8 14.952 6.45 6.45 0 0 0 14.452 8.5Z\" fill=\"currentColor\"\/><\/svg>\n\t\t\t\t<\/button>\n\t\t\t<\/div><\/div><\/div>\n\t\t\t<\/div><\/script><div class=\"wpforms-field-layout-rows wpforms-field-medium wpforms-field-repeater-display-rows wpforms-field-repeater-preset-25-25-25-25\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-4185-field_49-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"49\"><label class=\"wpforms-field-label\" for=\"wpforms-4185-field_49\">\u0646\u0627\u0645<\/label><input type=\"text\" id=\"wpforms-4185-field_49\" class=\"wpforms-field-medium\" name=\"wpforms[fields][49]\" aria-errormessage=\"wpforms-4185-field_49-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-4185-field_122-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"122\"><label class=\"wpforms-field-label\" for=\"wpforms-4185-field_122\">\u0646\u0648\u0639 \u0633\u0631\u0637\u0627\u0646<\/label><select id=\"wpforms-4185-field_122\" class=\"wpforms-field-medium\" name=\"wpforms[fields][122]\"><option value=\"\u0627\u0646\u062a\u062e\u0627\u0628 \u06a9\u0646\u06cc\u062f\" >\u0627\u0646\u062a\u062e\u0627\u0628 \u06a9\u0646\u06cc\u062f<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u067e\u0633\u062a\u0627\u0646\" >\u0633\u0631\u0637\u0627\u0646 \u067e\u0633\u062a\u0627\u0646<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u067e\u0633\u062a\u0627\u0646 \u062f\u0648 \u0628\u0627\u0631 (\u06cc\u0627 \u062f\u0648\u0637\u0631\u0641\u0647)\" >\u0633\u0631\u0637\u0627\u0646 \u067e\u0633\u062a\u0627\u0646 \u062f\u0648 \u0628\u0627\u0631 (\u06cc\u0627 \u062f\u0648\u0637\u0631\u0641\u0647)<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u062a\u062e\u0645\u062f\u0627\u0646\" >\u0633\u0631\u0637\u0627\u0646 \u062a\u062e\u0645\u062f\u0627\u0646<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u067e\u0627\u0646\u06a9\u0631\u0627\u0633\" >\u0633\u0631\u0637\u0627\u0646 \u067e\u0627\u0646\u06a9\u0631\u0627\u0633<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u067e\u0631\u0648\u0633\u062a\u0627\u062a\" >\u0633\u0631\u0637\u0627\u0646 \u067e\u0631\u0648\u0633\u062a\u0627\u062a<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u0631\u062d\u0645\" >\u0633\u0631\u0637\u0627\u0646 \u0631\u062d\u0645<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u0631\u0648\u062f\u0647 \u0628\u0632\u0631\u06af\" >\u0633\u0631\u0637\u0627\u0646 \u0631\u0648\u062f\u0647 \u0628\u0632\u0631\u06af<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u0645\u062b\u0627\u0646\u0647\" >\u0633\u0631\u0637\u0627\u0646 \u0645\u062b\u0627\u0646\u0647<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u0645\u0639\u062f\u0647\" >\u0633\u0631\u0637\u0627\u0646 \u0645\u0639\u062f\u0647<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u06a9\u0644\u06cc\u0647 \u06cc\u0627 \u0645\u062c\u0627\u0631\u06cc \u0627\u062f\u0631\u0627\u0631\" >\u0633\u0631\u0637\u0627\u0646 \u06a9\u0644\u06cc\u0647 \u06cc\u0627 \u0645\u062c\u0627\u0631\u06cc \u0627\u062f\u0631\u0627\u0631<\/option><option value=\"\u062a\u0648\u0645\u0648\u0631 \u0645\u063a\u0632\u06cc\" >\u062a\u0648\u0645\u0648\u0631 \u0645\u063a\u0632\u06cc<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u0647\u0627\u06cc \u062f\u06cc\u06af\u0631\" >\u0633\u0631\u0637\u0627\u0646 \u0647\u0627\u06cc \u062f\u06cc\u06af\u0631<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u0628\u0647 \u0635\u0648\u0631\u062a \u0645\u062a\u0627\u0633\u062a\u0627\u062a\u06cc\u06a9 \u0628\u0648\u062f\u0647\" >\u0633\u0631\u0637\u0627\u0646 \u0628\u0647 \u0635\u0648\u0631\u062a \u0645\u062a\u0627\u0633\u062a\u0627\u062a\u06cc\u06a9 \u0628\u0648\u062f\u0647<\/option><\/select><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-4185-field_52-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"52\"><label class=\"wpforms-field-label\" for=\"wpforms-4185-field_52\">\u0633\u0646 \u0627\u0628\u062a\u0644\u0627<\/label><input type=\"text\" id=\"wpforms-4185-field_52\" class=\"wpforms-field-medium\" name=\"wpforms[fields][52]\" aria-errormessage=\"wpforms-4185-field_52-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-4185-field_53-container\" class=\"wpforms-field wpforms-field-text wpforms-birth-limit\" data-field-type=\"text\" data-field-id=\"53\"><label class=\"wpforms-field-label\" for=\"wpforms-4185-field_53\">\u0633\u0627\u0644 \u062a\u0648\u0644\u062f<\/label><input type=\"text\" id=\"wpforms-4185-field_53\" class=\"wpforms-field-medium\" name=\"wpforms[fields][53]\" aria-errormessage=\"wpforms-4185-field_53-error\" ><\/div><\/div><div class=\"wpforms-field-repeater-display-rows-buttons\">\n\t\t\t\t<button type=\"button\" class=\"wpforms-field-repeater-button-add\" title=\"Add\">\n\t\t\t\t\t<svg width=\"16\" height=\"17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M12.129 7.984v1.032a.392.392 0 0 1-.387.387H8.903v2.839a.392.392 0 0 1-.387.387H7.484a.373.373 0 0 1-.387-.387V9.403H4.258a.373.373 0 0 1-.387-.387V7.984c0-.194.161-.387.387-.387h2.839V4.758c0-.193.161-.387.387-.387h1.032c.194 0 .387.194.387.387v2.839h2.839c.193 0 .387.193.387.387ZM16 8.5c0 4.42-3.58 8-8 8s-8-3.58-8-8 3.58-8 8-8 8 3.58 8 8Zm-1.548 0c0-3.548-2.904-6.452-6.452-6.452A6.45 6.45 0 0 0 1.548 8.5 6.43 6.43 0 0 0 8 14.952 6.45 6.45 0 0 0 14.452 8.5Z\" fill=\"currentColor\"\/><\/svg>\n\t\t\t\t<\/button>\n\t\t\t\t<button type=\"button\" class=\"wpforms-field-repeater-button-remove wpforms-disabled\" title=\"Remove\">\n\t\t\t\t\t<svg width=\"16\" height=\"17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M4.258 9.403a.373.373 0 0 1-.387-.387V7.984c0-.194.161-.387.387-.387h7.484c.193 0 .387.193.387.387v1.032a.392.392 0 0 1-.387.387H4.258ZM16 8.5c0 4.42-3.58 8-8 8s-8-3.58-8-8 3.58-8 8-8 8 3.58 8 8Zm-1.548 0c0-3.548-2.904-6.452-6.452-6.452A6.45 6.45 0 0 0 1.548 8.5 6.43 6.43 0 0 0 8 14.952 6.45 6.45 0 0 0 14.452 8.5Z\" fill=\"currentColor\"\/><\/svg>\n\t\t\t\t<\/button>\n\t\t\t<\/div><\/div><\/div><\/div><div id=\"wpforms-4185-field_116-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-2-columns wpforms-conditional-trigger\" data-field-type=\"radio\" data-field-id=\"116\"><fieldset><legend class=\"wpforms-field-label\">\u0622\u06cc\u0627 \u062a\u0627 \u0628\u0647 \u062d\u0627\u0644 \u0628\u0631\u0627\u06cc \u067e\u062f\u0631 \u06cc\u0627 \u0645\u0627\u062f\u0631 \u0634\u0645\u0627 \u0633\u0631\u0637\u0627\u0646 \u062a\u0634\u062e\u06cc\u0635 \u062f\u0627\u062f\u0647 \u0634\u062f\u0647 \u061f<\/legend><ul id=\"wpforms-4185-field_116\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-4185-field_116_1\" name=\"wpforms[fields][116]\" value=\"\u0628\u0644\u0647\" aria-errormessage=\"wpforms-4185-field_116_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4185-field_116_1\">\u0628\u0644\u0647<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-4185-field_116_2\" name=\"wpforms[fields][116]\" value=\"\u062e\u06cc\u0631\" aria-errormessage=\"wpforms-4185-field_116_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4185-field_116_2\">\u062e\u06cc\u0631<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-4185-field_60-container\" class=\"wpforms-field wpforms-field-layout\" data-field-type=\"layout\" data-field-id=\"60\"><label class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">\u0645\u0627\u062f\u0631<\/label><div class=\"wpforms-field-layout-rows wpforms-field-large\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-4185-field_61-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"text\" data-field-id=\"61\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-4185-field_61\">\u0646\u0627\u0645 \u0645\u0627\u062f\u0631<\/label><input type=\"text\" id=\"wpforms-4185-field_61\" class=\"wpforms-field-medium\" name=\"wpforms[fields][61]\" aria-errormessage=\"wpforms-4185-field_61-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-4185-field_123-container\" class=\"wpforms-field wpforms-field-select wpforms-conditional-field wpforms-conditional-show wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"123\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-4185-field_123\">\u0646\u0648\u0639 \u0633\u0631\u0637\u0627\u0646<\/label><select id=\"wpforms-4185-field_123\" class=\"wpforms-field-medium\" name=\"wpforms[fields][123]\"><option value=\"\u0627\u0646\u062a\u062e\u0627\u0628 \u06a9\u0646\u06cc\u062f\" >\u0627\u0646\u062a\u062e\u0627\u0628 \u06a9\u0646\u06cc\u062f<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u067e\u0633\u062a\u0627\u0646\" >\u0633\u0631\u0637\u0627\u0646 \u067e\u0633\u062a\u0627\u0646<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u067e\u0633\u062a\u0627\u0646 \u062f\u0648 \u0628\u0627\u0631 (\u06cc\u0627 \u062f\u0648\u0637\u0631\u0641\u0647)\" >\u0633\u0631\u0637\u0627\u0646 \u067e\u0633\u062a\u0627\u0646 \u062f\u0648 \u0628\u0627\u0631 (\u06cc\u0627 \u062f\u0648\u0637\u0631\u0641\u0647)<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u062a\u062e\u0645\u062f\u0627\u0646\" >\u0633\u0631\u0637\u0627\u0646 \u062a\u062e\u0645\u062f\u0627\u0646<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u067e\u0627\u0646\u06a9\u0631\u0627\u0633\" >\u0633\u0631\u0637\u0627\u0646 \u067e\u0627\u0646\u06a9\u0631\u0627\u0633<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u067e\u0631\u0648\u0633\u062a\u0627\u062a\" >\u0633\u0631\u0637\u0627\u0646 \u067e\u0631\u0648\u0633\u062a\u0627\u062a<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u0631\u062d\u0645\" >\u0633\u0631\u0637\u0627\u0646 \u0631\u062d\u0645<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u0631\u0648\u062f\u0647 \u0628\u0632\u0631\u06af\" >\u0633\u0631\u0637\u0627\u0646 \u0631\u0648\u062f\u0647 \u0628\u0632\u0631\u06af<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u0645\u062b\u0627\u0646\u0647\" >\u0633\u0631\u0637\u0627\u0646 \u0645\u062b\u0627\u0646\u0647<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u0645\u0639\u062f\u0647\" >\u0633\u0631\u0637\u0627\u0646 \u0645\u0639\u062f\u0647<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u06a9\u0644\u06cc\u0647 \u06cc\u0627 \u0645\u062c\u0627\u0631\u06cc \u0627\u062f\u0631\u0627\u0631\" >\u0633\u0631\u0637\u0627\u0646 \u06a9\u0644\u06cc\u0647 \u06cc\u0627 \u0645\u062c\u0627\u0631\u06cc \u0627\u062f\u0631\u0627\u0631<\/option><option value=\"\u062a\u0648\u0645\u0648\u0631 \u0645\u063a\u0632\u06cc\" >\u062a\u0648\u0645\u0648\u0631 \u0645\u063a\u0632\u06cc<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u0647\u0627\u06cc \u062f\u06cc\u06af\u0631\" >\u0633\u0631\u0637\u0627\u0646 \u0647\u0627\u06cc \u062f\u06cc\u06af\u0631<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u0628\u0647 \u0635\u0648\u0631\u062a \u0645\u062a\u0627\u0633\u062a\u0627\u062a\u06cc\u06a9 \u0628\u0648\u062f\u0647\" >\u0633\u0631\u0637\u0627\u0646 \u0628\u0647 \u0635\u0648\u0631\u062a \u0645\u062a\u0627\u0633\u062a\u0627\u062a\u06cc\u06a9 \u0628\u0648\u062f\u0647<\/option><\/select><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-4185-field_63-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"text\" data-field-id=\"63\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-4185-field_63\">\u0633\u0646 \u0627\u0628\u062a\u0644\u0627<\/label><input type=\"text\" id=\"wpforms-4185-field_63\" class=\"wpforms-field-medium wpforms-limit-characters-enabled\" data-form-id=\"4185\" data-field-id=\"63\" data-text-limit=\"2\" name=\"wpforms[fields][63]\" aria-errormessage=\"wpforms-4185-field_63-error\" maxlength=\"2\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-4185-field_64-container\" class=\"wpforms-field wpforms-field-text wpforms-birth-limit wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"text\" data-field-id=\"64\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-4185-field_64\">\u0633\u0627\u0644 \u062a\u0648\u0644\u062f<\/label><input type=\"text\" id=\"wpforms-4185-field_64\" class=\"wpforms-field-medium\" name=\"wpforms[fields][64]\" aria-errormessage=\"wpforms-4185-field_64-error\" ><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-4185-field_65-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"text\" data-field-id=\"65\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-4185-field_65\">\u0646\u0627\u0645 \u067e\u062f\u0631<\/label><input type=\"text\" id=\"wpforms-4185-field_65\" class=\"wpforms-field-medium\" name=\"wpforms[fields][65]\" aria-errormessage=\"wpforms-4185-field_65-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-4185-field_124-container\" class=\"wpforms-field wpforms-field-select wpforms-conditional-field wpforms-conditional-show wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"124\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-4185-field_124\">\u0646\u0648\u0639 \u0633\u0631\u0637\u0627\u0646<\/label><select id=\"wpforms-4185-field_124\" class=\"wpforms-field-medium\" name=\"wpforms[fields][124]\"><option value=\"\u0627\u0646\u062a\u062e\u0627\u0628 \u06a9\u0646\u06cc\u062f\" >\u0627\u0646\u062a\u062e\u0627\u0628 \u06a9\u0646\u06cc\u062f<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u067e\u0633\u062a\u0627\u0646\" >\u0633\u0631\u0637\u0627\u0646 \u067e\u0633\u062a\u0627\u0646<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u067e\u0633\u062a\u0627\u0646 \u062f\u0648 \u0628\u0627\u0631 (\u06cc\u0627 \u062f\u0648\u0637\u0631\u0641\u0647)\" >\u0633\u0631\u0637\u0627\u0646 \u067e\u0633\u062a\u0627\u0646 \u062f\u0648 \u0628\u0627\u0631 (\u06cc\u0627 \u062f\u0648\u0637\u0631\u0641\u0647)<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u062a\u062e\u0645\u062f\u0627\u0646\" >\u0633\u0631\u0637\u0627\u0646 \u062a\u062e\u0645\u062f\u0627\u0646<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u067e\u0627\u0646\u06a9\u0631\u0627\u0633\" >\u0633\u0631\u0637\u0627\u0646 \u067e\u0627\u0646\u06a9\u0631\u0627\u0633<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u067e\u0631\u0648\u0633\u062a\u0627\u062a\" >\u0633\u0631\u0637\u0627\u0646 \u067e\u0631\u0648\u0633\u062a\u0627\u062a<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u0631\u062d\u0645\" >\u0633\u0631\u0637\u0627\u0646 \u0631\u062d\u0645<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u0631\u0648\u062f\u0647 \u0628\u0632\u0631\u06af\" >\u0633\u0631\u0637\u0627\u0646 \u0631\u0648\u062f\u0647 \u0628\u0632\u0631\u06af<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u0645\u062b\u0627\u0646\u0647\" >\u0633\u0631\u0637\u0627\u0646 \u0645\u062b\u0627\u0646\u0647<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u0645\u0639\u062f\u0647\" >\u0633\u0631\u0637\u0627\u0646 \u0645\u0639\u062f\u0647<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u06a9\u0644\u06cc\u0647 \u06cc\u0627 \u0645\u062c\u0627\u0631\u06cc \u0627\u062f\u0631\u0627\u0631\" >\u0633\u0631\u0637\u0627\u0646 \u06a9\u0644\u06cc\u0647 \u06cc\u0627 \u0645\u062c\u0627\u0631\u06cc \u0627\u062f\u0631\u0627\u0631<\/option><option value=\"\u062a\u0648\u0645\u0648\u0631 \u0645\u063a\u0632\u06cc\" >\u062a\u0648\u0645\u0648\u0631 \u0645\u063a\u0632\u06cc<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u0647\u0627\u06cc \u062f\u06cc\u06af\u0631\" >\u0633\u0631\u0637\u0627\u0646 \u0647\u0627\u06cc \u062f\u06cc\u06af\u0631<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u0628\u0647 \u0635\u0648\u0631\u062a \u0645\u062a\u0627\u0633\u062a\u0627\u062a\u06cc\u06a9 \u0628\u0648\u062f\u0647\" >\u0633\u0631\u0637\u0627\u0646 \u0628\u0647 \u0635\u0648\u0631\u062a \u0645\u062a\u0627\u0633\u062a\u0627\u062a\u06cc\u06a9 \u0628\u0648\u062f\u0647<\/option><\/select><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-4185-field_67-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"text\" data-field-id=\"67\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-4185-field_67\">\u0633\u0646 \u0627\u0628\u062a\u0644\u0627<\/label><input type=\"text\" id=\"wpforms-4185-field_67\" class=\"wpforms-field-medium wpforms-limit-characters-enabled\" data-form-id=\"4185\" data-field-id=\"67\" data-text-limit=\"2\" name=\"wpforms[fields][67]\" aria-errormessage=\"wpforms-4185-field_67-error\" maxlength=\"2\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-4185-field_68-container\" class=\"wpforms-field wpforms-field-text wpforms-birth-limit wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"text\" data-field-id=\"68\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-4185-field_68\">\u0633\u0627\u0644 \u062a\u0648\u0644\u062f<\/label><input type=\"text\" id=\"wpforms-4185-field_68\" class=\"wpforms-field-medium\" name=\"wpforms[fields][68]\" aria-errormessage=\"wpforms-4185-field_68-error\" ><\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-4185-field_69-container\" class=\"wpforms-field wpforms-field-divider\" data-field-type=\"divider\" data-field-id=\"69\"><h3 id=\"wpforms-4185-field_69\" aria-errormessage=\"wpforms-4185-field_69-error\">\u0634\u0645\u0627 \u0686\u0646\u062f \u062e\u0648\u0627\u0647\u0631 \u0648 \u0628\u0631\u0627\u062f\u0631 \u062f\u0627\u0631\u06cc\u062f \u061f<\/h3><\/div><div id=\"wpforms-4185-field_71-container\" class=\"wpforms-field wpforms-field-layout\" data-field-type=\"layout\" data-field-id=\"71\"><label class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">\u0686\u06cc\u062f\u0645\u0627\u0646<\/label><div class=\"wpforms-field-layout-rows wpforms-field-large\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-4185-field_137-container\" class=\"wpforms-field wpforms-field-number-slider\" data-field-type=\"number-slider\" data-field-id=\"137\"><label class=\"wpforms-field-label\" for=\"wpforms-4185-field_137\">\u062a\u0639\u062f\u0627\u062f \u062e\u0648\u0627\u0647\u0631<\/label>\n<input\n\ttype=\"range\"\n\tid=\"wpforms-4185-field_137\" class=\"wpforms-field-medium\" name=\"wpforms[fields][137]\" value=\"0\" aria-errormessage=\"wpforms-4185-field_137-error\"\t\tmin=\"0\"\n\tmax=\"20\"\n\tstep=\"1\">\n\n<div class=\"wpforms-field-number-slider-hint\"\n\tdata-hint=\"\u0645\u0642\u062f\u0627\u0631 \u0627\u0646\u062a\u062e\u0627\u0628 \u0634\u062f\u0647: {value}\">\n\t\u0645\u0642\u062f\u0627\u0631 \u0627\u0646\u062a\u062e\u0627\u0628 \u0634\u062f\u0647: <b>0<\/b><\/div>\n<\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-4185-field_138-container\" class=\"wpforms-field wpforms-field-number-slider\" data-field-type=\"number-slider\" data-field-id=\"138\"><label class=\"wpforms-field-label\" for=\"wpforms-4185-field_138\">\u062a\u0639\u062f\u0627\u062f \u0628\u0631\u0627\u062f\u0631<\/label>\n<input\n\ttype=\"range\"\n\tid=\"wpforms-4185-field_138\" class=\"wpforms-field-medium\" name=\"wpforms[fields][138]\" value=\"0\" aria-errormessage=\"wpforms-4185-field_138-error\"\t\tmin=\"0\"\n\tmax=\"20\"\n\tstep=\"1\">\n\n<div class=\"wpforms-field-number-slider-hint\"\n\tdata-hint=\"\u0645\u0642\u062f\u0627\u0631 \u0627\u0646\u062a\u062e\u0627\u0628 \u0634\u062f\u0647: {value}\">\n\t\u0645\u0642\u062f\u0627\u0631 \u0627\u0646\u062a\u062e\u0627\u0628 \u0634\u062f\u0647: <b>0<\/b><\/div>\n<\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-4185-field_117-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-2-columns wpforms-conditional-trigger\" data-field-type=\"radio\" data-field-id=\"117\"><fieldset><legend class=\"wpforms-field-label\">\u0622\u06cc\u0627 \u0627\u0632 \u0645\u06cc\u0627\u0646 \u062e\u0648\u0627\u0647\u0631\u0627\u0646 \u0648 \u0628\u0631\u0627\u062f\u0631\u0627\u0646 \u0634\u0645\u0627 \u062a\u0627 \u0628\u0647 \u062d\u0627\u0644 \u0628\u0631\u0627\u06cc \u06a9\u0633\u06cc \u0633\u0631\u0637\u0627\u0646 \u062a\u0634\u062e\u06cc\u0635 \u062f\u0627\u062f\u0647 \u0627\u0646\u062f \u061f <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-4185-field_117\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-4185-field_117_1\" name=\"wpforms[fields][117]\" value=\"\u0628\u0644\u0647\" aria-errormessage=\"wpforms-4185-field_117_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4185-field_117_1\">\u0628\u0644\u0647<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-4185-field_117_2\" name=\"wpforms[fields][117]\" value=\"\u062e\u06cc\u0631\" aria-errormessage=\"wpforms-4185-field_117_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4185-field_117_2\">\u062e\u06cc\u0631<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-4185-field_74-container\" class=\"wpforms-field wpforms-field-repeater wpforms-conditional-field wpforms-conditional-show wpforms-field-repeater-display-rows\" data-rows-min=\"1\" data-rows-max=\"20\" data-clone-num=\"2\" data-field-type=\"repeater\" data-field-id=\"74\" style=\"display:none;\"><div id=\"wpforms-4185-field_74-description\" class=\"wpforms-field-description\">* \u0627\u06af\u0631 \u0633\u0646 \u0627\u0628\u062a\u0644\u0627 \u0631\u0627 \u062d\u062f\u0648\u062f\u06cc \u0645\u06cc\u200c\u062f\u0627\u0646\u06cc\u062f\u060c \u062d\u062f \u067e\u0627\u0626\u06cc\u0646 \u062f\u0647\u0647 \u0631\u0627 \u0648\u0627\u0631\u062f \u06a9\u0646\u06cc\u062f. \u0645\u062b\u0644\u0627\u064b \u0627\u06af\u0631 \u0633\u0646 \u067e\u0646\u062c\u0627\u0647 \u0648 \u062e\u0631\u062f\u0647\u200c\u0627\u06cc \u0627\u0633\u062a\u060c 50 \u0648\u0627\u0631\u062f \u06a9\u0646\u06cc\u062f.<\/div><input type=\"hidden\" class=\"wpforms-field-repeater-clone-list\" name=\"wpforms[fields][74][clone_list]\" value=\"[]\"><script type=\"text\/html\" class=\"tmpl-wpforms-field-repeater-template\"><div id=\"wpforms-4185-repeater-field_74-clone_{CLONE}\" class=\"wpforms-field-repeater-clone-wrap\" data-clone=\"{CLONE}\">\n\t\t\t\t<div class=\"wpforms-field-layout-rows wpforms-field-medium wpforms-field-repeater-display-rows wpforms-field-repeater-preset-25-25-25-25\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-4185-field_75_{CLONE}-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"75_{CLONE}\"><label class=\"wpforms-field-label\" for=\"wpforms-4185-field_75_{CLONE}\">\u0646\u0627\u0645<\/label><input type=\"text\" id=\"wpforms-4185-field_75_{CLONE}\" class=\"wpforms-field-medium\" name=\"wpforms[fields][75_{CLONE}]\" aria-errormessage=\"wpforms-4185-field_75_{CLONE}-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-4185-field_125_{CLONE}-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"125_{CLONE}\"><label class=\"wpforms-field-label\" for=\"wpforms-4185-field_125_{CLONE}\">\u0646\u0648\u0639 \u0633\u0631\u0637\u0627\u0646<\/label><select id=\"wpforms-4185-field_125_{CLONE}\" class=\"wpforms-field-medium\" name=\"wpforms[fields][125_{CLONE}]\"><option value=\"\u0627\u0646\u062a\u062e\u0627\u0628 \u06a9\u0646\u06cc\u062f\" >\u0627\u0646\u062a\u062e\u0627\u0628 \u06a9\u0646\u06cc\u062f<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u067e\u0633\u062a\u0627\u0646\" >\u0633\u0631\u0637\u0627\u0646 \u067e\u0633\u062a\u0627\u0646<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u067e\u0633\u062a\u0627\u0646 \u062f\u0648 \u0628\u0627\u0631 (\u06cc\u0627 \u062f\u0648\u0637\u0631\u0641\u0647)\" >\u0633\u0631\u0637\u0627\u0646 \u067e\u0633\u062a\u0627\u0646 \u062f\u0648 \u0628\u0627\u0631 (\u06cc\u0627 \u062f\u0648\u0637\u0631\u0641\u0647)<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u062a\u062e\u0645\u062f\u0627\u0646\" >\u0633\u0631\u0637\u0627\u0646 \u062a\u062e\u0645\u062f\u0627\u0646<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u067e\u0627\u0646\u06a9\u0631\u0627\u0633\" >\u0633\u0631\u0637\u0627\u0646 \u067e\u0627\u0646\u06a9\u0631\u0627\u0633<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u067e\u0631\u0648\u0633\u062a\u0627\u062a\" >\u0633\u0631\u0637\u0627\u0646 \u067e\u0631\u0648\u0633\u062a\u0627\u062a<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u0631\u062d\u0645\" >\u0633\u0631\u0637\u0627\u0646 \u0631\u062d\u0645<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u0631\u0648\u062f\u0647 \u0628\u0632\u0631\u06af\" >\u0633\u0631\u0637\u0627\u0646 \u0631\u0648\u062f\u0647 \u0628\u0632\u0631\u06af<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u0645\u062b\u0627\u0646\u0647\" >\u0633\u0631\u0637\u0627\u0646 \u0645\u062b\u0627\u0646\u0647<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u0645\u0639\u062f\u0647\" >\u0633\u0631\u0637\u0627\u0646 \u0645\u0639\u062f\u0647<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u06a9\u0644\u06cc\u0647 \u06cc\u0627 \u0645\u062c\u0627\u0631\u06cc \u0627\u062f\u0631\u0627\u0631\" >\u0633\u0631\u0637\u0627\u0646 \u06a9\u0644\u06cc\u0647 \u06cc\u0627 \u0645\u062c\u0627\u0631\u06cc \u0627\u062f\u0631\u0627\u0631<\/option><option value=\"\u062a\u0648\u0645\u0648\u0631 \u0645\u063a\u0632\u06cc\" >\u062a\u0648\u0645\u0648\u0631 \u0645\u063a\u0632\u06cc<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u0647\u0627\u06cc \u062f\u06cc\u06af\u0631\" >\u0633\u0631\u0637\u0627\u0646 \u0647\u0627\u06cc \u062f\u06cc\u06af\u0631<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u0628\u0647 \u0635\u0648\u0631\u062a \u0645\u062a\u0627\u0633\u062a\u0627\u062a\u06cc\u06a9 \u0628\u0648\u062f\u0647\" >\u0633\u0631\u0637\u0627\u0646 \u0628\u0647 \u0635\u0648\u0631\u062a \u0645\u062a\u0627\u0633\u062a\u0627\u062a\u06cc\u06a9 \u0628\u0648\u062f\u0647<\/option><\/select><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-4185-field_77_{CLONE}-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"77_{CLONE}\"><label class=\"wpforms-field-label\" for=\"wpforms-4185-field_77_{CLONE}\">\u0633\u0646 \u0627\u0628\u062a\u0644\u0627<\/label><input type=\"text\" id=\"wpforms-4185-field_77_{CLONE}\" class=\"wpforms-field-medium\" name=\"wpforms[fields][77_{CLONE}]\" aria-errormessage=\"wpforms-4185-field_77_{CLONE}-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-4185-field_78_{CLONE}-container\" class=\"wpforms-field wpforms-field-text wpforms-birth-limit\" data-field-type=\"text\" data-field-id=\"78_{CLONE}\"><label class=\"wpforms-field-label\" for=\"wpforms-4185-field_78_{CLONE}\">\u0633\u0627\u0644 \u062a\u0648\u0644\u062f<\/label><input type=\"text\" id=\"wpforms-4185-field_78_{CLONE}\" class=\"wpforms-field-medium\" name=\"wpforms[fields][78_{CLONE}]\" aria-errormessage=\"wpforms-4185-field_78_{CLONE}-error\" ><\/div><\/div><div class=\"wpforms-field-repeater-display-rows-buttons\">\n\t\t\t\t<button type=\"button\" class=\"wpforms-field-repeater-button-add\" title=\"Add\">\n\t\t\t\t\t<svg width=\"16\" height=\"17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M12.129 7.984v1.032a.392.392 0 0 1-.387.387H8.903v2.839a.392.392 0 0 1-.387.387H7.484a.373.373 0 0 1-.387-.387V9.403H4.258a.373.373 0 0 1-.387-.387V7.984c0-.194.161-.387.387-.387h2.839V4.758c0-.193.161-.387.387-.387h1.032c.194 0 .387.194.387.387v2.839h2.839c.193 0 .387.193.387.387ZM16 8.5c0 4.42-3.58 8-8 8s-8-3.58-8-8 3.58-8 8-8 8 3.58 8 8Zm-1.548 0c0-3.548-2.904-6.452-6.452-6.452A6.45 6.45 0 0 0 1.548 8.5 6.43 6.43 0 0 0 8 14.952 6.45 6.45 0 0 0 14.452 8.5Z\" fill=\"currentColor\"\/><\/svg>\n\t\t\t\t<\/button>\n\t\t\t\t<button type=\"button\" class=\"wpforms-field-repeater-button-remove wpforms-disabled\" title=\"Remove\">\n\t\t\t\t\t<svg width=\"16\" height=\"17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M4.258 9.403a.373.373 0 0 1-.387-.387V7.984c0-.194.161-.387.387-.387h7.484c.193 0 .387.193.387.387v1.032a.392.392 0 0 1-.387.387H4.258ZM16 8.5c0 4.42-3.58 8-8 8s-8-3.58-8-8 3.58-8 8-8 8 3.58 8 8Zm-1.548 0c0-3.548-2.904-6.452-6.452-6.452A6.45 6.45 0 0 0 1.548 8.5 6.43 6.43 0 0 0 8 14.952 6.45 6.45 0 0 0 14.452 8.5Z\" fill=\"currentColor\"\/><\/svg>\n\t\t\t\t<\/button>\n\t\t\t<\/div><\/div><\/div>\n\t\t\t<\/div><\/script><div class=\"wpforms-field-layout-rows wpforms-field-medium wpforms-field-repeater-display-rows wpforms-field-repeater-preset-25-25-25-25\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-4185-field_75-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"75\"><label class=\"wpforms-field-label\" for=\"wpforms-4185-field_75\">\u0646\u0627\u0645<\/label><input type=\"text\" id=\"wpforms-4185-field_75\" class=\"wpforms-field-medium\" name=\"wpforms[fields][75]\" aria-errormessage=\"wpforms-4185-field_75-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-4185-field_125-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"125\"><label class=\"wpforms-field-label\" for=\"wpforms-4185-field_125\">\u0646\u0648\u0639 \u0633\u0631\u0637\u0627\u0646<\/label><select id=\"wpforms-4185-field_125\" class=\"wpforms-field-medium\" name=\"wpforms[fields][125]\"><option value=\"\u0627\u0646\u062a\u062e\u0627\u0628 \u06a9\u0646\u06cc\u062f\" >\u0627\u0646\u062a\u062e\u0627\u0628 \u06a9\u0646\u06cc\u062f<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u067e\u0633\u062a\u0627\u0646\" >\u0633\u0631\u0637\u0627\u0646 \u067e\u0633\u062a\u0627\u0646<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u067e\u0633\u062a\u0627\u0646 \u062f\u0648 \u0628\u0627\u0631 (\u06cc\u0627 \u062f\u0648\u0637\u0631\u0641\u0647)\" >\u0633\u0631\u0637\u0627\u0646 \u067e\u0633\u062a\u0627\u0646 \u062f\u0648 \u0628\u0627\u0631 (\u06cc\u0627 \u062f\u0648\u0637\u0631\u0641\u0647)<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u062a\u062e\u0645\u062f\u0627\u0646\" >\u0633\u0631\u0637\u0627\u0646 \u062a\u062e\u0645\u062f\u0627\u0646<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u067e\u0627\u0646\u06a9\u0631\u0627\u0633\" >\u0633\u0631\u0637\u0627\u0646 \u067e\u0627\u0646\u06a9\u0631\u0627\u0633<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u067e\u0631\u0648\u0633\u062a\u0627\u062a\" >\u0633\u0631\u0637\u0627\u0646 \u067e\u0631\u0648\u0633\u062a\u0627\u062a<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u0631\u062d\u0645\" >\u0633\u0631\u0637\u0627\u0646 \u0631\u062d\u0645<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u0631\u0648\u062f\u0647 \u0628\u0632\u0631\u06af\" >\u0633\u0631\u0637\u0627\u0646 \u0631\u0648\u062f\u0647 \u0628\u0632\u0631\u06af<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u0645\u062b\u0627\u0646\u0647\" >\u0633\u0631\u0637\u0627\u0646 \u0645\u062b\u0627\u0646\u0647<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u0645\u0639\u062f\u0647\" >\u0633\u0631\u0637\u0627\u0646 \u0645\u0639\u062f\u0647<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u06a9\u0644\u06cc\u0647 \u06cc\u0627 \u0645\u062c\u0627\u0631\u06cc \u0627\u062f\u0631\u0627\u0631\" >\u0633\u0631\u0637\u0627\u0646 \u06a9\u0644\u06cc\u0647 \u06cc\u0627 \u0645\u062c\u0627\u0631\u06cc \u0627\u062f\u0631\u0627\u0631<\/option><option value=\"\u062a\u0648\u0645\u0648\u0631 \u0645\u063a\u0632\u06cc\" >\u062a\u0648\u0645\u0648\u0631 \u0645\u063a\u0632\u06cc<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u0647\u0627\u06cc \u062f\u06cc\u06af\u0631\" >\u0633\u0631\u0637\u0627\u0646 \u0647\u0627\u06cc \u062f\u06cc\u06af\u0631<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u0628\u0647 \u0635\u0648\u0631\u062a \u0645\u062a\u0627\u0633\u062a\u0627\u062a\u06cc\u06a9 \u0628\u0648\u062f\u0647\" >\u0633\u0631\u0637\u0627\u0646 \u0628\u0647 \u0635\u0648\u0631\u062a \u0645\u062a\u0627\u0633\u062a\u0627\u062a\u06cc\u06a9 \u0628\u0648\u062f\u0647<\/option><\/select><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-4185-field_77-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"77\"><label class=\"wpforms-field-label\" for=\"wpforms-4185-field_77\">\u0633\u0646 \u0627\u0628\u062a\u0644\u0627<\/label><input type=\"text\" id=\"wpforms-4185-field_77\" class=\"wpforms-field-medium\" name=\"wpforms[fields][77]\" aria-errormessage=\"wpforms-4185-field_77-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-4185-field_78-container\" class=\"wpforms-field wpforms-field-text wpforms-birth-limit\" data-field-type=\"text\" data-field-id=\"78\"><label class=\"wpforms-field-label\" for=\"wpforms-4185-field_78\">\u0633\u0627\u0644 \u062a\u0648\u0644\u062f<\/label><input type=\"text\" id=\"wpforms-4185-field_78\" class=\"wpforms-field-medium\" name=\"wpforms[fields][78]\" aria-errormessage=\"wpforms-4185-field_78-error\" ><\/div><\/div><div class=\"wpforms-field-repeater-display-rows-buttons\">\n\t\t\t\t<button type=\"button\" class=\"wpforms-field-repeater-button-add\" title=\"Add\">\n\t\t\t\t\t<svg width=\"16\" height=\"17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M12.129 7.984v1.032a.392.392 0 0 1-.387.387H8.903v2.839a.392.392 0 0 1-.387.387H7.484a.373.373 0 0 1-.387-.387V9.403H4.258a.373.373 0 0 1-.387-.387V7.984c0-.194.161-.387.387-.387h2.839V4.758c0-.193.161-.387.387-.387h1.032c.194 0 .387.194.387.387v2.839h2.839c.193 0 .387.193.387.387ZM16 8.5c0 4.42-3.58 8-8 8s-8-3.58-8-8 3.58-8 8-8 8 3.58 8 8Zm-1.548 0c0-3.548-2.904-6.452-6.452-6.452A6.45 6.45 0 0 0 1.548 8.5 6.43 6.43 0 0 0 8 14.952 6.45 6.45 0 0 0 14.452 8.5Z\" fill=\"currentColor\"\/><\/svg>\n\t\t\t\t<\/button>\n\t\t\t\t<button type=\"button\" class=\"wpforms-field-repeater-button-remove wpforms-disabled\" title=\"Remove\">\n\t\t\t\t\t<svg width=\"16\" height=\"17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M4.258 9.403a.373.373 0 0 1-.387-.387V7.984c0-.194.161-.387.387-.387h7.484c.193 0 .387.193.387.387v1.032a.392.392 0 0 1-.387.387H4.258ZM16 8.5c0 4.42-3.58 8-8 8s-8-3.58-8-8 3.58-8 8-8 8 3.58 8 8Zm-1.548 0c0-3.548-2.904-6.452-6.452-6.452A6.45 6.45 0 0 0 1.548 8.5 6.43 6.43 0 0 0 8 14.952 6.45 6.45 0 0 0 14.452 8.5Z\" fill=\"currentColor\"\/><\/svg>\n\t\t\t\t<\/button>\n\t\t\t<\/div><\/div><\/div><\/div><div id=\"wpforms-4185-field_80-container\" class=\"wpforms-field wpforms-field-divider\" data-field-type=\"divider\" data-field-id=\"80\"><h3 id=\"wpforms-4185-field_80\" aria-errormessage=\"wpforms-4185-field_80-error\">\u0634\u0645\u0627 \u0686\u0646\u062f \u0639\u0645\u0647 \u0648 \u0639\u0645\u0648 \u062f\u0627\u0631\u06cc\u062f \u061f \u062a\u0639\u062f\u0627\u062f \u0627\u0641\u0631\u0627\u062f ( \u062f\u0631 \u0642\u06cc\u062f \u062d\u06cc\u0627\u062a \u0648 \u0641\u0648\u062a \u0634\u062f\u0647 ) \u0631\u0627 \u0648\u0627\u0631\u062f \u06a9\u0646\u06cc\u062f <\/h3><\/div><div id=\"wpforms-4185-field_83-container\" class=\"wpforms-field wpforms-field-layout\" data-field-type=\"layout\" data-field-id=\"83\"><label class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">\u0686\u06cc\u062f\u0645\u0627\u0646<\/label><div class=\"wpforms-field-layout-rows wpforms-field-large\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-4185-field_139-container\" class=\"wpforms-field wpforms-field-number-slider\" data-field-type=\"number-slider\" data-field-id=\"139\"><label class=\"wpforms-field-label\" for=\"wpforms-4185-field_139\">\u062a\u0639\u062f\u0627\u062f \u0639\u0645\u0647<\/label>\n<input\n\ttype=\"range\"\n\tid=\"wpforms-4185-field_139\" class=\"wpforms-field-medium\" name=\"wpforms[fields][139]\" value=\"0\" aria-errormessage=\"wpforms-4185-field_139-error\"\t\tmin=\"0\"\n\tmax=\"20\"\n\tstep=\"1\">\n\n<div class=\"wpforms-field-number-slider-hint\"\n\tdata-hint=\"\u0645\u0642\u062f\u0627\u0631 \u0627\u0646\u062a\u062e\u0627\u0628 \u0634\u062f\u0647: {value}\">\n\t\u0645\u0642\u062f\u0627\u0631 \u0627\u0646\u062a\u062e\u0627\u0628 \u0634\u062f\u0647: <b>0<\/b><\/div>\n<\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-4185-field_140-container\" class=\"wpforms-field wpforms-field-number-slider\" data-field-type=\"number-slider\" data-field-id=\"140\"><label class=\"wpforms-field-label\" for=\"wpforms-4185-field_140\">\u062a\u0639\u062f\u0627\u062f \u0639\u0645\u0648<\/label>\n<input\n\ttype=\"range\"\n\tid=\"wpforms-4185-field_140\" class=\"wpforms-field-medium\" name=\"wpforms[fields][140]\" value=\"0\" aria-errormessage=\"wpforms-4185-field_140-error\"\t\tmin=\"0\"\n\tmax=\"20\"\n\tstep=\"1\">\n\n<div class=\"wpforms-field-number-slider-hint\"\n\tdata-hint=\"\u0645\u0642\u062f\u0627\u0631 \u0627\u0646\u062a\u062e\u0627\u0628 \u0634\u062f\u0647: {value}\">\n\t\u0645\u0642\u062f\u0627\u0631 \u0627\u0646\u062a\u062e\u0627\u0628 \u0634\u062f\u0647: <b>0<\/b><\/div>\n<\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-4185-field_118-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-2-columns wpforms-conditional-trigger\" data-field-type=\"radio\" data-field-id=\"118\"><fieldset><legend class=\"wpforms-field-label\">\u0622\u06cc\u0627 \u0627\u0632 \u0645\u06cc\u0627\u0646 \u0639\u0645\u0647 \u0647\u0627 \u0648 \u0639\u0645\u0648 \u0647\u0627\u06cc \u0634\u0645\u0627 \u062a\u0627 \u0628\u0647 \u062d\u0627\u0644 \u0628\u0631\u0627\u06cc \u06a9\u0633\u06cc \u0633\u0631\u0637\u0627\u0646 \u062a\u0634\u062e\u06cc\u0635 \u062f\u0627\u062f\u0647 \u0627\u0646\u062f\u061f <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-4185-field_118\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-4185-field_118_1\" name=\"wpforms[fields][118]\" value=\"\u0628\u0644\u0647\" aria-errormessage=\"wpforms-4185-field_118_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4185-field_118_1\">\u0628\u0644\u0647<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-4185-field_118_2\" name=\"wpforms[fields][118]\" value=\"\u062e\u06cc\u0631\" aria-errormessage=\"wpforms-4185-field_118_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4185-field_118_2\">\u062e\u06cc\u0631<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-4185-field_84-container\" class=\"wpforms-field wpforms-field-repeater wpforms-conditional-field wpforms-conditional-show wpforms-field-repeater-display-rows\" data-rows-min=\"1\" data-rows-max=\"20\" data-clone-num=\"2\" data-field-type=\"repeater\" data-field-id=\"84\" style=\"display:none;\"><h3 class=\"wpforms-field-label\">\n\t\t\t\t\u062f\u0631 \u062c\u062f\u0648\u0644 \u0646\u0627\u0645\u060c \u0646\u0648\u0639 \u06cc\u0627 \u0627\u0646\u0648\u0627\u0639 \u0633\u0631\u0637\u0627\u0646 \u0648 \u0633\u0646 \u0627\u0628\u062a\u0644\u0627 \u0631\u0627 \u062f\u0631\u062c \u06a9\u0646\u06cc\u062f.\n\t\t\t<\/h3><div id=\"wpforms-4185-field_84-description\" class=\"wpforms-field-description\">\u0627\u06af\u0631 \u0633\u0646 \u0627\u0628\u062a\u0644\u0627 \u0631\u0627 \u062d\u062f\u0648\u062f\u06cc \u0645\u06cc\u200c\u062f\u0627\u0646\u06cc\u062f\u060c \u062d\u062f \u067e\u0627\u0626\u06cc\u0646 \u062f\u0647\u0647 \u0631\u0627 \u0648\u0627\u0631\u062f \u06a9\u0646\u06cc\u062f. \u0645\u062b\u0644\u0627\u064b \u0627\u06af\u0631 \u0633\u0646 \u067e\u0646\u062c\u0627\u0647 \u0648 \u062e\u0631\u062f\u0647\u200c\u0627\u06cc \u0627\u0633\u062a\u060c 50 \u0648\u0627\u0631\u062f \u06a9\u0646\u06cc\u062f.<\/div><input type=\"hidden\" class=\"wpforms-field-repeater-clone-list\" name=\"wpforms[fields][84][clone_list]\" value=\"[]\"><script type=\"text\/html\" class=\"tmpl-wpforms-field-repeater-template\"><div id=\"wpforms-4185-repeater-field_84-clone_{CLONE}\" class=\"wpforms-field-repeater-clone-wrap\" data-clone=\"{CLONE}\">\n\t\t\t\t<div class=\"wpforms-field-layout-rows wpforms-field-medium wpforms-field-repeater-display-rows wpforms-field-repeater-preset-25-25-25-25\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-4185-field_85_{CLONE}-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"85_{CLONE}\"><label class=\"wpforms-field-label\" for=\"wpforms-4185-field_85_{CLONE}\">\u0646\u0627\u0645<\/label><input type=\"text\" id=\"wpforms-4185-field_85_{CLONE}\" class=\"wpforms-field-medium\" name=\"wpforms[fields][85_{CLONE}]\" aria-errormessage=\"wpforms-4185-field_85_{CLONE}-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-4185-field_126_{CLONE}-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"126_{CLONE}\"><label class=\"wpforms-field-label\" for=\"wpforms-4185-field_126_{CLONE}\">\u0646\u0648\u0639 \u0633\u0631\u0637\u0627\u0646<\/label><select id=\"wpforms-4185-field_126_{CLONE}\" class=\"wpforms-field-medium\" name=\"wpforms[fields][126_{CLONE}]\"><option value=\"\u0627\u0646\u062a\u062e\u0627\u0628 \u06a9\u0646\u06cc\u062f\" >\u0627\u0646\u062a\u062e\u0627\u0628 \u06a9\u0646\u06cc\u062f<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u067e\u0633\u062a\u0627\u0646\" >\u0633\u0631\u0637\u0627\u0646 \u067e\u0633\u062a\u0627\u0646<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u067e\u0633\u062a\u0627\u0646 \u062f\u0648 \u0628\u0627\u0631 (\u06cc\u0627 \u062f\u0648\u0637\u0631\u0641\u0647)\" >\u0633\u0631\u0637\u0627\u0646 \u067e\u0633\u062a\u0627\u0646 \u062f\u0648 \u0628\u0627\u0631 (\u06cc\u0627 \u062f\u0648\u0637\u0631\u0641\u0647)<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u062a\u062e\u0645\u062f\u0627\u0646\" >\u0633\u0631\u0637\u0627\u0646 \u062a\u062e\u0645\u062f\u0627\u0646<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u067e\u0627\u0646\u06a9\u0631\u0627\u0633\" >\u0633\u0631\u0637\u0627\u0646 \u067e\u0627\u0646\u06a9\u0631\u0627\u0633<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u067e\u0631\u0648\u0633\u062a\u0627\u062a\" >\u0633\u0631\u0637\u0627\u0646 \u067e\u0631\u0648\u0633\u062a\u0627\u062a<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u0631\u062d\u0645\" >\u0633\u0631\u0637\u0627\u0646 \u0631\u062d\u0645<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u0631\u0648\u062f\u0647 \u0628\u0632\u0631\u06af\" >\u0633\u0631\u0637\u0627\u0646 \u0631\u0648\u062f\u0647 \u0628\u0632\u0631\u06af<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u0645\u062b\u0627\u0646\u0647\" >\u0633\u0631\u0637\u0627\u0646 \u0645\u062b\u0627\u0646\u0647<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u0645\u0639\u062f\u0647\" >\u0633\u0631\u0637\u0627\u0646 \u0645\u0639\u062f\u0647<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u06a9\u0644\u06cc\u0647 \u06cc\u0627 \u0645\u062c\u0627\u0631\u06cc \u0627\u062f\u0631\u0627\u0631\" >\u0633\u0631\u0637\u0627\u0646 \u06a9\u0644\u06cc\u0647 \u06cc\u0627 \u0645\u062c\u0627\u0631\u06cc \u0627\u062f\u0631\u0627\u0631<\/option><option value=\"\u062a\u0648\u0645\u0648\u0631 \u0645\u063a\u0632\u06cc\" >\u062a\u0648\u0645\u0648\u0631 \u0645\u063a\u0632\u06cc<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u0647\u0627\u06cc \u062f\u06cc\u06af\u0631\" >\u0633\u0631\u0637\u0627\u0646 \u0647\u0627\u06cc \u062f\u06cc\u06af\u0631<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u0628\u0647 \u0635\u0648\u0631\u062a \u0645\u062a\u0627\u0633\u062a\u0627\u062a\u06cc\u06a9 \u0628\u0648\u062f\u0647\" >\u0633\u0631\u0637\u0627\u0646 \u0628\u0647 \u0635\u0648\u0631\u062a \u0645\u062a\u0627\u0633\u062a\u0627\u062a\u06cc\u06a9 \u0628\u0648\u062f\u0647<\/option><\/select><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-4185-field_87_{CLONE}-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"87_{CLONE}\"><label class=\"wpforms-field-label\" for=\"wpforms-4185-field_87_{CLONE}\">\u0633\u0646 \u0627\u0628\u062a\u0644\u0627<\/label><input type=\"text\" id=\"wpforms-4185-field_87_{CLONE}\" class=\"wpforms-field-medium\" name=\"wpforms[fields][87_{CLONE}]\" aria-errormessage=\"wpforms-4185-field_87_{CLONE}-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-4185-field_88_{CLONE}-container\" class=\"wpforms-field wpforms-field-text wpforms-birth-limit\" data-field-type=\"text\" data-field-id=\"88_{CLONE}\"><label class=\"wpforms-field-label\" for=\"wpforms-4185-field_88_{CLONE}\">\u0633\u0627\u0644 \u062a\u0648\u0644\u062f<\/label><input type=\"text\" id=\"wpforms-4185-field_88_{CLONE}\" class=\"wpforms-field-medium\" name=\"wpforms[fields][88_{CLONE}]\" aria-errormessage=\"wpforms-4185-field_88_{CLONE}-error\" ><\/div><\/div><div class=\"wpforms-field-repeater-display-rows-buttons\">\n\t\t\t\t<button type=\"button\" class=\"wpforms-field-repeater-button-add\" title=\"Add\">\n\t\t\t\t\t<svg width=\"16\" height=\"17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M12.129 7.984v1.032a.392.392 0 0 1-.387.387H8.903v2.839a.392.392 0 0 1-.387.387H7.484a.373.373 0 0 1-.387-.387V9.403H4.258a.373.373 0 0 1-.387-.387V7.984c0-.194.161-.387.387-.387h2.839V4.758c0-.193.161-.387.387-.387h1.032c.194 0 .387.194.387.387v2.839h2.839c.193 0 .387.193.387.387ZM16 8.5c0 4.42-3.58 8-8 8s-8-3.58-8-8 3.58-8 8-8 8 3.58 8 8Zm-1.548 0c0-3.548-2.904-6.452-6.452-6.452A6.45 6.45 0 0 0 1.548 8.5 6.43 6.43 0 0 0 8 14.952 6.45 6.45 0 0 0 14.452 8.5Z\" fill=\"currentColor\"\/><\/svg>\n\t\t\t\t<\/button>\n\t\t\t\t<button type=\"button\" class=\"wpforms-field-repeater-button-remove wpforms-disabled\" title=\"Remove\">\n\t\t\t\t\t<svg width=\"16\" height=\"17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M4.258 9.403a.373.373 0 0 1-.387-.387V7.984c0-.194.161-.387.387-.387h7.484c.193 0 .387.193.387.387v1.032a.392.392 0 0 1-.387.387H4.258ZM16 8.5c0 4.42-3.58 8-8 8s-8-3.58-8-8 3.58-8 8-8 8 3.58 8 8Zm-1.548 0c0-3.548-2.904-6.452-6.452-6.452A6.45 6.45 0 0 0 1.548 8.5 6.43 6.43 0 0 0 8 14.952 6.45 6.45 0 0 0 14.452 8.5Z\" fill=\"currentColor\"\/><\/svg>\n\t\t\t\t<\/button>\n\t\t\t<\/div><\/div><\/div>\n\t\t\t<\/div><\/script><div class=\"wpforms-field-layout-rows wpforms-field-medium wpforms-field-repeater-display-rows wpforms-field-repeater-preset-25-25-25-25\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-4185-field_85-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"85\"><label class=\"wpforms-field-label\" for=\"wpforms-4185-field_85\">\u0646\u0627\u0645<\/label><input type=\"text\" id=\"wpforms-4185-field_85\" class=\"wpforms-field-medium\" name=\"wpforms[fields][85]\" aria-errormessage=\"wpforms-4185-field_85-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-4185-field_126-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"126\"><label class=\"wpforms-field-label\" for=\"wpforms-4185-field_126\">\u0646\u0648\u0639 \u0633\u0631\u0637\u0627\u0646<\/label><select id=\"wpforms-4185-field_126\" class=\"wpforms-field-medium\" name=\"wpforms[fields][126]\"><option value=\"\u0627\u0646\u062a\u062e\u0627\u0628 \u06a9\u0646\u06cc\u062f\" >\u0627\u0646\u062a\u062e\u0627\u0628 \u06a9\u0646\u06cc\u062f<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u067e\u0633\u062a\u0627\u0646\" >\u0633\u0631\u0637\u0627\u0646 \u067e\u0633\u062a\u0627\u0646<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u067e\u0633\u062a\u0627\u0646 \u062f\u0648 \u0628\u0627\u0631 (\u06cc\u0627 \u062f\u0648\u0637\u0631\u0641\u0647)\" >\u0633\u0631\u0637\u0627\u0646 \u067e\u0633\u062a\u0627\u0646 \u062f\u0648 \u0628\u0627\u0631 (\u06cc\u0627 \u062f\u0648\u0637\u0631\u0641\u0647)<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u062a\u062e\u0645\u062f\u0627\u0646\" >\u0633\u0631\u0637\u0627\u0646 \u062a\u062e\u0645\u062f\u0627\u0646<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u067e\u0627\u0646\u06a9\u0631\u0627\u0633\" >\u0633\u0631\u0637\u0627\u0646 \u067e\u0627\u0646\u06a9\u0631\u0627\u0633<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u067e\u0631\u0648\u0633\u062a\u0627\u062a\" >\u0633\u0631\u0637\u0627\u0646 \u067e\u0631\u0648\u0633\u062a\u0627\u062a<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u0631\u062d\u0645\" >\u0633\u0631\u0637\u0627\u0646 \u0631\u062d\u0645<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u0631\u0648\u062f\u0647 \u0628\u0632\u0631\u06af\" >\u0633\u0631\u0637\u0627\u0646 \u0631\u0648\u062f\u0647 \u0628\u0632\u0631\u06af<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u0645\u062b\u0627\u0646\u0647\" >\u0633\u0631\u0637\u0627\u0646 \u0645\u062b\u0627\u0646\u0647<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u0645\u0639\u062f\u0647\" >\u0633\u0631\u0637\u0627\u0646 \u0645\u0639\u062f\u0647<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u06a9\u0644\u06cc\u0647 \u06cc\u0627 \u0645\u062c\u0627\u0631\u06cc \u0627\u062f\u0631\u0627\u0631\" >\u0633\u0631\u0637\u0627\u0646 \u06a9\u0644\u06cc\u0647 \u06cc\u0627 \u0645\u062c\u0627\u0631\u06cc \u0627\u062f\u0631\u0627\u0631<\/option><option value=\"\u062a\u0648\u0645\u0648\u0631 \u0645\u063a\u0632\u06cc\" >\u062a\u0648\u0645\u0648\u0631 \u0645\u063a\u0632\u06cc<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u0647\u0627\u06cc \u062f\u06cc\u06af\u0631\" >\u0633\u0631\u0637\u0627\u0646 \u0647\u0627\u06cc \u062f\u06cc\u06af\u0631<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u0628\u0647 \u0635\u0648\u0631\u062a \u0645\u062a\u0627\u0633\u062a\u0627\u062a\u06cc\u06a9 \u0628\u0648\u062f\u0647\" >\u0633\u0631\u0637\u0627\u0646 \u0628\u0647 \u0635\u0648\u0631\u062a \u0645\u062a\u0627\u0633\u062a\u0627\u062a\u06cc\u06a9 \u0628\u0648\u062f\u0647<\/option><\/select><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-4185-field_87-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"87\"><label class=\"wpforms-field-label\" for=\"wpforms-4185-field_87\">\u0633\u0646 \u0627\u0628\u062a\u0644\u0627<\/label><input type=\"text\" id=\"wpforms-4185-field_87\" class=\"wpforms-field-medium\" name=\"wpforms[fields][87]\" aria-errormessage=\"wpforms-4185-field_87-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-4185-field_88-container\" class=\"wpforms-field wpforms-field-text wpforms-birth-limit\" data-field-type=\"text\" data-field-id=\"88\"><label class=\"wpforms-field-label\" for=\"wpforms-4185-field_88\">\u0633\u0627\u0644 \u062a\u0648\u0644\u062f<\/label><input type=\"text\" id=\"wpforms-4185-field_88\" class=\"wpforms-field-medium\" name=\"wpforms[fields][88]\" aria-errormessage=\"wpforms-4185-field_88-error\" ><\/div><\/div><div class=\"wpforms-field-repeater-display-rows-buttons\">\n\t\t\t\t<button type=\"button\" class=\"wpforms-field-repeater-button-add\" title=\"Add\">\n\t\t\t\t\t<svg width=\"16\" height=\"17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M12.129 7.984v1.032a.392.392 0 0 1-.387.387H8.903v2.839a.392.392 0 0 1-.387.387H7.484a.373.373 0 0 1-.387-.387V9.403H4.258a.373.373 0 0 1-.387-.387V7.984c0-.194.161-.387.387-.387h2.839V4.758c0-.193.161-.387.387-.387h1.032c.194 0 .387.194.387.387v2.839h2.839c.193 0 .387.193.387.387ZM16 8.5c0 4.42-3.58 8-8 8s-8-3.58-8-8 3.58-8 8-8 8 3.58 8 8Zm-1.548 0c0-3.548-2.904-6.452-6.452-6.452A6.45 6.45 0 0 0 1.548 8.5 6.43 6.43 0 0 0 8 14.952 6.45 6.45 0 0 0 14.452 8.5Z\" fill=\"currentColor\"\/><\/svg>\n\t\t\t\t<\/button>\n\t\t\t\t<button type=\"button\" class=\"wpforms-field-repeater-button-remove wpforms-disabled\" title=\"Remove\">\n\t\t\t\t\t<svg width=\"16\" height=\"17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M4.258 9.403a.373.373 0 0 1-.387-.387V7.984c0-.194.161-.387.387-.387h7.484c.193 0 .387.193.387.387v1.032a.392.392 0 0 1-.387.387H4.258ZM16 8.5c0 4.42-3.58 8-8 8s-8-3.58-8-8 3.58-8 8-8 8 3.58 8 8Zm-1.548 0c0-3.548-2.904-6.452-6.452-6.452A6.45 6.45 0 0 0 1.548 8.5 6.43 6.43 0 0 0 8 14.952 6.45 6.45 0 0 0 14.452 8.5Z\" fill=\"currentColor\"\/><\/svg>\n\t\t\t\t<\/button>\n\t\t\t<\/div><\/div><\/div><\/div><div id=\"wpforms-4185-field_89-container\" class=\"wpforms-field wpforms-field-divider\" data-field-type=\"divider\" data-field-id=\"89\"><h3 id=\"wpforms-4185-field_89\" aria-errormessage=\"wpforms-4185-field_89-error\">\u0634\u0645\u0627 \u0686\u0646\u062f \u062e\u0627\u0644\u0647 \u0648 \u062f\u0627\u06cc\u06cc \u062f\u0627\u0631\u06cc\u062f \u061f \u062a\u0639\u062f\u0627\u062f \u0627\u0641\u0631\u0627\u062f ( \u062f\u0631 \u0642\u06cc\u062f \u062d\u06cc\u0627\u062a \u0648 \u0641\u0648\u062a \u0634\u062f\u0647 ) \u0631\u0627 \u0648\u0627\u0631\u062f \u06a9\u0646\u06cc\u062f<\/h3><\/div><div id=\"wpforms-4185-field_90-container\" class=\"wpforms-field wpforms-field-layout\" data-field-type=\"layout\" data-field-id=\"90\"><label class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">\u0686\u06cc\u062f\u0645\u0627\u0646<\/label><div class=\"wpforms-field-layout-rows wpforms-field-large\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-4185-field_143-container\" class=\"wpforms-field wpforms-field-number-slider\" data-field-type=\"number-slider\" data-field-id=\"143\"><label class=\"wpforms-field-label\" for=\"wpforms-4185-field_143\">\u062a\u0639\u062f\u0627\u062f \u062e\u0627\u0644\u0647<\/label>\n<input\n\ttype=\"range\"\n\tid=\"wpforms-4185-field_143\" class=\"wpforms-field-medium\" name=\"wpforms[fields][143]\" value=\"0\" aria-errormessage=\"wpforms-4185-field_143-error\"\t\tmin=\"0\"\n\tmax=\"20\"\n\tstep=\"1\">\n\n<div class=\"wpforms-field-number-slider-hint\"\n\tdata-hint=\"\u0645\u0642\u062f\u0627\u0631 \u0627\u0646\u062a\u062e\u0627\u0628 \u0634\u062f\u0647: {value}\">\n\t\u0645\u0642\u062f\u0627\u0631 \u0627\u0646\u062a\u062e\u0627\u0628 \u0634\u062f\u0647: <b>0<\/b><\/div>\n<\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-4185-field_144-container\" class=\"wpforms-field wpforms-field-number-slider\" data-field-type=\"number-slider\" data-field-id=\"144\"><label class=\"wpforms-field-label\" for=\"wpforms-4185-field_144\">\u062a\u0639\u062f\u0627\u062f \u062f\u0627\u06cc\u06cc<\/label>\n<input\n\ttype=\"range\"\n\tid=\"wpforms-4185-field_144\" class=\"wpforms-field-medium\" name=\"wpforms[fields][144]\" value=\"0\" aria-errormessage=\"wpforms-4185-field_144-error\"\t\tmin=\"0\"\n\tmax=\"20\"\n\tstep=\"1\">\n\n<div class=\"wpforms-field-number-slider-hint\"\n\tdata-hint=\"\u0645\u0642\u062f\u0627\u0631 \u0627\u0646\u062a\u062e\u0627\u0628 \u0634\u062f\u0647: {value}\">\n\t\u0645\u0642\u062f\u0627\u0631 \u0627\u0646\u062a\u062e\u0627\u0628 \u0634\u062f\u0647: <b>0<\/b><\/div>\n<\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-4185-field_119-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-2-columns wpforms-conditional-trigger\" data-field-type=\"radio\" data-field-id=\"119\"><fieldset><legend class=\"wpforms-field-label\">\u0622\u06cc\u0627 \u0627\u0632 \u0645\u06cc\u0627\u0646 \u062e\u0627\u0644\u0647 \u0647\u0627 \u0648 \u062f\u0627\u06cc\u06cc \u0647\u0627\u06cc \u0634\u0645\u0627 \u062a\u0627 \u0628\u0647 \u062d\u0627\u0644 \u0628\u0631\u0627\u06cc \u06a9\u0633\u06cc \u0633\u0631\u0637\u0627\u0646 \u062a\u0634\u062e\u06cc\u0635 \u062f\u0627\u062f\u0647 \u0627\u0646\u062f\u061f<\/legend><ul id=\"wpforms-4185-field_119\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-4185-field_119_1\" name=\"wpforms[fields][119]\" value=\"\u0628\u0644\u0647\" aria-errormessage=\"wpforms-4185-field_119_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4185-field_119_1\">\u0628\u0644\u0647<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-4185-field_119_2\" name=\"wpforms[fields][119]\" value=\"\u062e\u06cc\u0631\" aria-errormessage=\"wpforms-4185-field_119_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4185-field_119_2\">\u062e\u06cc\u0631<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-4185-field_95-container\" class=\"wpforms-field wpforms-field-repeater wpforms-conditional-field wpforms-conditional-show wpforms-field-repeater-display-rows\" data-rows-min=\"1\" data-rows-max=\"20\" data-clone-num=\"2\" data-field-type=\"repeater\" data-field-id=\"95\" style=\"display:none;\"><h3 class=\"wpforms-field-label\">\n\t\t\t\t\u062f\u0631 \u062c\u062f\u0648\u0644 \u0646\u0627\u0645\u060c \u0646\u0648\u0639 \u06cc\u0627 \u0627\u0646\u0648\u0627\u0639 \u0633\u0631\u0637\u0627\u0646 \u0648 \u0633\u0646 \u0627\u0628\u062a\u0644\u0627 \u0631\u0627 \u062f\u0631\u062c \u06a9\u0646\u06cc\u062f.\n\t\t\t<\/h3><div id=\"wpforms-4185-field_95-description\" class=\"wpforms-field-description\">\u0627\u06af\u0631 \u0633\u0646 \u0627\u0628\u062a\u0644\u0627 \u0631\u0627 \u062d\u062f\u0648\u062f\u06cc \u0645\u06cc\u200c\u062f\u0627\u0646\u06cc\u062f\u060c \u062d\u062f \u067e\u0627\u0626\u06cc\u0646 \u062f\u0647\u0647 \u0631\u0627 \u0648\u0627\u0631\u062f \u06a9\u0646\u06cc\u062f. \u0645\u062b\u0644\u0627\u064b \u0627\u06af\u0631 \u0633\u0646 \u067e\u0646\u062c\u0627\u0647 \u0648 \u062e\u0631\u062f\u0647\u200c\u0627\u06cc \u0627\u0633\u062a\u060c 50 \u0648\u0627\u0631\u062f \u06a9\u0646\u06cc\u062f.<\/div><input type=\"hidden\" class=\"wpforms-field-repeater-clone-list\" name=\"wpforms[fields][95][clone_list]\" value=\"[]\"><script type=\"text\/html\" class=\"tmpl-wpforms-field-repeater-template\"><div id=\"wpforms-4185-repeater-field_95-clone_{CLONE}\" class=\"wpforms-field-repeater-clone-wrap\" data-clone=\"{CLONE}\">\n\t\t\t\t<div class=\"wpforms-field-layout-rows wpforms-field-medium wpforms-field-repeater-display-rows wpforms-field-repeater-preset-25-25-25-25\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-4185-field_96_{CLONE}-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"96_{CLONE}\"><label class=\"wpforms-field-label\" for=\"wpforms-4185-field_96_{CLONE}\">\u0646\u0627\u0645<\/label><input type=\"text\" id=\"wpforms-4185-field_96_{CLONE}\" class=\"wpforms-field-medium\" name=\"wpforms[fields][96_{CLONE}]\" aria-errormessage=\"wpforms-4185-field_96_{CLONE}-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-4185-field_128_{CLONE}-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"128_{CLONE}\"><label class=\"wpforms-field-label\" for=\"wpforms-4185-field_128_{CLONE}\">\u0646\u0648\u0639 \u0633\u0631\u0637\u0627\u0646<\/label><select id=\"wpforms-4185-field_128_{CLONE}\" class=\"wpforms-field-medium\" name=\"wpforms[fields][128_{CLONE}]\"><option value=\"\u0627\u0646\u062a\u062e\u0627\u0628 \u06a9\u0646\u06cc\u062f\" >\u0627\u0646\u062a\u062e\u0627\u0628 \u06a9\u0646\u06cc\u062f<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u067e\u0633\u062a\u0627\u0646\" >\u0633\u0631\u0637\u0627\u0646 \u067e\u0633\u062a\u0627\u0646<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u067e\u0633\u062a\u0627\u0646 \u062f\u0648 \u0628\u0627\u0631 (\u06cc\u0627 \u062f\u0648\u0637\u0631\u0641\u0647)\" >\u0633\u0631\u0637\u0627\u0646 \u067e\u0633\u062a\u0627\u0646 \u062f\u0648 \u0628\u0627\u0631 (\u06cc\u0627 \u062f\u0648\u0637\u0631\u0641\u0647)<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u062a\u062e\u0645\u062f\u0627\u0646\" >\u0633\u0631\u0637\u0627\u0646 \u062a\u062e\u0645\u062f\u0627\u0646<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u067e\u0627\u0646\u06a9\u0631\u0627\u0633\" >\u0633\u0631\u0637\u0627\u0646 \u067e\u0627\u0646\u06a9\u0631\u0627\u0633<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u067e\u0631\u0648\u0633\u062a\u0627\u062a\" >\u0633\u0631\u0637\u0627\u0646 \u067e\u0631\u0648\u0633\u062a\u0627\u062a<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u0631\u062d\u0645\" >\u0633\u0631\u0637\u0627\u0646 \u0631\u062d\u0645<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u0631\u0648\u062f\u0647 \u0628\u0632\u0631\u06af\" >\u0633\u0631\u0637\u0627\u0646 \u0631\u0648\u062f\u0647 \u0628\u0632\u0631\u06af<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u0645\u062b\u0627\u0646\u0647\" >\u0633\u0631\u0637\u0627\u0646 \u0645\u062b\u0627\u0646\u0647<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u0645\u0639\u062f\u0647\" >\u0633\u0631\u0637\u0627\u0646 \u0645\u0639\u062f\u0647<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u06a9\u0644\u06cc\u0647 \u06cc\u0627 \u0645\u062c\u0627\u0631\u06cc \u0627\u062f\u0631\u0627\u0631\" >\u0633\u0631\u0637\u0627\u0646 \u06a9\u0644\u06cc\u0647 \u06cc\u0627 \u0645\u062c\u0627\u0631\u06cc \u0627\u062f\u0631\u0627\u0631<\/option><option value=\"\u062a\u0648\u0645\u0648\u0631 \u0645\u063a\u0632\u06cc\" >\u062a\u0648\u0645\u0648\u0631 \u0645\u063a\u0632\u06cc<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u0647\u0627\u06cc \u062f\u06cc\u06af\u0631\" >\u0633\u0631\u0637\u0627\u0646 \u0647\u0627\u06cc \u062f\u06cc\u06af\u0631<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u0628\u0647 \u0635\u0648\u0631\u062a \u0645\u062a\u0627\u0633\u062a\u0627\u062a\u06cc\u06a9 \u0628\u0648\u062f\u0647\" >\u0633\u0631\u0637\u0627\u0646 \u0628\u0647 \u0635\u0648\u0631\u062a \u0645\u062a\u0627\u0633\u062a\u0627\u062a\u06cc\u06a9 \u0628\u0648\u062f\u0647<\/option><\/select><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-4185-field_98_{CLONE}-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"98_{CLONE}\"><label class=\"wpforms-field-label\" for=\"wpforms-4185-field_98_{CLONE}\">\u0633\u0646 \u0627\u0628\u062a\u0644\u0627<\/label><input type=\"text\" id=\"wpforms-4185-field_98_{CLONE}\" class=\"wpforms-field-medium\" name=\"wpforms[fields][98_{CLONE}]\" aria-errormessage=\"wpforms-4185-field_98_{CLONE}-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-4185-field_99_{CLONE}-container\" class=\"wpforms-field wpforms-field-text wpforms-birth-limit\" data-field-type=\"text\" data-field-id=\"99_{CLONE}\"><label class=\"wpforms-field-label\" for=\"wpforms-4185-field_99_{CLONE}\">\u0633\u0627\u0644 \u062a\u0648\u0644\u062f<\/label><input type=\"text\" id=\"wpforms-4185-field_99_{CLONE}\" class=\"wpforms-field-medium\" name=\"wpforms[fields][99_{CLONE}]\" aria-errormessage=\"wpforms-4185-field_99_{CLONE}-error\" ><\/div><\/div><div class=\"wpforms-field-repeater-display-rows-buttons\">\n\t\t\t\t<button type=\"button\" class=\"wpforms-field-repeater-button-add\" title=\"Add\">\n\t\t\t\t\t<svg width=\"16\" height=\"17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M12.129 7.984v1.032a.392.392 0 0 1-.387.387H8.903v2.839a.392.392 0 0 1-.387.387H7.484a.373.373 0 0 1-.387-.387V9.403H4.258a.373.373 0 0 1-.387-.387V7.984c0-.194.161-.387.387-.387h2.839V4.758c0-.193.161-.387.387-.387h1.032c.194 0 .387.194.387.387v2.839h2.839c.193 0 .387.193.387.387ZM16 8.5c0 4.42-3.58 8-8 8s-8-3.58-8-8 3.58-8 8-8 8 3.58 8 8Zm-1.548 0c0-3.548-2.904-6.452-6.452-6.452A6.45 6.45 0 0 0 1.548 8.5 6.43 6.43 0 0 0 8 14.952 6.45 6.45 0 0 0 14.452 8.5Z\" fill=\"currentColor\"\/><\/svg>\n\t\t\t\t<\/button>\n\t\t\t\t<button type=\"button\" class=\"wpforms-field-repeater-button-remove wpforms-disabled\" title=\"Remove\">\n\t\t\t\t\t<svg width=\"16\" height=\"17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M4.258 9.403a.373.373 0 0 1-.387-.387V7.984c0-.194.161-.387.387-.387h7.484c.193 0 .387.193.387.387v1.032a.392.392 0 0 1-.387.387H4.258ZM16 8.5c0 4.42-3.58 8-8 8s-8-3.58-8-8 3.58-8 8-8 8 3.58 8 8Zm-1.548 0c0-3.548-2.904-6.452-6.452-6.452A6.45 6.45 0 0 0 1.548 8.5 6.43 6.43 0 0 0 8 14.952 6.45 6.45 0 0 0 14.452 8.5Z\" fill=\"currentColor\"\/><\/svg>\n\t\t\t\t<\/button>\n\t\t\t<\/div><\/div><\/div>\n\t\t\t<\/div><\/script><div class=\"wpforms-field-layout-rows wpforms-field-medium wpforms-field-repeater-display-rows wpforms-field-repeater-preset-25-25-25-25\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-4185-field_96-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"96\"><label class=\"wpforms-field-label\" for=\"wpforms-4185-field_96\">\u0646\u0627\u0645<\/label><input type=\"text\" id=\"wpforms-4185-field_96\" class=\"wpforms-field-medium\" name=\"wpforms[fields][96]\" aria-errormessage=\"wpforms-4185-field_96-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-4185-field_128-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"128\"><label class=\"wpforms-field-label\" for=\"wpforms-4185-field_128\">\u0646\u0648\u0639 \u0633\u0631\u0637\u0627\u0646<\/label><select id=\"wpforms-4185-field_128\" class=\"wpforms-field-medium\" name=\"wpforms[fields][128]\"><option value=\"\u0627\u0646\u062a\u062e\u0627\u0628 \u06a9\u0646\u06cc\u062f\" >\u0627\u0646\u062a\u062e\u0627\u0628 \u06a9\u0646\u06cc\u062f<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u067e\u0633\u062a\u0627\u0646\" >\u0633\u0631\u0637\u0627\u0646 \u067e\u0633\u062a\u0627\u0646<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u067e\u0633\u062a\u0627\u0646 \u062f\u0648 \u0628\u0627\u0631 (\u06cc\u0627 \u062f\u0648\u0637\u0631\u0641\u0647)\" >\u0633\u0631\u0637\u0627\u0646 \u067e\u0633\u062a\u0627\u0646 \u062f\u0648 \u0628\u0627\u0631 (\u06cc\u0627 \u062f\u0648\u0637\u0631\u0641\u0647)<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u062a\u062e\u0645\u062f\u0627\u0646\" >\u0633\u0631\u0637\u0627\u0646 \u062a\u062e\u0645\u062f\u0627\u0646<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u067e\u0627\u0646\u06a9\u0631\u0627\u0633\" >\u0633\u0631\u0637\u0627\u0646 \u067e\u0627\u0646\u06a9\u0631\u0627\u0633<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u067e\u0631\u0648\u0633\u062a\u0627\u062a\" >\u0633\u0631\u0637\u0627\u0646 \u067e\u0631\u0648\u0633\u062a\u0627\u062a<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u0631\u062d\u0645\" >\u0633\u0631\u0637\u0627\u0646 \u0631\u062d\u0645<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u0631\u0648\u062f\u0647 \u0628\u0632\u0631\u06af\" >\u0633\u0631\u0637\u0627\u0646 \u0631\u0648\u062f\u0647 \u0628\u0632\u0631\u06af<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u0645\u062b\u0627\u0646\u0647\" >\u0633\u0631\u0637\u0627\u0646 \u0645\u062b\u0627\u0646\u0647<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u0645\u0639\u062f\u0647\" >\u0633\u0631\u0637\u0627\u0646 \u0645\u0639\u062f\u0647<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u06a9\u0644\u06cc\u0647 \u06cc\u0627 \u0645\u062c\u0627\u0631\u06cc \u0627\u062f\u0631\u0627\u0631\" >\u0633\u0631\u0637\u0627\u0646 \u06a9\u0644\u06cc\u0647 \u06cc\u0627 \u0645\u062c\u0627\u0631\u06cc \u0627\u062f\u0631\u0627\u0631<\/option><option value=\"\u062a\u0648\u0645\u0648\u0631 \u0645\u063a\u0632\u06cc\" >\u062a\u0648\u0645\u0648\u0631 \u0645\u063a\u0632\u06cc<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u0647\u0627\u06cc \u062f\u06cc\u06af\u0631\" >\u0633\u0631\u0637\u0627\u0646 \u0647\u0627\u06cc \u062f\u06cc\u06af\u0631<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u0628\u0647 \u0635\u0648\u0631\u062a \u0645\u062a\u0627\u0633\u062a\u0627\u062a\u06cc\u06a9 \u0628\u0648\u062f\u0647\" >\u0633\u0631\u0637\u0627\u0646 \u0628\u0647 \u0635\u0648\u0631\u062a \u0645\u062a\u0627\u0633\u062a\u0627\u062a\u06cc\u06a9 \u0628\u0648\u062f\u0647<\/option><\/select><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-4185-field_98-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"98\"><label class=\"wpforms-field-label\" for=\"wpforms-4185-field_98\">\u0633\u0646 \u0627\u0628\u062a\u0644\u0627<\/label><input type=\"text\" id=\"wpforms-4185-field_98\" class=\"wpforms-field-medium\" name=\"wpforms[fields][98]\" aria-errormessage=\"wpforms-4185-field_98-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-4185-field_99-container\" class=\"wpforms-field wpforms-field-text wpforms-birth-limit\" data-field-type=\"text\" data-field-id=\"99\"><label class=\"wpforms-field-label\" for=\"wpforms-4185-field_99\">\u0633\u0627\u0644 \u062a\u0648\u0644\u062f<\/label><input type=\"text\" id=\"wpforms-4185-field_99\" class=\"wpforms-field-medium\" name=\"wpforms[fields][99]\" aria-errormessage=\"wpforms-4185-field_99-error\" ><\/div><\/div><div class=\"wpforms-field-repeater-display-rows-buttons\">\n\t\t\t\t<button type=\"button\" class=\"wpforms-field-repeater-button-add\" title=\"Add\">\n\t\t\t\t\t<svg width=\"16\" height=\"17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M12.129 7.984v1.032a.392.392 0 0 1-.387.387H8.903v2.839a.392.392 0 0 1-.387.387H7.484a.373.373 0 0 1-.387-.387V9.403H4.258a.373.373 0 0 1-.387-.387V7.984c0-.194.161-.387.387-.387h2.839V4.758c0-.193.161-.387.387-.387h1.032c.194 0 .387.194.387.387v2.839h2.839c.193 0 .387.193.387.387ZM16 8.5c0 4.42-3.58 8-8 8s-8-3.58-8-8 3.58-8 8-8 8 3.58 8 8Zm-1.548 0c0-3.548-2.904-6.452-6.452-6.452A6.45 6.45 0 0 0 1.548 8.5 6.43 6.43 0 0 0 8 14.952 6.45 6.45 0 0 0 14.452 8.5Z\" fill=\"currentColor\"\/><\/svg>\n\t\t\t\t<\/button>\n\t\t\t\t<button type=\"button\" class=\"wpforms-field-repeater-button-remove wpforms-disabled\" title=\"Remove\">\n\t\t\t\t\t<svg width=\"16\" height=\"17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M4.258 9.403a.373.373 0 0 1-.387-.387V7.984c0-.194.161-.387.387-.387h7.484c.193 0 .387.193.387.387v1.032a.392.392 0 0 1-.387.387H4.258ZM16 8.5c0 4.42-3.58 8-8 8s-8-3.58-8-8 3.58-8 8-8 8 3.58 8 8Zm-1.548 0c0-3.548-2.904-6.452-6.452-6.452A6.45 6.45 0 0 0 1.548 8.5 6.43 6.43 0 0 0 8 14.952 6.45 6.45 0 0 0 14.452 8.5Z\" fill=\"currentColor\"\/><\/svg>\n\t\t\t\t<\/button>\n\t\t\t<\/div><\/div><\/div><\/div><div id=\"wpforms-4185-field_100-container\" class=\"wpforms-field wpforms-field-repeater wpforms-field-repeater-display-rows\" data-rows-min=\"1\" data-rows-max=\"20\" data-clone-num=\"2\" data-field-type=\"repeater\" data-field-id=\"100\"><h3 class=\"wpforms-field-label\">\n\t\t\t\t\u0627\u06af\u0631 \u0627\u0632 \u0645\u06cc\u0627\u0646 \u0633\u0627\u06cc\u0631 \u0627\u0642\u0648\u0627\u0645 \u0634\u0645\u0627 \u06a9\u0633\u06cc \u0628\u0647 \u0633\u0631\u0637\u0627\u0646 \u0645\u0628\u062a\u0644\u0627 \u0634\u062f\u0647 \u062f\u0631 \u062c\u062f\u0648\u0644 \u0646\u0627\u0645 \u060c\u0646\u0648\u0639 \u06cc\u0627 \u0627\u0646\u0648\u0627\u0639 \u0633\u0631\u0637\u0627\u0646 \u0648 \u0633\u0646 \u0627\u0628\u062a\u0644\u0627 \u0627\u06cc\u0634\u0627\u0646 \u0631\u0627 \u062f\u0631\u062c \u06a9\u0646\u06cc\u062f . \n\t\t\t<\/h3><div id=\"wpforms-4185-field_100-description\" class=\"wpforms-field-description\">\u0627\u06af\u0631 \u0633\u0646 \u0627\u0628\u062a\u0644\u0627 \u0631\u0627 \u062d\u062f\u0648\u062f\u06cc \u0645\u06cc\u200c\u062f\u0627\u0646\u06cc\u062f\u060c \u062d\u062f \u067e\u0627\u0626\u06cc\u0646 \u062f\u0647\u0647 \u0631\u0627 \u0648\u0627\u0631\u062f \u06a9\u0646\u06cc\u062f. \u0645\u062b\u0644\u0627\u064b \u0627\u06af\u0631 \u0633\u0646 \u067e\u0646\u062c\u0627\u0647 \u0648 \u062e\u0631\u062f\u0647\u200c\u0627\u06cc \u0627\u0633\u062a\u060c 50 \u0648\u0627\u0631\u062f \u06a9\u0646\u06cc\u062f.<\/div><input type=\"hidden\" class=\"wpforms-field-repeater-clone-list\" name=\"wpforms[fields][100][clone_list]\" value=\"[]\"><script type=\"text\/html\" class=\"tmpl-wpforms-field-repeater-template\"><div id=\"wpforms-4185-repeater-field_100-clone_{CLONE}\" class=\"wpforms-field-repeater-clone-wrap\" data-clone=\"{CLONE}\">\n\t\t\t\t<div class=\"wpforms-field-layout-rows wpforms-field-medium wpforms-field-repeater-display-rows wpforms-field-repeater-preset-25-25-25-25\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-4185-field_101_{CLONE}-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"101_{CLONE}\"><label class=\"wpforms-field-label\" for=\"wpforms-4185-field_101_{CLONE}\">\u0646\u0627\u0645 <\/label><input type=\"text\" id=\"wpforms-4185-field_101_{CLONE}\" class=\"wpforms-field-medium\" name=\"wpforms[fields][101_{CLONE}]\" aria-errormessage=\"wpforms-4185-field_101_{CLONE}-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-4185-field_127_{CLONE}-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"127_{CLONE}\"><label class=\"wpforms-field-label\" for=\"wpforms-4185-field_127_{CLONE}\">\u0646\u0648\u0639 \u0633\u0631\u0637\u0627\u0646<\/label><select id=\"wpforms-4185-field_127_{CLONE}\" class=\"wpforms-field-medium\" name=\"wpforms[fields][127_{CLONE}]\"><option value=\"\u0627\u0646\u062a\u062e\u0627\u0628 \u06a9\u0646\u06cc\u062f\" >\u0627\u0646\u062a\u062e\u0627\u0628 \u06a9\u0646\u06cc\u062f<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u067e\u0633\u062a\u0627\u0646\" >\u0633\u0631\u0637\u0627\u0646 \u067e\u0633\u062a\u0627\u0646<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u067e\u0633\u062a\u0627\u0646 \u062f\u0648 \u0628\u0627\u0631 (\u06cc\u0627 \u062f\u0648\u0637\u0631\u0641\u0647)\" >\u0633\u0631\u0637\u0627\u0646 \u067e\u0633\u062a\u0627\u0646 \u062f\u0648 \u0628\u0627\u0631 (\u06cc\u0627 \u062f\u0648\u0637\u0631\u0641\u0647)<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u062a\u062e\u0645\u062f\u0627\u0646\" >\u0633\u0631\u0637\u0627\u0646 \u062a\u062e\u0645\u062f\u0627\u0646<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u067e\u0627\u0646\u06a9\u0631\u0627\u0633\" >\u0633\u0631\u0637\u0627\u0646 \u067e\u0627\u0646\u06a9\u0631\u0627\u0633<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u067e\u0631\u0648\u0633\u062a\u0627\u062a\" >\u0633\u0631\u0637\u0627\u0646 \u067e\u0631\u0648\u0633\u062a\u0627\u062a<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u0631\u062d\u0645\" >\u0633\u0631\u0637\u0627\u0646 \u0631\u062d\u0645<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u0631\u0648\u062f\u0647 \u0628\u0632\u0631\u06af\" >\u0633\u0631\u0637\u0627\u0646 \u0631\u0648\u062f\u0647 \u0628\u0632\u0631\u06af<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u0645\u062b\u0627\u0646\u0647\" >\u0633\u0631\u0637\u0627\u0646 \u0645\u062b\u0627\u0646\u0647<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u0645\u0639\u062f\u0647\" >\u0633\u0631\u0637\u0627\u0646 \u0645\u0639\u062f\u0647<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u06a9\u0644\u06cc\u0647 \u06cc\u0627 \u0645\u062c\u0627\u0631\u06cc \u0627\u062f\u0631\u0627\u0631\" >\u0633\u0631\u0637\u0627\u0646 \u06a9\u0644\u06cc\u0647 \u06cc\u0627 \u0645\u062c\u0627\u0631\u06cc \u0627\u062f\u0631\u0627\u0631<\/option><option value=\"\u062a\u0648\u0645\u0648\u0631 \u0645\u063a\u0632\u06cc\" >\u062a\u0648\u0645\u0648\u0631 \u0645\u063a\u0632\u06cc<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u0647\u0627\u06cc \u062f\u06cc\u06af\u0631\" >\u0633\u0631\u0637\u0627\u0646 \u0647\u0627\u06cc \u062f\u06cc\u06af\u0631<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u0628\u0647 \u0635\u0648\u0631\u062a \u0645\u062a\u0627\u0633\u062a\u0627\u062a\u06cc\u06a9 \u0628\u0648\u062f\u0647\" >\u0633\u0631\u0637\u0627\u0646 \u0628\u0647 \u0635\u0648\u0631\u062a \u0645\u062a\u0627\u0633\u062a\u0627\u062a\u06cc\u06a9 \u0628\u0648\u062f\u0647<\/option><\/select><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-4185-field_103_{CLONE}-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"103_{CLONE}\"><label class=\"wpforms-field-label\" for=\"wpforms-4185-field_103_{CLONE}\">\u0633\u0646 \u0627\u0628\u062a\u0644\u0627<\/label><input type=\"text\" id=\"wpforms-4185-field_103_{CLONE}\" class=\"wpforms-field-medium\" name=\"wpforms[fields][103_{CLONE}]\" aria-errormessage=\"wpforms-4185-field_103_{CLONE}-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-4185-field_104_{CLONE}-container\" class=\"wpforms-field wpforms-field-text wpforms-birth-limit\" data-field-type=\"text\" data-field-id=\"104_{CLONE}\"><label class=\"wpforms-field-label\" for=\"wpforms-4185-field_104_{CLONE}\">\u0633\u0627\u0644 \u062a\u0648\u0644\u062f<\/label><input type=\"text\" id=\"wpforms-4185-field_104_{CLONE}\" class=\"wpforms-field-medium\" name=\"wpforms[fields][104_{CLONE}]\" aria-errormessage=\"wpforms-4185-field_104_{CLONE}-error\" ><\/div><\/div><div class=\"wpforms-field-repeater-display-rows-buttons\">\n\t\t\t\t<button type=\"button\" class=\"wpforms-field-repeater-button-add\" title=\"Add\">\n\t\t\t\t\t<svg width=\"16\" height=\"17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M12.129 7.984v1.032a.392.392 0 0 1-.387.387H8.903v2.839a.392.392 0 0 1-.387.387H7.484a.373.373 0 0 1-.387-.387V9.403H4.258a.373.373 0 0 1-.387-.387V7.984c0-.194.161-.387.387-.387h2.839V4.758c0-.193.161-.387.387-.387h1.032c.194 0 .387.194.387.387v2.839h2.839c.193 0 .387.193.387.387ZM16 8.5c0 4.42-3.58 8-8 8s-8-3.58-8-8 3.58-8 8-8 8 3.58 8 8Zm-1.548 0c0-3.548-2.904-6.452-6.452-6.452A6.45 6.45 0 0 0 1.548 8.5 6.43 6.43 0 0 0 8 14.952 6.45 6.45 0 0 0 14.452 8.5Z\" fill=\"currentColor\"\/><\/svg>\n\t\t\t\t<\/button>\n\t\t\t\t<button type=\"button\" class=\"wpforms-field-repeater-button-remove wpforms-disabled\" title=\"Remove\">\n\t\t\t\t\t<svg width=\"16\" height=\"17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M4.258 9.403a.373.373 0 0 1-.387-.387V7.984c0-.194.161-.387.387-.387h7.484c.193 0 .387.193.387.387v1.032a.392.392 0 0 1-.387.387H4.258ZM16 8.5c0 4.42-3.58 8-8 8s-8-3.58-8-8 3.58-8 8-8 8 3.58 8 8Zm-1.548 0c0-3.548-2.904-6.452-6.452-6.452A6.45 6.45 0 0 0 1.548 8.5 6.43 6.43 0 0 0 8 14.952 6.45 6.45 0 0 0 14.452 8.5Z\" fill=\"currentColor\"\/><\/svg>\n\t\t\t\t<\/button>\n\t\t\t<\/div><\/div><\/div>\n\t\t\t<\/div><\/script><div class=\"wpforms-field-layout-rows wpforms-field-medium wpforms-field-repeater-display-rows wpforms-field-repeater-preset-25-25-25-25\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-4185-field_101-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"101\"><label class=\"wpforms-field-label\" for=\"wpforms-4185-field_101\">\u0646\u0627\u0645 <\/label><input type=\"text\" id=\"wpforms-4185-field_101\" class=\"wpforms-field-medium\" name=\"wpforms[fields][101]\" aria-errormessage=\"wpforms-4185-field_101-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-4185-field_127-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"127\"><label class=\"wpforms-field-label\" for=\"wpforms-4185-field_127\">\u0646\u0648\u0639 \u0633\u0631\u0637\u0627\u0646<\/label><select id=\"wpforms-4185-field_127\" class=\"wpforms-field-medium\" name=\"wpforms[fields][127]\"><option value=\"\u0627\u0646\u062a\u062e\u0627\u0628 \u06a9\u0646\u06cc\u062f\" >\u0627\u0646\u062a\u062e\u0627\u0628 \u06a9\u0646\u06cc\u062f<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u067e\u0633\u062a\u0627\u0646\" >\u0633\u0631\u0637\u0627\u0646 \u067e\u0633\u062a\u0627\u0646<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u067e\u0633\u062a\u0627\u0646 \u062f\u0648 \u0628\u0627\u0631 (\u06cc\u0627 \u062f\u0648\u0637\u0631\u0641\u0647)\" >\u0633\u0631\u0637\u0627\u0646 \u067e\u0633\u062a\u0627\u0646 \u062f\u0648 \u0628\u0627\u0631 (\u06cc\u0627 \u062f\u0648\u0637\u0631\u0641\u0647)<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u062a\u062e\u0645\u062f\u0627\u0646\" >\u0633\u0631\u0637\u0627\u0646 \u062a\u062e\u0645\u062f\u0627\u0646<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u067e\u0627\u0646\u06a9\u0631\u0627\u0633\" >\u0633\u0631\u0637\u0627\u0646 \u067e\u0627\u0646\u06a9\u0631\u0627\u0633<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u067e\u0631\u0648\u0633\u062a\u0627\u062a\" >\u0633\u0631\u0637\u0627\u0646 \u067e\u0631\u0648\u0633\u062a\u0627\u062a<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u0631\u062d\u0645\" >\u0633\u0631\u0637\u0627\u0646 \u0631\u062d\u0645<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u0631\u0648\u062f\u0647 \u0628\u0632\u0631\u06af\" >\u0633\u0631\u0637\u0627\u0646 \u0631\u0648\u062f\u0647 \u0628\u0632\u0631\u06af<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u0645\u062b\u0627\u0646\u0647\" >\u0633\u0631\u0637\u0627\u0646 \u0645\u062b\u0627\u0646\u0647<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u0645\u0639\u062f\u0647\" >\u0633\u0631\u0637\u0627\u0646 \u0645\u0639\u062f\u0647<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u06a9\u0644\u06cc\u0647 \u06cc\u0627 \u0645\u062c\u0627\u0631\u06cc \u0627\u062f\u0631\u0627\u0631\" >\u0633\u0631\u0637\u0627\u0646 \u06a9\u0644\u06cc\u0647 \u06cc\u0627 \u0645\u062c\u0627\u0631\u06cc \u0627\u062f\u0631\u0627\u0631<\/option><option value=\"\u062a\u0648\u0645\u0648\u0631 \u0645\u063a\u0632\u06cc\" >\u062a\u0648\u0645\u0648\u0631 \u0645\u063a\u0632\u06cc<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u0647\u0627\u06cc \u062f\u06cc\u06af\u0631\" >\u0633\u0631\u0637\u0627\u0646 \u0647\u0627\u06cc \u062f\u06cc\u06af\u0631<\/option><option value=\"\u0633\u0631\u0637\u0627\u0646 \u0628\u0647 \u0635\u0648\u0631\u062a \u0645\u062a\u0627\u0633\u062a\u0627\u062a\u06cc\u06a9 \u0628\u0648\u062f\u0647\" >\u0633\u0631\u0637\u0627\u0646 \u0628\u0647 \u0635\u0648\u0631\u062a \u0645\u062a\u0627\u0633\u062a\u0627\u062a\u06cc\u06a9 \u0628\u0648\u062f\u0647<\/option><\/select><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-4185-field_103-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"103\"><label class=\"wpforms-field-label\" for=\"wpforms-4185-field_103\">\u0633\u0646 \u0627\u0628\u062a\u0644\u0627<\/label><input type=\"text\" id=\"wpforms-4185-field_103\" class=\"wpforms-field-medium\" name=\"wpforms[fields][103]\" aria-errormessage=\"wpforms-4185-field_103-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-4185-field_104-container\" class=\"wpforms-field wpforms-field-text wpforms-birth-limit\" data-field-type=\"text\" data-field-id=\"104\"><label class=\"wpforms-field-label\" for=\"wpforms-4185-field_104\">\u0633\u0627\u0644 \u062a\u0648\u0644\u062f<\/label><input type=\"text\" id=\"wpforms-4185-field_104\" class=\"wpforms-field-medium\" name=\"wpforms[fields][104]\" aria-errormessage=\"wpforms-4185-field_104-error\" ><\/div><\/div><div class=\"wpforms-field-repeater-display-rows-buttons\">\n\t\t\t\t<button type=\"button\" class=\"wpforms-field-repeater-button-add\" title=\"Add\">\n\t\t\t\t\t<svg width=\"16\" height=\"17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M12.129 7.984v1.032a.392.392 0 0 1-.387.387H8.903v2.839a.392.392 0 0 1-.387.387H7.484a.373.373 0 0 1-.387-.387V9.403H4.258a.373.373 0 0 1-.387-.387V7.984c0-.194.161-.387.387-.387h2.839V4.758c0-.193.161-.387.387-.387h1.032c.194 0 .387.194.387.387v2.839h2.839c.193 0 .387.193.387.387ZM16 8.5c0 4.42-3.58 8-8 8s-8-3.58-8-8 3.58-8 8-8 8 3.58 8 8Zm-1.548 0c0-3.548-2.904-6.452-6.452-6.452A6.45 6.45 0 0 0 1.548 8.5 6.43 6.43 0 0 0 8 14.952 6.45 6.45 0 0 0 14.452 8.5Z\" fill=\"currentColor\"\/><\/svg>\n\t\t\t\t<\/button>\n\t\t\t\t<button type=\"button\" class=\"wpforms-field-repeater-button-remove wpforms-disabled\" title=\"Remove\">\n\t\t\t\t\t<svg width=\"16\" height=\"17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M4.258 9.403a.373.373 0 0 1-.387-.387V7.984c0-.194.161-.387.387-.387h7.484c.193 0 .387.193.387.387v1.032a.392.392 0 0 1-.387.387H4.258ZM16 8.5c0 4.42-3.58 8-8 8s-8-3.58-8-8 3.58-8 8-8 8 3.58 8 8Zm-1.548 0c0-3.548-2.904-6.452-6.452-6.452A6.45 6.45 0 0 0 1.548 8.5 6.43 6.43 0 0 0 8 14.952 6.45 6.45 0 0 0 14.452 8.5Z\" fill=\"currentColor\"\/><\/svg>\n\t\t\t\t<\/button>\n\t\t\t<\/div><\/div><\/div><\/div><div id=\"wpforms-4185-field_105-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-type=\"pagebreak\" data-field-id=\"105\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-prev wpforms-disabled\"\n\t\t\t\t\tdata-action=\"prev\" data-page=\"4\" data-formid=\"4185\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">\u0642\u0628\u0644\u06cc<\/button><button class=\"wpforms-page-button wpforms-page-next wpforms-disabled\"\n\t\t\t\t\tdata-action=\"next\" data-page=\"4\" data-formid=\"4185\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">\u0628\u0639\u062f\u06cc<\/button><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-5 last \" data-page=\"5\" style=\"display:none;\"><div id=\"wpforms-4185-field_106-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-3-columns\" data-field-type=\"radio\" data-field-id=\"106\"><fieldset><legend class=\"wpforms-field-label\">\u0622\u06cc\u0627 \u062a\u0627 \u0628\u0647  \u062f\u0631 \u062e\u0627\u0646\u0648\u0627\u062f\u0647 \u0634\u0645\u0627 \u0627\u0632 \u0637\u0631\u0641 \u067e\u062f\u0631\u06cc \u06cc\u0627 \u0645\u0627\u062f\u0631\u06cc \u06a9\u0633\u06cc \u062a\u0633\u062a \u0698\u0646\u062a\u06cc\u06a9 \u0627\u0646\u062c\u0627\u0645 \u062f\u0627\u062f\u0647 \u0627\u0633\u062a \u061f <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-4185-field_106\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-4185-field_106_1\" name=\"wpforms[fields][106]\" value=\"\u0628\u0644\u0647\" aria-errormessage=\"wpforms-4185-field_106_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4185-field_106_1\">\u0628\u0644\u0647<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-4185-field_106_2\" name=\"wpforms[fields][106]\" value=\"\u062e\u06cc\u0631\" aria-errormessage=\"wpforms-4185-field_106_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4185-field_106_2\">\u062e\u06cc\u0631<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-4185-field_106_3\" name=\"wpforms[fields][106]\" value=\"\u0627\u062d\u062a\u0645\u0627\u0644 \u062f\u0627\u0631\u062f\u060c \u0627\u0645\u0627 \u062f\u0642\u06cc\u0642 \u0627\u0637\u0644\u0627\u0639 \u0646\u062f\u0627\u0631\u0645.\" aria-errormessage=\"wpforms-4185-field_106_3-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4185-field_106_3\">\u0627\u062d\u062a\u0645\u0627\u0644 \u062f\u0627\u0631\u062f\u060c \u0627\u0645\u0627 \u062f\u0642\u06cc\u0642 \u0627\u0637\u0644\u0627\u0639 \u0646\u062f\u0627\u0631\u0645.<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-4185-field_107-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-2-columns\" data-field-type=\"radio\" data-field-id=\"107\"><fieldset><legend class=\"wpforms-field-label\">\u0622\u06cc\u0627 \u062a\u0645\u0627\u06cc\u0644 \u062f\u0627\u0631\u06cc\u062f \u0645\u0634\u0627\u0648\u0631\u0627\u0646 \u0645\u0627 \u0628\u0627 \u0627\u0633\u062a\u0641\u0627\u062f\u0647 \u0627\u0632 \u0627\u0637\u0644\u0627\u0639\u0627\u062a \u0648\u0627\u0631\u062f \u0634\u062f\u0647 \u062c\u0647\u062a \u067e\u06cc\u06af\u06cc\u0631\u06cc \u0628\u0627 \u0634\u0645\u0627 \u062a\u0645\u0627\u0633 \u0628\u06af\u06cc\u0631\u0646\u062f \u061f <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-4185-field_107\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-4185-field_107_1\" name=\"wpforms[fields][107]\" value=\"\u0628\u0644\u0647\" aria-errormessage=\"wpforms-4185-field_107_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4185-field_107_1\">\u0628\u0644\u0647<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-4185-field_107_2\" name=\"wpforms[fields][107]\" value=\"\u062e\u06cc\u0631\" aria-errormessage=\"wpforms-4185-field_107_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4185-field_107_2\">\u062e\u06cc\u0631<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-4185-field_108-container\" class=\"wpforms-field wpforms-field-divider\" data-field-type=\"divider\" data-field-id=\"108\"><h3 id=\"wpforms-4185-field_108\" aria-errormessage=\"wpforms-4185-field_108-error\">\u0644\u0637\u0641\u0627 \u0627\u0637\u0644\u0627\u0639\u0627\u062a \u062e\u0648\u062f \u0631\u0627 \u0648\u0627\u0631\u062f \u06a9\u0646\u06cc\u062f .<\/h3><\/div><div id=\"wpforms-4185-field_109-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"109\"><label class=\"wpforms-field-label\" for=\"wpforms-4185-field_109\">\u0646\u0627\u0645 \u0648 \u0646\u0627\u0645 \u062e\u0627\u0646\u0648\u0627\u062f\u06af\u06cc <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-4185-field_109\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][109]\" aria-errormessage=\"wpforms-4185-field_109-error\" required><\/div><div id=\"wpforms-4185-field_110-container\" class=\"wpforms-field wpforms-field-phone\" data-field-type=\"phone\" data-field-id=\"110\"><label class=\"wpforms-field-label\" for=\"wpforms-4185-field_110\">\u0634\u0645\u0627\u0631\u0647 \u062a\u0644\u0641\u0646 \u0647\u0645\u0631\u0627\u0647 <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-4185-field_110\" class=\"wpforms-field-medium wpforms-field-required wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][110]\" aria-errormessage=\"wpforms-4185-field_110-error\" required><\/div><div id=\"wpforms-4185-field_111-container\" class=\"wpforms-field wpforms-field-phone\" data-field-type=\"phone\" data-field-id=\"111\"><label class=\"wpforms-field-label\" for=\"wpforms-4185-field_111\">\u0634\u0645\u0627\u0631\u0647 \u062a\u0644\u0641\u0646 \u0647\u0645\u0631\u0627\u0647 \u062f\u0648\u0645 <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-4185-field_111\" class=\"wpforms-field-medium wpforms-field-required wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][111]\" aria-errormessage=\"wpforms-4185-field_111-error\" required><\/div><div id=\"wpforms-4185-field_114-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-type=\"checkbox\" data-field-id=\"114\"><fieldset><legend class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">\u062a\u0627\u06cc\u06cc\u062f <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-4185-field_114\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-4185-field_114_1\" name=\"wpforms[fields][114][]\" value=\"\u0627\u06cc\u0646\u062c\u0627\u0646\u0628 \u0628\u0627 \u062a\u0645\u0627\u06cc\u0644 \u0634\u062e\u0635\u06cc \u067e\u0631\u0633\u0634\u0646\u0627\u0645\u0647 \u0641\u0648\u0642 \u0631\u0627 \u062a\u06a9\u0645\u06cc\u0644 \u0646\u0645\u0648\u062f\u0647 \u0648 \u0627\u0637\u0644\u0627\u0639\u0627\u062a \u067e\u0632\u0634\u06a9\u06cc \u0648 \u0634\u062e\u0635\u06cc \u062e\u0648\u062f \u0631\u0627  \u062c\u0647\u062a \u0631\u06cc\u0633\u06a9 \u0633\u0646\u062c\u06cc \u0648 \u067e\u06cc\u06af\u06cc\u0631\u06cc \u0647\u0627\u06cc \u0622\u062a\u06cc \u062f\u0631 \u0627\u062e\u062a\u06cc\u0627\u0631 \u0641\u0645\u06a9\u0646 \u0642\u0631\u0627\u0631 \u0645\u06cc \u062f\u0647\u0645. \u0641\u0645\u06a9\u0646 \u0645\u062a\u0639\u0647\u062f \u0645\u06cc\u0634\u0648\u062f \u06a9\u0647 \u0627\u0637\u0644\u0627\u0639\u0627\u062a \u0627\u0631\u0633\u0627\u0644\u06cc \u0646\u0632\u062f \u0627\u06cc\u0634\u0627\u0646 \u0645\u062d\u0641\u0648\u0638 \u062e\u0648\u0627\u0647\u0646\u062f \u0645\u0627\u0646\u062f.\" aria-errormessage=\"wpforms-4185-field_114_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4185-field_114_1\">\u0627\u06cc\u0646\u062c\u0627\u0646\u0628 \u0628\u0627 \u062a\u0645\u0627\u06cc\u0644 \u0634\u062e\u0635\u06cc \u067e\u0631\u0633\u0634\u0646\u0627\u0645\u0647 \u0641\u0648\u0642 \u0631\u0627 \u062a\u06a9\u0645\u06cc\u0644 \u0646\u0645\u0648\u062f\u0647 \u0648 \u0627\u0637\u0644\u0627\u0639\u0627\u062a \u067e\u0632\u0634\u06a9\u06cc \u0648 \u0634\u062e\u0635\u06cc \u062e\u0648\u062f \u0631\u0627  \u062c\u0647\u062a \u0631\u06cc\u0633\u06a9 \u0633\u0646\u062c\u06cc \u0648 \u067e\u06cc\u06af\u06cc\u0631\u06cc \u0647\u0627\u06cc \u0622\u062a\u06cc \u062f\u0631 \u0627\u062e\u062a\u06cc\u0627\u0631 \u0641\u0645\u06a9\u0646 \u0642\u0631\u0627\u0631 \u0645\u06cc \u062f\u0647\u0645. \u0641\u0645\u06a9\u0646 \u0645\u062a\u0639\u0647\u062f \u0645\u06cc\u0634\u0648\u062f \u06a9\u0647 \u0627\u0637\u0644\u0627\u0639\u0627\u062a \u0627\u0631\u0633\u0627\u0644\u06cc \u0646\u0632\u062f \u0627\u06cc\u0634\u0627\u0646 \u0645\u062d\u0641\u0648\u0638 \u062e\u0648\u0627\u0647\u0646\u062f \u0645\u0627\u0646\u062f.<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-4185-field_5-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-type=\"pagebreak\" data-field-id=\"5\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-prev wpforms-disabled\"\n\t\t\t\t\tdata-action=\"prev\" data-page=\"5\" data-formid=\"4185\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">\u0642\u0628\u0644\u06cc<\/button><\/div><\/div><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" style=\"display:none;\"><input type=\"hidden\" name=\"wpforms[id]\" value=\"4185\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/famcan.org\/fa\/wp-json\/wp\/v2\/pages\/4165\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-4185\" class=\"wpforms-submit\" data-alt-text=\"\u062f\u0631 \u062d\u0627\u0644 \u0627\u0631\u0633\u0627\u0644...\" data-submit-text=\"\u0627\u0631\u0633\u0627\u0644\" aria-live=\"assertive\" value=\"wpforms-submit\">\u0627\u0631\u0633\u0627\u0644<\/button><img src=\"https:\/\/famcan.org\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"\u062f\u0631 \u062d\u0627\u0644 \u0628\u0627\u0631\u06af\u0630\u0627\u0631\u06cc\"><\/div><\/form><\/div>  <!-- .wpforms-container -->\n\t\t\n<style>\n#text-2410910864 {\n  text-align: right;\n}\n<\/style>\n\t<\/div>\n\t\n\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n\n\t<div id=\"col-419702191\" class=\"col medium-1 small-12 large-1\"  >\n\t\t\t\t<div class=\"col-inner text-right\"  >\n\t\t\t\n\t\t\t\n\n\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n\n<\/div>\n<div class=\"row\"  id=\"row-1626946325\">\n\n\n\t<div id=\"col-1103291280\" class=\"col medium-1 small-12 large-1\"  >\n\t\t\t\t<div class=\"col-inner text-right\"  >\n\t\t\t\n\t\t\t\n\n\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n\n\t<div id=\"col-1910578717\" class=\"col medium-10 small-12 large-10\"  >\n\t\t\t\t<div class=\"col-inner text-right\"  >\n\t\t\t\n\t\t\t\n\n\t<div id=\"text-1930831218\" class=\"text\">\n\t\t\n\n<p><span style=\"font-weight: 400;\">\u062c\u0647\u062a \u0627\u0631\u0633\u0627\u0644 \u0645\u062f\u0627\u0631\u06a9 \u067e\u0627\u062a\u0648\u0644\u0648\u0698\u06cc \u062e\u0648\u062f \u0627\u0632 \u0637\u0631\u06cc\u0642 <a style=\"color: #bd2026;\" href=\"https:\/\/eitaa.com\/FamCan\"><strong>\u0627\u06cc\u062a\u0627<\/strong><\/a>\u060c <strong><a style=\"color: #bd2026;\" href=\"https:\/\/t.me\/FamCan_institute\">\u062a\u0644\u06af\u0631\u0627\u0645<\/a><\/strong> \u0648 \u06cc\u0627 <strong><a style=\"color: #bd2026;\" href=\"https:\/\/wa.me\/+989009617699?text=\">\u0648\u0627\u062a\u0633\u0627\u067e<\/a><\/strong> \u0628\u0627 \u0634\u0645\u0627\u0631\u0647 09009617699 \u062f\u0631 \u0627\u0631\u062a\u0628\u0627\u0637 \u0628\u0627\u0634\u06cc\u062f.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u0627\u06af\u0631 \u062a\u0645\u0627\u06cc\u0644 \u0628\u0647 \u0627\u0631\u0633\u0627\u0644 \u0627\u06cc\u0646 \u0641\u0631\u0645 \u0628\u0631\u0627\u06cc \u062f\u0648\u0633\u062a\u0627\u0646 \u0648 \u0622\u0634\u0646\u0627\u06cc\u0627\u0646\u062a\u0627\u0646 \u062f\u0627\u0631\u06cc\u062f \u0645\u06cc\u062a\u0648\u0627\u0646\u06cc\u062f \u0628\u0627 \u0627\u0631\u0633\u0627\u0644 \u0627\u06cc\u0646 \u0644\u06cc\u0646\u06a9 \u0641\u0631\u0645 \u0631\u0627 \u0628\u0647 \u062f\u0633\u062a\u0634\u0627\u0646 \u0628\u0631\u0633\u0627\u0646\u06cc\u062f .<\/span><\/p>\n\t\t\n<style>\n#text-1930831218 {\n  text-align: right;\n}\n<\/style>\n\t<\/div>\n\t\n\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n\n\t<div id=\"col-1837035586\" class=\"col medium-1 small-12 large-1\"  >\n\t\t\t\t<div class=\"col-inner text-right\"  >\n\t\t\t\n\t\t\t\n\n\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n\n<\/div>\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v19.2.1 (Yoast SEO v19.6.1) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>\u0631\u06cc\u0633\u06a9 \u0633\u0646\u062c\u06cc - \u0627\u0646\u062c\u0645\u0646 \u0633\u0631\u0637\u0627\u0646\u200c\u0647\u0627\u06cc \u0627\u0631\u062b\u06cc-\u0641\u0627\u0645\u06cc\u0644\u06cc<\/title>\n<meta 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