{"id":62097,"date":"2022-12-28T23:56:37","date_gmt":"2022-12-28T20:26:37","guid":{"rendered":"https:\/\/www.golchinlife.com\/customer-satisfaction-survey-form\/"},"modified":"2025-05-07T00:20:57","modified_gmt":"2025-05-06T20:50:57","slug":"customer-satisfaction-survey-form","status":"publish","type":"page","link":"https:\/\/www.golchinsanat.com\/en\/customer-satisfaction-survey-form\/","title":{"rendered":"Customer Satisfaction Survey Form"},"content":{"rendered":"\n\n\t\t\n\t<a href=\"https:\/\/www.golchinsanat.com\/en\/\">\u0635\u0641\u062d\u0647 \u0646\u062e\u0633\u062a<\/a> \u276f <strong>\u0641\u0631\u0645 \u0627\u0631\u0632\u06cc\u0627\u0628\u06cc \u0631\u0636\u0627\u06cc\u062a \u0645\u0634\u062a\u0631\u06cc<\/strong>\n\t\t\n                            \n                        <form method=\"post\" enctype=\"multipart\/form-data\" target=\"gform_ajax_frame_11\" id=\"gform_11\" action=\"\/?page_id=52074&amp;fl_builder#gf_11\" data-formid=\"11\">\n                        <ul 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class=\"gform-field-label gform-field-label--type-inline\">\u062e\u06cc\u0644\u06cc \u062e\u0648\u0628<\/label>\n\t\t\t<\/li><\/ul><\/li><li id=\"field_11_7\" data-js-reload=\"field_11_7\"><label class=\"gfield_label gform-field-label\">\u0622\u06cc\u0627 \u0645\u06cc\u0632\u0627\u0646 \u062f\u0642\u062a \u0648 \u0633\u0631\u0639\u062a \u0639\u0645\u0644 \u067e\u0631\u0633\u0646\u0644 \u062f\u0631 \u0627\u0646\u062c\u0627\u0645 \u0648\u0638\u0627\u06cc\u0641 \u0645\u062d\u0648\u0644\u0647 \u0642\u0627\u0628\u0644 \u0642\u0628\u0648\u0644 \u0627\u0633\u062a \u061f<\/label><ul class=\"gfield_radio\" id=\"input_11_7\">\n\t\t\t<li class=\"gchoice gchoice_11_7_0\">\n\t\t\t\t<input name=\"input_7\" type=\"radio\" value=\"\u062e\u06cc\u0644\u06cc \u0636\u0639\u06cc\u0641\" id=\"choice_11_7_0\" tabindex=\"110\">\n\t\t\t\t<label for=\"choice_11_7_0\" id=\"label_11_7_0\" class=\"gform-field-label gform-field-label--type-inline\">\u062e\u06cc\u0644\u06cc 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id=\"input_11_8\">\n\t\t\t<li class=\"gchoice gchoice_11_8_0\">\n\t\t\t\t<input name=\"input_8\" type=\"radio\" value=\"\u062e\u06cc\u0644\u06cc \u0636\u0639\u06cc\u0641\" id=\"choice_11_8_0\" tabindex=\"115\">\n\t\t\t\t<label for=\"choice_11_8_0\" id=\"label_11_8_0\" class=\"gform-field-label gform-field-label--type-inline\">\u062e\u06cc\u0644\u06cc \u0636\u0639\u06cc\u0641<\/label>\n\t\t\t<\/li>\n\t\t\t<li class=\"gchoice gchoice_11_8_1\">\n\t\t\t\t<input name=\"input_8\" type=\"radio\" value=\"\u0636\u0639\u06cc\u0641\" id=\"choice_11_8_1\" tabindex=\"116\">\n\t\t\t\t<label for=\"choice_11_8_1\" id=\"label_11_8_1\" class=\"gform-field-label gform-field-label--type-inline\">\u0636\u0639\u06cc\u0641<\/label>\n\t\t\t<\/li>\n\t\t\t<li class=\"gchoice gchoice_11_8_2\">\n\t\t\t\t<input name=\"input_8\" type=\"radio\" value=\"\u0645\u062a\u0648\u0633\u0637\" id=\"choice_11_8_2\" tabindex=\"117\">\n\t\t\t\t<label for=\"choice_11_8_2\" id=\"label_11_8_2\" class=\"gform-field-label 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\u062a\u0631\u06a9\u06cc\u0628\u060c \u062a\u0639\u062f\u0627\u062f \u0648 \u0635\u0644\u0627\u062d\u06cc\u062a \u067e\u0631\u0633\u0646\u0644 \u0634\u0631\u06a9\u062a \u062f\u0631 \u0632\u0645\u06cc\u0646\u0647 \u062e\u062f\u0645\u0627\u062a \u0645\u0648\u0631\u062f \u0646\u0638\u0631 \u0642\u0627\u0628\u0644 \u0642\u0628\u0648\u0644 \u0627\u0633\u062a \u061f<\/label><ul class=\"gfield_radio\" id=\"input_11_9\">\n\t\t\t<li class=\"gchoice gchoice_11_9_0\">\n\t\t\t\t<input name=\"input_9\" type=\"radio\" value=\"\u062e\u06cc\u0644\u06cc \u0636\u0639\u06cc\u0641\" id=\"choice_11_9_0\" tabindex=\"120\">\n\t\t\t\t<label for=\"choice_11_9_0\" id=\"label_11_9_0\" class=\"gform-field-label gform-field-label--type-inline\">\u062e\u06cc\u0644\u06cc \u0636\u0639\u06cc\u0641<\/label>\n\t\t\t<\/li>\n\t\t\t<li class=\"gchoice gchoice_11_9_1\">\n\t\t\t\t<input name=\"input_9\" type=\"radio\" value=\"\u0636\u0639\u06cc\u0641\" id=\"choice_11_9_1\" tabindex=\"121\">\n\t\t\t\t<label for=\"choice_11_9_1\" id=\"label_11_9_1\" class=\"gform-field-label gform-field-label--type-inline\">\u0636\u0639\u06cc\u0641<\/label>\n\t\t\t<\/li>\n\t\t\t<li class=\"gchoice gchoice_11_9_2\">\n\t\t\t\t<input name=\"input_9\" type=\"radio\" value=\"\u0645\u062a\u0648\u0633\u0637\" id=\"choice_11_9_2\" tabindex=\"122\">\n\t\t\t\t<label for=\"choice_11_9_2\" id=\"label_11_9_2\" class=\"gform-field-label gform-field-label--type-inline\">\u0645\u062a\u0648\u0633\u0637<\/label>\n\t\t\t<\/li>\n\t\t\t<li class=\"gchoice gchoice_11_9_3\">\n\t\t\t\t<input name=\"input_9\" type=\"radio\" value=\"\u062e\u0648\u0628\" id=\"choice_11_9_3\" tabindex=\"123\">\n\t\t\t\t<label for=\"choice_11_9_3\" id=\"label_11_9_3\" class=\"gform-field-label gform-field-label--type-inline\">\u062e\u0648\u0628<\/label>\n\t\t\t<\/li>\n\t\t\t<li class=\"gchoice gchoice_11_9_4\">\n\t\t\t\t<input name=\"input_9\" type=\"radio\" value=\"\u062e\u06cc\u0644\u06cc \u062e\u0648\u0628\" id=\"choice_11_9_4\" 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value=\"\u062e\u0648\u0628\" id=\"choice_11_10_3\" tabindex=\"128\">\n\t\t\t\t<label for=\"choice_11_10_3\" id=\"label_11_10_3\" class=\"gform-field-label gform-field-label--type-inline\">\u062e\u0648\u0628<\/label>\n\t\t\t<\/li>\n\t\t\t<li class=\"gchoice gchoice_11_10_4\">\n\t\t\t\t<input name=\"input_10\" type=\"radio\" value=\"\u062e\u06cc\u0644\u06cc \u062e\u0648\u0628\" id=\"choice_11_10_4\" tabindex=\"129\">\n\t\t\t\t<label for=\"choice_11_10_4\" id=\"label_11_10_4\" class=\"gform-field-label gform-field-label--type-inline\">\u062e\u06cc\u0644\u06cc \u062e\u0648\u0628<\/label>\n\t\t\t<\/li><\/ul><\/li><li id=\"field_11_11\" data-js-reload=\"field_11_11\"><label class=\"gfield_label gform-field-label\">\u0645\u06cc\u0632\u0627\u0646 \u0627\u0646\u0637\u0628\u0627\u0642 \u06a9\u0644\u06cc \u062e\u062f\u0645\u0627\u062a \u0645\u0627 \u0628\u0627 \u0627\u0646\u062a\u0638\u0627\u0631\u0627\u062a \u0634\u0645\u0627 \u0686\u06af\u0648\u0646\u0647 \u0627\u0633\u062a \u061f<\/label><ul class=\"gfield_radio\" id=\"input_11_11\">\n\t\t\t<li class=\"gchoice gchoice_11_11_0\">\n\t\t\t\t<input name=\"input_11\" type=\"radio\" value=\"\u062e\u06cc\u0644\u06cc \u0636\u0639\u06cc\u0641\" id=\"choice_11_11_0\" tabindex=\"130\">\n\t\t\t\t<label for=\"choice_11_11_0\" id=\"label_11_11_0\" class=\"gform-field-label gform-field-label--type-inline\">\u062e\u06cc\u0644\u06cc \u0636\u0639\u06cc\u0641<\/label>\n\t\t\t<\/li>\n\t\t\t<li class=\"gchoice gchoice_11_11_1\">\n\t\t\t\t<input name=\"input_11\" type=\"radio\" value=\"\u0636\u0639\u06cc\u0641\" id=\"choice_11_11_1\" tabindex=\"131\">\n\t\t\t\t<label for=\"choice_11_11_1\" id=\"label_11_11_1\" class=\"gform-field-label gform-field-label--type-inline\">\u0636\u0639\u06cc\u0641<\/label>\n\t\t\t<\/li>\n\t\t\t<li class=\"gchoice gchoice_11_11_2\">\n\t\t\t\t<input name=\"input_11\" type=\"radio\" value=\"\u0645\u062a\u0648\u0633\u0637\" id=\"choice_11_11_2\" tabindex=\"132\">\n\t\t\t\t<label for=\"choice_11_11_2\" id=\"label_11_11_2\" class=\"gform-field-label gform-field-label--type-inline\">\u0645\u062a\u0648\u0633\u0637<\/label>\n\t\t\t<\/li>\n\t\t\t<li class=\"gchoice gchoice_11_11_3\">\n\t\t\t\t<input name=\"input_11\" type=\"radio\" value=\"\u062e\u0648\u0628\" id=\"choice_11_11_3\" tabindex=\"133\">\n\t\t\t\t<label for=\"choice_11_11_3\" id=\"label_11_11_3\" class=\"gform-field-label gform-field-label--type-inline\">\u062e\u0648\u0628<\/label>\n\t\t\t<\/li>\n\t\t\t<li class=\"gchoice gchoice_11_11_4\">\n\t\t\t\t<input name=\"input_11\" type=\"radio\" value=\"\u062e\u06cc\u0644\u06cc \u062e\u0648\u0628\" id=\"choice_11_11_4\" tabindex=\"134\">\n\t\t\t\t<label for=\"choice_11_11_4\" id=\"label_11_11_4\" class=\"gform-field-label gform-field-label--type-inline\">\u062e\u06cc\u0644\u06cc \u062e\u0648\u0628<\/label>\n\t\t\t<\/li><\/ul><\/li><li id=\"field_11_12\" data-js-reload=\"field_11_12\"><label class=\"gfield_label gform-field-label\">\u0622\u06cc\u0627 \u062f\u0633\u062a\u0631\u0633\u06cc \u0634\u0645\u0627 \u0628\u0647 \u0634\u0631\u06a9\u062a \u0645\u0627 \u0628\u0647 \u0633\u0647\u0648\u0644\u062a \u0627\u0646\u062c\u0627\u0645 \u067e\u0630\u06cc\u0631 \u0627\u0633\u062a \u061f<\/label><ul class=\"gfield_radio\" id=\"input_11_12\">\n\t\t\t<li class=\"gchoice gchoice_11_12_0\">\n\t\t\t\t<input name=\"input_12\" type=\"radio\" value=\"\u062e\u06cc\u0644\u06cc \u0636\u0639\u06cc\u0641\" id=\"choice_11_12_0\" tabindex=\"135\">\n\t\t\t\t<label for=\"choice_11_12_0\" id=\"label_11_12_0\" class=\"gform-field-label gform-field-label--type-inline\">\u062e\u06cc\u0644\u06cc \u0636\u0639\u06cc\u0641<\/label>\n\t\t\t<\/li>\n\t\t\t<li class=\"gchoice gchoice_11_12_1\">\n\t\t\t\t<input name=\"input_12\" type=\"radio\" value=\"\u0636\u0639\u06cc\u0641\" id=\"choice_11_12_1\" tabindex=\"136\">\n\t\t\t\t<label for=\"choice_11_12_1\" id=\"label_11_12_1\" class=\"gform-field-label gform-field-label--type-inline\">\u0636\u0639\u06cc\u0641<\/label>\n\t\t\t<\/li>\n\t\t\t<li class=\"gchoice gchoice_11_12_2\">\n\t\t\t\t<input name=\"input_12\" type=\"radio\" value=\"\u0645\u062a\u0648\u0633\u0637\" id=\"choice_11_12_2\" tabindex=\"137\">\n\t\t\t\t<label for=\"choice_11_12_2\" id=\"label_11_12_2\" class=\"gform-field-label gform-field-label--type-inline\">\u0645\u062a\u0648\u0633\u0637<\/label>\n\t\t\t<\/li>\n\t\t\t<li class=\"gchoice gchoice_11_12_3\">\n\t\t\t\t<input name=\"input_12\" type=\"radio\" value=\"\u062e\u0648\u0628\" id=\"choice_11_12_3\" tabindex=\"138\">\n\t\t\t\t<label for=\"choice_11_12_3\" id=\"label_11_12_3\" class=\"gform-field-label gform-field-label--type-inline\">\u062e\u0648\u0628<\/label>\n\t\t\t<\/li>\n\t\t\t<li class=\"gchoice gchoice_11_12_4\">\n\t\t\t\t<input name=\"input_12\" type=\"radio\" value=\"\u062e\u06cc\u0644\u06cc \u062e\u0648\u0628\" id=\"choice_11_12_4\" tabindex=\"139\">\n\t\t\t\t<label for=\"choice_11_12_4\" id=\"label_11_12_4\" class=\"gform-field-label gform-field-label--type-inline\">\u062e\u06cc\u0644\u06cc \u062e\u0648\u0628<\/label>\n\t\t\t<\/li><\/ul><\/li><li id=\"field_11_13\" data-js-reload=\"field_11_13\"><label class=\"gfield_label gform-field-label\">\u062a\u0628\u0644\u06cc\u063a\u0627\u062a \u0634\u0631\u06a9\u062a \u062a\u0627 \u0686\u0647 \u062d\u062f\u0648\u062f\u06cc \u062f\u0631 \u0645\u0639\u0631\u0641\u06cc \u062e\u062f\u0645\u0627\u062a \u0645\u0627 \u0645\u0648\u062b\u0631 \u0627\u0633\u062a \u061f<\/label><ul class=\"gfield_radio\" id=\"input_11_13\">\n\t\t\t<li class=\"gchoice gchoice_11_13_0\">\n\t\t\t\t<input name=\"input_13\" type=\"radio\" value=\"\u062e\u06cc\u0644\u06cc \u0636\u0639\u06cc\u0641\" id=\"choice_11_13_0\" tabindex=\"140\">\n\t\t\t\t<label for=\"choice_11_13_0\" id=\"label_11_13_0\" class=\"gform-field-label gform-field-label--type-inline\">\u062e\u06cc\u0644\u06cc \u0636\u0639\u06cc\u0641<\/label>\n\t\t\t<\/li>\n\t\t\t<li class=\"gchoice gchoice_11_13_1\">\n\t\t\t\t<input name=\"input_13\" type=\"radio\" value=\"\u0636\u0639\u06cc\u0641\" id=\"choice_11_13_1\" tabindex=\"141\">\n\t\t\t\t<label for=\"choice_11_13_1\" id=\"label_11_13_1\" class=\"gform-field-label gform-field-label--type-inline\">\u0636\u0639\u06cc\u0641<\/label>\n\t\t\t<\/li>\n\t\t\t<li class=\"gchoice gchoice_11_13_2\">\n\t\t\t\t<input name=\"input_13\" type=\"radio\" value=\"\u0645\u062a\u0648\u0633\u0637\" id=\"choice_11_13_2\" tabindex=\"142\">\n\t\t\t\t<label for=\"choice_11_13_2\" id=\"label_11_13_2\" class=\"gform-field-label gform-field-label--type-inline\">\u0645\u062a\u0648\u0633\u0637<\/label>\n\t\t\t<\/li>\n\t\t\t<li class=\"gchoice gchoice_11_13_3\">\n\t\t\t\t<input name=\"input_13\" type=\"radio\" value=\"\u062e\u0648\u0628\" id=\"choice_11_13_3\" tabindex=\"143\">\n\t\t\t\t<label for=\"choice_11_13_3\" id=\"label_11_13_3\" class=\"gform-field-label gform-field-label--type-inline\">\u062e\u0648\u0628<\/label>\n\t\t\t<\/li>\n\t\t\t<li class=\"gchoice gchoice_11_13_4\">\n\t\t\t\t<input name=\"input_13\" type=\"radio\" value=\"\u062e\u06cc\u0644\u06cc \u062e\u0648\u0628\" id=\"choice_11_13_4\" tabindex=\"144\">\n\t\t\t\t<label for=\"choice_11_13_4\" id=\"label_11_13_4\" class=\"gform-field-label gform-field-label--type-inline\">\u062e\u06cc\u0644\u06cc \u062e\u0648\u0628<\/label>\n\t\t\t<\/li><\/ul><\/li><li id=\"field_11_14\" data-js-reload=\"field_11_14\"><label class=\"gfield_label gform-field-label\">\u0622\u06cc\u0627 \u0627\u0646\u0639\u0637\u0627\u0641 \u067e\u0630\u064a\u0631\u06cc \u0634\u0631\u0643\u062a \u062f\u0631 \u067e\u0630\u064a\u0631\u0634 \u062e\u0648\u0627\u0633\u062a\u0647 \u0647\u0627\u06cc \u0634\u0645\u0627 \u0645\u0646\u0627\u0633\u0628 \u0627\u0633\u062a \u061f<\/label><ul class=\"gfield_radio\" id=\"input_11_14\">\n\t\t\t<li class=\"gchoice gchoice_11_14_0\">\n\t\t\t\t<input name=\"input_14\" type=\"radio\" value=\"\u062e\u06cc\u0644\u06cc \u0636\u0639\u06cc\u0641\" id=\"choice_11_14_0\" tabindex=\"145\">\n\t\t\t\t<label for=\"choice_11_14_0\" id=\"label_11_14_0\" class=\"gform-field-label gform-field-label--type-inline\">\u062e\u06cc\u0644\u06cc \u0636\u0639\u06cc\u0641<\/label>\n\t\t\t<\/li>\n\t\t\t<li class=\"gchoice gchoice_11_14_1\">\n\t\t\t\t<input name=\"input_14\" type=\"radio\" value=\"\u0636\u0639\u06cc\u0641\" id=\"choice_11_14_1\" tabindex=\"146\">\n\t\t\t\t<label for=\"choice_11_14_1\" id=\"label_11_14_1\" class=\"gform-field-label gform-field-label--type-inline\">\u0636\u0639\u06cc\u0641<\/label>\n\t\t\t<\/li>\n\t\t\t<li class=\"gchoice gchoice_11_14_2\">\n\t\t\t\t<input name=\"input_14\" type=\"radio\" value=\"\u0645\u062a\u0648\u0633\u0637\" id=\"choice_11_14_2\" tabindex=\"147\">\n\t\t\t\t<label for=\"choice_11_14_2\" id=\"label_11_14_2\" class=\"gform-field-label gform-field-label--type-inline\">\u0645\u062a\u0648\u0633\u0637<\/label>\n\t\t\t<\/li>\n\t\t\t<li class=\"gchoice gchoice_11_14_3\">\n\t\t\t\t<input name=\"input_14\" type=\"radio\" value=\"\u062e\u0648\u0628\" id=\"choice_11_14_3\" tabindex=\"148\">\n\t\t\t\t<label for=\"choice_11_14_3\" id=\"label_11_14_3\" class=\"gform-field-label gform-field-label--type-inline\">\u062e\u0648\u0628<\/label>\n\t\t\t<\/li>\n\t\t\t<li class=\"gchoice gchoice_11_14_4\">\n\t\t\t\t<input name=\"input_14\" type=\"radio\" value=\"\u062e\u06cc\u0644\u06cc \u062e\u0648\u0628\" id=\"choice_11_14_4\" tabindex=\"149\">\n\t\t\t\t<label for=\"choice_11_14_4\" id=\"label_11_14_4\" class=\"gform-field-label gform-field-label--type-inline\">\u062e\u06cc\u0644\u06cc \u062e\u0648\u0628<\/label>\n\t\t\t<\/li><\/ul><\/li><li id=\"field_11_15\" data-js-reload=\"field_11_15\"><label class=\"gfield_label gform-field-label\">\u0645\u064a\u0632\u0627\u0646 \u0639\u0644\u0627\u0642\u0647 \u0645\u0646\u062f\u06cc \u0634\u0645\u0627 \u062c\u0647\u062a \u0647\u0645\u0643\u0627\u0631\u06cc \u0645\u062c\u062f\u062f \u0628\u0627 \u0634\u0631\u0643\u062a \u0645\u0627 \u0686\u06af\u0648\u0646\u0647 \u0627\u0633\u062a \u061f<\/label><ul class=\"gfield_radio\" id=\"input_11_15\">\n\t\t\t<li class=\"gchoice gchoice_11_15_0\">\n\t\t\t\t<input name=\"input_15\" type=\"radio\" value=\"\u062e\u06cc\u0644\u06cc \u0636\u0639\u06cc\u0641\" id=\"choice_11_15_0\" tabindex=\"150\">\n\t\t\t\t<label for=\"choice_11_15_0\" id=\"label_11_15_0\" class=\"gform-field-label gform-field-label--type-inline\">\u062e\u06cc\u0644\u06cc \u0636\u0639\u06cc\u0641<\/label>\n\t\t\t<\/li>\n\t\t\t<li class=\"gchoice gchoice_11_15_1\">\n\t\t\t\t<input name=\"input_15\" type=\"radio\" value=\"\u0636\u0639\u06cc\u0641\" id=\"choice_11_15_1\" tabindex=\"151\">\n\t\t\t\t<label for=\"choice_11_15_1\" id=\"label_11_15_1\" class=\"gform-field-label gform-field-label--type-inline\">\u0636\u0639\u06cc\u0641<\/label>\n\t\t\t<\/li>\n\t\t\t<li class=\"gchoice gchoice_11_15_2\">\n\t\t\t\t<input name=\"input_15\" type=\"radio\" value=\"\u0645\u062a\u0648\u0633\u0637\" id=\"choice_11_15_2\" tabindex=\"152\">\n\t\t\t\t<label for=\"choice_11_15_2\" id=\"label_11_15_2\" class=\"gform-field-label gform-field-label--type-inline\">\u0645\u062a\u0648\u0633\u0637<\/label>\n\t\t\t<\/li>\n\t\t\t<li class=\"gchoice gchoice_11_15_3\">\n\t\t\t\t<input name=\"input_15\" type=\"radio\" value=\"\u062e\u0648\u0628\" id=\"choice_11_15_3\" tabindex=\"153\">\n\t\t\t\t<label for=\"choice_11_15_3\" id=\"label_11_15_3\" class=\"gform-field-label gform-field-label--type-inline\">\u062e\u0648\u0628<\/label>\n\t\t\t<\/li>\n\t\t\t<li class=\"gchoice gchoice_11_15_4\">\n\t\t\t\t<input name=\"input_15\" type=\"radio\" value=\"\u062e\u06cc\u0644\u06cc \u062e\u0648\u0628\" id=\"choice_11_15_4\" tabindex=\"154\">\n\t\t\t\t<label for=\"choice_11_15_4\" id=\"label_11_15_4\" class=\"gform-field-label gform-field-label--type-inline\">\u062e\u06cc\u0644\u06cc \u062e\u0648\u0628<\/label>\n\t\t\t<\/li><\/ul><\/li><li id=\"field_11_16\" data-js-reload=\"field_11_16\"><label class=\"gfield_label gform-field-label\">\u0633\u0631\u0639\u062a \u067e\u0627\u0633\u062e\u06af\u0648\u064a\u06cc \u067e\u0631\u0633\u0646\u0644 \u0645\u0627 \u0628\u0647 \u0627\u0633\u062a\u0639\u0644\u0627\u0645 \u0634\u0645\u0627 \u0686\u06af\u0648\u0646\u0647 \u0627\u0633\u062a \u061f<\/label><ul class=\"gfield_radio\" id=\"input_11_16\">\n\t\t\t<li class=\"gchoice gchoice_11_16_0\">\n\t\t\t\t<input name=\"input_16\" type=\"radio\" value=\"\u062e\u06cc\u0644\u06cc \u0636\u0639\u06cc\u0641\" id=\"choice_11_16_0\" tabindex=\"155\">\n\t\t\t\t<label for=\"choice_11_16_0\" id=\"label_11_16_0\" class=\"gform-field-label gform-field-label--type-inline\">\u062e\u06cc\u0644\u06cc \u0636\u0639\u06cc\u0641<\/label>\n\t\t\t<\/li>\n\t\t\t<li class=\"gchoice gchoice_11_16_1\">\n\t\t\t\t<input name=\"input_16\" type=\"radio\" value=\"\u0636\u0639\u06cc\u0641\" id=\"choice_11_16_1\" tabindex=\"156\">\n\t\t\t\t<label for=\"choice_11_16_1\" id=\"label_11_16_1\" class=\"gform-field-label gform-field-label--type-inline\">\u0636\u0639\u06cc\u0641<\/label>\n\t\t\t<\/li>\n\t\t\t<li class=\"gchoice gchoice_11_16_2\">\n\t\t\t\t<input name=\"input_16\" type=\"radio\" value=\"\u0645\u062a\u0648\u0633\u0637\" id=\"choice_11_16_2\" tabindex=\"157\">\n\t\t\t\t<label for=\"choice_11_16_2\" id=\"label_11_16_2\" class=\"gform-field-label gform-field-label--type-inline\">\u0645\u062a\u0648\u0633\u0637<\/label>\n\t\t\t<\/li>\n\t\t\t<li class=\"gchoice gchoice_11_16_3\">\n\t\t\t\t<input name=\"input_16\" type=\"radio\" value=\"\u062e\u0648\u0628\" id=\"choice_11_16_3\" tabindex=\"158\">\n\t\t\t\t<label for=\"choice_11_16_3\" id=\"label_11_16_3\" class=\"gform-field-label gform-field-label--type-inline\">\u062e\u0648\u0628<\/label>\n\t\t\t<\/li>\n\t\t\t<li class=\"gchoice gchoice_11_16_4\">\n\t\t\t\t<input name=\"input_16\" type=\"radio\" value=\"\u062e\u06cc\u0644\u06cc \u062e\u0648\u0628\" id=\"choice_11_16_4\" tabindex=\"159\">\n\t\t\t\t<label for=\"choice_11_16_4\" id=\"label_11_16_4\" class=\"gform-field-label gform-field-label--type-inline\">\u062e\u06cc\u0644\u06cc \u062e\u0648\u0628<\/label>\n\t\t\t<\/li><\/ul><\/li><li id=\"field_11_17\" data-js-reload=\"field_11_17\"><label class=\"gfield_label gform-field-label\">\u0645\u06cc\u0632\u0627\u0646 \u067e\u06cc\u06af\u06cc\u0631\u06cc \u0645\u0627 \u062f\u0631 \u0628\u0647 \u0633\u0631\u0627\u0646\u062c\u0627\u0645 \u0631\u0633\u0627\u0646\u062f\u0646 \u0633\u0641\u0627\u0631\u0634\u0627\u062a \u0634\u0645\u0627 \u0686\u06af\u0648\u0646\u0647 \u0627\u0633\u062a \u061f<\/label><ul class=\"gfield_radio\" id=\"input_11_17\">\n\t\t\t<li class=\"gchoice gchoice_11_17_0\">\n\t\t\t\t<input name=\"input_17\" type=\"radio\" value=\"\u062e\u06cc\u0644\u06cc \u0636\u0639\u06cc\u0641\" id=\"choice_11_17_0\" tabindex=\"160\">\n\t\t\t\t<label for=\"choice_11_17_0\" id=\"label_11_17_0\" class=\"gform-field-label gform-field-label--type-inline\">\u062e\u06cc\u0644\u06cc 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