{"id":2787,"date":"2026-01-03T16:02:07","date_gmt":"2026-01-03T16:02:07","guid":{"rendered":"https:\/\/caregivershuboman.com\/?page_id=2787"},"modified":"2026-01-03T16:02:08","modified_gmt":"2026-01-03T16:02:08","slug":"%d8%a7%d8%b3%d8%aa%d8%a8%d9%8a%d8%a7%d9%86-%d8%a8%d8%b9%d8%af%d9%8a-%d8%aa%d9%82%d9%8a%d9%8a%d9%85-%d8%a7%d9%84%d8%a7%d8%b3%d8%aa%d9%81%d8%a7%d8%af%d8%a9-%d9%85%d9%86-%d8%a7%d9%84%d9%85","status":"publish","type":"page","link":"https:\/\/caregivershuboman.com\/en\/%d8%a7%d8%b3%d8%aa%d8%a8%d9%8a%d8%a7%d9%86-%d8%a8%d8%b9%d8%af%d9%8a-%d8%aa%d9%82%d9%8a%d9%8a%d9%85-%d8%a7%d9%84%d8%a7%d8%b3%d8%aa%d9%81%d8%a7%d8%af%d8%a9-%d9%85%d9%86-%d8%a7%d9%84%d9%85\/","title":{"rendered":"\u0627\u0633\u062a\u0628\u064a\u0627\u0646 \u0628\u0639\u062f\u064a \u2014 \u062a\u0642\u064a\u064a\u0645 \u0627\u0644\u0627\u0633\u062a\u0641\u0627\u062f\u0629 \u0645\u0646 \u0627\u0644\u0645\u0646\u0635\u0629"},"content":{"rendered":"<div class=\"wp-block-uagb-image uagb-block-aa125ad8 wp-block-uagb-image--layout-default wp-block-uagb-image--effect-static wp-block-uagb-image--align-none\"><figure class=\"wp-block-uagb-image__figure\"><img decoding=\"async\" srcset=\"https:\/\/caregivershuboman.com\/wp-content\/uploads\/2025\/12\/20171029_1509271244-543757.jpg ,https:\/\/caregivershuboman.com\/wp-content\/uploads\/2025\/12\/20171029_1509271244-543757.jpg 780w, https:\/\/caregivershuboman.com\/wp-content\/uploads\/2025\/12\/20171029_1509271244-543757.jpg 360w\" sizes=\"auto, (max-width: 480px) 150px\" src=\"https:\/\/caregivershuboman.com\/wp-content\/uploads\/2025\/12\/20171029_1509271244-543757.jpg\" alt=\"\" class=\"uag-image-2625\" width=\"674\" height=\"485\" title=\"20171029_1509271244-543757\" loading=\"lazy\" role=\"img\"\/><\/figure><\/div>\n\n\n\t\t\t<div class=\"srfm-form-container srfm-form-container-2781 srfm-bg-color\">\n\t\t\t<style>\n\t\t\t\t\/* Need to check and remove the input variables related to the Style Tab. *\/\n\t\t\t\t.srfm-form-container-2781 {\n\t\t\t\t\t\/* New test variables *\/\n\t\t\t\t\t--srfm-color-scheme-primary: #111C44;\n\t\t\t\t\t--srfm-color-scheme-text-on-primary: #FFFFFF;\n\t\t\t\t\t--srfm-color-scheme-text: #1E1E1E;\n\t\t\t\t\t--srfm-quill-editor-color: #111C44;\n\n\t\t\t\t\t--srfm-color-input-label: #1E1E1E;\n\t\t\t\t\t--srfm-color-input-description: hsl( from #1E1E1E h s l \/ 0.65 );\n\t\t\t\t\t--srfm-color-input-placeholder: hsl( from #1E1E1E h s l \/ 0.5 );\n\t\t\t\t\t--srfm-color-input-text: #1E1E1E;\n\t\t\t\t\t--srfm-color-input-prefix: hsl( from #1E1E1E h s l \/ 0.65 );\n\t\t\t\t\t--srfm-color-input-background: hsl( from #1E1E1E h s l \/ 0.02 );\n\t\t\t\t\t--srfm-color-input-background-hover: hsl( from #1E1E1E h s l \/ 0.05 );\n\t\t\t\t\t--srfm-color-input-background-disabled: hsl( from #1E1E1E h s l \/ 0.07 );\n\t\t\t\t\t--srfm-color-input-border: hsl( from #1E1E1E h s l \/ 0.25 );\n\t\t\t\t\t--srfm-color-input-border-disabled: hsl( from #1E1E1E h s l \/ 0.15 );\n\t\t\t\t\t--srfm-color-multi-choice-svg: hsl( from #1E1E1E h s l \/ 0.7 );\n\t\t\t\t\t--srfm-color-input-border-hover: hsl( from #111C44 h s l \/ 0.65 );\n\t\t\t\t\t--srfm-color-input-border-focus-glow: hsl( from #111C44 h s l \/ 0.15 );\n\t\t\t\t\t--srfm-color-input-selected: hsl( from #111C44 h s l \/ 0.1 );\n\t\t\t\t\t--srfm-btn-color-hover: hsl( from #111C44 h s l \/ 0.9 );\n\t\t\t\t\t--srfm-btn-color-disabled: hsl( from #111C44 h s l \/ 0.25 );\n\n\t\t\t\t\t\/* Dropdown Variables *\/\n\t\t\t\t\t--srfm-dropdown-input-background-hover: hsl( from #1E1E1E h s l \/ 0.05 );\n\t\t\t\t\t--srfm-dropdown-option-background-hover: hsl( from #1E1E1E h s l \/ 0.10 );\n\t\t\t\t\t--srfm-dropdown-option-background-selected: hsl( from #1E1E1E h s l \/ 0.05 );\n\t\t\t\t\t--srfm-dropdown-option-selected-icon: hsl( from #1E1E1E h s l \/ 0.65 );\n\t\t\t\t\t--srfm-dropdown-option-text-color: hsl( from #1E1E1E h s l \/ 0.80 );\n\t\t\t\t\t--srfm-dropdown-option-selected-text: #1E1E1E;\n\t\t\t\t\t--srfm-dropdown-badge-background: hsl( from #1E1E1E h s l \/ 0.05 );\n\t\t\t\t\t--srfm-dropdown-badge-background-hover: hsl( from #1E1E1E h s l \/ 0.10 );\n\t\t\t\t\t--srfm-dropdown-menu-border-color: hsl( from #1E1E1E h s l \/ 0.10 );\n\t\t\t\t\t--srfm-dropdown-placeholder-color: hsl( from #1E1E1E h s l \/ 0.50 );\n\t\t\t\t\t--srfm-dropdown-icon-color: hsl( from #1E1E1E h s l \/ 0.65 );\n\t\t\t\t\t--srfm-dropdown-icon-disabled: hsl( from #1E1E1E h s l \/ 0.25 );\n\n\t\t\t\t\t\/* Background Control Variables *\/\n\t\t\t\t\t--srfm-instant-form-padding-top: 32px;--srfm-instant-form-padding-right: 32px;--srfm-instant-form-padding-bottom: 32px;--srfm-instant-form-padding-left: 32px;--srfm-instant-form-border-radius-top: 12px;--srfm-instant-form-border-radius-right: 12px;--srfm-instant-form-border-radius-bottom: 12px;--srfm-instant-form-border-radius-left: 12px;--srfm-form-padding-top: 0px;--srfm-form-padding-right: 0px;--srfm-form-padding-bottom: 0px;--srfm-form-padding-left: 0px;--srfm-form-border-radius-top: 0px;--srfm-form-border-radius-right: 0px;--srfm-form-border-radius-bottom: 0px;--srfm-form-border-radius-left: 0px;--srfm-bg-color: #ffffff;--srfm-bg-overlay-opacity: 1;\t\t\t\t\t--srfm-row-gap-between-blocks: 18px;--srfm-address-label-font-size: 16px;--srfm-address-label-line-height: 24px;--srfm-address-description-font-size: 14px;--srfm-address-description-line-height: 20px;--srfm-col-gap-between-fields: 16px;--srfm-row-gap-between-fields: 16px;--srfm-gap-below-address-label: 14px;--srfm-dropdown-font-size: 14px;--srfm-dropdown-gap-between-input-menu: 4px;--srfm-dropdown-badge-padding: 2px 6px;--srfm-dropdown-multiselect-font-size: 12px;--srfm-dropdown-multiselect-line-height: 16px;--srfm-dropdown-padding-right: 12px;--srfm-dropdown-padding-right-icon: calc( var( --srfm-dropdown-padding-right ) + 20px );--srfm-dropdown-multiselect-padding: 8px var( --srfm-dropdown-padding-right-icon ) 8px 8px;--srfm-input-height: 44px;--srfm-input-field-padding: 10px 12px;--srfm-input-field-font-size: 16px;--srfm-input-field-line-height: 24px;--srfm-input-field-margin-top: 6px;--srfm-input-field-margin-bottom: 6px;--srfm-checkbox-label-font-size: 16px;--srfm-checkbox-label-line-height: 24px;--srfm-checkbox-description-font-size: 14px;--srfm-checkbox-description-line-height: 20px;--srfm-check-ctn-width: 16px;--srfm-check-ctn-height: 16px;--srfm-check-svg-size: 10px;--srfm-checkbox-margin-top-frontend: 4px;--srfm-checkbox-margin-top-editor: 6px;--srfm-check-gap: 8px;--srfm-checkbox-description-margin-left: 24px;--srfm-flag-section-padding: 10px 0 10px 12px;--srfm-gap-between-icon-text: 8px;--srfm-label-font-size: 16px;--srfm-label-line-height: 24px;--srfm-description-font-size: 14px;--srfm-description-line-height: 20px;--srfm-btn-padding: 10px 14px;--srfm-btn-font-size: 16px;--srfm-btn-line-height: 24px;--srfm-multi-choice-horizontal-padding: 20px;--srfm-multi-choice-vertical-padding: 20px;--srfm-multi-choice-internal-option-gap: 8px;--srfm-multi-choice-vertical-svg-size: 40px;--srfm-multi-choice-horizontal-image-size: 24px;--srfm-multi-choice-vertical-image-size: 120px;--srfm-multi-choice-outer-padding: 2px;\t\t\t\t}\n\t\t\t<\/style>\n\t\t\t\t\t\t\t<form method=\"post\" enctype=\"multipart\/form-data\" id=\"srfm-form-2781\" class=\"srfm-form\"\n\t\t\t\tform-id=\"2781\" after-submission=\"hide form\" message-type=\"same page\" success-url=\"\" ajaxurl=\"https:\/\/caregivershuboman.com\/wp-admin\/admin-ajax.php\" data-submit-token=\"62a5b8f051d0c25240983b0e94da376dcfef39313953ce2f5bc492f4c643f10f\" action=\"\"\n\t\t\t\t>\n\t\t\t\t\n\t\t\t\t<input type=\"hidden\" value=\"2781\" name=\"form-id\">\n\t\t\t\t<input type=\"hidden\" value=\"\" name=\"srfm-sender-email-field\" id=\"srfm-sender-email\">\n\t\t\t\t<input type=\"hidden\" value=\"\" id=\"srfm-page-break\">\n\t\t\t\t\t\t<p id=\"srfm-error-message\" class=\"srfm-common-error-message srfm-error-message srfm-head-error\" hidden>\t\t<span class=\"srfm-icon\" aria-hidden=\"true\">\n\t\t\t<svg xmlns='http:\/\/www.w3.org\/2000\/svg' width='20' height='20' fill='none'><path d='M9.99935 18.3327C14.6017 18.3327 18.3327 14.6017 18.3327 9.99935C18.3327 5.39698 14.6017 1.66602 9.99935 1.66602C5.39698 1.66602 1.66602 5.39698 1.66602 9.99935C1.66602 14.6017 5.39698 18.3327 9.99935 18.3327Z' stroke='currentColor' stroke-width='1.5' stroke-linecap='round' stroke-linejoin='round' \/><path d='M10 6.66602V9.99935' stroke='currentColor' stroke-width='1.5' stroke-linecap='round' stroke-linejoin='round' \/><path d='M10 13.334H10.0083' stroke='currentColor' stroke-width='1.5' stroke-linecap='round' stroke-linejoin='round' \/><\/svg>\t\t<\/span>\n\t\t<span class=\"srfm-error-content\">There was an error trying to submit your form. Please try again.<\/span><\/p>\n\t\t\t\t\t<div data-block-id=\"c93f676d\" class=\"srfm-block-single srfm-block srfm-input-block srf-input-c93f676d-block  srfm-block-width-100 srfm-slug-%d8%a7%d9%84%d8%a7%d8%b3%d9%85 2781\" >\n\t\t\t\t\t\t\t\t<label id=\"srfm-label-c93f676d-lbl-2KfZhNin2LPZhQ\" for=\"srfm-input-c93f676d-lbl-2KfZhNin2LPZhQ\" class=\"srfm-block-label\">\n\t\t\t\t\t\tName\t\t\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-description\" id=\"srfm-description-c93f676d\">\n\t\t\t\t\t\t\u064a\u0631\u062c\u0649 \u0625\u062f\u062e\u0627\u0644 \u0627\u0633\u0645\u0643 \u0627\u0644\u0643\u0627\u0645\u0644.\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-wrap\">\n\t\t\t\t<input class=\"srfm-input-common srfm-input-input\" type=\"text\" name=\"srfm-input-c93f676d-lbl-2KfZhNin2LPZhQ-%d8%a7%d9%84%d8%a7%d8%b3%d9%85\" id=\"srfm-input-c93f676d-lbl-2KfZhNin2LPZhQ\"\n\t\t\t\t\taria-describedby='srfm-error-c93f676d srfm-description-c93f676d'\t\t\t\t\tdata-required=\"false\" aria-required=\"false\" data-unique=\"false\" maxlength=\"100\" value=\"\"  data-srfm-mask=\"none\"   \/>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"srfm-error-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-error-message\" data-srfm-id=\"srfm-error-c93f676d\" data-error-msg=\"This field is required.\" data-unique-msg=\"Value needs to be unique.\">\n\t\t\t\t\t\tThis field is required.\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\n\n\t\t\t<div data-block-id=\"9c6de512\" class=\"srfm-block-single srfm-block srfm-email-block srf-email-9c6de512-block  srfm-block-width-100 srfm-slug-%d8%a7%d9%84%d8%a8%d8%b1%d9%8a%d8%af-%d8%a7%d9%84%d8%a5%d9%84%d9%83%d8%aa%d8%b1%d9%88%d9%86%d9%8a 2781 srfm-email-block-wrap\">\n\t\t\t\t<div class=\"srfm-email-block srf-email-9c6de512-block\">\n\t\t\t\t\t\t\t\t\t\t<label id=\"srfm-label-9c6de512-lbl-2KfZhNio2LHZitivINin2YTYpdmE2YPYqtix2YjZhtmK\" for=\"srfm-email-9c6de512-lbl-2KfZhNio2LHZitivINin2YTYpdmE2YPYqtix2YjZhtmK\" class=\"srfm-block-label\">\n\t\t\t\t\t\t\u0627\u0644\u0628\u0631\u064a\u062f \u0627\u0644\u0625\u0644\u0643\u062a\u0631\u0648\u0646\u064a\t\t\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-description\" id=\"srfm-description-9c6de512\">\n\t\t\t\t\t\t\u064a\u0631\u062c\u0649 \u0625\u062f\u062e\u0627\u0644 \u0628\u0631\u064a\u062f\u0643 \u0627\u0644\u0625\u0644\u0643\u062a\u0631\u0648\u0646\u064a \u0628\u0634\u0643\u0644 \u0635\u062d\u064a\u062d.\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-wrap\">\n\t\t\t\t\t\t<input class=\"srfm-input-common srfm-input-email\" type=\"email\" name=\"srfm-email-9c6de512-lbl-2KfZhNio2LHZitivINin2YTYpdmE2YPYqtix2YjZhtmK-%d8%a7%d9%84%d8%a8%d8%b1%d9%8a%d8%af-%d8%a7%d9%84%d8%a5%d9%84%d9%83%d8%aa%d8%b1%d9%88%d9%86%d9%8a\" id=\"srfm-email-9c6de512-lbl-2KfZhNio2LHZitivINin2YTYpdmE2YPYqtix2YjZhtmK\"\n\t\t\t\t\t\taria-describedby='srfm-error-9c6de512 srfm-description-9c6de512'\t\t\t\t\t\tdata-required=\"false\" aria-required=\"false\" data-unique=\"false\" value=\"\"   \/>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"srfm-error-wrap\">\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-error-message\" data-srfm-id=\"srfm-error-9c6de512\" data-error-msg=\"This field is required.\" data-unique-msg=\"Value needs to be unique.\">\n\t\t\t\t\t\tThis field is required.\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\n\n\t\t<div data-block-id=\"e6750792\" class=\"srfm-block-single srfm-block srfm-multi-choice-block srf-multi-choice-e6750792-block  srfm-block-width-100 srfm-slug-%d9%85%d8%b3%d8%aa%d9%88%d9%89-%d9%85%d8%b9%d8%b1%d9%81%d8%aa%d9%83-%d8%a7%d9%84%d8%a5%d8%ac%d9%85%d8%a7%d9%84%d9%8a%d8%a9-%d8%a8%d8%b9%d8%af-%d8%a7%d8%b3%d8%aa%d8%ae%d8%af%d8%a7%d9%85-%d8%a7%d9%84 2781 srfm-radio-mode\">\n\t\t\t<fieldset>\n\t\t\t\t<input class=\"srfm-input-multi-choice-hidden\" data-required=\"true\" aria-required=\"true\"  name=\"srfm-input-multi-choice-e6750792-lbl-2YXYs9iq2YjZiSDZhdi52LHZgdiq2YMg2KfZhNil2KzZhdin2YTZitipINio2LnYryDYp9iz2KrYrtiv2KfZhSDYp9mE2YXZhti12Kk-%d9%85%d8%b3%d8%aa%d9%88%d9%89-%d9%85%d8%b9%d8%b1%d9%81%d8%aa%d9%83-%d8%a7%d9%84%d8%a5%d8%ac%d9%85%d8%a7%d9%84%d9%8a%d8%a9-%d8%a8%d8%b9%d8%af-%d8%a7%d8%b3%d8%aa%d8%ae%d8%af%d8%a7%d9%85-%d8%a7%d9%84\" type=\"hidden\" value=\"\"\/>\n\t\t\t\t<legend class=\"srfm-block-legend\">\n\t\t\t\t\t\t\t\t\t\t\u0645\u0633\u062a\u0648\u0649 \u0645\u0639\u0631\u0641\u062a\u0643 \u0627\u0644\u0625\u062c\u0645\u0627\u0644\u064a\u0629 \u0628\u0639\u062f \u0627\u0633\u062a\u062e\u062f\u0627\u0645 \u0627\u0644\u0645\u0646\u0635\u0629\t\t\t\t\t\t\t\t\t\t\t<span class=\"srfm-required\" aria-hidden=\"true\"> *<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/legend>\n\t\t\t\t\t\t\t\t\t<div class=\"srfm-description\" id=\"srfm-description-e6750792\">\n\t\t\t\t\t\t\u0627\u062e\u062a\u0631 \u0645\u0633\u062a\u0648\u0649 \u0645\u0639\u0631\u0641\u062a\u0643 \u0628\u0639\u062f \u0627\u0633\u062a\u062e\u062f\u0627\u0645 \u0627\u0644\u0645\u0646\u0635\u0629.\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-wrap srfm-choice-width-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-multi-choice-single\">\n\t\t\t\t\t\t\t\t\t<input type=\"radio\"\n\t\t\t\t\t\t\t\t\t\tid=\"srfm-multi-choice-e6750792-0\"\n\t\t\t\t\t\t\t\t\t\tclass=\"srfm-input-multi-choice-single\" name=\"srfm-input-multi-choice-e6750792\"\t\t\t\t\t\t\t\t\t\taria-describedby=\"srfm-error-e6750792 srfm-description-e6750792\"\t\t\t\t\t\t\t\t\t\taria-required=\"true\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\/>\n\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-content-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-option-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<!-- This label content is used in conditional logic and for storing values in a hidden input field as comma-separated values.\n\t\t\t\t\t\t\t\t\t\t\tThe markup should remain unchanged.\n\t\t\t\t\t\t\t\t\t\t\tIf you make any changes here, ensure the corresponding JavaScript value functionality and conditional logic are also updated. -->\n\t\t\t\t\t\t\t\t\t\t\t<label for=\"srfm-multi-choice-e6750792-0\" data-option-text=\"\u0645\u0628\u062a\u062f\u0626\">Beginner<\/label>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-icon-container\">\t\t<span class=\"srfm-icon srfm-multi-choice-icon\" aria-hidden=\"true\">\n\t\t\t<svg width='17' height='16' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'><path d='M15.1663 7.38674V8.00007C15.1655 9.43769 14.7 10.8365 13.8392 11.988C12.9785 13.1394 11.7685 13.9817 10.3899 14.3893C9.0113 14.797 7.53785 14.748 6.18932 14.2498C4.8408 13.7516 3.68944 12.8308 2.90698 11.6248C2.12452 10.4188 1.75287 8.99211 1.84746 7.55761C1.94205 6.12312 2.49781 4.75762 3.43186 3.66479C4.36591 2.57195 5.6282 1.81033 7.03047 1.4935C8.43274 1.17668 9.89985 1.32163 11.213 1.90674' stroke='#111C44' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><path d='M15.1667 2.6665L8.5 9.33984L6.5 7.33984' stroke='#111C44' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><\/svg>\t\t<\/span>\n\t\t\t\t<span class=\"srfm-icon srfm-multi-choice-icon-unchecked\" aria-hidden=\"true\">\n\t\t\t<svg width='16' height='16' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'><path d='M7.99967 14.6668C11.6816 14.6668 14.6663 11.6821 14.6663 8.00016C14.6663 4.31826 11.6816 1.3335 7.99967 1.3335C4.31778 1.3335 1.33301 4.31826 1.33301 8.00016C1.33301 11.6821 4.31778 14.6668 7.99967 14.6668Z' stroke='#1E1E1E' stroke-opacity='0.7' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><\/svg>\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-multi-choice-single\">\n\t\t\t\t\t\t\t\t\t<input type=\"radio\"\n\t\t\t\t\t\t\t\t\t\tid=\"srfm-multi-choice-e6750792-1\"\n\t\t\t\t\t\t\t\t\t\tclass=\"srfm-input-multi-choice-single\" name=\"srfm-input-multi-choice-e6750792\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\/>\n\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-content-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-option-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<!-- This label content is used in conditional logic and for storing values in a hidden input field as comma-separated values.\n\t\t\t\t\t\t\t\t\t\t\tThe markup should remain unchanged.\n\t\t\t\t\t\t\t\t\t\t\tIf you make any changes here, ensure the corresponding JavaScript value functionality and conditional logic are also updated. -->\n\t\t\t\t\t\t\t\t\t\t\t<label for=\"srfm-multi-choice-e6750792-1\" data-option-text=\"\u0645\u062a\u0648\u0633\u0637\">Medium<\/label>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-icon-container\">\t\t<span class=\"srfm-icon srfm-multi-choice-icon\" aria-hidden=\"true\">\n\t\t\t<svg width='17' height='16' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'><path d='M15.1663 7.38674V8.00007C15.1655 9.43769 14.7 10.8365 13.8392 11.988C12.9785 13.1394 11.7685 13.9817 10.3899 14.3893C9.0113 14.797 7.53785 14.748 6.18932 14.2498C4.8408 13.7516 3.68944 12.8308 2.90698 11.6248C2.12452 10.4188 1.75287 8.99211 1.84746 7.55761C1.94205 6.12312 2.49781 4.75762 3.43186 3.66479C4.36591 2.57195 5.6282 1.81033 7.03047 1.4935C8.43274 1.17668 9.89985 1.32163 11.213 1.90674' stroke='#111C44' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><path d='M15.1667 2.6665L8.5 9.33984L6.5 7.33984' stroke='#111C44' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><\/svg>\t\t<\/span>\n\t\t\t\t<span class=\"srfm-icon srfm-multi-choice-icon-unchecked\" aria-hidden=\"true\">\n\t\t\t<svg width='16' height='16' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'><path d='M7.99967 14.6668C11.6816 14.6668 14.6663 11.6821 14.6663 8.00016C14.6663 4.31826 11.6816 1.3335 7.99967 1.3335C4.31778 1.3335 1.33301 4.31826 1.33301 8.00016C1.33301 11.6821 4.31778 14.6668 7.99967 14.6668Z' stroke='#1E1E1E' stroke-opacity='0.7' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><\/svg>\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-multi-choice-single\">\n\t\t\t\t\t\t\t\t\t<input type=\"radio\"\n\t\t\t\t\t\t\t\t\t\tid=\"srfm-multi-choice-e6750792-2\"\n\t\t\t\t\t\t\t\t\t\tclass=\"srfm-input-multi-choice-single\" name=\"srfm-input-multi-choice-e6750792\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\/>\n\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-content-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-option-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<!-- This label content is used in conditional logic and for storing values in a hidden input field as comma-separated values.\n\t\t\t\t\t\t\t\t\t\t\tThe markup should remain unchanged.\n\t\t\t\t\t\t\t\t\t\t\tIf you make any changes here, ensure the corresponding JavaScript value functionality and conditional logic are also updated. -->\n\t\t\t\t\t\t\t\t\t\t\t<label for=\"srfm-multi-choice-e6750792-2\" data-option-text=\"\u062c\u064a\u062f\">\u062c\u064a\u062f<\/label>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-icon-container\">\t\t<span class=\"srfm-icon srfm-multi-choice-icon\" aria-hidden=\"true\">\n\t\t\t<svg width='17' height='16' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'><path d='M15.1663 7.38674V8.00007C15.1655 9.43769 14.7 10.8365 13.8392 11.988C12.9785 13.1394 11.7685 13.9817 10.3899 14.3893C9.0113 14.797 7.53785 14.748 6.18932 14.2498C4.8408 13.7516 3.68944 12.8308 2.90698 11.6248C2.12452 10.4188 1.75287 8.99211 1.84746 7.55761C1.94205 6.12312 2.49781 4.75762 3.43186 3.66479C4.36591 2.57195 5.6282 1.81033 7.03047 1.4935C8.43274 1.17668 9.89985 1.32163 11.213 1.90674' stroke='#111C44' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><path d='M15.1667 2.6665L8.5 9.33984L6.5 7.33984' stroke='#111C44' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><\/svg>\t\t<\/span>\n\t\t\t\t<span class=\"srfm-icon srfm-multi-choice-icon-unchecked\" aria-hidden=\"true\">\n\t\t\t<svg width='16' height='16' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'><path d='M7.99967 14.6668C11.6816 14.6668 14.6663 11.6821 14.6663 8.00016C14.6663 4.31826 11.6816 1.3335 7.99967 1.3335C4.31778 1.3335 1.33301 4.31826 1.33301 8.00016C1.33301 11.6821 4.31778 14.6668 7.99967 14.6668Z' stroke='#1E1E1E' stroke-opacity='0.7' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><\/svg>\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-multi-choice-single\">\n\t\t\t\t\t\t\t\t\t<input type=\"radio\"\n\t\t\t\t\t\t\t\t\t\tid=\"srfm-multi-choice-e6750792-3\"\n\t\t\t\t\t\t\t\t\t\tclass=\"srfm-input-multi-choice-single\" name=\"srfm-input-multi-choice-e6750792\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\/>\n\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-content-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-option-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<!-- This label content is used in conditional logic and for storing values in a hidden input field as comma-separated values.\n\t\t\t\t\t\t\t\t\t\t\tThe markup should remain unchanged.\n\t\t\t\t\t\t\t\t\t\t\tIf you make any changes here, ensure the corresponding JavaScript value functionality and conditional logic are also updated. -->\n\t\t\t\t\t\t\t\t\t\t\t<label for=\"srfm-multi-choice-e6750792-3\" data-option-text=\"\u0645\u0645\u062a\u0627\u0632\">Excellent<\/label>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-icon-container\">\t\t<span class=\"srfm-icon srfm-multi-choice-icon\" aria-hidden=\"true\">\n\t\t\t<svg width='17' height='16' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'><path d='M15.1663 7.38674V8.00007C15.1655 9.43769 14.7 10.8365 13.8392 11.988C12.9785 13.1394 11.7685 13.9817 10.3899 14.3893C9.0113 14.797 7.53785 14.748 6.18932 14.2498C4.8408 13.7516 3.68944 12.8308 2.90698 11.6248C2.12452 10.4188 1.75287 8.99211 1.84746 7.55761C1.94205 6.12312 2.49781 4.75762 3.43186 3.66479C4.36591 2.57195 5.6282 1.81033 7.03047 1.4935C8.43274 1.17668 9.89985 1.32163 11.213 1.90674' stroke='#111C44' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><path d='M15.1667 2.6665L8.5 9.33984L6.5 7.33984' stroke='#111C44' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><\/svg>\t\t<\/span>\n\t\t\t\t<span class=\"srfm-icon srfm-multi-choice-icon-unchecked\" aria-hidden=\"true\">\n\t\t\t<svg width='16' height='16' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'><path d='M7.99967 14.6668C11.6816 14.6668 14.6663 11.6821 14.6663 8.00016C14.6663 4.31826 11.6816 1.3335 7.99967 1.3335C4.31778 1.3335 1.33301 4.31826 1.33301 8.00016C1.33301 11.6821 4.31778 14.6668 7.99967 14.6668Z' stroke='#1E1E1E' stroke-opacity='0.7' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><\/svg>\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"srfm-error-wrap\">\t\t\t\t\t<div class=\"srfm-error-message\" data-srfm-id=\"srfm-error-e6750792\" data-error-msg=\"This field is required.\">\n\t\t\t\t\t\tThis field is required.\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t<\/fieldset>\n\t\t<\/div>\n\t\t\n\n\t\t<div data-block-id=\"3a207531\" class=\"srfm-block-single srfm-block srfm-multi-choice-block srf-multi-choice-3a207531-block  srfm-block-width-100 srfm-slug-strong\u0647\u0644-\u0632\u0627\u062f\u062a-\u062b\u0642\u062a\u0643-\u0641\u064a-\u062a\u0642\u062f\u064a\u0645-\u0627\u0644\u0631\u0639\u0627\u064a\u0629-\u0627\u0644\u064a\u0648\u0645\u064a\u0629-\u0628\u0639\u062f-\u0627\u0633\u062a\u062e\u062f\u0627\u0645-\u0627\u0644\u0645\u0646\u0635\u0629-strong 2781 srfm-radio-mode\">\n\t\t\t<fieldset>\n\t\t\t\t<input class=\"srfm-input-multi-choice-hidden\" data-required=\"true\" aria-required=\"true\"  name=\"srfm-input-multi-choice-3a207531-lbl-2YfZhCDYstin2K\/YqiDYq9mC2KrZgyDZgdmKINiq2YLYr9mK2YUg2KfZhNix2LnYp9mK2Kkg2KfZhNmK2YjZhdmK2Kkg2KjYudivINin2LPYqtiu2K\/Yp9mFINin2YTZhdmG2LXYqdif-strong\u0647\u0644-\u0632\u0627\u062f\u062a-\u062b\u0642\u062a\u0643-\u0641\u064a-\u062a\u0642\u062f\u064a\u0645-\u0627\u0644\u0631\u0639\u0627\u064a\u0629-\u0627\u0644\u064a\u0648\u0645\u064a\u0629-\u0628\u0639\u062f-\u0627\u0633\u062a\u062e\u062f\u0627\u0645-\u0627\u0644\u0645\u0646\u0635\u0629-strong\" type=\"hidden\" value=\"\"\/>\n\t\t\t\t<legend class=\"srfm-block-legend\">\n\t\t\t\t\t\t\t\t\t\t<strong>\u0647\u0644 \u0632\u0627\u062f\u062a \u062b\u0642\u062a\u0643 \u0641\u064a \u062a\u0642\u062f\u064a\u0645 \u0627\u0644\u0631\u0639\u0627\u064a\u0629 \u0627\u0644\u064a\u0648\u0645\u064a\u0629 \u0628\u0639\u062f \u0627\u0633\u062a\u062e\u062f\u0627\u0645 \u0627\u0644\u0645\u0646\u0635\u0629\u061f<\/strong>\t\t\t\t\t\t\t\t\t\t\t<span class=\"srfm-required\" aria-hidden=\"true\"> *<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/legend>\n\t\t\t\t\t\t\t\t\t<div class=\"srfm-description\" id=\"srfm-description-3a207531\">\n\t\t\t\t\t\t\u0627\u062e\u062a\u0631 \u0645\u0633\u062a\u0648\u0649 \u0645\u0639\u0631\u0641\u062a\u0643 \u0628\u0639\u062f \u0627\u0633\u062a\u062e\u062f\u0627\u0645 \u0627\u0644\u0645\u0646\u0635\u0629.\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-wrap srfm-choice-width-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-multi-choice-single\">\n\t\t\t\t\t\t\t\t\t<input type=\"radio\"\n\t\t\t\t\t\t\t\t\t\tid=\"srfm-multi-choice-3a207531-0\"\n\t\t\t\t\t\t\t\t\t\tclass=\"srfm-input-multi-choice-single\" name=\"srfm-input-multi-choice-3a207531\"\t\t\t\t\t\t\t\t\t\taria-describedby=\"srfm-error-3a207531 srfm-description-3a207531\"\t\t\t\t\t\t\t\t\t\taria-required=\"true\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\/>\n\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-content-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-option-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<!-- This label content is used in conditional logic and for storing values in a hidden input field as comma-separated values.\n\t\t\t\t\t\t\t\t\t\t\tThe markup should remain unchanged.\n\t\t\t\t\t\t\t\t\t\t\tIf you make any changes here, ensure the corresponding JavaScript value functionality and conditional logic are also updated. -->\n\t\t\t\t\t\t\t\t\t\t\t<label for=\"srfm-multi-choice-3a207531-0\" data-option-text=\"1 \u2013 \u0644\u0645 \u062a\u0632\u062f \u0625\u0637\u0644\u0627\u0642\u064b\u0627\">1 \u2013 \u0644\u0645 \u062a\u0632\u062f \u0625\u0637\u0644\u0627\u0642\u064b\u0627<\/label>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-icon-container\">\t\t<span class=\"srfm-icon srfm-multi-choice-icon\" aria-hidden=\"true\">\n\t\t\t<svg width='17' height='16' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'><path d='M15.1663 7.38674V8.00007C15.1655 9.43769 14.7 10.8365 13.8392 11.988C12.9785 13.1394 11.7685 13.9817 10.3899 14.3893C9.0113 14.797 7.53785 14.748 6.18932 14.2498C4.8408 13.7516 3.68944 12.8308 2.90698 11.6248C2.12452 10.4188 1.75287 8.99211 1.84746 7.55761C1.94205 6.12312 2.49781 4.75762 3.43186 3.66479C4.36591 2.57195 5.6282 1.81033 7.03047 1.4935C8.43274 1.17668 9.89985 1.32163 11.213 1.90674' stroke='#111C44' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><path d='M15.1667 2.6665L8.5 9.33984L6.5 7.33984' stroke='#111C44' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><\/svg>\t\t<\/span>\n\t\t\t\t<span class=\"srfm-icon srfm-multi-choice-icon-unchecked\" aria-hidden=\"true\">\n\t\t\t<svg width='16' height='16' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'><path d='M7.99967 14.6668C11.6816 14.6668 14.6663 11.6821 14.6663 8.00016C14.6663 4.31826 11.6816 1.3335 7.99967 1.3335C4.31778 1.3335 1.33301 4.31826 1.33301 8.00016C1.33301 11.6821 4.31778 14.6668 7.99967 14.6668Z' stroke='#1E1E1E' stroke-opacity='0.7' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><\/svg>\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-multi-choice-single\">\n\t\t\t\t\t\t\t\t\t<input type=\"radio\"\n\t\t\t\t\t\t\t\t\t\tid=\"srfm-multi-choice-3a207531-1\"\n\t\t\t\t\t\t\t\t\t\tclass=\"srfm-input-multi-choice-single\" name=\"srfm-input-multi-choice-3a207531\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\/>\n\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-content-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-option-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<!-- This label content is used in conditional logic and for storing values in a hidden input field as comma-separated values.\n\t\t\t\t\t\t\t\t\t\t\tThe markup should remain unchanged.\n\t\t\t\t\t\t\t\t\t\t\tIf you make any changes here, ensure the corresponding JavaScript value functionality and conditional logic are also updated. -->\n\t\t\t\t\t\t\t\t\t\t\t<label for=\"srfm-multi-choice-3a207531-1\" data-option-text=\"2 \u2013 \u0632\u064a\u0627\u062f\u0629 \u0628\u0633\u064a\u0637\u0629\">2 \u2013 \u0632\u064a\u0627\u062f\u0629 \u0628\u0633\u064a\u0637\u0629<\/label>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-icon-container\">\t\t<span class=\"srfm-icon srfm-multi-choice-icon\" aria-hidden=\"true\">\n\t\t\t<svg width='17' height='16' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'><path d='M15.1663 7.38674V8.00007C15.1655 9.43769 14.7 10.8365 13.8392 11.988C12.9785 13.1394 11.7685 13.9817 10.3899 14.3893C9.0113 14.797 7.53785 14.748 6.18932 14.2498C4.8408 13.7516 3.68944 12.8308 2.90698 11.6248C2.12452 10.4188 1.75287 8.99211 1.84746 7.55761C1.94205 6.12312 2.49781 4.75762 3.43186 3.66479C4.36591 2.57195 5.6282 1.81033 7.03047 1.4935C8.43274 1.17668 9.89985 1.32163 11.213 1.90674' stroke='#111C44' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><path d='M15.1667 2.6665L8.5 9.33984L6.5 7.33984' stroke='#111C44' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><\/svg>\t\t<\/span>\n\t\t\t\t<span class=\"srfm-icon srfm-multi-choice-icon-unchecked\" aria-hidden=\"true\">\n\t\t\t<svg width='16' height='16' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'><path d='M7.99967 14.6668C11.6816 14.6668 14.6663 11.6821 14.6663 8.00016C14.6663 4.31826 11.6816 1.3335 7.99967 1.3335C4.31778 1.3335 1.33301 4.31826 1.33301 8.00016C1.33301 11.6821 4.31778 14.6668 7.99967 14.6668Z' stroke='#1E1E1E' stroke-opacity='0.7' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><\/svg>\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-multi-choice-single\">\n\t\t\t\t\t\t\t\t\t<input type=\"radio\"\n\t\t\t\t\t\t\t\t\t\tid=\"srfm-multi-choice-3a207531-2\"\n\t\t\t\t\t\t\t\t\t\tclass=\"srfm-input-multi-choice-single\" name=\"srfm-input-multi-choice-3a207531\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\/>\n\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-content-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-option-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<!-- This label content is used in conditional logic and for storing values in a hidden input field as comma-separated values.\n\t\t\t\t\t\t\t\t\t\t\tThe markup should remain unchanged.\n\t\t\t\t\t\t\t\t\t\t\tIf you make any changes here, ensure the corresponding JavaScript value functionality and conditional logic are also updated. -->\n\t\t\t\t\t\t\t\t\t\t\t<label for=\"srfm-multi-choice-3a207531-2\" data-option-text=\"3 \u2013 \u0632\u064a\u0627\u062f\u0629 \u0645\u062a\u0648\u0633\u0637\u0629\">3 \u2013 \u0632\u064a\u0627\u062f\u0629 \u0645\u062a\u0648\u0633\u0637\u0629<\/label>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-icon-container\">\t\t<span class=\"srfm-icon srfm-multi-choice-icon\" aria-hidden=\"true\">\n\t\t\t<svg width='17' height='16' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'><path d='M15.1663 7.38674V8.00007C15.1655 9.43769 14.7 10.8365 13.8392 11.988C12.9785 13.1394 11.7685 13.9817 10.3899 14.3893C9.0113 14.797 7.53785 14.748 6.18932 14.2498C4.8408 13.7516 3.68944 12.8308 2.90698 11.6248C2.12452 10.4188 1.75287 8.99211 1.84746 7.55761C1.94205 6.12312 2.49781 4.75762 3.43186 3.66479C4.36591 2.57195 5.6282 1.81033 7.03047 1.4935C8.43274 1.17668 9.89985 1.32163 11.213 1.90674' stroke='#111C44' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><path d='M15.1667 2.6665L8.5 9.33984L6.5 7.33984' stroke='#111C44' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><\/svg>\t\t<\/span>\n\t\t\t\t<span class=\"srfm-icon srfm-multi-choice-icon-unchecked\" aria-hidden=\"true\">\n\t\t\t<svg width='16' height='16' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'><path d='M7.99967 14.6668C11.6816 14.6668 14.6663 11.6821 14.6663 8.00016C14.6663 4.31826 11.6816 1.3335 7.99967 1.3335C4.31778 1.3335 1.33301 4.31826 1.33301 8.00016C1.33301 11.6821 4.31778 14.6668 7.99967 14.6668Z' stroke='#1E1E1E' stroke-opacity='0.7' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><\/svg>\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-multi-choice-single\">\n\t\t\t\t\t\t\t\t\t<input type=\"radio\"\n\t\t\t\t\t\t\t\t\t\tid=\"srfm-multi-choice-3a207531-3\"\n\t\t\t\t\t\t\t\t\t\tclass=\"srfm-input-multi-choice-single\" name=\"srfm-input-multi-choice-3a207531\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\/>\n\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-content-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-option-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<!-- This label content is used in conditional logic and for storing values in a hidden input field as comma-separated values.\n\t\t\t\t\t\t\t\t\t\t\tThe markup should remain unchanged.\n\t\t\t\t\t\t\t\t\t\t\tIf you make any changes here, ensure the corresponding JavaScript value functionality and conditional logic are also updated. -->\n\t\t\t\t\t\t\t\t\t\t\t<label for=\"srfm-multi-choice-3a207531-3\" data-option-text=\"4 \u2013 \u0632\u064a\u0627\u062f\u0629 \u0643\u0628\u064a\u0631\u0629\">4 \u2013 \u0632\u064a\u0627\u062f\u0629 \u0643\u0628\u064a\u0631\u0629<\/label>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-icon-container\">\t\t<span class=\"srfm-icon srfm-multi-choice-icon\" aria-hidden=\"true\">\n\t\t\t<svg width='17' height='16' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'><path d='M15.1663 7.38674V8.00007C15.1655 9.43769 14.7 10.8365 13.8392 11.988C12.9785 13.1394 11.7685 13.9817 10.3899 14.3893C9.0113 14.797 7.53785 14.748 6.18932 14.2498C4.8408 13.7516 3.68944 12.8308 2.90698 11.6248C2.12452 10.4188 1.75287 8.99211 1.84746 7.55761C1.94205 6.12312 2.49781 4.75762 3.43186 3.66479C4.36591 2.57195 5.6282 1.81033 7.03047 1.4935C8.43274 1.17668 9.89985 1.32163 11.213 1.90674' stroke='#111C44' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><path d='M15.1667 2.6665L8.5 9.33984L6.5 7.33984' stroke='#111C44' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><\/svg>\t\t<\/span>\n\t\t\t\t<span class=\"srfm-icon srfm-multi-choice-icon-unchecked\" aria-hidden=\"true\">\n\t\t\t<svg width='16' height='16' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'><path d='M7.99967 14.6668C11.6816 14.6668 14.6663 11.6821 14.6663 8.00016C14.6663 4.31826 11.6816 1.3335 7.99967 1.3335C4.31778 1.3335 1.33301 4.31826 1.33301 8.00016C1.33301 11.6821 4.31778 14.6668 7.99967 14.6668Z' stroke='#1E1E1E' stroke-opacity='0.7' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><\/svg>\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-multi-choice-single\">\n\t\t\t\t\t\t\t\t\t<input type=\"radio\"\n\t\t\t\t\t\t\t\t\t\tid=\"srfm-multi-choice-3a207531-4\"\n\t\t\t\t\t\t\t\t\t\tclass=\"srfm-input-multi-choice-single\" name=\"srfm-input-multi-choice-3a207531\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\/>\n\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-content-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-option-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<!-- This label content is used in conditional logic and for storing values in a hidden input field as comma-separated values.\n\t\t\t\t\t\t\t\t\t\t\tThe markup should remain unchanged.\n\t\t\t\t\t\t\t\t\t\t\tIf you make any changes here, ensure the corresponding JavaScript value functionality and conditional logic are also updated. -->\n\t\t\t\t\t\t\t\t\t\t\t<label for=\"srfm-multi-choice-3a207531-4\" data-option-text=\"5 \u2013 \u0632\u064a\u0627\u062f\u0629 \u0643\u0628\u064a\u0631\u0629 \u062c\u062f\u064b\u0627\">5 \u2013 \u0632\u064a\u0627\u062f\u0629 \u0643\u0628\u064a\u0631\u0629 \u062c\u062f\u064b\u0627<\/label>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-icon-container\">\t\t<span class=\"srfm-icon srfm-multi-choice-icon\" aria-hidden=\"true\">\n\t\t\t<svg width='17' height='16' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'><path d='M15.1663 7.38674V8.00007C15.1655 9.43769 14.7 10.8365 13.8392 11.988C12.9785 13.1394 11.7685 13.9817 10.3899 14.3893C9.0113 14.797 7.53785 14.748 6.18932 14.2498C4.8408 13.7516 3.68944 12.8308 2.90698 11.6248C2.12452 10.4188 1.75287 8.99211 1.84746 7.55761C1.94205 6.12312 2.49781 4.75762 3.43186 3.66479C4.36591 2.57195 5.6282 1.81033 7.03047 1.4935C8.43274 1.17668 9.89985 1.32163 11.213 1.90674' stroke='#111C44' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><path d='M15.1667 2.6665L8.5 9.33984L6.5 7.33984' stroke='#111C44' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><\/svg>\t\t<\/span>\n\t\t\t\t<span class=\"srfm-icon srfm-multi-choice-icon-unchecked\" aria-hidden=\"true\">\n\t\t\t<svg width='16' height='16' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'><path d='M7.99967 14.6668C11.6816 14.6668 14.6663 11.6821 14.6663 8.00016C14.6663 4.31826 11.6816 1.3335 7.99967 1.3335C4.31778 1.3335 1.33301 4.31826 1.33301 8.00016C1.33301 11.6821 4.31778 14.6668 7.99967 14.6668Z' stroke='#1E1E1E' stroke-opacity='0.7' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><\/svg>\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"srfm-error-wrap\">\t\t\t\t\t<div class=\"srfm-error-message\" data-srfm-id=\"srfm-error-3a207531\" data-error-msg=\"This field is required.\">\n\t\t\t\t\t\tThis field is required.\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t<\/fieldset>\n\t\t<\/div>\n\t\t\n\n\t\t<div data-block-id=\"60d691b2\" class=\"srfm-block-single srfm-block srfm-multi-choice-block srf-multi-choice-60d691b2-block  srfm-block-width-100 srfm-slug-%d9%87%d9%84-%d8%aa%d8%b9%d9%84%d9%85%d8%aa-%d8%b4%d9%8a%d8%a6%d9%8b%d8%a7-%d8%ac%d8%af%d9%8a%d8%af%d9%8b%d8%a7%d8%9f 2781 srfm-radio-mode\">\n\t\t\t<fieldset>\n\t\t\t\t<input class=\"srfm-input-multi-choice-hidden\" data-required=\"true\" aria-required=\"true\"  name=\"srfm-input-multi-choice-60d691b2-lbl-2YfZhCDYqti52YTZhdiqINi02YrYptmL2Kcg2KzYr9mK2K\/Zi9in2J8-%d9%87%d9%84-%d8%aa%d8%b9%d9%84%d9%85%d8%aa-%d8%b4%d9%8a%d8%a6%d9%8b%d8%a7-%d8%ac%d8%af%d9%8a%d8%af%d9%8b%d8%a7%d8%9f\" type=\"hidden\" value=\"\"\/>\n\t\t\t\t<legend class=\"srfm-block-legend\">\n\t\t\t\t\t\t\t\t\t\t\u0647\u0644 \u062a\u0639\u0644\u0645\u062a \u0634\u064a\u0626\u064b\u0627 \u062c\u062f\u064a\u062f\u064b\u0627\u061f\t\t\t\t\t\t\t\t\t\t\t<span class=\"srfm-required\" aria-hidden=\"true\"> *<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/legend>\n\t\t\t\t\t\t\t\t\t<div class=\"srfm-description\" id=\"srfm-description-60d691b2\">\n\t\t\t\t\t\t\u0627\u062e\u062a\u0631 \u0625\u062c\u0627\u0628\u062a\u0643.\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-wrap srfm-choice-width-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-multi-choice-single\">\n\t\t\t\t\t\t\t\t\t<input type=\"radio\"\n\t\t\t\t\t\t\t\t\t\tid=\"srfm-multi-choice-60d691b2-0\"\n\t\t\t\t\t\t\t\t\t\tclass=\"srfm-input-multi-choice-single\" name=\"srfm-input-multi-choice-60d691b2\"\t\t\t\t\t\t\t\t\t\taria-describedby=\"srfm-error-60d691b2 srfm-description-60d691b2\"\t\t\t\t\t\t\t\t\t\taria-required=\"true\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\/>\n\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-content-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-option-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<!-- This label content is used in conditional logic and for storing values in a hidden input field as comma-separated values.\n\t\t\t\t\t\t\t\t\t\t\tThe markup should remain unchanged.\n\t\t\t\t\t\t\t\t\t\t\tIf you make any changes here, ensure the corresponding JavaScript value functionality and conditional logic are also updated. -->\n\t\t\t\t\t\t\t\t\t\t\t<label for=\"srfm-multi-choice-60d691b2-0\" data-option-text=\"\u0646\u0639\u0645\">\u0646\u0639\u0645<\/label>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-icon-container\">\t\t<span class=\"srfm-icon srfm-multi-choice-icon\" aria-hidden=\"true\">\n\t\t\t<svg width='17' height='16' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'><path d='M15.1663 7.38674V8.00007C15.1655 9.43769 14.7 10.8365 13.8392 11.988C12.9785 13.1394 11.7685 13.9817 10.3899 14.3893C9.0113 14.797 7.53785 14.748 6.18932 14.2498C4.8408 13.7516 3.68944 12.8308 2.90698 11.6248C2.12452 10.4188 1.75287 8.99211 1.84746 7.55761C1.94205 6.12312 2.49781 4.75762 3.43186 3.66479C4.36591 2.57195 5.6282 1.81033 7.03047 1.4935C8.43274 1.17668 9.89985 1.32163 11.213 1.90674' stroke='#111C44' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><path d='M15.1667 2.6665L8.5 9.33984L6.5 7.33984' stroke='#111C44' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><\/svg>\t\t<\/span>\n\t\t\t\t<span class=\"srfm-icon srfm-multi-choice-icon-unchecked\" aria-hidden=\"true\">\n\t\t\t<svg width='16' height='16' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'><path d='M7.99967 14.6668C11.6816 14.6668 14.6663 11.6821 14.6663 8.00016C14.6663 4.31826 11.6816 1.3335 7.99967 1.3335C4.31778 1.3335 1.33301 4.31826 1.33301 8.00016C1.33301 11.6821 4.31778 14.6668 7.99967 14.6668Z' stroke='#1E1E1E' stroke-opacity='0.7' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><\/svg>\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-multi-choice-single\">\n\t\t\t\t\t\t\t\t\t<input type=\"radio\"\n\t\t\t\t\t\t\t\t\t\tid=\"srfm-multi-choice-60d691b2-1\"\n\t\t\t\t\t\t\t\t\t\tclass=\"srfm-input-multi-choice-single\" name=\"srfm-input-multi-choice-60d691b2\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\/>\n\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-content-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-option-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<!-- This label content is used in conditional logic and for storing values in a hidden input field as comma-separated values.\n\t\t\t\t\t\t\t\t\t\t\tThe markup should remain unchanged.\n\t\t\t\t\t\t\t\t\t\t\tIf you make any changes here, ensure the corresponding JavaScript value functionality and conditional logic are also updated. -->\n\t\t\t\t\t\t\t\t\t\t\t<label for=\"srfm-multi-choice-60d691b2-1\" data-option-text=\"\u0644\u0627\">No<\/label>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-icon-container\">\t\t<span class=\"srfm-icon srfm-multi-choice-icon\" aria-hidden=\"true\">\n\t\t\t<svg width='17' height='16' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'><path d='M15.1663 7.38674V8.00007C15.1655 9.43769 14.7 10.8365 13.8392 11.988C12.9785 13.1394 11.7685 13.9817 10.3899 14.3893C9.0113 14.797 7.53785 14.748 6.18932 14.2498C4.8408 13.7516 3.68944 12.8308 2.90698 11.6248C2.12452 10.4188 1.75287 8.99211 1.84746 7.55761C1.94205 6.12312 2.49781 4.75762 3.43186 3.66479C4.36591 2.57195 5.6282 1.81033 7.03047 1.4935C8.43274 1.17668 9.89985 1.32163 11.213 1.90674' stroke='#111C44' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><path d='M15.1667 2.6665L8.5 9.33984L6.5 7.33984' stroke='#111C44' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><\/svg>\t\t<\/span>\n\t\t\t\t<span class=\"srfm-icon srfm-multi-choice-icon-unchecked\" aria-hidden=\"true\">\n\t\t\t<svg width='16' height='16' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'><path d='M7.99967 14.6668C11.6816 14.6668 14.6663 11.6821 14.6663 8.00016C14.6663 4.31826 11.6816 1.3335 7.99967 1.3335C4.31778 1.3335 1.33301 4.31826 1.33301 8.00016C1.33301 11.6821 4.31778 14.6668 7.99967 14.6668Z' stroke='#1E1E1E' stroke-opacity='0.7' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><\/svg>\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"srfm-error-wrap\">\t\t\t\t\t<div class=\"srfm-error-message\" data-srfm-id=\"srfm-error-60d691b2\" data-error-msg=\"This field is required.\">\n\t\t\t\t\t\tThis field is required.\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t<\/fieldset>\n\t\t<\/div>\n\t\t\n\n\t\t<div data-block-id=\"a71c8d8d\" class=\"srfm-block-single srfm-block srfm-textarea-block srf-textarea-a71c8d8d-block  srfm-block-width-100 2781\">\n\t\t\t\t\t\t\t\t<label id=\"srfm-label-a71c8d8d-lbl-2YXYp9iw2Kcg2KrYudmE2YXYqtif-4603\" for=\"srfm-textarea-a71c8d8d-lbl-2YXYp9iw2Kcg2KrYudmE2YXYqtif-4603\" class=\"srfm-block-label\">\n\t\t\t\t\t\t\u0645\u0627\u0630\u0627 \u062a\u0639\u0644\u0645\u062a\u061f\t\t\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-description\" id=\"srfm-description-a71c8d8d\">\n\t\t\t\t\t\t\u064a\u0631\u062c\u0649 \u062a\u0648\u0636\u064a\u062d \u0645\u0627 \u062a\u0639\u0644\u0645\u062a\u0647.\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"srfm-block-wrap\">\n\t\t\t\t<textarea\n\t\t\t\t\tclass=\"srfm-input-common srfm-input-textarea\"\n\t\t\t\t\tname=\"srfm-textarea-a71c8d8d-lbl-2YXYp9iw2Kcg2KrYudmE2YXYqtif-%d9%85%d8%a7%d8%b0%d8%a7-%d8%aa%d8%b9%d9%84%d9%85%d8%aa%d8%9f\"\n\t\t\t\t\tid=\"srfm-textarea-a71c8d8d-lbl-2YXYp9iw2Kcg2KrYudmE2YXYqtif-4603\"\n\t\t\t\t\taria-describedby='srfm-error-a71c8d8d srfm-description-a71c8d8d'\t\t\t\t\tdata-required=\"false\" aria-required=\"false\"  rows=\"4\"  \t\t\t\t\t\t\t\t\t\t\t\t\t\t\t><\/textarea>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t<div class=\"srfm-error-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\n\t\t\n\n\t\t<div data-block-id=\"07c71d3a\" class=\"srfm-block-single srfm-block srfm-multi-choice-block srf-multi-choice-07c71d3a-block  srfm-block-width-100 srfm-slug-strong\u0647\u0644-\u062a\u0645\u0643\u0646\u062a-\u0645\u0646-\u062a\u0637\u0628\u064a\u0642-\u0645\u0627-\u062a\u0639\u0644\u0645\u062a\u0647-\u0641\u064a-\u0645\u0648\u0627\u0642\u0641-\u0627\u0644\u0631\u0639\u0627\u064a\u0629-\u0627\u0644\u062d\u0642\u064a\u0642\u064a\u0629-strong 2781 srfm-checkbox-mode\">\n\t\t\t<fieldset>\n\t\t\t\t<input class=\"srfm-input-multi-choice-hidden\" data-required=\"false\" aria-required=\"false\"  name=\"srfm-input-multi-choice-07c71d3a-lbl-2YfZhCDYqtmF2YPZhtiqINmF2YYg2KrYt9io2YrZgiDZhdinINiq2LnZhNmF2KrZhyDZgdmKINmF2YjYp9mC2YEg2KfZhNix2LnYp9mK2Kkg2KfZhNit2YLZitmC2YrYqdif-strong\u0647\u0644-\u062a\u0645\u0643\u0646\u062a-\u0645\u0646-\u062a\u0637\u0628\u064a\u0642-\u0645\u0627-\u062a\u0639\u0644\u0645\u062a\u0647-\u0641\u064a-\u0645\u0648\u0627\u0642\u0641-\u0627\u0644\u0631\u0639\u0627\u064a\u0629-\u0627\u0644\u062d\u0642\u064a\u0642\u064a\u0629-strong\" type=\"hidden\" value=\"\"\/>\n\t\t\t\t<legend class=\"srfm-block-legend\">\n\t\t\t\t\t\t\t\t\t\t<strong>\u0647\u0644 \u062a\u0645\u0643\u0646\u062a \u0645\u0646 \u062a\u0637\u0628\u064a\u0642 \u0645\u0627 \u062a\u0639\u0644\u0645\u062a\u0647 \u0641\u064a \u0645\u0648\u0627\u0642\u0641 \u0627\u0644\u0631\u0639\u0627\u064a\u0629 \u0627\u0644\u062d\u0642\u064a\u0642\u064a\u0629\u061f<\/strong>\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/legend>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-wrap srfm-choice-width-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-multi-choice-single\">\n\t\t\t\t\t\t\t\t\t<input type=\"checkbox\"\n\t\t\t\t\t\t\t\t\t\tid=\"srfm-multi-choice-07c71d3a-0\"\n\t\t\t\t\t\t\t\t\t\tclass=\"srfm-input-multi-choice-single\" \t\t\t\t\t\t\t\t\t\taria-describedby=\"srfm-error-07c71d3a\"\t\t\t\t\t\t\t\t\t\taria-required=\"false\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\/>\n\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-content-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-option-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<!-- This label content is used in conditional logic and for storing values in a hidden input field as comma-separated values.\n\t\t\t\t\t\t\t\t\t\t\tThe markup should remain unchanged.\n\t\t\t\t\t\t\t\t\t\t\tIf you make any changes here, ensure the corresponding JavaScript value functionality and conditional logic are also updated. -->\n\t\t\t\t\t\t\t\t\t\t\t<label for=\"srfm-multi-choice-07c71d3a-0\" data-option-text=\"\u0646\u0639\u0645\">\u0646\u0639\u0645<\/label>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-icon-container\">\t\t<span class=\"srfm-icon srfm-multi-choice-icon\" aria-hidden=\"true\">\n\t\t\t<svg width='17' height='16' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'><path d='M6.5 7.33366L8.5 9.33366L15.1667 2.66699' stroke='#111C44' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><path d='M14.5 8V12.6667C14.5 13.0203 14.3595 13.3594 14.1095 13.6095C13.8594 13.8595 13.5203 14 13.1667 14H3.83333C3.47971 14 3.14057 13.8595 2.89052 13.6095C2.64048 13.3594 2.5 13.0203 2.5 12.6667V3.33333C2.5 2.97971 2.64048 2.64057 2.89052 2.39052C3.14057 2.14048 3.47971 2 3.83333 2H11.1667' stroke='#111C44' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><\/svg>\t\t<\/span>\n\t\t\t\t<span class=\"srfm-icon srfm-multi-choice-icon-unchecked\" aria-hidden=\"true\">\n\t\t\t<svg width='16' height='16' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'><path d='M12.6667 2H3.33333C2.59695 2 2 2.59695 2 3.33333V12.6667C2 13.403 2.59695 14 3.33333 14H12.6667C13.403 14 14 13.403 14 12.6667V3.33333C14 2.59695 13.403 2 12.6667 2Z' stroke='#1E1E1E' stroke-opacity='0.7' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><\/svg>\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-multi-choice-single\">\n\t\t\t\t\t\t\t\t\t<input type=\"checkbox\"\n\t\t\t\t\t\t\t\t\t\tid=\"srfm-multi-choice-07c71d3a-1\"\n\t\t\t\t\t\t\t\t\t\tclass=\"srfm-input-multi-choice-single\" \t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\/>\n\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-content-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-option-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<!-- This label content is used in conditional logic and for storing values in a hidden input field as comma-separated values.\n\t\t\t\t\t\t\t\t\t\t\tThe markup should remain unchanged.\n\t\t\t\t\t\t\t\t\t\t\tIf you make any changes here, ensure the corresponding JavaScript value functionality and conditional logic are also updated. -->\n\t\t\t\t\t\t\t\t\t\t\t<label for=\"srfm-multi-choice-07c71d3a-1\" data-option-text=\"\u0644\u0627\">No<\/label>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-icon-container\">\t\t<span class=\"srfm-icon srfm-multi-choice-icon\" aria-hidden=\"true\">\n\t\t\t<svg width='17' height='16' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'><path d='M6.5 7.33366L8.5 9.33366L15.1667 2.66699' stroke='#111C44' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><path d='M14.5 8V12.6667C14.5 13.0203 14.3595 13.3594 14.1095 13.6095C13.8594 13.8595 13.5203 14 13.1667 14H3.83333C3.47971 14 3.14057 13.8595 2.89052 13.6095C2.64048 13.3594 2.5 13.0203 2.5 12.6667V3.33333C2.5 2.97971 2.64048 2.64057 2.89052 2.39052C3.14057 2.14048 3.47971 2 3.83333 2H11.1667' stroke='#111C44' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><\/svg>\t\t<\/span>\n\t\t\t\t<span class=\"srfm-icon srfm-multi-choice-icon-unchecked\" aria-hidden=\"true\">\n\t\t\t<svg width='16' height='16' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'><path d='M12.6667 2H3.33333C2.59695 2 2 2.59695 2 3.33333V12.6667C2 13.403 2.59695 14 3.33333 14H12.6667C13.403 14 14 13.403 14 12.6667V3.33333C14 2.59695 13.403 2 12.6667 2Z' stroke='#1E1E1E' stroke-opacity='0.7' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><\/svg>\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"srfm-error-wrap\"><\/div>\n\t\t\t<\/fieldset>\n\t\t<\/div>\n\t\t\n\n\t\t<div data-block-id=\"fe73e256\" class=\"srfm-block-single srfm-block srfm-textarea-block srf-textarea-fe73e256-block  srfm-block-width-100 2781\">\n\t\t\t\t\t\t\t\t<label id=\"srfm-label-fe73e256-lbl-2YXYpyDYp9mE2K7Yt9mI2Kkg2KfZhNiq2Yog2LfYqNmC2KrZh9in2J8-3856\" for=\"srfm-textarea-fe73e256-lbl-2YXYpyDYp9mE2K7Yt9mI2Kkg2KfZhNiq2Yog2LfYqNmC2KrZh9in2J8-3856\" class=\"srfm-block-label\">\n\t\t\t\t\t\t\u0645\u0627 \u0627\u0644\u062e\u0637\u0648\u0629 \u0627\u0644\u062a\u064a \u0637\u0628\u0642\u062a\u0647\u0627\u061f\t\t\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-description\" id=\"srfm-description-fe73e256\">\n\t\t\t\t\t\t\u064a\u0631\u062c\u0649 \u062a\u0648\u0636\u064a\u062d \u0627\u0644\u062e\u0637\u0648\u0629 \u0627\u0644\u062a\u064a \u0637\u0628\u0642\u062a\u0647\u0627.\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"srfm-block-wrap\">\n\t\t\t\t<textarea\n\t\t\t\t\tclass=\"srfm-input-common srfm-input-textarea\"\n\t\t\t\t\tname=\"srfm-textarea-fe73e256-lbl-2YXYpyDYp9mE2K7Yt9mI2Kkg2KfZhNiq2Yog2LfYqNmC2KrZh9in2J8-%d9%85%d8%a7-%d8%a7%d9%84%d8%ae%d8%b7%d9%88%d8%a9-%d8%a7%d9%84%d8%aa%d9%8a-%d8%b7%d8%a8%d9%82%d8%aa%d9%87%d8%a7%d8%9f\"\n\t\t\t\t\tid=\"srfm-textarea-fe73e256-lbl-2YXYpyDYp9mE2K7Yt9mI2Kkg2KfZhNiq2Yog2LfYqNmC2KrZh9in2J8-3856\"\n\t\t\t\t\taria-describedby='srfm-error-fe73e256 srfm-description-fe73e256'\t\t\t\t\tdata-required=\"false\" aria-required=\"false\"  rows=\"4\"  \t\t\t\t\t\t\t\t\t\t\t\t\t\t\t><\/textarea>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t<div class=\"srfm-error-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\n\t\t\n\n\t\t<div data-block-id=\"4f206a59\" class=\"srfm-block-single srfm-block srfm-multi-choice-block srf-multi-choice-4f206a59-block  srfm-block-width-100 srfm-slug-%d9%87%d9%84-%d9%88%d8%a7%d8%ac%d9%87%d8%aa-%d8%a3%d9%8a-%d8%b5%d8%b9%d9%88%d8%a8%d8%a9%d8%9f 2781 srfm-checkbox-mode\">\n\t\t\t<fieldset>\n\t\t\t\t<input class=\"srfm-input-multi-choice-hidden\" data-required=\"false\" aria-required=\"false\"  name=\"srfm-input-multi-choice-4f206a59-lbl-2YfZhCDZiNin2KzZh9iqINij2Yog2LXYudmI2KjYp9iqINij2KvZhtin2KEg2KfYs9iq2K7Yr9in2YUg2KfZhNmF2YbYtdipINij2Ygg2KrYt9io2YrZgiDYp9mE2YXYrdiq2YjZidif-%d9%87%d9%84-%d9%88%d8%a7%d8%ac%d9%87%d8%aa-%d8%a3%d9%8a-%d8%b5%d8%b9%d9%88%d8%a8%d8%a9%d8%9f\" type=\"hidden\" value=\"\"\/>\n\t\t\t\t<legend class=\"srfm-block-legend\">\n\t\t\t\t\t\t\t\t\t\t<strong>\u0647\u0644 \u0648\u0627\u062c\u0647\u062a \u0623\u064a \u0635\u0639\u0648\u0628\u0627\u062a \u0623\u062b\u0646\u0627\u0621 \u0627\u0633\u062a\u062e\u062f\u0627\u0645 \u0627\u0644\u0645\u0646\u0635\u0629 \u0623\u0648 \u062a\u0637\u0628\u064a\u0642 \u0627\u0644\u0645\u062d\u062a\u0648\u0649\u061f<\/strong>\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/legend>\n\t\t\t\t\t\t\t\t\t<div class=\"srfm-description\" id=\"srfm-description-4f206a59\">\n\t\t\t\t\t\t\u0627\u062e\u062a\u0631 \u0643\u0644 \u0645\u0627 \u064a\u0646\u0637\u0628\u0642.\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-wrap srfm-choice-width-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-multi-choice-single\">\n\t\t\t\t\t\t\t\t\t<input type=\"checkbox\"\n\t\t\t\t\t\t\t\t\t\tid=\"srfm-multi-choice-4f206a59-0\"\n\t\t\t\t\t\t\t\t\t\tclass=\"srfm-input-multi-choice-single\" \t\t\t\t\t\t\t\t\t\taria-describedby=\"srfm-error-4f206a59 srfm-description-4f206a59\"\t\t\t\t\t\t\t\t\t\taria-required=\"false\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\/>\n\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-content-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-option-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<!-- This label content is used in conditional logic and for storing values in a hidden input field as comma-separated values.\n\t\t\t\t\t\t\t\t\t\t\tThe markup should remain unchanged.\n\t\t\t\t\t\t\t\t\t\t\tIf you make any changes here, ensure the corresponding JavaScript value functionality and conditional logic are also updated. -->\n\t\t\t\t\t\t\t\t\t\t\t<label for=\"srfm-multi-choice-4f206a59-0\" data-option-text=\"\u0641\u0647\u0645 \u0627\u0644\u0645\u062d\u062a\u0648\u0649\">\u0641\u0647\u0645 \u0627\u0644\u0645\u062d\u062a\u0648\u0649<\/label>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-icon-container\">\t\t<span class=\"srfm-icon srfm-multi-choice-icon\" aria-hidden=\"true\">\n\t\t\t<svg width='17' height='16' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'><path d='M6.5 7.33366L8.5 9.33366L15.1667 2.66699' stroke='#111C44' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><path d='M14.5 8V12.6667C14.5 13.0203 14.3595 13.3594 14.1095 13.6095C13.8594 13.8595 13.5203 14 13.1667 14H3.83333C3.47971 14 3.14057 13.8595 2.89052 13.6095C2.64048 13.3594 2.5 13.0203 2.5 12.6667V3.33333C2.5 2.97971 2.64048 2.64057 2.89052 2.39052C3.14057 2.14048 3.47971 2 3.83333 2H11.1667' stroke='#111C44' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><\/svg>\t\t<\/span>\n\t\t\t\t<span class=\"srfm-icon srfm-multi-choice-icon-unchecked\" aria-hidden=\"true\">\n\t\t\t<svg width='16' height='16' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'><path d='M12.6667 2H3.33333C2.59695 2 2 2.59695 2 3.33333V12.6667C2 13.403 2.59695 14 3.33333 14H12.6667C13.403 14 14 13.403 14 12.6667V3.33333C14 2.59695 13.403 2 12.6667 2Z' stroke='#1E1E1E' stroke-opacity='0.7' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><\/svg>\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-multi-choice-single\">\n\t\t\t\t\t\t\t\t\t<input type=\"checkbox\"\n\t\t\t\t\t\t\t\t\t\tid=\"srfm-multi-choice-4f206a59-1\"\n\t\t\t\t\t\t\t\t\t\tclass=\"srfm-input-multi-choice-single\" \t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\/>\n\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-content-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-option-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<!-- This label content is used in conditional logic and for storing values in a hidden input field as comma-separated values.\n\t\t\t\t\t\t\t\t\t\t\tThe markup should remain unchanged.\n\t\t\t\t\t\t\t\t\t\t\tIf you make any changes here, ensure the corresponding JavaScript value functionality and conditional logic are also updated. -->\n\t\t\t\t\t\t\t\t\t\t\t<label for=\"srfm-multi-choice-4f206a59-1\" data-option-text=\"\u062a\u0637\u0628\u064a\u0642 \u0627\u0644\u062e\u0637\u0648\u0627\u062a \u0641\u064a \u0627\u0644\u0648\u0627\u0642\u0639\">\u062a\u0637\u0628\u064a\u0642 \u0627\u0644\u062e\u0637\u0648\u0627\u062a \u0641\u064a \u0627\u0644\u0648\u0627\u0642\u0639<\/label>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-icon-container\">\t\t<span class=\"srfm-icon srfm-multi-choice-icon\" aria-hidden=\"true\">\n\t\t\t<svg width='17' height='16' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'><path d='M6.5 7.33366L8.5 9.33366L15.1667 2.66699' stroke='#111C44' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><path d='M14.5 8V12.6667C14.5 13.0203 14.3595 13.3594 14.1095 13.6095C13.8594 13.8595 13.5203 14 13.1667 14H3.83333C3.47971 14 3.14057 13.8595 2.89052 13.6095C2.64048 13.3594 2.5 13.0203 2.5 12.6667V3.33333C2.5 2.97971 2.64048 2.64057 2.89052 2.39052C3.14057 2.14048 3.47971 2 3.83333 2H11.1667' stroke='#111C44' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><\/svg>\t\t<\/span>\n\t\t\t\t<span class=\"srfm-icon srfm-multi-choice-icon-unchecked\" aria-hidden=\"true\">\n\t\t\t<svg width='16' height='16' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'><path d='M12.6667 2H3.33333C2.59695 2 2 2.59695 2 3.33333V12.6667C2 13.403 2.59695 14 3.33333 14H12.6667C13.403 14 14 13.403 14 12.6667V3.33333C14 2.59695 13.403 2 12.6667 2Z' stroke='#1E1E1E' stroke-opacity='0.7' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><\/svg>\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-multi-choice-single\">\n\t\t\t\t\t\t\t\t\t<input type=\"checkbox\"\n\t\t\t\t\t\t\t\t\t\tid=\"srfm-multi-choice-4f206a59-2\"\n\t\t\t\t\t\t\t\t\t\tclass=\"srfm-input-multi-choice-single\" \t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\/>\n\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-content-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-option-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<!-- This label content is used in conditional logic and for storing values in a hidden input field as comma-separated values.\n\t\t\t\t\t\t\t\t\t\t\tThe markup should remain unchanged.\n\t\t\t\t\t\t\t\t\t\t\tIf you make any changes here, ensure the corresponding JavaScript value functionality and conditional logic are also updated. -->\n\t\t\t\t\t\t\t\t\t\t\t<label for=\"srfm-multi-choice-4f206a59-2\" data-option-text=\"\u0627\u0644\u0644\u063a\u0629 \/ \u0627\u0644\u0645\u0635\u0637\u0644\u062d\u0627\u062a\">\u0627\u0644\u0644\u063a\u0629 \/ \u0627\u0644\u0645\u0635\u0637\u0644\u062d\u0627\u062a<\/label>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-icon-container\">\t\t<span class=\"srfm-icon srfm-multi-choice-icon\" aria-hidden=\"true\">\n\t\t\t<svg width='17' height='16' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'><path d='M6.5 7.33366L8.5 9.33366L15.1667 2.66699' stroke='#111C44' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><path d='M14.5 8V12.6667C14.5 13.0203 14.3595 13.3594 14.1095 13.6095C13.8594 13.8595 13.5203 14 13.1667 14H3.83333C3.47971 14 3.14057 13.8595 2.89052 13.6095C2.64048 13.3594 2.5 13.0203 2.5 12.6667V3.33333C2.5 2.97971 2.64048 2.64057 2.89052 2.39052C3.14057 2.14048 3.47971 2 3.83333 2H11.1667' stroke='#111C44' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><\/svg>\t\t<\/span>\n\t\t\t\t<span class=\"srfm-icon srfm-multi-choice-icon-unchecked\" aria-hidden=\"true\">\n\t\t\t<svg width='16' height='16' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'><path d='M12.6667 2H3.33333C2.59695 2 2 2.59695 2 3.33333V12.6667C2 13.403 2.59695 14 3.33333 14H12.6667C13.403 14 14 13.403 14 12.6667V3.33333C14 2.59695 13.403 2 12.6667 2Z' stroke='#1E1E1E' stroke-opacity='0.7' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><\/svg>\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-multi-choice-single\">\n\t\t\t\t\t\t\t\t\t<input type=\"checkbox\"\n\t\t\t\t\t\t\t\t\t\tid=\"srfm-multi-choice-4f206a59-3\"\n\t\t\t\t\t\t\t\t\t\tclass=\"srfm-input-multi-choice-single\" \t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\/>\n\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-content-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-option-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<!-- This label content is used in conditional logic and for storing values in a hidden input field as comma-separated values.\n\t\t\t\t\t\t\t\t\t\t\tThe markup should remain unchanged.\n\t\t\t\t\t\t\t\t\t\t\tIf you make any changes here, ensure the corresponding JavaScript value functionality and conditional logic are also updated. -->\n\t\t\t\t\t\t\t\t\t\t\t<label for=\"srfm-multi-choice-4f206a59-3\" data-option-text=\"\u0636\u064a\u0642 \u0627\u0644\u0648\u0642\u062a\">\u0636\u064a\u0642 \u0627\u0644\u0648\u0642\u062a<\/label>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-icon-container\">\t\t<span class=\"srfm-icon srfm-multi-choice-icon\" aria-hidden=\"true\">\n\t\t\t<svg width='17' height='16' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'><path d='M6.5 7.33366L8.5 9.33366L15.1667 2.66699' stroke='#111C44' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><path d='M14.5 8V12.6667C14.5 13.0203 14.3595 13.3594 14.1095 13.6095C13.8594 13.8595 13.5203 14 13.1667 14H3.83333C3.47971 14 3.14057 13.8595 2.89052 13.6095C2.64048 13.3594 2.5 13.0203 2.5 12.6667V3.33333C2.5 2.97971 2.64048 2.64057 2.89052 2.39052C3.14057 2.14048 3.47971 2 3.83333 2H11.1667' stroke='#111C44' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><\/svg>\t\t<\/span>\n\t\t\t\t<span class=\"srfm-icon srfm-multi-choice-icon-unchecked\" aria-hidden=\"true\">\n\t\t\t<svg width='16' height='16' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'><path d='M12.6667 2H3.33333C2.59695 2 2 2.59695 2 3.33333V12.6667C2 13.403 2.59695 14 3.33333 14H12.6667C13.403 14 14 13.403 14 12.6667V3.33333C14 2.59695 13.403 2 12.6667 2Z' stroke='#1E1E1E' stroke-opacity='0.7' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><\/svg>\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-multi-choice-single\">\n\t\t\t\t\t\t\t\t\t<input type=\"checkbox\"\n\t\t\t\t\t\t\t\t\t\tid=\"srfm-multi-choice-4f206a59-4\"\n\t\t\t\t\t\t\t\t\t\tclass=\"srfm-input-multi-choice-single\" \t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\/>\n\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-content-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-option-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<!-- This label content is used in conditional logic and for storing values in a hidden input field as comma-separated values.\n\t\t\t\t\t\t\t\t\t\t\tThe markup should remain unchanged.\n\t\t\t\t\t\t\t\t\t\t\tIf you make any changes here, ensure the corresponding JavaScript value functionality and conditional logic are also updated. -->\n\t\t\t\t\t\t\t\t\t\t\t<label for=\"srfm-multi-choice-4f206a59-4\" data-option-text=\"\u0645\u0634\u0643\u0644\u0627\u062a \u062a\u0642\u0646\u064a\u0629 \/ \u0627\u0644\u0625\u0646\u062a\u0631\u0646\u062a\">\u0645\u0634\u0643\u0644\u0627\u062a \u062a\u0642\u0646\u064a\u0629 \/ \u0627\u0644\u0625\u0646\u062a\u0631\u0646\u062a<\/label>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-icon-container\">\t\t<span class=\"srfm-icon srfm-multi-choice-icon\" aria-hidden=\"true\">\n\t\t\t<svg width='17' height='16' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'><path d='M6.5 7.33366L8.5 9.33366L15.1667 2.66699' stroke='#111C44' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><path d='M14.5 8V12.6667C14.5 13.0203 14.3595 13.3594 14.1095 13.6095C13.8594 13.8595 13.5203 14 13.1667 14H3.83333C3.47971 14 3.14057 13.8595 2.89052 13.6095C2.64048 13.3594 2.5 13.0203 2.5 12.6667V3.33333C2.5 2.97971 2.64048 2.64057 2.89052 2.39052C3.14057 2.14048 3.47971 2 3.83333 2H11.1667' stroke='#111C44' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><\/svg>\t\t<\/span>\n\t\t\t\t<span class=\"srfm-icon srfm-multi-choice-icon-unchecked\" aria-hidden=\"true\">\n\t\t\t<svg width='16' height='16' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'><path d='M12.6667 2H3.33333C2.59695 2 2 2.59695 2 3.33333V12.6667C2 13.403 2.59695 14 3.33333 14H12.6667C13.403 14 14 13.403 14 12.6667V3.33333C14 2.59695 13.403 2 12.6667 2Z' stroke='#1E1E1E' stroke-opacity='0.7' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><\/svg>\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-multi-choice-single\">\n\t\t\t\t\t\t\t\t\t<input type=\"checkbox\"\n\t\t\t\t\t\t\t\t\t\tid=\"srfm-multi-choice-4f206a59-5\"\n\t\t\t\t\t\t\t\t\t\tclass=\"srfm-input-multi-choice-single\" \t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\/>\n\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-content-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-option-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<!-- This label content is used in conditional logic and for storing values in a hidden input field as comma-separated values.\n\t\t\t\t\t\t\t\t\t\t\tThe markup should remain unchanged.\n\t\t\t\t\t\t\t\t\t\t\tIf you make any changes here, ensure the corresponding JavaScript value functionality and conditional logic are also updated. -->\n\t\t\t\t\t\t\t\t\t\t\t<label for=\"srfm-multi-choice-4f206a59-5\" data-option-text=\"\u0644\u0627 \u062a\u0648\u062c\u062f \u0635\u0639\u0648\u0628\u0627\u062a \u0643\u0628\u064a\u0631\u0629\">\u0644\u0627 \u062a\u0648\u062c\u062f \u0635\u0639\u0648\u0628\u0627\u062a \u0643\u0628\u064a\u0631\u0629<\/label>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-icon-container\">\t\t<span class=\"srfm-icon srfm-multi-choice-icon\" aria-hidden=\"true\">\n\t\t\t<svg width='17' height='16' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'><path d='M6.5 7.33366L8.5 9.33366L15.1667 2.66699' stroke='#111C44' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><path d='M14.5 8V12.6667C14.5 13.0203 14.3595 13.3594 14.1095 13.6095C13.8594 13.8595 13.5203 14 13.1667 14H3.83333C3.47971 14 3.14057 13.8595 2.89052 13.6095C2.64048 13.3594 2.5 13.0203 2.5 12.6667V3.33333C2.5 2.97971 2.64048 2.64057 2.89052 2.39052C3.14057 2.14048 3.47971 2 3.83333 2H11.1667' stroke='#111C44' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><\/svg>\t\t<\/span>\n\t\t\t\t<span class=\"srfm-icon srfm-multi-choice-icon-unchecked\" aria-hidden=\"true\">\n\t\t\t<svg width='16' height='16' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'><path d='M12.6667 2H3.33333C2.59695 2 2 2.59695 2 3.33333V12.6667C2 13.403 2.59695 14 3.33333 14H12.6667C13.403 14 14 13.403 14 12.6667V3.33333C14 2.59695 13.403 2 12.6667 2Z' stroke='#1E1E1E' stroke-opacity='0.7' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><\/svg>\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"srfm-error-wrap\"><\/div>\n\t\t\t<\/fieldset>\n\t\t<\/div>\n\t\t\n\n\t\t<div data-block-id=\"6e99ed64\" class=\"srfm-block-single srfm-block srfm-multi-choice-block srf-multi-choice-6e99ed64-block  srfm-block-width-100 srfm-slug-%d9%85%d8%a7-%d8%a7%d9%84%d9%85%d9%88%d8%a7%d8%b6%d9%8a%d8%b9-%d8%a7%d9%84%d8%aa%d9%8a-%d8%aa%d9%88%d8%af-%d8%a7%d9%84%d9%85%d8%b2%d9%8a%d8%af-%d9%85%d9%86-%d8%a7%d9%84%d9%85%d8%ad%d8%aa%d9%88%d9%89 2781 srfm-checkbox-mode\">\n\t\t\t<fieldset>\n\t\t\t\t<input class=\"srfm-input-multi-choice-hidden\" data-required=\"false\" aria-required=\"false\"  name=\"srfm-input-multi-choice-6e99ed64-lbl-2YXYpyDZhdiv2Ykg2LPZh9mI2YTYqSDYp9iz2KrYrtiv2KfZhSDYp9mE2YXZhti12KnYnyAo2KfZhNiq2LXZhdmK2YXYjCDYp9mE2KrYtdmB2K3YjCDYp9mE2YjYttmI2K0p-%d9%85%d8%a7-%d8%a7%d9%84%d9%85%d9%88%d8%a7%d8%b6%d9%8a%d8%b9-%d8%a7%d9%84%d8%aa%d9%8a-%d8%aa%d9%88%d8%af-%d8%a7%d9%84%d9%85%d8%b2%d9%8a%d8%af-%d9%85%d9%86-%d8%a7%d9%84%d9%85%d8%ad%d8%aa%d9%88%d9%89\" type=\"hidden\" value=\"\"\/>\n\t\t\t\t<legend class=\"srfm-block-legend\">\n\t\t\t\t\t\t\t\t\t\t<strong>\u0645\u0627 \u0645\u062f\u0649 \u0633\u0647\u0648\u0644\u0629 \u0627\u0633\u062a\u062e\u062f\u0627\u0645 \u0627\u0644\u0645\u0646\u0635\u0629\u061f (\u0627\u0644\u062a\u0635\u0645\u064a\u0645\u060c \u0627\u0644\u062a\u0635\u0641\u062d\u060c \u0627\u0644\u0648\u0636\u0648\u062d)<\/strong>\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/legend>\n\t\t\t\t\t\t\t\t\t<div class=\"srfm-description\" id=\"srfm-description-6e99ed64\">\n\t\t\t\t\t\t\u0627\u062e\u062a\u0631 \u0643\u0644 \u0645\u0627 \u064a\u0646\u0637\u0628\u0642.\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-wrap srfm-choice-width-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-multi-choice-single\">\n\t\t\t\t\t\t\t\t\t<input type=\"checkbox\"\n\t\t\t\t\t\t\t\t\t\tid=\"srfm-multi-choice-6e99ed64-0\"\n\t\t\t\t\t\t\t\t\t\tclass=\"srfm-input-multi-choice-single\" \t\t\t\t\t\t\t\t\t\taria-describedby=\"srfm-error-6e99ed64 srfm-description-6e99ed64\"\t\t\t\t\t\t\t\t\t\taria-required=\"false\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\/>\n\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-content-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-option-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<!-- This label content is used in conditional logic and for storing values in a hidden input field as comma-separated values.\n\t\t\t\t\t\t\t\t\t\t\tThe markup should remain unchanged.\n\t\t\t\t\t\t\t\t\t\t\tIf you make any changes here, ensure the corresponding JavaScript value functionality and conditional logic are also updated. -->\n\t\t\t\t\t\t\t\t\t\t\t<label for=\"srfm-multi-choice-6e99ed64-0\" data-option-text=\"1 \u2013 \u0635\u0639\u0628\u0629 \u062c\u062f\u064b\u0627\">1 \u2013 \u0635\u0639\u0628\u0629 \u062c\u062f\u064b\u0627<\/label>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-icon-container\">\t\t<span class=\"srfm-icon srfm-multi-choice-icon\" aria-hidden=\"true\">\n\t\t\t<svg width='17' height='16' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'><path d='M6.5 7.33366L8.5 9.33366L15.1667 2.66699' stroke='#111C44' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><path d='M14.5 8V12.6667C14.5 13.0203 14.3595 13.3594 14.1095 13.6095C13.8594 13.8595 13.5203 14 13.1667 14H3.83333C3.47971 14 3.14057 13.8595 2.89052 13.6095C2.64048 13.3594 2.5 13.0203 2.5 12.6667V3.33333C2.5 2.97971 2.64048 2.64057 2.89052 2.39052C3.14057 2.14048 3.47971 2 3.83333 2H11.1667' stroke='#111C44' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><\/svg>\t\t<\/span>\n\t\t\t\t<span class=\"srfm-icon srfm-multi-choice-icon-unchecked\" aria-hidden=\"true\">\n\t\t\t<svg width='16' height='16' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'><path d='M12.6667 2H3.33333C2.59695 2 2 2.59695 2 3.33333V12.6667C2 13.403 2.59695 14 3.33333 14H12.6667C13.403 14 14 13.403 14 12.6667V3.33333C14 2.59695 13.403 2 12.6667 2Z' stroke='#1E1E1E' stroke-opacity='0.7' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><\/svg>\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-multi-choice-single\">\n\t\t\t\t\t\t\t\t\t<input type=\"checkbox\"\n\t\t\t\t\t\t\t\t\t\tid=\"srfm-multi-choice-6e99ed64-1\"\n\t\t\t\t\t\t\t\t\t\tclass=\"srfm-input-multi-choice-single\" \t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\/>\n\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-content-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-option-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<!-- This label content is used in conditional logic and for storing values in a hidden input field as comma-separated values.\n\t\t\t\t\t\t\t\t\t\t\tThe markup should remain unchanged.\n\t\t\t\t\t\t\t\t\t\t\tIf you make any changes here, ensure the corresponding JavaScript value functionality and conditional logic are also updated. -->\n\t\t\t\t\t\t\t\t\t\t\t<label for=\"srfm-multi-choice-6e99ed64-1\" data-option-text=\"2 \u2013 \u0635\u0639\u0628\u0629\">2 \u2013 \u0635\u0639\u0628\u0629<\/label>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-icon-container\">\t\t<span class=\"srfm-icon srfm-multi-choice-icon\" aria-hidden=\"true\">\n\t\t\t<svg width='17' height='16' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'><path d='M6.5 7.33366L8.5 9.33366L15.1667 2.66699' stroke='#111C44' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><path d='M14.5 8V12.6667C14.5 13.0203 14.3595 13.3594 14.1095 13.6095C13.8594 13.8595 13.5203 14 13.1667 14H3.83333C3.47971 14 3.14057 13.8595 2.89052 13.6095C2.64048 13.3594 2.5 13.0203 2.5 12.6667V3.33333C2.5 2.97971 2.64048 2.64057 2.89052 2.39052C3.14057 2.14048 3.47971 2 3.83333 2H11.1667' stroke='#111C44' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><\/svg>\t\t<\/span>\n\t\t\t\t<span class=\"srfm-icon srfm-multi-choice-icon-unchecked\" aria-hidden=\"true\">\n\t\t\t<svg width='16' height='16' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'><path d='M12.6667 2H3.33333C2.59695 2 2 2.59695 2 3.33333V12.6667C2 13.403 2.59695 14 3.33333 14H12.6667C13.403 14 14 13.403 14 12.6667V3.33333C14 2.59695 13.403 2 12.6667 2Z' stroke='#1E1E1E' stroke-opacity='0.7' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><\/svg>\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-multi-choice-single\">\n\t\t\t\t\t\t\t\t\t<input type=\"checkbox\"\n\t\t\t\t\t\t\t\t\t\tid=\"srfm-multi-choice-6e99ed64-2\"\n\t\t\t\t\t\t\t\t\t\tclass=\"srfm-input-multi-choice-single\" \t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\/>\n\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-content-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-option-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<!-- This label content is used in conditional logic and for storing values in a hidden input field as comma-separated values.\n\t\t\t\t\t\t\t\t\t\t\tThe markup should remain unchanged.\n\t\t\t\t\t\t\t\t\t\t\tIf you make any changes here, ensure the corresponding JavaScript value functionality and conditional logic are also updated. -->\n\t\t\t\t\t\t\t\t\t\t\t<label for=\"srfm-multi-choice-6e99ed64-2\" data-option-text=\"3 \u2013 \u0645\u062d\u0627\u064a\u062f\">3 \u2013 \u0645\u062d\u0627\u064a\u062f<\/label>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-icon-container\">\t\t<span class=\"srfm-icon srfm-multi-choice-icon\" aria-hidden=\"true\">\n\t\t\t<svg width='17' height='16' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'><path d='M6.5 7.33366L8.5 9.33366L15.1667 2.66699' stroke='#111C44' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><path d='M14.5 8V12.6667C14.5 13.0203 14.3595 13.3594 14.1095 13.6095C13.8594 13.8595 13.5203 14 13.1667 14H3.83333C3.47971 14 3.14057 13.8595 2.89052 13.6095C2.64048 13.3594 2.5 13.0203 2.5 12.6667V3.33333C2.5 2.97971 2.64048 2.64057 2.89052 2.39052C3.14057 2.14048 3.47971 2 3.83333 2H11.1667' stroke='#111C44' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><\/svg>\t\t<\/span>\n\t\t\t\t<span class=\"srfm-icon srfm-multi-choice-icon-unchecked\" aria-hidden=\"true\">\n\t\t\t<svg width='16' height='16' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'><path d='M12.6667 2H3.33333C2.59695 2 2 2.59695 2 3.33333V12.6667C2 13.403 2.59695 14 3.33333 14H12.6667C13.403 14 14 13.403 14 12.6667V3.33333C14 2.59695 13.403 2 12.6667 2Z' stroke='#1E1E1E' stroke-opacity='0.7' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><\/svg>\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-multi-choice-single\">\n\t\t\t\t\t\t\t\t\t<input type=\"checkbox\"\n\t\t\t\t\t\t\t\t\t\tid=\"srfm-multi-choice-6e99ed64-3\"\n\t\t\t\t\t\t\t\t\t\tclass=\"srfm-input-multi-choice-single\" \t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\/>\n\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-content-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-option-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<!-- This label content is used in conditional logic and for storing values in a hidden input field as comma-separated values.\n\t\t\t\t\t\t\t\t\t\t\tThe markup should remain unchanged.\n\t\t\t\t\t\t\t\t\t\t\tIf you make any changes here, ensure the corresponding JavaScript value functionality and conditional logic are also updated. -->\n\t\t\t\t\t\t\t\t\t\t\t<label for=\"srfm-multi-choice-6e99ed64-3\" data-option-text=\"4 \u2013 \u0633\u0647\u0644\u0629\">4 \u2013 \u0633\u0647\u0644\u0629<\/label>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-icon-container\">\t\t<span class=\"srfm-icon srfm-multi-choice-icon\" aria-hidden=\"true\">\n\t\t\t<svg width='17' height='16' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'><path d='M6.5 7.33366L8.5 9.33366L15.1667 2.66699' stroke='#111C44' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><path d='M14.5 8V12.6667C14.5 13.0203 14.3595 13.3594 14.1095 13.6095C13.8594 13.8595 13.5203 14 13.1667 14H3.83333C3.47971 14 3.14057 13.8595 2.89052 13.6095C2.64048 13.3594 2.5 13.0203 2.5 12.6667V3.33333C2.5 2.97971 2.64048 2.64057 2.89052 2.39052C3.14057 2.14048 3.47971 2 3.83333 2H11.1667' stroke='#111C44' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><\/svg>\t\t<\/span>\n\t\t\t\t<span class=\"srfm-icon srfm-multi-choice-icon-unchecked\" aria-hidden=\"true\">\n\t\t\t<svg width='16' height='16' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'><path d='M12.6667 2H3.33333C2.59695 2 2 2.59695 2 3.33333V12.6667C2 13.403 2.59695 14 3.33333 14H12.6667C13.403 14 14 13.403 14 12.6667V3.33333C14 2.59695 13.403 2 12.6667 2Z' stroke='#1E1E1E' stroke-opacity='0.7' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><\/svg>\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-multi-choice-single\">\n\t\t\t\t\t\t\t\t\t<input type=\"checkbox\"\n\t\t\t\t\t\t\t\t\t\tid=\"srfm-multi-choice-6e99ed64-4\"\n\t\t\t\t\t\t\t\t\t\tclass=\"srfm-input-multi-choice-single\" \t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\/>\n\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-content-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-option-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<!-- This label content is used in conditional logic and for storing values in a hidden input field as comma-separated values.\n\t\t\t\t\t\t\t\t\t\t\tThe markup should remain unchanged.\n\t\t\t\t\t\t\t\t\t\t\tIf you make any changes here, ensure the corresponding JavaScript value functionality and conditional logic are also updated. -->\n\t\t\t\t\t\t\t\t\t\t\t<label for=\"srfm-multi-choice-6e99ed64-4\" data-option-text=\"5 \u2013 \u0633\u0647\u0644\u0629 \u062c\u062f\u064b\u0627\">5 \u2013 \u0633\u0647\u0644\u0629 \u062c\u062f\u064b\u0627<\/label>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-icon-container\">\t\t<span class=\"srfm-icon srfm-multi-choice-icon\" aria-hidden=\"true\">\n\t\t\t<svg width='17' height='16' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'><path d='M6.5 7.33366L8.5 9.33366L15.1667 2.66699' stroke='#111C44' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><path d='M14.5 8V12.6667C14.5 13.0203 14.3595 13.3594 14.1095 13.6095C13.8594 13.8595 13.5203 14 13.1667 14H3.83333C3.47971 14 3.14057 13.8595 2.89052 13.6095C2.64048 13.3594 2.5 13.0203 2.5 12.6667V3.33333C2.5 2.97971 2.64048 2.64057 2.89052 2.39052C3.14057 2.14048 3.47971 2 3.83333 2H11.1667' stroke='#111C44' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><\/svg>\t\t<\/span>\n\t\t\t\t<span class=\"srfm-icon srfm-multi-choice-icon-unchecked\" aria-hidden=\"true\">\n\t\t\t<svg width='16' height='16' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'><path d='M12.6667 2H3.33333C2.59695 2 2 2.59695 2 3.33333V12.6667C2 13.403 2.59695 14 3.33333 14H12.6667C13.403 14 14 13.403 14 12.6667V3.33333C14 2.59695 13.403 2 12.6667 2Z' stroke='#1E1E1E' stroke-opacity='0.7' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><\/svg>\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"srfm-error-wrap\"><\/div>\n\t\t\t<\/fieldset>\n\t\t<\/div>\n\t\t\n\n\t\t<div data-block-id=\"3fb808b3\" class=\"srfm-block-single srfm-block srfm-multi-choice-block srf-multi-choice-3fb808b3-block  srfm-block-width-100 srfm-slug-multi-choice 2781 srfm-checkbox-mode\">\n\t\t\t<fieldset>\n\t\t\t\t<input class=\"srfm-input-multi-choice-hidden\" data-required=\"false\" aria-required=\"false\"  name=\"srfm-input-multi-choice-3fb808b3-lbl-2KjYtNmD2YQg2LnYp9mF2Iwg2YXYpyDZhdiv2Ykg2YHYp9im2K\/YqSDYp9mE2YXZhti12Kkg2YTZgyDZg9mF2YLYr9mR2YUg2LHYudin2YrYqdif-multi-choice\" type=\"hidden\" value=\"\"\/>\n\t\t\t\t<legend class=\"srfm-block-legend\">\n\t\t\t\t\t\t\t\t\t\t<strong>\u0628\u0634\u0643\u0644 \u0639\u0627\u0645\u060c \u0645\u0627 \u0645\u062f\u0649 \u0641\u0627\u0626\u062f\u0629 \u0627\u0644\u0645\u0646\u0635\u0629 \u0644\u0643 \u0643\u0645\u0642\u062f\u0651\u0645 \u0631\u0639\u0627\u064a\u0629\u061f<\/strong>\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/legend>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-wrap srfm-choice-width-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-multi-choice-single\">\n\t\t\t\t\t\t\t\t\t<input type=\"checkbox\"\n\t\t\t\t\t\t\t\t\t\tid=\"srfm-multi-choice-3fb808b3-0\"\n\t\t\t\t\t\t\t\t\t\tclass=\"srfm-input-multi-choice-single\" \t\t\t\t\t\t\t\t\t\taria-describedby=\"srfm-error-3fb808b3\"\t\t\t\t\t\t\t\t\t\taria-required=\"false\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\/>\n\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-content-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-option-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<!-- This label content is used in conditional logic and for storing values in a hidden input field as comma-separated values.\n\t\t\t\t\t\t\t\t\t\t\tThe markup should remain unchanged.\n\t\t\t\t\t\t\t\t\t\t\tIf you make any changes here, ensure the corresponding JavaScript value functionality and conditional logic are also updated. -->\n\t\t\t\t\t\t\t\t\t\t\t<label for=\"srfm-multi-choice-3fb808b3-0\" data-option-text=\"1 \u2013 \u063a\u064a\u0631 \u0645\u0641\u064a\u062f\u0629 \u0625\u0637\u0644\u0627\u0642\u064b\u0627\">1 \u2013 \u063a\u064a\u0631 \u0645\u0641\u064a\u062f\u0629 \u0625\u0637\u0644\u0627\u0642\u064b\u0627<\/label>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-icon-container\">\t\t<span class=\"srfm-icon srfm-multi-choice-icon\" aria-hidden=\"true\">\n\t\t\t<svg width='17' height='16' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'><path d='M6.5 7.33366L8.5 9.33366L15.1667 2.66699' stroke='#111C44' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><path d='M14.5 8V12.6667C14.5 13.0203 14.3595 13.3594 14.1095 13.6095C13.8594 13.8595 13.5203 14 13.1667 14H3.83333C3.47971 14 3.14057 13.8595 2.89052 13.6095C2.64048 13.3594 2.5 13.0203 2.5 12.6667V3.33333C2.5 2.97971 2.64048 2.64057 2.89052 2.39052C3.14057 2.14048 3.47971 2 3.83333 2H11.1667' stroke='#111C44' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><\/svg>\t\t<\/span>\n\t\t\t\t<span class=\"srfm-icon srfm-multi-choice-icon-unchecked\" aria-hidden=\"true\">\n\t\t\t<svg width='16' height='16' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'><path d='M12.6667 2H3.33333C2.59695 2 2 2.59695 2 3.33333V12.6667C2 13.403 2.59695 14 3.33333 14H12.6667C13.403 14 14 13.403 14 12.6667V3.33333C14 2.59695 13.403 2 12.6667 2Z' stroke='#1E1E1E' stroke-opacity='0.7' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><\/svg>\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-multi-choice-single\">\n\t\t\t\t\t\t\t\t\t<input type=\"checkbox\"\n\t\t\t\t\t\t\t\t\t\tid=\"srfm-multi-choice-3fb808b3-1\"\n\t\t\t\t\t\t\t\t\t\tclass=\"srfm-input-multi-choice-single\" \t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\/>\n\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-content-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-option-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<!-- This label content is used in conditional logic and for storing values in a hidden input field as comma-separated values.\n\t\t\t\t\t\t\t\t\t\t\tThe markup should remain unchanged.\n\t\t\t\t\t\t\t\t\t\t\tIf you make any changes here, ensure the corresponding JavaScript value functionality and conditional logic are also updated. -->\n\t\t\t\t\t\t\t\t\t\t\t<label for=\"srfm-multi-choice-3fb808b3-1\" data-option-text=\"2 \u2013 \u0645\u0641\u064a\u062f\u0629 \u0642\u0644\u064a\u0644\u064b\u0627\">2 \u2013 \u0645\u0641\u064a\u062f\u0629 \u0642\u0644\u064a\u0644\u064b\u0627<\/label>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-icon-container\">\t\t<span class=\"srfm-icon srfm-multi-choice-icon\" aria-hidden=\"true\">\n\t\t\t<svg width='17' height='16' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'><path d='M6.5 7.33366L8.5 9.33366L15.1667 2.66699' stroke='#111C44' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><path d='M14.5 8V12.6667C14.5 13.0203 14.3595 13.3594 14.1095 13.6095C13.8594 13.8595 13.5203 14 13.1667 14H3.83333C3.47971 14 3.14057 13.8595 2.89052 13.6095C2.64048 13.3594 2.5 13.0203 2.5 12.6667V3.33333C2.5 2.97971 2.64048 2.64057 2.89052 2.39052C3.14057 2.14048 3.47971 2 3.83333 2H11.1667' stroke='#111C44' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><\/svg>\t\t<\/span>\n\t\t\t\t<span class=\"srfm-icon srfm-multi-choice-icon-unchecked\" aria-hidden=\"true\">\n\t\t\t<svg width='16' height='16' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'><path d='M12.6667 2H3.33333C2.59695 2 2 2.59695 2 3.33333V12.6667C2 13.403 2.59695 14 3.33333 14H12.6667C13.403 14 14 13.403 14 12.6667V3.33333C14 2.59695 13.403 2 12.6667 2Z' stroke='#1E1E1E' stroke-opacity='0.7' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><\/svg>\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-multi-choice-single\">\n\t\t\t\t\t\t\t\t\t<input type=\"checkbox\"\n\t\t\t\t\t\t\t\t\t\tid=\"srfm-multi-choice-3fb808b3-2\"\n\t\t\t\t\t\t\t\t\t\tclass=\"srfm-input-multi-choice-single\" \t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\/>\n\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-content-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-option-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<!-- This label content is used in conditional logic and for storing values in a hidden input field as comma-separated values.\n\t\t\t\t\t\t\t\t\t\t\tThe markup should remain unchanged.\n\t\t\t\t\t\t\t\t\t\t\tIf you make any changes here, ensure the corresponding JavaScript value functionality and conditional logic are also updated. -->\n\t\t\t\t\t\t\t\t\t\t\t<label for=\"srfm-multi-choice-3fb808b3-2\" data-option-text=\"3 \u2013 \u0645\u0641\u064a\u062f\u0629 \u0628\u062f\u0631\u062c\u0629 \u0645\u062a\u0648\u0633\u0637\u0629\">3 \u2013 \u0645\u0641\u064a\u062f\u0629 \u0628\u062f\u0631\u062c\u0629 \u0645\u062a\u0648\u0633\u0637\u0629<\/label>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-icon-container\">\t\t<span class=\"srfm-icon srfm-multi-choice-icon\" aria-hidden=\"true\">\n\t\t\t<svg width='17' height='16' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'><path d='M6.5 7.33366L8.5 9.33366L15.1667 2.66699' stroke='#111C44' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><path d='M14.5 8V12.6667C14.5 13.0203 14.3595 13.3594 14.1095 13.6095C13.8594 13.8595 13.5203 14 13.1667 14H3.83333C3.47971 14 3.14057 13.8595 2.89052 13.6095C2.64048 13.3594 2.5 13.0203 2.5 12.6667V3.33333C2.5 2.97971 2.64048 2.64057 2.89052 2.39052C3.14057 2.14048 3.47971 2 3.83333 2H11.1667' stroke='#111C44' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><\/svg>\t\t<\/span>\n\t\t\t\t<span class=\"srfm-icon srfm-multi-choice-icon-unchecked\" aria-hidden=\"true\">\n\t\t\t<svg width='16' height='16' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'><path d='M12.6667 2H3.33333C2.59695 2 2 2.59695 2 3.33333V12.6667C2 13.403 2.59695 14 3.33333 14H12.6667C13.403 14 14 13.403 14 12.6667V3.33333C14 2.59695 13.403 2 12.6667 2Z' stroke='#1E1E1E' stroke-opacity='0.7' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><\/svg>\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-multi-choice-single\">\n\t\t\t\t\t\t\t\t\t<input type=\"checkbox\"\n\t\t\t\t\t\t\t\t\t\tid=\"srfm-multi-choice-3fb808b3-3\"\n\t\t\t\t\t\t\t\t\t\tclass=\"srfm-input-multi-choice-single\" \t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\/>\n\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-content-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-option-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<!-- This label content is used in conditional logic and for storing values in a hidden input field as comma-separated values.\n\t\t\t\t\t\t\t\t\t\t\tThe markup should remain unchanged.\n\t\t\t\t\t\t\t\t\t\t\tIf you make any changes here, ensure the corresponding JavaScript value functionality and conditional logic are also updated. -->\n\t\t\t\t\t\t\t\t\t\t\t<label for=\"srfm-multi-choice-3fb808b3-3\" data-option-text=\"4 \u2013 \u0645\u0641\u064a\u062f\u0629 \u062c\u062f\u064b\u0627\">4 \u2013 \u0645\u0641\u064a\u062f\u0629 \u062c\u062f\u064b\u0627<\/label>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-icon-container\">\t\t<span class=\"srfm-icon srfm-multi-choice-icon\" aria-hidden=\"true\">\n\t\t\t<svg width='17' height='16' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'><path d='M6.5 7.33366L8.5 9.33366L15.1667 2.66699' stroke='#111C44' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><path d='M14.5 8V12.6667C14.5 13.0203 14.3595 13.3594 14.1095 13.6095C13.8594 13.8595 13.5203 14 13.1667 14H3.83333C3.47971 14 3.14057 13.8595 2.89052 13.6095C2.64048 13.3594 2.5 13.0203 2.5 12.6667V3.33333C2.5 2.97971 2.64048 2.64057 2.89052 2.39052C3.14057 2.14048 3.47971 2 3.83333 2H11.1667' stroke='#111C44' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><\/svg>\t\t<\/span>\n\t\t\t\t<span class=\"srfm-icon srfm-multi-choice-icon-unchecked\" aria-hidden=\"true\">\n\t\t\t<svg width='16' height='16' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'><path d='M12.6667 2H3.33333C2.59695 2 2 2.59695 2 3.33333V12.6667C2 13.403 2.59695 14 3.33333 14H12.6667C13.403 14 14 13.403 14 12.6667V3.33333C14 2.59695 13.403 2 12.6667 2Z' stroke='#1E1E1E' stroke-opacity='0.7' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><\/svg>\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-multi-choice-single\">\n\t\t\t\t\t\t\t\t\t<input type=\"checkbox\"\n\t\t\t\t\t\t\t\t\t\tid=\"srfm-multi-choice-3fb808b3-4\"\n\t\t\t\t\t\t\t\t\t\tclass=\"srfm-input-multi-choice-single\" \t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\/>\n\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-content-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-option-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<!-- This label content is used in conditional logic and for storing values in a hidden input field as comma-separated values.\n\t\t\t\t\t\t\t\t\t\t\tThe markup should remain unchanged.\n\t\t\t\t\t\t\t\t\t\t\tIf you make any changes here, ensure the corresponding JavaScript value functionality and conditional logic are also updated. -->\n\t\t\t\t\t\t\t\t\t\t\t<label for=\"srfm-multi-choice-3fb808b3-4\" data-option-text=\"5 \u2013 \u0645\u0641\u064a\u062f\u0629 \u0644\u0644\u063a\u0627\u064a\u0629\">5 \u2013 \u0645\u0641\u064a\u062f\u0629 \u0644\u0644\u063a\u0627\u064a\u0629<\/label>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-icon-container\">\t\t<span class=\"srfm-icon srfm-multi-choice-icon\" aria-hidden=\"true\">\n\t\t\t<svg width='17' height='16' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'><path d='M6.5 7.33366L8.5 9.33366L15.1667 2.66699' stroke='#111C44' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><path d='M14.5 8V12.6667C14.5 13.0203 14.3595 13.3594 14.1095 13.6095C13.8594 13.8595 13.5203 14 13.1667 14H3.83333C3.47971 14 3.14057 13.8595 2.89052 13.6095C2.64048 13.3594 2.5 13.0203 2.5 12.6667V3.33333C2.5 2.97971 2.64048 2.64057 2.89052 2.39052C3.14057 2.14048 3.47971 2 3.83333 2H11.1667' stroke='#111C44' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><\/svg>\t\t<\/span>\n\t\t\t\t<span class=\"srfm-icon srfm-multi-choice-icon-unchecked\" aria-hidden=\"true\">\n\t\t\t<svg width='16' height='16' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'><path d='M12.6667 2H3.33333C2.59695 2 2 2.59695 2 3.33333V12.6667C2 13.403 2.59695 14 3.33333 14H12.6667C13.403 14 14 13.403 14 12.6667V3.33333C14 2.59695 13.403 2 12.6667 2Z' stroke='#1E1E1E' stroke-opacity='0.7' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><\/svg>\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"srfm-error-wrap\"><\/div>\n\t\t\t<\/fieldset>\n\t\t<\/div>\n\t\t\n\n\t\t<div data-block-id=\"597d9251\" class=\"srfm-block-single srfm-block srfm-multi-choice-block srf-multi-choice-597d9251-block  srfm-block-width-100 srfm-slug-%d9%85%d8%a7-%d8%a7%d9%84%d9%85%d9%88%d8%a7%d8%b6%d9%8a%d8%b9-%d8%a7%d9%84%d8%aa%d9%8a-%d8%aa%d8%b1%d8%ba%d8%a8-%d9%81%d9%8a-%d8%b1%d8%a4%d9%8a%d8%a9-%d8%a7%d9%84%d9%85%d8%b2%d9%8a%d8%af-%d9%85%d9%86 2781 srfm-checkbox-mode\">\n\t\t\t<fieldset>\n\t\t\t\t<input class=\"srfm-input-multi-choice-hidden\" data-required=\"false\" aria-required=\"false\"  name=\"srfm-input-multi-choice-597d9251-lbl-2YXYpyDYp9mE2YXZiNin2LbZiti5INin2YTYqtmKINiq2LHYutioINmB2Yog2LHYpNmK2Kkg2KfZhNmF2LLZitivINmF2YYg2KfZhNmF2K3YqtmI2Ykg2LnZhtmH2Kcg2YXYs9iq2YLYqNmE2YvYp9if-%d9%85%d8%a7-%d8%a7%d9%84%d9%85%d9%88%d8%a7%d8%b6%d9%8a%d8%b9-%d8%a7%d9%84%d8%aa%d9%8a-%d8%aa%d8%b1%d8%ba%d8%a8-%d9%81%d9%8a-%d8%b1%d8%a4%d9%8a%d8%a9-%d8%a7%d9%84%d9%85%d8%b2%d9%8a%d8%af-%d9%85%d9%86\" type=\"hidden\" value=\"\"\/>\n\t\t\t\t<legend class=\"srfm-block-legend\">\n\t\t\t\t\t\t\t\t\t\t<strong>\u0645\u0627 \u0627\u0644\u0645\u0648\u0627\u0636\u064a\u0639 \u0627\u0644\u062a\u064a \u062a\u0631\u063a\u0628 \u0641\u064a \u0631\u0624\u064a\u0629 \u0627\u0644\u0645\u0632\u064a\u062f \u0645\u0646 \u0627\u0644\u0645\u062d\u062a\u0648\u0649 \u0639\u0646\u0647\u0627 \u0645\u0633\u062a\u0642\u0628\u0644\u064b\u0627\u061f<\/strong>\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/legend>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-wrap srfm-choice-width-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-multi-choice-single\">\n\t\t\t\t\t\t\t\t\t<input type=\"checkbox\"\n\t\t\t\t\t\t\t\t\t\tid=\"srfm-multi-choice-597d9251-0\"\n\t\t\t\t\t\t\t\t\t\tclass=\"srfm-input-multi-choice-single\" \t\t\t\t\t\t\t\t\t\taria-describedby=\"srfm-error-597d9251\"\t\t\t\t\t\t\t\t\t\taria-required=\"false\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\/>\n\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-content-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-option-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<!-- This label content is used in conditional logic and for storing values in a hidden input field as comma-separated values.\n\t\t\t\t\t\t\t\t\t\t\tThe markup should remain unchanged.\n\t\t\t\t\t\t\t\t\t\t\tIf you make any changes here, ensure the corresponding JavaScript value functionality and conditional logic are also updated. -->\n\t\t\t\t\t\t\t\t\t\t\t<label for=\"srfm-multi-choice-597d9251-0\" data-option-text=\"\u0627\u0644\u0648\u0642\u0627\u064a\u0629 \u0645\u0646 \u0642\u0631\u062d \u0627\u0644\u0636\u063a\u0637\">\u0627\u0644\u0648\u0642\u0627\u064a\u0629 \u0645\u0646 \u0642\u0631\u062d \u0627\u0644\u0636\u063a\u0637<\/label>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-icon-container\">\t\t<span class=\"srfm-icon srfm-multi-choice-icon\" aria-hidden=\"true\">\n\t\t\t<svg width='17' height='16' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'><path d='M6.5 7.33366L8.5 9.33366L15.1667 2.66699' stroke='#111C44' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><path d='M14.5 8V12.6667C14.5 13.0203 14.3595 13.3594 14.1095 13.6095C13.8594 13.8595 13.5203 14 13.1667 14H3.83333C3.47971 14 3.14057 13.8595 2.89052 13.6095C2.64048 13.3594 2.5 13.0203 2.5 12.6667V3.33333C2.5 2.97971 2.64048 2.64057 2.89052 2.39052C3.14057 2.14048 3.47971 2 3.83333 2H11.1667' stroke='#111C44' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><\/svg>\t\t<\/span>\n\t\t\t\t<span class=\"srfm-icon srfm-multi-choice-icon-unchecked\" aria-hidden=\"true\">\n\t\t\t<svg width='16' height='16' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'><path d='M12.6667 2H3.33333C2.59695 2 2 2.59695 2 3.33333V12.6667C2 13.403 2.59695 14 3.33333 14H12.6667C13.403 14 14 13.403 14 12.6667V3.33333C14 2.59695 13.403 2 12.6667 2Z' stroke='#1E1E1E' stroke-opacity='0.7' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><\/svg>\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-multi-choice-single\">\n\t\t\t\t\t\t\t\t\t<input type=\"checkbox\"\n\t\t\t\t\t\t\t\t\t\tid=\"srfm-multi-choice-597d9251-1\"\n\t\t\t\t\t\t\t\t\t\tclass=\"srfm-input-multi-choice-single\" \t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\/>\n\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-content-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-option-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<!-- This label content is used in conditional logic and for storing values in a hidden input field as comma-separated values.\n\t\t\t\t\t\t\t\t\t\t\tThe markup should remain unchanged.\n\t\t\t\t\t\t\t\t\t\t\tIf you make any changes here, ensure the corresponding JavaScript value functionality and conditional logic are also updated. -->\n\t\t\t\t\t\t\t\t\t\t\t<label for=\"srfm-multi-choice-597d9251-1\" data-option-text=\"\u0627\u0644\u0639\u062f\u0648\u0649 \u0648\u0627\u0644\u0646\u0638\u0627\u0641\u0629\">Infections and hygiene<\/label>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-icon-container\">\t\t<span class=\"srfm-icon srfm-multi-choice-icon\" aria-hidden=\"true\">\n\t\t\t<svg width='17' height='16' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'><path d='M6.5 7.33366L8.5 9.33366L15.1667 2.66699' stroke='#111C44' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><path d='M14.5 8V12.6667C14.5 13.0203 14.3595 13.3594 14.1095 13.6095C13.8594 13.8595 13.5203 14 13.1667 14H3.83333C3.47971 14 3.14057 13.8595 2.89052 13.6095C2.64048 13.3594 2.5 13.0203 2.5 12.6667V3.33333C2.5 2.97971 2.64048 2.64057 2.89052 2.39052C3.14057 2.14048 3.47971 2 3.83333 2H11.1667' stroke='#111C44' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><\/svg>\t\t<\/span>\n\t\t\t\t<span class=\"srfm-icon srfm-multi-choice-icon-unchecked\" aria-hidden=\"true\">\n\t\t\t<svg width='16' height='16' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'><path d='M12.6667 2H3.33333C2.59695 2 2 2.59695 2 3.33333V12.6667C2 13.403 2.59695 14 3.33333 14H12.6667C13.403 14 14 13.403 14 12.6667V3.33333C14 2.59695 13.403 2 12.6667 2Z' stroke='#1E1E1E' stroke-opacity='0.7' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><\/svg>\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-multi-choice-single\">\n\t\t\t\t\t\t\t\t\t<input type=\"checkbox\"\n\t\t\t\t\t\t\t\t\t\tid=\"srfm-multi-choice-597d9251-2\"\n\t\t\t\t\t\t\t\t\t\tclass=\"srfm-input-multi-choice-single\" \t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\/>\n\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-content-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-option-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<!-- This label content is used in conditional logic and for storing values in a hidden input field as comma-separated values.\n\t\t\t\t\t\t\t\t\t\t\tThe markup should remain unchanged.\n\t\t\t\t\t\t\t\t\t\t\tIf you make any changes here, ensure the corresponding JavaScript value functionality and conditional logic are also updated. -->\n\t\t\t\t\t\t\t\t\t\t\t<label for=\"srfm-multi-choice-597d9251-2\" data-option-text=\"\u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0648\u0627\u0644\u0625\u0637\u0639\u0627\u0645\">\u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0648\u0627\u0644\u0625\u0637\u0639\u0627\u0645<\/label>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-icon-container\">\t\t<span class=\"srfm-icon srfm-multi-choice-icon\" aria-hidden=\"true\">\n\t\t\t<svg width='17' height='16' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'><path d='M6.5 7.33366L8.5 9.33366L15.1667 2.66699' stroke='#111C44' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><path d='M14.5 8V12.6667C14.5 13.0203 14.3595 13.3594 14.1095 13.6095C13.8594 13.8595 13.5203 14 13.1667 14H3.83333C3.47971 14 3.14057 13.8595 2.89052 13.6095C2.64048 13.3594 2.5 13.0203 2.5 12.6667V3.33333C2.5 2.97971 2.64048 2.64057 2.89052 2.39052C3.14057 2.14048 3.47971 2 3.83333 2H11.1667' stroke='#111C44' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><\/svg>\t\t<\/span>\n\t\t\t\t<span class=\"srfm-icon srfm-multi-choice-icon-unchecked\" aria-hidden=\"true\">\n\t\t\t<svg width='16' height='16' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'><path d='M12.6667 2H3.33333C2.59695 2 2 2.59695 2 3.33333V12.6667C2 13.403 2.59695 14 3.33333 14H12.6667C13.403 14 14 13.403 14 12.6667V3.33333C14 2.59695 13.403 2 12.6667 2Z' stroke='#1E1E1E' stroke-opacity='0.7' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><\/svg>\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-multi-choice-single\">\n\t\t\t\t\t\t\t\t\t<input type=\"checkbox\"\n\t\t\t\t\t\t\t\t\t\tid=\"srfm-multi-choice-597d9251-3\"\n\t\t\t\t\t\t\t\t\t\tclass=\"srfm-input-multi-choice-single\" \t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\/>\n\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-content-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-option-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<!-- This label content is used in conditional logic and for storing values in a hidden input field as comma-separated values.\n\t\t\t\t\t\t\t\t\t\t\tThe markup should remain unchanged.\n\t\t\t\t\t\t\t\t\t\t\tIf you make any changes here, ensure the corresponding JavaScript value functionality and conditional logic are also updated. -->\n\t\t\t\t\t\t\t\t\t\t\t<label for=\"srfm-multi-choice-597d9251-3\" data-option-text=\"\u0627\u0644\u062d\u0631\u0643\u0629 \u0648\u062a\u063a\u064a\u064a\u0631 \u0627\u0644\u0648\u0636\u0639\u064a\u0629\">\u0627\u0644\u062d\u0631\u0643\u0629 \u0648\u062a\u063a\u064a\u064a\u0631 \u0627\u0644\u0648\u0636\u0639\u064a\u0629<\/label>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-icon-container\">\t\t<span class=\"srfm-icon srfm-multi-choice-icon\" aria-hidden=\"true\">\n\t\t\t<svg width='17' height='16' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'><path d='M6.5 7.33366L8.5 9.33366L15.1667 2.66699' stroke='#111C44' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><path d='M14.5 8V12.6667C14.5 13.0203 14.3595 13.3594 14.1095 13.6095C13.8594 13.8595 13.5203 14 13.1667 14H3.83333C3.47971 14 3.14057 13.8595 2.89052 13.6095C2.64048 13.3594 2.5 13.0203 2.5 12.6667V3.33333C2.5 2.97971 2.64048 2.64057 2.89052 2.39052C3.14057 2.14048 3.47971 2 3.83333 2H11.1667' stroke='#111C44' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><\/svg>\t\t<\/span>\n\t\t\t\t<span class=\"srfm-icon srfm-multi-choice-icon-unchecked\" aria-hidden=\"true\">\n\t\t\t<svg width='16' height='16' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'><path d='M12.6667 2H3.33333C2.59695 2 2 2.59695 2 3.33333V12.6667C2 13.403 2.59695 14 3.33333 14H12.6667C13.403 14 14 13.403 14 12.6667V3.33333C14 2.59695 13.403 2 12.6667 2Z' stroke='#1E1E1E' stroke-opacity='0.7' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><\/svg>\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-multi-choice-single\">\n\t\t\t\t\t\t\t\t\t<input type=\"checkbox\"\n\t\t\t\t\t\t\t\t\t\tid=\"srfm-multi-choice-597d9251-4\"\n\t\t\t\t\t\t\t\t\t\tclass=\"srfm-input-multi-choice-single\" \t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\/>\n\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-content-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-option-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<!-- This label content is used in conditional logic and for storing values in a hidden input field as comma-separated values.\n\t\t\t\t\t\t\t\t\t\t\tThe markup should remain unchanged.\n\t\t\t\t\t\t\t\t\t\t\tIf you make any changes here, ensure the corresponding JavaScript value functionality and conditional logic are also updated. -->\n\t\t\t\t\t\t\t\t\t\t\t<label for=\"srfm-multi-choice-597d9251-4\" data-option-text=\"\u0627\u0644\u0635\u062d\u0629 \u0627\u0644\u0646\u0641\u0633\u064a\u0629 \u0648\u0636\u063a\u0637 \u0645\u0642\u062f\u0651\u0645\u064a \u0627\u0644\u0631\u0639\u0627\u064a\u0629\">\u0627\u0644\u0635\u062d\u0629 \u0627\u0644\u0646\u0641\u0633\u064a\u0629 \u0648\u0636\u063a\u0637 \u0645\u0642\u062f\u0651\u0645\u064a \u0627\u0644\u0631\u0639\u0627\u064a\u0629<\/label>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-icon-container\">\t\t<span class=\"srfm-icon srfm-multi-choice-icon\" aria-hidden=\"true\">\n\t\t\t<svg width='17' height='16' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'><path d='M6.5 7.33366L8.5 9.33366L15.1667 2.66699' stroke='#111C44' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><path d='M14.5 8V12.6667C14.5 13.0203 14.3595 13.3594 14.1095 13.6095C13.8594 13.8595 13.5203 14 13.1667 14H3.83333C3.47971 14 3.14057 13.8595 2.89052 13.6095C2.64048 13.3594 2.5 13.0203 2.5 12.6667V3.33333C2.5 2.97971 2.64048 2.64057 2.89052 2.39052C3.14057 2.14048 3.47971 2 3.83333 2H11.1667' stroke='#111C44' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><\/svg>\t\t<\/span>\n\t\t\t\t<span class=\"srfm-icon srfm-multi-choice-icon-unchecked\" aria-hidden=\"true\">\n\t\t\t<svg width='16' height='16' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'><path d='M12.6667 2H3.33333C2.59695 2 2 2.59695 2 3.33333V12.6667C2 13.403 2.59695 14 3.33333 14H12.6667C13.403 14 14 13.403 14 12.6667V3.33333C14 2.59695 13.403 2 12.6667 2Z' stroke='#1E1E1E' stroke-opacity='0.7' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><\/svg>\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-multi-choice-single\">\n\t\t\t\t\t\t\t\t\t<input type=\"checkbox\"\n\t\t\t\t\t\t\t\t\t\tid=\"srfm-multi-choice-597d9251-5\"\n\t\t\t\t\t\t\t\t\t\tclass=\"srfm-input-multi-choice-single\" \t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\/>\n\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-content-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-option-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<!-- This label content is used in conditional logic and for storing values in a hidden input field as comma-separated values.\n\t\t\t\t\t\t\t\t\t\t\tThe markup should remain unchanged.\n\t\t\t\t\t\t\t\t\t\t\tIf you make any changes here, ensure the corresponding JavaScript value functionality and conditional logic are also updated. -->\n\t\t\t\t\t\t\t\t\t\t\t<label for=\"srfm-multi-choice-597d9251-5\" data-option-text=\"\u0627\u0644\u062a\u0648\u0627\u0635\u0644 \u0645\u0639 \u0627\u0644\u0645\u062e\u062a\u0635\u064a\u0646 \u0627\u0644\u0635\u062d\u064a\u064a\u0646\">\u0627\u0644\u062a\u0648\u0627\u0635\u0644 \u0645\u0639 \u0627\u0644\u0645\u062e\u062a\u0635\u064a\u0646 \u0627\u0644\u0635\u062d\u064a\u064a\u0646<\/label>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-icon-container\">\t\t<span class=\"srfm-icon srfm-multi-choice-icon\" aria-hidden=\"true\">\n\t\t\t<svg width='17' height='16' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'><path d='M6.5 7.33366L8.5 9.33366L15.1667 2.66699' stroke='#111C44' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><path d='M14.5 8V12.6667C14.5 13.0203 14.3595 13.3594 14.1095 13.6095C13.8594 13.8595 13.5203 14 13.1667 14H3.83333C3.47971 14 3.14057 13.8595 2.89052 13.6095C2.64048 13.3594 2.5 13.0203 2.5 12.6667V3.33333C2.5 2.97971 2.64048 2.64057 2.89052 2.39052C3.14057 2.14048 3.47971 2 3.83333 2H11.1667' stroke='#111C44' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><\/svg>\t\t<\/span>\n\t\t\t\t<span class=\"srfm-icon srfm-multi-choice-icon-unchecked\" aria-hidden=\"true\">\n\t\t\t<svg width='16' height='16' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'><path d='M12.6667 2H3.33333C2.59695 2 2 2.59695 2 3.33333V12.6667C2 13.403 2.59695 14 3.33333 14H12.6667C13.403 14 14 13.403 14 12.6667V3.33333C14 2.59695 13.403 2 12.6667 2Z' stroke='#1E1E1E' stroke-opacity='0.7' stroke-width='1.25' stroke-linecap='round' stroke-linejoin='round' \/><\/svg>\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"srfm-error-wrap\"><\/div>\n\t\t\t<\/fieldset>\n\t\t<\/div>\n\t\t\n\n\t\t<div data-block-id=\"992a1bbb\" class=\"srfm-block-single srfm-block srfm-multi-choice-block srf-multi-choice-992a1bbb-block  srfm-block-width-100 srfm-slug-%d9%87%d9%84-%d8%b3%d8%aa%d9%88%d8%b5%d9%8a-%d8%a8%d9%87%d8%b0%d9%87-%d8%a7%d9%84%d9%85%d9%86%d8%b5%d8%a9-%d9%84%d9%85%d9%82%d8%af%d9%85%d9%8a-%d8%a7%d9%84%d8%b1%d8%b9%d8%a7%d9%8a%d8%a9-%d8%a7%d9%84 2781 srfm-radio-mode\">\n\t\t\t<fieldset>\n\t\t\t\t<input class=\"srfm-input-multi-choice-hidden\" data-required=\"true\" aria-required=\"true\"  name=\"srfm-input-multi-choice-992a1bbb-lbl-2YfZhCDYs9iq2YjYtdmKINio2YfYsNmHINin2YTZhdmG2LXYqSDZhNmF2YLYr9mF2Yog2KfZhNix2LnYp9mK2Kkg2KfZhNii2K7YsdmK2YbYnw-%d9%87%d9%84-%d8%b3%d8%aa%d9%88%d8%b5%d9%8a-%d8%a8%d9%87%d8%b0%d9%87-%d8%a7%d9%84%d9%85%d9%86%d8%b5%d8%a9-%d9%84%d9%85%d9%82%d8%af%d9%85%d9%8a-%d8%a7%d9%84%d8%b1%d8%b9%d8%a7%d9%8a%d8%a9-%d8%a7%d9%84\" type=\"hidden\" value=\"\"\/>\n\t\t\t\t<legend class=\"srfm-block-legend\">\n\t\t\t\t\t\t\t\t\t\t\u0647\u0644 \u0633\u062a\u0648\u0635\u064a \u0628\u0647\u0630\u0647 \u0627\u0644\u0645\u0646\u0635\u0629 \u0644\u0645\u0642\u062f\u0645\u064a \u0627\u0644\u0631\u0639\u0627\u064a\u0629 \u0627\u0644\u0622\u062e\u0631\u064a\u0646\u061f\t\t\t\t\t\t\t\t\t\t\t<span class=\"srfm-required\" aria-hidden=\"true\"> *<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/legend>\n\t\t\t\t\t\t\t\t\t<div class=\"srfm-description\" id=\"srfm-description-992a1bbb\">\n\t\t\t\t\t\t\u0627\u062e\u062a\u0631 \u0625\u062c\u0627\u0628\u062a\u0643.\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-wrap srfm-choice-width-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-multi-choice-single\">\n\t\t\t\t\t\t\t\t\t<input type=\"radio\"\n\t\t\t\t\t\t\t\t\t\tid=\"srfm-multi-choice-992a1bbb-0\"\n\t\t\t\t\t\t\t\t\t\tclass=\"srfm-input-multi-choice-single\" name=\"srfm-input-multi-choice-992a1bbb\"\t\t\t\t\t\t\t\t\t\taria-describedby=\"srfm-error-992a1bbb srfm-description-992a1bbb\"\t\t\t\t\t\t\t\t\t\taria-required=\"true\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\/>\n\t\t\t\t\t\t\t\t\t<div class=\"srfm-block-content-wrap\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"srfm-option-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<!-- This label content is used in conditional logic and for storing values in a hidden input field as comma-separated values.\n\t\t\t\t\t\t\t\t\t\t\tThe markup 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