{"id":989709,"date":"2024-06-12T16:55:05","date_gmt":"2024-06-12T15:55:05","guid":{"rendered":"https:\/\/pharmcontrol.kz\/report-an-adverse-reaction\/"},"modified":"2024-08-01T08:15:15","modified_gmt":"2024-08-01T07:15:15","slug":"report-an-adverse-reaction","status":"publish","type":"page","link":"https:\/\/pharmcontrol.kz\/kz\/report-an-adverse-reaction\/","title":{"rendered":"\u0416\u0430\u0493\u044b\u043c\u0441\u044b\u0437 \u0440\u0435\u0430\u043a\u0446\u0438\u044f \u0442\u0443\u0440\u0430\u043b\u044b \u0445\u0430\u0431\u0430\u0440\u043b\u0430\u04a3\u044b\u0437"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"989709\" class=\"elementor elementor-989709 elementor-988307\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-c711362 elementor-section-height-min-height elementor-section-items-stretch elementor-section-boxed elementor-section-height-default\" data-id=\"c711362\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-259f340\" data-id=\"259f340\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-07e9123 elementor-widget elementor-widget-heading\" data-id=\"07e9123\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.22.0 - 26-06-2024 *\/\n.elementor-heading-title{padding:0;margin:0;line-height:1}.elementor-widget-heading .elementor-heading-title[class*=elementor-size-]>a{color:inherit;font-size:inherit;line-height:inherit}.elementor-widget-heading .elementor-heading-title.elementor-size-small{font-size:15px}.elementor-widget-heading .elementor-heading-title.elementor-size-medium{font-size:19px}.elementor-widget-heading .elementor-heading-title.elementor-size-large{font-size:29px}.elementor-widget-heading .elementor-heading-title.elementor-size-xl{font-size:39px}.elementor-widget-heading .elementor-heading-title.elementor-size-xxl{font-size:59px}<\/style><h2 class=\"elementor-heading-title elementor-size-default\">\u0416\u0430\u0493\u044b\u043c\u0441\u044b\u0437 \u0440\u0435\u0430\u043a\u0446\u0438\u044f \u0442\u0443\u0440\u0430\u043b\u044b \u0445\u0430\u0431\u0430\u0440\u043b\u0430\u04a3\u044b\u0437<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-408ec4e elementor-widget elementor-widget-wpforms\" data-id=\"408ec4e\" data-element_type=\"widget\" data-widget_type=\"wpforms.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style id=\"wpforms-css-vars-root\">\n\t\t\t\t:root {\n\t\t\t\t\t--wpforms-field-border-radius: 3px;\n--wpforms-field-border-style: solid;\n--wpforms-field-border-size: 1px;\n--wpforms-field-background-color: #ffffff;\n--wpforms-field-border-color: rgba( 0, 0, 0, 0.25 );\n--wpforms-field-border-color-spare: rgba( 0, 0, 0, 0.25 );\n--wpforms-field-text-color: rgba( 0, 0, 0, 0.7 );\n--wpforms-field-menu-color: #ffffff;\n--wpforms-label-color: rgba( 0, 0, 0, 0.85 );\n--wpforms-label-sublabel-color: rgba( 0, 0, 0, 0.55 );\n--wpforms-label-error-color: #d63637;\n--wpforms-button-border-radius: 3px;\n--wpforms-button-border-style: none;\n--wpforms-button-border-size: 1px;\n--wpforms-button-background-color: #066aab;\n--wpforms-button-border-color: #066aab;\n--wpforms-button-text-color: #ffffff;\n--wpforms-page-break-color: #066aab;\n--wpforms-background-image: none;\n--wpforms-background-position: center center;\n--wpforms-background-repeat: no-repeat;\n--wpforms-background-size: cover;\n--wpforms-background-width: 100px;\n--wpforms-background-height: 100px;\n--wpforms-background-color: rgba( 0, 0, 0, 0 );\n--wpforms-background-url: none;\n--wpforms-container-padding: 0px;\n--wpforms-container-border-style: none;\n--wpforms-container-border-width: 1px;\n--wpforms-container-border-color: #000000;\n--wpforms-container-border-radius: 3px;\n--wpforms-field-size-input-height: 43px;\n--wpforms-field-size-input-spacing: 15px;\n--wpforms-field-size-font-size: 16px;\n--wpforms-field-size-line-height: 19px;\n--wpforms-field-size-padding-h: 14px;\n--wpforms-field-size-checkbox-size: 16px;\n--wpforms-field-size-sublabel-spacing: 5px;\n--wpforms-field-size-icon-size: 1;\n--wpforms-label-size-font-size: 16px;\n--wpforms-label-size-line-height: 19px;\n--wpforms-label-size-sublabel-font-size: 14px;\n--wpforms-label-size-sublabel-line-height: 17px;\n--wpforms-button-size-font-size: 17px;\n--wpforms-button-size-height: 41px;\n--wpforms-button-size-padding-h: 15px;\n--wpforms-button-size-margin-top: 10px;\n--wpforms-container-shadow-size-box-shadow: none;\n\n\t\t\t\t}\n\t\t\t<\/style><div class=\"wpforms-container wpforms-render-modern\" id=\"wpforms-988283\"><form id=\"wpforms-form-988283\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"988283\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/kz\/wp-json\/wp\/v2\/pages\/989709?wpforms_form_id=988283\" data-token=\"08147f01b3b20db6ddd82acbf3746b11\" data-token-time=\"1779334663\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-hidden\" id=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/div><div class=\"wpforms-field-container\"><div id=\"wpforms-988283-field_8-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"8\"><fieldset><legend class=\"wpforms-field-label\">\u0421\u041f\u0418\u041a\u0415\u0420: <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-988283-field_8\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-988283-field_8_1\" name=\"wpforms[fields][8]\" value=\"\u04e8\u0437\u0456\u043c \u04af\u0448\u0456\u043d\" aria-errormessage=\"wpforms-988283-field_8_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-988283-field_8_1\">\u04e8\u0437\u0456\u043c \u04af\u0448\u0456\u043d<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-988283-field_8_2\" name=\"wpforms[fields][8]\" value=\"\u0411\u0430\u0441\u049b\u0430\" aria-errormessage=\"wpforms-988283-field_8_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-988283-field_8_2\">\u0411\u0430\u0441\u049b\u0430<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-988283-field_10-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"10\"><h3 id=\"wpforms-988283-field_10\" aria-errormessage=\"wpforms-988283-field_10-error\">\u0410. \u041f\u0410\u0426\u0418\u0415\u041d\u0422 \u0422\u0423\u0420\u0410\u041b\u042b \u0410\u049a\u041f\u0410\u0420\u0410\u0422<\/h3><\/div><div id=\"wpforms-988283-field_13-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"13\"><label class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">Layout<\/label><div class=\"wpforms-field-layout-rows\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-988283-field_11-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-988283-field_11\">1. \u041f\u0430\u0446\u0438\u0435\u043d\u0442\u0442\u0456\u04a3 \u0436\u0435\u043a\u0435 \u043a\u0443\u04d9\u043b\u0456\u0433\u0456 <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-988283-field_11\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][11]\" aria-errormessage=\"wpforms-988283-field_11-error\" required><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-988283-field_12-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"12\"><label class=\"wpforms-field-label\" for=\"wpforms-988283-field_12\">2. \u0422\u0443\u0493\u0430\u043d \u043a\u04af\u043d\u0456 <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-988283-field_12\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-small\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][12][date]\" aria-errormessage=\"wpforms-988283-field_12-error\" required><a title=\"Clear Date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-988283-field_14-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"14\"><fieldset><legend class=\"wpforms-field-label\">3. \u0416\u044b\u043d\u044b\u0441 <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-988283-field_14\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-988283-field_14_1\" name=\"wpforms[fields][14]\" value=\"\u0415\u0440 \u0430\u0434\u0430\u043c\" aria-errormessage=\"wpforms-988283-field_14_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-988283-field_14_1\">\u0415\u0440 \u0430\u0434\u0430\u043c<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-988283-field_14_2\" name=\"wpforms[fields][14]\" value=\"\u04d8\u0439\u0435\u043b\" aria-errormessage=\"wpforms-988283-field_14_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-988283-field_14_2\">\u04d8\u0439\u0435\u043b<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-988283-field_14_4\" name=\"wpforms[fields][14]\" value=\"\u041c\u0435\u043d \u0436\u0430\u0440\u0438\u044f \u0435\u0442\u043f\u0435\u0443\u0434\u0456 \u0436\u04e9\u043d \u043a\u04e9\u0440\u0435\u043c\u0456\u043d\" aria-errormessage=\"wpforms-988283-field_14_4-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-988283-field_14_4\">\u041c\u0435\u043d \u0436\u0430\u0440\u0438\u044f \u0435\u0442\u043f\u0435\u0443\u0434\u0456 \u0436\u04e9\u043d \u043a\u04e9\u0440\u0435\u043c\u0456\u043d<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-988283-field_15-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"15\"><label class=\"wpforms-field-label\" for=\"wpforms-988283-field_15\">4. \u0421\u0430\u043b\u043c\u0430\u049b:<\/label><input type=\"number\" id=\"wpforms-988283-field_15\" class=\"wpforms-field-medium\" name=\"wpforms[fields][15]\" aria-errormessage=\"wpforms-988283-field_15-error\" ><\/div><div id=\"wpforms-988283-field_16-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"16\"><h3 id=\"wpforms-988283-field_16\" aria-errormessage=\"wpforms-988283-field_16-error\">\u0412. \u0416\u0410\u041d\u0410 \u04d8\u0421\u0415\u0420\u0406, \u04e8\u041d\u0406\u041c\u0414\u0415\u0413\u0406 \u041c\u04d8\u0421\u0415\u041b\u0415<\/h3><\/div><div id=\"wpforms-988283-field_18-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"18\"><fieldset><legend class=\"wpforms-field-label\">1. \u0415\u0441\u0435\u043f\u0442\u0456\u04a3 \u0442\u04af\u0440\u0456<\/legend><ul id=\"wpforms-988283-field_18\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-988283-field_18_1\" name=\"wpforms[fields][18][]\" value=\"\u0416\u0430\u043d\u0430\u043c\u0430 \u04d9\u0441\u0435\u0440\u0456\" aria-errormessage=\"wpforms-988283-field_18_1-error\" aria-describedby=\"wpforms-988283-field_18-description\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-988283-field_18_1\">\u0416\u0430\u043d\u0430\u043c\u0430 \u04d9\u0441\u0435\u0440\u0456<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-988283-field_18_2\" name=\"wpforms[fields][18][]\" value=\"\u04e8\u043d\u0456\u043c \u043c\u04d9\u0441\u0435\u043b\u0435\u0441\u0456\" aria-errormessage=\"wpforms-988283-field_18_2-error\" aria-describedby=\"wpforms-988283-field_18-description\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-988283-field_18_2\">\u04e8\u043d\u0456\u043c \u043c\u04d9\u0441\u0435\u043b\u0435\u0441\u0456<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-988283-field_18_3\" name=\"wpforms[fields][18][]\" value=\"\u04e8\u043d\u0456\u043c\u0434\u0456 \u043f\u0430\u0439\u0434\u0430\u043b\u0430\u043d\u0443\" aria-errormessage=\"wpforms-988283-field_18_3-error\" aria-describedby=\"wpforms-988283-field_18-description\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-988283-field_18_3\">\u04e8\u043d\u0456\u043c\u0434\u0456 \u043f\u0430\u0439\u0434\u0430\u043b\u0430\u043d\u0443<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-988283-field_18_4\" name=\"wpforms[fields][18][]\" value=\"\u0415\u043c\u0434\u0435\u0443\u0434\u0456 \u0442\u0430\u0493\u0430\u0439\u044b\u043d\u0434\u0430\u0443\u0434\u0430\u0493\u044b \u049b\u0430\u0442\u0435\" aria-errormessage=\"wpforms-988283-field_18_4-error\" aria-describedby=\"wpforms-988283-field_18-description\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-988283-field_18_4\">\u0415\u043c\u0434\u0435\u0443\u0434\u0456 \u0442\u0430\u0493\u0430\u0439\u044b\u043d\u0434\u0430\u0443\u0434\u0430\u0493\u044b \u049b\u0430\u0442\u0435<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-988283-field_18_5\" name=\"wpforms[fields][18][]\" value=\"\u0411\u0456\u0440 \u043f\u0440\u0435\u043f\u0430\u0440\u0430\u0442\u0442\u0430\u0440\u0434\u044b \u04d9\u0440 \u0442\u04af\u0440\u043b\u0456 \u04e9\u043d\u0434\u0456\u0440\u0443\u0448\u0456\u043b\u0435\u0440\u043c\u0435\u043d \u043f\u0440\u043e\u0431\u043b\u0435\u043c\u0430\" aria-errormessage=\"wpforms-988283-field_18_5-error\" aria-describedby=\"wpforms-988283-field_18-description\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-988283-field_18_5\">\u0411\u0456\u0440 \u043f\u0440\u0435\u043f\u0430\u0440\u0430\u0442\u0442\u0430\u0440\u0434\u044b \u04d9\u0440 \u0442\u04af\u0440\u043b\u0456 \u04e9\u043d\u0434\u0456\u0440\u0443\u0448\u0456\u043b\u0435\u0440\u043c\u0435\u043d \u043f\u0440\u043e\u0431\u043b\u0435\u043c\u0430<\/label><\/li><\/ul><div id=\"wpforms-988283-field_18-description\" class=\"wpforms-field-description\">(\u0431\u0430\u0440\u043b\u044b\u0493\u044b\u043d \u0442\u0430\u04a3\u0434\u0430\u0443)<\/div><\/fieldset><\/div><div id=\"wpforms-988283-field_65-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"65\"><label class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">Layout (copy) (copy)<\/label><div class=\"wpforms-field-layout-rows\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-988283-field_19-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-conditional-trigger\" data-field-id=\"19\"><fieldset><legend class=\"wpforms-field-label\">2. \u0416\u0430\u043d\u0430\u043c\u0430 \u04d9\u0441\u0435\u0440\u0433\u0435\/\u0436\u0430\u0493\u044b\u043c\u0441\u044b\u0437 \u049b\u04b1\u0431\u044b\u043b\u044b\u0441\u049b\u0430 \u0436\u0430\u0442\u049b\u044b\u0437\u044b\u043b\u0493\u0430\u043d \u043d\u04d9\u0442\u0438\u0436\u0435 <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-988283-field_19\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-988283-field_19_1\" name=\"wpforms[fields][19][]\" value=\"\u04e8\u043b\u0456\u043c. \u049a\u0430\u0439\u0442\u044b\u0441 \u0431\u043e\u043b\u0493\u0430\u043d \u043a\u04af\u043d\u0456\" aria-errormessage=\"wpforms-988283-field_19_1-error\" aria-describedby=\"wpforms-988283-field_19-description\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-988283-field_19_1\">\u04e8\u043b\u0456\u043c. \u049a\u0430\u0439\u0442\u044b\u0441 \u0431\u043e\u043b\u0493\u0430\u043d \u043a\u04af\u043d\u0456<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-988283-field_19_2\" name=\"wpforms[fields][19][]\" value=\"\u04e8\u043c\u0456\u0440\u0433\u0435 \u049b\u0430\u0443\u0456\u043f\" aria-errormessage=\"wpforms-988283-field_19_2-error\" aria-describedby=\"wpforms-988283-field_19-description\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-988283-field_19_2\">\u04e8\u043c\u0456\u0440\u0433\u0435 \u049b\u0430\u0443\u0456\u043f<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-988283-field_19_3\" name=\"wpforms[fields][19][]\" value=\"\u0413\u043e\u0441\u043f\u0438\u0442\u0430\u043b\u0438\u0437\u0430\u0446\u0438\u044f\" aria-errormessage=\"wpforms-988283-field_19_3-error\" aria-describedby=\"wpforms-988283-field_19-description\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-988283-field_19_3\">\u0413\u043e\u0441\u043f\u0438\u0442\u0430\u043b\u0438\u0437\u0430\u0446\u0438\u044f<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-988283-field_19_4\" name=\"wpforms[fields][19][]\" value=\"\u0411\u0430\u0441\u049b\u0430 \u0430\u0443\u044b\u0440 \u043d\u0435\u043c\u0435\u0441\u0435 \u043c\u0430\u04a3\u044b\u0437\u0434\u044b \u043c\u0435\u0434\u0438\u0446\u0438\u043d\u0430\u043b\u044b\u049b \u0436\u0430\u0493\u0434\u0430\u0439\u043b\u0430\u0440\" aria-errormessage=\"wpforms-988283-field_19_4-error\" aria-describedby=\"wpforms-988283-field_19-description\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-988283-field_19_4\">\u0411\u0430\u0441\u049b\u0430 \u0430\u0443\u044b\u0440 \u043d\u0435\u043c\u0435\u0441\u0435 \u043c\u0430\u04a3\u044b\u0437\u0434\u044b \u043c\u0435\u0434\u0438\u0446\u0438\u043d\u0430\u043b\u044b\u049b \u0436\u0430\u0493\u0434\u0430\u0439\u043b\u0430\u0440<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-988283-field_19_5\" name=\"wpforms[fields][19][]\" value=\"\u041c\u04af\u0433\u0435\u0434\u0435\u043a\u0442\u0456\u043a \u043d\u0435\u043c\u0435\u0441\u0435 \u0442\u04b1\u0440\u0430\u049b\u0442\u044b \u0437\u0430\u049b\u044b\u043c\u0434\u0430\u043d\u0443\" aria-errormessage=\"wpforms-988283-field_19_5-error\" aria-describedby=\"wpforms-988283-field_19-description\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-988283-field_19_5\">\u041c\u04af\u0433\u0435\u0434\u0435\u043a\u0442\u0456\u043a \u043d\u0435\u043c\u0435\u0441\u0435 \u0442\u04b1\u0440\u0430\u049b\u0442\u044b \u0437\u0430\u049b\u044b\u043c\u0434\u0430\u043d\u0443<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-988283-field_19_6\" name=\"wpforms[fields][19][]\" value=\"\u0422\u0443\u0430 \u0431\u0456\u0442\u043a\u0435\u043d \u0430\u049b\u0430\u0443\u043b\u0430\u0440\/\u0442\u0443\u0430 \u0431\u0456\u0442\u043a\u0435\u043d \u0430\u049b\u0430\u0443\u043b\u0430\u0440\" aria-errormessage=\"wpforms-988283-field_19_6-error\" aria-describedby=\"wpforms-988283-field_19-description\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-988283-field_19_6\">\u0422\u0443\u0430 \u0431\u0456\u0442\u043a\u0435\u043d \u0430\u049b\u0430\u0443\u043b\u0430\u0440\/\u0442\u0443\u0430 \u0431\u0456\u0442\u043a\u0435\u043d \u0430\u049b\u0430\u0443\u043b\u0430\u0440<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"checkbox\" id=\"wpforms-988283-field_19_7\" name=\"wpforms[fields][19][]\" value=\"\u0422\u04b1\u0440\u0430\u049b\u0442\u044b \u0431\u04b1\u0437\u044b\u043b\u0443\u0434\u044b\u04a3\/\u0437\u0430\u049b\u044b\u043c\u043d\u044b\u04a3 \u0430\u043b\u0434\u044b\u043d \u0430\u043b\u0443 \u04af\u0448\u0456\u043d \u049b\u0430\u0436\u0435\u0442 \u0430\u0440\u0430\u043b\u0430\u0441\u0443\" aria-errormessage=\"wpforms-988283-field_19_7-error\" aria-describedby=\"wpforms-988283-field_19-description\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-988283-field_19_7\">\u0422\u04b1\u0440\u0430\u049b\u0442\u044b \u0431\u04b1\u0437\u044b\u043b\u0443\u0434\u044b\u04a3\/\u0437\u0430\u049b\u044b\u043c\u043d\u044b\u04a3 \u0430\u043b\u0434\u044b\u043d \u0430\u043b\u0443 \u04af\u0448\u0456\u043d \u049b\u0430\u0436\u0435\u0442 \u0430\u0440\u0430\u043b\u0430\u0441\u0443<\/label><\/li><\/ul><div id=\"wpforms-988283-field_19-description\" class=\"wpforms-field-description\">(\u0431\u0430\u0440\u043b\u044b\u0493\u044b\u043d \u0442\u0430\u04a3\u0434\u0430\u04a3\u044b\u0437)<\/div><\/fieldset><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-988283-field_64-container\" class=\"wpforms-field wpforms-field-date-time wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"64\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-988283-field_64\">\u04e8\u043b\u0456\u043c. \u049a\u0430\u0439\u0442\u044b\u0441 \u0431\u043e\u043b\u0493\u0430\u043d \u043a\u04af\u043d\u0456 <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-988283-field_64\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-small\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][64][date]\" aria-errormessage=\"wpforms-988283-field_64-error\" required><a title=\"Clear Date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-988283-field_20-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"20\"><label class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">Layout (copy)<\/label><div class=\"wpforms-field-layout-rows\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-988283-field_23-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"23\"><label class=\"wpforms-field-label\" for=\"wpforms-988283-field_23\">3. \u041e\u049b\u0438\u0493\u0430 \u043a\u04af\u043d\u0456<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-988283-field_23\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-small\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][23][date]\" aria-errormessage=\"wpforms-988283-field_23-error\" ><a title=\"Clear Date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-988283-field_22-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"22\"><label class=\"wpforms-field-label\" for=\"wpforms-988283-field_22\">4. \u0415\u0441\u0435\u043f\u0442\u0456 \u0442\u043e\u043b\u0442\u044b\u0440\u0443 \u043a\u04af\u043d\u0456<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-988283-field_22\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-small\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][22][date]\" aria-errormessage=\"wpforms-988283-field_22-error\" ><a title=\"Clear Date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-988283-field_24-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-modern\" data-field-id=\"24\"><label class=\"wpforms-field-label\" for=\"wpforms-988283-field_24\">5. \u041e\u049b\u0438\u0493\u0430\u043d\u044b, \u043c\u04d9\u0441\u0435\u043b\u0435\u043d\u0456 \u043d\u0435\u043c\u0435\u0441\u0435 \u04e9\u043d\u0456\u043c\u0434\u0456 \u043f\u0430\u0439\u0434\u0430\u043b\u0430\u043d\u0443\/\u0440\u0435\u0446\u0435\u043f\u0442 \u049b\u0430\u0442\u0435\u0441\u0456\u043d \u0441\u0438\u043f\u0430\u0442\u0442\u0430\u04a3\u044b\u0437<\/label><select id=\"wpforms-988283-field_24\" class=\"wpforms-field-large choicesjs-select\" data-size-class=\"wpforms-field-row wpforms-field-large\" data-search-enabled=\"1\" name=\"wpforms[fields][24][]\" multiple=\"multiple\"><option value=\"\" class=\"placeholder\" disabled >\u041212 \u0432\u0438\u0442\u0430\u043c\u0438\u043d\u0456 \u0436\u0435\u0442\u0456\u0441\u043f\u0435\u0439\u0442\u0456\u043d \u0430\u043d\u0435\u043c\u0438\u044f<\/option><option value=\"\u041212 \u0432\u0438\u0442\u0430\u043c\u0438\u043d\u0456 \u0436\u0435\u0442\u0456\u0441\u043f\u0435\u0439\u0442\u0456\u043d \u0430\u043d\u0435\u043c\u0438\u044f\" >\u041212 \u0432\u0438\u0442\u0430\u043c\u0438\u043d\u0456 \u0436\u0435\u0442\u0456\u0441\u043f\u0435\u0439\u0442\u0456\u043d \u0430\u043d\u0435\u043c\u0438\u044f<\/option><option value=\"\u0422\u0435\u043c\u0456\u0440\u0442\u0430\u043f\u0448\u044b\u043b\u044b\u049b\u0442\u044b \u0430\u043d\u0435\u043c\u0438\u044f\" >\u0422\u0435\u043c\u0456\u0440\u0442\u0430\u043f\u0448\u044b\u043b\u044b\u049b\u0442\u044b \u0430\u043d\u0435\u043c\u0438\u044f<\/option><option value=\"\u0422\u0430\u0445\u0438\u043a\u0430\u0440\u0434\u0438\u044f\" >\u0422\u0430\u0445\u0438\u043a\u0430\u0440\u0434\u0438\u044f<\/option><option value=\"\u0411\u0440\u0430\u0434\u0438\u043a\u0430\u0440\u0434\u0438\u044f\" >\u0411\u0440\u0430\u0434\u0438\u043a\u0430\u0440\u0434\u0438\u044f<\/option><option value=\"\u0410\u0440\u0438\u0442\u043c\u0438\u044f\" >\u0410\u0440\u0438\u0442\u043c\u0438\u044f<\/option><option value=\"\u0413\u0438\u043f\u043e\u0442\u0435\u043d\u0437\u0438\u044f\" >\u0413\u0438\u043f\u043e\u0442\u0435\u043d\u0437\u0438\u044f<\/option><option value=\"\u0413\u0438\u043f\u0435\u0440\u0442\u043e\u043d\u0438\u044f\" >\u0413\u0438\u043f\u0435\u0440\u0442\u043e\u043d\u0438\u044f<\/option><option value=\"\u049a\u0430\u043d \u043a\u0435\u0442\u0443\" >\u049a\u0430\u043d \u043a\u0435\u0442\u0443<\/option><option value=\"\u0406\u0448 \u049b\u0430\u0442\u0443\" >\u0406\u0448 \u049b\u0430\u0442\u0443<\/option><option value=\"\u0414\u0438\u0430\u0440\u0435\u044f\" >\u0414\u0438\u0430\u0440\u0435\u044f<\/option><option value=\"\u0416\u04af\u0440\u0435\u043a \u0430\u0439\u043d\u0443\u044b\" >\u0416\u04af\u0440\u0435\u043a \u0430\u0439\u043d\u0443\u044b<\/option><option value=\"\u049a\u04b1\u0441\u0443\" >\u049a\u04b1\u0441\u0443<\/option><option value=\"\u049a\u04b1\u0440\u0493\u0430\u049b \u0430\u0443\u044b\u0437\" >\u049a\u04b1\u0440\u0493\u0430\u049b \u0430\u0443\u044b\u0437<\/option><option value=\"\u0406\u0448 \u049b\u0443\u044b\u0441\u044b\u043d\u0434\u0430 \u0430\u0443\u044b\u0440\u0441\u044b\u043d\u0443\" >\u0406\u0448 \u049b\u0443\u044b\u0441\u044b\u043d\u0434\u0430 \u0430\u0443\u044b\u0440\u0441\u044b\u043d\u0443<\/option><option value=\"\u0406\u0448 \u049b\u0443\u044b\u0441\u044b\u043d\u0434\u0430 \u044b\u04a3\u0493\u0430\u0439\u0441\u044b\u0437\u0434\u044b\u049b\" >\u0406\u0448 \u049b\u0443\u044b\u0441\u044b\u043d\u0434\u0430 \u044b\u04a3\u0493\u0430\u0439\u0441\u044b\u0437\u0434\u044b\u049b<\/option><option value=\"\u041c\u0435\u0442\u0435\u043e\u0440\u0438\u0437\u043c\" >\u041c\u0435\u0442\u0435\u043e\u0440\u0438\u0437\u043c<\/option><option value=\"\u0420\u0435\u0444\u043b\u044e\u043a\u0441\" >\u0420\u0435\u0444\u043b\u044e\u043a\u0441<\/option><option value=\"\u041a\u0435\u043a\u0456\u0440\u0443\" >\u041a\u0435\u043a\u0456\u0440\u0443<\/option><option value=\"\u0421\u0442\u043e\u043c\u0430\u0442\u0438\u0442\" >\u0421\u0442\u043e\u043c\u0430\u0442\u0438\u0442<\/option><option value=\"\u0416\u0435\u0434\u0435\u043b \u043f\u0430\u043d\u043a\u0440\u0435\u0430\u0442\u0438\u0442\" >\u0416\u0435\u0434\u0435\u043b \u043f\u0430\u043d\u043a\u0440\u0435\u0430\u0442\u0438\u0442<\/option><option value=\"\u0406\u0441\u0456\u043d\u0433\u0435\u043d \u0442\u0456\u043b\" >\u0406\u0441\u0456\u043d\u0433\u0435\u043d \u0442\u0456\u043b<\/option><option value=\"\u0422\u0456\u0441 \u0430\u0439\u043c\u0430\u0493\u044b\u043d\u0434\u0430\u0493\u044b \u0430\u0443\u044b\u0440\u0441\u044b\u043d\u0443\" >\u0422\u0456\u0441 \u0430\u0439\u043c\u0430\u0493\u044b\u043d\u0434\u0430\u0493\u044b \u0430\u0443\u044b\u0440\u0441\u044b\u043d\u0443<\/option><option value=\"\u0422\u0456\u0441 \u0430\u0439\u043c\u0430\u0493\u044b\u043d\u0434\u0430\u0493\u044b \u0430\u0443\u044b\u0440\u0441\u044b\u043d\u0443\" >\u0422\u0456\u0441 \u0430\u0439\u043c\u0430\u0493\u044b\u043d\u0434\u0430\u0493\u044b \u0430\u0443\u044b\u0440\u0441\u044b\u043d\u0443<\/option><option value=\"\u0411\u0430\u0443\u044b\u0440 \u0434\u0438\u0441\u0444\u0443\u043d\u043a\u0446\u0438\u044f\u0441\u044b\" >\u0411\u0430\u0443\u044b\u0440 \u0434\u0438\u0441\u0444\u0443\u043d\u043a\u0446\u0438\u044f\u0441\u044b<\/option><option value=\"\u0413\u0435\u043f\u0430\u0442\u0438\u0442\" >\u0413\u0435\u043f\u0430\u0442\u0438\u0442<\/option><option value=\"\u04e8\u0442 \u049b\u0430\u0431\u044b\u043d\u044b\u04a3 \u0431\u04b1\u0437\u044b\u043b\u0443\u044b\" >\u04e8\u0442 \u049b\u0430\u0431\u044b\u043d\u044b\u04a3 \u0431\u04b1\u0437\u044b\u043b\u0443\u044b<\/option><option value=\"\u0411\u0430\u0443\u044b\u0440 \u0430\u0443\u0440\u0443\u044b\" >\u0411\u0430\u0443\u044b\u0440 \u0430\u0443\u0440\u0443\u044b<\/option><option value=\"\u0411\u04e9\u0440\u0442\u043f\u0435\" >\u0411\u04e9\u0440\u0442\u043f\u0435<\/option><option value=\"\u0414\u0435\u0440\u043c\u0430\u0442\u0438\u0442\" >\u0414\u0435\u0440\u043c\u0430\u0442\u0438\u0442<\/option><option value=\"\u049a\u044b\u0437\u0430\u0440\u0443\" >\u049a\u044b\u0437\u0430\u0440\u0443<\/option><option value=\"\u0422\u0435\u0440\u0456\u043d\u0456\u04a3 \u049b\u04b1\u0440\u0493\u0430\u0443\u044b\" >\u0422\u0435\u0440\u0456\u043d\u0456\u04a3 \u049b\u04b1\u0440\u0493\u0430\u0443\u044b<\/option><option value=\"\u0423\u0440\u0442\u0438\u043a\u0430\u0440\u0438\u044f\" >\u0423\u0440\u0442\u0438\u043a\u0430\u0440\u0438\u044f<\/option><option value=\"\u041f\u0441\u043e\u0440\u0438\u0430\u0437\" >\u041f\u0441\u043e\u0440\u0438\u0430\u0437<\/option><option value=\"\u042d\u043a\u0437\u0435\u043c\u0430\" >\u042d\u043a\u0437\u0435\u043c\u0430<\/option><option value=\"\u049a\u044b\u0448\u0443\" >\u049a\u044b\u0448\u0443<\/option><option value=\"\u0410\u043b\u043e\u043f\u0435\u0446\u0438\u044f\" >\u0410\u043b\u043e\u043f\u0435\u0446\u0438\u044f<\/option><option value=\"\u0422\u0435\u0440\u0456\u043d\u0456\u04a3 \u049b\u0430\u0431\u044b\u0440\u0448\u0430\u049b\u0442\u0430\u043d\u0443\u044b\" >\u0422\u0435\u0440\u0456\u043d\u0456\u04a3 \u049b\u0430\u0431\u044b\u0440\u0448\u0430\u049b\u0442\u0430\u043d\u0443\u044b<\/option><option value=\"\u041a\u04e9\u043f\u0456\u0440\u0448\u0456\u043a\u0442\u0435\u0440\u0434\u0456\" >\u041a\u04e9\u043f\u0456\u0440\u0448\u0456\u043a\u0442\u0435\u0440\u0434\u0456<\/option><option value=\"\u041f\u0438\u0433\u043c\u0435\u043d\u0442\u0442\u0456 \u0434\u0430\u049b\u0442\u0430\u0440\" >\u041f\u0438\u0433\u043c\u0435\u043d\u0442\u0442\u0456 \u0434\u0430\u049b\u0442\u0430\u0440<\/option><option value=\"\u0422\u044b\u0440\u043d\u0430\u049b \u043f\u043b\u0430\u0441\u0442\u0438\u043d\u043a\u0430\u043b\u0430\u0440\u044b\u043d\u044b\u04a3 \u0431\u04b1\u0437\u044b\u043b\u0443\u044b\" >\u0422\u044b\u0440\u043d\u0430\u049b \u043f\u043b\u0430\u0441\u0442\u0438\u043d\u043a\u0430\u043b\u0430\u0440\u044b\u043d\u044b\u04a3 \u0431\u04b1\u0437\u044b\u043b\u0443\u044b<\/option><option value=\"\u0421\u0430\u04a3\u044b\u0440\u0430\u0443\u049b\u04b1\u043b\u0430\u049b \u0437\u0430\u049b\u044b\u043c\u0434\u0430\u043d\u0443\u044b\" >\u0421\u0430\u04a3\u044b\u0440\u0430\u0443\u049b\u04b1\u043b\u0430\u049b \u0437\u0430\u049b\u044b\u043c\u0434\u0430\u043d\u0443\u044b<\/option><option value=\"\u0413\u0430\u043d\u0433\u0440\u0435\u043d\u0430\" >\u0413\u0430\u043d\u0433\u0440\u0435\u043d\u0430<\/option><option value=\"\u0406\u0441\u0456\u043d\u0443\" >\u0406\u0441\u0456\u043d\u0443<\/option><option value=\"\u0406\u0440\u0456\u04a3\u0434\u0456 \u0431\u04e9\u0440\u0442\u043f\u0435\u043b\u0435\u0440\" >\u0406\u0440\u0456\u04a3\u0434\u0456 \u0431\u04e9\u0440\u0442\u043f\u0435\u043b\u0435\u0440<\/option><option value=\"\u0420\u043e\u0437\u0430\u0446\u0435\u044f\" >\u0420\u043e\u0437\u0430\u0446\u0435\u044f<\/option><option value=\"\u0422\u0435\u0440\u0456\u043d\u0456\u04a3 \u0437\u0430\u049b\u044b\u043c\u0434\u0430\u043d\u0443\u044b\" >\u0422\u0435\u0440\u0456\u043d\u0456\u04a3 \u0437\u0430\u049b\u044b\u043c\u0434\u0430\u043d\u0443\u044b<\/option><option value=\"\u0428\u0430\u0448\u0442\u044b\u04a3 \u0442\u04af\u0441\u0443\u0456\" >\u0428\u0430\u0448\u0442\u044b\u04a3 \u0442\u04af\u0441\u0443\u0456<\/option><option value=\"\u0422\u0435\u0440\u0456\u043d\u0456\u04a3 \u0442\u04af\u0441\u0441\u0456\u0437\u0434\u0435\u043d\u0443\u0456\" >\u0422\u0435\u0440\u0456\u043d\u0456\u04a3 \u0442\u04af\u0441\u0441\u0456\u0437\u0434\u0435\u043d\u0443\u0456<\/option><option value=\"\u0422\u044b\u0440\u043d\u0430\u049b \u043f\u043b\u0430\u0441\u0442\u0438\u043d\u0430\u043b\u0430\u0440\u044b\u043d\u044b\u04a3 \u0442\u04af\u0441\u0456\u043d\u0456\u04a3 \u04e9\u0437\u0433\u0435\u0440\u0443\u0456\" >\u0422\u044b\u0440\u043d\u0430\u049b \u043f\u043b\u0430\u0441\u0442\u0438\u043d\u0430\u043b\u0430\u0440\u044b\u043d\u044b\u04a3 \u0442\u04af\u0441\u0456\u043d\u0456\u04a3 \u04e9\u0437\u0433\u0435\u0440\u0443\u0456<\/option><option value=\"\u0410\u043d\u0430\u0444\u0438\u043b\u0430\u043a\u0442\u0438\u043a\u0430\u043b\u044b\u049b \u0448\u043e\u043a\" >\u0410\u043d\u0430\u0444\u0438\u043b\u0430\u043a\u0442\u0438\u043a\u0430\u043b\u044b\u049b \u0448\u043e\u043a<\/option><option value=\"\u0410\u043b\u043b\u0435\u0440\u0433\u0438\u044f\u043b\u044b\u049b \u0440\u0435\u0430\u043a\u0446\u0438\u044f\" >\u0410\u043b\u043b\u0435\u0440\u0433\u0438\u044f\u043b\u044b\u049b \u0440\u0435\u0430\u043a\u0446\u0438\u044f<\/option><option value=\"\u049a\u0430\u043b\u049b\u0430\u043d\u0448\u0430 \u0434\u0438\u0441\u0444\u0443\u043d\u043a\u0446\u0438\u044f\u0441\u044b \u0431\u04b1\u0437\u044b\u043b\u0443\u044b\" >\u049a\u0430\u043b\u049b\u0430\u043d\u0448\u0430 \u0434\u0438\u0441\u0444\u0443\u043d\u043a\u0446\u0438\u044f\u0441\u044b \u0431\u04b1\u0437\u044b\u043b\u0443\u044b<\/option><option value=\"\u04b0\u0439\u049b\u044b \u0431\u0435\u0437\u0456\u043d\u0456\u04a3 \u0434\u0438\u0441\u0444\u0443\u043d\u043a\u0446\u0438\u044f\u0441\u044b\" >\u04b0\u0439\u049b\u044b \u0431\u0435\u0437\u0456\u043d\u0456\u04a3 \u0434\u0438\u0441\u0444\u0443\u043d\u043a\u0446\u0438\u044f\u0441\u044b<\/option><option value=\"\u0413\u0438\u043f\u043e\u0442\u0438\u0440\u0435\u043e\u0437\" >\u0413\u0438\u043f\u043e\u0442\u0438\u0440\u0435\u043e\u0437<\/option><option value=\"\u0413\u0438\u043f\u0435\u0440\u0442\u0438\u0440\u0435\u043e\u0437\" >\u0413\u0438\u043f\u0435\u0440\u0442\u0438\u0440\u0435\u043e\u0437<\/option><option value=\"\u0410\u0443\u0442\u043e\u0438\u043c\u043c\u0443\u043d\u0434\u044b \u0442\u0438\u0440\u0435\u043e\u0438\u0434\u0438\u0442\" >\u0410\u0443\u0442\u043e\u0438\u043c\u043c\u0443\u043d\u0434\u044b \u0442\u0438\u0440\u0435\u043e\u0438\u0434\u0438\u0442<\/option><option value=\"\u049a\u0430\u043d\u0442 \u0434\u0438\u0430\u0431\u0435\u0442\u0456 (\u0430\u0431\u043e \u2013 \u0414\u0438\u0430\u0431\u0435\u0442\u0456)\" >\u049a\u0430\u043d\u0442 \u0434\u0438\u0430\u0431\u0435\u0442\u0456 (\u0430\u0431\u043e \u2013 \u0414\u0438\u0430\u0431\u0435\u0442\u0456)<\/option><option value=\"\u0411\u04af\u0439\u0440\u0435\u043a \u04af\u0441\u0442\u0456 \u0431\u0435\u0437\u0456\u043d\u0456\u04a3 \u0434\u0438\u0441\u0444\u0443\u043d\u043a\u0446\u0438\u044f\u0441\u044b\" >\u0411\u04af\u0439\u0440\u0435\u043a \u04af\u0441\u0442\u0456 \u0431\u0435\u0437\u0456\u043d\u0456\u04a3 \u0434\u0438\u0441\u0444\u0443\u043d\u043a\u0446\u0438\u044f\u0441\u044b<\/option><option value=\"\u0416\u044b\u043d\u044b\u0441\u0442\u044b\u049b \u0433\u043e\u0440\u043c\u043e\u043d\u0434\u0430\u0440\u0434\u044b\u04a3 \u0434\u0438\u0441\u0444\u0443\u043d\u043a\u0446\u0438\u044f\u0441\u044b\" >\u0416\u044b\u043d\u044b\u0441\u0442\u044b\u049b \u0433\u043e\u0440\u043c\u043e\u043d\u0434\u0430\u0440\u0434\u044b\u04a3 \u0434\u0438\u0441\u0444\u0443\u043d\u043a\u0446\u0438\u044f\u0441\u044b<\/option><option value=\"\u0416\u044b\u043d\u044b\u0441 \u043c\u04af\u0448\u0435\u043b\u0435\u0440\u0456\u043d\u0456\u04a3 \u049b\u044b\u0448\u0443\u044b\" >\u0416\u044b\u043d\u044b\u0441 \u043c\u04af\u0448\u0435\u043b\u0435\u0440\u0456\u043d\u0456\u04a3 \u049b\u044b\u0448\u0443\u044b<\/option><option value=\"\u049a\u044b\u043d\u0430\u043f\u0442\u0430\u043d \u049b\u0430\u043d \u043a\u0435\u0442\u0443\" >\u049a\u044b\u043d\u0430\u043f\u0442\u0430\u043d \u049b\u0430\u043d \u043a\u0435\u0442\u0443<\/option><option value=\"\u041c\u0435\u043d\u0441\u0442\u0440\u0443\u0430\u043b\u044c\u0434\u044b\u049b \u0431\u04b1\u0437\u044b\u043b\u0443\u043b\u0430\u0440\" >\u041c\u0435\u043d\u0441\u0442\u0440\u0443\u0430\u043b\u044c\u0434\u044b\u049b \u0431\u04b1\u0437\u044b\u043b\u0443\u043b\u0430\u0440<\/option><option value=\"\u041f\u0440\u043e\u0441\u0442\u0430\u0442\u0438\u0442\" >\u041f\u0440\u043e\u0441\u0442\u0430\u0442\u0438\u0442<\/option><option value=\"\u0416\u044b\u043d\u044b\u0441 \u043c\u04af\u0448\u0435\u043b\u0435\u0440\u0456\u043d\u0456\u04a3 \u0441\u0430\u04a3\u044b\u0440\u0430\u0443\u049b\u04b1\u043b\u0430\u049b \u0437\u0430\u049b\u044b\u043c\u0434\u0430\u043d\u0443\u044b\" >\u0416\u044b\u043d\u044b\u0441 \u043c\u04af\u0448\u0435\u043b\u0435\u0440\u0456\u043d\u0456\u04a3 \u0441\u0430\u04a3\u044b\u0440\u0430\u0443\u049b\u04b1\u043b\u0430\u049b \u0437\u0430\u049b\u044b\u043c\u0434\u0430\u043d\u0443\u044b<\/option><option value=\"\u0421\u04af\u0442 \u0431\u0435\u0437\u0434\u0435\u0440\u0456\u043d\u0434\u0435\u0433\u0456 \u0430\u0443\u044b\u0440\u0441\u044b\u043d\u0443\" >\u0421\u04af\u0442 \u0431\u0435\u0437\u0434\u0435\u0440\u0456\u043d\u0434\u0435\u0433\u0456 \u0430\u0443\u044b\u0440\u0441\u044b\u043d\u0443<\/option><option value=\"\u0416\u044b\u043d\u044b\u0441 \u043c\u04af\u0448\u0435\u043b\u0435\u0440\u0456\u043d\u0456\u04a3 \u044b\u04a3\u0493\u0430\u0439\u0441\u044b\u0437\u0434\u044b\u0493\u044b\" >\u0416\u044b\u043d\u044b\u0441 \u043c\u04af\u0448\u0435\u043b\u0435\u0440\u0456\u043d\u0456\u04a3 \u044b\u04a3\u0493\u0430\u0439\u0441\u044b\u0437\u0434\u044b\u0493\u044b<\/option><option value=\"\u0416\u044b\u043d\u044b\u0441 \u043c\u04af\u0448\u0435\u043b\u0435\u0440\u0456\u043d\u0456\u04a3 \u0431\u04e9\u0440\u0442\u043f\u0435\u043b\u0435\u0440\u0456\" >\u0416\u044b\u043d\u044b\u0441 \u043c\u04af\u0448\u0435\u043b\u0435\u0440\u0456\u043d\u0456\u04a3 \u0431\u04e9\u0440\u0442\u043f\u0435\u043b\u0435\u0440\u0456<\/option><option value=\"\u0416\u044b\u043d\u044b\u0441\u0442\u044b\u049b \u0434\u0438\u0441\u0444\u0443\u043d\u043a\u0446\u0438\u044f\u0441\u044b\" >\u0416\u044b\u043d\u044b\u0441\u0442\u044b\u049b \u0434\u0438\u0441\u0444\u0443\u043d\u043a\u0446\u0438\u044f\u0441\u044b<\/option><option value=\"\u0411\u04af\u0439\u0440\u0435\u043a \u0436\u0435\u0442\u043a\u0456\u043b\u0456\u043a\u0441\u0456\u0437\u0434\u0456\u0433\u0456\" >\u0411\u04af\u0439\u0440\u0435\u043a \u0436\u0435\u0442\u043a\u0456\u043b\u0456\u043a\u0441\u0456\u0437\u0434\u0456\u0433\u0456<\/option><option value=\"\u0411\u04af\u0439\u0440\u0435\u043a\u0442\u0456\u04a3 \u0436\u0435\u0434\u0435\u043b \u0437\u0430\u049b\u044b\u043c\u0434\u0430\u043d\u0443\u044b\" >\u0411\u04af\u0439\u0440\u0435\u043a\u0442\u0456\u04a3 \u0436\u0435\u0434\u0435\u043b \u0437\u0430\u049b\u044b\u043c\u0434\u0430\u043d\u0443\u044b<\/option><option value=\"\u0411\u04af\u0439\u0440\u0435\u043a \u0430\u0443\u0440\u0443\u044b\" >\u0411\u04af\u0439\u0440\u0435\u043a \u0430\u0443\u0440\u0443\u044b<\/option><option value=\"\u0417\u04d9\u0440 \u0448\u044b\u0493\u0430\u0440\u0443\u0434\u044b\u04a3 \u0441\u0430\u049b\u0442\u0430\u043b\u0443\u044b\" >\u0417\u04d9\u0440 \u0448\u044b\u0493\u0430\u0440\u0443\u0434\u044b\u04a3 \u0441\u0430\u049b\u0442\u0430\u043b\u0443\u044b<\/option><option value=\"\u0417\u04d9\u0440 \u0448\u044b\u0493\u0430\u0440\u0443\u0434\u044b \u04b1\u0441\u0442\u0430\u043c\u0430\u0443\" >\u0417\u04d9\u0440 \u0448\u044b\u0493\u0430\u0440\u0443\u0434\u044b \u04b1\u0441\u0442\u0430\u043c\u0430\u0443<\/option><option value=\"\u0417\u04d9\u0440 \u0448\u044b\u0493\u0430\u0440\u0443 \u043a\u0435\u0437\u0456\u043d\u0434\u0435 \u0430\u0443\u044b\u0440\u0441\u044b\u043d\u0443\" >\u0417\u04d9\u0440 \u0448\u044b\u0493\u0430\u0440\u0443 \u043a\u0435\u0437\u0456\u043d\u0434\u0435 \u0430\u0443\u044b\u0440\u0441\u044b\u043d\u0443<\/option><option value=\"\u049a\u0443\u044b\u049b\u0442\u0430\u0493\u044b \u0430\u0443\u044b\u0440\u0441\u044b\u043d\u0443\" >\u049a\u0443\u044b\u049b\u0442\u0430\u0493\u044b \u0430\u0443\u044b\u0440\u0441\u044b\u043d\u0443<\/option><option value=\"\u0428\u0430\u0440\u0448\u0430\u0443\" >\u0428\u0430\u0440\u0448\u0430\u0443<\/option><option value=\"\u04d8\u043b\u0441\u0456\u0437\u0434\u0456\u043a\" >\u04d8\u043b\u0441\u0456\u0437\u0434\u0456\u043a<\/option><option value=\"\u0411\u0430\u0441 \u0430\u0439\u043d\u0430\u043b\u0443\" >\u0411\u0430\u0441 \u0430\u0439\u043d\u0430\u043b\u0443<\/option><option value=\"\u04b0\u0439\u049b\u044b\u0448\u044b\u043b\u0434\u044b\u049b\" >\u04b0\u0439\u049b\u044b\u0448\u044b\u043b\u0434\u044b\u049b<\/option><option value=\"\u0410\u0443\u044b\u0440\u0441\u044b\u043d\u0443\" >\u0410\u0443\u044b\u0440\u0441\u044b\u043d\u0443<\/option><option value=\"\u04b0\u0439\u049b\u044b\u0441\u044b\u0437\u0434\u044b\u049b\" >\u04b0\u0439\u049b\u044b\u0441\u044b\u0437\u0434\u044b\u049b<\/option><option value=\"\u041c\u0430\u0437\u0430\u0441\u044b\u0437\u0434\u044b\u049b\" >\u041c\u0430\u0437\u0430\u0441\u044b\u0437\u0434\u044b\u049b<\/option><option value=\"\u0416\u0430\u043b\u043f\u044b \u0436\u0430\u0493\u0434\u0430\u0439\u0434\u044b\u04a3 \u043d\u0430\u0448\u0430\u0440\u043b\u0430\u0443\u044b\" >\u0416\u0430\u043b\u043f\u044b \u0436\u0430\u0493\u0434\u0430\u0439\u0434\u044b\u04a3 \u043d\u0430\u0448\u0430\u0440\u043b\u0430\u0443\u044b<\/option><option value=\"\u049a\u044b\u0437\u0431\u0430\" >\u049a\u044b\u0437\u0431\u0430<\/option><option value=\"\u049a\u0430\u043b\u0442\u044b\u0440\u0430\u0443\" >\u049a\u0430\u043b\u0442\u044b\u0440\u0430\u0443<\/option><option value=\"\u0416\u04af\u0440\u0443\u0434\u0456\u04a3 \u0431\u04b1\u0437\u044b\u043b\u0443\u044b\" >\u0416\u04af\u0440\u0443\u0434\u0456\u04a3 \u0431\u04b1\u0437\u044b\u043b\u0443\u044b<\/option><option value=\"\u049a\u043e\u0437\u0493\u0430\u043b\u0442\u049b\u044b\u0448 \u0434\u0438\u0441\u0444\u0443\u043d\u043a\u0446\u0438\u044f\u0441\u044b\" >\u049a\u043e\u0437\u0493\u0430\u043b\u0442\u049b\u044b\u0448 \u0434\u0438\u0441\u0444\u0443\u043d\u043a\u0446\u0438\u044f\u0441\u044b<\/option><option value=\"\u0406\u0441\u0456\u043d\u0433\u0435\u043d \u0431\u0435\u0442\" >\u0406\u0441\u0456\u043d\u0433\u0435\u043d \u0431\u0435\u0442<\/option><option value=\"\u0428\u04e9\u043b\u0434\u0435\u0443\" >\u0428\u04e9\u043b\u0434\u0435\u0443<\/option><option value=\"\u0410\u0448\u0442\u044b\u049b \u0441\u0435\u0437\u0456\u043c\u0456\u043d \u0430\u0440\u0442\u0442\u044b\u0440\u0443\" >\u0410\u0448\u0442\u044b\u049b \u0441\u0435\u0437\u0456\u043c\u0456\u043d \u0430\u0440\u0442\u0442\u044b\u0440\u0443<\/option><option value=\"\u0410\u0433\u0440\u0435\u0441\u0441\u0438\u044f\u043d\u044b\u04a3 \u0436\u043e\u0493\u0430\u0440\u044b\u043b\u0430\u0443\u044b\" >\u0410\u0433\u0440\u0435\u0441\u0441\u0438\u044f\u043d\u044b\u04a3 \u0436\u043e\u0493\u0430\u0440\u044b\u043b\u0430\u0443\u044b<\/option><option value=\"\u0411\u0435\u043b\u0441\u0435\u043d\u0434\u0456\u043b\u0456\u043a\u0442\u0456\u04a3 \u0442\u04e9\u043c\u0435\u043d\u0434\u0435\u0443\u0456\" >\u0411\u0435\u043b\u0441\u0435\u043d\u0434\u0456\u043b\u0456\u043a\u0442\u0456\u04a3 \u0442\u04e9\u043c\u0435\u043d\u0434\u0435\u0443\u0456<\/option><option value=\"\u0412\u0435\u0441\u0442\u0438\u0431\u0443\u043b\u044f\u0440\u043b\u044b\u049b \u0430\u043f\u043f\u0430\u0440\u0430\u0442\u0442\u044b\u04a3 \u0431\u04b1\u0437\u044b\u043b\u0443\u044b\" >\u0412\u0435\u0441\u0442\u0438\u0431\u0443\u043b\u044f\u0440\u043b\u044b\u049b \u0430\u043f\u043f\u0430\u0440\u0430\u0442\u0442\u044b\u04a3 \u0431\u04b1\u0437\u044b\u043b\u0443\u044b<\/option><option value=\"\u049a\u04b1\u043b\u0430\u049b \u0448\u0443\u044b\" >\u049a\u04b1\u043b\u0430\u049b \u0448\u0443\u044b<\/option><option value=\"\u0421\u0430\u04a3\u044b\u0440\u0430\u0443\u043b\u044b\u049b\" >\u0421\u0430\u04a3\u044b\u0440\u0430\u0443\u043b\u044b\u049b<\/option><option value=\"\u0422\u0435\u04a3\u0456\u0437 \u0430\u0443\u0440\u0443\u044b\" >\u0422\u0435\u04a3\u0456\u0437 \u0430\u0443\u0440\u0443\u044b<\/option><option value=\"\u0411\u04b1\u043b\u044b\u04a3\u0493\u044b\u0440 \u043a\u04e9\u0440\u0443\" >\u0411\u04b1\u043b\u044b\u04a3\u0493\u044b\u0440 \u043a\u04e9\u0440\u0443<\/option><option value=\"\u0421\u043e\u049b\u044b\u0440\u043b\u044b\u049b\" >\u0421\u043e\u049b\u044b\u0440\u043b\u044b\u049b<\/option><option value=\"\u041a\u04e9\u0440\u0443 \u049b\u0430\u0431\u0456\u043b\u0435\u0442\u0456\u043d\u0456\u04a3 \u0431\u04b1\u0437\u044b\u043b\u0443\u044b\" >\u041a\u04e9\u0440\u0443 \u049b\u0430\u0431\u0456\u043b\u0435\u0442\u0456\u043d\u0456\u04a3 \u0431\u04b1\u0437\u044b\u043b\u0443\u044b<\/option><option value=\"\u041a\u04e9\u0437\u0434\u0456\u04a3 \u0430\u0443\u044b\u0440\u0443\u044b\" >\u041a\u04e9\u0437\u0434\u0456\u04a3 \u0430\u0443\u044b\u0440\u0443\u044b<\/option><option value=\"\u0422\u0440\u0435\u043c\u043e\u0440\" >\u0422\u0440\u0435\u043c\u043e\u0440<\/option><option value=\"\u0428\u043e\u0493\u044b\u0440\u043b\u0430\u043d\u0443\u0434\u044b\u04a3 \u0436\u043e\u0493\u0430\u043b\u0443\u044b\" >\u0428\u043e\u0493\u044b\u0440\u043b\u0430\u043d\u0443\u0434\u044b\u04a3 \u0436\u043e\u0493\u0430\u043b\u0443\u044b<\/option><option value=\"\u041a\u043e\u043c\u0430\" >\u041a\u043e\u043c\u0430<\/option><option value=\"\u0415\u0441\u0442\u0435\u043d \u0442\u0430\u043d\u0443\" >\u0415\u0441\u0442\u0435\u043d \u0442\u0430\u043d\u0443<\/option><option value=\"\u0410\u043f\u0430\u0442\u0438\u044f\" >\u0410\u043f\u0430\u0442\u0438\u044f<\/option><option value=\"\u0422\u04d9\u0431\u0435\u0442\u0442\u0456\u04a3 \u0436\u043e\u0493\u0430\u043b\u0443\u044b\" >\u0422\u04d9\u0431\u0435\u0442\u0442\u0456\u04a3 \u0436\u043e\u0493\u0430\u043b\u0443\u044b<\/option><option value=\"\u0414\u0435\u043f\u0440\u0435\u0441\u0441\u0438\u044f\u043b\u044b\u049b \u043a\u04af\u0439\" >\u0414\u0435\u043f\u0440\u0435\u0441\u0441\u0438\u044f\u043b\u044b\u049b \u043a\u04af\u0439<\/option><option value=\"\u0422\u0435\u043f\u0435-\u0442\u0435\u04a3\u0434\u0456\u043a\u0442\u0456 \u0436\u043e\u0493\u0430\u043b\u0442\u0443\" >\u0422\u0435\u043f\u0435-\u0442\u0435\u04a3\u0434\u0456\u043a\u0442\u0456 \u0436\u043e\u0493\u0430\u043b\u0442\u0443<\/option><option value=\"\u0416\u0430\u0434\u0442\u044b\u04a3 \u0431\u04b1\u0437\u044b\u043b\u0443\u044b\" >\u0416\u0430\u0434\u0442\u044b\u04a3 \u0431\u04b1\u0437\u044b\u043b\u0443\u044b<\/option><option value=\"\u041c\u0438\u0433\u0440\u0435\u043d\u044c\" >\u041c\u0438\u0433\u0440\u0435\u043d\u044c<\/option><option value=\"\u0421\u04e9\u0439\u043b\u0435\u0443\u0434\u0456\u04a3 \u0431\u04b1\u0437\u044b\u043b\u0443\u044b\" >\u0421\u04e9\u0439\u043b\u0435\u0443\u0434\u0456\u04a3 \u0431\u04b1\u0437\u044b\u043b\u0443\u044b<\/option><option value=\"\u0410\u044f\u049b-\u049b\u043e\u043b\u0434\u0430\u0440\u0434\u044b\u04a3 \u043f\u0430\u0440\u0430\u043b\u0438\u0447\" >\u0410\u044f\u049b-\u049b\u043e\u043b\u0434\u0430\u0440\u0434\u044b\u04a3 \u043f\u0430\u0440\u0430\u043b\u0438\u0447<\/option><option value=\"\u0411\u0435\u0442 \u043f\u0430\u0440\u0430\u043b\u0438\u0447\" >\u0411\u0435\u0442 \u043f\u0430\u0440\u0430\u043b\u0438\u0447<\/option><option value=\"\u0421\u04af\u0439\u0435\u043a \u0430\u0443\u044b\u0440\u0441\u044b\u043d\u0443\" >\u0421\u04af\u0439\u0435\u043a \u0430\u0443\u044b\u0440\u0441\u044b\u043d\u0443<\/option><option value=\"\u0411\u04b1\u043b\u0448\u044b\u049b\u0435\u0442 \u0441\u043f\u0430\u0437\u043c\u044b\" >\u0411\u04b1\u043b\u0448\u044b\u049b\u0435\u0442 \u0441\u043f\u0430\u0437\u043c\u044b<\/option><option value=\"\u0411\u04b1\u043b\u0448\u044b\u049b\u0435\u0442 \u04d9\u043b\u0441\u0456\u0440\u0435\u0443\u0456\" >\u0411\u04b1\u043b\u0448\u044b\u049b\u0435\u0442 \u04d9\u043b\u0441\u0456\u0440\u0435\u0443\u0456<\/option><\/select><\/div><div id=\"wpforms-988283-field_25-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"25\"><textarea id=\"wpforms-988283-field_25\" class=\"wpforms-field-medium\" name=\"wpforms[fields][25]\" placeholder=\"\u0421\u0435\u043d\u0456\u04a3 \u043a\u04e9\u0437\u049b\u0430\u0440\u0430\u0441\u044b\u04a3\" aria-errormessage=\"wpforms-988283-field_25-error\" ><\/textarea><\/div><div id=\"wpforms-988283-field_26-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"26\"><label class=\"wpforms-field-label\" for=\"wpforms-988283-field_26\">6. \u0410\u0493\u044b\u043c\u0434\u0430\u0493\u044b \u0442\u0430\u043b\u0434\u0430\u0443\u043b\u0430\u0440\/\u0437\u0435\u0440\u0442\u0445\u0430\u043d\u0430\u043b\u044b\u049b \u0434\u0435\u0440\u0435\u043a\u0442\u0435\u0440<\/label><textarea id=\"wpforms-988283-field_26\" class=\"wpforms-field-medium\" name=\"wpforms[fields][26]\" aria-errormessage=\"wpforms-988283-field_26-error\" ><\/textarea><\/div><div id=\"wpforms-988283-field_27-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"27\"><label class=\"wpforms-field-label\" for=\"wpforms-988283-field_27\">7. \u0411\u04b1\u0440\u044b\u043d\u043d\u0430\u043d \u0431\u0430\u0440 \u0430\u0443\u0440\u0443\u043b\u0430\u0440\u0434\u044b \u049b\u043e\u0441\u0430 \u0430\u043b\u0493\u0430\u043d\u0434\u0430, \u0431\u0430\u0441\u049b\u0430 \u0434\u0430 \u0442\u0438\u0456\u0441\u0442\u0456 \u043c\u0435\u0434\u0438\u0446\u0438\u043d\u0430\u043b\u044b\u049b \u0436\u0430\u0493\u0434\u0430\u0439\u043b\u0430\u0440<\/label><textarea id=\"wpforms-988283-field_27\" class=\"wpforms-field-medium\" name=\"wpforms[fields][27]\" aria-errormessage=\"wpforms-988283-field_27-error\" ><\/textarea><\/div><div id=\"wpforms-988283-field_28-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"28\"><h3 id=\"wpforms-988283-field_28\" aria-errormessage=\"wpforms-988283-field_28-error\">\u0421. \u04e8\u041d\u0406\u041c\u0414\u0406\u04a2 \u049a\u041e\u041b\u0416\u0415\u0422\u0406\u041c\u0414\u0406\u041b\u0406\u0413\u0406<\/h3><\/div><div id=\"wpforms-988283-field_29-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"29\"><fieldset><legend class=\"wpforms-field-label\">1. \u04e8\u043d\u0456\u043c \u0431\u0430\u0493\u0430\u043b\u0430\u0443 \u04af\u0448\u0456\u043d \u049b\u043e\u043b\u0436\u0435\u0442\u0456\u043c\u0434\u0456<\/legend><ul id=\"wpforms-988283-field_29\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-988283-field_29_1\" name=\"wpforms[fields][29]\" value=\"\u0416\u043e\u049b\" aria-errormessage=\"wpforms-988283-field_29_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-988283-field_29_1\">\u0416\u043e\u049b<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-988283-field_29_2\" name=\"wpforms[fields][29]\" value=\"\u0418\u04d9\" aria-errormessage=\"wpforms-988283-field_29_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-988283-field_29_2\">\u0418\u04d9<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-988283-field_68-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"68\"><label class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">Layout (copy) (copy)<\/label><div class=\"wpforms-field-layout-rows\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-988283-field_32-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-conditional-trigger\" data-field-id=\"32\"><fieldset><legend class=\"wpforms-field-label\"><\/legend><ul id=\"wpforms-988283-field_32\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-988283-field_32_1\" name=\"wpforms[fields][32][]\" value=\"\u04e8\u043d\u0434\u0456\u0440\u0443\u0448\u0456\u0433\u0435 \u049b\u0430\u0439\u0442\u0430\u0440\u044b\u043b\u0434\u044b\" aria-errormessage=\"wpforms-988283-field_32_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-988283-field_32_1\">\u04e8\u043d\u0434\u0456\u0440\u0443\u0448\u0456\u0433\u0435 \u049b\u0430\u0439\u0442\u0430\u0440\u044b\u043b\u0434\u044b<\/label><\/li><\/ul><\/fieldset><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-988283-field_71-container\" class=\"wpforms-field wpforms-field-date-time wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"71\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-988283-field_71\">\u049a\u0430\u0439\u0442\u0430\u0440\u0443 \u043a\u04af\u043d\u0456<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-988283-field_71\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-small\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][71][date]\" aria-errormessage=\"wpforms-988283-field_71-error\" ><a title=\"Clear Date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-988283-field_33-container\" class=\"wpforms-field wpforms-field-file-upload\" data-field-id=\"33\"><label class=\"wpforms-field-label\" for=\"wpforms-988283-field_33\">2. \u04e8\u043d\u0456\u043c\u043d\u0456\u04a3 \u0444\u043e\u0442\u043e\u0441\u044b \u0431\u0430\u0440 \u043c\u0430?<\/label><div\n\t\tclass=\"wpforms-uploader\"\n\t\tdata-field-id=\"33\"\n\t\tdata-form-id=\"988283\"\n\t\tdata-input-name=\"wpforms_988283_33\"\n\t\tdata-extensions=\"jpg,jpeg,jpe,gif,png,bmp,tiff,tif,webp,avif,ico,heic,asf,asx,wmv,wmx,wm,avi,divx,mov,qt,mpeg,mpg,mpe,mp4,m4v,ogv,webm,mkv,3gp,3gpp,3g2,3gp2,txt,asc,c,cc,h,srt,csv,tsv,ics,rtx,css,vtt,mp3,m4a,m4b,aac,ra,ram,wav,ogg,oga,flac,mid,midi,wma,wax,mka,rtf,pdf,class,tar,zip,gz,gzip,rar,7z,psd,xcf,doc,pot,pps,ppt,wri,xla,xls,xlt,xlw,mpp,docx,docm,dotx,dotm,xlsx,xlsm,xlsb,xltx,xltm,xlam,pptx,pptm,ppsx,ppsm,potx,potm,ppam,sldx,sldm,onetoc,onetoc2,onepkg,oxps,xps,odt,odp,ods,odg,odc,odb,odf,wp,wpd,key,numbers,pages\"\n\t\tdata-max-size=\"15728640\"\n\t\tdata-max-file-number=\"1\"\n\t\tdata-post-max-size=\"2147483648\"\n\t\tdata-max-parallel-uploads=\"4\"\n\t\tdata-parallel-uploads=\"true\"\n\t\tdata-file-chunk-size=\"2097152\">\n\t<div class=\"dz-message\">\n\t\t<svg viewBox=\"0 0 1024 1024\" focusable=\"false\" data-icon=\"inbox\" width=\"50px\" height=\"50px\" fill=\"currentColor\" aria-hidden=\"true\">\n\t\t\t<path d=\"M885.2 446.3l-.2-.8-112.2-285.1c-5-16.1-19.9-27.2-36.8-27.2H281.2c-17 0-32.1 11.3-36.9 27.6L139.4 443l-.3.7-.2.8c-1.3 4.9-1.7 9.9-1 14.8-.1 1.6-.2 3.2-.2 4.8V830a60.9 60.9 0 0 0 60.8 60.8h627.2c33.5 0 60.8-27.3 60.9-60.8V464.1c0-1.3 0-2.6-.1-3.7.4-4.9 0-9.6-1.3-14.1zm-295.8-43l-.3 15.7c-.8 44.9-31.8 75.1-77.1 75.1-22.1 0-41.1-7.1-54.8-20.6S436 441.2 435.6 419l-.3-15.7H229.5L309 210h399.2l81.7 193.3H589.4zm-375 76.8h157.3c24.3 57.1 76 90.8 140.4 90.8 33.7 0 65-9.4 90.3-27.2 22.2-15.6 39.5-37.4 50.7-63.6h156.5V814H214.4V480.1z\"><\/path>\n\t\t<\/svg>\n\t\t<span class=\"modern-title\">Click or drag a file to this area to upload.<\/span>\n\n\t\t\t<\/div>\n<\/div>\n<input\n\t\ttype=\"text\"\n\t\tautocomplete=\"off\"\n\t\treadonly\n\t\tclass=\"dropzone-input\"\n\t\tstyle=\"position:absolute!important;clip:rect(0,0,0,0)!important;height:1px!important;width:1px!important;border:0!important;overflow:hidden!important;padding:0!important;margin:0!important;\"\n\t\tid=\"wpforms-988283-field_33\"\n\t\tname=\"wpforms_988283_33\" \t\tvalue=\"\">\n<\/div><div id=\"wpforms-988283-field_34-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"34\"><h3 id=\"wpforms-988283-field_34\" aria-errormessage=\"wpforms-988283-field_34-error\">D. \u042b\u049a\u0422\u0418\u041c\u0410\u041b \u049a\u0410\u0423\u0406\u041f\u0422\u0406 \u04e8\u041d\u0406\u041c\u0414\u0415\u0420<\/h3><\/div><div id=\"wpforms-988283-field_35-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-trigger\" data-field-id=\"35\"><fieldset><legend class=\"wpforms-field-label\"><\/legend><ul id=\"wpforms-988283-field_35\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-988283-field_35_1\" name=\"wpforms[fields][35]\" value=\"\u0410\u0442\u044b, \u0441\u0430\u043d\u044b, \u04e9\u043d\u0434\u0456\u0440\u0443\u0448\u0456\/\u0436\u0435\u0442\u043a\u0456\u0437\u0443\u0448\u0456\" aria-errormessage=\"wpforms-988283-field_35_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-988283-field_35_1\">\u0410\u0442\u044b, \u0441\u0430\u043d\u044b, \u04e9\u043d\u0434\u0456\u0440\u0443\u0448\u0456\/\u0436\u0435\u0442\u043a\u0456\u0437\u0443\u0448\u0456<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-988283-field_35_2\" name=\"wpforms[fields][35]\" value=\"\u0411\u04b1\u043b \u0435\u0441\u0435\u043f \u043a\u043e\u0441\u043c\u0435\u0442\u0438\u043a\u0430\u0493\u0430, \u0434\u0438\u0435\u0442\u0430\u043b\u044b\u049b \u049b\u043e\u0441\u043f\u0430\u043b\u0430\u0440\u0493\u0430 \u043d\u0435\u043c\u0435\u0441\u0435 \u0442\u0430\u0493\u0430\u043c\/\u0434\u0435\u043d\u0441\u0430\u0443\u043b\u044b\u049b\u049b\u0430 \u0430\u0440\u043d\u0430\u043b\u0493\u0430\u043d \u0442\u0430\u0493\u0430\u043c\u0493\u0430 \u049b\u0430\u0442\u044b\u0441\u0442\u044b \u043c\u0430\" aria-errormessage=\"wpforms-988283-field_35_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-988283-field_35_2\">\u0411\u04b1\u043b \u0435\u0441\u0435\u043f \u043a\u043e\u0441\u043c\u0435\u0442\u0438\u043a\u0430\u0493\u0430, \u0434\u0438\u0435\u0442\u0430\u043b\u044b\u049b \u049b\u043e\u0441\u043f\u0430\u043b\u0430\u0440\u0493\u0430 \u043d\u0435\u043c\u0435\u0441\u0435 \u0442\u0430\u0493\u0430\u043c\/\u0434\u0435\u043d\u0441\u0430\u0443\u043b\u044b\u049b\u049b\u0430 \u0430\u0440\u043d\u0430\u043b\u0493\u0430\u043d \u0442\u0430\u0493\u0430\u043c\u0493\u0430 \u049b\u0430\u0442\u044b\u0441\u0442\u044b \u043c\u0430<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-988283-field_72-container\" class=\"wpforms-field wpforms-field-divider wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"72\" style=\"display:none;\"><h3 id=\"wpforms-988283-field_72\" aria-errormessage=\"wpforms-988283-field_72-error\">\u0415. \u04d8\u041b\u0415\u0423\u041c\u0415\u0422\u0422\u0406 \u049a\u0410\u0423\u0406\u041f\u0422\u0406 \u041c\u0415\u0414\u0418\u0426\u0418\u041d\u0410\u041b\u042b\u049a \u049a\u04b0\u0420\u0410\u041b\u0414\u0410\u0420<\/h3><\/div><div id=\"wpforms-988283-field_36-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"36\"><label class=\"wpforms-field-label\" for=\"wpforms-988283-field_36\">#1 - \u0422\u0430\u049b\u044b\u0440\u044b\u043f<\/label><input type=\"text\" id=\"wpforms-988283-field_36\" class=\"wpforms-field-medium\" name=\"wpforms[fields][36]\" aria-errormessage=\"wpforms-988283-field_36-error\" ><\/div><div id=\"wpforms-988283-field_37-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"37\"><label class=\"wpforms-field-label\" for=\"wpforms-988283-field_37\">#2 - \u04e8\u043d\u0434\u0456\u0440\u0443\u0448\u0456\/\u0416\u0430\u0431\u0434\u044b\u049b\u0442\u0430\u0443\u0448\u044b<\/label><input type=\"text\" id=\"wpforms-988283-field_37\" class=\"wpforms-field-medium\" name=\"wpforms[fields][37]\" aria-errormessage=\"wpforms-988283-field_37-error\" ><\/div><div id=\"wpforms-988283-field_73-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"73\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-988283-field_73\">1. \u0411\u0440\u0435\u043d\u0434 \u0430\u0442\u0430\u0443\u044b<\/label><input type=\"text\" id=\"wpforms-988283-field_73\" class=\"wpforms-field-medium\" name=\"wpforms[fields][73]\" aria-errormessage=\"wpforms-988283-field_73-error\" ><\/div><div id=\"wpforms-988283-field_74-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"74\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-988283-field_74\">2. \u049a\u04b1\u0440\u044b\u043b\u0493\u044b\u043d\u044b\u04a3 \u0436\u0430\u043b\u043f\u044b \u0430\u0442\u0430\u0443\u044b<\/label><input type=\"text\" id=\"wpforms-988283-field_74\" class=\"wpforms-field-medium\" name=\"wpforms[fields][74]\" aria-errormessage=\"wpforms-988283-field_74-error\" ><\/div><div id=\"wpforms-988283-field_75-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"75\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-988283-field_75\">3. \u04e8\u043d\u0456\u043c \u043a\u043e\u0434\u044b<\/label><input type=\"text\" id=\"wpforms-988283-field_75\" class=\"wpforms-field-medium\" name=\"wpforms[fields][75]\" aria-errormessage=\"wpforms-988283-field_75-error\" ><\/div><div id=\"wpforms-988283-field_76-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"76\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-988283-field_76\">4. \u04e8\u043d\u0434\u0456\u0440\u0443\u0448\u0456\u043d\u0456\u04a3 \u0444\u0438\u0440\u043c\u0430\u043b\u044b\u049b \u0430\u0442\u0430\u0443\u044b, \u049b\u0430\u043b\u0430\u0441\u044b \u0436\u04d9\u043d\u0435 \u0435\u043b\u0456<\/label><textarea id=\"wpforms-988283-field_76\" class=\"wpforms-field-medium\" name=\"wpforms[fields][76]\" aria-errormessage=\"wpforms-988283-field_76-error\" ><\/textarea><\/div><div id=\"wpforms-988283-field_77-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"77\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-988283-field_77\">5. \u04ae\u043b\u0433\u0456<\/label><input type=\"text\" id=\"wpforms-988283-field_77\" class=\"wpforms-field-medium\" name=\"wpforms[fields][77]\" aria-errormessage=\"wpforms-988283-field_77-error\" ><\/div><div id=\"wpforms-988283-field_78-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"78\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-988283-field_78\">6. \u0422\u043e\u043f\u0442\u0430\u043c\u0430<\/label><input type=\"text\" id=\"wpforms-988283-field_78\" class=\"wpforms-field-medium\" name=\"wpforms[fields][78]\" aria-errormessage=\"wpforms-988283-field_78-error\" ><\/div><div id=\"wpforms-988283-field_79-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"79\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-988283-field_79\">7. \u041a\u0430\u0442\u0430\u043b\u043e\u0433<\/label><input type=\"text\" id=\"wpforms-988283-field_79\" class=\"wpforms-field-medium\" name=\"wpforms[fields][79]\" aria-errormessage=\"wpforms-988283-field_79-error\" ><\/div><div id=\"wpforms-988283-field_82-container\" class=\"wpforms-field wpforms-field-date-time wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"82\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-988283-field_82\">8. \u041c\u0435\u0440\u0437\u0456\u043c\u043d\u0456\u04a3 \u04e9\u0442\u0443 \u043a\u04af\u043d\u0456<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-988283-field_82\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][82][date]\" aria-errormessage=\"wpforms-988283-field_82-error\" ><a title=\"Clear Date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-988283-field_80-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"80\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-988283-field_80\">9. \u0421\u0435\u0440\u0438\u044f\u043b\u044b\u049b \u043d\u04e9\u043c\u0456\u0440\u0456<\/label><input type=\"text\" id=\"wpforms-988283-field_80\" class=\"wpforms-field-medium\" name=\"wpforms[fields][80]\" aria-errormessage=\"wpforms-988283-field_80-error\" ><\/div><div id=\"wpforms-988283-field_81-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"81\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-988283-field_81\">10.\u0411\u0456\u0440\u0435\u0433\u0435\u0439 \u049b\u04b1\u0440\u044b\u043b\u0493\u044b \u0438\u0434\u0435\u043d\u0442\u0438\u0444\u0438\u043a\u0430\u0446\u0438\u044f\u0441\u044b<\/label><input type=\"text\" id=\"wpforms-988283-field_81\" class=\"wpforms-field-medium\" name=\"wpforms[fields][81]\" aria-errormessage=\"wpforms-988283-field_81-error\" ><\/div><div id=\"wpforms-988283-field_83-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"83\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">11.\u049a\u04b1\u0440\u044b\u043b\u0493\u044b \u043e\u043f\u0435\u0440\u0430\u0442\u043e\u0440\u044b<\/legend><ul id=\"wpforms-988283-field_83\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-988283-field_83_1\" name=\"wpforms[fields][83][]\" value=\"\u041c\u0435\u0434\u0438\u0446\u0438\u043d\u0430 \u049b\u044b\u0437\u043c\u0435\u0442\u043a\u0435\u0440\u0456\" aria-errormessage=\"wpforms-988283-field_83_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-988283-field_83_1\">\u041c\u0435\u0434\u0438\u0446\u0438\u043d\u0430 \u049b\u044b\u0437\u043c\u0435\u0442\u043a\u0435\u0440\u0456<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-988283-field_83_2\" name=\"wpforms[fields][83][]\" value=\"\u041f\u0430\u0446\u0438\u0435\u043d\u0442\/\u0422\u04b1\u0442\u044b\u043d\u0443\u0448\u044b\" aria-errormessage=\"wpforms-988283-field_83_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-988283-field_83_2\">\u041f\u0430\u0446\u0438\u0435\u043d\u0442\/\u0422\u04b1\u0442\u044b\u043d\u0443\u0448\u044b<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-988283-field_83_4\" name=\"wpforms[fields][83][]\" value=\"\u0411\u0430\u0441\u049b\u0430\" aria-errormessage=\"wpforms-988283-field_83_4-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-988283-field_83_4\">\u0411\u0430\u0441\u049b\u0430<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-988283-field_38-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-hide\" data-field-id=\"38\"><label class=\"wpforms-field-label\" for=\"wpforms-988283-field_38\">2. \u0414\u043e\u0437\u0430 \u043d\u0435\u043c\u0435\u0441\u0435 \u043c\u04e9\u043b\u0448\u0435\u0440<\/label><input type=\"text\" id=\"wpforms-988283-field_38\" class=\"wpforms-field-medium\" name=\"wpforms[fields][38]\" aria-errormessage=\"wpforms-988283-field_38-error\" ><\/div><div id=\"wpforms-988283-field_39-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-hide\" data-field-id=\"39\"><label class=\"wpforms-field-label\" for=\"wpforms-988283-field_39\">\u049a\u043e\u043b\u0434\u0430\u043d\u0443 \u0436\u0438\u0456\u043b\u0456\u0433\u0456<\/label><input type=\"text\" id=\"wpforms-988283-field_39\" class=\"wpforms-field-medium\" name=\"wpforms[fields][39]\" aria-errormessage=\"wpforms-988283-field_39-error\" ><\/div><div id=\"wpforms-988283-field_40-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-hide\" data-field-id=\"40\"><label class=\"wpforms-field-label\" for=\"wpforms-988283-field_40\">\u049a\u043e\u043b\u0434\u0430\u043d\u0443 \u04d9\u0434\u0456\u0441\u0456<\/label><input type=\"text\" id=\"wpforms-988283-field_40\" class=\"wpforms-field-medium\" name=\"wpforms[fields][40]\" aria-errormessage=\"wpforms-988283-field_40-error\" ><\/div><div id=\"wpforms-988283-field_41-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"41\"><label class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">3. \u0415\u043c\u0434\u0435\u0443 \u043a\u04af\u043d\u0456\/\u0414\u0430\u0442\u0430 \u0442\u0435\u0440\u0430\u043f\u0438\u044f<\/label><div class=\"wpforms-field-layout-rows\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-988283-field_43-container\" class=\"wpforms-field wpforms-field-date-time wpforms-conditional-field wpforms-conditional-hide\" data-field-id=\"43\"><label class=\"wpforms-field-label\" for=\"wpforms-988283-field_43\">\u0411\u0430\u0441\u0442\u0430\u0443:<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-988283-field_43\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][43][date]\" aria-errormessage=\"wpforms-988283-field_43-error\" ><a title=\"Clear Date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-988283-field_44-container\" class=\"wpforms-field wpforms-field-date-time wpforms-conditional-field wpforms-conditional-hide\" data-field-id=\"44\"><label class=\"wpforms-field-label\" for=\"wpforms-988283-field_44\">\u0421\u043e\u04a3\u044b:<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-988283-field_44\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][44][date]\" aria-errormessage=\"wpforms-988283-field_44-error\" ><a title=\"Clear Date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-988283-field_45-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-hide\" data-field-id=\"45\"><label class=\"wpforms-field-label\" for=\"wpforms-988283-field_45\">4. \u049a\u043e\u043b\u0434\u0430\u043d\u0443 \u0434\u0438\u0430\u0433\u043d\u043e\u0441\u0442\u0438\u043a\u0430\u0441\u044b<\/label><input type=\"text\" id=\"wpforms-988283-field_45\" class=\"wpforms-field-medium\" name=\"wpforms[fields][45]\" aria-errormessage=\"wpforms-988283-field_45-error\" ><\/div><div id=\"wpforms-988283-field_46-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-hide\" data-field-id=\"46\"><fieldset><legend class=\"wpforms-field-label\">\u0422\u0435\u0440\u0430\u043f\u0438\u044f \u04d9\u043b\u0456 \u0436\u0430\u043b\u0493\u0430\u0441\u044b\u043f \u0436\u0430\u0442\u044b\u0440 \u043c\u0430?<\/legend><ul id=\"wpforms-988283-field_46\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-988283-field_46_1\" name=\"wpforms[fields][46]\" value=\"\u0416\u043e\u049b\" aria-errormessage=\"wpforms-988283-field_46_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-988283-field_46_1\">\u0416\u043e\u049b<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-988283-field_46_2\" name=\"wpforms[fields][46]\" value=\"\u0418\u04d9\" aria-errormessage=\"wpforms-988283-field_46_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-988283-field_46_2\">\u0418\u04d9<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-988283-field_47-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-conditional-field wpforms-conditional-hide\" data-field-id=\"47\"><fieldset><legend class=\"wpforms-field-label\">5. \u04e8\u043d\u0456\u043c\u043d\u0456\u04a3 \u0442\u04af\u0440\u0456<\/legend><ul id=\"wpforms-988283-field_47\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-988283-field_47_1\" name=\"wpforms[fields][47][]\" value=\"\u0420\u0435\u0446\u0435\u043f\u0442\u0441\u0456\u0437 \u0431\u0435\u0440\u0456\u043b\u0435\u0442\u0456\u043d \u0434\u04d9\u0440\u0456\u043b\u0435\u0440\" aria-errormessage=\"wpforms-988283-field_47_1-error\" aria-describedby=\"wpforms-988283-field_47-description\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-988283-field_47_1\">\u0420\u0435\u0446\u0435\u043f\u0442\u0441\u0456\u0437 \u0431\u0435\u0440\u0456\u043b\u0435\u0442\u0456\u043d \u0434\u04d9\u0440\u0456\u043b\u0435\u0440<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-988283-field_47_2\" name=\"wpforms[fields][47][]\" value=\"\u0411\u0456\u0440\u0456\u043a\u0442\u0456\u0440\u0456\u043b\u0433\u0435\u043d \u043f\u0440\u0435\u043f\u0430\u0440\u0430\u0442\u0442\u0430\u0440\" aria-errormessage=\"wpforms-988283-field_47_2-error\" aria-describedby=\"wpforms-988283-field_47-description\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-988283-field_47_2\">\u0411\u0456\u0440\u0456\u043a\u0442\u0456\u0440\u0456\u043b\u0433\u0435\u043d \u043f\u0440\u0435\u043f\u0430\u0440\u0430\u0442\u0442\u0430\u0440<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-988283-field_47_3\" name=\"wpforms[fields][47][]\" value=\"\u0416\u0430\u043b\u043f\u044b \u0434\u04d9\u0440\u0456\u043b\u0435\u0440\" aria-errormessage=\"wpforms-988283-field_47_3-error\" aria-describedby=\"wpforms-988283-field_47-description\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-988283-field_47_3\">\u0416\u0430\u043b\u043f\u044b \u0434\u04d9\u0440\u0456\u043b\u0435\u0440<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-988283-field_47_4\" name=\"wpforms[fields][47][]\" value=\"\u0411\u0438\u043e\u043b\u043e\u0433\u0438\u044f\u043b\u044b\u049b \u0430\u043d\u0430\u043b\u043e\u0433\u0442\u0430\u0440\" aria-errormessage=\"wpforms-988283-field_47_4-error\" aria-describedby=\"wpforms-988283-field_47-description\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-988283-field_47_4\">\u0411\u0438\u043e\u043b\u043e\u0433\u0438\u044f\u043b\u044b\u049b \u0430\u043d\u0430\u043b\u043e\u0433\u0442\u0430\u0440<\/label><\/li><\/ul><div id=\"wpforms-988283-field_47-description\" class=\"wpforms-field-description\">(\u0431\u0430\u0440\u043b\u044b\u0493\u044b\u043d \u0442\u0430\u04a3\u0434\u0430\u0443)<\/div><\/fieldset><\/div><div id=\"wpforms-988283-field_49-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-hide\" data-field-id=\"49\"><fieldset><legend class=\"wpforms-field-label\">6.\u049a\u043e\u043b\u0434\u0430\u043d\u0443\u0434\u044b \u0442\u043e\u049b\u0442\u0430\u0442\u049b\u0430\u043d\u043d\u0430\u043d \u043d\u0435\u043c\u0435\u0441\u0435 \u0434\u043e\u0437\u0430\u043d\u044b \u0430\u0437\u0430\u0439\u0442\u049b\u0430\u043d\u043d\u0430\u043d \u043a\u0435\u0439\u0456\u043d \u0436\u0430\u043d\u0430\u043c\u0430 \u04d9\u0441\u0435\u0440\u043b\u0435\u0440\u0434\u0456\u04a3 \u0431\u0435\u043b\u0433\u0456\u043b\u0435\u0440\u0456 \u0442\u04e9\u043c\u0435\u043d\u0434\u0435\u0434\u0456 \u043c\u0435?<\/legend><ul id=\"wpforms-988283-field_49\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-988283-field_49_1\" name=\"wpforms[fields][49]\" value=\"\u0416\u043e\u049b\" aria-errormessage=\"wpforms-988283-field_49_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-988283-field_49_1\">\u0416\u043e\u049b<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-988283-field_49_2\" name=\"wpforms[fields][49]\" value=\"\u0418\u04d9\" aria-errormessage=\"wpforms-988283-field_49_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-988283-field_49_2\">\u0418\u04d9<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-988283-field_49_3\" name=\"wpforms[fields][49]\" value=\"\u049a\u043e\u043b\u0434\u0430\u043d\u0431\u0430\u04a3\u044b\u0437\" aria-errormessage=\"wpforms-988283-field_49_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-988283-field_49_3\">\u049a\u043e\u043b\u0434\u0430\u043d\u0431\u0430\u04a3\u044b\u0437<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-988283-field_50-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"50\"><h3 id=\"wpforms-988283-field_50\" aria-errormessage=\"wpforms-988283-field_50-error\">F. \u0411\u0410\u0421\u049a\u0410 \u0410\u0421\u0421\u041e\u0426\u0418\u0410\u0426\u0418\u042f\u041b\u042b\u049a \u041c\u0415\u0414\u0418\u0426\u0418\u041d\u0410\u041b\u042b\u049a \u04e8\u041d\u0406\u041c\u0414\u0415\u0420<\/h3><\/div><div id=\"wpforms-988283-field_51-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"51\"><label class=\"wpforms-field-label\" for=\"wpforms-988283-field_51\">1. \u04e8\u043d\u0456\u043c\u0434\u0435\u0440\u0434\u0456\u04a3 \u0430\u0442\u0430\u0443\u043b\u0430\u0440\u044b \u0436\u04d9\u043d\u0435 \u0442\u0435\u0440\u0430\u043f\u0438\u044f \u043a\u04af\u043d\u0456<\/label><textarea id=\"wpforms-988283-field_51\" class=\"wpforms-field-medium\" name=\"wpforms[fields][51]\" aria-errormessage=\"wpforms-988283-field_51-error\" ><\/textarea><\/div><div id=\"wpforms-988283-field_52-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"52\"><h3 id=\"wpforms-988283-field_52\" aria-errormessage=\"wpforms-988283-field_52-error\">G. \u0421\u041f\u0418\u041a\u0415\u0420<\/h3><\/div><div id=\"wpforms-988283-field_53-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"53\"><label class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">Layout<\/label><div class=\"wpforms-field-layout-rows\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-988283-field_54-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"54\"><label class=\"wpforms-field-label\" for=\"wpforms-988283-field_54\">\u0410\u0442\u044b <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-988283-field_54\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][54]\" aria-errormessage=\"wpforms-988283-field_54-error\" required><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-988283-field_57-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"57\"><label class=\"wpforms-field-label\" for=\"wpforms-988283-field_57\">\u0422\u0435\u043a <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-988283-field_57\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][57]\" aria-errormessage=\"wpforms-988283-field_57-error\" required><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-988283-field_56-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"56\"><label class=\"wpforms-field-label\" for=\"wpforms-988283-field_56\">\u0422\u0435\u043b\u0435\u0444\u043e\u043d<\/label><input type=\"tel\" id=\"wpforms-988283-field_56\" class=\"wpforms-field-medium wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][56]\" aria-errormessage=\"wpforms-988283-field_56-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-988283-field_55-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"55\"><label class=\"wpforms-field-label\" for=\"wpforms-988283-field_55\">\u042d\u043b\u0435\u043a\u0442\u0440\u043e\u043d\u0434\u044b\u049b \u043f\u043e\u0448\u0442\u0430 <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"email\" id=\"wpforms-988283-field_55\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][55]\" spellcheck=\"false\" aria-errormessage=\"wpforms-988283-field_55-error\" required><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-988283-field_58-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"58\"><label class=\"wpforms-field-label\" for=\"wpforms-988283-field_58\">\u0415\u043b<\/label><input type=\"text\" id=\"wpforms-988283-field_58\" class=\"wpforms-field-medium\" name=\"wpforms[fields][58]\" aria-errormessage=\"wpforms-988283-field_58-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-988283-field_59-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"59\"><label class=\"wpforms-field-label\" for=\"wpforms-988283-field_59\">\u041f\u043e\u0448\u0442\u0430 \u0418\u043d\u0434\u0435\u043a\u0441\u0456<\/label><input type=\"text\" id=\"wpforms-988283-field_59\" class=\"wpforms-field-medium\" name=\"wpforms[fields][59]\" aria-errormessage=\"wpforms-988283-field_59-error\" ><\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-988283-field_60-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"60\"><fieldset><legend class=\"wpforms-field-label\"><\/legend><ul id=\"wpforms-988283-field_60\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-988283-field_60_1\" name=\"wpforms[fields][60][]\" value=\"2. \u041c\u0435\u0434\u0438\u0446\u0438\u043d\u0430 \u049b\u044b\u0437\u043c\u0435\u0442\u043a\u0435\u0440\u0456\" aria-errormessage=\"wpforms-988283-field_60_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-988283-field_60_1\">2. \u041c\u0435\u0434\u0438\u0446\u0438\u043d\u0430 \u049b\u044b\u0437\u043c\u0435\u0442\u043a\u0435\u0440\u0456<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-988283-field_61-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"61\"><label class=\"wpforms-field-label\" for=\"wpforms-988283-field_61\">3. \u041c\u0430\u043c\u0430\u043d\u0434\u044b\u0493\u044b<\/label><input type=\"text\" id=\"wpforms-988283-field_61\" class=\"wpforms-field-medium\" name=\"wpforms[fields][61]\" aria-errormessage=\"wpforms-988283-field_61-error\" ><\/div><div id=\"wpforms-988283-field_62-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"62\"><fieldset><legend class=\"wpforms-field-label\"><\/legend><ul id=\"wpforms-988283-field_62\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-988283-field_62_1\" name=\"wpforms[fields][62][]\" value=\"4.\u04e8\u043d\u0434\u0456\u0440\u0443\u0448\u0456\u0433\u0435 \u0436\u0435\u043a\u0435 \u0431\u0430\u0441\u044b\u04a3\u044b\u0437\u0434\u044b \u0436\u0430\u0440\u0438\u044f\u043b\u0430\u0443\u0434\u044b \u049b\u0430\u043b\u0430\u043c\u0430\u0441\u0430\u04a3\u044b\u0437, \u049b\u04b1\u0441\u0431\u0435\u043b\u0433\u0456\u043d\u0456 \u049b\u043e\u0439\u044b\u04a3\u044b\u0437:\" aria-errormessage=\"wpforms-988283-field_62_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-988283-field_62_1\">4.\u04e8\u043d\u0434\u0456\u0440\u0443\u0448\u0456\u0433\u0435 \u0436\u0435\u043a\u0435 \u0431\u0430\u0441\u044b\u04a3\u044b\u0437\u0434\u044b \u0436\u0430\u0440\u0438\u044f\u043b\u0430\u0443\u0434\u044b \u049b\u0430\u043b\u0430\u043c\u0430\u0441\u0430\u04a3\u044b\u0437, \u049b\u04b1\u0441\u0431\u0435\u043b\u0433\u0456\u043d\u0456 \u049b\u043e\u0439\u044b\u04a3\u044b\u0437:<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-988283-field_63-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"63\"><fieldset><legend class=\"wpforms-field-label\">5. \u0421\u043e\u043d\u0434\u0430\u0439-\u0430\u049b \u043e\u043b \u0431\u044b\u043b\u0430\u0439 \u0434\u0435\u043f \u0445\u0430\u0431\u0430\u0440\u043b\u0430\u0434\u044b:<\/legend><ul id=\"wpforms-988283-field_63\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-988283-field_63_1\" name=\"wpforms[fields][63][]\" value=\"\u04e8\u043d\u0434\u0456\u0440\u0443\u0448\u0456\u0433\u0435\/\u0436\u0435\u0442\u043a\u0456\u0437\u0443\u0448\u0456\u0433\u0435\" aria-errormessage=\"wpforms-988283-field_63_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-988283-field_63_1\">\u04e8\u043d\u0434\u0456\u0440\u0443\u0448\u0456\u0433\u0435\/\u0436\u0435\u0442\u043a\u0456\u0437\u0443\u0448\u0456\u0433\u0435<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-988283-field_63_2\" name=\"wpforms[fields][63][]\" value=\"\u041f\u0430\u0439\u0434\u0430\u043b\u0430\u043d\u0443\u0448\u044b \u043c\u0435\u043a\u0435\u043c\u0435\" aria-errormessage=\"wpforms-988283-field_63_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-988283-field_63_2\">\u041f\u0430\u0439\u0434\u0430\u043b\u0430\u043d\u0443\u0448\u044b \u043c\u0435\u043a\u0435\u043c\u0435<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-988283-field_63_3\" name=\"wpforms[fields][63][]\" value=\"\u0414\u0438\u0441\u0442\u0440\u0438\u0431\u044c\u044e\u0442\u043e\u0440\u0493\u0430\/ \u0438\u043c\u043f\u043e\u0440\u0442\u0442\u0430\u0443\u0448\u044b\u0493\u0430\" aria-errormessage=\"wpforms-988283-field_63_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-988283-field_63_3\">\u0414\u0438\u0441\u0442\u0440\u0438\u0431\u044c\u044e\u0442\u043e\u0440\u0493\u0430\/ \u0438\u043c\u043f\u043e\u0440\u0442\u0442\u0430\u0443\u0448\u044b\u0493\u0430<\/label><\/li><\/ul><\/fieldset><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"988283\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/pharmcontrol.kz\/kz\/wp-json\/wp\/v2\/pages\/989709\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-988283\" class=\"wpforms-submit\" data-alt-text=\"\u0416\u0456\u0431\u0435\u0440\u0456\u043b\u0456\u043f \u0436\u0430\u0442\u044b\u0440...\" data-submit-text=\"\u0416\u0456\u0431\u0435\u0440\u0443\" aria-live=\"assertive\" value=\"wpforms-submit\">\u0416\u0456\u0431\u0435\u0440\u0443<\/button><img decoding=\"async\" src=\"https:\/\/pharmcontrol.kz\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/div><\/form><\/div>  <!-- .wpforms-container -->\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>\u0416\u0430\u0493\u044b\u043c\u0441\u044b\u0437 \u0440\u0435\u0430\u043a\u0446\u0438\u044f \u0442\u0443\u0440\u0430\u043b\u044b \u0445\u0430\u0431\u0430\u0440\u043b\u0430\u04a3\u044b\u0437 Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. Reporter * For myself Other A. Patient information Layout1. Patient identifier *2. Date of birth * 3. Gender * Male Female Prefer not to disclose Weight B. 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