{"id":5552,"date":"2024-11-25T23:09:34","date_gmt":"2024-11-25T15:09:34","guid":{"rendered":"https:\/\/health.exebrain.com\/?page_id=5552"},"modified":"2024-12-13T00:55:41","modified_gmt":"2024-12-12T16:55:41","slug":"exebrain-form","status":"publish","type":"page","link":"https:\/\/health.exebrain.com\/en\/exebrain-form\/","title":{"rendered":"Assessment"},"content":{"rendered":"<div class='fluentform ff-default fluentform_wrapper_6  ff_guten_block ff_guten_block-6 ffs_custom_wrap'><form data-form_id=\"6\" id=\"fluentform_6\" class=\"frm-fluent-form fluent_form_6 ff-el-form-top ff_form_instance_6_1 ff-form-loading ffs_custom\" data-form_instance=\"ff_form_instance_6_1\" method=\"POST\" ><fieldset  style=\"border: none!important;margin: 0!important;padding: 0!important;background-color: transparent!important;box-shadow: none!important;outline: none!important; min-inline-size: 100%;\">\n                    <legend class=\"ff_screen_reader_title\" style=\"display: block; margin: 0!important;padding: 0!important;height: 0!important;text-indent: -999999px;width: 0!important;overflow:hidden;\">\u7dda\u4e0a\u8a55\u91cf<\/legend><input type='hidden' name='__fluent_form_embded_post_id' value='5552' \/><input type=\"hidden\" id=\"_fluentform_6_fluentformnonce\" name=\"_fluentform_6_fluentformnonce\" value=\"b408808239\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/en\/wp-json\/wp\/v2\/pages\/5552\" \/><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_6_input_text' id='label_ff_6_input_text' aria-label=\"\u59d3\u540d(\u4e2d\u6587\u5168\u540d)\">\u59d3\u540d(\u4e2d\u6587\u5168\u540d)<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text\" class=\"ff-el-form-control\" data-name=\"input_text\" id=\"ff_6_input_text\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group  ff_list_inline'><div class=\"ff-el-input--label ff-el-is-required 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class='ff-el-group  ff_list_inline'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"\u5e74\u9f61\">\u5e74\u9f61<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_1_58a0fcf93da6890887f42c6906f0ada5'><input  type=\"radio\" name=\"input_radio_1\" data-name=\"input_radio_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"20\u6b72\u4ee5\u4e0b\"  id='input_radio_1_58a0fcf93da6890887f42c6906f0ada5' aria-label='20\u6b72\u4ee5\u4e0b' aria-invalid='false' aria-required=true> <span>20\u6b72\u4ee5\u4e0b<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_1_c7be820f6827255795fa32309a68e6a2'><input  type=\"radio\" name=\"input_radio_1\" data-name=\"input_radio_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"21-34\u6b72\"  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class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_14_bd525034112e03f9523321c551dd743d'><input  type=\"radio\" name=\"input_radio_14\" data-name=\"input_radio_14\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u5317\u5317\u57fa\"  id='input_radio_14_bd525034112e03f9523321c551dd743d' aria-label='\u5317\u5317\u57fa' aria-invalid='false' aria-required=true> <span>\u5317\u5317\u57fa<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_14_84377da8bdaa721510d8390401fd8bb6'><input  type=\"radio\" name=\"input_radio_14\" data-name=\"input_radio_14\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u65b0\u7af9\"  id='input_radio_14_84377da8bdaa721510d8390401fd8bb6' aria-label='\u65b0\u7af9' aria-invalid='false' aria-required=true> <span>\u65b0\u7af9<\/span><\/label><\/div><div class='ff-el-form-check 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for='input_radio_14_30d9e8637917b92c4effd2e4a4ea2e25'><input  type=\"radio\" name=\"input_radio_14\" data-name=\"input_radio_14\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u5357\u90e8\"  id='input_radio_14_30d9e8637917b92c4effd2e4a4ea2e25' aria-label='\u5357\u90e8' aria-invalid='false' aria-required=true> <span>\u5357\u90e8<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_14_07d146ff15d0cb94307d3fb2a34016d0'><input  type=\"radio\" name=\"input_radio_14\" data-name=\"input_radio_14\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u6771\u90e8\"  id='input_radio_14_07d146ff15d0cb94307d3fb2a34016d0' aria-label='\u6771\u90e8' aria-invalid='false' aria-required=true> <span>\u6771\u90e8<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_14_438cbe975c4bfa108edf1c0cd52c223f'><input  type=\"radio\" name=\"input_radio_14\" data-name=\"input_radio_14\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u96e2\u5cf6\"  id='input_radio_14_438cbe975c4bfa108edf1c0cd52c223f' aria-label='\u96e2\u5cf6' aria-invalid='false' aria-required=true> <span>\u96e2\u5cf6<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_14_479ab527952e4e53f1ebdbcad2e9eae2'><input  type=\"radio\" name=\"input_radio_14\" data-name=\"input_radio_14\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u5176\u4ed6\"  id='input_radio_14_479ab527952e4e53f1ebdbcad2e9eae2' aria-label='\u5176\u4ed6' aria-invalid='false' aria-required=true> <span>\u5176\u4ed6<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_6_input_text_4' id='label_ff_6_input_text_4' aria-label=\"\u5c45\u4f4f\u5730\uff5c\u5176\u4ed6\">\u5c45\u4f4f\u5730\uff5c\u5176\u4ed6<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_4\" class=\"ff-el-form-control\" placeholder=\"\u8acb\u586b\u5beb\u60a8\u7684\u5c45\u4f4f\u5730\" data-name=\"input_text_4\" id=\"ff_6_input_text_4\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group  ff_list_inline'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"\u5de5\u4f5c\u7522\u696d\u5225\">\u5de5\u4f5c\u7522\u696d\u5225<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_2_0c176abcec66965a69718bc55bdb1e6a'><input  type=\"radio\" name=\"input_radio_2\" data-name=\"input_radio_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u4e0a\u73ed\u65cf\"  id='input_radio_2_0c176abcec66965a69718bc55bdb1e6a' aria-label='\u4e0a\u73ed\u65cf' aria-invalid='false' aria-required=true> <span>\u4e0a\u73ed\u65cf<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_2_050d8148f35b7bd8f0ae73107848136b'><input  type=\"radio\" name=\"input_radio_2\" data-name=\"input_radio_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u5546\u696d\"  id='input_radio_2_050d8148f35b7bd8f0ae73107848136b' aria-label='\u5546\u696d' aria-invalid='false' aria-required=true> <span>\u5546\u696d<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_2_6ad097288deaa29da8036b8a034cc38e'><input  type=\"radio\" name=\"input_radio_2\" data-name=\"input_radio_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u670d\u52d9\u696d\"  id='input_radio_2_6ad097288deaa29da8036b8a034cc38e' aria-label='\u670d\u52d9\u696d' aria-invalid='false' aria-required=true> <span>\u670d\u52d9\u696d<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_2_1457074df37128ba7b4d27701b5dce20'><input  type=\"radio\" name=\"input_radio_2\" data-name=\"input_radio_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u8cc7\u8a0a\u696d\"  id='input_radio_2_1457074df37128ba7b4d27701b5dce20' aria-label='\u8cc7\u8a0a\u696d' aria-invalid='false' aria-required=true> <span>\u8cc7\u8a0a\u696d<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_2_7fd9d949e394c65ecfe50cd443566f93'><input  type=\"radio\" name=\"input_radio_2\" data-name=\"input_radio_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u88fd\u9020\u696d\"  id='input_radio_2_7fd9d949e394c65ecfe50cd443566f93' aria-label='\u88fd\u9020\u696d' aria-invalid='false' aria-required=true> <span>\u88fd\u9020\u696d<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_2_1d54301ae2a328935186251a111edd22'><input  type=\"radio\" name=\"input_radio_2\" data-name=\"input_radio_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u904b\u52d5\u54e1\"  id='input_radio_2_1d54301ae2a328935186251a111edd22' aria-label='\u904b\u52d5\u54e1' aria-invalid='false' aria-required=true> <span>\u904b\u52d5\u54e1<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_2_04eaebad63245b03dd1b6b504cc66349'><input  type=\"radio\" name=\"input_radio_2\" data-name=\"input_radio_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u8ecd\u3001\u516c\u3001\u6559\"  id='input_radio_2_04eaebad63245b03dd1b6b504cc66349' aria-label='\u8ecd\u3001\u516c\u3001\u6559' aria-invalid='false' aria-required=true> <span>\u8ecd\u3001\u516c\u3001\u6559<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_2_954011b32fc57e00d028db2796c37326'><input  type=\"radio\" name=\"input_radio_2\" data-name=\"input_radio_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u8fb2\u6797\u6f01\u7267\u696d\"  id='input_radio_2_954011b32fc57e00d028db2796c37326' aria-label='\u8fb2\u6797\u6f01\u7267\u696d' aria-invalid='false' aria-required=true> <span>\u8fb2\u6797\u6f01\u7267\u696d<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_2_c473a5090ae675204195f5eb17e2f818'><input  type=\"radio\" name=\"input_radio_2\" data-name=\"input_radio_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u91ab\u7642\u4fdd\u5065\u696d\"  id='input_radio_2_c473a5090ae675204195f5eb17e2f818' aria-label='\u91ab\u7642\u4fdd\u5065\u696d' aria-invalid='false' aria-required=true> <span>\u91ab\u7642\u4fdd\u5065\u696d<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_2_d2b4018298caa3803db01eac7d25bc02'><input  type=\"radio\" name=\"input_radio_2\" data-name=\"input_radio_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u5ee3\u544a\u5a92\u9ad4\u696d\"  id='input_radio_2_d2b4018298caa3803db01eac7d25bc02' aria-label='\u5ee3\u544a\u5a92\u9ad4\u696d' aria-invalid='false' aria-required=true> <span>\u5ee3\u544a\u5a92\u9ad4\u696d<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_2_74270af626c0c6bdd95c3a35f75a085d'><input  type=\"radio\" name=\"input_radio_2\" data-name=\"input_radio_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u5bb6\u7ba1\"  id='input_radio_2_74270af626c0c6bdd95c3a35f75a085d' aria-label='\u5bb6\u7ba1' aria-invalid='false' aria-required=true> <span>\u5bb6\u7ba1<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_2_8f2e7dca16d934df0cc06cb051763c40'><input  type=\"radio\" name=\"input_radio_2\" data-name=\"input_radio_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u5b78\u751f\"  id='input_radio_2_8f2e7dca16d934df0cc06cb051763c40' aria-label='\u5b78\u751f' aria-invalid='false' aria-required=true> <span>\u5b78\u751f<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_2_f4001814b476003b10548211c284942a'><input  type=\"radio\" name=\"input_radio_2\" data-name=\"input_radio_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u5176\u4ed6\"  id='input_radio_2_f4001814b476003b10548211c284942a' aria-label='\u5176\u4ed6' aria-invalid='false' aria-required=true> <span>\u5176\u4ed6<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_6_input_text_1' id='label_ff_6_input_text_1' aria-label=\"\u5de5\u4f5c\u8077\u7a31\">\u5de5\u4f5c\u8077\u7a31<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_1\" class=\"ff-el-form-control\" data-name=\"input_text_1\" id=\"ff_6_input_text_1\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group  ff_list_inline'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"\u60a8\u81ea\u89ba\u6709\u54ea\u4e9b\u56f0\u64fe\uff1f\uff08\u53ef\u8907\u9078\uff09\">\u60a8\u81ea\u89ba\u6709\u54ea\u4e9b\u56f0\u64fe\uff1f\uff08\u53ef\u8907\u9078\uff09<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_f8cc3c82df63a9b54ae512f9f5f6138b'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"\u7761\u7720\u969c\u7919\"  id='checkbox_f8cc3c82df63a9b54ae512f9f5f6138b' aria-label='\u7761\u7720\u969c\u7919' aria-invalid='false' aria-required=true> <span>\u7761\u7720\u969c\u7919<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_8c7283b7c277948494a43c552cb5f2b9'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"\u8a18\u61b6\u529b\u8870\u9000\"  id='checkbox_8c7283b7c277948494a43c552cb5f2b9' aria-label='\u8a18\u61b6\u529b\u8870\u9000' aria-invalid='false' aria-required=true> <span>\u8a18\u61b6\u529b\u8870\u9000<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_13ec518644d210d2984285d7ef3c6e1f'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"\u6ce8\u610f\u529b\u4e0d\u8db3\"  id='checkbox_13ec518644d210d2984285d7ef3c6e1f' aria-label='\u6ce8\u610f\u529b\u4e0d\u8db3' aria-invalid='false' aria-required=true> <span>\u6ce8\u610f\u529b\u4e0d\u8db3<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_1786df176e57cdc0af802bf54975b466'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"\u60c5\u7dd2\u9ad8\u4f4e\u4e0d\u7a69\u5b9a\"  id='checkbox_1786df176e57cdc0af802bf54975b466' aria-label='\u60c5\u7dd2\u9ad8\u4f4e\u4e0d\u7a69\u5b9a' aria-invalid='false' aria-required=true> <span>\u60c5\u7dd2\u9ad8\u4f4e\u4e0d\u7a69\u5b9a<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_fca268b7f270ae6122bfcbe9284d1f34'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"\u58d3\u529b\u578b\u982d\u75db\u3001\u504f\u982d\u75db\"  id='checkbox_fca268b7f270ae6122bfcbe9284d1f34' aria-label='\u58d3\u529b\u578b\u982d\u75db\u3001\u504f\u982d\u75db' aria-invalid='false' aria-required=true> <span>\u58d3\u529b\u578b\u982d\u75db\u3001\u504f\u982d\u75db<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_6f141155767b609cb2fd2a433ad3495b'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"\u4e2d\u98a8\u3001\u8166\u50b7\u3001\u5176\u4ed6\"  id='checkbox_6f141155767b609cb2fd2a433ad3495b' aria-label='\u4e2d\u98a8\u3001\u8166\u50b7\u3001\u5176\u4ed6' aria-invalid='false' aria-required=true> <span>\u4e2d\u98a8\u3001\u8166\u50b7\u3001\u5176\u4ed6<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_237ca2fda2c5c2274669bd50dc520370'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"\u5fc3\u60b8\u3001\u751f\u7406\u4e0d\u9069\"  id='checkbox_237ca2fda2c5c2274669bd50dc520370' aria-label='\u5fc3\u60b8\u3001\u751f\u7406\u4e0d\u9069' aria-invalid='false' aria-required=true> <span>\u5fc3\u60b8\u3001\u751f\u7406\u4e0d\u9069<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_f54d437bc62af2938448012fc51d76b4'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"\u8166\u529b\u4e0d\u582a\u8ca0\u8377\u3001\u4e2d\u9ad8\u968e\u7d93\u7406\u4eba\u3001\u5c08\u696d\u8077\u80fd\"  id='checkbox_f54d437bc62af2938448012fc51d76b4' aria-label='\u8166\u529b\u4e0d\u582a\u8ca0\u8377\u3001\u4e2d\u9ad8\u968e\u7d93\u7406\u4eba\u3001\u5c08\u696d\u8077\u80fd' aria-invalid='false' aria-required=true> <span>\u8166\u529b\u4e0d\u582a\u8ca0\u8377\u3001\u4e2d\u9ad8\u968e\u7d93\u7406\u4eba\u3001\u5c08\u696d\u8077\u80fd<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_0c203dc7b145ebedc9574330cd041784'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"\u66f4\u5e74\u671f\u4e0d\u9069\"  id='checkbox_0c203dc7b145ebedc9574330cd041784' aria-label='\u66f4\u5e74\u671f\u4e0d\u9069' aria-invalid='false' aria-required=true> <span>\u66f4\u5e74\u671f\u4e0d\u9069<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_a0bfb74c93f463be0c6713d4299d9335'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"\u4ee5\u4e0a\u7686\u7121\"  id='checkbox_a0bfb74c93f463be0c6713d4299d9335' aria-label='\u4ee5\u4e0a\u7686\u7121' aria-invalid='false' aria-required=true> <span>\u4ee5\u4e0a\u7686\u7121<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_69b22394b49d6f53f8053cd3b7ccd964'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"\u5176\u4ed6\"  id='checkbox_69b22394b49d6f53f8053cd3b7ccd964' aria-label='\u5176\u4ed6' aria-invalid='false' aria-required=true> <span>\u5176\u4ed6<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_6_input_text_2' id='label_ff_6_input_text_2' aria-label=\"\u60a8\u81ea\u89ba\u6709\u54ea\u4e9b\u56f0\u64fe\uff1f\uff08\u5176\u4ed6\uff09\">\u60a8\u81ea\u89ba\u6709\u54ea\u4e9b\u56f0\u64fe\uff1f\uff08\u5176\u4ed6\uff09<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_2\" class=\"ff-el-form-control\" data-name=\"input_text_2\" id=\"ff_6_input_text_2\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group  ff_list_inline'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"\u4ee5\u4e0b\u54ea\u4e9b\u7b26\u5408\u60a8\u9019\u4e00\u500b\u6708\u7684\u8fd1\u6cc1\uff1f\uff08\u53ef\u8907\u9078\uff09\">\u4ee5\u4e0b\u54ea\u4e9b\u7b26\u5408\u60a8\u9019\u4e00\u500b\u6708\u7684\u8fd1\u6cc1\uff1f\uff08\u53ef\u8907\u9078\uff09<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_1_56d74d56cbebf2e436dadd2080a6cd0b'><input  type=\"checkbox\" name=\"checkbox_1[]\" data-name=\"checkbox_1\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"\u5fc3\u88e1\u60f3\u505a\u67d0\u4e8b\uff0c\u529b\u91cf\u537b\u7121\u6cd5\u9054\u5230\"  id='checkbox_1_56d74d56cbebf2e436dadd2080a6cd0b' aria-label='\u5fc3\u88e1\u60f3\u505a\u67d0\u4e8b\uff0c\u529b\u91cf\u537b\u7121\u6cd5\u9054\u5230' aria-invalid='false' aria-required=true> <span>\u5fc3\u88e1\u60f3\u505a\u67d0\u4e8b\uff0c\u529b\u91cf\u537b\u7121\u6cd5\u9054\u5230<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_1_1a2256a59e2fcde32faad609be069271'><input  type=\"checkbox\" name=\"checkbox_1[]\" data-name=\"checkbox_1\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"\u5c0d\u74b0\u5883\u7f3a\u4e4f\u63a7\u5236\u611f\uff0c\u89ba\u5f97\u81ea\u5df1\u904e\u5f80\u7684\u80fd\u529b\u4e0d\u518d\u3001\u5de5\u4f5c\u8868\u73fe\u53cd\u61c9\u50f5\u5316\"  id='checkbox_1_1a2256a59e2fcde32faad609be069271' aria-label='\u5c0d\u74b0\u5883\u7f3a\u4e4f\u63a7\u5236\u611f\uff0c\u89ba\u5f97\u81ea\u5df1\u904e\u5f80\u7684\u80fd\u529b\u4e0d\u518d\u3001\u5de5\u4f5c\u8868\u73fe\u53cd\u61c9\u50f5\u5316' aria-invalid='false' aria-required=true> <span>\u5c0d\u74b0\u5883\u7f3a\u4e4f\u63a7\u5236\u611f\uff0c\u89ba\u5f97\u81ea\u5df1\u904e\u5f80\u7684\u80fd\u529b\u4e0d\u518d\u3001\u5de5\u4f5c\u8868\u73fe\u53cd\u61c9\u50f5\u5316<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_1_cb0569d378b64687f4aea14eb632d192'><input  type=\"checkbox\" name=\"checkbox_1[]\" data-name=\"checkbox_1\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"\u300c\u6c92\u6709\u7279\u5b9a\u539f\u56e0\u300d\u537b\u7dca\u5f35\uff0c\u5c0e\u81f4\u7121\u6cd5\u96c6\u4e2d\u6ce8\u610f\u529b\uff0c\u89ba\u5f97\u4e00\u4e8b\u7121\u6210\"  id='checkbox_1_cb0569d378b64687f4aea14eb632d192' aria-label='\u300c\u6c92\u6709\u7279\u5b9a\u539f\u56e0\u300d\u537b\u7dca\u5f35\uff0c\u5c0e\u81f4\u7121\u6cd5\u96c6\u4e2d\u6ce8\u610f\u529b\uff0c\u89ba\u5f97\u4e00\u4e8b\u7121\u6210' aria-invalid='false' aria-required=true> <span>\u300c\u6c92\u6709\u7279\u5b9a\u539f\u56e0\u300d\u537b\u7dca\u5f35\uff0c\u5c0e\u81f4\u7121\u6cd5\u96c6\u4e2d\u6ce8\u610f\u529b\uff0c\u89ba\u5f97\u4e00\u4e8b\u7121\u6210<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_1_d600606795e6166da8c0678757cf8d71'><input  type=\"checkbox\" name=\"checkbox_1[]\" data-name=\"checkbox_1\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"\u5fd8\u8a18\u91cd\u8981\u7684\u7d04\u6703\u3001\u66fe\u7d93\u904e\u7684\u5c0d\u8a71\u6216\u662f\u6700\u8fd1\u767c\u751f\u7684\u4e8b\u4ef6\"  id='checkbox_1_d600606795e6166da8c0678757cf8d71' aria-label='\u5fd8\u8a18\u91cd\u8981\u7684\u7d04\u6703\u3001\u66fe\u7d93\u904e\u7684\u5c0d\u8a71\u6216\u662f\u6700\u8fd1\u767c\u751f\u7684\u4e8b\u4ef6' aria-invalid='false' aria-required=true> <span>\u5fd8\u8a18\u91cd\u8981\u7684\u7d04\u6703\u3001\u66fe\u7d93\u904e\u7684\u5c0d\u8a71\u6216\u662f\u6700\u8fd1\u767c\u751f\u7684\u4e8b\u4ef6<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_1_00c3e9e92595e21753ffb575728d0769'><input  type=\"checkbox\" name=\"checkbox_1[]\" data-name=\"checkbox_1\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"\u89ba\u5f97\u81ea\u5df1\u7684\u5de5\u4f5c\u8207\u793e\u4ea4\u80fd\u529b\u4e0b\u964d\"  id='checkbox_1_00c3e9e92595e21753ffb575728d0769' aria-label='\u89ba\u5f97\u81ea\u5df1\u7684\u5de5\u4f5c\u8207\u793e\u4ea4\u80fd\u529b\u4e0b\u964d' aria-invalid='false' aria-required=true> <span>\u89ba\u5f97\u81ea\u5df1\u7684\u5de5\u4f5c\u8207\u793e\u4ea4\u80fd\u529b\u4e0b\u964d<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_1_af8e098a35c1e3bc989d6a5202654aea'><input  type=\"checkbox\" name=\"checkbox_1[]\" data-name=\"checkbox_1\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"\u95b1\u8b80\u7406\u89e3\u7684\u80fd\u529b\u4e0b\u964d\"  id='checkbox_1_af8e098a35c1e3bc989d6a5202654aea' aria-label='\u95b1\u8b80\u7406\u89e3\u7684\u80fd\u529b\u4e0b\u964d' aria-invalid='false' aria-required=true> <span>\u95b1\u8b80\u7406\u89e3\u7684\u80fd\u529b\u4e0b\u964d<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_1_cb7a287546e34f9a9b0fdc674a1251ae'><input  type=\"checkbox\" name=\"checkbox_1[]\" data-name=\"checkbox_1\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"\u8868\u9054\u60f3\u6cd5\u3001\u8aaa\u660e\u4e8b\u60c5\u7684\u80fd\u529b\u4e0b\u964d\"  id='checkbox_1_cb7a287546e34f9a9b0fdc674a1251ae' aria-label='\u8868\u9054\u60f3\u6cd5\u3001\u8aaa\u660e\u4e8b\u60c5\u7684\u80fd\u529b\u4e0b\u964d' aria-invalid='false' aria-required=true> <span>\u8868\u9054\u60f3\u6cd5\u3001\u8aaa\u660e\u4e8b\u60c5\u7684\u80fd\u529b\u4e0b\u964d<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_1_40bb2aa4a9c0075f68a0bc39e7193048'><input  type=\"checkbox\" name=\"checkbox_1[]\" data-name=\"checkbox_1\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"\u4ee5\u4e0a\u7686\u7121\"  id='checkbox_1_40bb2aa4a9c0075f68a0bc39e7193048' aria-label='\u4ee5\u4e0a\u7686\u7121' aria-invalid='false' aria-required=true> <span>\u4ee5\u4e0a\u7686\u7121<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_1_ad459de8c118a24554637eec7b376f04'><input  type=\"checkbox\" name=\"checkbox_1[]\" data-name=\"checkbox_1\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"\u5176\u4ed6\"  id='checkbox_1_ad459de8c118a24554637eec7b376f04' aria-label='\u5176\u4ed6' aria-invalid='false' aria-required=true> <span>\u5176\u4ed6<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_6_input_text_3' id='label_ff_6_input_text_3' aria-label=\"\u4ee5\u4e0b\u54ea\u4e9b\u7b26\u5408\u60a8\u9019\u4e00\u500b\u6708\u7684\u8fd1\u6cc1\uff1f\uff08\u5176\u4ed6\uff09\">\u4ee5\u4e0b\u54ea\u4e9b\u7b26\u5408\u60a8\u9019\u4e00\u500b\u6708\u7684\u8fd1\u6cc1\uff1f\uff08\u5176\u4ed6\uff09<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_3\" class=\"ff-el-form-control\" data-name=\"input_text_3\" id=\"ff_6_input_text_3\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"\u60a8\u662f\u5426\u66fe\u7d93\u524d\u5f80\u8eab\u5fc3\u79d1\u3001\u795e\u7d93\u79d1\u5c31\u8a3a\uff1f\">\u60a8\u662f\u5426\u66fe\u7d93\u524d\u5f80\u8eab\u5fc3\u79d1\u3001\u795e\u7d93\u79d1\u5c31\u8a3a\uff1f<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_3_395be3f6f99e639057cc7a239692a487'><input  type=\"radio\" name=\"input_radio_3\" data-name=\"input_radio_3\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u7121\"  id='input_radio_3_395be3f6f99e639057cc7a239692a487' aria-label='\u7121' aria-invalid='false' aria-required=true> <span>\u7121<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_3_65b14e259768564a33719a246117c350'><input  type=\"radio\" name=\"input_radio_3\" data-name=\"input_radio_3\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u6709\uff0c\u4f46\u5df2\u505c\u6b62\u56de\u8a3a\u81f3\u5c11\u534a\u5e74\u4ee5\u4e0a\"  id='input_radio_3_65b14e259768564a33719a246117c350' aria-label='\u6709\uff0c\u4f46\u5df2\u505c\u6b62\u56de\u8a3a\u81f3\u5c11\u534a\u5e74\u4ee5\u4e0a' aria-invalid='false' aria-required=true> <span>\u6709\uff0c\u4f46\u5df2\u505c\u6b62\u56de\u8a3a\u81f3\u5c11\u534a\u5e74\u4ee5\u4e0a<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_3_1074ec899c53c146b43d0a6874fc8fd1'><input  type=\"radio\" name=\"input_radio_3\" data-name=\"input_radio_3\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u6709\uff0c\u76ee\u524d\u4ecd\u6301\u7e8c\u56de\u8a3a\u4e2d\"  id='input_radio_3_1074ec899c53c146b43d0a6874fc8fd1' aria-label='\u6709\uff0c\u76ee\u524d\u4ecd\u6301\u7e8c\u56de\u8a3a\u4e2d' aria-invalid='false' aria-required=true> <span>\u6709\uff0c\u76ee\u524d\u4ecd\u6301\u7e8c\u56de\u8a3a\u4e2d<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group  ff_list_inline'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"\u60a8\u66fe\u7d93\u505a\u904e\u54ea\u4e9b\u8a55\u4f30\u982d\u90e8\u5065\u5eb7\u7684\u6aa2\u67e5\uff1f\uff08\u53ef\u8907\u9078\uff09\">\u60a8\u66fe\u7d93\u505a\u904e\u54ea\u4e9b\u8a55\u4f30\u982d\u90e8\u5065\u5eb7\u7684\u6aa2\u67e5\uff1f\uff08\u53ef\u8907\u9078\uff09<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_2_600167d1da2832da037e1c5792a5d77f'><input  type=\"checkbox\" name=\"checkbox_2[]\" data-name=\"checkbox_2\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"\u8166\u6ce2\u6aa2\u67e5\"  id='checkbox_2_600167d1da2832da037e1c5792a5d77f' aria-label='\u8166\u6ce2\u6aa2\u67e5' aria-invalid='false' aria-required=true> <span>\u8166\u6ce2\u6aa2\u67e5<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_2_6d4747d235b38dbde692fdfb933de03a'><input  type=\"checkbox\" name=\"checkbox_2[]\" data-name=\"checkbox_2\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"\u96fb\u8166\u65b7\u5c64\u6383\u63cf(CT)\u6aa2\u67e5\"  id='checkbox_2_6d4747d235b38dbde692fdfb933de03a' aria-label='\u96fb\u8166\u65b7\u5c64\u6383\u63cf(CT)\u6aa2\u67e5' aria-invalid='false' aria-required=true> <span>\u96fb\u8166\u65b7\u5c64\u6383\u63cf(CT)\u6aa2\u67e5<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_2_aa5c7181110c3b51651f0dcdf0d423aa'><input  type=\"checkbox\" name=\"checkbox_2[]\" data-name=\"checkbox_2\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"\u6838\u78c1\u5171\u632f\u9020\u5f71(MRI)\u6aa2\u67e5\"  id='checkbox_2_aa5c7181110c3b51651f0dcdf0d423aa' aria-label='\u6838\u78c1\u5171\u632f\u9020\u5f71(MRI)\u6aa2\u67e5' aria-invalid='false' aria-required=true> <span>\u6838\u78c1\u5171\u632f\u9020\u5f71(MRI)\u6aa2\u67e5<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_2_b11f18dff22583a6775ec84e8fe49748'><input  type=\"checkbox\" name=\"checkbox_2[]\" data-name=\"checkbox_2\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"\u4ee5\u4e0a\u7686\u7121\"  id='checkbox_2_b11f18dff22583a6775ec84e8fe49748' aria-label='\u4ee5\u4e0a\u7686\u7121' aria-invalid='false' aria-required=true> <span>\u4ee5\u4e0a\u7686\u7121<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"\u60a8\u904e\u53bb\u6216\u73fe\u5728\u662f\u5426\u6b63\u5728\u670d\u85e5\uff1f\">\u60a8\u904e\u53bb\u6216\u73fe\u5728\u662f\u5426\u6b63\u5728\u670d\u85e5\uff1f<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_4_1c91405b937aadb31941d2825759a5f7'><input  type=\"radio\" name=\"input_radio_4\" data-name=\"input_radio_4\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u6c92\u6709\"  id='input_radio_4_1c91405b937aadb31941d2825759a5f7' aria-label='\u6c92\u6709' aria-invalid='false' aria-required=true> <span>\u6c92\u6709<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_4_befa225614feaa7ebc2b5bf3ea642074'><input  type=\"radio\" name=\"input_radio_4\" data-name=\"input_radio_4\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u904e\u53bb\u6709\uff0c\u73fe\u5df2\u505c\u85e5\u3002\"  id='input_radio_4_befa225614feaa7ebc2b5bf3ea642074' aria-label='\u904e\u53bb\u6709\uff0c\u73fe\u5df2\u505c\u85e5\u3002' aria-invalid='false' aria-required=true> <span>\u904e\u53bb\u6709\uff0c\u73fe\u5df2\u505c\u85e5\u3002<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_4_b335cbcd91b43e6ce61611e84796ddba'><input  type=\"radio\" name=\"input_radio_4\" data-name=\"input_radio_4\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u73fe\u5728\u6709\u670d\u85e5\"  id='input_radio_4_b335cbcd91b43e6ce61611e84796ddba' aria-label='\u73fe\u5728\u6709\u670d\u85e5' aria-invalid='false' aria-required=true> <span>\u73fe\u5728\u6709\u670d\u85e5<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group  ff_list_inline'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"\u82e5\u6211\u5011\u6bd4\u55bb\u60a8\u76ee\u524d\u7684\u5927\u8166\u904b\u4f5c\u6548\u80fd\u5206\u6578\u662f50\u5206\uff0c\u60a8\u671f\u76fc\u5927\u8166\u935b\u934a\u5f8c\u53ef\u4ee5\u9032\u6b65\u5230\u5e7e\u5206\uff1f\">\u82e5\u6211\u5011\u6bd4\u55bb\u60a8\u76ee\u524d\u7684\u5927\u8166\u904b\u4f5c\u6548\u80fd\u5206\u6578\u662f50\u5206\uff0c\u60a8\u671f\u76fc\u5927\u8166\u935b\u934a\u5f8c\u53ef\u4ee5\u9032\u6b65\u5230\u5e7e\u5206\uff1f<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_5_d7d194128a270ca9c7da510049376270'><input  type=\"radio\" name=\"input_radio_5\" data-name=\"input_radio_5\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"60\u5206\"  id='input_radio_5_d7d194128a270ca9c7da510049376270' aria-label='60\u5206' aria-invalid='false' aria-required=true> <span>60\u5206<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_5_c69dacf2ad98cb46f57cb2af7dfd8e62'><input  type=\"radio\" name=\"input_radio_5\" data-name=\"input_radio_5\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"70\u5206\"  id='input_radio_5_c69dacf2ad98cb46f57cb2af7dfd8e62' aria-label='70\u5206' aria-invalid='false' aria-required=true> <span>70\u5206<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_5_272090a4a83c9fdb9555d8b61b566076'><input  type=\"radio\" name=\"input_radio_5\" data-name=\"input_radio_5\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"80\u5206\"  id='input_radio_5_272090a4a83c9fdb9555d8b61b566076' aria-label='80\u5206' aria-invalid='false' aria-required=true> <span>80\u5206<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_5_2d11231e8d3800bec0dd0c971dd1254a'><input  type=\"radio\" name=\"input_radio_5\" data-name=\"input_radio_5\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"90\u5206\"  id='input_radio_5_2d11231e8d3800bec0dd0c971dd1254a' aria-label='90\u5206' aria-invalid='false' aria-required=true> <span>90\u5206<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_5_1fdff8393685450405b453fcb58fe1c5'><input  type=\"radio\" name=\"input_radio_5\" data-name=\"input_radio_5\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"99\u5206\"  id='input_radio_5_1fdff8393685450405b453fcb58fe1c5' aria-label='99\u5206' aria-invalid='false' aria-required=true> <span>99\u5206<\/span><\/label><\/div><\/div><\/div><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-6_1\" ><h3 class='ff-el-section-title'>\u7c21\u5f0f\u5065\u5eb7\u91cf\u8868<\/h3><div class='ff-section_break_desk'><p>\u8aaa\u660e\uff1a<br \/>\u672c\u91cf\u8868\u6240\u5217\u8209\u7684\u554f\u984c\u662f\u70ba\u5354\u52a9\u60a8\u77ad\u89e3\u60a8\u7684\u8eab\u5fc3\u9069\u61c9\u72c0\u6cc1\uff0c\u8acb\u60a8\u4ed4\u7d30\u56de\u60f3\u5728\u6700\u8fd1\u4e00\u661f\u671f\u4e2d(\u5305\u62ec\u4eca\u5929)\uff0c\u9019\u4e9b\u554f\u984c\u4f7f\u60a8\u611f\u5230\u56f0\u64fe\u6216\u82e6\u60f1\u7684\u7a0b\u5ea6\uff0c\u7136\u5f8c\u5708\u9078\u4e00\u500b\u60a8\u8a8d\u70ba\u6700\u80fd\u4ee3\u8868\u60a8\u611f\u89ba\u7684\u7b54\u6848\u3002<\/p>\n<div><br \/>\u8cc7\u6599\u53c3\u8003 :<br \/>\u570b\u7acb\u53f0\u5927\u91ab\u5b78\u9662\u7cbe\u795e\u79d1\u6559\u6388\u66a8\u7cbe\u795e\u90e8\u4e3b\u6cbb\u91ab\u5e2b \u674e\u660e\u6ff1\u91ab\u5e2b \u3002<\/div><\/div><hr \/><\/div><div class='ff-el-group  ff_list_inline'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"1. \u7761\u7720\u56f0\u96e3\uff0c\u8b6c\u5982\u96e3\u4ee5\u5165\u7761\u3001\u6613\u9192\u6216\u65e9\u9192\u3002\">1. \u7761\u7720\u56f0\u96e3\uff0c\u8b6c\u5982\u96e3\u4ee5\u5165\u7761\u3001\u6613\u9192\u6216\u65e9\u9192\u3002<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_7_80f3a39d8070b0cc87e52a6ce29e5f36'><input  type=\"radio\" name=\"input_radio_7\" data-name=\"input_radio_7\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u5b8c\u5168\u6c92\u6709\"  id='input_radio_7_80f3a39d8070b0cc87e52a6ce29e5f36' aria-label='\u5b8c\u5168\u6c92\u6709' aria-invalid='false' aria-required=true> <span>\u5b8c\u5168\u6c92\u6709<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_7_98b0b29aee62362257d6cb80761174a5'><input  type=\"radio\" name=\"input_radio_7\" data-name=\"input_radio_7\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u8f15\u5fae\"  id='input_radio_7_98b0b29aee62362257d6cb80761174a5' aria-label='\u8f15\u5fae' aria-invalid='false' aria-required=true> <span>\u8f15\u5fae<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_7_c861a8ccb6ffdbf950dc88afdfa1f693'><input  type=\"radio\" name=\"input_radio_7\" data-name=\"input_radio_7\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u4e2d\u7b49\u7a0b\u5ea6\"  id='input_radio_7_c861a8ccb6ffdbf950dc88afdfa1f693' aria-label='\u4e2d\u7b49\u7a0b\u5ea6' aria-invalid='false' aria-required=true> <span>\u4e2d\u7b49\u7a0b\u5ea6<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_7_25e72c4709f95509e4e7b7977a4ef5ee'><input  type=\"radio\" name=\"input_radio_7\" data-name=\"input_radio_7\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u5f37\u70c8\"  id='input_radio_7_25e72c4709f95509e4e7b7977a4ef5ee' aria-label='\u5f37\u70c8' aria-invalid='false' aria-required=true> <span>\u5f37\u70c8<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_7_26c9f26c80a15778eddabeac0c9bc19a'><input  type=\"radio\" name=\"input_radio_7\" data-name=\"input_radio_7\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u975e\u5e38\u5f37\u70c8\"  id='input_radio_7_26c9f26c80a15778eddabeac0c9bc19a' aria-label='\u975e\u5e38\u5f37\u70c8' aria-invalid='false' aria-required=true> <span>\u975e\u5e38\u5f37\u70c8<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group  ff_list_inline'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"2. \u611f\u89ba\u7dca\u5f35\u4e0d\u5b89\u3002\">2. \u611f\u89ba\u7dca\u5f35\u4e0d\u5b89\u3002<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_8_21de6aa653ee109e4077ca619a2eaeb4'><input  type=\"radio\" name=\"input_radio_8\" data-name=\"input_radio_8\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u5b8c\u5168\u6c92\u6709\"  id='input_radio_8_21de6aa653ee109e4077ca619a2eaeb4' aria-label='\u5b8c\u5168\u6c92\u6709' aria-invalid='false' aria-required=true> <span>\u5b8c\u5168\u6c92\u6709<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_8_6d749398f01cc0814ee21e7845f93d8e'><input  type=\"radio\" name=\"input_radio_8\" data-name=\"input_radio_8\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u8f15\u5fae\"  id='input_radio_8_6d749398f01cc0814ee21e7845f93d8e' aria-label='\u8f15\u5fae' aria-invalid='false' aria-required=true> <span>\u8f15\u5fae<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_8_ce54592d84f045ccdb13d3895ed392db'><input  type=\"radio\" name=\"input_radio_8\" data-name=\"input_radio_8\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u4e2d\u7b49\u7a0b\u5ea6\"  id='input_radio_8_ce54592d84f045ccdb13d3895ed392db' aria-label='\u4e2d\u7b49\u7a0b\u5ea6' aria-invalid='false' aria-required=true> <span>\u4e2d\u7b49\u7a0b\u5ea6<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_8_6c1c61d063021de380b9f315aafbacfe'><input  type=\"radio\" name=\"input_radio_8\" data-name=\"input_radio_8\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u5f37\u70c8\"  id='input_radio_8_6c1c61d063021de380b9f315aafbacfe' aria-label='\u5f37\u70c8' aria-invalid='false' aria-required=true> <span>\u5f37\u70c8<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_8_9551f24b99e2dd34accfc7076311c55a'><input  type=\"radio\" name=\"input_radio_8\" data-name=\"input_radio_8\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u975e\u5e38\u5f37\u70c8\"  id='input_radio_8_9551f24b99e2dd34accfc7076311c55a' aria-label='\u975e\u5e38\u5f37\u70c8' aria-invalid='false' aria-required=true> <span>\u975e\u5e38\u5f37\u70c8<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group  ff_list_inline'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"3. \u89ba\u5f97\u5bb9\u6613\u82e6\u60f1\u6216\u52d5\u6012\u3002\">3. \u89ba\u5f97\u5bb9\u6613\u82e6\u60f1\u6216\u52d5\u6012\u3002<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_9_44c832e939b73fa8edaad86617ee43a7'><input  type=\"radio\" name=\"input_radio_9\" data-name=\"input_radio_9\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u5b8c\u5168\u6c92\u6709\"  id='input_radio_9_44c832e939b73fa8edaad86617ee43a7' aria-label='\u5b8c\u5168\u6c92\u6709' aria-invalid='false' aria-required=true> <span>\u5b8c\u5168\u6c92\u6709<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_9_e21e422b2df1746704909e4a8dec53aa'><input  type=\"radio\" name=\"input_radio_9\" data-name=\"input_radio_9\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u8f15\u5fae\"  id='input_radio_9_e21e422b2df1746704909e4a8dec53aa' aria-label='\u8f15\u5fae' aria-invalid='false' aria-required=true> <span>\u8f15\u5fae<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_9_24ac332cd5a9db0655cc8f9648d86f0e'><input  type=\"radio\" name=\"input_radio_9\" data-name=\"input_radio_9\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u4e2d\u7b49\u7a0b\u5ea6\"  id='input_radio_9_24ac332cd5a9db0655cc8f9648d86f0e' aria-label='\u4e2d\u7b49\u7a0b\u5ea6' aria-invalid='false' aria-required=true> <span>\u4e2d\u7b49\u7a0b\u5ea6<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_9_e210ef825330a9f06896c6aeca8d1487'><input  type=\"radio\" name=\"input_radio_9\" data-name=\"input_radio_9\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u5f37\u70c8\"  id='input_radio_9_e210ef825330a9f06896c6aeca8d1487' aria-label='\u5f37\u70c8' aria-invalid='false' aria-required=true> <span>\u5f37\u70c8<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_9_2c9fc815432a6632c4bdbe9d29c8dbc9'><input  type=\"radio\" name=\"input_radio_9\" data-name=\"input_radio_9\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u975e\u5e38\u5f37\u70c8\"  id='input_radio_9_2c9fc815432a6632c4bdbe9d29c8dbc9' aria-label='\u975e\u5e38\u5f37\u70c8' aria-invalid='false' aria-required=true> <span>\u975e\u5e38\u5f37\u70c8<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group  ff_list_inline'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"4. \u611f\u89ba\u6182\u9b31\u3001\u5fc3\u60c5\u4f4e\u843d\u3002\">4. \u611f\u89ba\u6182\u9b31\u3001\u5fc3\u60c5\u4f4e\u843d\u3002<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_10_1cd03f20e4579e737ceeeeac3b96fe5f'><input  type=\"radio\" name=\"input_radio_10\" data-name=\"input_radio_10\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u5b8c\u5168\u6c92\u6709\"  id='input_radio_10_1cd03f20e4579e737ceeeeac3b96fe5f' aria-label='\u5b8c\u5168\u6c92\u6709' aria-invalid='false' aria-required=true> <span>\u5b8c\u5168\u6c92\u6709<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_10_d0ed2ff29a1f20f6b7064f0313772a50'><input  type=\"radio\" name=\"input_radio_10\" data-name=\"input_radio_10\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u8f15\u5fae\"  id='input_radio_10_d0ed2ff29a1f20f6b7064f0313772a50' aria-label='\u8f15\u5fae' aria-invalid='false' aria-required=true> <span>\u8f15\u5fae<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_10_0815230ba721dacdc96cedb37464d41e'><input  type=\"radio\" name=\"input_radio_10\" data-name=\"input_radio_10\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u4e2d\u7b49\u7a0b\u5ea6\"  id='input_radio_10_0815230ba721dacdc96cedb37464d41e' aria-label='\u4e2d\u7b49\u7a0b\u5ea6' aria-invalid='false' aria-required=true> <span>\u4e2d\u7b49\u7a0b\u5ea6<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_10_6911e293d6d0a87976af39c26f869ae9'><input  type=\"radio\" name=\"input_radio_10\" data-name=\"input_radio_10\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u5f37\u70c8\"  id='input_radio_10_6911e293d6d0a87976af39c26f869ae9' aria-label='\u5f37\u70c8' aria-invalid='false' aria-required=true> <span>\u5f37\u70c8<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_10_b165fcb3d632c5a710fb3c91c26ed2d1'><input  type=\"radio\" name=\"input_radio_10\" data-name=\"input_radio_10\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u975e\u5e38\u5f37\u70c8\"  id='input_radio_10_b165fcb3d632c5a710fb3c91c26ed2d1' aria-label='\u975e\u5e38\u5f37\u70c8' aria-invalid='false' aria-required=true> <span>\u975e\u5e38\u5f37\u70c8<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group  ff_list_inline'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"5. \u89ba\u5f97\u6bd4\u4e0d\u4e0a\u5225\u4eba\u3002\">5. \u89ba\u5f97\u6bd4\u4e0d\u4e0a\u5225\u4eba\u3002<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_11_b98a77c768c58541ce58544b08bb63e1'><input  type=\"radio\" name=\"input_radio_11\" data-name=\"input_radio_11\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u5b8c\u5168\u6c92\u6709\"  id='input_radio_11_b98a77c768c58541ce58544b08bb63e1' aria-label='\u5b8c\u5168\u6c92\u6709' aria-invalid='false' aria-required=true> <span>\u5b8c\u5168\u6c92\u6709<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_11_cdc8bb00d826955fc173cfc7b0a3e144'><input  type=\"radio\" name=\"input_radio_11\" data-name=\"input_radio_11\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u8f15\u5fae\"  id='input_radio_11_cdc8bb00d826955fc173cfc7b0a3e144' aria-label='\u8f15\u5fae' aria-invalid='false' aria-required=true> <span>\u8f15\u5fae<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_11_89770606b098fde3a5129442aee07ae0'><input  type=\"radio\" name=\"input_radio_11\" data-name=\"input_radio_11\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u4e2d\u7b49\u7a0b\u5ea6\"  id='input_radio_11_89770606b098fde3a5129442aee07ae0' aria-label='\u4e2d\u7b49\u7a0b\u5ea6' aria-invalid='false' aria-required=true> <span>\u4e2d\u7b49\u7a0b\u5ea6<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_11_b530520cd04927231f2a17aa01c6f857'><input  type=\"radio\" name=\"input_radio_11\" data-name=\"input_radio_11\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u5f37\u70c8\"  id='input_radio_11_b530520cd04927231f2a17aa01c6f857' aria-label='\u5f37\u70c8' aria-invalid='false' aria-required=true> <span>\u5f37\u70c8<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_11_0104c153f39601f9ebb914af0a164ba9'><input  type=\"radio\" name=\"input_radio_11\" data-name=\"input_radio_11\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u975e\u5e38\u5f37\u70c8\"  id='input_radio_11_0104c153f39601f9ebb914af0a164ba9' aria-label='\u975e\u5e38\u5f37\u70c8' aria-invalid='false' aria-required=true> <span>\u975e\u5e38\u5f37\u70c8<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_6_phone' id='label_ff_6_phone' aria-label=\"\u53ef\u4ee5\u806f\u7e6b\u7684\u96fb\u8a71\">\u53ef\u4ee5\u806f\u7e6b\u7684\u96fb\u8a71<\/label><\/div><div class='ff-el-input--content'><input name=\"phone\" class=\"ff-el-form-control ff-el-phone\" type=\"tel\" data-name=\"phone\" id=\"ff_6_phone\" inputmode=\"tel\"  aria-invalid='false' aria-required=true><\/div><\/div><div class='ff-el-group  ff_list_inline'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"\u65b9\u4fbf\u63a5\u807d\u7684\u6642\u6bb5\uff08\u9810\u7d04\u8aee\u8a62\uff1a\u52d9\u5fc5\u52a0\u5165\u5b98\u65b9line\u4e26\u56de\u50b3\u53ef\u901a\u8a71\u6642\u9593\uff09\">\u65b9\u4fbf\u63a5\u807d\u7684\u6642\u6bb5\uff08\u9810\u7d04\u8aee\u8a62\uff1a\u52d9\u5fc5\u52a0\u5165\u5b98\u65b9line\u4e26\u56de\u50b3\u53ef\u901a\u8a71\u6642\u9593\uff09<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_3_125ede6b05e9c4a3939ed4fc3e1ece9d'><input  type=\"checkbox\" name=\"checkbox_3[]\" data-name=\"checkbox_3\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"\u5e73\u65e5 \u4e0a\u5348\"  id='checkbox_3_125ede6b05e9c4a3939ed4fc3e1ece9d' aria-label='\u5e73\u65e5 \u4e0a\u5348' aria-invalid='false' aria-required=true> <span>\u5e73\u65e5 \u4e0a\u5348<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_3_c77f21f52cdbbe25bfc6bddef0d97368'><input  type=\"checkbox\" name=\"checkbox_3[]\" data-name=\"checkbox_3\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"\u5e73\u65e5 \u4e2d\u5348\"  id='checkbox_3_c77f21f52cdbbe25bfc6bddef0d97368' aria-label='\u5e73\u65e5 \u4e2d\u5348' aria-invalid='false' aria-required=true> <span>\u5e73\u65e5 \u4e2d\u5348<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_3_86f464a3fa66fa8a9e6ae1aa327f9779'><input  type=\"checkbox\" name=\"checkbox_3[]\" data-name=\"checkbox_3\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"\u5e73\u65e5 \u4e0b\u5348\"  id='checkbox_3_86f464a3fa66fa8a9e6ae1aa327f9779' aria-label='\u5e73\u65e5 \u4e0b\u5348' aria-invalid='false' aria-required=true> <span>\u5e73\u65e5 \u4e0b\u5348<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group  ff_list_inline'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"\u9080\u8acb\u60a8\u52a0\u5165\u6613\u601d\u8166\u5b98\u65b9LINE\uff0c\u6211\u5011\u5c07\u900f\u904e\u5b98\u65b9Line\u63d0\u4f9b\u7dda\u4e0a\u514d\u8cbb\u5c08\u5c6c\u901a\u8a71\u8aee\u8a62\u670d\u52d9\u4ee5\u53ca\u7368\u5bb6\u5927\u8166\u53ef\u5851\u6027\u5f71\u7247\">\u9080\u8acb\u60a8\u52a0\u5165\u6613\u601d\u8166\u5b98\u65b9LINE\uff0c\u6211\u5011\u5c07\u900f\u904e\u5b98\u65b9Line\u63d0\u4f9b\u7dda\u4e0a\u514d\u8cbb\u5c08\u5c6c\u901a\u8a71\u8aee\u8a62\u670d\u52d9\u4ee5\u53ca\u7368\u5bb6\u5927\u8166\u53ef\u5851\u6027\u5f71\u7247<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_13_cccb5cd5c35e445c69eaf2c7b2331187'><input  type=\"radio\" name=\"input_radio_13\" data-name=\"input_radio_13\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u52a0\u5165\u6613\u601d\u8166\u5b98\u65b9LINE\uff0c\u4e26\u5df2\u56de\u50b3\u95dc\u9375\u5b57\u300c\u5fc3\u8166\u9858\u671b\u300d\u624d\u6709\u6210\u529f\u958b\u901a\u5594\"  id='input_radio_13_cccb5cd5c35e445c69eaf2c7b2331187' aria-label='\u52a0\u5165\u6613\u601d\u8166\u5b98\u65b9LINE\uff0c\u4e26\u5df2\u56de\u50b3\u95dc\u9375\u5b57\u300c\u5fc3\u8166\u9858\u671b\u300d\u624d\u6709\u6210\u529f\u958b\u901a\u5594' aria-invalid='false' aria-required=true> <span>\u52a0\u5165\u6613\u601d\u8166\u5b98\u65b9LINE\uff0c\u4e26\u5df2\u56de\u50b3\u95dc\u9375\u5b57\u300c\u5fc3\u8166\u9858\u671b\u300d\u624d\u6709\u6210\u529f\u958b\u901a\u5594<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group  ff_list_inline'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"\u5f9e\u4ec0\u9ebc\u7ba1\u9053\u5f97\u77e5\u300e\u6613\u601d\u8166\u300f\uff1f\">\u5f9e\u4ec0\u9ebc\u7ba1\u9053\u5f97\u77e5\u300e\u6613\u601d\u8166\u300f\uff1f<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_15_443aca554cbd173cd3063a18dab48e8b'><input  type=\"radio\" name=\"input_radio_15\" data-name=\"input_radio_15\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Facebook\u793e\u7fa4\u5a92\u9ad4\"  id='input_radio_15_443aca554cbd173cd3063a18dab48e8b' aria-label='Facebook\u793e\u7fa4\u5a92\u9ad4' aria-invalid='false' aria-required=true> <span>Facebook\u793e\u7fa4\u5a92\u9ad4<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_15_f63c301fd35d6e3677c05a3b7f41fd6c'><input  type=\"radio\" name=\"input_radio_15\" data-name=\"input_radio_15\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Instagram\u793e\u7fa4\u5a92\u9ad4\"  id='input_radio_15_f63c301fd35d6e3677c05a3b7f41fd6c' aria-label='Instagram\u793e\u7fa4\u5a92\u9ad4' aria-invalid='false' aria-required=true> <span>Instagram\u793e\u7fa4\u5a92\u9ad4<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_15_8745227b88df3cf5281214fc899c0769'><input  type=\"radio\" name=\"input_radio_15\" data-name=\"input_radio_15\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"YouTub\u5f71\u97f3\u5e73\u53f0\"  id='input_radio_15_8745227b88df3cf5281214fc899c0769' aria-label='YouTub\u5f71\u97f3\u5e73\u53f0' aria-invalid='false' aria-required=true> <span>YouTub\u5f71\u97f3\u5e73\u53f0<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_15_cc8e2d7fd15a043bca17f120fc7d516e'><input  type=\"radio\" name=\"input_radio_15\" 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