{"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=\"10f69acff2\" \/><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_a4ea69b188e5b6cbb33e4147ed3f5239'><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_a4ea69b188e5b6cbb33e4147ed3f5239' 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_f1d5f75bac7574fb91e29599f480c84e'><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\"  id='input_radio_1_f1d5f75bac7574fb91e29599f480c84e' aria-label='21-34\u6b72' aria-invalid='false' aria-required=true> <span>21-34\u6b72<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_1_0fd54172e88fdcb86b61292a43a34f1d'><input  type=\"radio\" name=\"input_radio_1\" data-name=\"input_radio_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"35-50\u6b72\"  id='input_radio_1_0fd54172e88fdcb86b61292a43a34f1d' aria-label='35-50\u6b72' aria-invalid='false' aria-required=true> <span>35-50\u6b72<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_1_f22dcccd762acce76e07d9e35fa4a522'><input  type=\"radio\" name=\"input_radio_1\" data-name=\"input_radio_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"51-64\u6b72\"  id='input_radio_1_f22dcccd762acce76e07d9e35fa4a522' aria-label='51-64\u6b72' aria-invalid='false' aria-required=true> <span>51-64\u6b72<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_1_d0ef409570dc07e9119740fd22853555'><input  type=\"radio\" name=\"input_radio_1\" data-name=\"input_radio_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"65\u6b72\u4ee5\u4e0a\"  id='input_radio_1_d0ef409570dc07e9119740fd22853555' aria-label='65\u6b72\u4ee5\u4e0a' aria-invalid='false' aria-required=true> <span>65\u6b72\u4ee5\u4e0a<\/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=\"\u5c45\u4f4f\u5730\u00a0(\u6613\u601d\u8166\u5ba2\u88fd\u5316\u5be6\u9ad4\u8ab2\u7a0b\u64da\u9ede\u4f4d\u65bc\u53f0\u5317\u5167\u6e56)\">\u5c45\u4f4f\u5730\u00a0(\u6613\u601d\u8166\u5ba2\u88fd\u5316\u5be6\u9ad4\u8ab2\u7a0b\u64da\u9ede\u4f4d\u65bc\u53f0\u5317\u5167\u6e56)<\/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_14_21dd07b7ffbb3b2b5769e98c25b92e28'><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_21dd07b7ffbb3b2b5769e98c25b92e28' 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_cda6b825945530386b2d561f543cf0ac'><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_cda6b825945530386b2d561f543cf0ac' aria-label='\u65b0\u7af9' aria-invalid='false' aria-required=true> <span>\u65b0\u7af9<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_14_5a28bedb84aacf887a22ca6745ae2307'><input  type=\"radio\" name=\"input_radio_14\" data-name=\"input_radio_14\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u6843\u5712\"  id='input_radio_14_5a28bedb84aacf887a22ca6745ae2307' aria-label='\u6843\u5712' aria-invalid='false' aria-required=true> <span>\u6843\u5712<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_14_d1600ead1dffa7fbb30743208973026c'><input  type=\"radio\" name=\"input_radio_14\" data-name=\"input_radio_14\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"\u4e2d\u90e8\"  id='input_radio_14_d1600ead1dffa7fbb30743208973026c' aria-label='\u4e2d\u90e8' aria-invalid='false' aria-required=true> <span>\u4e2d\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_03aa801c5b1ddafd8f4a6fb30a49a7a6'><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_03aa801c5b1ddafd8f4a6fb30a49a7a6' 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_6580691f3cd3e006c3f9a50b1ee9c1c0'><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_6580691f3cd3e006c3f9a50b1ee9c1c0' 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_1a2461db443ef5c58bbd58e323a2e29e'><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_1a2461db443ef5c58bbd58e323a2e29e' 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_46d83f427c8523aacbff40a2a5d3214d'><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_46d83f427c8523aacbff40a2a5d3214d' 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_0040544832eefdfe48073e3035511f34'><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_0040544832eefdfe48073e3035511f34' 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_83d93c6ccb4a1cb1e7678ba3c3e802e5'><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_83d93c6ccb4a1cb1e7678ba3c3e802e5' 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_28a7dc21fdb52bb4be7e5fb9d6275b33'><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_28a7dc21fdb52bb4be7e5fb9d6275b33' 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_82b540cf6bc9f0771439513a543abcd5'><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_82b540cf6bc9f0771439513a543abcd5' 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_e714624de9e362cd342596ea4dd3826a'><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_e714624de9e362cd342596ea4dd3826a' 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_cc52a33e080577bc85b7e3c56f88be28'><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_cc52a33e080577bc85b7e3c56f88be28' 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_2a9ecd54f87cbc8c3168b961938d071d'><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_2a9ecd54f87cbc8c3168b961938d071d' 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_d8b2e9cf5efb7d1c380191f921e03094'><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_d8b2e9cf5efb7d1c380191f921e03094' 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_f6c03625b4727d1b89b657b08bf1ff8f'><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_f6c03625b4727d1b89b657b08bf1ff8f' 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_8227791fdef22e45b3d0f073f40042f7'><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_8227791fdef22e45b3d0f073f40042f7' 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_7003cab6a82a1ebe671fbe59e42f97ad'><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_7003cab6a82a1ebe671fbe59e42f97ad' 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_74b9424e7b9b512495aed234d64c5db1'><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_74b9424e7b9b512495aed234d64c5db1' 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_5c71f03988c22f391b8cd04cc7fa4f79'><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_5c71f03988c22f391b8cd04cc7fa4f79' 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_8b1dc85ea00ed0ca9034ce45634d20ea'><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_8b1dc85ea00ed0ca9034ce45634d20ea' 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_0cf463c8eb10c17a8139417c1e309b10'><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_0cf463c8eb10c17a8139417c1e309b10' 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_cacab99429fff41194c1c011350359c8'><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_cacab99429fff41194c1c011350359c8' 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_fb0d4e5240edbc9cb2b04c9aff45c142'><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_fb0d4e5240edbc9cb2b04c9aff45c142' 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_9a13b137a3e1c8f11ff5388d403322cc'><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_9a13b137a3e1c8f11ff5388d403322cc' 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_738f4ee70ffaf2518b132c608edeb214'><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_738f4ee70ffaf2518b132c608edeb214' 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_8db2ef8ccc897caea21bb23ea1fe424c'><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_8db2ef8ccc897caea21bb23ea1fe424c' 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_83f7158b9696056f82de102105fa49a5'><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_83f7158b9696056f82de102105fa49a5' 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_939c3bacc5b7aa3a455f6e857788d02c'><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_939c3bacc5b7aa3a455f6e857788d02c' 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_dd5e1d913e2d6f7e398f7aec87a3338b'><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_dd5e1d913e2d6f7e398f7aec87a3338b' 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_552c0dd1802b0472f89b77060702d090'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"\u5176\u4ed6\"  id='checkbox_552c0dd1802b0472f89b77060702d090' 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_826e92ee9e4e5c22c99a7b938e78f799'><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_826e92ee9e4e5c22c99a7b938e78f799' 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_6c218e3dddc4738acbbb34a49c34df9d'><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_6c218e3dddc4738acbbb34a49c34df9d' 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_50d9686c76800d841d06ea155c402017'><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_50d9686c76800d841d06ea155c402017' 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_3da2446417a07cce99be3de5ad5c8f0b'><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_3da2446417a07cce99be3de5ad5c8f0b' 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_d79cc0fdc3153f499212fc7432dc6281'><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_d79cc0fdc3153f499212fc7432dc6281' 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_e59638e702da44aef0a6eaba074f1987'><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_e59638e702da44aef0a6eaba074f1987' 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_20779d1c7e0b692735278ca24ba85f2e'><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_20779d1c7e0b692735278ca24ba85f2e' 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_d15426f388d0cbd1ab2f609dda776ab3'><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_d15426f388d0cbd1ab2f609dda776ab3' 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_b9b50fbd329d71d74943ad19551df9f5'><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_b9b50fbd329d71d74943ad19551df9f5' 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_f42818fdde32bc1257109ffa6590dacf'><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_f42818fdde32bc1257109ffa6590dacf' 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_a1ad3416c308a99f43bf597645ca66e4'><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_a1ad3416c308a99f43bf597645ca66e4' 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_f28e24b2a6686716066a756ebcf6080f'><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_f28e24b2a6686716066a756ebcf6080f' 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_9827c6bbd8761c1a2da97bb83a4541e0'><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_9827c6bbd8761c1a2da97bb83a4541e0' 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_c0d59bc4386d1c5c0c6c9ac6ef8ff924'><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_c0d59bc4386d1c5c0c6c9ac6ef8ff924' 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_7363979bc5dcf93af1225a94cd542b40'><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_7363979bc5dcf93af1225a94cd542b40' 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_31d2db069918774aa24b5b9e2ed4ecf9'><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_31d2db069918774aa24b5b9e2ed4ecf9' 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_f4c38e577ee473095f9bad748af660c9'><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_f4c38e577ee473095f9bad748af660c9' 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_d5ea170eea7470ff7eccbdcaa5c83c6a'><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_d5ea170eea7470ff7eccbdcaa5c83c6a' 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_fdd41913ba22dacb278f16879f61a0ac'><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_fdd41913ba22dacb278f16879f61a0ac' 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_c3a4e7214d3f64259c2ca2c821bc6978'><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_c3a4e7214d3f64259c2ca2c821bc6978' 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_e3738558c2ace248ad227b693b6fa6e7'><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_e3738558c2ace248ad227b693b6fa6e7' 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_b2bead3284a7f2fba4536b5a017e571c'><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_b2bead3284a7f2fba4536b5a017e571c' 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_7e02489d72702f10df3ba4842ab46309'><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_7e02489d72702f10df3ba4842ab46309' 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_2f03239893cfbecfed1a5f32ef88d790'><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_2f03239893cfbecfed1a5f32ef88d790' 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_1c965db7efb03a7d2af97d908441efa7'><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_1c965db7efb03a7d2af97d908441efa7' 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_79715be4a86cff12b677f6c61408498a'><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_79715be4a86cff12b677f6c61408498a' 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_3bb437e7bb191a5ac3e0a49e4a36e411'><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_3bb437e7bb191a5ac3e0a49e4a36e411' 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_0ec4e8ef1f442d058cd21d33f8490517'><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_0ec4e8ef1f442d058cd21d33f8490517' 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_da1c789334d98a7c6103f753d66a59a3'><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_da1c789334d98a7c6103f753d66a59a3' 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_169fe96dde1883bc67315abef580889e'><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_169fe96dde1883bc67315abef580889e' 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_b3fb70cf5503404479018fc7ccef5aaa'><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_b3fb70cf5503404479018fc7ccef5aaa' 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_ee6e8905fb47ad383217f8dc1a88ba3e'><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_ee6e8905fb47ad383217f8dc1a88ba3e' 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_f51150e2b77191e3a56d88d1abcadd6a'><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_f51150e2b77191e3a56d88d1abcadd6a' 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_e2d1252dd0c1c4690f409638db019631'><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_e2d1252dd0c1c4690f409638db019631' 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_fab7de6367dadf28050ab572f3bb37cf'><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_fab7de6367dadf28050ab572f3bb37cf' 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_acea2dab7f9c781e6eeb86ae72950849'><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_acea2dab7f9c781e6eeb86ae72950849' 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_145397466470a51956abf50f4cf89f3b'><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_145397466470a51956abf50f4cf89f3b' 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_5d9483c6b602e40df4233a578434b0ca'><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_5d9483c6b602e40df4233a578434b0ca' 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_f3f94ef63bb890afa9c68c360bfe1ffa'><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_f3f94ef63bb890afa9c68c360bfe1ffa' 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_4352f7e83d841647176cd910ea54303d'><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_4352f7e83d841647176cd910ea54303d' 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_c651e0dc079d6bc11eaa0013404a343d'><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_c651e0dc079d6bc11eaa0013404a343d' 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_8c26c80650d5ecfd88be7efe05afa1c5'><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_8c26c80650d5ecfd88be7efe05afa1c5' 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_7f60f1248403d8ce764756f36a250888'><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_7f60f1248403d8ce764756f36a250888' 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_f65f8afa478b194fae2c093c0fbde238'><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_f65f8afa478b194fae2c093c0fbde238' 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_2a1689a10db9331017900d889ab4f603'><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_2a1689a10db9331017900d889ab4f603' 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_92c5dad98132430398f3a105d6cde784'><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_92c5dad98132430398f3a105d6cde784' 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_478be3788250ba529ee9dd7178dc866a'><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_478be3788250ba529ee9dd7178dc866a' 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_e318e08991a9f4b78d28d8becb89301b'><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_e318e08991a9f4b78d28d8becb89301b' 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_a0d1f032954af8962c796c5112cf1767'><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_a0d1f032954af8962c796c5112cf1767' 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_56829b49c61626ff31f2d449b1ebb44d'><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_56829b49c61626ff31f2d449b1ebb44d' 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_9ccb532a3afb933f4c4225c09d5f6163'><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_9ccb532a3afb933f4c4225c09d5f6163' 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_9c3733e0535d0785ec70e7c0546a4b4a'><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_9c3733e0535d0785ec70e7c0546a4b4a' 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_c42ccfce059a005bfa8c7f8498571085'><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_c42ccfce059a005bfa8c7f8498571085' 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_52cef377d996cb0f69ea4c0ad8dc7f17'><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_52cef377d996cb0f69ea4c0ad8dc7f17' 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_42916fbd6d8e863b5b32e445f0d26a5b'><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_42916fbd6d8e863b5b32e445f0d26a5b' 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_7eeca6054e74dddde9ef262119955d4c'><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_7eeca6054e74dddde9ef262119955d4c' 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_67477f757a01966af1f136604318bf31'><input  type=\"radio\" name=\"input_radio_15\" 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