{"id":3999,"date":"2024-11-07T11:43:56","date_gmt":"2024-11-07T04:43:56","guid":{"rendered":"https:\/\/bangkokmentalhealthhospital.com\/quizzes\/post-traumatic-stress-disorder-assessment-pcl-5\/"},"modified":"2024-11-07T11:47:07","modified_gmt":"2024-11-07T04:47:07","slug":"post-traumatic-stress-disorder-assessment","status":"publish","type":"quizzes","link":"https:\/\/bangkokmentalhealthhospital.com\/th\/quizzes\/post-traumatic-stress-disorder-assessment\/","title":{"rendered":"\u0e41\u0e1a\u0e1a\u0e1b\u0e23\u0e30\u0e40\u0e21\u0e34\u0e19\u0e42\u0e23\u0e04\u0e40\u0e04\u0e23\u0e35\u0e22\u0e14\u0e2b\u0e25\u0e31\u0e07\u0e40\u0e1c\u0e0a\u0e34\u0e0d\u0e40\u0e2b\u0e15\u0e38\u0e01\u0e32\u0e23\u0e13\u0e4c\u0e23\u0e38\u0e19\u0e41\u0e23\u0e07 (PTSD)"},"content":{"rendered":"\n<p 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name='input_62' type='radio' value='gquiz229adaae26'  id='choice_11_62_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_62_2' id='label_11_62_2' class='gform-field-label gform-field-label--type-inline'>\u0e21\u0e35\u0e04\u0e48\u0e2d\u0e19\u0e02\u0e49\u0e32\u0e07\u0e1a\u0e48\u0e2d\u0e22<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_62_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_62' type='radio' value='gquiz22194e488f'  id='choice_11_62_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_62_3' id='label_11_62_3' class='gform-field-label gform-field-label--type-inline'>\u0e21\u0e35\u0e1a\u0e48\u0e2d\u0e22\u0e04\u0e23\u0e31\u0e49\u0e07<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_62_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_62' type='radio' value='gquiz22ed37ff74'  id='choice_11_62_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_62_4' id='label_11_62_4' class='gform-field-label gform-field-label--type-inline'>\u0e21\u0e35\u0e1a\u0e48\u0e2d\u0e22\u0e04\u0e23\u0e31\u0e49\u0e07\u0e21\u0e32\u0e01 \u0e46<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_11_34\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_11_34\" ><h3 class=\"gsection_title\">\u0e04\u0e33\u0e16\u0e32\u0e21\u0e17\u0e35\u0e48 3<\/h3><\/div><fieldset id=\"field_11_63\" class=\"gfield gfield--type-quiz gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gquiz-field \"  data-field-class=\"gquiz-field\" data-js-reload=\"field_11_63\" ><legend class='gfield_label gform-field-label' 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onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_63_0' id='label_11_63_0' class='gform-field-label gform-field-label--type-inline'>\u0e44\u0e21\u0e48\u0e01\u0e31\u0e07\u0e27\u0e25\u0e40\u0e25\u0e22<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_63_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_63' type='radio' value='gquiz2219db163a'  id='choice_11_63_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_63_1' id='label_11_63_1' class='gform-field-label gform-field-label--type-inline'>\u0e21\u0e35\u0e1a\u0e49\u0e32\u0e07\u0e40\u0e25\u0e47\u0e01\u0e19\u0e49\u0e2d\u0e22<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_63_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_63' type='radio' value='gquiz229adaae26'  id='choice_11_63_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_63_2' id='label_11_63_2' class='gform-field-label gform-field-label--type-inline'>\u0e21\u0e35\u0e04\u0e48\u0e2d\u0e19\u0e02\u0e49\u0e32\u0e07\u0e1a\u0e48\u0e2d\u0e22<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_63_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_63' type='radio' value='gquiz22194e488f'  id='choice_11_63_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_63_3' id='label_11_63_3' class='gform-field-label gform-field-label--type-inline'>\u0e21\u0e35\u0e1a\u0e48\u0e2d\u0e22\u0e04\u0e23\u0e31\u0e49\u0e07<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_63_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_63' type='radio' value='gquiz22ed37ff74'  id='choice_11_63_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_63_4' id='label_11_63_4' class='gform-field-label gform-field-label--type-inline'>\u0e21\u0e35\u0e1a\u0e48\u0e2d\u0e22\u0e04\u0e23\u0e31\u0e49\u0e07\u0e21\u0e32\u0e01 \u0e46<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_11_35\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_11_35\" ><h3 class=\"gsection_title\">\u0e04\u0e33\u0e16\u0e32\u0e21\u0e17\u0e35\u0e48 4<\/h3><\/div><fieldset id=\"field_11_64\" class=\"gfield gfield--type-quiz gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gquiz-field \"  data-field-class=\"gquiz-field\" data-js-reload=\"field_11_64\" ><legend class='gfield_label gform-field-label' >\u0e23\u0e39\u0e49\u0e2a\u0e36\u0e01\u0e44\u0e21\u0e48\u0e2a\u0e1a\u0e32\u0e22\u0e43\u0e08\u0e2d\u0e22\u0e48\u0e32\u0e07\u0e21\u0e32\u0e01\u0e40\u0e21\u0e37\u0e48\u0e2d\u0e21\u0e35\u0e2a\u0e34\u0e48\u0e07\u0e17\u0e35\u0e48\u0e17\u0e33\u0e43\u0e2b\u0e49\u0e04\u0e38\u0e13\u0e19\u0e36\u0e01\u0e16\u0e36\u0e07\u0e40\u0e2b\u0e15\u0e38\u0e01\u0e32\u0e23\u0e13\u0e4c\u0e17\u0e35\u0e48\u0e40\u0e04\u0e23\u0e35\u0e22\u0e14\u0e19\u0e31\u0e49\u0e19<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_11_64'>\n\t\t\t<div class='gchoice gchoice_11_64_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_64' type='radio' value='gquiz2226eec9de'  id='choice_11_64_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_64_0' id='label_11_64_0' class='gform-field-label gform-field-label--type-inline'>\u0e44\u0e21\u0e48\u0e01\u0e31\u0e07\u0e27\u0e25\u0e40\u0e25\u0e22<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_64_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_64' type='radio' value='gquiz2219db163a'  id='choice_11_64_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_64_1' id='label_11_64_1' class='gform-field-label gform-field-label--type-inline'>\u0e21\u0e35\u0e1a\u0e49\u0e32\u0e07\u0e40\u0e25\u0e47\u0e01\u0e19\u0e49\u0e2d\u0e22<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_64_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_64' type='radio' value='gquiz229adaae26'  id='choice_11_64_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_64_2' id='label_11_64_2' class='gform-field-label gform-field-label--type-inline'>\u0e21\u0e35\u0e04\u0e48\u0e2d\u0e19\u0e02\u0e49\u0e32\u0e07\u0e1a\u0e48\u0e2d\u0e22<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_64_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_64' type='radio' value='gquiz22194e488f'  id='choice_11_64_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_64_3' id='label_11_64_3' class='gform-field-label gform-field-label--type-inline'>\u0e21\u0e35\u0e1a\u0e48\u0e2d\u0e22\u0e04\u0e23\u0e31\u0e49\u0e07<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_64_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_64' type='radio' value='gquiz22ed37ff74'  id='choice_11_64_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_64_4' id='label_11_64_4' class='gform-field-label gform-field-label--type-inline'>\u0e21\u0e35\u0e1a\u0e48\u0e2d\u0e22\u0e04\u0e23\u0e31\u0e49\u0e07\u0e21\u0e32\u0e01 \u0e46<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_11_36\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_11_36\" ><h3 class=\"gsection_title\">\u0e04\u0e33\u0e16\u0e32\u0e21\u0e17\u0e35\u0e48 5<\/h3><\/div><fieldset id=\"field_11_65\" class=\"gfield gfield--type-quiz gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gquiz-field \"  data-field-class=\"gquiz-field\" data-js-reload=\"field_11_65\" ><legend class='gfield_label gform-field-label' >\u0e21\u0e35\u0e1b\u0e0f\u0e34\u0e01\u0e34\u0e23\u0e34\u0e22\u0e32\u0e17\u0e32\u0e07\u0e01\u0e32\u0e22\u0e17\u0e35\u0e48\u0e23\u0e38\u0e19\u0e41\u0e23\u0e07\u0e40\u0e21\u0e37\u0e48\u0e2d\u0e21\u0e35\u0e2a\u0e34\u0e48\u0e07\u0e17\u0e35\u0e48\u0e17\u0e33\u0e43\u0e2b\u0e49\u0e04\u0e38\u0e13\u0e19\u0e36\u0e01\u0e16\u0e36\u0e07\u0e40\u0e2b\u0e15\u0e38\u0e01\u0e32\u0e23\u0e13\u0e4c\u0e17\u0e35\u0e48\u0e40\u0e04\u0e23\u0e35\u0e22\u0e14\u0e19\u0e31\u0e49\u0e19 (\u0e40\u0e0a\u0e48\u0e19 \u0e2b\u0e31\u0e27\u0e43\u0e08\u0e40\u0e15\u0e49\u0e19\u0e41\u0e23\u0e07, \u0e2b\u0e32\u0e22\u0e43\u0e08\u0e25\u0e33\u0e1a\u0e32\u0e01, \u0e40\u0e2b\u0e07\u0e37\u0e48\u0e2d\u0e2d\u0e2d\u0e01)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_11_65'>\n\t\t\t<div class='gchoice gchoice_11_65_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_65' type='radio' value='gquiz2226eec9de'  id='choice_11_65_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_65_0' id='label_11_65_0' class='gform-field-label gform-field-label--type-inline'>\u0e44\u0e21\u0e48\u0e01\u0e31\u0e07\u0e27\u0e25\u0e40\u0e25\u0e22<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_65_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_65' type='radio' value='gquiz2219db163a'  id='choice_11_65_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_65_1' id='label_11_65_1' class='gform-field-label gform-field-label--type-inline'>\u0e21\u0e35\u0e1a\u0e49\u0e32\u0e07\u0e40\u0e25\u0e47\u0e01\u0e19\u0e49\u0e2d\u0e22<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_65_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_65' type='radio' value='gquiz229adaae26'  id='choice_11_65_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_65_2' id='label_11_65_2' class='gform-field-label gform-field-label--type-inline'>\u0e21\u0e35\u0e04\u0e48\u0e2d\u0e19\u0e02\u0e49\u0e32\u0e07\u0e1a\u0e48\u0e2d\u0e22<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_65_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_65' type='radio' value='gquiz22194e488f'  id='choice_11_65_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_65_3' id='label_11_65_3' class='gform-field-label gform-field-label--type-inline'>\u0e21\u0e35\u0e1a\u0e48\u0e2d\u0e22\u0e04\u0e23\u0e31\u0e49\u0e07<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_65_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_65' type='radio' value='gquiz22ed37ff74'  id='choice_11_65_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_65_4' id='label_11_65_4' class='gform-field-label gform-field-label--type-inline'>\u0e21\u0e35\u0e1a\u0e48\u0e2d\u0e22\u0e04\u0e23\u0e31\u0e49\u0e07\u0e21\u0e32\u0e01 \u0e46<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_11_37\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_11_37\" ><h3 class=\"gsection_title\">\u0e04\u0e33\u0e16\u0e32\u0e21\u0e17\u0e35\u0e48 6<\/h3><\/div><fieldset id=\"field_11_66\" class=\"gfield gfield--type-quiz gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gquiz-field \"  data-field-class=\"gquiz-field\" data-js-reload=\"field_11_66\" ><legend class='gfield_label gform-field-label' >\u0e2b\u0e25\u0e35\u0e01\u0e40\u0e25\u0e35\u0e48\u0e22\u0e07\u0e04\u0e27\u0e32\u0e21\u0e17\u0e23\u0e07\u0e08\u0e33 \u0e04\u0e27\u0e32\u0e21\u0e04\u0e34\u0e14 \u0e2b\u0e23\u0e37\u0e2d\u0e04\u0e27\u0e32\u0e21\u0e23\u0e39\u0e49\u0e2a\u0e36\u0e01\u0e17\u0e35\u0e48\u0e40\u0e01\u0e35\u0e48\u0e22\u0e27\u0e02\u0e49\u0e2d\u0e07\u0e01\u0e31\u0e1a\u0e40\u0e2b\u0e15\u0e38\u0e01\u0e32\u0e23\u0e13\u0e4c\u0e17\u0e35\u0e48\u0e40\u0e04\u0e23\u0e35\u0e22\u0e14\u0e19\u0e31\u0e49\u0e19<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_11_66'>\n\t\t\t<div class='gchoice gchoice_11_66_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_66' type='radio' value='gquiz2226eec9de'  id='choice_11_66_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_66_0' id='label_11_66_0' class='gform-field-label gform-field-label--type-inline'>\u0e44\u0e21\u0e48\u0e01\u0e31\u0e07\u0e27\u0e25\u0e40\u0e25\u0e22<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_66_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_66' type='radio' value='gquiz2219db163a'  id='choice_11_66_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_66_1' id='label_11_66_1' class='gform-field-label gform-field-label--type-inline'>\u0e21\u0e35\u0e1a\u0e49\u0e32\u0e07\u0e40\u0e25\u0e47\u0e01\u0e19\u0e49\u0e2d\u0e22<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_66_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_66' type='radio' value='gquiz229adaae26'  id='choice_11_66_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_66_2' id='label_11_66_2' class='gform-field-label gform-field-label--type-inline'>\u0e21\u0e35\u0e04\u0e48\u0e2d\u0e19\u0e02\u0e49\u0e32\u0e07\u0e1a\u0e48\u0e2d\u0e22<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_66_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_66' type='radio' value='gquiz22194e488f'  id='choice_11_66_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_66_3' id='label_11_66_3' class='gform-field-label gform-field-label--type-inline'>\u0e21\u0e35\u0e1a\u0e48\u0e2d\u0e22\u0e04\u0e23\u0e31\u0e49\u0e07<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_66_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_66' type='radio' value='gquiz22ed37ff74'  id='choice_11_66_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_66_4' id='label_11_66_4' class='gform-field-label gform-field-label--type-inline'>\u0e21\u0e35\u0e1a\u0e48\u0e2d\u0e22\u0e04\u0e23\u0e31\u0e49\u0e07\u0e21\u0e32\u0e01 \u0e46<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_11_38\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_11_38\" ><h3 class=\"gsection_title\">\u0e04\u0e33\u0e16\u0e32\u0e21\u0e17\u0e35\u0e48 7<\/h3><\/div><fieldset id=\"field_11_67\" class=\"gfield gfield--type-quiz gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gquiz-field \"  data-field-class=\"gquiz-field\" data-js-reload=\"field_11_67\" ><legend class='gfield_label gform-field-label' >\u0e2b\u0e25\u0e35\u0e01\u0e40\u0e25\u0e35\u0e48\u0e22\u0e07\u0e2a\u0e34\u0e48\u0e07\u0e01\u0e23\u0e30\u0e15\u0e38\u0e49\u0e19\u0e20\u0e32\u0e22\u0e19\u0e2d\u0e01\u0e17\u0e35\u0e48\u0e40\u0e01\u0e35\u0e48\u0e22\u0e27\u0e02\u0e49\u0e2d\u0e07\u0e01\u0e31\u0e1a\u0e40\u0e2b\u0e15\u0e38\u0e01\u0e32\u0e23\u0e13\u0e4c\u0e17\u0e35\u0e48\u0e40\u0e04\u0e23\u0e35\u0e22\u0e14\u0e19\u0e31\u0e49\u0e19 (\u0e40\u0e0a\u0e48\u0e19 \u0e04\u0e19 \u0e2a\u0e16\u0e32\u0e19\u0e17\u0e35\u0e48 \u0e01\u0e32\u0e23\u0e2a\u0e19\u0e17\u0e19\u0e32 \u0e01\u0e34\u0e08\u0e01\u0e23\u0e23\u0e21 \u0e27\u0e31\u0e15\u0e16\u0e38 \u0e2b\u0e23\u0e37\u0e2d\u0e2a\u0e16\u0e32\u0e19\u0e01\u0e32\u0e23\u0e13\u0e4c)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_11_67'>\n\t\t\t<div class='gchoice gchoice_11_67_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_67' type='radio' value='gquiz2226eec9de'  id='choice_11_67_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_67_0' id='label_11_67_0' class='gform-field-label gform-field-label--type-inline'>\u0e44\u0e21\u0e48\u0e01\u0e31\u0e07\u0e27\u0e25\u0e40\u0e25\u0e22<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_67_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_67' type='radio' value='gquiz2219db163a'  id='choice_11_67_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_67_1' id='label_11_67_1' class='gform-field-label gform-field-label--type-inline'>\u0e21\u0e35\u0e1a\u0e49\u0e32\u0e07\u0e40\u0e25\u0e47\u0e01\u0e19\u0e49\u0e2d\u0e22<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_67_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_67' type='radio' value='gquiz229adaae26'  id='choice_11_67_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_67_2' id='label_11_67_2' class='gform-field-label gform-field-label--type-inline'>\u0e21\u0e35\u0e04\u0e48\u0e2d\u0e19\u0e02\u0e49\u0e32\u0e07\u0e1a\u0e48\u0e2d\u0e22<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_67_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_67' type='radio' value='gquiz22194e488f'  id='choice_11_67_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_67_3' id='label_11_67_3' class='gform-field-label gform-field-label--type-inline'>\u0e21\u0e35\u0e1a\u0e48\u0e2d\u0e22\u0e04\u0e23\u0e31\u0e49\u0e07<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_67_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_67' type='radio' value='gquiz22ed37ff74'  id='choice_11_67_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_67_4' id='label_11_67_4' class='gform-field-label gform-field-label--type-inline'>\u0e21\u0e35\u0e1a\u0e48\u0e2d\u0e22\u0e04\u0e23\u0e31\u0e49\u0e07\u0e21\u0e32\u0e01 \u0e46<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_11_39\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_11_39\" ><h3 class=\"gsection_title\">\u0e04\u0e33\u0e16\u0e32\u0e21\u0e17\u0e35\u0e48 8<\/h3><\/div><fieldset id=\"field_11_68\" class=\"gfield gfield--type-quiz gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gquiz-field \"  data-field-class=\"gquiz-field\" data-js-reload=\"field_11_68\" ><legend class='gfield_label gform-field-label' >\u0e21\u0e35\u0e1b\u0e31\u0e0d\u0e2b\u0e32\u0e43\u0e19\u0e01\u0e32\u0e23\u0e08\u0e33\u0e2a\u0e48\u0e27\u0e19\u0e2a\u0e33\u0e04\u0e31\u0e0d\u0e02\u0e2d\u0e07\u0e40\u0e2b\u0e15\u0e38\u0e01\u0e32\u0e23\u0e13\u0e4c\u0e17\u0e35\u0e48\u0e40\u0e04\u0e23\u0e35\u0e22\u0e14\u0e19\u0e31\u0e49\u0e19<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_11_68'>\n\t\t\t<div class='gchoice gchoice_11_68_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_68' type='radio' value='gquiz2226eec9de'  id='choice_11_68_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_68_0' id='label_11_68_0' class='gform-field-label gform-field-label--type-inline'>\u0e44\u0e21\u0e48\u0e01\u0e31\u0e07\u0e27\u0e25\u0e40\u0e25\u0e22<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_68_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_68' type='radio' value='gquiz2219db163a'  id='choice_11_68_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_68_1' id='label_11_68_1' class='gform-field-label gform-field-label--type-inline'>\u0e21\u0e35\u0e1a\u0e49\u0e32\u0e07\u0e40\u0e25\u0e47\u0e01\u0e19\u0e49\u0e2d\u0e22<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_68_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_68' type='radio' value='gquiz229adaae26'  id='choice_11_68_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_68_2' id='label_11_68_2' class='gform-field-label gform-field-label--type-inline'>\u0e21\u0e35\u0e04\u0e48\u0e2d\u0e19\u0e02\u0e49\u0e32\u0e07\u0e1a\u0e48\u0e2d\u0e22<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_68_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_68' type='radio' value='gquiz22194e488f'  id='choice_11_68_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_68_3' id='label_11_68_3' class='gform-field-label gform-field-label--type-inline'>\u0e21\u0e35\u0e1a\u0e48\u0e2d\u0e22\u0e04\u0e23\u0e31\u0e49\u0e07<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_68_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_68' type='radio' value='gquiz22ed37ff74'  id='choice_11_68_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_68_4' id='label_11_68_4' class='gform-field-label gform-field-label--type-inline'>\u0e21\u0e35\u0e1a\u0e48\u0e2d\u0e22\u0e04\u0e23\u0e31\u0e49\u0e07\u0e21\u0e32\u0e01 \u0e46<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_11_40\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_11_40\" ><h3 class=\"gsection_title\">\u0e04\u0e33\u0e16\u0e32\u0e21\u0e17\u0e35\u0e48 9<\/h3><\/div><fieldset id=\"field_11_69\" class=\"gfield gfield--type-quiz gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gquiz-field \"  data-field-class=\"gquiz-field\" data-js-reload=\"field_11_69\" ><legend class='gfield_label gform-field-label' >\u0e21\u0e35\u0e04\u0e27\u0e32\u0e21\u0e40\u0e0a\u0e37\u0e48\u0e2d\u0e40\u0e0a\u0e34\u0e07\u0e25\u0e1a\u0e17\u0e35\u0e48\u0e23\u0e38\u0e19\u0e41\u0e23\u0e07\u0e40\u0e01\u0e35\u0e48\u0e22\u0e27\u0e01\u0e31\u0e1a\u0e15\u0e31\u0e27\u0e40\u0e2d\u0e07 \u0e04\u0e19\u0e2d\u0e37\u0e48\u0e19 \u0e2b\u0e23\u0e37\u0e2d\u0e42\u0e25\u0e01 (\u0e40\u0e0a\u0e48\u0e19 \u0e04\u0e27\u0e32\u0e21\u0e04\u0e34\u0e14\u0e40\u0e0a\u0e48\u0e19: \u0e09\u0e31\u0e19\u0e44\u0e21\u0e48\u0e14\u0e35, \u0e21\u0e35\u0e1a\u0e32\u0e07\u0e2d\u0e22\u0e48\u0e32\u0e07\u0e1c\u0e34\u0e14\u0e1b\u0e01\u0e15\u0e34\u0e01\u0e31\u0e1a\u0e09\u0e31\u0e19, \u0e44\u0e21\u0e48\u0e21\u0e35\u0e43\u0e04\u0e23\u0e19\u0e48\u0e32\u0e40\u0e0a\u0e37\u0e48\u0e2d\u0e16\u0e37\u0e2d, \u0e42\u0e25\u0e01\u0e19\u0e35\u0e49\u0e2d\u0e31\u0e19\u0e15\u0e23\u0e32\u0e22\u0e2d\u0e22\u0e48\u0e32\u0e07\u0e22\u0e34\u0e48\u0e07)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_11_69'>\n\t\t\t<div class='gchoice gchoice_11_69_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_69' type='radio' value='gquiz2226eec9de'  id='choice_11_69_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_69_0' id='label_11_69_0' class='gform-field-label gform-field-label--type-inline'>\u0e44\u0e21\u0e48\u0e01\u0e31\u0e07\u0e27\u0e25\u0e40\u0e25\u0e22<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_69_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_69' type='radio' value='gquiz2219db163a'  id='choice_11_69_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_69_1' id='label_11_69_1' class='gform-field-label gform-field-label--type-inline'>\u0e21\u0e35\u0e1a\u0e49\u0e32\u0e07\u0e40\u0e25\u0e47\u0e01\u0e19\u0e49\u0e2d\u0e22<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_69_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_69' type='radio' value='gquiz229adaae26'  id='choice_11_69_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_69_2' id='label_11_69_2' class='gform-field-label gform-field-label--type-inline'>\u0e21\u0e35\u0e04\u0e48\u0e2d\u0e19\u0e02\u0e49\u0e32\u0e07\u0e1a\u0e48\u0e2d\u0e22<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_69_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_69' type='radio' value='gquiz22194e488f'  id='choice_11_69_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_69_3' id='label_11_69_3' class='gform-field-label gform-field-label--type-inline'>\u0e21\u0e35\u0e1a\u0e48\u0e2d\u0e22\u0e04\u0e23\u0e31\u0e49\u0e07<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_69_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_69' type='radio' value='gquiz22ed37ff74'  id='choice_11_69_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_69_4' id='label_11_69_4' class='gform-field-label gform-field-label--type-inline'>\u0e21\u0e35\u0e1a\u0e48\u0e2d\u0e22\u0e04\u0e23\u0e31\u0e49\u0e07\u0e21\u0e32\u0e01 \u0e46<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_11_42\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_11_42\" ><h3 class=\"gsection_title\">\u0e04\u0e33\u0e16\u0e32\u0e21\u0e17\u0e35\u0e48 10<\/h3><\/div><fieldset id=\"field_11_70\" class=\"gfield gfield--type-quiz gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gquiz-field \"  data-field-class=\"gquiz-field\" data-js-reload=\"field_11_70\" ><legend class='gfield_label gform-field-label' >\u0e42\u0e17\u0e29\u0e15\u0e31\u0e27\u0e40\u0e2d\u0e07\u0e2b\u0e23\u0e37\u0e2d\u0e04\u0e19\u0e2d\u0e37\u0e48\u0e19\u0e2a\u0e33\u0e2b\u0e23\u0e31\u0e1a\u0e40\u0e2b\u0e15\u0e38\u0e01\u0e32\u0e23\u0e13\u0e4c\u0e17\u0e35\u0e48\u0e40\u0e04\u0e23\u0e35\u0e22\u0e14\u0e19\u0e31\u0e49\u0e19\u0e2b\u0e23\u0e37\u0e2d\u0e2a\u0e34\u0e48\u0e07\u0e17\u0e35\u0e48\u0e40\u0e01\u0e34\u0e14\u0e02\u0e36\u0e49\u0e19\u0e2b\u0e25\u0e31\u0e07\u0e08\u0e32\u0e01\u0e19\u0e31\u0e49\u0e19<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_11_70'>\n\t\t\t<div class='gchoice gchoice_11_70_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_70' type='radio' value='gquiz2226eec9de'  id='choice_11_70_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_70_0' id='label_11_70_0' class='gform-field-label gform-field-label--type-inline'>\u0e44\u0e21\u0e48\u0e01\u0e31\u0e07\u0e27\u0e25\u0e40\u0e25\u0e22<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_70_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_70' type='radio' value='gquiz2219db163a'  id='choice_11_70_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_70_1' id='label_11_70_1' class='gform-field-label gform-field-label--type-inline'>\u0e21\u0e35\u0e1a\u0e49\u0e32\u0e07\u0e40\u0e25\u0e47\u0e01\u0e19\u0e49\u0e2d\u0e22<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_70_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_70' type='radio' value='gquiz229adaae26'  id='choice_11_70_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_70_2' id='label_11_70_2' class='gform-field-label gform-field-label--type-inline'>\u0e21\u0e35\u0e04\u0e48\u0e2d\u0e19\u0e02\u0e49\u0e32\u0e07\u0e1a\u0e48\u0e2d\u0e22<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_70_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_70' type='radio' value='gquiz22194e488f'  id='choice_11_70_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_70_3' id='label_11_70_3' class='gform-field-label gform-field-label--type-inline'>\u0e21\u0e35\u0e1a\u0e48\u0e2d\u0e22\u0e04\u0e23\u0e31\u0e49\u0e07<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_70_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_70' type='radio' value='gquiz22ed37ff74'  id='choice_11_70_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_70_4' id='label_11_70_4' class='gform-field-label gform-field-label--type-inline'>\u0e21\u0e35\u0e1a\u0e48\u0e2d\u0e22\u0e04\u0e23\u0e31\u0e49\u0e07\u0e21\u0e32\u0e01 \u0e46<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_11_52\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_11_52\" ><h3 class=\"gsection_title\">\u0e04\u0e33\u0e16\u0e32\u0e21\u0e17\u0e35\u0e48 11<\/h3><\/div><fieldset id=\"field_11_71\" class=\"gfield gfield--type-quiz gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gquiz-field \"  data-field-class=\"gquiz-field\" data-js-reload=\"field_11_71\" ><legend class='gfield_label gform-field-label' >\u0e21\u0e35\u0e04\u0e27\u0e32\u0e21\u0e23\u0e39\u0e49\u0e2a\u0e36\u0e01\u0e40\u0e0a\u0e34\u0e07\u0e25\u0e1a\u0e17\u0e35\u0e48\u0e23\u0e38\u0e19\u0e41\u0e23\u0e07 \u0e40\u0e0a\u0e48\u0e19 \u0e04\u0e27\u0e32\u0e21\u0e01\u0e25\u0e31\u0e27 \u0e04\u0e27\u0e32\u0e21\u0e2a\u0e22\u0e14\u0e2a\u0e22\u0e2d\u0e07 \u0e04\u0e27\u0e32\u0e21\u0e42\u0e01\u0e23\u0e18 \u0e04\u0e27\u0e32\u0e21\u0e23\u0e39\u0e49\u0e2a\u0e36\u0e01\u0e1c\u0e34\u0e14 \u0e2b\u0e23\u0e37\u0e2d\u0e04\u0e27\u0e32\u0e21\u0e2d\u0e31\u0e1a\u0e2d\u0e32\u0e22<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_11_71'>\n\t\t\t<div class='gchoice gchoice_11_71_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_71' type='radio' value='gquiz2226eec9de'  id='choice_11_71_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_71_0' id='label_11_71_0' class='gform-field-label gform-field-label--type-inline'>\u0e44\u0e21\u0e48\u0e01\u0e31\u0e07\u0e27\u0e25\u0e40\u0e25\u0e22<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_71_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_71' type='radio' value='gquiz2219db163a'  id='choice_11_71_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_71_1' id='label_11_71_1' class='gform-field-label gform-field-label--type-inline'>\u0e21\u0e35\u0e1a\u0e49\u0e32\u0e07\u0e40\u0e25\u0e47\u0e01\u0e19\u0e49\u0e2d\u0e22<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_71_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_71' type='radio' value='gquiz229adaae26'  id='choice_11_71_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_71_2' id='label_11_71_2' class='gform-field-label gform-field-label--type-inline'>\u0e21\u0e35\u0e04\u0e48\u0e2d\u0e19\u0e02\u0e49\u0e32\u0e07\u0e1a\u0e48\u0e2d\u0e22<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_71_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_71' type='radio' value='gquiz22194e488f'  id='choice_11_71_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_71_3' id='label_11_71_3' class='gform-field-label gform-field-label--type-inline'>\u0e21\u0e35\u0e1a\u0e48\u0e2d\u0e22\u0e04\u0e23\u0e31\u0e49\u0e07<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_71_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_71' type='radio' value='gquiz22ed37ff74'  id='choice_11_71_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_71_4' id='label_11_71_4' class='gform-field-label gform-field-label--type-inline'>\u0e21\u0e35\u0e1a\u0e48\u0e2d\u0e22\u0e04\u0e23\u0e31\u0e49\u0e07\u0e21\u0e32\u0e01 \u0e46<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_11_53\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_11_53\" ><h3 class=\"gsection_title\">\u0e04\u0e33\u0e16\u0e32\u0e21\u0e17\u0e35\u0e48 12<\/h3><\/div><fieldset id=\"field_11_72\" class=\"gfield gfield--type-quiz gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gquiz-field \"  data-field-class=\"gquiz-field\" data-js-reload=\"field_11_72\" ><legend class='gfield_label gform-field-label' >\u0e2a\u0e39\u0e0d\u0e40\u0e2a\u0e35\u0e22\u0e04\u0e27\u0e32\u0e21\u0e2a\u0e19\u0e43\u0e08\u0e43\u0e19\u0e01\u0e34\u0e08\u0e01\u0e23\u0e23\u0e21\u0e17\u0e35\u0e48\u0e40\u0e04\u0e22\u0e0a\u0e2d\u0e1a<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_11_72'>\n\t\t\t<div class='gchoice gchoice_11_72_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_72' type='radio' value='gquiz2226eec9de'  id='choice_11_72_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_72_0' id='label_11_72_0' class='gform-field-label gform-field-label--type-inline'>\u0e44\u0e21\u0e48\u0e01\u0e31\u0e07\u0e27\u0e25\u0e40\u0e25\u0e22<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_72_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_72' type='radio' value='gquiz2219db163a'  id='choice_11_72_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_72_1' id='label_11_72_1' class='gform-field-label gform-field-label--type-inline'>\u0e21\u0e35\u0e1a\u0e49\u0e32\u0e07\u0e40\u0e25\u0e47\u0e01\u0e19\u0e49\u0e2d\u0e22<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_72_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_72' type='radio' value='gquiz229adaae26'  id='choice_11_72_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_72_2' id='label_11_72_2' class='gform-field-label gform-field-label--type-inline'>\u0e21\u0e35\u0e04\u0e48\u0e2d\u0e19\u0e02\u0e49\u0e32\u0e07\u0e1a\u0e48\u0e2d\u0e22<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_72_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_72' type='radio' value='gquiz22194e488f'  id='choice_11_72_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_72_3' id='label_11_72_3' class='gform-field-label gform-field-label--type-inline'>\u0e21\u0e35\u0e1a\u0e48\u0e2d\u0e22\u0e04\u0e23\u0e31\u0e49\u0e07<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_72_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_72' type='radio' value='gquiz22ed37ff74'  id='choice_11_72_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_72_4' id='label_11_72_4' class='gform-field-label gform-field-label--type-inline'>\u0e21\u0e35\u0e1a\u0e48\u0e2d\u0e22\u0e04\u0e23\u0e31\u0e49\u0e07\u0e21\u0e32\u0e01 \u0e46<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_11_54\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_11_54\" ><h3 class=\"gsection_title\">\u0e04\u0e33\u0e16\u0e32\u0e21\u0e17\u0e35\u0e48 13<\/h3><\/div><fieldset id=\"field_11_73\" class=\"gfield gfield--type-quiz gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gquiz-field \"  data-field-class=\"gquiz-field\" data-js-reload=\"field_11_73\" ><legend class='gfield_label gform-field-label' >\u0e23\u0e39\u0e49\u0e2a\u0e36\u0e01\u0e2b\u0e48\u0e32\u0e07\u0e40\u0e2b\u0e34\u0e19\u0e2b\u0e23\u0e37\u0e2d\u0e16\u0e39\u0e01\u0e15\u0e31\u0e14\u0e02\u0e32\u0e14\u0e08\u0e32\u0e01\u0e04\u0e19\u0e2d\u0e37\u0e48\u0e19<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_11_73'>\n\t\t\t<div class='gchoice gchoice_11_73_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_73' type='radio' value='gquiz2226eec9de'  id='choice_11_73_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_73_0' id='label_11_73_0' class='gform-field-label gform-field-label--type-inline'>\u0e44\u0e21\u0e48\u0e01\u0e31\u0e07\u0e27\u0e25\u0e40\u0e25\u0e22<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_73_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_73' type='radio' value='gquiz2219db163a'  id='choice_11_73_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_73_1' id='label_11_73_1' class='gform-field-label gform-field-label--type-inline'>\u0e21\u0e35\u0e1a\u0e49\u0e32\u0e07\u0e40\u0e25\u0e47\u0e01\u0e19\u0e49\u0e2d\u0e22<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_73_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_73' type='radio' value='gquiz229adaae26'  id='choice_11_73_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_73_2' id='label_11_73_2' class='gform-field-label gform-field-label--type-inline'>\u0e21\u0e35\u0e04\u0e48\u0e2d\u0e19\u0e02\u0e49\u0e32\u0e07\u0e1a\u0e48\u0e2d\u0e22<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_73_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_73' type='radio' value='gquiz22194e488f'  id='choice_11_73_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_73_3' id='label_11_73_3' class='gform-field-label gform-field-label--type-inline'>\u0e21\u0e35\u0e1a\u0e48\u0e2d\u0e22\u0e04\u0e23\u0e31\u0e49\u0e07<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_73_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_73' type='radio' value='gquiz22ed37ff74'  id='choice_11_73_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_73_4' id='label_11_73_4' class='gform-field-label gform-field-label--type-inline'>\u0e21\u0e35\u0e1a\u0e48\u0e2d\u0e22\u0e04\u0e23\u0e31\u0e49\u0e07\u0e21\u0e32\u0e01 \u0e46<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_11_55\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_11_55\" ><h3 class=\"gsection_title\">\u0e04\u0e33\u0e16\u0e32\u0e21\u0e17\u0e35\u0e48 14<\/h3><\/div><fieldset id=\"field_11_74\" class=\"gfield gfield--type-quiz gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gquiz-field \"  data-field-class=\"gquiz-field\" data-js-reload=\"field_11_74\" ><legend class='gfield_label gform-field-label' >\u0e21\u0e35\u0e1b\u0e31\u0e0d\u0e2b\u0e32\u0e43\u0e19\u0e01\u0e32\u0e23\u0e23\u0e39\u0e49\u0e2a\u0e36\u0e01\u0e16\u0e36\u0e07\u0e04\u0e27\u0e32\u0e21\u0e23\u0e39\u0e49\u0e2a\u0e36\u0e01\u0e40\u0e0a\u0e34\u0e07\u0e1a\u0e27\u0e01 (\u0e40\u0e0a\u0e48\u0e19 \u0e44\u0e21\u0e48\u0e2a\u0e32\u0e21\u0e32\u0e23\u0e16\u0e23\u0e39\u0e49\u0e2a\u0e36\u0e01\u0e16\u0e36\u0e07\u0e04\u0e27\u0e32\u0e21\u0e2a\u0e38\u0e02\u0e2b\u0e23\u0e37\u0e2d\u0e04\u0e27\u0e32\u0e21\u0e23\u0e31\u0e01\u0e15\u0e48\u0e2d\u0e04\u0e19\u0e43\u0e01\u0e25\u0e49\u0e0a\u0e34\u0e14)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_11_74'>\n\t\t\t<div class='gchoice gchoice_11_74_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_74' type='radio' value='gquiz2226eec9de'  id='choice_11_74_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_74_0' id='label_11_74_0' class='gform-field-label gform-field-label--type-inline'>\u0e44\u0e21\u0e48\u0e01\u0e31\u0e07\u0e27\u0e25\u0e40\u0e25\u0e22<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_74_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_74' type='radio' value='gquiz2219db163a'  id='choice_11_74_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_74_1' id='label_11_74_1' class='gform-field-label gform-field-label--type-inline'>\u0e21\u0e35\u0e1a\u0e49\u0e32\u0e07\u0e40\u0e25\u0e47\u0e01\u0e19\u0e49\u0e2d\u0e22<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_74_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_74' type='radio' value='gquiz229adaae26'  id='choice_11_74_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_74_2' id='label_11_74_2' class='gform-field-label gform-field-label--type-inline'>\u0e21\u0e35\u0e04\u0e48\u0e2d\u0e19\u0e02\u0e49\u0e32\u0e07\u0e1a\u0e48\u0e2d\u0e22<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_74_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_74' type='radio' value='gquiz22194e488f'  id='choice_11_74_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_74_3' id='label_11_74_3' class='gform-field-label gform-field-label--type-inline'>\u0e21\u0e35\u0e1a\u0e48\u0e2d\u0e22\u0e04\u0e23\u0e31\u0e49\u0e07<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_74_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_74' type='radio' value='gquiz22ed37ff74'  id='choice_11_74_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_74_4' id='label_11_74_4' class='gform-field-label gform-field-label--type-inline'>\u0e21\u0e35\u0e1a\u0e48\u0e2d\u0e22\u0e04\u0e23\u0e31\u0e49\u0e07\u0e21\u0e32\u0e01 \u0e46<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_11_56\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_11_56\" ><h3 class=\"gsection_title\">\u0e04\u0e33\u0e16\u0e32\u0e21\u0e17\u0e35\u0e48 15<\/h3><\/div><fieldset id=\"field_11_75\" class=\"gfield gfield--type-quiz gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gquiz-field \"  data-field-class=\"gquiz-field\" data-js-reload=\"field_11_75\" ><legend class='gfield_label gform-field-label' >\u0e21\u0e35\u0e1e\u0e24\u0e15\u0e34\u0e01\u0e23\u0e23\u0e21\u0e17\u0e35\u0e48\u0e2b\u0e07\u0e38\u0e14\u0e2b\u0e07\u0e34\u0e14 \u0e01\u0e32\u0e23\u0e23\u0e30\u0e40\u0e1a\u0e34\u0e14\u0e2d\u0e32\u0e23\u0e21\u0e13\u0e4c \u0e2b\u0e23\u0e37\u0e2d\u0e01\u0e32\u0e23\u0e01\u0e23\u0e30\u0e17\u0e33\u0e17\u0e35\u0e48\u0e01\u0e49\u0e32\u0e27\u0e23\u0e49\u0e32\u0e27<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_11_75'>\n\t\t\t<div class='gchoice gchoice_11_75_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_75' type='radio' value='gquiz2226eec9de'  id='choice_11_75_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_75_0' id='label_11_75_0' class='gform-field-label gform-field-label--type-inline'>\u0e44\u0e21\u0e48\u0e01\u0e31\u0e07\u0e27\u0e25\u0e40\u0e25\u0e22<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_75_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_75' type='radio' value='gquiz2219db163a'  id='choice_11_75_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_75_1' id='label_11_75_1' class='gform-field-label gform-field-label--type-inline'>\u0e21\u0e35\u0e1a\u0e49\u0e32\u0e07\u0e40\u0e25\u0e47\u0e01\u0e19\u0e49\u0e2d\u0e22<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_75_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_75' type='radio' value='gquiz229adaae26'  id='choice_11_75_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_75_2' id='label_11_75_2' class='gform-field-label gform-field-label--type-inline'>\u0e21\u0e35\u0e04\u0e48\u0e2d\u0e19\u0e02\u0e49\u0e32\u0e07\u0e1a\u0e48\u0e2d\u0e22<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_75_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_75' type='radio' value='gquiz22194e488f'  id='choice_11_75_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_75_3' id='label_11_75_3' class='gform-field-label gform-field-label--type-inline'>\u0e21\u0e35\u0e1a\u0e48\u0e2d\u0e22\u0e04\u0e23\u0e31\u0e49\u0e07<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_75_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_75' type='radio' value='gquiz22ed37ff74'  id='choice_11_75_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_75_4' id='label_11_75_4' class='gform-field-label gform-field-label--type-inline'>\u0e21\u0e35\u0e1a\u0e48\u0e2d\u0e22\u0e04\u0e23\u0e31\u0e49\u0e07\u0e21\u0e32\u0e01 \u0e46<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_11_57\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_11_57\" ><h3 class=\"gsection_title\">\u0e04\u0e33\u0e16\u0e32\u0e21\u0e17\u0e35\u0e48 16<\/h3><\/div><fieldset id=\"field_11_76\" class=\"gfield gfield--type-quiz gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gquiz-field \"  data-field-class=\"gquiz-field\" data-js-reload=\"field_11_76\" ><legend class='gfield_label gform-field-label' >\u0e17\u0e33\u0e2a\u0e34\u0e48\u0e07\u0e17\u0e35\u0e48\u0e40\u0e2a\u0e35\u0e48\u0e22\u0e07\u0e40\u0e01\u0e34\u0e19\u0e44\u0e1b\u0e2b\u0e23\u0e37\u0e2d\u0e17\u0e33\u0e2a\u0e34\u0e48\u0e07\u0e17\u0e35\u0e48\u0e2d\u0e32\u0e08\u0e17\u0e33\u0e43\u0e2b\u0e49\u0e04\u0e38\u0e13\u0e44\u0e14\u0e49\u0e23\u0e31\u0e1a\u0e2d\u0e31\u0e19\u0e15\u0e23\u0e32\u0e22<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_11_76'>\n\t\t\t<div class='gchoice gchoice_11_76_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_76' type='radio' value='gquiz2226eec9de'  id='choice_11_76_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_76_0' id='label_11_76_0' class='gform-field-label gform-field-label--type-inline'>\u0e44\u0e21\u0e48\u0e01\u0e31\u0e07\u0e27\u0e25\u0e40\u0e25\u0e22<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_76_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_76' type='radio' value='gquiz2219db163a'  id='choice_11_76_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_76_1' id='label_11_76_1' class='gform-field-label gform-field-label--type-inline'>\u0e21\u0e35\u0e1a\u0e49\u0e32\u0e07\u0e40\u0e25\u0e47\u0e01\u0e19\u0e49\u0e2d\u0e22<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_76_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_76' type='radio' value='gquiz229adaae26'  id='choice_11_76_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_76_2' id='label_11_76_2' class='gform-field-label gform-field-label--type-inline'>\u0e21\u0e35\u0e04\u0e48\u0e2d\u0e19\u0e02\u0e49\u0e32\u0e07\u0e1a\u0e48\u0e2d\u0e22<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_76_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_76' type='radio' value='gquiz22194e488f'  id='choice_11_76_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_76_3' id='label_11_76_3' class='gform-field-label gform-field-label--type-inline'>\u0e21\u0e35\u0e1a\u0e48\u0e2d\u0e22\u0e04\u0e23\u0e31\u0e49\u0e07<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_76_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_76' type='radio' value='gquiz22ed37ff74'  id='choice_11_76_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_76_4' id='label_11_76_4' class='gform-field-label gform-field-label--type-inline'>\u0e21\u0e35\u0e1a\u0e48\u0e2d\u0e22\u0e04\u0e23\u0e31\u0e49\u0e07\u0e21\u0e32\u0e01 \u0e46<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_11_58\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_11_58\" ><h3 class=\"gsection_title\">\u0e04\u0e33\u0e16\u0e32\u0e21\u0e17\u0e35\u0e48 17<\/h3><\/div><fieldset id=\"field_11_77\" class=\"gfield gfield--type-quiz gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gquiz-field \"  data-field-class=\"gquiz-field\" data-js-reload=\"field_11_77\" ><legend class='gfield_label gform-field-label' >Being \u201csuperalert\u201d or watchful or on guard?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_11_77'>\n\t\t\t<div class='gchoice gchoice_11_77_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_77' type='radio' value='gquiz2226eec9de'  id='choice_11_77_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_77_0' id='label_11_77_0' class='gform-field-label gform-field-label--type-inline'>\u0e44\u0e21\u0e48\u0e01\u0e31\u0e07\u0e27\u0e25\u0e40\u0e25\u0e22<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_77_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_77' type='radio' value='gquiz2219db163a'  id='choice_11_77_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_77_1' id='label_11_77_1' class='gform-field-label gform-field-label--type-inline'>\u0e21\u0e35\u0e1a\u0e49\u0e32\u0e07\u0e40\u0e25\u0e47\u0e01\u0e19\u0e49\u0e2d\u0e22<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_77_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_77' type='radio' value='gquiz229adaae26'  id='choice_11_77_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_77_2' id='label_11_77_2' class='gform-field-label gform-field-label--type-inline'>\u0e21\u0e35\u0e04\u0e48\u0e2d\u0e19\u0e02\u0e49\u0e32\u0e07\u0e1a\u0e48\u0e2d\u0e22<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_77_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_77' type='radio' value='gquiz22194e488f'  id='choice_11_77_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_77_3' id='label_11_77_3' class='gform-field-label gform-field-label--type-inline'>\u0e21\u0e35\u0e1a\u0e48\u0e2d\u0e22\u0e04\u0e23\u0e31\u0e49\u0e07<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_77_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_77' type='radio' value='gquiz22ed37ff74'  id='choice_11_77_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_77_4' id='label_11_77_4' class='gform-field-label gform-field-label--type-inline'>\u0e21\u0e35\u0e1a\u0e48\u0e2d\u0e22\u0e04\u0e23\u0e31\u0e49\u0e07\u0e21\u0e32\u0e01 \u0e46<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_11_59\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_11_59\" ><h3 class=\"gsection_title\">\u0e04\u0e33\u0e16\u0e32\u0e21\u0e17\u0e35\u0e48 18<\/h3><\/div><fieldset id=\"field_11_78\" class=\"gfield gfield--type-quiz gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gquiz-field \"  data-field-class=\"gquiz-field\" data-js-reload=\"field_11_78\" ><legend class='gfield_label gform-field-label' >\u0e23\u0e39\u0e49\u0e2a\u0e36\u0e01\u0e15\u0e01\u0e43\u0e08\u0e07\u0e48\u0e32\u0e22\u0e2b\u0e23\u0e37\u0e2d\u0e23\u0e39\u0e49\u0e2a\u0e36\u0e01\u0e15\u0e37\u0e48\u0e19\u0e15\u0e31\u0e27<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_11_78'>\n\t\t\t<div class='gchoice gchoice_11_78_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_78' type='radio' value='gquiz2226eec9de'  id='choice_11_78_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_78_0' id='label_11_78_0' class='gform-field-label gform-field-label--type-inline'>\u0e44\u0e21\u0e48\u0e01\u0e31\u0e07\u0e27\u0e25\u0e40\u0e25\u0e22<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_78_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_78' type='radio' value='gquiz2219db163a'  id='choice_11_78_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_78_1' id='label_11_78_1' class='gform-field-label gform-field-label--type-inline'>\u0e21\u0e35\u0e1a\u0e49\u0e32\u0e07\u0e40\u0e25\u0e47\u0e01\u0e19\u0e49\u0e2d\u0e22<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_78_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_78' type='radio' value='gquiz229adaae26'  id='choice_11_78_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_78_2' id='label_11_78_2' class='gform-field-label gform-field-label--type-inline'>\u0e21\u0e35\u0e04\u0e48\u0e2d\u0e19\u0e02\u0e49\u0e32\u0e07\u0e1a\u0e48\u0e2d\u0e22<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_78_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_78' type='radio' value='gquiz22194e488f'  id='choice_11_78_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_78_3' id='label_11_78_3' class='gform-field-label gform-field-label--type-inline'>\u0e21\u0e35\u0e1a\u0e48\u0e2d\u0e22\u0e04\u0e23\u0e31\u0e49\u0e07<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_78_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_78' type='radio' value='gquiz22ed37ff74'  id='choice_11_78_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_78_4' id='label_11_78_4' class='gform-field-label gform-field-label--type-inline'>\u0e21\u0e35\u0e1a\u0e48\u0e2d\u0e22\u0e04\u0e23\u0e31\u0e49\u0e07\u0e21\u0e32\u0e01 \u0e46<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_11_60\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_11_60\" ><h3 class=\"gsection_title\">\u0e04\u0e33\u0e16\u0e32\u0e21\u0e17\u0e35\u0e48 19<\/h3><\/div><fieldset id=\"field_11_79\" class=\"gfield gfield--type-quiz gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gquiz-field \"  data-field-class=\"gquiz-field\" data-js-reload=\"field_11_79\" ><legend class='gfield_label gform-field-label' >Having difficulty concentrating?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_11_79'>\n\t\t\t<div class='gchoice gchoice_11_79_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_79' type='radio' value='gquiz2226eec9de'  id='choice_11_79_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_79_0' id='label_11_79_0' class='gform-field-label gform-field-label--type-inline'>\u0e44\u0e21\u0e48\u0e01\u0e31\u0e07\u0e27\u0e25\u0e40\u0e25\u0e22<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_79_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_79' type='radio' value='gquiz2219db163a'  id='choice_11_79_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_79_1' id='label_11_79_1' class='gform-field-label gform-field-label--type-inline'>\u0e21\u0e35\u0e1a\u0e49\u0e32\u0e07\u0e40\u0e25\u0e47\u0e01\u0e19\u0e49\u0e2d\u0e22<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_79_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_79' type='radio' value='gquiz229adaae26'  id='choice_11_79_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_79_2' id='label_11_79_2' class='gform-field-label gform-field-label--type-inline'>\u0e21\u0e35\u0e04\u0e48\u0e2d\u0e19\u0e02\u0e49\u0e32\u0e07\u0e1a\u0e48\u0e2d\u0e22<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_79_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_79' type='radio' value='gquiz22194e488f'  id='choice_11_79_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_79_3' id='label_11_79_3' class='gform-field-label gform-field-label--type-inline'>\u0e21\u0e35\u0e1a\u0e48\u0e2d\u0e22\u0e04\u0e23\u0e31\u0e49\u0e07<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_79_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_79' type='radio' value='gquiz22ed37ff74'  id='choice_11_79_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_79_4' id='label_11_79_4' class='gform-field-label gform-field-label--type-inline'>\u0e21\u0e35\u0e1a\u0e48\u0e2d\u0e22\u0e04\u0e23\u0e31\u0e49\u0e07\u0e21\u0e32\u0e01 \u0e46<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_11_61\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_11_61\" ><h3 class=\"gsection_title\">\u0e04\u0e33\u0e16\u0e32\u0e21\u0e17\u0e35\u0e48 20<\/h3><\/div><fieldset id=\"field_11_80\" class=\"gfield gfield--type-quiz gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gquiz-field \"  data-field-class=\"gquiz-field\" data-js-reload=\"field_11_80\" ><legend class='gfield_label gform-field-label' >\u0e21\u0e35\u0e1b\u0e31\u0e0d\u0e2b\u0e32\u0e43\u0e19\u0e01\u0e32\u0e23\u0e19\u0e2d\u0e19\u0e2b\u0e25\u0e31\u0e1a\u0e2b\u0e23\u0e37\u0e2d\u0e01\u0e32\u0e23\u0e19\u0e2d\u0e19\u0e2b\u0e25\u0e31\u0e1a\u0e44\u0e21\u0e48\u0e2a\u0e19\u0e34\u0e17<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_11_80'>\n\t\t\t<div class='gchoice gchoice_11_80_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_80' type='radio' value='gquiz2226eec9de'  id='choice_11_80_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_80_0' id='label_11_80_0' class='gform-field-label gform-field-label--type-inline'>\u0e44\u0e21\u0e48\u0e01\u0e31\u0e07\u0e27\u0e25\u0e40\u0e25\u0e22<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_80_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_80' type='radio' value='gquiz2219db163a'  id='choice_11_80_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_80_1' id='label_11_80_1' class='gform-field-label gform-field-label--type-inline'>\u0e21\u0e35\u0e1a\u0e49\u0e32\u0e07\u0e40\u0e25\u0e47\u0e01\u0e19\u0e49\u0e2d\u0e22<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_80_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_80' type='radio' value='gquiz229adaae26'  id='choice_11_80_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_80_2' id='label_11_80_2' class='gform-field-label gform-field-label--type-inline'>\u0e21\u0e35\u0e04\u0e48\u0e2d\u0e19\u0e02\u0e49\u0e32\u0e07\u0e1a\u0e48\u0e2d\u0e22<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_80_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_80' type='radio' value='gquiz22194e488f'  id='choice_11_80_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_80_3' id='label_11_80_3' class='gform-field-label gform-field-label--type-inline'>\u0e21\u0e35\u0e1a\u0e48\u0e2d\u0e22\u0e04\u0e23\u0e31\u0e49\u0e07<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_80_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_80' type='radio' value='gquiz22ed37ff74'  id='choice_11_80_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_11_80_4' id='label_11_80_4' class='gform-field-label gform-field-label--type-inline'>\u0e21\u0e35\u0e1a\u0e48\u0e2d\u0e22\u0e04\u0e23\u0e31\u0e49\u0e07\u0e21\u0e32\u0e01 \u0e46<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_11_32\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_11_32\" >Source: <a href=\"https:\/\/www.ptsd.va.gov\/professional\/assessment\/adult-sr\/ptsd-checklist.asp\" target=\"_blank\" class=\"ref\">Weathers, F.W., Litz, B.T., Keane, T.M., Palmieri, P.A., Marx, B.P., & Schnurr, P.P. (2013).<\/a><\/div><div id=\"field_11_41\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  data-js-reload=\"field_11_41\" ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_11_41'>ref URL<\/label><div class='ginput_container ginput_container_text'><input name='input_41' id='input_11_41' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_11_81\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_11_81\" ><label class='gfield_label gform-field-label' for='input_11_81'>Comments<\/label><div class='ginput_container'><input name='input_81' id='input_11_81' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_11_81'>This field is for validation purposes and should be left unchanged.<\/div><\/div><\/div><\/div>\n        <div class='gform-footer gform_footer left_label'> <input type='submit' id='gform_submit_button_11' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Send'  \/> <input type='hidden' name='gform_ajax' value='form_id=11&amp;title=&amp;description=&amp;tabindex=0&amp;theme=gravity-theme&amp;styles=[]&amp;hash=d0054fe4b05cf00a29d78506eb919bb6' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_11' value='iframe' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_11' id='gform_theme_11' value='gravity-theme' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_11' id='gform_style_settings_11' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_11' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='11' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_11' value='WyJbXSIsIjM0YTI1NjNmMmQzYjIxZTlkNTk5ODQyZWY0MDgxMmRkIl0=' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_11' id='gform_target_page_number_11' value='0' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_11' id='gform_source_page_number_11' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n                        <\/form>\n                        <\/div>\n\t\t                <iframe style='display:none;width:0px;height:0px;' src='about:blank' name='gform_ajax_frame_11' id='gform_ajax_frame_11' title='This iframe contains the logic required to handle Ajax powered Gravity Forms.'><\/iframe>\n\t\t                <script>\ngform.initializeOnLoaded( function() {gformInitSpinner( 11, 'https:\/\/bangkokmentalhealthhospital.com\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery('#gform_ajax_frame_11').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_11');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_11').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 && ! is_redirect && ! is_confirmation;var mt = parseInt(jQuery('html').css('margin-top'), 10) + parseInt(jQuery('body').css('margin-top'), 10) + 100;if(is_form){jQuery('#gform_wrapper_11').html(form_content.html());if(form_content.hasClass('gform_validation_error')){jQuery('#gform_wrapper_11').addClass('gform_validation_error');} else {jQuery('#gform_wrapper_11').removeClass('gform_validation_error');}setTimeout( function() { \/* delay the scroll by 50 milliseconds to fix a bug in chrome *\/ jQuery(document).scrollTop(jQuery('#gform_wrapper_11').offset().top - 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