{"id":4804,"date":"2021-02-16T21:26:00","date_gmt":"2021-02-16T13:26:00","guid":{"rendered":"https:\/\/jknsarawak.moh.gov.my\/hsk\/?page_id=4804"},"modified":"2022-06-14T07:22:24","modified_gmt":"2022-06-13T23:22:24","slug":"screening-dass","status":"publish","type":"page","link":"https:\/\/jknsarawak.moh.gov.my\/hsk\/screening-dass\/","title":{"rendered":"Screening DASS"},"content":{"rendered":"<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1216.8px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-1\" style=\"--awb-text-transform:none;\"><style type=\"text\/css\">#nex-forms{display:none;}<\/style><div id=\"nf_form_20747\">\r\n\t\t\t\r\n\t\t\t<style type=\"text\/css\">\r\n\t\t\t\r\n\t\t\t\t#nex-forms.dass .nf-loader-lds-spinner div:after {background: #40C4FF; 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box-shadow: #00000033 0px 7px 16px 0px; border-radius: 4px; padding: 30px; border-color:#ddd;\"><div class=\"current_field_on_focus\" style=\"display:none\">1<\/div><form id=\"69\" class=\"submit-nex-form nex-forms-69\" data-form-id=\"69\" name=\"nex_form\" action=\"https:\/\/jknsarawak.moh.gov.my\/hsk\/wp-admin\/admin-ajax.php\" method=\"post\" enctype=\"multipart\/form-data\"><div class=\"step_transition_in\" style=\"display:none;\">fadeIn<\/div><div class=\"step_transition_out\" style=\"display:none;\">fadeOut<\/div><input type=\"hidden\" name=\"nex_forms_Id\" value=\"69\"><input type=\"hidden\" name=\"page\" value=\"\/hsk\/wp-json\/wp\/v2\/pages\/4804\"><input type=\"hidden\" name=\"ip\" value=\"216.73.216.180\"><input type=\"hidden\" name=\"nf_page_id\" value=\"4804\"><input type=\"hidden\" name=\"nf_page_title\" value=\"Screening DASS\"><input type=\"hidden\" name=\"Timestamp\"  data-original-value=\"2026-04-11 9:44 PM\" value=\"2026-04-11 9:44 PM\"><input type=\"text\" name=\"company_url\" value=\"\" placeholder=\"enter company url\" class=\"form-control req\">\n\t\t\t\t\t\t\t<div class=\"form_field hidden\" style=\"\" data-id=\"_40444\" id=\"_40444\">\n\t\t\t\t\t\t\t\t<input class=\"ms_current_step\" value=\"1\" name=\"ms_current_step\" type=\"hidden\">\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"custom-fields step nf_multi_step_1 is_expanded is_grid\" data-step-num=\"1\" style=\"\" data-step-name=\"Information and Disclaimer\" data-settings=\".s-step\" data-id=\"_50130\" id=\"_50130\" data-step-description=\"Step 1 Information\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form_field all_fields heading html_fields\" data-settings=\".s-headings\" data-settings-tabs=\"#input-settings, #animation-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px;\" id=\"_58406\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input type=\"hidden\" class=\"set_math_result\" value=\"0\" name=\"math_result\"><h1 class=\"the_input_element\" data-math-equation=\"\" data-original-math-equation=\"\" data-decimal-places=\"0\" style=\"font-family: Arial, Helvetica, sans-serif;\">Saringan Kesihatan Mental<\/h1><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields paragraph html_fields\" data-settings=\".s-paragraph\" data-settings-tabs=\"#input-settings, #animation-settings, #math-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px;\" id=\"_75634\" data-bath-pos=\"5\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input type=\"hidden\" class=\"set_math_result\" value=\"0\" name=\"math_result\"><div class=\"the_input_element\" data-math-equation=\"\" data-original-math-equation=\"\" data-decimal-places=\"0\" style=\"font-family: Arial, Helvetica, sans-serif;\">Salam sejahtera. <br><br>Aplikasi Saringan Minda Sihat merupakan aplikasi untuk mengukur tahap kemurungan (Depression), tahap kebimbangan (Anxiety) dan tahap tekanan (Stress). .<br><br>Dengan ujian saringan ini, anda boleh ketahui status kesihatan mental anda dan tahap gaya daya bertindak terhadap masalah kesihatan mental anda. .<br><br>Ujian ini hanya berfungsi sebagai saringan awal dan pengesahan diagnosis oleh pegawai perubatan adalah diperlukan.<br><br><br>Keputusan DASS akan dihantar melalui email kepada anda. <br><br>Anda boleh melayari <br>https:\/\/www.facebook.com\/kkmcprc<br>https:\/\/www.facebook.com\/hospitalsentosa<br>Jika terdapat sebarang persoalan, anda boleh hubungi kami di talian 082-612321 atau emel ke pfasentosa@gmail.com<br><br>UJIAN SARINGAN STRES, KEBIMBANGAN DAN KEMURUNGAN (DASS)<br>Tiga hingga Lima Minit<br><br>Dengan ujian saringan ini, anda boleh ketahui status kesihatan mental anda samada anda stress, bimbang, atau kemurungan. Ujian ini hanya berfungsi sebagai saringan awal dan pengesahan diagnosis oleh pegawai perubatan Adalah diperlukan.<br><br>1.\tUjian saringan ini mengandungi 21 soalan.<br>2.\tJawab semua soalan.<br>3.\tTiap-tiap soalan diikuti oleh empat jawapan, iaitu Tidak Pernah, Jarang, Kerap dan Sangat Kerap.<br>4.\tJawab soalan dengan memilih SATU jawapan mengikut kesesuaian dan bertepatan dengan situasi diri anda.<br>5.\tTiada jawapan betul atau salah.<br><br>Apa itu DASS<br>DASS ialah panduan untuk mengenalpasti simptom dan sebagai indikator awal sama ada anda perlukan rawatan kesihatan mental atau tidak.<br><br>Anda perlu menandakan pada skala yang disediakan keadaan anda dua (2) minggu yang lalu.<br><br>DASS MERUPAKAN BUKAN DIAGNOSIS<\/div><div style=\"clear:both;\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"field_spacer\" id=\"_74180\" data-bath-pos=\"1\" style=\"position: relative; top: 0px;\"><div class=\"field_spacer\" style=\"height: 11px;\"><\/div><\/div><div class=\"form_field all_fields check-group common_fields selection_fields radio-group\" data-settings=\".s-checks, .s-v-multi-selections\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px;\" id=\"_61949\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold style_underline\" style=\"font-family: Arial, Helvetica, sans-serif; font-size: 13px; color: #9e9e9e;\">Penafian<\/span><small class=\"sub-text style_italic style_bold\">Saya maklum bahawa ujian ini adalah untuk saringan kesihatan minda dan saya perlu menghubungi pakar perubatan atau kaunselor sekiranya didapati keputusan ujian mendapati saya mempunyai skor kesihatan minda yang tidak sihat. Saya tidak akan menyalahkan mana-mana pihak atas kegagalan mendiagnosis kesihatan minda saya secara tepat atas apa jua faktor.<\/small><\/label><\/div><div class=\"input_holder radio-group\"><div class=\"col-sm-12 the-radios input_container error_message align_center\" id=\"the-radios\" data-checked-color=\"alert-success\" data-checked-class=\"fa-check\" data-unchecked-class=\"\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"Minimum of {x} selections required\" title=\"\"><div class=\"input-inner\"><label class=\"checkbox-inline radio-inline\" for=\"penafian_1saya_faham_dan_bersetuju_teruskan_ujian_saringan\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright blue has-pretty-child\"><input class=\"check the_input_element\" type=\"checkbox\" name=\"penafian_[]\" id=\"penafian_1saya_faham_dan_bersetuju_teruskan_ujian_saringan\" value=\"1\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label check-label\">Saya faham dan bersetuju. Teruskan ujian saringan.<\/span><\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"field_spacer\" id=\"_4974\" data-bath-pos=\"1\" style=\"position: relative; top: 0px;\"><div class=\"field_spacer\" style=\"height: 11px;\"><\/div><\/div><div class=\"nex_prev_steps grid-system-2 is_grid\" data-settings=\".s-grid\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" data-id=\"_18055\" id=\"_40084\" style=\"position: relative; top: 0px;\" data-grid-name=\"next1\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row grid_row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"grid_input_holder id-_40084  col-xs-6 grid-target-0\" data-grid-width=\"6\" data-grid-num=\"0\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"panel-default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"panel-body\" style=\"\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"grid_input_holder id-_40084  col-xs-6 grid-target-1\" data-grid-width=\"6\" data-grid-num=\"1\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form_field all_fields submit-button the_submit button_fields common_fields preset_fields special_fields selection_fields\" data-settings=\".s-submit\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" style=\"position: relative; left: 0px; top: 0px; margin-bottom: 15px; z-index: 1000;\" data-id=\"_18987\" id=\"_8488\" data-bath-pos=\"4\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12\" id=\"field_container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12 input_container align_right\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <button class=\"nex-step svg_ready the_input_element btn btn-default ui-state-default col-sm-12 add_shine\" data-ga=\"\" style=\"background-color: #5bc0de;\">Next<\/button>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div><div class=\"custom-fields step has_prefix_icon nf_multi_step_2 is_expanded is_grid\" data-step-num=\"2\" style=\"display: none;\" data-step-name=\"Personal Detail\" data-settings=\".s-step\" data-id=\"_50130\" id=\"_61180\" data-step-description=\"Step 2 Personal Details\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"field_spacer\" id=\"_15905\" data-bath-pos=\"1\" style=\"position: relative; top: 0px;\"><div class=\"field_spacer\" style=\"height: 11px;\"><\/div><\/div><div class=\"form_field all_fields radio-group common_fields selection_fields required\" data-settings=\".s-radios\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px;\" id=\"_76408\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-family: Arial, Helvetica, sans-serif; font-size: 13px; color: #9e9e9e;\">*Andakah anda pertama kali buat saringan ini?<\/span><small class=\"sub-text style_italic\">Are you first time to do this screening? \u8bf7\u95ee\u4f60\u662f\u7b2c\u4e00\u6b21\u505a\u8fd9\u68c0\u67e5\u5417\uff1f<\/small><\/label><\/div><div class=\"input_holder radio-group no-pre-suffix\"><div class=\"col-sm-12 the-radios input_container error_message\" id=\"the-radios\" data-checked-color=\"\" data-checked-class=\"fa-circle\" data-unchecked-class=\"\" data-placement=\"bottom\" data-content=\"Required\" title=\"\"><label class=\"radio-inline \" for=\"andakah_anda_pertama_kali_buat_saringan_ini_ya_kali_pertama_yes_first_time_\u662f\u7b2c\u4e00\u6b21\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element required\" type=\"radio\" name=\"andakah_anda_pertama_kali_buat_saringan_ini\" id=\"andakah_anda_pertama_kali_buat_saringan_ini_ya_kali_pertama_yes_first_time_\u662f\u7b2c\u4e00\u6b21\" value=\"Ya. Kali Pertama\/ Yes, First time\/ \u662f\u7b2c\u4e00\u6b21\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">Ya. Kali Pertama\/ Yes, First time\/ \u662f\u7b2c\u4e00\u6b21<\/span><\/span><\/label><label class=\"radio-inline \" for=\"andakah_anda_pertama_kali_buat_saringan_ini_tidak_untuk_saringan_susulan_no_for_follow-up_\u4e0d\uff0c\u6211\u662f\u6765\u590d\u67e5\u7684_\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element required\" type=\"radio\" name=\"andakah_anda_pertama_kali_buat_saringan_ini\" id=\"andakah_anda_pertama_kali_buat_saringan_ini_tidak_untuk_saringan_susulan_no_for_follow-up_\u4e0d\uff0c\u6211\u662f\u6765\u590d\u67e5\u7684_\" value=\"Tidak. Untuk saringan susulan\/ No. For follow-up\/ \u4e0d\uff0c\u6211\u662f\u6765\u590d\u67e5\u7684 \" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">Tidak. Untuk saringan susulan\/ No. For follow-up\/ \u4e0d\uff0c\u6211\u662f\u6765\u590d\u67e5\u7684 <\/span><\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields name preset_fields required has_prefix_icon\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" data-id=\"_40938\" id=\"_92603\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">*Nama Penuh<\/span><small class=\"sub-text style_italic\">Name \u540d\u5b57<\/small><\/label><\/div><div class=\"col-sm-12  input_container\"><div class=\"input-group\"><span class=\"input-group-addon prefix ui-state-active\" style=\"color: #888888; background: white; border-color: #dddddd;\"><span class=\"fa fas fa-user\" style=\"font-size: 17px;\"><\/span><\/span><input type=\"text\" name=\"nama_penuh\" class=\"error_message required form-control the_input_element align_left ui-state-default\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" data-secondary-message=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\" spellcheck=\"false\" data-ms-editor=\"true\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields email email preset_fields required has_prefix_icon\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" data-id=\"_51538\" id=\"_8338\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">*Emel<\/span><small class=\"sub-text style_italic\">Email \u90ae\u5740<\/small><\/label><\/div><div class=\"col-sm-12  input_container\"><div class=\"input-group\"><span class=\"input-group-addon prefix ui-state-active\" style=\"color: #888888; background: white; border-color: #dddddd;\"><span class=\"fa fas fa-envelope\" style=\"font-size: 17px;\"><\/span><\/span><input type=\"text\" name=\"emel\" class=\"error_message required email form-control the_input_element align_left ui-state-default\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" data-secondary-message=\"Invalid email address\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\" spellcheck=\"false\" data-ms-editor=\"true\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields radio-group common_fields selection_fields required\" data-settings=\".s-radios\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" data-id=\"_93757\" id=\"_9423\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">*Jantina<\/span><small class=\"sub-text style_italic\">Sex \u6027\u522b<\/small><\/label><\/div><div class=\"input_holder radio-group no-pre-suffix\"><div class=\"col-sm-12 the-radios input_container error_message\" id=\"the-radios\" data-checked-color=\"\" data-checked-class=\"fa-circle\" data-unchecked-class=\"\" data-placement=\"bottom\" data-content=\"Required\" title=\"\"><label class=\"radio-inline \" for=\"jantina_lelaki_male_\u7537\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element required ui-state-default\" type=\"radio\" name=\"jantina\" id=\"jantina_lelaki_male_\u7537\" value=\"Lelaki \/Male\/ \u7537\" style=\"display: none;\"><a class=\"fa ui-state-default\" style=\"background: #ffffff;\"><\/a><\/div><span class=\"input-label radio-label\">Lelaki \/Male\/ \u7537<\/span><\/span><\/label><label class=\"radio-inline\" for=\"jantina_perempuan_female_\u5973\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element required ui-state-default\" type=\"radio\" name=\"jantina\" id=\"jantina_perempuan_female_\u5973\" value=\"Perempuan \/Female\/ \u5973\" style=\"display: none;\"><a class=\"ui-state-default\" style=\"background: #ffffff;\"><\/a><\/div><span class=\"input-label radio-label\">Perempuan \/Female\/ \u5973<\/span><\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields text common_fields required\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" data-id=\"_56874\" id=\"_73638\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">*Umur (dalam tahun)<\/span><small class=\"sub-text style_italic\">Age (according to year) \/ \u5e74\u9f84 (\u5c81\u6570)<\/small><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"umur\" class=\"form-control error_message the_input_element align_left required ui-state-default\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\" spellcheck=\"false\" data-ms-editor=\"true\"><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields select common_fields selection_fields required for_rule__96123\" data-settings=\".s-select\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" data-id=\"_30934\" id=\"_835\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">*Etnik<\/span><small class=\"sub-text style_italic\">Ethnic \u79cd\u65cf<\/small><\/label><\/div><div class=\"col-sm-12  input_container\"><select name=\"etnik\" class=\"the_input_element error_message text pre-format form-control align_left required ui-state-default\" data-content=\"Required\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\" data-default-selected-value=\"0\" data-required=\"true\"><option value=\"0\" selected=\"selected\">--- Select ---<\/option><option value=\"1\">Melayu\/ Malay\/ \u9a6c\u6765\u4eba<\/option><option value=\"2\">Cina\/ Chinese\/ \u534e\u4eba<\/option><option value=\"3\">India\/ Indian \/ \u5370\u5ea6\u4eba<\/option><option value=\"4\">Bidayuh \/ \u6bd4\u8fbe\u53cb\u4eba<\/option><option value=\"5\">Iban\/ \u4f0a\u73ed\u4eba<\/option><option value=\"6\">Lain-lain dan nyatakan \/Other \/\u5176\u4ed6\u6c11\u65cf<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields text common_fields for_rule__96123\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" data-id=\"_96123\" id=\"_57052\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Lain-lain dan nyatakan <\/span><small class=\"sub-text style_italic\">Other Ethnic \/\u5176\u4ed6\u6c11\u65cf<\/small><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"lain-lain_dan_nyatakan_\" class=\"form-control error_message the_input_element align_left ui-state-default\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\" spellcheck=\"false\" data-ms-editor=\"true\"><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields radio-group common_fields selection_fields required\" data-settings=\".s-radios\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px;\" data-id=\"_14104\" id=\"_32886\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">*Status perkahwinan <\/span><small class=\"sub-text style_italic\">Marital Status\/ \u5a5a\u59fb\u72b6\u51b5<\/small><\/label><\/div><div class=\"input_holder radio-group no-pre-suffix\"><div class=\"col-sm-12 the-radios input_container error_message\" id=\"the-radios\" data-checked-color=\"\" data-checked-class=\"fa-circle\" data-unchecked-class=\"\" data-placement=\"bottom\" data-content=\"Required\" title=\"\"><label class=\"radio-inline \" for=\"status_perkahwinan__bujang_single_\u5355\u8eab\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element required ui-state-default\" type=\"radio\" name=\"status_perkahwinan_\" id=\"status_perkahwinan__bujang_single_\u5355\u8eab\" value=\"Bujang\/ Single\/ \u5355\u8eab\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">Bujang\/ Single\/ \u5355\u8eab<\/span><\/span><\/label><label class=\"radio-inline \" for=\"status_perkahwinan__berkahwin_married_\u5df2\u5a5a\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element required ui-state-default\" type=\"radio\" name=\"status_perkahwinan_\" id=\"status_perkahwinan__berkahwin_married_\u5df2\u5a5a\" value=\"Berkahwin\/ Married\/ \u5df2\u5a5a\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">Berkahwin\/ Married\/ \u5df2\u5a5a<\/span><\/span><\/label><label class=\"radio-inline \" for=\"status_perkahwinan__dudajanda__widowed_\u5b88\u5be1\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element required ui-state-default\" type=\"radio\" name=\"status_perkahwinan_\" id=\"status_perkahwinan__dudajanda__widowed_\u5b88\u5be1\" value=\"Duda\/Janda \/ Widowed\/ \u5b88\u5be1\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">Duda\/Janda \/ Widowed\/ \u5b88\u5be1<\/span><\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields radio-group common_fields selection_fields required for_rule__56065 is_arrow for_rule__3335 connect_id_1\" data-settings=\".s-radios\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" data-id=\"_41702\" id=\"_18758\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">*Status Bekerja<\/span><small class=\"sub-text style_italic\">Employment\/ \u5de5\u4f5c<\/small><\/label><\/div><div class=\"input_holder radio-group no-pre-suffix\"><div class=\"col-sm-12 the-radios input_container error_message\" id=\"the-radios\" data-checked-color=\"\" data-checked-class=\"fa-circle\" data-unchecked-class=\"\" data-placement=\"bottom\" data-content=\"Required\" title=\"\"><label class=\"radio-inline radio_selected\" for=\"status_bekerja_1bekerja_employed__\u5de5\u4f5c\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"status_bekerja\" id=\"status_bekerja_1bekerja_employed__\u5de5\u4f5c\" value=\"1\" style=\"display: none;\"><a class=\"checked ui-state-active ui-state-default\" style=\"background: #8bc34a;\"><\/a><span style=\"color:#3f3731;\" class=\"check-icon checked fa fa-circle\"><\/span><\/div><span class=\"input-label radio-label\">Bekerja\/ Employed \/ \u5de5\u4f5c<\/span><\/span><\/label><label class=\"radio-inline\" for=\"status_bekerja_0tidak_bekerja_unemployed_\u65e0\u5de5\u4f5c\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"status_bekerja\" id=\"status_bekerja_0tidak_bekerja_unemployed_\u65e0\u5de5\u4f5c\" value=\"0\" style=\"display: none;\"><a class=\"ui-state-default\" style=\"background: #ffffff;\"><\/a><\/div><span class=\"input-label radio-label\">Tidak Bekerja\/ Unemployed\/ \u65e0\u5de5\u4f5c<\/span><\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields text common_fields for_rule__56065 is_target connect_id_1 hidden\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px; display: none;\" data-id=\"_56065\" id=\"_73760\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">Jika Bekerja, nyatakan pekerjaan anda<\/span><small class=\"sub-text style_italic\">what is your job \/\u8bf7\u5217\u51fa\u5de5\u4f5c<\/small><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"jika_bekerja_nyatakan_pekerjaan_anda\" class=\"form-control error_message the_input_element align_left ui-state-default\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\" spellcheck=\"false\" data-ms-editor=\"true\"><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields radio-group common_fields selection_fields required is_arrow for_rule__38727 for_rule__18694 is_target connect_id_1 hidden\" data-settings=\".s-radios\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px; display: none;\" data-id=\"_16717\" id=\"_34879\" data-bath-pos=\"0\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">*Adakah anda seorang<\/span><small class=\"sub-text style_italic\">Are you a \/ \u662f\u4e00\u4f4d<\/small><\/label><\/div><div class=\"input_holder radio-group no-pre-suffix\"><div class=\"col-sm-12 the-radios input_container error_message\" id=\"the-radios\" data-checked-color=\"\" data-checked-class=\"fa-circle\" data-unchecked-class=\"\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" data-layout=\"1c\"><label class=\"radio-inline col-sm-12\" for=\"adakah_anda_seorang_0petugas_di_kementerian_kesihatan_malaysia_atau_kesihatan_swasta_healthcare_worker_\u5065\u5eb7\u5de5\u4f5c\u8005\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element ui-state-default\" type=\"radio\" name=\"adakah_anda_seorang\" id=\"adakah_anda_seorang_0petugas_di_kementerian_kesihatan_malaysia_atau_kesihatan_swasta_healthcare_worker_\u5065\u5eb7\u5de5\u4f5c\u8005\" value=\"0\" style=\"display: none;\"><a class=\"ui-state-default\" style=\"background: #ffffff;\"><\/a><\/div><span class=\"input-label radio-label\">petugas di Kementerian Kesihatan Malaysia atau kesihatan swasta\/ Healthcare worker\/ \u5065\u5eb7\u5de5\u4f5c\u8005<\/span><\/span><\/label><label class=\"radio-inline col-sm-12\" for=\"adakah_anda_seorang_1petugas_frontline_yang_lain_cth:_polis_tentera_pegawai_imigresen_other_frontliner_eg_policeman_soilder_imigration_officer_\u524d\u7ebf\u5de5\u4f5c\u8005\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element ui-state-default\" type=\"radio\" name=\"adakah_anda_seorang\" id=\"adakah_anda_seorang_1petugas_frontline_yang_lain_cth:_polis_tentera_pegawai_imigresen_other_frontliner_eg_policeman_soilder_imigration_officer_\u524d\u7ebf\u5de5\u4f5c\u8005\" value=\"1\" style=\"display: none;\"><a class=\"ui-state-default\" style=\"background: #ffffff;\"><\/a><\/div><span class=\"input-label radio-label\">petugas frontline yang lain (cth: polis, tentera, pegawai imigresen)\/ Other frontliner (Eg. policeman, soilder, imigration officer) \u524d\u7ebf\u5de5\u4f5c\u8005<\/span><\/span><\/label><label class=\"radio-inline col-sm-12\" for=\"adakah_anda_seorang_2orang_awam__public_\u5927\u4f17\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element ui-state-default\" type=\"radio\" name=\"adakah_anda_seorang\" id=\"adakah_anda_seorang_2orang_awam__public_\u5927\u4f17\" value=\"2\" style=\"display: none;\"><a class=\"fa ui-state-default\" style=\"background: #ffffff;\"><\/a><\/div><span class=\"input-label radio-label\">orang awam \/ Public\/ \u5927\u4f17<\/span><\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields radio-group common_fields selection_fields required is_target for_rule__3335 is_arrow for_rule__18694 connect_id_1 hidden\" data-settings=\".s-radios\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px; display: none;\" data-id=\"_16717\" id=\"_3335\" data-bath-pos=\"0\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">*Adakah anda<\/span><small class=\"sub-text style_italic\">Are you a \/ \u662f\u4e00\u4f4d<\/small><\/label><\/div><div class=\"input_holder radio-group no-pre-suffix\"><div class=\"col-sm-12 the-radios input_container error_message\" id=\"the-radios\" data-checked-color=\"\" data-checked-class=\"fa-circle\" data-unchecked-class=\"\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" data-layout=\"1c\"><label class=\"radio-inline col-sm-12\" for=\"adakah_anda_seorang_tidak_berkerja_1orang_awam__public_\u5927\u4f17\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"adakah_anda\" id=\"adakah_anda_seorang_tidak_berkerja_1orang_awam__public_\u5927\u4f17\" value=\"1\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">orang awam \/ Public\/ \u5927\u4f17<\/span><\/span><\/label><label class=\"radio-inline col-sm-12\" for=\"adakah_anda_seorang_tidak_berkerja_2pelajar__student_\u5b66\u751f\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"adakah_anda\" id=\"adakah_anda_seorang_tidak_berkerja_2pelajar__student_\u5b66\u751f\" value=\"2\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">pelajar \/ student\/ \u5b66\u751f<\/span><\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"field_spacer\" id=\"_89046\" data-bath-pos=\"2\"><div class=\"field_spacer\" style=\"height: 30px;\"><\/div><\/div><div class=\"nex_prev_steps grid-system-2 is_grid\" data-settings=\".s-grid\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" data-id=\"_18055\" id=\"_28910\" style=\"position: relative; top: 0px;\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row grid_row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"grid_input_holder id-_28910  col-xs-6 grid-target-0\" data-grid-width=\"6\" data-grid-num=\"0\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"panel-default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"panel-body\" style=\"\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"grid_input_holder id-_28910  col-xs-6 grid-target-1\" data-grid-width=\"6\" data-grid-num=\"1\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form_field all_fields submit-button the_submit button_fields common_fields preset_fields special_fields selection_fields\" data-settings=\".s-submit\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" style=\"position: relative; left: 0px; top: 0px; margin-bottom: 15px; z-index: 1000;\" data-id=\"_18987\" id=\"_91488\" data-bath-pos=\"4\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12\" id=\"field_container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12 input_container align_right\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <button class=\"nex-step svg_ready the_input_element btn btn-default ui-state-default col-sm-12 add_shine\" data-ga=\"\" style=\"background-color: #5bc0de;\">Next<\/button>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div><div class=\"custom-fields step nf_multi_step_3 is_target for_rule__38727 is_grid\" data-step-num=\"3\" style=\"position: relative; top: 0px; display: none;\" data-settings=\".s-step\" data-step-name=\"Frontliner detail\" data-id=\"_38727\" id=\"_38727\" data-step-description=\"Step 3 Frontliner Details\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form_field all_fields select common_fields selection_fields required\" data-settings=\".s-select\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" data-id=\"_42609\" id=\"_42609\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #9e9e9e;\">*Tempat bertugas<\/span><small class=\"sub-text style_italic\">Duty Area \/\u5de5\u4f5c\u8303\u56f4<\/small><\/label><\/div><div class=\"col-sm-12  input_container\"><select name=\"tempat_bertugas\" class=\"the_input_element error_message text pre-format form-control align_left required ui-state-default\" data-content=\"Required\" style=\"font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\" data-default-selected-value=\"0\" data-required=\"true\"><option value=\"0\" selected=\"selected\">--- Select ---<\/option><option value=\"Wad\/ Ward\">Wad\/ Ward<\/option><option value=\"Kecemasan\/ Emergency Department\">Kecemasan\/ Emergency Department<\/option><option value=\"Pusat Kuarantin\/ Quarantine Centre\">Pusat Kuarantin\/ Quarantine Centre<\/option><option value=\"Jabatan Pesakit luar\/ Out-patient Clinic (OPD)\">Jabatan Pesakit luar\/ Out-patient Clinic (OPD)<\/option><option value=\"Unit Rawatan Rapi \/Intensive Care Unit (ICU)\">Unit Rawatan Rapi \/Intensive Care Unit (ICU)<\/option><option value=\"Lain-lain\/ Other\">Lain-lain\/ Other<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields text common_fields required\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" data-id=\"_84982\" id=\"_84982\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-family: Arial, Helvetica, sans-serif; font-size: 13px; color: #9e9e9e;\">*Lokasi bekerja (e.g. hospital sentosa, hospital umum Sarawak, Klinik Kesihatan)<\/span><small class=\"sub-text style_italic\">Work Location  (e.g. hospital sentosa, hospital umum Sarawak, Klinik Kesihatan)<\/small><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"lokasi_bekerja\" class=\"form-control error_message the_input_element align_left required ui-state-default\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-family: Arial, Helvetica, sans-serif; font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\" spellcheck=\"false\" data-ms-editor=\"true\"><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields select common_fields selection_fields required\" data-settings=\".s-select\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" data-id=\"_4352\" id=\"_4352\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-family: Arial, Helvetica, sans-serif; font-size: 13px; color: #9e9e9e;\">*Jenis Pengkhususan<\/span><small class=\"sub-text style_italic\">Speciality<\/small><\/label><\/div><div class=\"col-sm-12  input_container\"><select name=\"jenis_pengkhususan\" class=\"the_input_element error_message text pre-format form-control align_left required ui-state-default\" data-content=\"Required\" style=\"font-family: Arial, Helvetica, sans-serif; font-size: 13px; color: #9e9e9e; background: white; border-color: #dddddd;\" data-default-selected-value=\"0\" data-required=\"true\"><option value=\"0\" selected=\"selected\">--- Select ---<\/option><option value=\"Pegawai Perubatan\/ Pakar\">Pegawai Perubatan\/ Pakar<\/option><option value=\"Jururawat terlatih\/ Jururawat masyarakat\">Jururawat terlatih\/ Jururawat masyarakat<\/option><option value=\"Penolong Pegawai Perubatan\">Penolong Pegawai Perubatan<\/option><option value=\"Health inspector\">Health inspector<\/option><option value=\"Lain-lain\">Lain-lain<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div class=\"nex_prev_steps grid-system-2 is_grid\" data-settings=\".s-grid\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" data-id=\"_17484\" id=\"_17484\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row grid_row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"grid_input_holder id-_17484  col-xs-6 grid-target-0\" data-grid-width=\"6\" data-grid-num=\"0\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"form_field all_fields submit-button the_submit button_fields common_fields preset_fields special_fields selection_fields\" data-settings=\".s-submit\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" style=\"position: relative; top: 0px; left: 0px; margin-bottom: 15px;\" data-id=\"_55775\" id=\"_55775\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12\" id=\"field_container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12 input_container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <button class=\"prev-step svg_ready the_input_element btn btn-default ui-state-default col-sm-12 add_shine\" data-ga=\"\">Back<\/button>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"grid_input_holder id-_17484  col-xs-6 grid-target-1\" data-grid-width=\"6\" data-grid-num=\"1\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"form_field all_fields submit-button the_submit button_fields common_fields preset_fields special_fields selection_fields\" data-settings=\".s-submit\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" style=\"position: relative; left: 0px; top: 0px; margin-bottom: 15px;\" data-id=\"_80466\" id=\"_80466\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12\" id=\"field_container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12 input_container align_right\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <button class=\"nex-step svg_ready the_input_element btn btn-default ui-state-default col-sm-12 add_shine\" data-ga=\"\" style=\"background-color: #5bc0de;\">Next<\/button>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div><div class=\"custom-fields step nf_multi_step_4 is_target for_rule__18694 is_grid\" data-step-num=\"4\" style=\"position: relative; left: 0px; top: 0px; display: none;\" data-step-name=\"DASS\" data-settings=\".s-step\" data-id=\"_18694\" id=\"_18694\" data-step-description=\"Step 4 Dass Q\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form_field all_fields heading html_fields\" data-settings=\".s-headings\" data-settings-tabs=\"#input-settings, #animation-settings\" style=\"margin-bottom: 15px;\" data-id=\"_10292\" id=\"_10292\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input type=\"hidden\" class=\"set_math_result\" value=\"0\" name=\"math_result\"><h1 class=\"the_input_element\" data-math-equation=\"\" data-original-math-equation=\"\" data-decimal-places=\"0\" style=\"font-family: Arial, Helvetica, sans-serif;\">BACA DAN JAWAB SOAL SELIDIK DASS<br><br><\/h1><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields paragraph html_fields\" data-settings=\".s-paragraph\" data-settings-tabs=\"#input-settings, #animation-settings, #math-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px;\" id=\"_48019\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input type=\"hidden\" class=\"set_math_result\" value=\"0\" name=\"math_result\"><div class=\"the_input_element\" data-math-equation=\"\" data-original-math-equation=\"\" data-decimal-places=\"0\" style=\"font-family: Arial, Helvetica, sans-serif;\">Untuk mengetahui tahap tertekan, kerisauan, kemurungan anda. SILA BACA DAN JAWAB SOAL SELIDIK DASS. <br><br>Sila baca setiap kenyataan di bawah dan pilih jawapan anda berdasarkan jawapan 0, 1, 2 atau 3 bagi menggambarkan keadaan anda sepanjang 7 hari yang lalu.<br><\/div><div style=\"clear:both;\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields paragraph html_fields\" data-settings=\".s-paragraph\" data-settings-tabs=\"#input-settings, #animation-settings, #math-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px;\" id=\"_70662\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input type=\"hidden\" class=\"set_math_result\" value=\"0\" name=\"math_result\"><div class=\"the_input_element\" data-math-equation=\"\" data-original-math-equation=\"\" data-decimal-places=\"0\" style=\"font-family: Arial, Helvetica, sans-serif;\">Tiada jawapan yang betul atau salah. Jangan mengambil masa yang terlalu lama untuk menjawab mana-mana kenyataan.<br><br>0 = Tidak Langsung menggambarkan keadaan saya.<br><br>1 = Sedikit atau jarang-jarang menggambarkan keadaan saya.<br><br>2 = Banyak atau kerapkali menggambarkan keadaan saya.<br><br>3 = Sangat banyak atau sangat kerap menggambarkan keadaan<\/div><div style=\"clear:both;\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields radio-group common_fields selection_fields required\" data-settings=\".s-radios\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" data-id=\"_93517\" id=\"_93517\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-family: Arial, Helvetica, sans-serif; font-size: 13px; color: #9e9e9e;\">*1. Saya dapati diri saya sukar ditenteramkan                                           <\/span><small class=\"sub-text style_italic\">I found it hard to wind down \u6211\u89c9\u5f97\u5f88\u96be\u8ba9\u81ea\u5df1\u5b89\u9759\u4e0b\u6765<\/small><\/label><\/div><div class=\"input_holder radio-group no-pre-suffix\"><div class=\"col-sm-12 the-radios input_container error_message\" id=\"the-radios\" data-checked-color=\"\" data-checked-class=\"fa-circle\" data-unchecked-class=\"\" data-placement=\"bottom\" data-content=\"Required\" title=\"\"><label class=\"radio-inline \" for=\"1_saya_dapati_diri_saya_sukar_ditenteramkan____________________________________________00\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"s1\" id=\"1_saya_dapati_diri_saya_sukar_ditenteramkan____________________________________________00\" value=\"0\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">0<\/span><\/span><\/label><label class=\"radio-inline \" for=\"1_saya_dapati_diri_saya_sukar_ditenteramkan____________________________________________11\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"s1\" id=\"1_saya_dapati_diri_saya_sukar_ditenteramkan____________________________________________11\" value=\"1\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">1<\/span><\/span><\/label><label class=\"radio-inline \" for=\"1_saya_dapati_diri_saya_sukar_ditenteramkan____________________________________________22\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"s1\" id=\"1_saya_dapati_diri_saya_sukar_ditenteramkan____________________________________________22\" value=\"2\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">2<\/span><\/span><\/label><label class=\"radio-inline \" for=\"1_saya_dapati_diri_saya_sukar_ditenteramkan____________________________________________33\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"s1\" id=\"1_saya_dapati_diri_saya_sukar_ditenteramkan____________________________________________33\" value=\"3\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">3<\/span><\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields radio-group common_fields selection_fields required\" data-settings=\".s-radios\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" data-id=\"_1383\" id=\"_1383\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-family: Arial, Helvetica, sans-serif; font-size: 13px; color: #9e9e9e;\">*2. Saya sedar mulut saya terasa kering     <\/span><small class=\"sub-text style_italic\">I was aware of dryness of my mouth \u6211\u611f\u5230\u53e3\u5e72\u820c\u71e5<\/small><\/label><\/div><div class=\"input_holder radio-group no-pre-suffix\"><div class=\"col-sm-12 the-radios input_container error_message\" id=\"the-radios\" data-checked-color=\"\" data-checked-class=\"fa-circle\" data-unchecked-class=\"\" data-placement=\"bottom\" data-content=\"Required\" title=\"\"><label class=\"radio-inline \" for=\"2_saya_sedar_mulut_saya_terasa_kering______00\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"a2\" id=\"2_saya_sedar_mulut_saya_terasa_kering______00\" value=\"0\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">0<\/span><\/span><\/label><label class=\"radio-inline \" for=\"2_saya_sedar_mulut_saya_terasa_kering______11\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"a2\" id=\"2_saya_sedar_mulut_saya_terasa_kering______11\" value=\"1\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">1<\/span><\/span><\/label><label class=\"radio-inline \" for=\"2_saya_sedar_mulut_saya_terasa_kering______22\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"a2\" id=\"2_saya_sedar_mulut_saya_terasa_kering______22\" value=\"2\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">2<\/span><\/span><\/label><label class=\"radio-inline \" for=\"2_saya_sedar_mulut_saya_terasa_kering______33\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"a2\" id=\"2_saya_sedar_mulut_saya_terasa_kering______33\" value=\"3\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">3<\/span><\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields radio-group common_fields selection_fields required\" data-settings=\".s-radios\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" data-id=\"_61958\" id=\"_61958\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-family: Arial, Helvetica, sans-serif; font-size: 13px; color: #9e9e9e;\">*3. Saya tidak dapat mengalami perasaan positif sama sekali <\/span><small class=\"sub-text style_italic\">I couldn\u2019t seem to experience any positive feeling at all \u6211\u597d\u50cf\u4e00\u70b9\u90fd\u6ca1\u6709\u611f\u89c9\u5230\u4efb\u4f55\u6109\u5feb\u3001\u8212\u7545<\/small><\/label><\/div><div class=\"input_holder radio-group no-pre-suffix\"><div class=\"col-sm-12 the-radios input_container error_message\" id=\"the-radios\" data-checked-color=\"\" data-checked-class=\"fa-circle\" data-unchecked-class=\"\" data-placement=\"bottom\" data-content=\"Required\" title=\"\"><label class=\"radio-inline \" for=\"3_saya_tidak_dapat_mengalami_perasaan_positif_sama_sekali__00\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"d3\" id=\"3_saya_tidak_dapat_mengalami_perasaan_positif_sama_sekali__00\" value=\"0\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">0<\/span><\/span><\/label><label class=\"radio-inline \" for=\"3_saya_tidak_dapat_mengalami_perasaan_positif_sama_sekali__11\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"d3\" id=\"3_saya_tidak_dapat_mengalami_perasaan_positif_sama_sekali__11\" value=\"1\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">1<\/span><\/span><\/label><label class=\"radio-inline \" for=\"3_saya_tidak_dapat_mengalami_perasaan_positif_sama_sekali__22\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"d3\" id=\"3_saya_tidak_dapat_mengalami_perasaan_positif_sama_sekali__22\" value=\"2\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">2<\/span><\/span><\/label><label class=\"radio-inline \" for=\"3_saya_tidak_dapat_mengalami_perasaan_positif_sama_sekali__33\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"d3\" id=\"3_saya_tidak_dapat_mengalami_perasaan_positif_sama_sekali__33\" value=\"3\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">3<\/span><\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields radio-group common_fields selection_fields required\" data-settings=\".s-radios\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" data-id=\"_2411\" id=\"_2411\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-family: Arial, Helvetica, sans-serif; font-size: 13px; color: #9e9e9e;\">*4. Saya mengalami kesukaran bernafas (contohnya pernafasan yang laju, tercungap-cungap walaupun tidak melakukan senaman fizikal). <\/span><small class=\"sub-text style_italic\">I experienced breathing difficulty (e.g. excessively rapid breathing,breathlessness in the absence of physical exertion) \u6211\u611f\u5230\u547c\u5438\u56f0\u96be\uff08\u4f8b\u5982\uff1a\u6c14\u5598\u6216\u900f\u4e0d\u8fc7\u6c14\u6765\uff09<\/small><\/label><\/div><div class=\"input_holder radio-group no-pre-suffix\"><div class=\"col-sm-12 the-radios input_container error_message\" id=\"the-radios\" data-checked-color=\"\" data-checked-class=\"fa-circle\" data-unchecked-class=\"\" data-placement=\"bottom\" data-content=\"Required\" title=\"\"><label class=\"radio-inline \" for=\"4_saya_mengalami_kesukaran_bernafas_contohnya_pernafasan_yang_laju_tercungap-cungap_walaupun_tidak_melakukan_senaman_fizikal__00\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"a4\" id=\"4_saya_mengalami_kesukaran_bernafas_contohnya_pernafasan_yang_laju_tercungap-cungap_walaupun_tidak_melakukan_senaman_fizikal__00\" value=\"0\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">0<\/span><\/span><\/label><label class=\"radio-inline \" for=\"4_saya_mengalami_kesukaran_bernafas_contohnya_pernafasan_yang_laju_tercungap-cungap_walaupun_tidak_melakukan_senaman_fizikal__11\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"a4\" id=\"4_saya_mengalami_kesukaran_bernafas_contohnya_pernafasan_yang_laju_tercungap-cungap_walaupun_tidak_melakukan_senaman_fizikal__11\" value=\"1\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">1<\/span><\/span><\/label><label class=\"radio-inline \" for=\"4_saya_mengalami_kesukaran_bernafas_contohnya_pernafasan_yang_laju_tercungap-cungap_walaupun_tidak_melakukan_senaman_fizikal__22\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"a4\" id=\"4_saya_mengalami_kesukaran_bernafas_contohnya_pernafasan_yang_laju_tercungap-cungap_walaupun_tidak_melakukan_senaman_fizikal__22\" value=\"2\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">2<\/span><\/span><\/label><label class=\"radio-inline \" for=\"4_saya_mengalami_kesukaran_bernafas_contohnya_pernafasan_yang_laju_tercungap-cungap_walaupun_tidak_melakukan_senaman_fizikal__33\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"a4\" id=\"4_saya_mengalami_kesukaran_bernafas_contohnya_pernafasan_yang_laju_tercungap-cungap_walaupun_tidak_melakukan_senaman_fizikal__33\" value=\"3\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">3<\/span><\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields radio-group common_fields selection_fields required\" data-settings=\".s-radios\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" data-id=\"_47633\" id=\"_47633\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-family: Arial, Helvetica, sans-serif; font-size: 13px; color: #9e9e9e;\">*5. Saya sukar untuk mendapatkan semangat bagi melakukan sesuatu perkara<\/span><small class=\"sub-text style_italic\">I found it difficult to work up the initiative to do things  \u6211\u611f\u5230\u5f88\u96be\u4e3b\u52a8\u53bb\u5f00\u59cb\u5de5\u4f5c<\/small><\/label><\/div><div class=\"input_holder radio-group no-pre-suffix\"><div class=\"col-sm-12 the-radios input_container error_message\" id=\"the-radios\" data-checked-color=\"\" data-checked-class=\"fa-circle\" data-unchecked-class=\"\" data-placement=\"bottom\" data-content=\"Required\" title=\"\"><label class=\"radio-inline \" for=\"5_saya_sukar_untuk_mendapatkan_semangat_bagi_melakukan_sesuatu_perkara_00\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"d5\" id=\"5_saya_sukar_untuk_mendapatkan_semangat_bagi_melakukan_sesuatu_perkara_00\" value=\"0\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">0<\/span><\/span><\/label><label class=\"radio-inline \" for=\"5_saya_sukar_untuk_mendapatkan_semangat_bagi_melakukan_sesuatu_perkara_11\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"d5\" id=\"5_saya_sukar_untuk_mendapatkan_semangat_bagi_melakukan_sesuatu_perkara_11\" value=\"1\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">1<\/span><\/span><\/label><label class=\"radio-inline \" for=\"5_saya_sukar_untuk_mendapatkan_semangat_bagi_melakukan_sesuatu_perkara_22\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"d5\" id=\"5_saya_sukar_untuk_mendapatkan_semangat_bagi_melakukan_sesuatu_perkara_22\" value=\"2\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">2<\/span><\/span><\/label><label class=\"radio-inline \" for=\"5_saya_sukar_untuk_mendapatkan_semangat_bagi_melakukan_sesuatu_perkara_33\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"d5\" id=\"5_saya_sukar_untuk_mendapatkan_semangat_bagi_melakukan_sesuatu_perkara_33\" value=\"3\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">3<\/span><\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields radio-group common_fields selection_fields required\" data-settings=\".s-radios\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" data-id=\"_20230\" id=\"_20230\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-family: Arial, Helvetica, sans-serif; font-size: 13px; color: #9e9e9e;\">*6. Saya cenderung untuk bertindak keterlaluan dalam sesuatu keadaan<\/span><small class=\"sub-text style_italic\"> I tended to over-react to situations\u6211\u5bf9\u4e8b\u60c5\u5f80\u5f80\u505a\u51fa\u8fc7\u654f\u53cd\u5e94<\/small><\/label><\/div><div class=\"input_holder radio-group no-pre-suffix\"><div class=\"col-sm-12 the-radios input_container error_message\" id=\"the-radios\" data-checked-color=\"\" data-checked-class=\"fa-circle\" data-unchecked-class=\"\" data-placement=\"bottom\" data-content=\"Required\" title=\"\"><label class=\"radio-inline \" for=\"6_saya_cenderung_untuk_bertindak_keterlaluan_dalam_sesuatu_keadaan_00\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"s6\" id=\"6_saya_cenderung_untuk_bertindak_keterlaluan_dalam_sesuatu_keadaan_00\" value=\"0\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">0<\/span><\/span><\/label><label class=\"radio-inline \" for=\"6_saya_cenderung_untuk_bertindak_keterlaluan_dalam_sesuatu_keadaan_11\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"s6\" id=\"6_saya_cenderung_untuk_bertindak_keterlaluan_dalam_sesuatu_keadaan_11\" value=\"1\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">1<\/span><\/span><\/label><label class=\"radio-inline \" for=\"6_saya_cenderung_untuk_bertindak_keterlaluan_dalam_sesuatu_keadaan_22\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"s6\" id=\"6_saya_cenderung_untuk_bertindak_keterlaluan_dalam_sesuatu_keadaan_22\" value=\"2\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">2<\/span><\/span><\/label><label class=\"radio-inline \" for=\"6_saya_cenderung_untuk_bertindak_keterlaluan_dalam_sesuatu_keadaan_33\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"s6\" id=\"6_saya_cenderung_untuk_bertindak_keterlaluan_dalam_sesuatu_keadaan_33\" value=\"3\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">3<\/span><\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields radio-group common_fields selection_fields required\" data-settings=\".s-radios\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" data-id=\"_13208\" id=\"_13208\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-family: Arial, Helvetica, sans-serif; font-size: 13px; color: #9e9e9e;\">*7. Saya rasa menggeletar (contohnya pada tangan)<\/span><small class=\"sub-text style_italic\">I experienced trembling (e.g. in the hands) \u6211\u611f\u5230\u98a4\u6296\uff08\u4f8b\u5982\uff0c\u624b\u6296\uff09<\/small><\/label><\/div><div class=\"input_holder radio-group no-pre-suffix\"><div class=\"col-sm-12 the-radios input_container error_message\" id=\"the-radios\" data-checked-color=\"\" data-checked-class=\"fa-circle\" data-unchecked-class=\"\" data-placement=\"bottom\" data-content=\"Required\" title=\"\"><label class=\"radio-inline \" for=\"7_saya_rasa_menggeletar_contohnya_pada_tangan_00\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"a7\" id=\"7_saya_rasa_menggeletar_contohnya_pada_tangan_00\" value=\"0\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">0<\/span><\/span><\/label><label class=\"radio-inline \" for=\"7_saya_rasa_menggeletar_contohnya_pada_tangan_11\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"a7\" id=\"7_saya_rasa_menggeletar_contohnya_pada_tangan_11\" value=\"1\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">1<\/span><\/span><\/label><label class=\"radio-inline \" for=\"7_saya_rasa_menggeletar_contohnya_pada_tangan_22\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"a7\" id=\"7_saya_rasa_menggeletar_contohnya_pada_tangan_22\" value=\"2\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">2<\/span><\/span><\/label><label class=\"radio-inline \" for=\"7_saya_rasa_menggeletar_contohnya_pada_tangan_33\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"a7\" id=\"7_saya_rasa_menggeletar_contohnya_pada_tangan_33\" value=\"3\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">3<\/span><\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields radio-group common_fields selection_fields required\" data-settings=\".s-radios\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" data-id=\"_7260\" id=\"_7260\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-family: Arial, Helvetica, sans-serif; font-size: 13px; color: #9e9e9e;\">*8. Saya rasa menggunakan banyak tenaga dalam keadaan cemas<\/span><small class=\"sub-text style_italic\">I felt that I was using a lot of nervous energy \u6211\u89c9\u5f97\u81ea\u5df1\u6d88\u8017\u4e86\u5f88\u591a\u7cbe\u529b<\/small><\/label><\/div><div class=\"input_holder radio-group no-pre-suffix\"><div class=\"col-sm-12 the-radios input_container error_message\" id=\"the-radios\" data-checked-color=\"\" data-checked-class=\"fa-circle\" data-unchecked-class=\"\" data-placement=\"bottom\" data-content=\"Required\" title=\"\"><label class=\"radio-inline \" for=\"8_saya_rasa_menggunakan_banyak_tenaga_dalam_keadaan_cemas_00\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"s8\" id=\"8_saya_rasa_menggunakan_banyak_tenaga_dalam_keadaan_cemas_00\" value=\"0\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">0<\/span><\/span><\/label><label class=\"radio-inline \" for=\"8_saya_rasa_menggunakan_banyak_tenaga_dalam_keadaan_cemas_11\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"s8\" id=\"8_saya_rasa_menggunakan_banyak_tenaga_dalam_keadaan_cemas_11\" value=\"1\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">1<\/span><\/span><\/label><label class=\"radio-inline \" for=\"8_saya_rasa_menggunakan_banyak_tenaga_dalam_keadaan_cemas_22\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"s8\" id=\"8_saya_rasa_menggunakan_banyak_tenaga_dalam_keadaan_cemas_22\" value=\"2\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">2<\/span><\/span><\/label><label class=\"radio-inline \" for=\"8_saya_rasa_menggunakan_banyak_tenaga_dalam_keadaan_cemas_33\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"s8\" id=\"8_saya_rasa_menggunakan_banyak_tenaga_dalam_keadaan_cemas_33\" value=\"3\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">3<\/span><\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields radio-group common_fields selection_fields required\" data-settings=\".s-radios\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" data-id=\"_86929\" id=\"_86929\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-family: Arial, Helvetica, sans-serif; font-size: 13px; color: #9e9e9e;\">*9. Saya bimbang keadaan di mana saya mungkin menjadi panik dan melakukan perkara yang membodohkan diri sendiri<\/span><small class=\"sub-text style_italic\">I was worried about situations in which I might panic and make a foolof myself  \u6211\u62c5\u5fc3\u4e00\u4e9b\u53ef\u80fd\u8ba9\u81ea\u5df1\u6050\u614c\u6216\u51fa\u4e11\u7684\u573a\u5408<\/small><\/label><\/div><div class=\"input_holder radio-group no-pre-suffix\"><div class=\"col-sm-12 the-radios input_container error_message\" id=\"the-radios\" data-checked-color=\"\" data-checked-class=\"fa-circle\" data-unchecked-class=\"\" data-placement=\"bottom\" data-content=\"Required\" title=\"\"><label class=\"radio-inline \" for=\"9_saya_bimbang_keadaan_di_mana_saya_mungkin_menjadi_panik_dan_melakukan_perkara_yang_membodohkan_diri_sendiri_00\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"a9\" id=\"9_saya_bimbang_keadaan_di_mana_saya_mungkin_menjadi_panik_dan_melakukan_perkara_yang_membodohkan_diri_sendiri_00\" value=\"0\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">0<\/span><\/span><\/label><label class=\"radio-inline \" for=\"9_saya_bimbang_keadaan_di_mana_saya_mungkin_menjadi_panik_dan_melakukan_perkara_yang_membodohkan_diri_sendiri_11\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"a9\" id=\"9_saya_bimbang_keadaan_di_mana_saya_mungkin_menjadi_panik_dan_melakukan_perkara_yang_membodohkan_diri_sendiri_11\" value=\"1\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">1<\/span><\/span><\/label><label class=\"radio-inline \" for=\"9_saya_bimbang_keadaan_di_mana_saya_mungkin_menjadi_panik_dan_melakukan_perkara_yang_membodohkan_diri_sendiri_22\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"a9\" id=\"9_saya_bimbang_keadaan_di_mana_saya_mungkin_menjadi_panik_dan_melakukan_perkara_yang_membodohkan_diri_sendiri_22\" value=\"2\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">2<\/span><\/span><\/label><label class=\"radio-inline \" for=\"9_saya_bimbang_keadaan_di_mana_saya_mungkin_menjadi_panik_dan_melakukan_perkara_yang_membodohkan_diri_sendiri_33\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"a9\" id=\"9_saya_bimbang_keadaan_di_mana_saya_mungkin_menjadi_panik_dan_melakukan_perkara_yang_membodohkan_diri_sendiri_33\" value=\"3\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">3<\/span><\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields radio-group common_fields selection_fields required\" data-settings=\".s-radios\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" data-id=\"_2511\" id=\"_2511\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-family: Arial, Helvetica, sans-serif; font-size: 13px; color: #9e9e9e;\">*10. Saya rasa saya tidak mempunyai apa-apa untuk diharapkan<\/span><small class=\"sub-text style_italic\">I felt that I had nothing to look forward to \u6211\u89c9\u5f97\u81ea\u5df1\u5bf9\u4e0d\u4e45\u7684\u5c06\u6765\u6ca1\u6709\u4ec0\u4e48\u53ef\u671f\u76fc\u7684<\/small><\/label><\/div><div class=\"input_holder radio-group no-pre-suffix\"><div class=\"col-sm-12 the-radios input_container error_message\" id=\"the-radios\" data-checked-color=\"\" data-checked-class=\"fa-circle\" data-unchecked-class=\"\" data-placement=\"bottom\" data-content=\"Required\" title=\"\"><label class=\"radio-inline \" for=\"10_saya_rasa_saya_tidak_mempunyai_apa-apa_untuk_diharapkan_00\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"d10\" id=\"10_saya_rasa_saya_tidak_mempunyai_apa-apa_untuk_diharapkan_00\" value=\"0\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">0<\/span><\/span><\/label><label class=\"radio-inline \" for=\"10_saya_rasa_saya_tidak_mempunyai_apa-apa_untuk_diharapkan_11\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"d10\" id=\"10_saya_rasa_saya_tidak_mempunyai_apa-apa_untuk_diharapkan_11\" value=\"1\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">1<\/span><\/span><\/label><label class=\"radio-inline \" for=\"10_saya_rasa_saya_tidak_mempunyai_apa-apa_untuk_diharapkan_22\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"d10\" id=\"10_saya_rasa_saya_tidak_mempunyai_apa-apa_untuk_diharapkan_22\" value=\"2\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">2<\/span><\/span><\/label><label class=\"radio-inline \" for=\"10_saya_rasa_saya_tidak_mempunyai_apa-apa_untuk_diharapkan_33\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"d10\" id=\"10_saya_rasa_saya_tidak_mempunyai_apa-apa_untuk_diharapkan_33\" value=\"3\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">3<\/span><\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields radio-group common_fields selection_fields required\" data-settings=\".s-radios\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" data-id=\"_33337\" id=\"_33337\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-family: Arial, Helvetica, sans-serif; font-size: 13px; color: #9e9e9e;\">*11. Saya dapati diri saya semakin gelisah<\/span><small class=\"sub-text style_italic\"> I found myself getting agitated \u6211\u611f\u5230\u5fd0\u5fd1\u4e0d\u5b89<\/small><\/label><\/div><div class=\"input_holder radio-group no-pre-suffix\"><div class=\"col-sm-12 the-radios input_container error_message\" id=\"the-radios\" data-checked-color=\"\" data-checked-class=\"fa-circle\" data-unchecked-class=\"\" data-placement=\"bottom\" data-content=\"Required\" title=\"\"><label class=\"radio-inline \" for=\"11_saya_dapati_diri_saya_semakin_gelisah_00\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"s11\" id=\"11_saya_dapati_diri_saya_semakin_gelisah_00\" value=\"0\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">0<\/span><\/span><\/label><label class=\"radio-inline \" for=\"11_saya_dapati_diri_saya_semakin_gelisah_11\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"s11\" id=\"11_saya_dapati_diri_saya_semakin_gelisah_11\" value=\"1\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">1<\/span><\/span><\/label><label class=\"radio-inline \" for=\"11_saya_dapati_diri_saya_semakin_gelisah_22\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"s11\" id=\"11_saya_dapati_diri_saya_semakin_gelisah_22\" value=\"2\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">2<\/span><\/span><\/label><label class=\"radio-inline \" for=\"11_saya_dapati_diri_saya_semakin_gelisah_33\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"s11\" id=\"11_saya_dapati_diri_saya_semakin_gelisah_33\" value=\"3\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">3<\/span><\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields radio-group common_fields selection_fields required\" data-settings=\".s-radios\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" data-id=\"_85198\" id=\"_85198\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-family: Arial, Helvetica, sans-serif; font-size: 13px; color: #9e9e9e;\">*12. Saya rasa sukar untuk relaks<\/span><small class=\"sub-text style_italic\">I found it difficult to relax \u6211\u611f\u5230\u5f88\u96be\u653e\u677e\u81ea\u5df1<\/small><\/label><\/div><div class=\"input_holder radio-group no-pre-suffix\"><div class=\"col-sm-12 the-radios input_container error_message\" id=\"the-radios\" data-checked-color=\"\" data-checked-class=\"fa-circle\" data-unchecked-class=\"\" data-placement=\"bottom\" data-content=\"Required\" title=\"\"><label class=\"radio-inline \" for=\"12_saya_rasa_sukar_untuk_relaks_00\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"s12\" id=\"12_saya_rasa_sukar_untuk_relaks_00\" value=\"0\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">0<\/span><\/span><\/label><label class=\"radio-inline \" for=\"12_saya_rasa_sukar_untuk_relaks_11\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"s12\" id=\"12_saya_rasa_sukar_untuk_relaks_11\" value=\"1\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">1<\/span><\/span><\/label><label class=\"radio-inline \" for=\"12_saya_rasa_sukar_untuk_relaks_22\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"s12\" id=\"12_saya_rasa_sukar_untuk_relaks_22\" value=\"2\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">2<\/span><\/span><\/label><label class=\"radio-inline \" for=\"12_saya_rasa_sukar_untuk_relaks_33\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"s12\" id=\"12_saya_rasa_sukar_untuk_relaks_33\" value=\"3\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">3<\/span><\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields radio-group common_fields selection_fields required\" data-settings=\".s-radios\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" data-id=\"_16787\" id=\"_16787\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-family: Arial, Helvetica, sans-serif; font-size: 13px; color: #9e9e9e;\">*13. Saya rasa sedih dan murung<\/span><small class=\"sub-text style_italic\">I felt down-hearted and blue \u6211\u611f\u5230\u5fe7\u90c1\u6cae\u4e27<\/small><\/label><\/div><div class=\"input_holder radio-group no-pre-suffix\"><div class=\"col-sm-12 the-radios input_container error_message\" id=\"the-radios\" data-checked-color=\"\" data-checked-class=\"fa-circle\" data-unchecked-class=\"\" data-placement=\"bottom\" data-content=\"Required\" title=\"\"><label class=\"radio-inline \" for=\"13_saya_rasa_sedih_dan_murung_00\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"d13\" id=\"13_saya_rasa_sedih_dan_murung_00\" value=\"0\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">0<\/span><\/span><\/label><label class=\"radio-inline \" for=\"13_saya_rasa_sedih_dan_murung_11\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"d13\" id=\"13_saya_rasa_sedih_dan_murung_11\" value=\"1\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">1<\/span><\/span><\/label><label class=\"radio-inline \" for=\"13_saya_rasa_sedih_dan_murung_22\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"d13\" id=\"13_saya_rasa_sedih_dan_murung_22\" value=\"2\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">2<\/span><\/span><\/label><label class=\"radio-inline \" for=\"13_saya_rasa_sedih_dan_murung_33\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"d13\" id=\"13_saya_rasa_sedih_dan_murung_33\" value=\"3\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">3<\/span><\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields radio-group common_fields selection_fields required\" data-settings=\".s-radios\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" data-id=\"_87072\" id=\"_87072\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-family: Arial, Helvetica, sans-serif; font-size: 13px; color: #9e9e9e;\">*14. Saya tidak dapat menahan sabar dengan perkara yang menghalang saya meneruskan apa yang saya lakukan<\/span><small class=\"sub-text style_italic\">I was intolerant of anything that kept me from getting on with what Iwas doing \u6211\u65e0\u6cd5\u5bb9\u5fcd\u4efb\u4f55\u963b\u788d\u6211\u7ee7\u7eed\u5de5\u4f5c\u7684\u4e8b\u60c5<\/small><\/label><\/div><div class=\"input_holder radio-group no-pre-suffix\"><div class=\"col-sm-12 the-radios input_container error_message\" id=\"the-radios\" data-checked-color=\"\" data-checked-class=\"fa-circle\" data-unchecked-class=\"\" data-placement=\"bottom\" data-content=\"Required\" title=\"\"><label class=\"radio-inline \" for=\"14_saya_tidak_dapat_menahan_sabar_dengan_perkara_yang_menghalang_saya_meneruskan_apa_yang_saya_lakukan_00\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"s14\" id=\"14_saya_tidak_dapat_menahan_sabar_dengan_perkara_yang_menghalang_saya_meneruskan_apa_yang_saya_lakukan_00\" value=\"0\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">0<\/span><\/span><\/label><label class=\"radio-inline \" for=\"14_saya_tidak_dapat_menahan_sabar_dengan_perkara_yang_menghalang_saya_meneruskan_apa_yang_saya_lakukan_11\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"s14\" id=\"14_saya_tidak_dapat_menahan_sabar_dengan_perkara_yang_menghalang_saya_meneruskan_apa_yang_saya_lakukan_11\" value=\"1\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">1<\/span><\/span><\/label><label class=\"radio-inline \" for=\"14_saya_tidak_dapat_menahan_sabar_dengan_perkara_yang_menghalang_saya_meneruskan_apa_yang_saya_lakukan_22\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"s14\" id=\"14_saya_tidak_dapat_menahan_sabar_dengan_perkara_yang_menghalang_saya_meneruskan_apa_yang_saya_lakukan_22\" value=\"2\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">2<\/span><\/span><\/label><label class=\"radio-inline \" for=\"14_saya_tidak_dapat_menahan_sabar_dengan_perkara_yang_menghalang_saya_meneruskan_apa_yang_saya_lakukan_33\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"s14\" id=\"14_saya_tidak_dapat_menahan_sabar_dengan_perkara_yang_menghalang_saya_meneruskan_apa_yang_saya_lakukan_33\" value=\"3\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">3<\/span><\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields radio-group common_fields selection_fields required\" data-settings=\".s-radios\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" data-id=\"_92492\" id=\"_92492\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-family: Arial, Helvetica, sans-serif; font-size: 13px; color: #9e9e9e;\">*15. Saya rasa hampir-hampir menjadi panik\/cemas<\/span><small class=\"sub-text style_italic\">I felt I was close to panic \u6211\u611f\u5230\u5feb\u8981\u5d29\u6e83\u4e86<\/small><\/label><\/div><div class=\"input_holder radio-group no-pre-suffix\"><div class=\"col-sm-12 the-radios input_container error_message\" id=\"the-radios\" data-checked-color=\"\" data-checked-class=\"fa-circle\" data-unchecked-class=\"\" data-placement=\"bottom\" data-content=\"Required\" title=\"\"><label class=\"radio-inline \" for=\"15_saya_rasa_hampir-hampir_menjadi_panikcemas_00\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"a15\" id=\"15_saya_rasa_hampir-hampir_menjadi_panikcemas_00\" value=\"0\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">0<\/span><\/span><\/label><label class=\"radio-inline \" for=\"15_saya_rasa_hampir-hampir_menjadi_panikcemas_11\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"a15\" id=\"15_saya_rasa_hampir-hampir_menjadi_panikcemas_11\" value=\"1\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">1<\/span><\/span><\/label><label class=\"radio-inline \" for=\"15_saya_rasa_hampir-hampir_menjadi_panikcemas_22\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"a15\" id=\"15_saya_rasa_hampir-hampir_menjadi_panikcemas_22\" value=\"2\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">2<\/span><\/span><\/label><label class=\"radio-inline \" for=\"15_saya_rasa_hampir-hampir_menjadi_panikcemas_33\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"a15\" id=\"15_saya_rasa_hampir-hampir_menjadi_panikcemas_33\" value=\"3\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">3<\/span><\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields radio-group common_fields selection_fields required\" data-settings=\".s-radios\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" data-id=\"_26728\" id=\"_26728\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-family: Arial, Helvetica, sans-serif; font-size: 13px; color: #9e9e9e;\">*16. Saya tidak bersemangat dengan apa jua yang saya lakukan<\/span><small class=\"sub-text style_italic\">I was unable to become enthusiastic about anything \u6211\u5bf9\u4efb\u4f55\u4e8b\u60c5\u90fd\u4e0d\u80fd\u4ea7\u751f\u70ed\u60c5<\/small><\/label><\/div><div class=\"input_holder radio-group no-pre-suffix\"><div class=\"col-sm-12 the-radios input_container error_message\" id=\"the-radios\" data-checked-color=\"\" data-checked-class=\"fa-circle\" data-unchecked-class=\"\" data-placement=\"bottom\" data-content=\"Required\" title=\"\"><label class=\"radio-inline \" for=\"16_saya_tidak_bersemangat_dengan_apa_jua_yang_saya_lakukan_00\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"d16\" id=\"16_saya_tidak_bersemangat_dengan_apa_jua_yang_saya_lakukan_00\" value=\"0\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">0<\/span><\/span><\/label><label class=\"radio-inline \" for=\"16_saya_tidak_bersemangat_dengan_apa_jua_yang_saya_lakukan_11\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"d16\" id=\"16_saya_tidak_bersemangat_dengan_apa_jua_yang_saya_lakukan_11\" value=\"1\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">1<\/span><\/span><\/label><label class=\"radio-inline \" for=\"16_saya_tidak_bersemangat_dengan_apa_jua_yang_saya_lakukan_22\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"d16\" id=\"16_saya_tidak_bersemangat_dengan_apa_jua_yang_saya_lakukan_22\" value=\"2\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">2<\/span><\/span><\/label><label class=\"radio-inline \" for=\"16_saya_tidak_bersemangat_dengan_apa_jua_yang_saya_lakukan_33\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"d16\" id=\"16_saya_tidak_bersemangat_dengan_apa_jua_yang_saya_lakukan_33\" value=\"3\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">3<\/span><\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields radio-group common_fields selection_fields required\" data-settings=\".s-radios\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" data-id=\"_51361\" id=\"_51361\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-family: Arial, Helvetica, sans-serif; font-size: 13px; color: #9e9e9e;\">*17. Saya rasa tidak begitu berharga sebagai seorang individu<\/span><small class=\"sub-text style_italic\">I felt I wasn\u2019t worth much as a person \u6211\u89c9\u5f97\u81ea\u5df1\u4e0d\u600e\u4e48\u914d\u505a\u4eba<\/small><\/label><\/div><div class=\"input_holder radio-group no-pre-suffix\"><div class=\"col-sm-12 the-radios input_container error_message\" id=\"the-radios\" data-checked-color=\"\" data-checked-class=\"fa-circle\" data-unchecked-class=\"\" data-placement=\"bottom\" data-content=\"Required\" title=\"\"><label class=\"radio-inline \" for=\"17_saya_rasa_tidak_begitu_berharga_sebagai_seorang_individu_00\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"d17\" id=\"17_saya_rasa_tidak_begitu_berharga_sebagai_seorang_individu_00\" value=\"0\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">0<\/span><\/span><\/label><label class=\"radio-inline \" for=\"17_saya_rasa_tidak_begitu_berharga_sebagai_seorang_individu_11\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"d17\" id=\"17_saya_rasa_tidak_begitu_berharga_sebagai_seorang_individu_11\" value=\"1\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">1<\/span><\/span><\/label><label class=\"radio-inline \" for=\"17_saya_rasa_tidak_begitu_berharga_sebagai_seorang_individu_22\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"d17\" id=\"17_saya_rasa_tidak_begitu_berharga_sebagai_seorang_individu_22\" value=\"2\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">2<\/span><\/span><\/label><label class=\"radio-inline \" for=\"17_saya_rasa_tidak_begitu_berharga_sebagai_seorang_individu_33\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"d17\" id=\"17_saya_rasa_tidak_begitu_berharga_sebagai_seorang_individu_33\" value=\"3\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">3<\/span><\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields radio-group common_fields selection_fields\" data-settings=\".s-radios\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" data-id=\"_60327\" id=\"_60327\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-family: Arial, Helvetica, sans-serif; font-size: 13px; color: #9e9e9e;\">18. Saya rasa saya mudah tersentuh<\/span><small class=\"sub-text style_italic\">I felt that I was rather touchy \u6211\u53d1\u89c9\u81ea\u5df1\u5f88\u5bb9\u6613\u88ab\u89e6\u6012<\/small><\/label><\/div><div class=\"input_holder radio-group no-pre-suffix\"><div class=\"col-sm-12 the-radios input_container error_message\" id=\"the-radios\" data-checked-color=\"\" data-checked-class=\"fa-circle\" data-unchecked-class=\"\" data-placement=\"bottom\" data-content=\"Required\" title=\"\"><label class=\"radio-inline \" for=\"18_saya_rasa_saya_mudah_tersentuh_00\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"s18\" id=\"18_saya_rasa_saya_mudah_tersentuh_00\" value=\"0\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">0<\/span><\/span><\/label><label class=\"radio-inline \" for=\"18_saya_rasa_saya_mudah_tersentuh_11\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"s18\" id=\"18_saya_rasa_saya_mudah_tersentuh_11\" value=\"1\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">1<\/span><\/span><\/label><label class=\"radio-inline \" for=\"18_saya_rasa_saya_mudah_tersentuh_22\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"s18\" id=\"18_saya_rasa_saya_mudah_tersentuh_22\" value=\"2\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">2<\/span><\/span><\/label><label class=\"radio-inline \" for=\"18_saya_rasa_saya_mudah_tersentuh_33\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"s18\" id=\"18_saya_rasa_saya_mudah_tersentuh_33\" value=\"3\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">3<\/span><\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields radio-group common_fields selection_fields required\" data-settings=\".s-radios\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" data-id=\"_68738\" id=\"_68738\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-family: Arial, Helvetica, sans-serif; font-size: 13px; color: #9e9e9e;\">*19. Saya sedar tindakbalas jantung saya walaupun tidak melakukan aktiviti fizikal (contohnya kadar denyutan jantung bertambah, atau denyutan jantung berkurangan)<\/span><small class=\"sub-text style_italic\">I was aware of the action of my heart in the absence of physical exertion (e.g. sense of heart rate increase, heart missing a beat) \u5373\u4f7f\u5728\u6ca1\u6709\u660e\u663e\u7684\u4f53\u529b\u6d3b\u52a8\u65f6\uff0c\u6211\u4e5f\u611f\u5230\u5fc3\u5f8b\u4e0d\u6b63\u5e38<\/small><\/label><\/div><div class=\"input_holder radio-group no-pre-suffix\"><div class=\"col-sm-12 the-radios input_container error_message\" id=\"the-radios\" data-checked-color=\"\" data-checked-class=\"fa-circle\" data-unchecked-class=\"\" data-placement=\"bottom\" data-content=\"Required\" title=\"\"><label class=\"radio-inline \" for=\"19_saya_sedar_tindakbalas_jantung_saya_walaupun_tidak_melakukan_aktiviti_fizikal_contohnya_kadar_denyutan_jantung_bertambah_atau_denyutan_jantung_berkurangan_00\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"a19\" id=\"19_saya_sedar_tindakbalas_jantung_saya_walaupun_tidak_melakukan_aktiviti_fizikal_contohnya_kadar_denyutan_jantung_bertambah_atau_denyutan_jantung_berkurangan_00\" value=\"0\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">0<\/span><\/span><\/label><label class=\"radio-inline \" for=\"19_saya_sedar_tindakbalas_jantung_saya_walaupun_tidak_melakukan_aktiviti_fizikal_contohnya_kadar_denyutan_jantung_bertambah_atau_denyutan_jantung_berkurangan_11\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"a19\" id=\"19_saya_sedar_tindakbalas_jantung_saya_walaupun_tidak_melakukan_aktiviti_fizikal_contohnya_kadar_denyutan_jantung_bertambah_atau_denyutan_jantung_berkurangan_11\" value=\"1\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">1<\/span><\/span><\/label><label class=\"radio-inline \" for=\"19_saya_sedar_tindakbalas_jantung_saya_walaupun_tidak_melakukan_aktiviti_fizikal_contohnya_kadar_denyutan_jantung_bertambah_atau_denyutan_jantung_berkurangan_22\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"a19\" id=\"19_saya_sedar_tindakbalas_jantung_saya_walaupun_tidak_melakukan_aktiviti_fizikal_contohnya_kadar_denyutan_jantung_bertambah_atau_denyutan_jantung_berkurangan_22\" value=\"2\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">2<\/span><\/span><\/label><label class=\"radio-inline \" for=\"19_saya_sedar_tindakbalas_jantung_saya_walaupun_tidak_melakukan_aktiviti_fizikal_contohnya_kadar_denyutan_jantung_bertambah_atau_denyutan_jantung_berkurangan_33\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"a19\" id=\"19_saya_sedar_tindakbalas_jantung_saya_walaupun_tidak_melakukan_aktiviti_fizikal_contohnya_kadar_denyutan_jantung_bertambah_atau_denyutan_jantung_berkurangan_33\" value=\"3\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">3<\/span><\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields radio-group common_fields selection_fields required\" data-settings=\".s-radios\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" data-id=\"_3093\" id=\"_3093\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-family: Arial, Helvetica, sans-serif; font-size: 13px; color: #9e9e9e;\">*20. Saya berasa takut tanpa sebab yang munasabah<\/span><small class=\"sub-text style_italic\">Sub label I felt scared without any good reason \u6211\u65e0\u7f18\u65e0\u6545\u5730\u611f\u5230\u5bb3\u6015<\/small><\/label><\/div><div class=\"input_holder radio-group no-pre-suffix\"><div class=\"col-sm-12 the-radios input_container error_message\" id=\"the-radios\" data-checked-color=\"\" data-checked-class=\"fa-circle\" data-unchecked-class=\"\" data-placement=\"bottom\" data-content=\"Required\" title=\"\"><label class=\"radio-inline \" for=\"20_saya_berasa_takut_tanpa_sebab_yang_munasabah_00\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"a20\" id=\"20_saya_berasa_takut_tanpa_sebab_yang_munasabah_00\" value=\"0\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">0<\/span><\/span><\/label><label class=\"radio-inline \" for=\"20_saya_berasa_takut_tanpa_sebab_yang_munasabah_11\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"a20\" id=\"20_saya_berasa_takut_tanpa_sebab_yang_munasabah_11\" value=\"1\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">1<\/span><\/span><\/label><label class=\"radio-inline \" for=\"20_saya_berasa_takut_tanpa_sebab_yang_munasabah_22\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"a20\" id=\"20_saya_berasa_takut_tanpa_sebab_yang_munasabah_22\" value=\"2\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">2<\/span><\/span><\/label><label class=\"radio-inline \" for=\"20_saya_berasa_takut_tanpa_sebab_yang_munasabah_33\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"a20\" id=\"20_saya_berasa_takut_tanpa_sebab_yang_munasabah_33\" value=\"3\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">3<\/span><\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields radio-group common_fields selection_fields required\" data-settings=\".s-radios\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" data-id=\"_50677\" id=\"_50677\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-family: Arial, Helvetica, sans-serif; font-size: 13px; color: #9e9e9e;\">*21. Saya rasa hidup ini tidak bermakna<\/span><small class=\"sub-text style_italic\">I felt that life was meaningless \u6211\u611f\u5230\u751f\u547d\u6beb\u65e0\u610f\u4e49<\/small><\/label><\/div><div class=\"input_holder radio-group no-pre-suffix\"><div class=\"col-sm-12 the-radios input_container error_message\" id=\"the-radios\" data-checked-color=\"\" data-checked-class=\"fa-circle\" data-unchecked-class=\"\" data-placement=\"bottom\" data-content=\"Required\" title=\"\"><label class=\"radio-inline \" for=\"21_saya_rasa_hidup_ini_tidak_bermakna_00\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"d21\" id=\"21_saya_rasa_hidup_ini_tidak_bermakna_00\" value=\"0\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">0<\/span><\/span><\/label><label class=\"radio-inline \" for=\"21_saya_rasa_hidup_ini_tidak_bermakna_11\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"d21\" id=\"21_saya_rasa_hidup_ini_tidak_bermakna_11\" value=\"1\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">1<\/span><\/span><\/label><label class=\"radio-inline \" for=\"21_saya_rasa_hidup_ini_tidak_bermakna_22\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"d21\" id=\"21_saya_rasa_hidup_ini_tidak_bermakna_22\" value=\"2\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">2<\/span><\/span><\/label><label class=\"radio-inline \" for=\"21_saya_rasa_hidup_ini_tidak_bermakna_33\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"d21\" id=\"21_saya_rasa_hidup_ini_tidak_bermakna_33\" value=\"3\" style=\"display: none;\"><a class=\"fa ui-state-default\"><\/a><\/div><span class=\"input-label radio-label\">3<\/span><\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"nex_prev_steps grid-system-2 is_grid\" data-settings=\".s-grid\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" data-id=\"_59764\" id=\"_59764\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row grid_row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"grid_input_holder id-_59764  col-xs-6 grid-target-0\" data-grid-width=\"6\" data-grid-num=\"0\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"form_field all_fields submit-button the_submit button_fields common_fields preset_fields special_fields selection_fields\" data-settings=\".s-submit\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" style=\"position: relative; top: 0px; left: 0px; margin-bottom: 15px;\" data-id=\"_16195\" id=\"_16195\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12\" id=\"field_container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12 input_container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <button class=\"prev-step svg_ready the_input_element btn btn-default ui-state-default col-sm-12 add_shine\" data-ga=\"\" style=\"font-family: Arial, Helvetica, sans-serif;\">Back<\/button>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"grid_input_holder id-_59764  col-xs-6 grid-target-1\" data-grid-width=\"6\" data-grid-num=\"1\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"form_field all_fields submit-button the_submit button_fields common_fields preset_fields special_fields selection_fields\" data-settings=\".s-submit\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" style=\"position: relative; top: 0px; margin-bottom: 15px; z-index: 1000; left: 0px;\" data-id=\"_96918\" id=\"_96918\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12\" id=\"field_container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12 input_container align_right\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <button class=\"nex-step svg_ready the_input_element btn btn-default ui-state-default col-sm-12 add_shine\" data-ga=\"\" style=\"font-family: Arial, Helvetica, sans-serif; background-color: #5bc0de;\">Next<\/button>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div><div class=\"custom-fields step nf_multi_step_5 is_grid\" data-step-num=\"5\" style=\"position: relative; left: 0px; top: 0px; display: none;\" data-step-name=\"Result\" data-settings=\".s-step\" data-id=\"_15778\" id=\"_15778\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"grid-system-3 is_grid\" data-settings=\".s-grid\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" id=\"_48879\" style=\"position: relative; top: 0px;\"><div class=\"row  grid_row\"><div class=\"grid_input_holder id-_48879  col-sm-4 grid-target-0\" data-grid-width=\"4\" data-grid-num=\"0\"><div class=\"form_field all_fields paragraph html_fields\" data-settings=\".s-paragraph\" data-settings-tabs=\"#input-settings, #animation-settings, #math-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px;\" id=\"_90485\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\" style=\"background-color: #00bcd4;\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input type=\"hidden\" class=\"set_math_result\" value=\"0\" name=\"math_result\"><div class=\"the_input_element\" data-math-equation=\"\" data-original-math-equation=\"\" data-decimal-places=\"0\" style=\"font-family: Arial, Helvetica, sans-serif; font-size: 20px;\">Skor Tekanan\/ \nStress score \/\n\u538b\u529b\u6307\u6570<\/div><div style=\"clear:both;\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_48879  col-sm-4 grid-target-1\" data-grid-width=\"4\" data-grid-num=\"1\"><div class=\"form_field all_fields paragraph html_fields\" data-settings=\".s-paragraph\" data-settings-tabs=\"#input-settings, #animation-settings, #math-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px;\" id=\"_22239\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\" style=\"background-color: #00bcd4;\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input type=\"hidden\" class=\"set_math_result\" value=\"0\" name=\"math_result\"><div class=\"the_input_element\" data-math-equation=\"\" data-original-math-equation=\"\" data-decimal-places=\"0\" style=\"font-family: Arial, Helvetica, sans-serif; font-size: 20px;\">Skor Kemurungan\/ \nDepression score\/ \n\u5fe7\u90c1\u6307\u6570<\/div><div style=\"clear:both;\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_48879  col-sm-4 grid-target-2\" data-grid-width=\"4\" data-grid-num=\"2\"><div class=\"form_field all_fields paragraph html_fields\" data-settings=\".s-paragraph\" data-settings-tabs=\"#input-settings, #animation-settings, #math-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px; z-index: 1000; left: 0px;\" id=\"_77732\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\" style=\"background-color: #00bcd4;\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input type=\"hidden\" class=\"set_math_result\" value=\"0\" name=\"math_result\"><div class=\"the_input_element\" data-math-equation=\"\" data-original-math-equation=\"\" data-decimal-places=\"0\" style=\"font-family: Arial, Helvetica, sans-serif; font-size: 20px;\">Skor Kebimbangan\/ \nAnxiety score\/ \n\u7126\u8651\u6307\u6570<\/div><div style=\"clear:both;\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid-system-3 is_grid\" data-settings=\".s-grid\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" id=\"_30663\" style=\"position: relative; top: 0px;\" data-grid-name=\"Score Result\"><div class=\"row  grid_row\"><div class=\"grid_input_holder id-_30663  col-sm-4 grid-target-0\" data-grid-width=\"4\" data-grid-num=\"0\"><div class=\"form_field all_fields math_logic html_fields\" data-settings=\".s-math\" data-settings-tabs=\"#input-settings, #animation-settings, #math-settings\" style=\"margin-bottom: 15px;\" id=\"_73855\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\" style=\"background-color: #00bcd4;\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input type=\"hidden\" class=\"set_math_result\" value=\"0\" name=\"stress\"><h1 class=\"the_input_element\" data-math-equation=\"({s1}+{s6}+{s8}+{s11}+{s12}+{s14}+{s18})*2\" data-original-math-equation=\"({s1}+{s6}+{s8}+{s11}+{s12}+{s14}+{s18})*2\" data-decimal-places=\"0\" style=\"font-family: Arial, Helvetica, sans-serif; color: #666666;\" data-animate-count=\"yes\"><span class=\"math_result\">0<\/span><\/h1><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_30663  col-sm-4 grid-target-1\" data-grid-width=\"4\" data-grid-num=\"1\"><div class=\"form_field all_fields math_logic html_fields\" data-settings=\".s-math\" data-settings-tabs=\"#input-settings, #animation-settings, #math-settings\" style=\"margin-bottom: 15px;\" id=\"_52997\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\" style=\"background-color: #00bcd4;\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input type=\"hidden\" class=\"set_math_result\" value=\"0\" name=\"depression\"><h1 class=\"the_input_element\" data-math-equation=\"({d3}+{d5}+{d10}+{d13}+{d16}+{d17}+{d21})*2\" data-original-math-equation=\"({d3}+{d5}+{d10}+{d13}+{d16}+{d17}+{d21})*2\" data-decimal-places=\"0\" style=\"font-family: Arial, Helvetica, sans-serif;\"><span class=\"math_result\">0<\/span><\/h1><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_30663  col-sm-4 grid-target-2\" data-grid-width=\"4\" data-grid-num=\"2\"><div class=\"form_field all_fields math_logic html_fields\" data-settings=\".s-math\" data-settings-tabs=\"#input-settings, #animation-settings, #math-settings\" style=\"margin-bottom: 15px;\" id=\"_39931\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\" style=\"background-color: #00bcd4;\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input type=\"hidden\" class=\"set_math_result\" value=\"0\" name=\"anxiety\"><h1 class=\"the_input_element\" data-math-equation=\"({a2}+{a4}+{a7}+{a9}+{a15}+{a19}+{a20})*2\" data-original-math-equation=\"({a2}+{a4}+{a7}+{a9}+{a15}+{a19}+{a20})*2\" data-decimal-places=\"0\" style=\"font-family: Arial, Helvetica, sans-serif;\"><span class=\"math_result\">0<\/span><\/h1><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields html html_fields\" data-settings=\".s-html\" data-settings-tabs=\"#input-settings, #animation-settings, #math-settings\" style=\"margin-bottom: 15px;\" data-id=\"_35042\" id=\"_35042\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input type=\"hidden\" class=\"set_math_result\" value=\"0\" name=\"math_result\"><div class=\"the_input_element\" data-math-equation=\"\" data-original-math-equation=\"\" data-decimal-places=\"0\" style=\"font-family: Arial, Helvetica, sans-serif;\"><br><table width=\"600\" border=\"1\">  <tbody>    <tr>      <td>&nbsp;<\/td>      <td>Tekanan\/ Stress<\/td>      <td>Kemurungan\/ Depression<\/td>\t <td>Keresahan\/ Anxiety<\/td>    <\/tr>    <tr>      <td>Normal (normal) <\/td>      <td>0-14 <\/td>      <td>0-9<\/td>\t  <td>0-7<\/td>    <\/tr>    <tr>      <td>Mild (ringan)<\/td>      <td>15-18 <\/td>      <td>10-13<\/td>\t  <td>8-9<\/td>    <\/tr>    <tr>      <td>Moderate (sederhana)<\/td>      <td>19-25<\/td>      <td>14-20<\/td>\t  <td>10-14<\/td>    <\/tr>\t<tr>      <td>Severe (teruk)<\/td>      <td>26-33<\/td>      <td>21-27<\/td>\t  <td>15-19<\/td>    <\/tr>    <tr>      <td>Extremely severe (sangat teruk)<\/td><td>34+<\/td>      <td>28+<\/td>\t  <td>20+<\/td>    <\/tr>  <\/tbody><\/table><br><br><\/div><div style=\"clear:both;\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"nex_prev_steps grid-system-2 is_grid\" data-settings=\".s-grid\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" data-id=\"_51049\" id=\"_51049\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row grid_row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"grid_input_holder id-_51049  col-xs-6 grid-target-0\" data-grid-width=\"6\" data-grid-num=\"0\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"form_field all_fields submit-button the_submit button_fields common_fields preset_fields special_fields selection_fields\" data-settings=\".s-submit\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" style=\"position: relative; top: 0px; left: 0px; margin-bottom: 15px;\" data-id=\"_28661\" id=\"_28661\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12\" id=\"field_container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12 input_container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <button class=\"prev-step svg_ready the_input_element btn btn-default ui-state-default col-sm-12 add_shine\" data-ga=\"\" style=\"font-family: Arial, Helvetica, sans-serif;\">Back<\/button>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"grid_input_holder id-_51049  col-xs-6 grid-target-1\" data-grid-width=\"6\" data-grid-num=\"1\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form_field all_fields submit-button the_submit button_fields common_fields preset_fields special_fields selection_fields\" data-settings=\".s-submit\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px; z-index: 1000; left: 0px;\" data-id=\"_29739\" id=\"_29739\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container align_right\"><button class=\"svg_ready the_input_element btn btn-default nex-submit ui-state-default col-sm-12\" data-ga=\"\" style=\"font-family: Arial, Helvetica, sans-serif; background-color: #8bc34a;\">Submit<\/button><\/div><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div><div style=\"clear:both;\"><\/div><\/form><\/div><\/div><\/div><\/div><\/div><style type=\"text\/css\" class=\"nex-forms-custom-css\"><\/style>\n<\/div><\/div><\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"ngg_post_thumbnail":0,"footnotes":""},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.3 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ 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