{"id":12615,"date":"2024-03-19T14:40:01","date_gmt":"2024-03-19T06:40:01","guid":{"rendered":"https:\/\/www.wholesome.global\/?page_id=12615"},"modified":"2024-03-25T10:33:56","modified_gmt":"2024-03-25T02:33:56","slug":"%e5%ae%b6%e5%ba%ad%e7%94%b3%e8%ab%8b","status":"publish","type":"page","link":"https:\/\/www.wholesome.global\/zh-hant\/%e5%ae%b6%e5%ba%ad%e7%94%b3%e8%ab%8b\/","title":{"rendered":"\u5bb6\u5ead\u7533\u8acb"},"content":{"rendered":"<div id=\"quform-2a6933\" class=\"quform quform-2 quform-support-page-caching\"><form id=\"quform-form-2a6933\" class=\"quform-form quform-form-2\" action=\"\/zh-hant\/wp-json\/wp\/v2\/pages\/12615#quform-2a6933\" method=\"post\" enctype=\"multipart\/form-data\" novalidate=\"novalidate\" 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+687\">New Caledonia    +687<\/option><option value=\"New Zealand    +64\">New Zealand    +64<\/option><option value=\"Nicaragua    +505\">Nicaragua    +505<\/option><option value=\"Niger    +227\">Niger    +227<\/option><option value=\"Nigeria    +234\">Nigeria    +234<\/option><option value=\"Niue    +683\">Niue    +683<\/option><option value=\"Norfolk Island    +672\">Norfolk Island    +672<\/option><option value=\"Northern Marianas Islands (Saipan, Rota &amp; Tinian)    +1-670\">Northern Marianas Islands (Saipan, Rota &amp; Tinian)    +1-670<\/option><option value=\"Norway    +47\">Norway    +47<\/option><option value=\"Oman    +968\">Oman    +968<\/option><option value=\"Pakistan    +92\">Pakistan    +92<\/option><option value=\"Palau    +680\">Palau    +680<\/option><option value=\"Palestinian Settlements    +970\">Palestinian Settlements    +970<\/option><option value=\"Panama    +507\">Panama    +507<\/option><option value=\"Papua New Guinea    +675\">Papua New Guinea    +675<\/option><option value=\"Paraguay    +595\">Paraguay    +595<\/option><option value=\"Peru    +51\">Peru    +51<\/option><option value=\"Philippines    +63\">Philippines    +63<\/option><option value=\"Poland    +48\">Poland    +48<\/option><option value=\"Portugal    +351\">Portugal    +351<\/option><option value=\"Puerto Rico    +1-787 or +1-939\">Puerto Rico    +1-787 or +1-939<\/option><option value=\"Qatar    +974\">Qatar    +974<\/option><option value=\"R\u00e9union Island    +262\">R\u00e9union Island    +262<\/option><option value=\"Romania    +40\">Romania    +40<\/option><option value=\"Russia    +7\">Russia    +7<\/option><option value=\"Rwandese Republic    +250\">Rwandese Republic    +250<\/option><option value=\"St. Helena    +290\">St. Helena    +290<\/option><option value=\"St. Kitts\/Nevis    +1-869\">St. Kitts\/Nevis    +1-869<\/option><option value=\"St. Lucia    +1-758\">St. Lucia    +1-758<\/option><option value=\"St. Pierre &amp; Miquelon    +508\">St. Pierre &amp; Miquelon    +508<\/option><option value=\"St. Vincent &amp; Grenadines    +1-784\">St. Vincent &amp; Grenadines    +1-784<\/option><option value=\"Samoa    +685\">Samoa    +685<\/option><option value=\"San Marino    +378\">San Marino    +378<\/option><option value=\"S\u00e3o Tom\u00e9 and Principe    +239\">S\u00e3o Tom\u00e9 and Principe    +239<\/option><option value=\"Saudi Arabia    +966\">Saudi Arabia    +966<\/option><option value=\"Senegal    +221\">Senegal    +221<\/option><option value=\"Serbia    +381\">Serbia    +381<\/option><option value=\"Seychelles Republic    +248\">Seychelles Republic    +248<\/option><option value=\"Sierra Leone    +232\">Sierra Leone    +232<\/option><option value=\"Singapore    +65\">Singapore    +65<\/option><option value=\"Slovak Republic    +421\">Slovak Republic    +421<\/option><option value=\"Slovenia    +386\">Slovenia    +386<\/option><option value=\"Solomon Islands    +677\">Solomon Islands    +677<\/option><option value=\"Somali Democratic Republic    +252\">Somali Democratic Republic    +252<\/option><option value=\"South Africa    +27\">South Africa    +27<\/option><option value=\"Spain    +34\">Spain    +34<\/option><option value=\"Sri Lanka    +94\">Sri Lanka    +94<\/option><option value=\"Sudan    +249\">Sudan    +249<\/option><option value=\"Suriname    +597\">Suriname    +597<\/option><option value=\"Swaziland    +268\">Swaziland    +268<\/option><option value=\"Sweden    +46\">Sweden    +46<\/option><option value=\"Switzerland    +41\">Switzerland    +41<\/option><option value=\"Syria    +963\">Syria    +963<\/option><option value=\"Taiwan    +886\">Taiwan    +886<\/option><option value=\"Tajikistan    +992\">Tajikistan    +992<\/option><option value=\"Tanzania    +255\">Tanzania    +255<\/option><option value=\"Thailand    +66\">Thailand    +66<\/option><option value=\"Thuraya (Mobile Satellite service)    +88216\">Thuraya (Mobile Satellite service)    +88216<\/option><option value=\"Timor Leste    +670\">Timor Leste    +670<\/option><option value=\"Togolese Republic    +228\">Togolese Republic    +228<\/option><option value=\"Tokelau    +690\">Tokelau    +690<\/option><option value=\"Tonga Islands    +676\">Tonga Islands    +676<\/option><option value=\"Trinidad &amp; Tobago    +1-868\">Trinidad &amp; Tobago    +1-868<\/option><option value=\"Tunisia    +216\">Tunisia    +216<\/option><option value=\"Turkey    +90\">Turkey    +90<\/option><option value=\"Turkmenistan    +993\">Turkmenistan    +993<\/option><option value=\"Turks and Caicos Islands    +1-649\">Turks and Caicos Islands    +1-649<\/option><option value=\"Tuvalu    +688\">Tuvalu    +688<\/option><option value=\"Uganda    +256\">Uganda    +256<\/option><option value=\"Ukraine    +380\">Ukraine    +380<\/option><option value=\"United Arab Emirates    +971\">United Arab Emirates    +971<\/option><option value=\"United Kingdom    +44\">United Kingdom    +44<\/option><option value=\"United States of America    +1\">United States of America    +1<\/option><option value=\"US Virgin Islands    +1-340\">US Virgin Islands    +1-340<\/option><option value=\"Universal Personal Telecommunications (UPT)    +878\">Universal Personal Telecommunications (UPT)    +878<\/option><option value=\"Uruguay    +598\">Uruguay    +598<\/option><option value=\"Uzbekistan    +998\">Uzbekistan    +998<\/option><option value=\"Vanuatu    +678\">Vanuatu    +678<\/option><option value=\"Vatican City    +39 and +379\">Vatican City    +39 and +379<\/option><option value=\"Venezuela    +58\">Venezuela    +58<\/option><option value=\"Vietnam    +84\">Vietnam    +84<\/option><option value=\"Wake Island    +808\">Wake Island    +808<\/option><option value=\"Wallis and Futuna Islands    +681\">Wallis and Futuna Islands    +681<\/option><option value=\"Yemen    +967\">Yemen    +967<\/option><option value=\"Zambia    +260\">Zambia    +260<\/option><option value=\"Zanzibar    +255\">Zanzibar    +255<\/option><option value=\"Zimbabwe    +263\">Zimbabwe    +263<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-column quform-element-2_57\"><div class=\"quform-element quform-element-text quform-element-2_5 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-2_5\"><label class=\"quform-label-text\" for=\"quform_2_5_2a6933\">\u96fb\u8a71\u865f\u78bc<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-2_5\"><div class=\"quform-input quform-input-text quform-input-2_5 quform-cf\"><input type=\"text\" id=\"quform_2_5_2a6933\" name=\"quform_2_5\" class=\"quform-field quform-field-text quform-field-2_5\" \/><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-row quform-element-row-2_10 quform-2-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape\"><div class=\"quform-element quform-element-column quform-element-2_11\"><div class=\"quform-element quform-element-date quform-element-2_9 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-2_9\"><label class=\"quform-label-text\" for=\"quform_2_9_2a6933\">\u51fa\u751f\u65e5\u671f<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-date quform-inner-2_9\"><div class=\"quform-input quform-input-date quform-input-2_9 quform-cf quform-has-field-icon-right\"><input type=\"text\" id=\"quform_2_9_2a6933\" name=\"quform_2_9\" class=\"quform-field quform-field-date quform-field-2_9\" placeholder=\"YYYY-MM-DD\" data-options=\"{&quot;format&quot;:&quot;yyyy-MM-dd&quot;,&quot;min&quot;:&quot;&quot;,&quot;max&quot;:&quot;2026-04-17&quot;,&quot;start&quot;:&quot;century&quot;,&quot;depth&quot;:&quot;month&quot;,&quot;showFooter&quot;:false,&quot;locale&quot;:&quot;zh-TW&quot;,&quot;placeholder&quot;:&quot;&quot;,&quot;autoOpen&quot;:true,&quot;identifier&quot;:&quot;2_9&quot;}\" value=\"2000-01-01\" \/><span class=\"quform-field-icon quform-field-icon-right\"><i class=\"qicon-calendar\"><\/i><\/span><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-column quform-element-2_12\"><div class=\"quform-element quform-element-radio quform-element-2_14 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-2_14\"><label class=\"quform-label-text\" id=\"quform_2_14_2a6933_label\">\u6027\u5225<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-radio quform-inner-2_14\"><div class=\"quform-input quform-input-radio quform-input-2_14 quform-cf\"><div class=\"quform-options quform-cf quform-options-inline quform-options-simple\" role=\"radiogroup\" aria-labelledby=\"quform_2_14_2a6933_label\"><div class=\"quform-option\"><input type=\"radio\" name=\"quform_2_14\" id=\"quform_2_14_2a6933_1\" class=\"quform-field quform-field-radio quform-field-2_14 quform-field-2_14_1\" value=\"Male\" \/><label for=\"quform_2_14_2a6933_1\" class=\"quform-option-label quform-option-label-2_14_1\"><span class=\"quform-option-text\">\u7537\u6027<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_2_14\" id=\"quform_2_14_2a6933_2\" class=\"quform-field quform-field-radio quform-field-2_14 quform-field-2_14_2\" value=\"Female\" \/><label for=\"quform_2_14_2a6933_2\" class=\"quform-option-label quform-option-label-2_14_2\"><span class=\"quform-option-text\">\u5973\u6027<\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-group quform-element-2_60 quform-cf quform-group-style-bordered\"><div class=\"quform-spacer\"><div class=\"quform-group-title-description\"><h4 class=\"quform-group-title\">\u5bb6\u5ead\u6210\u54e1<\/h4><\/div><div class=\"quform-child-elements\"><div class=\"quform-element quform-element-group quform-element-2_72 quform-cf quform-group-style-plain\"><div class=\"quform-spacer\"><div class=\"quform-child-elements\"><div class=\"quform-element quform-element-text quform-element-2_68 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-2_68\"><label class=\"quform-label-text\" for=\"quform_2_68_2a6933\">\u6210\u54e1\u59d3\u540d<\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-2_68\"><div class=\"quform-input quform-input-text quform-input-2_68 quform-cf\"><input type=\"text\" id=\"quform_2_68_2a6933\" name=\"quform_2_68\" class=\"quform-field quform-field-text quform-field-2_68\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-row quform-element-row-2_61 quform-2-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape\"><div class=\"quform-element quform-element-column quform-element-2_62\"><div class=\"quform-element quform-element-date quform-element-2_71 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-2_71\"><label class=\"quform-label-text\" for=\"quform_2_71_2a6933\">\u51fa\u751f\u65e5\u671f<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-date quform-inner-2_71\"><div class=\"quform-input quform-input-date quform-input-2_71 quform-cf quform-has-field-icon-right\"><input type=\"text\" id=\"quform_2_71_2a6933\" name=\"quform_2_71\" class=\"quform-field quform-field-date quform-field-2_71\" placeholder=\"YYYY-MM-DD\" data-options=\"{&quot;format&quot;:&quot;yyyy-MM-dd&quot;,&quot;min&quot;:&quot;&quot;,&quot;max&quot;:&quot;2026-04-17&quot;,&quot;start&quot;:&quot;century&quot;,&quot;depth&quot;:&quot;month&quot;,&quot;showFooter&quot;:false,&quot;locale&quot;:&quot;zh-TW&quot;,&quot;placeholder&quot;:&quot;&quot;,&quot;autoOpen&quot;:true,&quot;identifier&quot;:&quot;2_71&quot;}\" value=\"2000-01-01\" \/><span class=\"quform-field-icon quform-field-icon-right\"><i class=\"qicon-calendar\"><\/i><\/span><\/div><\/div><\/div><\/div><input type=\"hidden\" name=\"quform_2_73\" class=\"quform-field quform-field-hidden quform-field-2_73\" data-default=\"\" \/><\/div><div class=\"quform-element quform-element-column quform-element-2_63\"><div class=\"quform-element quform-element-radio quform-element-2_69 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-2_69\"><label class=\"quform-label-text\" id=\"quform_2_69_2a6933_label\">\u6027\u5225<\/label><\/div><div class=\"quform-inner quform-inner-radio quform-inner-2_69\"><div class=\"quform-input quform-input-radio quform-input-2_69 quform-cf\"><div class=\"quform-options quform-cf quform-options-inline quform-options-simple\" role=\"radiogroup\" aria-labelledby=\"quform_2_69_2a6933_label\"><div class=\"quform-option\"><input type=\"radio\" name=\"quform_2_69\" id=\"quform_2_69_2a6933_4\" class=\"quform-field quform-field-radio quform-field-2_69 quform-field-2_69_4\" value=\"Male\" \/><label for=\"quform_2_69_2a6933_4\" class=\"quform-option-label quform-option-label-2_69_4\"><span class=\"quform-option-text\">\u7537\u6027<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_2_69\" id=\"quform_2_69_2a6933_5\" class=\"quform-field quform-field-radio quform-field-2_69 quform-field-2_69_5\" value=\"Female\" \/><label for=\"quform_2_69_2a6933_5\" class=\"quform-option-label quform-option-label-2_69_5\"><span class=\"quform-option-text\">\u5973\u6027<\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-group quform-element-2_46 quform-cf quform-group-style-bordered\"><div class=\"quform-spacer\"><div class=\"quform-group-title-description\"><h4 class=\"quform-group-title\">\u6e9d\u901a<\/h4><\/div><div class=\"quform-child-elements\"><div class=\"quform-element quform-element-select quform-element-2_52 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-2_52\"><label class=\"quform-label-text\" for=\"quform_2_52_2a6933\">\u570b\u7c4d<\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-2_52\"><div class=\"quform-input quform-input-select quform-input-2_52 quform-cf\"><select id=\"quform_2_52_2a6933\" name=\"quform_2_52\" class=\"quform-field quform-field-select quform-field-2_52 quform-field-select-enhanced\" data-options=\"{&quot;rtl&quot;:false,&quot;search&quot;:true,&quot;noResultsFound&quot;:&quot;\\u672a\\u627e\\u5230\\u7d50\\u679c\\u3002&quot;}\" style=\"width: 100%;\"><option value=\"\" selected=\"selected\">\u8acb\u9078\u64c7<\/option><option value=\"Afghanistan\">Afghanistan<\/option><option value=\"Albania\">Albania<\/option><option value=\"Algeria\">Algeria<\/option><option value=\"American Samoa\">American Samoa<\/option><option value=\"Andorra\">Andorra<\/option><option value=\"Angola\">Angola<\/option><option value=\"Anguilla\">Anguilla<\/option><option value=\"Antarctica\">Antarctica<\/option><option value=\"Antigua And Barbuda\">Antigua And Barbuda<\/option><option value=\"Argentina\">Argentina<\/option><option value=\"Armenia\">Armenia<\/option><option value=\"Aruba\">Aruba<\/option><option value=\"Australia\">Australia<\/option><option value=\"Austria\">Austria<\/option><option value=\"Azerbaijan\">Azerbaijan<\/option><option value=\"Bahamas\">Bahamas<\/option><option value=\"Bahrain\">Bahrain<\/option><option value=\"Bangladesh\">Bangladesh<\/option><option value=\"Barbados\">Barbados<\/option><option value=\"Belarus\">Belarus<\/option><option value=\"Belgium\">Belgium<\/option><option value=\"Belize\">Belize<\/option><option value=\"Benin\">Benin<\/option><option value=\"Bermuda\">Bermuda<\/option><option value=\"Bhutan\">Bhutan<\/option><option value=\"Bolivia\">Bolivia<\/option><option value=\"Bosnia And Herzegovina\">Bosnia And Herzegovina<\/option><option value=\"Botswana\">Botswana<\/option><option value=\"Bouvet Island\">Bouvet Island<\/option><option value=\"Brazil\">Brazil<\/option><option value=\"British Indian Ocean Territory\">British Indian Ocean Territory<\/option><option value=\"Brunei Darussalam\">Brunei Darussalam<\/option><option value=\"Bulgaria\">Bulgaria<\/option><option value=\"Burkina Faso\">Burkina Faso<\/option><option value=\"Burundi\">Burundi<\/option><option value=\"Cambodia\">Cambodia<\/option><option value=\"Cameroon\">Cameroon<\/option><option value=\"Canada\">Canada<\/option><option value=\"Cape Verde\">Cape Verde<\/option><option value=\"Cayman Islands\">Cayman Islands<\/option><option value=\"Central African Republic\">Central African Republic<\/option><option value=\"Chad\">Chad<\/option><option value=\"Chile\">Chile<\/option><option value=\"China\">China<\/option><option value=\"Christmas Island\">Christmas Island<\/option><option value=\"Cocos (Keeling) Islands\">Cocos (Keeling) Islands<\/option><option value=\"Colombia\">Colombia<\/option><option value=\"Comoros\">Comoros<\/option><option value=\"Congo\">Congo<\/option><option value=\"Congo, The Democratic Republic Of The\">Congo, The Democratic Republic Of The<\/option><option value=\"Cook Islands\">Cook Islands<\/option><option value=\"Costa Rica\">Costa Rica<\/option><option value=\"Cote D&#039;Ivoire\">Cote D&#039;Ivoire<\/option><option value=\"Croatia (Local Name: Hrvatska)\">Croatia (Local Name: Hrvatska)<\/option><option value=\"Cuba\">Cuba<\/option><option value=\"Cyprus\">Cyprus<\/option><option value=\"Czech Republic\">Czech Republic<\/option><option value=\"Denmark\">Denmark<\/option><option value=\"Djibouti\">Djibouti<\/option><option value=\"Dominica\">Dominica<\/option><option value=\"Dominican Republic\">Dominican Republic<\/option><option value=\"East Timor\">East Timor<\/option><option value=\"Ecuador\">Ecuador<\/option><option value=\"Egypt\">Egypt<\/option><option value=\"El Salvador\">El Salvador<\/option><option value=\"Equatorial Guinea\">Equatorial Guinea<\/option><option value=\"Eritrea\">Eritrea<\/option><option value=\"Estonia\">Estonia<\/option><option value=\"Ethiopia\">Ethiopia<\/option><option value=\"Falkland Islands (Malvinas)\">Falkland Islands (Malvinas)<\/option><option value=\"Faroe Islands\">Faroe Islands<\/option><option value=\"Fiji\">Fiji<\/option><option value=\"Finland\">Finland<\/option><option value=\"France\">France<\/option><option value=\"France, Metropolitan\">France, Metropolitan<\/option><option value=\"French Guiana\">French Guiana<\/option><option value=\"French Polynesia\">French Polynesia<\/option><option value=\"French Southern Territories\">French Southern Territories<\/option><option value=\"Gabon\">Gabon<\/option><option value=\"Gambia\">Gambia<\/option><option value=\"Georgia\">Georgia<\/option><option value=\"Germany\">Germany<\/option><option value=\"Ghana\">Ghana<\/option><option value=\"Gibraltar\">Gibraltar<\/option><option value=\"Greece\">Greece<\/option><option value=\"Greenland\">Greenland<\/option><option value=\"Grenada\">Grenada<\/option><option value=\"Guadeloupe\">Guadeloupe<\/option><option value=\"Guam\">Guam<\/option><option value=\"Guatemala\">Guatemala<\/option><option value=\"Guinea\">Guinea<\/option><option value=\"Guinea-Bissau\">Guinea-Bissau<\/option><option value=\"Guyana\">Guyana<\/option><option value=\"Haiti\">Haiti<\/option><option value=\"Heard And Mc Donald Islands\">Heard And Mc Donald Islands<\/option><option value=\"Holy See (Vatican City State)\">Holy See (Vatican City State)<\/option><option value=\"Honduras\">Honduras<\/option><option value=\"Hong Kong\">Hong Kong<\/option><option value=\"Hungary\">Hungary<\/option><option value=\"Iceland\">Iceland<\/option><option value=\"India\">India<\/option><option value=\"Indonesia\">Indonesia<\/option><option value=\"Iran (Islamic Republic Of)\">Iran (Islamic Republic Of)<\/option><option value=\"Iraq\">Iraq<\/option><option value=\"Ireland\">Ireland<\/option><option value=\"Israel\">Israel<\/option><option value=\"Italy\">Italy<\/option><option value=\"Jamaica\">Jamaica<\/option><option value=\"Japan\">Japan<\/option><option value=\"Jordan\">Jordan<\/option><option value=\"Kazakhstan\">Kazakhstan<\/option><option value=\"Kenya\">Kenya<\/option><option value=\"Kiribati\">Kiribati<\/option><option value=\"Korea, Democratic People&#039;s Republic Of\">Korea, Democratic People&#039;s Republic Of<\/option><option value=\"Korea, Republic Of\">Korea, Republic Of<\/option><option value=\"Kuwait\">Kuwait<\/option><option value=\"Kyrgyzstan\">Kyrgyzstan<\/option><option value=\"Lao People&#039;s Democratic Republic\">Lao People&#039;s Democratic Republic<\/option><option value=\"Latvia\">Latvia<\/option><option value=\"Lebanon\">Lebanon<\/option><option value=\"Lesotho\">Lesotho<\/option><option value=\"Liberia\">Liberia<\/option><option value=\"Libyan Arab Jamahiriya\">Libyan Arab Jamahiriya<\/option><option value=\"Liechtenstein\">Liechtenstein<\/option><option value=\"Lithuania\">Lithuania<\/option><option value=\"Luxembourg\">Luxembourg<\/option><option value=\"Macau\">Macau<\/option><option value=\"Macedonia, Former Yugoslav Republic Of\">Macedonia, Former Yugoslav Republic Of<\/option><option value=\"Madagascar\">Madagascar<\/option><option value=\"Malawi\">Malawi<\/option><option value=\"Malaysia\">Malaysia<\/option><option value=\"Maldives\">Maldives<\/option><option value=\"Mali\">Mali<\/option><option value=\"Malta\">Malta<\/option><option value=\"Marshall Islands\">Marshall Islands<\/option><option value=\"Martinique\">Martinique<\/option><option value=\"Mauritania\">Mauritania<\/option><option value=\"Mauritius\">Mauritius<\/option><option value=\"Mayotte\">Mayotte<\/option><option value=\"Mexico\">Mexico<\/option><option value=\"Micronesia, Federated States Of\">Micronesia, Federated States Of<\/option><option value=\"Moldova, Republic Of\">Moldova, Republic Of<\/option><option value=\"Monaco\">Monaco<\/option><option value=\"Mongolia\">Mongolia<\/option><option value=\"Montserrat\">Montserrat<\/option><option value=\"Morocco\">Morocco<\/option><option value=\"Mozambique\">Mozambique<\/option><option value=\"Myanmar\">Myanmar<\/option><option value=\"Namibia\">Namibia<\/option><option value=\"Nauru\">Nauru<\/option><option value=\"Nepal\">Nepal<\/option><option value=\"Netherlands\">Netherlands<\/option><option value=\"Netherlands Antilles\">Netherlands Antilles<\/option><option value=\"New Caledonia\">New Caledonia<\/option><option value=\"New Zealand\">New Zealand<\/option><option value=\"Nicaragua\">Nicaragua<\/option><option value=\"Niger\">Niger<\/option><option value=\"Nigeria\">Nigeria<\/option><option value=\"Niue\">Niue<\/option><option value=\"Norfolk Island\">Norfolk Island<\/option><option value=\"Northern Mariana Islands\">Northern Mariana Islands<\/option><option value=\"Norway\">Norway<\/option><option value=\"Oman\">Oman<\/option><option value=\"Pakistan\">Pakistan<\/option><option value=\"Palau\">Palau<\/option><option value=\"Panama\">Panama<\/option><option value=\"Papua New Guinea\">Papua New Guinea<\/option><option value=\"Paraguay\">Paraguay<\/option><option value=\"Peru\">Peru<\/option><option value=\"Philippines\">Philippines<\/option><option value=\"Pitcairn\">Pitcairn<\/option><option value=\"Poland\">Poland<\/option><option value=\"Portugal\">Portugal<\/option><option value=\"Puerto Rico\">Puerto Rico<\/option><option value=\"Qatar\">Qatar<\/option><option value=\"Reunion\">Reunion<\/option><option value=\"Romania\">Romania<\/option><option value=\"Russian Federation\">Russian Federation<\/option><option value=\"Rwanda\">Rwanda<\/option><option value=\"Saint Kitts And Nevis\">Saint Kitts And Nevis<\/option><option value=\"Saint Lucia\">Saint Lucia<\/option><option value=\"Saint Vincent And The Grenadines\">Saint Vincent And The Grenadines<\/option><option value=\"Samoa\">Samoa<\/option><option value=\"San Marino\">San Marino<\/option><option value=\"Sao Tome And Principe\">Sao Tome And Principe<\/option><option value=\"Saudi Arabia\">Saudi Arabia<\/option><option value=\"Senegal\">Senegal<\/option><option value=\"Seychelles\">Seychelles<\/option><option value=\"Sierra Leone\">Sierra Leone<\/option><option value=\"Singapore\">Singapore<\/option><option value=\"Slovakia (Slovak Republic)\">Slovakia (Slovak Republic)<\/option><option value=\"Slovenia\">Slovenia<\/option><option value=\"Solomon Islands\">Solomon Islands<\/option><option value=\"Somalia\">Somalia<\/option><option value=\"South Africa\">South Africa<\/option><option value=\"South Georgia, South Sandwich Islands\">South Georgia, South Sandwich Islands<\/option><option value=\"Spain\">Spain<\/option><option value=\"Sri Lanka\">Sri Lanka<\/option><option value=\"St. Helena\">St. Helena<\/option><option value=\"St. Pierre And Miquelon\">St. Pierre And Miquelon<\/option><option value=\"Sudan\">Sudan<\/option><option value=\"Suriname\">Suriname<\/option><option value=\"Svalbard And Jan Mayen Islands\">Svalbard And Jan Mayen Islands<\/option><option value=\"Swaziland\">Swaziland<\/option><option value=\"Sweden\">Sweden<\/option><option value=\"Switzerland\">Switzerland<\/option><option value=\"Syrian Arab Republic\">Syrian Arab Republic<\/option><option value=\"Taiwan\">Taiwan<\/option><option value=\"Tajikistan\">Tajikistan<\/option><option value=\"Tanzania, United Republic Of\">Tanzania, United Republic Of<\/option><option value=\"Thailand\">Thailand<\/option><option value=\"Togo\">Togo<\/option><option value=\"Tokelau\">Tokelau<\/option><option value=\"Tonga\">Tonga<\/option><option value=\"Trinidad And Tobago\">Trinidad And Tobago<\/option><option value=\"Tunisia\">Tunisia<\/option><option value=\"Turkey\">Turkey<\/option><option value=\"Turkmenistan\">Turkmenistan<\/option><option value=\"Turks And Caicos Islands\">Turks And Caicos Islands<\/option><option value=\"Tuvalu\">Tuvalu<\/option><option value=\"Uganda\">Uganda<\/option><option value=\"Ukraine\">Ukraine<\/option><option value=\"United Arab Emirates\">United Arab Emirates<\/option><option value=\"United Kingdom\">United Kingdom<\/option><option value=\"United States\">United States<\/option><option value=\"United States Minor Outlying Islands\">United States Minor Outlying Islands<\/option><option value=\"Uruguay\">Uruguay<\/option><option value=\"Uzbekistan\">Uzbekistan<\/option><option value=\"Vanuatu\">Vanuatu<\/option><option value=\"Venezuela\">Venezuela<\/option><option value=\"Vietnam\">Vietnam<\/option><option value=\"Virgin Islands (British)\">Virgin Islands (British)<\/option><option value=\"Virgin Islands (U.S.)\">Virgin Islands (U.S.)<\/option><option value=\"Wallis And Futuna Islands\">Wallis And Futuna Islands<\/option><option value=\"Western Sahara\">Western Sahara<\/option><option value=\"Yemen\">Yemen<\/option><option value=\"Yugoslavia\">Yugoslavia<\/option><option value=\"Zambia\">Zambia<\/option><option value=\"Zimbabwe\">Zimbabwe<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-2_56 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-2_56\"><label class=\"quform-label-text\" for=\"quform_2_56_2a6933\">\u6bcd\u8a9e<\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-2_56\"><div class=\"quform-input quform-input-text quform-input-2_56 quform-cf\"><input type=\"text\" id=\"quform_2_56_2a6933\" name=\"quform_2_56\" class=\"quform-field quform-field-text quform-field-2_56\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-row quform-element-row-2_47 quform-2-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape\"><div class=\"quform-element quform-element-column quform-element-2_48\"><div class=\"quform-element quform-element-radio quform-element-2_53 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-2_53\"><label class=\"quform-label-text\" id=\"quform_2_53_2a6933_label\">\u666e\u901a\u8a71<\/label><\/div><div class=\"quform-inner quform-inner-radio quform-inner-2_53\"><div class=\"quform-input quform-input-radio quform-input-2_53 quform-cf\"><div class=\"quform-options quform-cf quform-options-inline quform-options-simple\" role=\"radiogroup\" aria-labelledby=\"quform_2_53_2a6933_label\"><div class=\"quform-option\"><input type=\"radio\" name=\"quform_2_53\" id=\"quform_2_53_2a6933_1\" class=\"quform-field quform-field-radio quform-field-2_53 quform-field-2_53_1\" value=\"1\" \/><label for=\"quform_2_53_2a6933_1\" class=\"quform-option-label quform-option-label-2_53_1\"><span class=\"quform-option-text\">1<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_2_53\" id=\"quform_2_53_2a6933_2\" class=\"quform-field quform-field-radio quform-field-2_53 quform-field-2_53_2\" value=\"2\" \/><label for=\"quform_2_53_2a6933_2\" class=\"quform-option-label quform-option-label-2_53_2\"><span class=\"quform-option-text\">2<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_2_53\" id=\"quform_2_53_2a6933_3\" class=\"quform-field quform-field-radio quform-field-2_53 quform-field-2_53_3\" value=\"3\" \/><label for=\"quform_2_53_2a6933_3\" class=\"quform-option-label quform-option-label-2_53_3\"><span class=\"quform-option-text\">3<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_2_53\" id=\"quform_2_53_2a6933_5\" class=\"quform-field quform-field-radio quform-field-2_53 quform-field-2_53_5\" value=\"4\" \/><label for=\"quform_2_53_2a6933_5\" class=\"quform-option-label quform-option-label-2_53_5\"><span class=\"quform-option-text\">4<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_2_53\" id=\"quform_2_53_2a6933_4\" class=\"quform-field quform-field-radio quform-field-2_53 quform-field-2_53_4\" value=\"5\" \/><label for=\"quform_2_53_2a6933_4\" class=\"quform-option-label quform-option-label-2_53_4\"><span class=\"quform-option-text\">5<\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-column quform-element-2_49\"><div class=\"quform-element quform-element-radio quform-element-2_55 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-2_55\"><label class=\"quform-label-text\" id=\"quform_2_55_2a6933_label\">\u82f1\u8a9e<\/label><\/div><div class=\"quform-inner quform-inner-radio quform-inner-2_55\"><div class=\"quform-input quform-input-radio quform-input-2_55 quform-cf\"><div class=\"quform-options quform-cf quform-options-inline quform-options-simple\" role=\"radiogroup\" aria-labelledby=\"quform_2_55_2a6933_label\"><div class=\"quform-option\"><input type=\"radio\" name=\"quform_2_55\" id=\"quform_2_55_2a6933_1\" class=\"quform-field quform-field-radio quform-field-2_55 quform-field-2_55_1\" value=\"1\" \/><label for=\"quform_2_55_2a6933_1\" class=\"quform-option-label quform-option-label-2_55_1\"><span class=\"quform-option-text\">1<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_2_55\" id=\"quform_2_55_2a6933_2\" class=\"quform-field quform-field-radio quform-field-2_55 quform-field-2_55_2\" value=\"2\" \/><label for=\"quform_2_55_2a6933_2\" class=\"quform-option-label quform-option-label-2_55_2\"><span class=\"quform-option-text\">2<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_2_55\" id=\"quform_2_55_2a6933_3\" class=\"quform-field quform-field-radio quform-field-2_55 quform-field-2_55_3\" value=\"3\" \/><label for=\"quform_2_55_2a6933_3\" class=\"quform-option-label quform-option-label-2_55_3\"><span class=\"quform-option-text\">3<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_2_55\" id=\"quform_2_55_2a6933_5\" class=\"quform-field quform-field-radio quform-field-2_55 quform-field-2_55_5\" value=\"4\" \/><label for=\"quform_2_55_2a6933_5\" class=\"quform-option-label quform-option-label-2_55_5\"><span class=\"quform-option-text\">4<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_2_55\" id=\"quform_2_55_2a6933_4\" class=\"quform-field quform-field-radio quform-field-2_55 quform-field-2_55_4\" value=\"5\" \/><label for=\"quform_2_55_2a6933_4\" class=\"quform-option-label quform-option-label-2_55_4\"><span class=\"quform-option-text\">5<\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-group quform-element-2_35 quform-cf quform-group-style-bordered\"><div class=\"quform-spacer\"><div class=\"quform-group-title-description\"><h4 class=\"quform-group-title\">\u5065\u5eb7\u8cc7\u6599<\/h4><p class=\"quform-group-description\">\u6211\u5011\u76e1\u529b\u78ba\u4fdd\u6240\u6709\u53c3\u52a0\u8005\u7684\u5b89\u5168\u53ca\u5065\u5eb7\u3002\u8acb\u586b\u5beb\u60a8\u73fe\u6642\u7684\u5065\u5eb7\u72c0\u6cc1\u3002\u60a8\u7684\u8cc7\u6599\u5c07\u6703\u4fdd\u5bc6\uff0c\u53ea\u65bc\u672c\u6d3b\u52d5\u5167\u4f7f\u7528\u3002<\/p><\/div><div class=\"quform-child-elements\"><div class=\"quform-element quform-element-checkbox quform-element-2_31 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-2_31\"><label class=\"quform-label-text\" id=\"quform_2_31_2a6933_label\">\u662f\u5426\u6709\u6210\u54e1\u64c1\u6709\u4ee5\u4e0b\u75c5\u6b77\uff1a<\/label><\/div><div class=\"quform-inner quform-inner-checkbox quform-inner-2_31\"><div class=\"quform-input quform-input-checkbox quform-input-2_31 quform-cf\"><div class=\"quform-options quform-cf quform-options-block quform-options-simple\" role=\"group\" aria-labelledby=\"quform_2_31_2a6933_label\"><div class=\"quform-option\"><input type=\"checkbox\" name=\"quform_2_31[]\" id=\"quform_2_31_2a6933_1\" class=\"quform-field quform-field-checkbox quform-field-2_31 quform-field-2_31_1\" value=\"epilepsy\" \/><label for=\"quform_2_31_2a6933_1\" class=\"quform-option-label quform-option-label-2_31_1\"><span class=\"quform-option-text\">\u7672\u7647\u767c\u4f5c<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"checkbox\" name=\"quform_2_31[]\" id=\"quform_2_31_2a6933_2\" class=\"quform-field quform-field-checkbox quform-field-2_31 quform-field-2_31_2\" value=\"Any hospitalization, visited emergency room or surgery in the past 2 years\" \/><label for=\"quform_2_31_2a6933_2\" class=\"quform-option-label quform-option-label-2_31_2\"><span class=\"quform-option-text\">\u5728\u904e\u53bb 2 \u5e74\u66fe\u7d93\u4f4f\u9662\uff0c\u88ab\u9001\u5f80\u6025\u75c7\u5ba4\u6216\u63a5\u53d7\u624b\u8853<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"checkbox\" name=\"quform_2_31[]\" id=\"quform_2_31_2a6933_3\" class=\"quform-field quform-field-checkbox quform-field-2_31 quform-field-2_31_3\" value=\"Chronic or heart disease\" \/><label for=\"quform_2_31_2a6933_3\" class=\"quform-option-label quform-option-label-2_31_3\"><span class=\"quform-option-text\">\u9577\u671f\u75c5\u60a3\u6216\u5fc3\u81df\u75c5<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"checkbox\" name=\"quform_2_31[]\" id=\"quform_2_31_2a6933_4\" class=\"quform-field quform-field-checkbox quform-field-2_31 quform-field-2_31_4\" value=\"Diabetes\" \/><label for=\"quform_2_31_2a6933_4\" class=\"quform-option-label quform-option-label-2_31_4\"><span class=\"quform-option-text\">\u7cd6\u5c3f\u75c5<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"checkbox\" name=\"quform_2_31[]\" id=\"quform_2_31_2a6933_5\" class=\"quform-field quform-field-checkbox quform-field-2_31 quform-field-2_31_5\" value=\"Heart stroke\" \/><label for=\"quform_2_31_2a6933_5\" class=\"quform-option-label quform-option-label-2_31_5\"><span class=\"quform-option-text\">\u4e2d\u6691<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"checkbox\" name=\"quform_2_31[]\" id=\"quform_2_31_2a6933_6\" class=\"quform-field quform-field-checkbox quform-field-2_31 quform-field-2_31_6\" value=\"Livery or kidney disease\" \/><label for=\"quform_2_31_2a6933_6\" class=\"quform-option-label quform-option-label-2_31_6\"><span class=\"quform-option-text\">\u809d\u75c5\u6216\u814e\u75c5<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"checkbox\" name=\"quform_2_31[]\" id=\"quform_2_31_2a6933_7\" class=\"quform-field quform-field-checkbox quform-field-2_31 quform-field-2_31_7\" value=\"Orthopedic diseases\" \/><label for=\"quform_2_31_2a6933_7\" class=\"quform-option-label quform-option-label-2_31_7\"><span class=\"quform-option-text\">\u6709\u9838\u690e\u3001\u80cc\u90e8\u3001\u80a9\u8180\u3001\u819d\u84cb\u6216\u8e1d\u95dc\u7bc0\u7b49\u5916\u79d1\u75be\u75c5<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"checkbox\" name=\"quform_2_31[]\" id=\"quform_2_31_2a6933_8\" class=\"quform-field quform-field-checkbox quform-field-2_31 quform-field-2_31_8\" value=\"Use of medical assistive devices\" \/><label for=\"quform_2_31_2a6933_8\" class=\"quform-option-label quform-option-label-2_31_8\"><span class=\"quform-option-text\">\u9700\u4f7f\u7528\u91ab\u7642\u8f14\u52a9\u5668\u68b0\uff0c\u5982\u52a9\u807d\u5668\u3001\u7fa9\u80a2\u6216\u5fc3\u81df\u7bc0\u5f8b\u5668<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"checkbox\" name=\"quform_2_31[]\" id=\"quform_2_31_2a6933_9\" class=\"quform-field quform-field-checkbox quform-field-2_31 quform-field-2_31_9\" value=\"Currently pregnant\" \/><label for=\"quform_2_31_2a6933_9\" class=\"quform-option-label quform-option-label-2_31_9\"><span class=\"quform-option-text\">\u6b63\u5728\u61f7\u5b55<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"checkbox\" name=\"quform_2_31[]\" id=\"quform_2_31_2a6933_10\" class=\"quform-field quform-field-checkbox quform-field-2_31 quform-field-2_31_10\" value=\"Asthma\" \/><label for=\"quform_2_31_2a6933_10\" class=\"quform-option-label quform-option-label-2_31_10\"><span class=\"quform-option-text\">\u54ee\u5598<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"checkbox\" name=\"quform_2_31[]\" id=\"quform_2_31_2a6933_11\" class=\"quform-field quform-field-checkbox quform-field-2_31 quform-field-2_31_11\" value=\"other diseases\" \/><label for=\"quform_2_31_2a6933_11\" class=\"quform-option-label quform-option-label-2_31_11\"><span class=\"quform-option-text\">\u5176\u4ed6\u75be\u75c5\u3001\u75c7\u72c0\u7b49<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"checkbox\" name=\"quform_2_31[]\" id=\"quform_2_31_2a6933_12\" class=\"quform-field quform-field-checkbox quform-field-2_31 quform-field-2_31_12\" value=\"history of drug allergies\" \/><label for=\"quform_2_31_2a6933_12\" class=\"quform-option-label quform-option-label-2_31_12\"><span class=\"quform-option-text\">\u85e5\u7269\u904e\u654f<\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-radio quform-element-2_24 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-2_24\"><label class=\"quform-label-text\" id=\"quform_2_24_2a6933_label\">\u767b\u8a18\u985e\u5225<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-radio quform-inner-2_24\"><div class=\"quform-input quform-input-radio quform-input-2_24 quform-cf\"><div class=\"quform-options quform-cf quform-options-inline quform-options-simple\" role=\"radiogroup\" aria-labelledby=\"quform_2_24_2a6933_label\"><div class=\"quform-option\"><input type=\"radio\" name=\"quform_2_24\" id=\"quform_2_24_2a6933_1\" class=\"quform-field quform-field-radio quform-field-2_24 quform-field-2_24_1\" value=\"Individual\" \/><label for=\"quform_2_24_2a6933_1\" class=\"quform-option-label quform-option-label-2_24_1\"><span class=\"quform-option-text\">\u500b\u5225\u5bb6\u5ead<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_2_24\" id=\"quform_2_24_2a6933_2\" class=\"quform-field quform-field-radio quform-field-2_24 quform-field-2_24_2\" value=\"Group \/ Group Member\" \/><label for=\"quform_2_24_2a6933_2\" class=\"quform-option-label quform-option-label-2_24_2\"><span class=\"quform-option-text\">\u5718\u968a \/ \u5718\u968a\u6210\u54e1<\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-2_25 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-2_25\"><label class=\"quform-label-text\" for=\"quform_2_25_2a6933\">\u5718\u968a\u7de8\u865f (\u5982\u9069\u7528)<\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-2_25\"><div class=\"quform-input quform-input-text quform-input-2_25 quform-cf\"><input type=\"text\" id=\"quform_2_25_2a6933\" name=\"quform_2_25\" class=\"quform-field quform-field-text quform-field-2_25\" \/><\/div><p class=\"quform-description quform-description-below\">\u8acb\u6bcf\u4f4d\u6210\u54e1\u5411\u6211\u5011\u7684\u5e73\u53f0\u7ba1\u7406\u54e1\u63d0\u4ea4\u60a8\u7684\u5718\u968a\u7de8\u865f\uff0c\u4ee5\u4fbf\u5c07\u60a8\u5206\u914d\u5230\u6240\u5c6c\u5718\u968a\u53c3\u52a0\u6311\u6230\u3002<\/p><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-2_70 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-2_70\"><label class=\"quform-label-text\" for=\"quform_2_70_2a6933\">\u5bb6\u5ead\u7c4c\u6b3e\u7db2\u5740 (\u5982\u9069\u7528)<\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-2_70\"><div class=\"quform-input quform-input-text quform-input-2_70 quform-cf\"><input type=\"text\" id=\"quform_2_70_2a6933\" name=\"quform_2_70\" class=\"quform-field quform-field-text quform-field-2_70\" \/><\/div><p class=\"quform-description quform-description-below\">\u5982\u679c\u4f60\u5c6c\u65bc\u5df2\u5b8c\u6210\u5831\u540d\u7684\u5bb6\u5ead\uff0c\u800c\u5148\u524d\u5831\u540d\u6642\u6c92\u6709\u586b\u5beb\u4f60\u7684\u8cc7\u6599\uff0c\u8acb\u5728\u6b64\u8f38\u5165\u5bb6\u5ead\u7684\u7c4c\u6b3e\u7db2\u5740\u3002<\/p><\/div><\/div><\/div><div class=\"quform-element quform-element-html quform-element-2_23 quform-cf\"><div class=\"quform-spacer\"><\/div><\/div><div class=\"quform-element quform-element-html quform-element-2_29 quform-cf\"><div class=\"quform-spacer\">\u4fe1\u7528\u5361\u8cbb\u7528\u5c07\u5728\u5f85\u6279\u51c6\u671f\u9593\u66ab\u6642\u6263\u7559\u3002\u8acb\u6ce8\u610f: \u53ea\u6709\u5728\u7533\u8acb\u6210\u529f\u7372\u5f97\u6279\u51c6\u5f8c\uff0c\u8cbb\u7528\u624d\u6703\u8f49\u8cec\u3002\u82e5\u7533\u8acb\u4e0d\u6210\u529f\uff0c\u6211\u5011\u5c07\u7acb\u5168\u984d\u9000\u6b3e\u81f3\u60a8\u7684\u8cec\u6236\u3002<\/div><\/div><div class=\"quform-element quform-element-checkbox quform-element-2_17 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-inner quform-inner-checkbox quform-inner-2_17\"><div class=\"quform-input quform-input-checkbox quform-input-2_17 quform-cf\"><div class=\"quform-options quform-cf quform-options-block quform-options-simple\"><div class=\"quform-option\"><input type=\"checkbox\" name=\"quform_2_17[]\" id=\"quform_2_17_2a6933_1\" class=\"quform-field quform-field-checkbox quform-field-2_17 quform-field-2_17_1\" value=\"I have read and agreed wiith terms and conditions.\" \/><label for=\"quform_2_17_2a6933_1\" class=\"quform-option-label quform-option-label-2_17_1\"><span class=\"quform-option-text\">\u6211\u5df2\u95b1\u8b80\u4e26\u540c\u610f\u689d\u6b3e\u53ca\u7d30\u5247<\/span><\/label><\/div><\/div><\/div><p class=\"quform-description quform-description-below\"><p><a href=\"https:\/\/www.wholesome.global\/terms-and-conditions\/\" target=\"_blank\">\u689d\u6b3e\u53ca\u7d30\u5247<\/a><\/p><\/p><\/div><\/div><\/div><input type=\"hidden\" name=\"quform_2_59\" class=\"quform-field quform-field-hidden quform-field-2_59\" data-default=\"\" \/><div class=\"quform-element quform-element-submit quform-element-2_2 quform-cf quform-button-style-theme\"><div class=\"quform-button-submit quform-button-submit-default quform-button-submit-2_2\"><button name=\"quform_submit\" type=\"submit\" class=\"quform-submit\" value=\"submit\"><span class=\"quform-button-text quform-button-submit-text\">\u767c\u9001<\/span><\/button><\/div><div 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\/>\n\t\t\t<\/p><\/form><\/div><\/div>","_links":{"self":[{"href":"https:\/\/www.wholesome.global\/zh-hant\/wp-json\/wp\/v2\/pages\/12615","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.wholesome.global\/zh-hant\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.wholesome.global\/zh-hant\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.wholesome.global\/zh-hant\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.wholesome.global\/zh-hant\/wp-json\/wp\/v2\/comments?post=12615"}],"version-history":[{"count":2,"href":"https:\/\/www.wholesome.global\/zh-hant\/wp-json\/wp\/v2\/pages\/12615\/revisions"}],"predecessor-version":[{"id":12656,"href":"https:\/\/www.wholesome.global\/zh-hant\/wp-json\/wp\/v2\/pages\/12615\/revisions\/12656"}],"wp:attachment":[{"href":"https:\/\/www.wholesome.global\/zh-hant\/wp-json\/wp\/v2\/media?parent=12615"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}