{"id":9356,"date":"2024-02-19T22:47:44","date_gmt":"2024-02-19T15:47:44","guid":{"rendered":"https:\/\/vietnamdetox.com\/?page_id=9356"},"modified":"2026-09-03T10:13:50","modified_gmt":"2026-09-03T03:13:50","slug":"healthcheck_s3-2","status":"publish","type":"page","link":"https:\/\/vietnamdetox.com\/vi\/healthcheck_s3-2\/","title":{"rendered":"B\u1ea3ng k\u00ea khai s\u1ee9c kho\u1ebb \u2013 B\u01b0\u1edbc 3"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"9356\" class=\"elementor elementor-9356\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-6d992b1 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"6d992b1\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-28ff1384\" data-id=\"28ff1384\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1d72f1a4 elementor-widget elementor-widget-text-editor\" data-id=\"1d72f1a4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>T\u1ed1t l\u1eafm\u00a0<b> <\/b>,\u00a0<span style=\"color: var( --e-global-color-text ); font-family: var( --e-global-typography-text-font-family ), Sans-serif; font-weight: var( --e-global-typography-text-font-weight );\">v\u00e0 \u0111\u00e2y l\u00e0 nh\u1eefng c\u00e2u h\u1ecfi quan tr\u1ecdng nh\u1ea5t:<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-3f026aff elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"3f026aff\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-64b9b59a\" data-id=\"64b9b59a\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-527856b4 elementor-widget elementor-widget-heading\" data-id=\"527856b4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">B\u01af\u1edaC 3:<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-69b4857b elementor-widget elementor-widget-html\" data-id=\"69b4857b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t\t<div class=\"e-form__indicators e-form__indicators--type-number\"><div class=\"e-form__indicators__indicator e-form__indicators__indicator--state-inactive\"><div class=\"e-form__indicators__indicator__number e-form__indicators__indicator--shape-circle\">1<\/div><\/div><div class=\"e-form__indicators__indicator__separator\"><\/div><div class=\"e-form__indicators__indicator e-form__indicators__indicator--state-inactive\"><div class=\"e-form__indicators__indicator__number e-form__indicators__indicator--shape-circle\">2<\/div><\/div><div class=\"e-form__indicators__indicator__separator\"><\/div><div class=\"e-form__indicators__indicator e-form__indicators__indicator--state-active\"><div class=\"e-form__indicators__indicator__number e-form__indicators__indicator--shape-circle\">3<\/div><\/div><div class=\"e-form__indicators__indicator__separator\"><\/div><div class=\"e-form__indicators__indicator e-form__indicators__indicator--state-inactive\"><div class=\"e-form__indicators__indicator__number e-form__indicators__indicator--shape-circle\">4<\/div><\/div><div class=\"e-form__indicators__indicator__separator\"><\/div><div class=\"e-form__indicators__indicator e-form__indicators__indicator--state-inactive\"><div class=\"e-form__indicators__indicator__number e-form__indicators__indicator--shape-circle\">5<\/div><\/div><\/div>\n\n<style>\n    .e-form__indicators__indicator__separator {\n    width: 100%;\n    height: 1px !important;\n    background-color: #babfc5;\n    margin: 0 10px;\n}\n<\/style>\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-5acc8f8e elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"5acc8f8e\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-2e7ae5e8\" data-id=\"2e7ae5e8\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-86590d9 elementor-button-align-stretch elementor-widget elementor-widget-form\" data-id=\"86590d9\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;step_next_label&quot;:&quot;Next&quot;,&quot;step_previous_label&quot;:&quot;Previous&quot;,&quot;button_width&quot;:&quot;100&quot;,&quot;dce_confirm_dialog_enabled&quot;:&quot;no&quot;,&quot;step_type&quot;:&quot;number_text&quot;,&quot;step_icon_shape&quot;:&quot;circle&quot;,&quot;label_icon_size&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;field_icon_size&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]}}\" data-widget_type=\"form.default\">\n\t\t\t\t\t<div class=\"dce-conditions-js-error-notice elementor-message elementor-message-danger\" style=\"display: none;\">A problem was detected in the following Form. Submitting it could result in errors. Please contact the site administrator.<\/div>\t\t\t<script>\n\t\t\tsetTimeout(function() {\n\t\t\t\tlet el = document.querySelector(\".dce-conditions-js-error-notice\");\n\t\t\t\tif (el)\n\t\t\t\t\tel.style.display = \"block\";\n\t\t\t}, 6000);\n\t\t\t<\/script>\t\t<form class=\"elementor-form\" method=\"post\" name=\"HealthCheckS3\" aria-label=\"HealthCheckS3\">\n\t\t\t<input type=\"hidden\" name=\"post_id\" value=\"9356\"\/>\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"86590d9\"\/>\n\t\t\t<input type=\"hidden\" name=\"referer_title\" value=\"Vietnamdetox\" \/>\n\n\t\t\t\n\t\t\t<div data-field-conditions=\"[{&quot;id&quot;:&quot;field_q22&quot;,&quot;condition&quot;:&quot;(field_q21 == &#039;Yes&#039;)&quot;,&quot;mode&quot;:&quot;show&quot;,&quot;disableOnly&quot;:false},{&quot;id&quot;:&quot;field_q18&quot;,&quot;condition&quot;:&quot;(field_q21 == &#039;Yes&#039;)&quot;,&quot;mode&quot;:&quot;show&quot;,&quot;disableOnly&quot;:false},{&quot;id&quot;:&quot;field_63590dc&quot;,&quot;condition&quot;:&quot;(field_q25 == &#039;Yes&#039;)&quot;,&quot;mode&quot;:&quot;show&quot;,&quot;disableOnly&quot;:false},{&quot;id&quot;:&quot;field_q28&quot;,&quot;condition&quot;:&quot;(field_q27 == &#039;Yes&#039;)&quot;,&quot;mode&quot;:&quot;show&quot;,&quot;disableOnly&quot;:false},{&quot;id&quot;:&quot;field_q30&quot;,&quot;condition&quot;:&quot;(field_q29 == &#039;Yes&#039;)&quot;,&quot;mode&quot;:&quot;show&quot;,&quot;disableOnly&quot;:false},{&quot;id&quot;:&quot;field_q32&quot;,&quot;condition&quot;:&quot;(field_q31 == &#039;Yes&#039;)&quot;,&quot;mode&quot;:&quot;show&quot;,&quot;disableOnly&quot;:false},{&quot;id&quot;:&quot;field_q35&quot;,&quot;condition&quot;:&quot;(field_q34 == &#039;Yes&#039;)&quot;,&quot;mode&quot;:&quot;show&quot;,&quot;disableOnly&quot;:false},{&quot;id&quot;:&quot;field_q37&quot;,&quot;condition&quot;:&quot;(field_q36 == &#039;Yes&#039;)&quot;,&quot;mode&quot;:&quot;show&quot;,&quot;disableOnly&quot;:false},{&quot;id&quot;:&quot;field_q40&quot;,&quot;condition&quot;:&quot;(field_q39 == &#039;Yes&#039;)&quot;,&quot;mode&quot;:&quot;show&quot;,&quot;disableOnly&quot;:false},{&quot;id&quot;:&quot;field_q42&quot;,&quot;condition&quot;:&quot;(field_q41 == &#039;Yes&#039;)&quot;,&quot;mode&quot;:&quot;show&quot;,&quot;disableOnly&quot;:false},{&quot;id&quot;:&quot;field_q44&quot;,&quot;condition&quot;:&quot;(field_q43 == &#039;Yes&#039;)&quot;,&quot;mode&quot;:&quot;show&quot;,&quot;disableOnly&quot;:false},{&quot;id&quot;:&quot;field_q46&quot;,&quot;condition&quot;:&quot;(field_q45 == &#039;Yes&#039;)&quot;,&quot;mode&quot;:&quot;show&quot;,&quot;disableOnly&quot;:false}]\" data-field-ids=\"[&quot;field_q19&quot;,&quot;field_q20&quot;,&quot;field_q21&quot;,&quot;field_q22&quot;,&quot;field_q18&quot;,&quot;field_q23&quot;,&quot;field_q24&quot;,&quot;field_q25&quot;,&quot;field_63590dc&quot;,&quot;field_q27&quot;,&quot;field_q28&quot;,&quot;field_q29&quot;,&quot;field_q30&quot;,&quot;field_q31&quot;,&quot;field_q32&quot;,&quot;field_q33&quot;,&quot;field_q34&quot;,&quot;field_q35&quot;,&quot;field_q36&quot;,&quot;field_q37&quot;,&quot;field_q38&quot;,&quot;field_q39&quot;,&quot;field_q40&quot;,&quot;field_q41&quot;,&quot;field_q42&quot;,&quot;field_q43&quot;,&quot;field_q44&quot;,&quot;field_q45&quot;,&quot;field_q46&quot;,&quot;field_q52&quot;,&quot;field_registration_id&quot;,&quot;field_customer_id&quot;,&quot;field_healthcheck_id&quot;]\" class=\"elementor-form-fields-wrapper elementor-labels-above\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_q19 elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_q19\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tB\u1ea1n c\u00f3 th\u01b0\u1eddng xuy\u00ean u\u1ed1ng c\u00e0 ph\u00ea, tr\u00e0 \u0111en hay tr\u00e0 xanh kh\u00f4ng?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Yes\" id=\"form-field-field_q19-0\" name=\"form_fields[field_q19]\" required=\"required\"> <label for=\"form-field-field_q19-0\">C\u00f3<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-field_q19-1\" name=\"form_fields[field_q19]\" required=\"required\"> <label for=\"form-field-field_q19-1\">Kh\u00f4ng<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_q20 elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_q20\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tB\u1ea1n c\u00f3 h\u00fat thu\u1ed1c hay vape kh\u00f4ng?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Yes\" id=\"form-field-field_q20-0\" name=\"form_fields[field_q20]\" required=\"required\"> <label for=\"form-field-field_q20-0\">C\u00f3<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-field_q20-1\" name=\"form_fields[field_q20]\" required=\"required\"> <label for=\"form-field-field_q20-1\">Kh\u00f4ng<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_q21 elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_q21\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tB\u1ea1n c\u00f3 \u0111ang d\u00f9ng b\u1ea5t k\u1ef3 lo\u1ea1i thu\u1ed1c theo toa n\u00e0o b\u00e2y gi\u1edd ho\u1eb7c trong b\u1ed1n tu\u1ea7n qua kh\u00f4ng?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Yes\" id=\"form-field-field_q21-0\" name=\"form_fields[field_q21]\" required=\"required\"> <label for=\"form-field-field_q21-0\">C\u00f3<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-field_q21-1\" name=\"form_fields[field_q21]\" required=\"required\"> <label for=\"form-field-field_q21-1\">Kh\u00f4ng<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_q22 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_q22\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t-- B\u1ea1n d\u00f9ng thu\u1ed1c g\u00ec, trong bao l\u00e2u v\u00e0 t\u1ea1i sao?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[field_q22]\" id=\"form-field-field_q22\" rows=\"4\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-upload elementor-field-group elementor-column elementor-field-group-field_q18 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_q18\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t-- T\u1ea3i l\u00ean h\u00ecnh \u1ea3nh toa thu\u1ed1c\/lo\u1ea1i thu\u1ed1c\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<input type=\"file\" name=\"form_fields[field_q18]\" id=\"form-field-field_q18\" class=\"elementor-field elementor-size-sm  elementor-upload-field\" data-maxsize=\"5\" data-maxsize-message=\"This file exceeds the maximum allowed size.\">\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_q23 elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_q23\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tB\u1ea1n c\u00f3 b\u1ecb \u0111au \u0111\u1ea7u ho\u1eb7c \u0111au n\u1eeda \u0111\u1ea7u?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Yes\" id=\"form-field-field_q23-0\" name=\"form_fields[field_q23]\" required=\"required\"> <label for=\"form-field-field_q23-0\">C\u00f3<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-field_q23-1\" name=\"form_fields[field_q23]\" required=\"required\"> <label for=\"form-field-field_q23-1\">Kh\u00f4ng<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_q24 elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_q24\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tB\u1ea1n c\u00f3 b\u1ecb \u0111au l\u01b0ng ho\u1eb7c ch\u1ea5n th\u01b0\u01a1ng \u1edf hi\u1ec7n t\u1ea1i hay trong qu\u00e1 kh\u1ee9 kh\u00f4ng?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Yes\" id=\"form-field-field_q24-0\" name=\"form_fields[field_q24]\" required=\"required\"> <label for=\"form-field-field_q24-0\">C\u00f3<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-field_q24-1\" name=\"form_fields[field_q24]\" required=\"required\"> <label for=\"form-field-field_q24-1\">Kh\u00f4ng<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_q25 elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_q25\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tB\u1ea1n b\u1ecb huy\u1ebft \u00e1p th\u1ea5p hay cao kh\u00f4ng?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Yes\" id=\"form-field-field_q25-0\" name=\"form_fields[field_q25]\" required=\"required\"> <label for=\"form-field-field_q25-0\">C\u00f3<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-field_q25-1\" name=\"form_fields[field_q25]\" required=\"required\"> <label for=\"form-field-field_q25-1\">Kh\u00f4ng<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_63590dc elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_63590dc\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t-- Ch\u1ec9 s\u1ed1 huy\u1ebft \u00e1p c\u1ee7a b\u1ea1n l\u00e0 bao nhi\u00eau v\u00e0 n\u00f3 \u0111\u01b0\u1ee3c \u0111o khi n\u00e0o?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_63590dc]\" id=\"form-field-field_63590dc\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_q27 elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_q27\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tB\u1ea1n \u0111ang mang thai ho\u1eb7c cho con b\u00fa?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Yes\" id=\"form-field-field_q27-0\" name=\"form_fields[field_q27]\" required=\"required\"> <label for=\"form-field-field_q27-0\">C\u00f3<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-field_q27-1\" name=\"form_fields[field_q27]\" required=\"required\"> <label for=\"form-field-field_q27-1\">Kh\u00f4ng<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_q28 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_q28\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t-- B\u1ea1n \u0111ang mang thai \u0111\u01b0\u1ee3c bao nhi\u00eau tu\u1ea7n ho\u1eb7c b\u1ea1n \u0111\u00e3 cho con b\u00fa \u0111\u01b0\u1ee3c bao l\u00e2u?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_q28]\" id=\"form-field-field_q28\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_q29 elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_q29\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tB\u1ea1n c\u00f3 ph\u1eabu thu\u1eadt g\u00ec trong s\u00e1u th\u00e1ng qua kh\u00f4ng?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Yes\" id=\"form-field-field_q29-0\" name=\"form_fields[field_q29]\" required=\"required\"> <label for=\"form-field-field_q29-0\">C\u00f3<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-field_q29-1\" name=\"form_fields[field_q29]\" required=\"required\"> <label for=\"form-field-field_q29-1\">Kh\u00f4ng<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_q30 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_q30\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t-- Lo\u1ea1i ph\u1eabu thu\u1eadt n\u00e0o, khi n\u00e0o v\u00e0 n\u00f3 di\u1ec5n ra nh\u01b0 th\u1ebf n\u00e0o?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_q30]\" id=\"form-field-field_q30\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_q31 elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_q31\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tB\u1ea1n c\u00f3 \u0111ang g\u1eb7p v\u1ea5n \u0111\u1ec1 ho\u1eb7c b\u1ec7nh li\u00ean quan \u0111\u1ebfn h\u1ec7 ti\u00eau h\u00f3a \u1edf hi\u1ec7n t\u1ea1i ho\u1eb7c trong qu\u00e1 kh\u1ee9 kh\u00f4ng?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Yes\" id=\"form-field-field_q31-0\" name=\"form_fields[field_q31]\" required=\"required\"> <label for=\"form-field-field_q31-0\">C\u00f3<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-field_q31-1\" name=\"form_fields[field_q31]\" required=\"required\"> <label for=\"form-field-field_q31-1\">Kh\u00f4ng<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_q32 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_q32\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t-- Ch\u1ea9n \u0111o\u00e1n, \u0111i\u1ec1u tr\u1ecb v\u00e0 t\u00ecnh tr\u1ea1ng hi\u1ec7n t\u1ea1i c\u1ee7a b\u1ea1n l\u00e0 g\u00ec?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_q32]\" id=\"form-field-field_q32\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_q33 elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_q33\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tB\u1ea1n c\u00f3 d\u1ec5 b\u1ecb n\u00f4n m\u1eeda, ti\u00eau ch\u1ea3y ho\u1eb7c t\u00e1o b\u00f3n?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Yes\" id=\"form-field-field_q33-0\" name=\"form_fields[field_q33]\" required=\"required\"> <label for=\"form-field-field_q33-0\">C\u00f3<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-field_q33-1\" name=\"form_fields[field_q33]\" required=\"required\"> <label for=\"form-field-field_q33-1\">Kh\u00f4ng<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_q34 elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_q34\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tHi\u1ec7n t\u1ea1i hay tr\u01b0\u1edbc \u0111\u00e2y b\u1ea1n c\u00f3 b\u1ec7nh v\u1ec1 tim, gan, th\u1eadn kh\u00f4ng?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Yes\" id=\"form-field-field_q34-0\" name=\"form_fields[field_q34]\" required=\"required\"> <label for=\"form-field-field_q34-0\">C\u00f3<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-field_q34-1\" name=\"form_fields[field_q34]\" required=\"required\"> <label for=\"form-field-field_q34-1\">Kh\u00f4ng<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_q35 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_q35\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t-- Ch\u1ea9n \u0111o\u00e1n, \u0111i\u1ec1u tr\u1ecb v\u00e0 t\u00ecnh tr\u1ea1ng hi\u1ec7n t\u1ea1i c\u1ee7a b\u1ea1n l\u00e0 g\u00ec?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_q35]\" id=\"form-field-field_q35\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_q36 elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_q36\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tB\u1ea1n c\u00f3 \u0111ang \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng lo\u1ea1i 1 hay lo\u1ea1i 2?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Yes\" id=\"form-field-field_q36-0\" name=\"form_fields[field_q36]\" required=\"required\"> <label for=\"form-field-field_q36-0\">C\u00f3<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-field_q36-1\" name=\"form_fields[field_q36]\" required=\"required\"> <label for=\"form-field-field_q36-1\">Kh\u00f4ng<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_q37 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_q37\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t-- M\u1ee9c \u0111\u01b0\u1eddng trong m\u00e1u c\u1ee7a b\u1ea1n l\u00e0 bao nhi\u00eau v\u00e0 n\u00f3 \u0111\u01b0\u1ee3c \u0111o khi n\u00e0o?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_q37]\" id=\"form-field-field_q37\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_q38 elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_q38\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tB\u1ea1n c\u00f3 \u0111ang ho\u1eb7c \u0111\u00e3 t\u1eebng m\u1eafc ch\u1ee9ng r\u1ed1i lo\u1ea1n \u0103n u\u1ed1ng kh\u00f4ng?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Yes\" id=\"form-field-field_q38-0\" name=\"form_fields[field_q38]\" required=\"required\"> <label for=\"form-field-field_q38-0\">C\u00f3<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-field_q38-1\" name=\"form_fields[field_q38]\" required=\"required\"> <label for=\"form-field-field_q38-1\">Kh\u00f4ng<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_q39 elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_q39\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tB\u1ea1n c\u00f3 ho\u1eb7c \u0111\u00e3 t\u1eebng b\u1ecb d\u1ecb \u1ee9ng\/kh\u00f4ng dung n\u1ea1p th\u1ef1c ph\u1ea9m?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Yes\" id=\"form-field-field_q39-0\" name=\"form_fields[field_q39]\" required=\"required\"> <label for=\"form-field-field_q39-0\">C\u00f3<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-field_q39-1\" name=\"form_fields[field_q39]\" required=\"required\"> <label for=\"form-field-field_q39-1\">Kh\u00f4ng<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_q40 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_q40\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t-- B\u1ea1n b\u1ecb d\u1ecb \u1ee9ng ho\u1eb7c kh\u00f4ng dung n\u1ea1p v\u1edbi th\u1ef1c ph\u1ea9m n\u00e0o v\u00e0 c\u00e1c tri\u1ec7u ch\u1ee9ng l\u00e0 g\u00ec?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_q40]\" id=\"form-field-field_q40\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_q41 elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_q41\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tB\u1ea1n c\u00f3 b\u1ecb r\u1ed1i lo\u1ea1n tuy\u1ebfn gi\u00e1p trong hi\u1ec7n t\u1ea1i ho\u1eb7c trong qu\u00e1 kh\u1ee9 kh\u00f4ng?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Yes\" id=\"form-field-field_q41-0\" name=\"form_fields[field_q41]\" required=\"required\"> <label for=\"form-field-field_q41-0\">C\u00f3<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-field_q41-1\" name=\"form_fields[field_q41]\" required=\"required\"> <label for=\"form-field-field_q41-1\">Kh\u00f4ng<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_q42 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_q42\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t-- Lo\u1ea1i r\u1ed1i lo\u1ea1n tuy\u1ebfn gi\u00e1p n\u00e0o, c\u00e1ch \u0111i\u1ec1u tr\u1ecb v\u00e0 t\u00ecnh tr\u1ea1ng hi\u1ec7n t\u1ea1i c\u1ee7a b\u1ea1n nh\u01b0 th\u1ebf n\u00e0o?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_q42]\" id=\"form-field-field_q42\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_q43 elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_q43\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tB\u1ea1n c\u00f3 gi\u1ea3m h\u01a1n 5% tr\u1ecdng l\u01b0\u1ee3ng c\u01a1 th\u1ec3 trong s\u00e1u th\u00e1ng qua m\u00e0 kh\u00f4ng c\u1ea7n l\u00e0m g\u00ec?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Yes\" id=\"form-field-field_q43-0\" name=\"form_fields[field_q43]\" required=\"required\"> <label for=\"form-field-field_q43-0\">C\u00f3<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-field_q43-1\" name=\"form_fields[field_q43]\" required=\"required\"> <label for=\"form-field-field_q43-1\">Kh\u00f4ng<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_q44 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_q44\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t-- B\u1ea1n \u0111\u00e3 gi\u1ea3m bao nhi\u00eau c\u00e2n v\u00e0 b\u1ea1n ngh\u0129 t\u1ea1i sao \u0111i\u1ec1u \u0111\u00f3 l\u1ea1i x\u1ea3y ra?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_q44]\" id=\"form-field-field_q44\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_q45 elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_q45\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tB\u1ea1n c\u00f3 b\u1ea5t k\u1ef3 t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe t\u00e2m th\u1ea7n n\u00e0o trong hi\u1ec7n t\u1ea1i ho\u1eb7c trong qu\u00e1 kh\u1ee9 kh\u00f4ng?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Yes\" id=\"form-field-field_q45-0\" name=\"form_fields[field_q45]\" required=\"required\"> <label for=\"form-field-field_q45-0\">C\u00f3<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-field_q45-1\" name=\"form_fields[field_q45]\" required=\"required\"> <label for=\"form-field-field_q45-1\">Kh\u00f4ng<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_q46 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_q46\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t-- Lo\u1ea1i t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe t\u00e2m th\u1ea7n n\u00e0o, n\u00f3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb nh\u01b0 th\u1ebf n\u00e0o v\u00e0 t\u00ecnh tr\u1ea1ng hi\u1ec7n t\u1ea1i c\u1ee7a b\u1ea1n l\u00e0 g\u00ec?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_q46]\" id=\"form-field-field_q46\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_q52 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_q52\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tB\u1ea1n c\u00f3 b\u1ea5t k\u1ef3 m\u1ed1i lo ng\u1ea1i n\u00e0o v\u1ec1 s\u1ee9c kh\u1ecfe m\u00e0 ch\u00fang t\u00f4i ch\u01b0a h\u1ecfi b\u1ea1n trong bi\u1ec3u m\u1eabu n\u00e0y kh\u00f4ng? 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