{"id":2279,"date":"2022-12-07T09:18:32","date_gmt":"2022-12-07T09:18:32","guid":{"rendered":"https:\/\/anayatawellbeing.com\/%d9%82%d9%85-%d8%a8%d8%a5%d9%86%d8%b4%d8%a7%d8%a1-%d8%a8%d8%b1%d9%86%d8%a7%d9%85%d8%ac-%d9%85%d8%ae%d8%b5%d8%b5-%d8%ae%d8%a7%d8%b5-%d8%a8%d9%83\/"},"modified":"2023-06-20T07:34:02","modified_gmt":"2023-06-20T07:34:02","slug":"%d9%82%d9%85-%d8%a8%d8%a5%d9%86%d8%b4%d8%a7%d8%a1-%d8%a8%d8%b1%d9%86%d8%a7%d9%85%d8%ac-%d9%85%d8%ae%d8%b5%d8%b5-%d8%ae%d8%a7%d8%b5-%d8%a8%d9%83","status":"publish","type":"page","link":"https:\/\/anayatawellbeing.com\/ar\/%d9%82%d9%85-%d8%a8%d8%a5%d9%86%d8%b4%d8%a7%d8%a1-%d8%a8%d8%b1%d9%86%d8%a7%d9%85%d8%ac-%d9%85%d8%ae%d8%b5%d8%b5-%d8%ae%d8%a7%d8%b5-%d8%a8%d9%83\/","title":{"rendered":"\u0642\u0645 \u0628\u0625\u0646\u0634\u0627\u0621 \u0628\u0631\u0646\u0627\u0645\u062c \u0645\u062e\u0635\u0635 \u062e\u0627\u0635 \u0628\u0643"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row][vc_column]\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f2521-o1\" lang=\"ar\" dir=\"rtl\" data-wpcf7-id=\"2521\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/ar\/wp-json\/wp\/v2\/pages\/2279#wpcf7-f2521-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"\u0646\u0645\u0648\u0630\u062c \u0627\u0644\u0627\u062a\u0635\u0627\u0644\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"2521\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.5\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"ar\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f2521-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7cf_hidden_group_fields\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_hidden_groups\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_visible_groups\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_repeaters\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_steps\" value=\"{}\" \/><input type=\"hidden\" name=\"_wpcf7cf_options\" value=\"{&quot;form_id&quot;:2521,&quot;conditions&quot;:[{&quot;then_field&quot;:&quot;group-249&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;Whatareyourgoalsforthisretreat&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Other (please specify)&quot;}]},{&quot;then_field&quot;:&quot;group-677&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;Haveyoubeendiagnosedwithanyofthefollowing&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Other (please specify)&quot;}]},{&quot;then_field&quot;:&quot;group-258&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;Doyoutakemedicationforanyofthefollowing&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Other (please specify)&quot;}]},{&quot;then_field&quot;:&quot;group-619&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;Doyouexperienceanyofthefollowing&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Other (please specify)&quot;}]},{&quot;then_field&quot;:&quot;group-10&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;Areyouaddictedtoanyofthefollowing&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Other (please specify)&quot;}]},{&quot;then_field&quot;:&quot;group-461&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;Whichofthefollowingactivitiesinterestyou&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Other (please specify)&quot;}]},{&quot;then_field&quot;:&quot;group-254&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;Howlongdoyouwishtojoinusfor&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Other (please specify)&quot;}]},{&quot;then_field&quot;:&quot;group-22&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;Howmanypeopleinyourgroup&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;3 or more (please specify)&quot;}]}],&quot;settings&quot;:{&quot;animation&quot;:&quot;yes&quot;,&quot;animation_intime&quot;:200,&quot;animation_outtime&quot;:200,&quot;conditions_ui&quot;:&quot;normal&quot;,&quot;notice_dismissed&quot;:false,&quot;notice_dismissed_rollback-cf7-5.8.2&quot;:true,&quot;notice_dismissed_rollback-cf7-5.8.7&quot;:true,&quot;notice_dismissed_update-cf7-6.1&quot;:true,&quot;notice_dismissed_rollback-cf7-6.1&quot;:true}}\" \/>\n<\/fieldset>\n<div class=\"wpb_column vc_column_container vc_col-sm-6\">\n\t<div class=\"vc_column-inner\">\n\t\t<p><label>\u0647\u0644 \u062a\u0648\u0627\u062c\u0647 \u0623\u064a\u0627 \u0645\u0645\u0627 \u064a\u0644\u064a\u061f<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Doyouexperienceanyofthefollowing\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"Doyouexperienceanyofthefollowing[]\" value=\"\u0642\u0644\u0629 \u0627\u0644\u0646\u0648\u0645\" \/><span class=\"wpcf7-list-item-label\">\u0642\u0644\u0629 \u0627\u0644\u0646\u0648\u0645<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"Doyouexperienceanyofthefollowing[]\" value=\"\u0627\u0644\u0642\u0644\u0642\" \/><span class=\"wpcf7-list-item-label\">\u0627\u0644\u0642\u0644\u0642<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"Doyouexperienceanyofthefollowing[]\" value=\"\u0627\u0644\u062a\u0648\u062a\u0631\" \/><span class=\"wpcf7-list-item-label\">\u0627\u0644\u062a\u0648\u062a\u0631<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"Doyouexperienceanyofthefollowing[]\" value=\"\u062a\u063a\u064a\u064a\u0631 \u0627\u0644\u062d\u0627\u0644\u0629 \u0627\u0644\u0645\u0632\u0627\u062c\u064a\u0629\" \/><span class=\"wpcf7-list-item-label\">\u062a\u063a\u064a\u064a\u0631 \u0627\u0644\u062d\u0627\u0644\u0629 \u0627\u0644\u0645\u0632\u0627\u062c\u064a\u0629<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"Doyouexperienceanyofthefollowing[]\" value=\"\u0627\u0644\u0625\u0631\u0647\u0627\u0642\" \/><span class=\"wpcf7-list-item-label\">\u0627\u0644\u0625\u0631\u0647\u0627\u0642<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"Doyouexperienceanyofthefollowing[]\" value=\"\u062d\u0627\u0644\u0627\u062a \u0623\u062e\u0631\u0649 (\u064a\u0631\u062c\u0649 \u0627\u0644\u062a\u062d\u062f\u064a\u062f)\" \/><span class=\"wpcf7-list-item-label\">\u062d\u0627\u0644\u0627\u062a \u0623\u062e\u0631\u0649 (\u064a\u0631\u062c\u0649 \u0627\u0644\u062a\u062d\u062f\u064a\u062f)<\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t\t<div data-id=\"group-619\" data-orig_data_id=\"group-619\"  class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"textarea-988\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" placeholder=\"\u062d\u0627\u0644\u0627\u062a \u0623\u062e\u0631\u0649\" name=\"textarea-988\"><\/textarea><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<p><label>\u0647\u0644 \u0623\u0646\u062a \u0645\u062f\u0645\u0646 \u0639\u0644\u0649 \u0623\u064a \u0645\u0645\u0627 \u064a\u0644\u064a\u061f<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Areyouaddictedtoanyofthefollowing\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"Areyouaddictedtoanyofthefollowing[]\" value=\"\u0627\u0644\u0642\u0647\u0648\u0629\" \/><span class=\"wpcf7-list-item-label\">\u0627\u0644\u0642\u0647\u0648\u0629<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"Areyouaddictedtoanyofthefollowing[]\" value=\"\u0627\u0644\u0643\u062d\u0648\u0644\" \/><span class=\"wpcf7-list-item-label\">\u0627\u0644\u0643\u062d\u0648\u0644<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"Areyouaddictedtoanyofthefollowing[]\" value=\"\u0627\u0644\u0633\u0643\u0631\" \/><span class=\"wpcf7-list-item-label\">\u0627\u0644\u0633\u0643\u0631<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"Areyouaddictedtoanyofthefollowing[]\" value=\"\u0627\u0644\u0645\u062e\u062f\u0631\u0627\u062a \u0627\u0644\u062a\u0631\u0648\u064a\u062d\u064a\u0629\" \/><span class=\"wpcf7-list-item-label\">\u0627\u0644\u0645\u062e\u062f\u0631\u0627\u062a \u0627\u0644\u062a\u0631\u0648\u064a\u062d\u064a\u0629<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"Areyouaddictedtoanyofthefollowing[]\" value=\"\u0623\u0646\u0648\u0627\u0639 \u0627\u0644\u0625\u062f\u0645\u0627\u0646 \u0627\u0644\u0623\u062e\u0631\u0649 (\u064a\u0631\u062c\u0649 \u0627\u0644\u062a\u062d\u062f\u064a\u062f)\" \/><span class=\"wpcf7-list-item-label\">\u0623\u0646\u0648\u0627\u0639 \u0627\u0644\u0625\u062f\u0645\u0627\u0646 \u0627\u0644\u0623\u062e\u0631\u0649 (\u064a\u0631\u062c\u0649 \u0627\u0644\u062a\u062d\u062f\u064a\u062f)<\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t\t<div data-id=\"group-10\" data-orig_data_id=\"group-10\"  class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"textarea-689\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" placeholder=\"\u0623\u0646\u0648\u0627\u0639 \u0627\u0644\u0625\u062f\u0645\u0627\u0646 \u0627\u0644\u0623\u062e\u0631\u0649\" name=\"textarea-689\"><\/textarea><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<p><label>\u0623\u064a \u0645\u0646 \u0627\u0644\u0623\u0646\u0634\u0637\u0629 \u0627\u0644\u062a\u0627\u0644\u064a\u0629 \u062a\u0647\u0645\u0643\u061f<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Whichofthefollowingactivitiesinterestyou\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"Whichofthefollowingactivitiesinterestyou[]\" value=\"\u0627\u0644\u064a\u0648\u063a\u0627\" \/><span class=\"wpcf7-list-item-label\">\u0627\u0644\u064a\u0648\u063a\u0627<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"Whichofthefollowingactivitiesinterestyou[]\" value=\"\u0627\u0644\u062a\u0623\u0645\u0644\" \/><span class=\"wpcf7-list-item-label\">\u0627\u0644\u062a\u0623\u0645\u0644<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"Whichofthefollowingactivitiesinterestyou[]\" value=\"\u0627\u0644\u062a\u062f\u0631\u064a\u0628 \u0627\u0644\u0634\u062e\u0635\u064a\" \/><span class=\"wpcf7-list-item-label\">\u0627\u0644\u062a\u062f\u0631\u064a\u0628 \u0627\u0644\u0634\u062e\u0635\u064a<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"Whichofthefollowingactivitiesinterestyou[]\" value=\"\u0627\u0644\u062a\u062f\u0644\u064a\u0643\" \/><span class=\"wpcf7-list-item-label\">\u0627\u0644\u062a\u062f\u0644\u064a\u0643<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"Whichofthefollowingactivitiesinterestyou[]\" value=\"\u0627\u0644\u0639\u0644\u0627\u062c \u0627\u0644\u0634\u0627\u0645\u0644 \u0645\u062b\u0644 \u0627\u0644\u0631\u064a\u0643\u064a \u0648\u0627\u0644\u0639\u0644\u0627\u062c \u0628\u0627\u0644\u0637\u0627\u0642\u0629\" \/><span class=\"wpcf7-list-item-label\">\u0627\u0644\u0639\u0644\u0627\u062c \u0627\u0644\u0634\u0627\u0645\u0644 \u0645\u062b\u0644 \u0627\u0644\u0631\u064a\u0643\u064a \u0648\u0627\u0644\u0639\u0644\u0627\u062c \u0628\u0627\u0644\u0637\u0627\u0642\u0629<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"Whichofthefollowingactivitiesinterestyou[]\" value=\"\u0627\u0644\u0631\u0642\u0635\" \/><span class=\"wpcf7-list-item-label\">\u0627\u0644\u0631\u0642\u0635<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"Whichofthefollowingactivitiesinterestyou[]\" value=\"\u0627\u0644\u0623\u0646\u0634\u0637\u0629 \u0627\u0644\u0623\u062e\u0631\u0649 (\u064a\u0631\u062c\u0649 \u0627\u0644\u062a\u062d\u062f\u064a\u062f)\" \/><span class=\"wpcf7-list-item-label\">\u0627\u0644\u0623\u0646\u0634\u0637\u0629 \u0627\u0644\u0623\u062e\u0631\u0649 (\u064a\u0631\u062c\u0649 \u0627\u0644\u062a\u062d\u062f\u064a\u062f)<\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t\t<div data-id=\"group-461\" data-orig_data_id=\"group-461\"  class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"textarea-464\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" placeholder=\"\u0627\u0644\u0623\u0646\u0634\u0637\u0629 \u0627\u0644\u0623\u062e\u0631\u0649\" name=\"textarea-464\"><\/textarea><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<p><label>\u0645\u0627 \u0647\u064a \u0627\u0644\u0645\u062f\u0629 \u0627\u0644\u062a\u064a \u062a\u0631\u063a\u0628 \u0641\u064a \u0627\u0644\u0627\u0646\u0636\u0645\u0627\u0645 \u0625\u0644\u064a\u0646\u0627\u061f<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Howlongdoyouwishtojoinusfor\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"Howlongdoyouwishtojoinusfor\"><option value=\"\u062b\u0644\u0627\u062b\u0629 \u0623\u064a\u0627\u0645\">\u062b\u0644\u0627\u062b\u0629 \u0623\u064a\u0627\u0645<\/option><option value=\"\u0633\u0628\u0639\u0629 \u0623\u064a\u0627\u0645\">\u0633\u0628\u0639\u0629 \u0623\u064a\u0627\u0645<\/option><option value=\"\u0648\u0627\u062d\u062f \u0648\u0639\u0634\u0631\u0648\u0646 \u064a\u0648\u0645\u0627\">\u0648\u0627\u062d\u062f \u0648\u0639\u0634\u0631\u0648\u0646 \u064a\u0648\u0645\u0627<\/option><option value=\"\u0639\u062f\u062f \u0622\u062e\u0631 \u0645\u0646 \u0627\u0644\u0623\u064a\u0627\u0645 (\u064a\u0631\u062c\u0649 \u0627\u0644\u062a\u062d\u062f\u064a\u062f)\">\u0639\u062f\u062f \u0622\u062e\u0631 \u0645\u0646 \u0627\u0644\u0623\u064a\u0627\u0645 (\u064a\u0631\u062c\u0649 \u0627\u0644\u062a\u062d\u062f\u064a\u062f)<\/option><\/select><\/span>\n\t\t<\/p>\n\t\t<div data-id=\"group-254\" data-orig_data_id=\"group-254\"  class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"textarea-14\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" placeholder=\"\u0639\u062f\u062f \u0622\u062e\u0631 \u0645\u0646 \u0627\u0644\u0623\u064a\u0627\u0645\" name=\"textarea-14\"><\/textarea><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<p><label>\u0643\u0645 \u0639\u062f\u062f \u0627\u0644\u0623\u0634\u062e\u0627\u0635 \u0641\u064a \u0645\u062c\u0645\u0648\u0639\u062a\u0643\u061f<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Howmanypeopleinyourgroup\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"Howmanypeopleinyourgroup\"><option value=\"\u0623\u0646\u0627 \u0641\u0642\u0637\">\u0623\u0646\u0627 \u0641\u0642\u0637<\/option><option value=\"\u0645\u0639 \u0634\u0631\u064a\u0643 \u0648\u0627\u062d\u062f \u0623\u0648 \u0635\u062f\u064a\u0642 \u0648\u0627\u062d\u062f\">\u0645\u0639 \u0634\u0631\u064a\u0643 \u0648\u0627\u062d\u062f \u0623\u0648 \u0635\u062f\u064a\u0642 \u0648\u0627\u062d\u062f<\/option><option value=\"\u062b\u0644\u0627\u062b\u0629 \u0623\u0648 \u0623\u0643\u062b\u0631 (\u064a\u0631\u062c\u0649 \u0627\u0644\u062a\u062d\u062f\u064a\u062f)\">\u062b\u0644\u0627\u062b\u0629 \u0623\u0648 \u0623\u0643\u062b\u0631 (\u064a\u0631\u062c\u0649 \u0627\u0644\u062a\u062d\u062f\u064a\u062f)<\/option><\/select><\/span>\n\t\t<\/p>\n\t\t<div data-id=\"group-22\" data-orig_data_id=\"group-22\"  class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"textarea-625\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" placeholder=\"Other\" name=\"textarea-625\"><\/textarea><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div id=\"cf7sr-69d26b6ada1ba\" class=\"cf7sr-g-recaptcha\" data-theme=\"light\" data-type=\"image\" data-size=\"normal\" data-sitekey=\"6LfjFSEsAAAAAOwerQtSBRI83l77CjoYdZ_eN8Q1\"><\/div><span class=\"wpcf7-form-control-wrap cf7sr-recaptcha\" data-name=\"cf7sr-recaptcha\"><input type=\"hidden\" name=\"cf7sr-recaptcha\" value=\"\" class=\"wpcf7-form-control\"><\/span>\n\t\t<\/p>\n\t\t<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"\u0623\u0631\u0633\u0644\" \/>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"vc_row wpb_row vc_inner vc_row-fluid\">\n\t<div class=\"wpb_column vc_column_container vc_col-sm-6\">\n\t\t<div class=\"vc_column-inner\">\n\t\t\t<p><label> \u0627\u0633\u0645\u0643 \u0627\u0644\u0643\u0627\u0645\u0644<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-name\" \/><\/span> <\/label>\n\t\t\t<\/p>\n\t\t\t<p><label> \u0628\u0631\u064a\u062f\u0643 \u0627\u0644\u0625\u0644\u0643\u062a\u0631\u0648\u0646\u064a<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"your-email\" \/><\/span> <\/label>\n\t\t\t<\/p>\n\t\t\t<p><label> \u0631\u0642\u0645 \u0647\u0627\u062a\u0641\u0643<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"tel-206\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"tel-206\" \/><\/span> <\/label>\n\t\t\t<\/p>\n\t\t\t<p><label>\u0627\u062e\u062a\u0631 \u0648\u062c\u0647\u062a\u0643\u061f<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"destination\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"destination\"><option value=\"\u0627\u0644\u0623\u0631\u062f\u0646\">\u0627\u0644\u0623\u0631\u062f\u0646<\/option><option value=\"\u062a\u0627\u064a\u0644\u0627\u0646\u062f\">\u062a\u0627\u064a\u0644\u0627\u0646\u062f<\/option><option value=\"\u0627\u0633\u0628\u0627\u0646\u064a\u0627\">\u0627\u0633\u0628\u0627\u0646\u064a\u0627<\/option><\/select><\/span>\n\t\t\t<\/p>\n\t\t\t<p><label>\u0645\u0627 \u0647\u0648 \u0647\u062f\u0641\u0643 \u0645\u0646 \u0647\u0630\u0647 \u0627\u0644\u0645\u0633\u064a\u0631\u0629\u061f <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Whatareyourgoalsforthisretreat\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"Whatareyourgoalsforthisretreat[]\" value=\"\u0641\u0642\u062f\u0627\u0646 \u0627\u0644\u0648\u0632\u0646\" \/><span class=\"wpcf7-list-item-label\">\u0641\u0642\u062f\u0627\u0646 \u0627\u0644\u0648\u0632\u0646<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"Whatareyourgoalsforthisretreat[]\" value=\"\u062a\u062d\u0633\u064a\u0646 \u0627\u0644\u0644\u064a\u0627\u0642\u0629 \u0627\u0644\u0628\u062f\u0646\u064a\u0629\" \/><span class=\"wpcf7-list-item-label\">\u062a\u062d\u0633\u064a\u0646 \u0627\u0644\u0644\u064a\u0627\u0642\u0629 \u0627\u0644\u0628\u062f\u0646\u064a\u0629<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"Whatareyourgoalsforthisretreat[]\" value=\"\u062a\u0647\u062f\u0626\u0629 \u0627\u0644\u0639\u0642\u0644\" \/><span class=\"wpcf7-list-item-label\">\u062a\u0647\u062f\u0626\u0629 \u0627\u0644\u0639\u0642\u0644<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"Whatareyourgoalsforthisretreat[]\" value=\"\u0642\u0636\u0627\u0621 \u0628\u0639\u0636 \u0627\u0644\u0648\u0642\u062a \u0628\u0645\u0641\u0631\u062f\u0643\" \/><span class=\"wpcf7-list-item-label\">\u0642\u0636\u0627\u0621 \u0628\u0639\u0636 \u0627\u0644\u0648\u0642\u062a \u0628\u0645\u0641\u0631\u062f\u0643<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"Whatareyourgoalsforthisretreat[]\" value=\"\u0645\u0642\u0627\u0628\u0644\u0629 \u0623\u0634\u062e\u0627\u0635 \u0645\u062a\u0634\u0627\u0628\u0647\u064a\u0646 \u0641\u064a \u0627\u0644\u062a\u0641\u0643\u064a\u0631\" \/><span class=\"wpcf7-list-item-label\">\u0645\u0642\u0627\u0628\u0644\u0629 \u0623\u0634\u062e\u0627\u0635 \u0645\u062a\u0634\u0627\u0628\u0647\u064a\u0646 \u0641\u064a \u0627\u0644\u062a\u0641\u0643\u064a\u0631<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"Whatareyourgoalsforthisretreat[]\" value=\"\u0627\u0644\u0634\u0641\u0627\u0621 \u0627\u0644\u0634\u062e\u0635\u064a\" \/><span class=\"wpcf7-list-item-label\">\u0627\u0644\u0634\u0641\u0627\u0621 \u0627\u0644\u0634\u062e\u0635\u064a<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"Whatareyourgoalsforthisretreat[]\" value=\"\u0645\u0639\u0631\u0641\u0629 \u0627\u0644\u0645\u0632\u064a\u062f \u0639\u0646 \u0627\u0644\u0635\u062d\u0629 \u0627\u0644\u0639\u0627\u0645\u0629\" \/><span class=\"wpcf7-list-item-label\">\u0645\u0639\u0631\u0641\u0629 \u0627\u0644\u0645\u0632\u064a\u062f \u0639\u0646 \u0627\u0644\u0635\u062d\u0629 \u0627\u0644\u0639\u0627\u0645\u0629<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"Whatareyourgoalsforthisretreat[]\" value=\"\u0627\u0644\u0623\u0647\u062f\u0627\u0641 \u0627\u0644\u0623\u062e\u0631\u0649 (\u064a\u0631\u062c\u0649 \u0627\u0644\u062a\u062d\u062f\u064a\u062f)\" \/><span class=\"wpcf7-list-item-label\">\u0627\u0644\u0623\u0647\u062f\u0627\u0641 \u0627\u0644\u0623\u062e\u0631\u0649 (\u064a\u0631\u062c\u0649 \u0627\u0644\u062a\u062d\u062f\u064a\u062f)<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t\t<div data-id=\"group-249\" data-orig_data_id=\"group-249\"  class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"textarea-818\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" placeholder=\"\u0627\u0644\u0623\u0647\u062f\u0627\u0641 \u0627\u0644\u0623\u062e\u0631\u0649\" name=\"textarea-818\"><\/textarea><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<p><label>\u0647\u0644 \u062a\u0645 \u062a\u0634\u062e\u064a\u0635 \u0625\u0635\u0627\u0628\u062a\u0643 \u0628\u0627\u064a \u0645\u0645\u0627 \u064a\u0644\u064a\u061f<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Haveyoubeendiagnosedwithanyofthefollowing\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"Haveyoubeendiagnosedwithanyofthefollowing[]\" value=\"\u0627\u0644\u0633\u0643\u0631\u064a \u0645\u0646 \u0627\u0644\u0646\u0648\u0639 \u0627\u0644\u0623\u0648\u0644\" \/><span class=\"wpcf7-list-item-label\">\u0627\u0644\u0633\u0643\u0631\u064a \u0645\u0646 \u0627\u0644\u0646\u0648\u0639 \u0627\u0644\u0623\u0648\u0644<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"Haveyoubeendiagnosedwithanyofthefollowing[]\" value=\"\u0627\u0644\u0633\u0643\u0631\u064a \u0645\u0646 \u0627\u0644\u0646\u0648\u0639 \u0627\u0644\u062b\u0627\u0646\u064a\" \/><span class=\"wpcf7-list-item-label\">\u0627\u0644\u0633\u0643\u0631\u064a \u0645\u0646 \u0627\u0644\u0646\u0648\u0639 \u0627\u0644\u062b\u0627\u0646\u064a<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"Haveyoubeendiagnosedwithanyofthefollowing[]\" value=\"\u0627\u0644\u0633\u0645\u0646\u0629\" \/><span class=\"wpcf7-list-item-label\">\u0627\u0644\u0633\u0645\u0646\u0629<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"Haveyoubeendiagnosedwithanyofthefollowing[]\" value=\"\u0627\u0631\u062a\u0641\u0627\u0639 \u0636\u063a\u0637 \u0627\u0644\u062f\u0645\" \/><span class=\"wpcf7-list-item-label\">\u0627\u0631\u062a\u0641\u0627\u0639 \u0636\u063a\u0637 \u0627\u0644\u062f\u0645<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"Haveyoubeendiagnosedwithanyofthefollowing[]\" value=\"\u0627\u0644\u0633\u0631\u0637\u0627\u0646\" \/><span class=\"wpcf7-list-item-label\">\u0627\u0644\u0633\u0631\u0637\u0627\u0646<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"Haveyoubeendiagnosedwithanyofthefollowing[]\" value=\"\u0645\u062a\u0644\u0627\u0632\u0645\u0629 \u0627\u0644\u0642\u0648\u0644\u0648\u0646 \u0627\u0644\u0639\u0635\u0628\u064a \u0623\u0648 \u0623\u0639\u0631\u0627\u0636 \u0627\u0644\u062c\u0647\u0627\u0632 \u0627\u0644\u0647\u0636\u0645\u064a \u0627\u0644\u0623\u062e\u0631\u0649\" \/><span class=\"wpcf7-list-item-label\">\u0645\u062a\u0644\u0627\u0632\u0645\u0629 \u0627\u0644\u0642\u0648\u0644\u0648\u0646 \u0627\u0644\u0639\u0635\u0628\u064a \u0623\u0648 \u0623\u0639\u0631\u0627\u0636 \u0627\u0644\u062c\u0647\u0627\u0632 \u0627\u0644\u0647\u0636\u0645\u064a \u0627\u0644\u0623\u062e\u0631\u0649<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"Haveyoubeendiagnosedwithanyofthefollowing[]\" value=\"\u0627\u0644\u062a\u0647\u0627\u0628 \u0627\u0644\u0645\u0641\u0627\u0635\u0644\" \/><span class=\"wpcf7-list-item-label\">\u0627\u0644\u062a\u0647\u0627\u0628 \u0627\u0644\u0645\u0641\u0627\u0635\u0644<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"Haveyoubeendiagnosedwithanyofthefollowing[]\" value=\"\u0627\u0631\u062a\u062c\u0627\u0639 \u0627\u0644\u062d\u0645\u0636\" \/><span class=\"wpcf7-list-item-label\">\u0627\u0631\u062a\u062c\u0627\u0639 \u0627\u0644\u062d\u0645\u0636<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"Haveyoubeendiagnosedwithanyofthefollowing[]\" value=\"\u062d\u0627\u0644\u0627\u062a \u0623\u062e\u0631\u0649 (\u064a\u0631\u062c\u0649 \u0627\u0644\u062a\u062d\u062f\u064a\u062f)\" \/><span class=\"wpcf7-list-item-label\">\u062d\u0627\u0644\u0627\u062a \u0623\u062e\u0631\u0649 (\u064a\u0631\u062c\u0649 \u0627\u0644\u062a\u062d\u062f\u064a\u062f)<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t\t<div data-id=\"group-677\" data-orig_data_id=\"group-677\"  class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"textarea-661\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" placeholder=\"\u062d\u0627\u0644\u0627\u062a \u0623\u062e\u0631\u0649\" name=\"textarea-661\"><\/textarea><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<p><label>\u0647\u0644 \u062a\u062a\u0646\u0627\u0648\u0644 \u062f\u0648\u0627\u0621 \u0644\u0623\u064a \u0645\u0645\u0627 \u064a\u0644\u064a\u061f<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Doyoutakemedicationforanyofthefollowing\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"Doyoutakemedicationforanyofthefollowing[]\" value=\"\u0627\u0644\u0633\u0643\u0631\u064a \u0645\u0646 \u0627\u0644\u0646\u0648\u0639 \u0627\u0644\u0623\u0648\u0644\" \/><span class=\"wpcf7-list-item-label\">\u0627\u0644\u0633\u0643\u0631\u064a \u0645\u0646 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