{"id":913,"date":"2024-12-03T11:49:21","date_gmt":"2024-12-03T11:49:21","guid":{"rendered":"https:\/\/orthopedikos.org\/?page_id=913"},"modified":"2024-12-03T11:51:10","modified_gmt":"2024-12-03T11:51:10","slug":"questionnaire","status":"publish","type":"page","link":"https:\/\/orthopedikos.org\/el\/questionnaire\/","title":{"rendered":"\u0395\u03c1\u03c9\u03c4\u03b7\u03bc\u03b1\u03c4\u03bf\u03bb\u03cc\u03b3\u03b9\u03bf"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><div class=\"vc_row wpb_row vc_row-fluid\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\">\n\t<div class=\"wpb_text_column wpb_content_element\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-540\"><form id=\"wpforms-form-540\" class=\"wpforms-validate wpforms-form\" data-formid=\"540\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/el\/wp-json\/wp\/v2\/pages\/913?wpforms_form_id=540\" data-token=\"12d9a365252b2e22f9b280e5dbcb4e84\" data-trp-original-action=\"\/el\/wp-json\/wp\/v2\/pages\/913?wpforms_form_id=540\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-540-field_7-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"7\"><h3 id=\"wpforms-540-field_7\" name=\"wpforms[fields][7]\">\u0391. \u0399\u03b1\u03c4\u03c1\u03b9\u03ba\u03cc \u0399\u03c3\u03c4\u03bf\u03c1\u03b9\u03ba\u03cc                          <\/h3><\/div><div id=\"wpforms-540-field_0-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"0\"><label class=\"wpforms-field-label\" for=\"wpforms-540-field_0\">\u038c\u03bd\u03bf\u03bc\u03b1 <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-540-field_0\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][0]\" required><\/div><div id=\"wpforms-540-field_8-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-540-field_8\">\u0395\u03c0\u03ce\u03bd\u03c5\u03bc\u03bf <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-540-field_8\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][8]\" required><\/div><div id=\"wpforms-540-field_9-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-540-field_9\">\u0397\u03bc\/\u03bd\u03b9\u03b1 \u0393\u03ad\u03bd\u03bd\u03b7\u03c3\u03b7\u03c2 <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-540-field_9\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][9]\" required><\/div><div id=\"wpforms-540-field_10-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"10\"><label class=\"wpforms-field-label\" for=\"wpforms-540-field_10\">\u0386\u03b8\u03bb\u03b7\u03bc\u03b1\/\u03ac\u03c3\u03ba\u03b7\u03c3\u03b7: <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-540-field_10\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][10][date]\" required><a title=\"Clear Date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-540-field_11-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-540-field_11\">\u0394\u03b9\u03b5\u03cd\u03b8\u03c5\u03bd\u03c3\u03b7 <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-540-field_11\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][11]\" required><\/div><div id=\"wpforms-540-field_2-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-540-field_2\">\u0395-mail <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-540-field_2\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][2]\" required><\/div><div id=\"wpforms-540-field_3-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-540-field_3\">\u03a4\u03b7\u03bb\u03ad\u03c6\u03c9\u03bd\u03bf: <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-540-field_3\" class=\"wpforms-field-medium wpforms-field-required wpforms-masked-input\" data-inputmask=\"&#039;mask&#039;: &#039;(999) 999-9999&#039;\" data-rule-us-phone-field=\"true\" name=\"wpforms[fields][3]\" required><\/div><div id=\"wpforms-540-field_12-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline wpforms-conditional-trigger\" data-field-id=\"12\"><label class=\"wpforms-field-label\" for=\"wpforms-540-field_12\">\u03a4\u03cd\u03c0\u03bf\u03c2 \u0395\u03c0\u03b1\u03b3\u03b3\u03ad\u03bb\u03bc\u03b1\u03c4\u03bf\u03c2: <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-540-field_12\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_12_1\" name=\"wpforms[fields][12]\" value=\"Manual\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_12_1\">\u03c7\u03b5\u03b9\u03c1\u03c9\u03bd\u03b1\u03ba\u03c4\u03b9\u03ba\u03cc<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_12_2\" name=\"wpforms[fields][12]\" value=\"Desk-based\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_12_2\">\u0393\u03c1\u03b1\u03c6\u03b5\u03af\u03bf\u03c5<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_12_3\" name=\"wpforms[fields][12]\" value=\"Self employed\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_12_3\">\u0395\u03bb. \u0395\u03c0\u03b1\u03b3\u03b3\u03b5\u03bb\u03bc\u03b1\u03c4\u03af\u03b1\u03c2<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_12_4\" name=\"wpforms[fields][12]\" value=\"Other\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_12_4\">\u0386\u03bb\u03bb\u03bf<\/label><\/li><\/ul><\/div><div id=\"wpforms-540-field_1-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"1\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-540-field_1\">\u03a0\u03bf\u03b9\u03bf \u03b5\u03af\u03bd\u03b1\u03b9 \u03c4\u03bf \u03cc\u03bd\u03bf\u03bc\u03b1 \u03c4\u03b7\u03c2 \u03ac\u03bb\u03bb\u03b7\u03c2 \u03b5\u03c1\u03b3\u03b1\u03c3\u03af\u03b1\u03c2 \u03c3\u03b1\u03c2; <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-540-field_1\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][1]\" required><\/div><div id=\"wpforms-540-field_16-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"16\"><h3 id=\"wpforms-540-field_16\" name=\"wpforms[fields][16]\">\u0392. \u03a0\u03b1\u03c1\u03b1\u03ba\u03b1\u03bb\u03ce \u03b1\u03c0\u03b1\u03bd\u03c4\u03ae\u03c3\u03c4\u03b5 \u03c3\u03c4\u03b9\u03c2 \u03c0\u03b1\u03c1\u03b1\u03ba\u03ac\u03c4\u03c9 \u03b5\u03c1\u03c9\u03c4\u03ae\u03c3\u03b5\u03b9\u03c2.<\/h3><\/div><div id=\"wpforms-540-field_17-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"17\"><label class=\"wpforms-field-label\" for=\"wpforms-540-field_17\">\u0388\u03c7\u03b5\u03c4\u03b5 \u03c0\u03c5\u03c1\u03b5\u03c4\u03cc <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-540-field_17\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_17_1\" name=\"wpforms[fields][17]\" value=\"Yes\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_17_1\">\u039d\u03b1\u03af<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_17_2\" name=\"wpforms[fields][17]\" value=\"No\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_17_2\">\u039f\u03a7\u0399<\/label><\/li><\/ul><\/div><div id=\"wpforms-540-field_18-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"18\"><label class=\"wpforms-field-label\" for=\"wpforms-540-field_18\">\u0388\u03c7\u03b5\u03c4\u03b5 \u03b5\u03c0\u03af\u03bc\u03bf\u03bd\u03bf \u03b2\u03ae\u03c7\u03b1 <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-540-field_18\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_18_1\" name=\"wpforms[fields][18]\" value=\"Yes\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_18_1\">\u039d\u03b1\u03af<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_18_2\" name=\"wpforms[fields][18]\" value=\"No\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_18_2\">\u039f\u03a7\u0399<\/label><\/li><\/ul><\/div><div id=\"wpforms-540-field_19-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"19\"><label class=\"wpforms-field-label\" for=\"wpforms-540-field_19\">\u0388\u03c7\u03b5\u03c4\u03b5 \u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03b9\u03ac\u03c3\u03b5\u03b9 \u03b1\u03c0\u03ce\u03bb\u03b5\u03b9\u03b1 \/ \u03b1\u03bb\u03bb\u03b1\u03b3\u03ae \u03c4\u03b7\u03c2 \u03cc\u03c3\u03c6\u03c1\u03b7\u03c3\u03b7\u03c2 <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-540-field_19\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_19_1\" name=\"wpforms[fields][19]\" value=\"Yes\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_19_1\">\u039d\u03b1\u03af<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_19_2\" name=\"wpforms[fields][19]\" value=\"No\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_19_2\">\u039f\u03a7\u0399<\/label><\/li><\/ul><\/div><div id=\"wpforms-540-field_20-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"20\"><label class=\"wpforms-field-label\" for=\"wpforms-540-field_20\">\u0388\u03c7\u03b5\u03c4\u03b5 \u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03b9\u03ac\u03c3\u03b5\u03b9 \u03b1\u03c0\u03ce\u03bb\u03b5\u03b9\u03b1\/\u03b1\u03bb\u03bb\u03b1\u03b3\u03ae \u03c4\u03b7\u03c2 \u03b3\u03b5\u03cd\u03c3\u03b7\u03c2 <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-540-field_20\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_20_1\" name=\"wpforms[fields][20]\" value=\"Yes\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_20_1\">\u039d\u03b1\u03af<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_20_2\" name=\"wpforms[fields][20]\" value=\"No\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_20_2\">\u039f\u03a7\u0399<\/label><\/li><\/ul><\/div><div id=\"wpforms-540-field_21-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"21\"><label class=\"wpforms-field-label\" for=\"wpforms-540-field_21\">\u0388\u03c7\u03b5\u03c4\u03b5 \u03b5\u03bc\u03b2\u03bf\u03bb\u03b9\u03b1\u03c3\u03c4\u03b5\u03af \u03b3\u03b9\u03b1 COVID 19 <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-540-field_21\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_21_1\" name=\"wpforms[fields][21]\" value=\"Yes\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_21_1\">\u039d\u03b1\u03af<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_21_2\" name=\"wpforms[fields][21]\" value=\"No\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_21_2\">\u039f\u03a7\u0399<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_21_4\" name=\"wpforms[fields][21]\" value=\"1st dose\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_21_4\">1\u03b7 \u03b4\u03cc\u03c3\u03b7<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_21_5\" name=\"wpforms[fields][21]\" value=\"2nd dose\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_21_5\">2\u03b7 \u03b4\u03cc\u03c3\u03b7<\/label><\/li><\/ul><\/div><div id=\"wpforms-540-field_22-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"22\"><label class=\"wpforms-field-label\" for=\"wpforms-540-field_22\">\u0388\u03c7\u03b5\u03c4\u03b5 \u03b5\u03bd\u03b7\u03bc\u03b5\u03c1\u03c9\u03b8\u03b5\u03af \u03b1\u03c0\u03cc  \u03c4\u03bf\u03bd \u0395\u039f\u0394\u03a5 \u03bd\u03b1 \u03bc\u03b5\u03af\u03bd\u03b5\u03c4\u03b5 \u03c3\u03b5 \u03ba\u03b1\u03c1\u03b1\u03bd\u03c4\u03af\u03bd\u03b1; <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-540-field_22\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_22_1\" name=\"wpforms[fields][22]\" value=\"Yes\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_22_1\">\u039d\u03b1\u03af<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_22_2\" name=\"wpforms[fields][22]\" value=\"No\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_22_2\">\u039f\u03a7\u0399<\/label><\/li><\/ul><\/div><div id=\"wpforms-540-field_23-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"23\"><label class=\"wpforms-field-label\" for=\"wpforms-540-field_23\">\u0395\u03af\u03c3\u03c4\u03b5 \u03c3\u03b5 \u03ba\u03b1\u03c1\u03b1\u03bd\u03c4\u03af\u03bd\u03b1 \u03bc\u03b5\u03c4\u03ac \u03b1\u03c0\u03cc \u03b5\u03c0\u03b9\u03c3\u03c4\u03c1\u03bf\u03c6\u03ae \u03c3\u03c4\u03b7 \u03c7\u03ce\u03c1\u03b1 \u03b1\u03c0\u03cc \u03c4\u03bf \u03b5\u03be\u03c9\u03c4\u03b5\u03c1\u03b9\u03ba\u03cc; <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-540-field_23\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_23_1\" name=\"wpforms[fields][23]\" value=\"Yes\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_23_1\">\u039d\u03b1\u03af<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_23_2\" name=\"wpforms[fields][23]\" value=\"No\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_23_2\">\u039f\u03a7\u0399<\/label><\/li><\/ul><\/div><div id=\"wpforms-540-field_24-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"24\"><label class=\"wpforms-field-label\" for=\"wpforms-540-field_24\">\u0399\u03c3\u03c7\u03cd\u03b5\u03b9 \u03ba\u03ac\u03c4\u03b9 \u03b1\u03c0\u03cc \u03c4\u03b1 \u03c0\u03b1\u03c1\u03b1\u03c0\u03ac\u03bd\u03c9 \u03b3\u03b9\u03b1 \u03ba\u03ac\u03c0\u03bf\u03b9\u03bf \u03c3\u03c5\u03b3\u03ba\u03ac\u03c4\u03bf\u03b9\u03ba\u03bf\/\u03bc\u03ad\u03bb\u03bf\u03c2 \u03c4\u03b7\u03c2 \u03bf\u03b9\u03ba\u03bf\u03b3\u03ad\u03bd\u03b5\u03b9\u03b1\u03c2; <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-540-field_24\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_24_1\" name=\"wpforms[fields][24]\" value=\"Yes\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_24_1\">\u039d\u03b1\u03af<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_24_2\" name=\"wpforms[fields][24]\" value=\"No\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_24_2\">\u039f\u03a7\u0399<\/label><\/li><\/ul><\/div><div id=\"wpforms-540-field_37-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"37\"><label class=\"wpforms-field-label\" for=\"wpforms-540-field_37\">\u03a4\u03c1\u03cc\u03c0\u03bf\u03c2 \u03a0\u03b1\u03c1\u03b1\u03c0\u03bf\u03bc\u03c0\u03ae\u03c2 <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-540-field_37\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_37_1\" name=\"wpforms[fields][37]\" value=\"A&amp;E\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_37_1\">\u03a4\u0395\u03a0<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_37_2\" name=\"wpforms[fields][37]\" value=\"G.P\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_37_2\">\u0399\u03b1\u03c4\u03c1\u03cc\u03c2<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_37_4\" name=\"wpforms[fields][37]\" value=\"Other\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_37_4\">\u0386\u03bb\u03bb\u03bf<\/label><\/li><\/ul><\/div><div id=\"wpforms-540-field_38-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"38\"><label class=\"wpforms-field-label\" for=\"wpforms-540-field_38\">\u039b\u03cc\u03b3\u03bf\u03c2 \u03b5\u03c0\u03af\u03c3\u03ba\u03b5\u03c8\u03b7\u03c2 \u03c3\u03c4\u03bf \u03b9\u03b1\u03c4\u03c1\u03b5\u03af\u03bf\/ \u03b5\u03bd\u03cc\u03c7\u03bb\u03b7\u03bc\u03b1 <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-540-field_38\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][38]\" required><\/div><div id=\"wpforms-540-field_39-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"39\"><label class=\"wpforms-field-label\" for=\"wpforms-540-field_39\">\u03a0\u03c9\u03c2 \u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03b9\u03ac\u03c3\u03c4\u03b7\u03ba\u03b5 \u03c4\u03bf \u03c0\u03c1\u03cc\u03b2\u03bb\u03b7\u03bc\u03b1; <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-540-field_39\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][39]\" required><\/div><div id=\"wpforms-540-field_40-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"40\"><label class=\"wpforms-field-label\" for=\"wpforms-540-field_40\">\u0394\u03b9\u03ac\u03c1\u03ba\u03b5\u03b9\u03b1 \u03c3\u03c5\u03bc\u03c0\u03c4\u03c9\u03bc\u03ac\u03c4\u03c9\u03bd <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-540-field_40\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][40]\" required><\/div><div id=\"wpforms-540-field_25-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline wpforms-conditional-trigger\" data-field-id=\"25\"><label class=\"wpforms-field-label\" for=\"wpforms-540-field_25\">\u03a0\u03c1\u03bf\u03b7\u03b3\u03bf\u03cd\u03bc\u03b5\u03bd\u03bf\u03c2 \u03c4\u03c1\u03b1\u03c5\u03bc\u03b1\u03c4\u03b9\u03c3\u03bc\u03cc\u03c2; <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-540-field_25\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_25_1\" name=\"wpforms[fields][25]\" value=\"Yes\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_25_1\">\u039d\u03b1\u03af<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_25_2\" name=\"wpforms[fields][25]\" value=\"No\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_25_2\">\u039f\u03a7\u0399<\/label><\/li><\/ul><\/div><div id=\"wpforms-540-field_100-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"100\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-540-field_100\">\u039a\u03b5\u03af\u03bc\u03b5\u03bd\u03bf \u03bc\u03bf\u03bd\u03ae\u03c2 \u03b3\u03c1\u03b1\u03bc\u03bc\u03ae\u03c2<\/label><input type=\"text\" id=\"wpforms-540-field_100\" class=\"wpforms-field-medium\" name=\"wpforms[fields][100]\" ><\/div><div id=\"wpforms-540-field_26-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"26\"><label class=\"wpforms-field-label\" for=\"wpforms-540-field_26\">\u03a0\u03c4\u03ce\u03c3\u03b7 <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-540-field_26\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_26_1\" name=\"wpforms[fields][26]\" value=\"Yes\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_26_1\">\u039d\u03b1\u03af<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_26_2\" name=\"wpforms[fields][26]\" value=\"No\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_26_2\">\u039f\u03a7\u0399<\/label><\/li><\/ul><\/div><div id=\"wpforms-540-field_27-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"27\"><label class=\"wpforms-field-label\" for=\"wpforms-540-field_27\">\u03a4\u03c1\u03bf\u03c7\u03b1\u03af\u03bf <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-540-field_27\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_27_1\" name=\"wpforms[fields][27]\" value=\"Yes\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_27_1\">\u039d\u03b1\u03af<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_27_2\" name=\"wpforms[fields][27]\" value=\"No\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_27_2\">\u039f\u03a7\u0399<\/label><\/li><\/ul><\/div><div id=\"wpforms-540-field_28-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"28\"><label class=\"wpforms-field-label\" for=\"wpforms-540-field_28\">\u0391\u03b8\u03bb\u03b7\u03c4\u03b9\u03ba\u03ae \u03ba\u03ac\u03ba\u03c9\u03c3\u03b7 <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-540-field_28\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_28_1\" name=\"wpforms[fields][28]\" value=\"Yes\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_28_1\">\u039d\u03b1\u03af<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_28_2\" name=\"wpforms[fields][28]\" value=\"No\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_28_2\">\u039f\u03a7\u0399<\/label><\/li><\/ul><\/div><div id=\"wpforms-540-field_29-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"29\"><label class=\"wpforms-field-label\" for=\"wpforms-540-field_29\">\u03a0\u03cc\u03bd\u03bf\u03c2 <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-540-field_29\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_29_1\" name=\"wpforms[fields][29]\" value=\"Yes\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_29_1\">\u039d\u03b1\u03af<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_29_2\" name=\"wpforms[fields][29]\" value=\"No\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_29_2\">\u039f\u03a7\u0399<\/label><\/li><\/ul><\/div><div id=\"wpforms-540-field_30-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"30\"><label class=\"wpforms-field-label\" for=\"wpforms-540-field_30\">\u03a3\u03b1\u03bd \u03bc\u03b1\u03c7\u03b1\u03b9\u03c1\u03b9\u03ac <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-540-field_30\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_30_1\" name=\"wpforms[fields][30]\" value=\"Yes\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_30_1\">\u039d\u03b1\u03af<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_30_2\" name=\"wpforms[fields][30]\" value=\"No\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_30_2\">\u039f\u03a7\u0399<\/label><\/li><\/ul><\/div><div id=\"wpforms-540-field_31-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"31\"><label class=\"wpforms-field-label\" for=\"wpforms-540-field_31\">\u03a3\u03b1\u03bd \u03ba\u03ac\u03c8\u03b9\u03bc\u03bf <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-540-field_31\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_31_1\" name=\"wpforms[fields][31]\" value=\"Yes\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_31_1\">\u039d\u03b1\u03af<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_31_2\" name=\"wpforms[fields][31]\" value=\"No\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_31_2\">\u039f\u03a7\u0399<\/label><\/li><\/ul><\/div><div id=\"wpforms-540-field_32-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"32\"><label class=\"wpforms-field-label\" for=\"wpforms-540-field_32\">\u03a3\u03b1\u03bd \u03c0\u03bf\u03bd\u03cc\u03b4\u03bf\u03bd\u03c4\u03bf\u03c2 <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-540-field_32\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_32_1\" name=\"wpforms[fields][32]\" value=\"Yes\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_32_1\">\u039d\u03b1\u03af<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_32_2\" name=\"wpforms[fields][32]\" value=\"No\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_32_2\">\u039f\u03a7\u0399<\/label><\/li><\/ul><\/div><div id=\"wpforms-540-field_33-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"33\"><label class=\"wpforms-field-label\" for=\"wpforms-540-field_33\">\u03a0\u03b5\u03c1\u03bd\u03ac \u03bc\u03b5 \u03c0\u03b1\u03c5\u03c3\u03af\u03c0\u03bf\u03bd\u03b1 <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-540-field_33\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_33_1\" name=\"wpforms[fields][33]\" value=\"Yes\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_33_1\">\u039d\u03b1\u03af<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_33_2\" name=\"wpforms[fields][33]\" value=\"No\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_33_2\">\u039f\u03a7\u0399<\/label><\/li><\/ul><\/div><div id=\"wpforms-540-field_34-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"34\"><label class=\"wpforms-field-label\" for=\"wpforms-540-field_34\">\u039d\u03c5\u03ba\u03c4\u03b5\u03c1\u03b9\u03bd\u03cc\u03c2 \u03c0\u03cc\u03bd\u03bf\u03c2 <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-540-field_34\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_34_1\" name=\"wpforms[fields][34]\" value=\"Yes\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_34_1\">\u039d\u03b1\u03af<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_34_2\" name=\"wpforms[fields][34]\" value=\"No\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_34_2\">\u039f\u03a7\u0399<\/label><\/li><\/ul><\/div><div id=\"wpforms-540-field_35-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"35\"><label class=\"wpforms-field-label\" for=\"wpforms-540-field_35\">\u03a0\u03cc\u03bd\u03bf\u03c2 \u03b4\u03c1\u03b1\u03c3\u03c4\u03b7\u03c1\u03b9\u03cc\u03c4\u03b7\u03c4\u03b1\u03c2 <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-540-field_35\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_35_1\" name=\"wpforms[fields][35]\" value=\"Yes\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_35_1\">\u039d\u03b1\u03af<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_35_2\" name=\"wpforms[fields][35]\" value=\"No\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_35_2\">\u039f\u03a7\u0399<\/label><\/li><\/ul><\/div><div id=\"wpforms-540-field_36-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"36\"><label class=\"wpforms-field-label\" for=\"wpforms-540-field_36\">\u03a0\u03c1\u03bf\u03b7\u03b3\u03bf\u03cd\u03bc\u03b5\u03bd\u03b5\u03c2 \u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03af\u03b5\u03c2  <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-540-field_36\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_36_1\" name=\"wpforms[fields][36]\" value=\"Yes\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_36_1\">\u039d\u03b1\u03af<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_36_2\" name=\"wpforms[fields][36]\" value=\"No\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_36_2\">\u039f\u03a7\u0399<\/label><\/li><\/ul><\/div><div id=\"wpforms-540-field_42-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline wpforms-conditional-trigger\" data-field-id=\"42\"><label class=\"wpforms-field-label\" for=\"wpforms-540-field_42\">\u0395\u03af\u03b4\u03bf\u03c2 \u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03af\u03b1\u03c2 <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-540-field_42\" class=\"wpforms-field-required\"><li class=\"choice-6 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_42_6\" name=\"wpforms[fields][42]\" value=\"Blood tests\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_42_6\">\u0395\u03be\u03b5\u03c4\u03ac\u03c3\u03b5\u03b9\u03c2 \u03b1\u03af\u03bc\u03b1\u03c4\u03bf\u03c2<\/label><\/li><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_42_1\" name=\"wpforms[fields][42]\" value=\"Xray\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_42_1\">\u0391\u03ba\u03c4\u03b9\u03bd\u03bf\u03b3\u03c1\u03b1\u03c6\u03af\u03b1<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_42_2\" name=\"wpforms[fields][42]\" value=\"CT\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_42_2\">\u0391\u03be\u03bf\u03bd\u03b9\u03ba\u03ae \u03c4\u03bf\u03bc\u03bf\u03b3\u03c1\u03b1\u03c6\u03af\u03b1<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_42_4\" name=\"wpforms[fields][42]\" value=\"MRI\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_42_4\">\u039c\u03b1\u03b3\u03bd\u03b7\u03c4\u03b9\u03ba\u03ae \u03a4\u03bf\u03bc\u03bf\u03b3\u03c1\u03b1\u03c6\u03af\u03b1<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_42_5\" name=\"wpforms[fields][42]\" value=\"Other\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_42_5\">\u0386\u03bb\u03bb\u03bf<\/label><\/li><\/ul><\/div><div id=\"wpforms-540-field_47-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"47\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-540-field_47\">\u0386\u03bb\u03bb\u03bf \u03cc\u03bd\u03bf\u03bc\u03b1 \u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03af\u03b1\u03c2 <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-540-field_47\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][47]\" required><\/div><div id=\"wpforms-540-field_48-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"48\"><label class=\"wpforms-field-label\" for=\"wpforms-540-field_48\">\u039a\u03b1\u03c1\u03b4\u03b9\u03bf\u03c0\u03ac\u03b8\u03b5\u03b9\u03b1 <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-540-field_48\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_48_1\" name=\"wpforms[fields][48]\" value=\"Yes\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_48_1\">\u039d\u03b1\u03af<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_48_2\" name=\"wpforms[fields][48]\" value=\"No\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_48_2\">\u039f\u03a7\u0399<\/label><\/li><\/ul><\/div><div id=\"wpforms-540-field_49-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"49\"><label class=\"wpforms-field-label\" for=\"wpforms-540-field_49\">\u0388\u03bc\u03c6\u03c1\u03b1\u03b3\u03bc\u03b1 <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-540-field_49\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_49_1\" name=\"wpforms[fields][49]\" value=\"Yes\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_49_1\">\u039d\u03b1\u03af<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_49_2\" name=\"wpforms[fields][49]\" value=\"No\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_49_2\">\u039f\u03a7\u0399<\/label><\/li><\/ul><\/div><div id=\"wpforms-540-field_50-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"50\"><label class=\"wpforms-field-label\" for=\"wpforms-540-field_50\">\u03a3\u03c4\u03b7\u03b8\u03ac\u03b3\u03c7\u03b7 <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-540-field_50\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_50_1\" name=\"wpforms[fields][50]\" value=\"Yes\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_50_1\">\u039d\u03b1\u03af<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_50_2\" name=\"wpforms[fields][50]\" value=\"No\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_50_2\">\u039f\u03a7\u0399<\/label><\/li><\/ul><\/div><div id=\"wpforms-540-field_51-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"51\"><label class=\"wpforms-field-label\" for=\"wpforms-540-field_51\">\u039a\u03b1\u03c1\u03b4\u03b9\u03b1\u03ba\u03ae \u03b1\u03bd\u03b5\u03c0\u03ac\u03c1\u03ba\u03b5\u03b9\u03b1 <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-540-field_51\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_51_1\" name=\"wpforms[fields][51]\" value=\"Yes\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_51_1\">\u039d\u03b1\u03af<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_51_2\" name=\"wpforms[fields][51]\" value=\"No\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_51_2\">\u039f\u03a7\u0399<\/label><\/li><\/ul><\/div><div id=\"wpforms-540-field_52-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"52\"><label class=\"wpforms-field-label\" for=\"wpforms-540-field_52\">\u039a\u03bf\u03bb\u03c0\u03b9\u03ba\u03ae \u03bc\u03b1\u03c1\u03bc\u03b1\u03c1\u03c5\u03b3\u03ae <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-540-field_52\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_52_1\" name=\"wpforms[fields][52]\" value=\"Yes\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_52_1\">\u039d\u03b1\u03af<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_52_2\" name=\"wpforms[fields][52]\" value=\"No\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_52_2\">\u039f\u03a7\u0399<\/label><\/li><\/ul><\/div><div id=\"wpforms-540-field_53-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"53\"><label class=\"wpforms-field-label\" for=\"wpforms-540-field_53\">\u03a5\u03c0\u03ad\u03c1\u03c4\u03b1\u03c3\u03b7 <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-540-field_53\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_53_1\" name=\"wpforms[fields][53]\" value=\"Yes\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_53_1\">\u039d\u03b1\u03af<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_53_2\" name=\"wpforms[fields][53]\" value=\"No\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_53_2\">\u039f\u03a7\u0399<\/label><\/li><\/ul><\/div><div id=\"wpforms-540-field_54-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"54\"><label class=\"wpforms-field-label\" for=\"wpforms-540-field_54\">\u0386\u03c3\u03b8\u03bc\u03b1 <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-540-field_54\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_54_1\" name=\"wpforms[fields][54]\" value=\"Yes\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_54_1\">\u039d\u03b1\u03af<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_54_2\" name=\"wpforms[fields][54]\" value=\"No\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_54_2\">\u039f\u03a7\u0399<\/label><\/li><\/ul><\/div><div id=\"wpforms-540-field_55-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"55\"><label class=\"wpforms-field-label\" for=\"wpforms-540-field_55\">\u03a7\u0391\u03a0 <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-540-field_55\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_55_1\" name=\"wpforms[fields][55]\" value=\"Yes\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_55_1\">\u039d\u03b1\u03af<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_55_2\" name=\"wpforms[fields][55]\" value=\"No\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_55_2\">\u039f\u03a7\u0399<\/label><\/li><\/ul><\/div><div id=\"wpforms-540-field_56-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"56\"><label class=\"wpforms-field-label\" for=\"wpforms-540-field_56\">\u03a6\u03c5\u03bc\u03b1\u03c4\u03af\u03c9\u03c3\u03b7 <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-540-field_56\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_56_1\" name=\"wpforms[fields][56]\" value=\"Yes\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_56_1\">\u039d\u03b1\u03af<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_56_2\" name=\"wpforms[fields][56]\" value=\"No\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_56_2\">\u039f\u03a7\u0399<\/label><\/li><\/ul><\/div><div id=\"wpforms-540-field_57-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"57\"><label class=\"wpforms-field-label\" for=\"wpforms-540-field_57\">\u03a1\u03b5\u03c5\u03bc\u03b1\u03c4\u03b9\u03ba\u03cc\u03c2 \u03a0\u03c5\u03c1\u03b5\u03c4\u03cc\u03c2 <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-540-field_57\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_57_1\" name=\"wpforms[fields][57]\" value=\"Yes\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_57_1\">\u039d\u03b1\u03af<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_57_2\" name=\"wpforms[fields][57]\" value=\"No\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_57_2\">\u039f\u03a7\u0399<\/label><\/li><\/ul><\/div><div id=\"wpforms-540-field_58-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"58\"><label class=\"wpforms-field-label\" for=\"wpforms-540-field_58\">\u03a0\u03b1\u03b8\u03ae\u03c3\u03b5\u03b9\u03c2 \u03b8\u03c5\u03c1\u03b5\u03bf\u03b5\u03b9\u03b4\u03bf\u03cd\u03c2 <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-540-field_58\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_58_1\" name=\"wpforms[fields][58]\" value=\"Yes\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_58_1\">\u039d\u03b1\u03af<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_58_2\" name=\"wpforms[fields][58]\" value=\"No\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_58_2\">\u039f\u03a7\u0399<\/label><\/li><\/ul><\/div><div id=\"wpforms-540-field_59-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"59\"><label class=\"wpforms-field-label\" for=\"wpforms-540-field_59\">\u03a1\u03b5\u03c5\u03bc\u03b1\u03c4\u03bf\u03b5\u03b9\u03b4\u03ae\u03c2 \u03b1\u03c1\u03b8\u03c1\u03af\u03c4\u03b9\u03b4\u03b1 <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-540-field_59\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_59_1\" name=\"wpforms[fields][59]\" value=\"Yes\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_59_1\">\u039d\u03b1\u03af<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_59_2\" name=\"wpforms[fields][59]\" value=\"No\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_59_2\">\u039f\u03a7\u0399<\/label><\/li><\/ul><\/div><div id=\"wpforms-540-field_60-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"60\"><label class=\"wpforms-field-label\" for=\"wpforms-540-field_60\">\u039f\u03c3\u03c4\u03b5\u03bf\u03b1\u03c1\u03b8\u03c1\u03af\u03c4\u03b9\u03b4\u03b1 <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-540-field_60\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_60_1\" name=\"wpforms[fields][60]\" value=\"Yes\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_60_1\">\u039d\u03b1\u03af<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_60_2\" name=\"wpforms[fields][60]\" value=\"No\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_60_2\">\u039f\u03a7\u0399<\/label><\/li><\/ul><\/div><div id=\"wpforms-540-field_61-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"61\"><label class=\"wpforms-field-label\" for=\"wpforms-540-field_61\">\u0395\u03c0\u03b9\u03bb\u03b7\u03c8\u03af\u03b1 <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-540-field_61\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_61_1\" name=\"wpforms[fields][61]\" value=\"Yes\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_61_1\">\u039d\u03b1\u03af<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_61_2\" name=\"wpforms[fields][61]\" value=\"No\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_61_2\">\u039f\u03a7\u0399<\/label><\/li><\/ul><\/div><div id=\"wpforms-540-field_62-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"62\"><label class=\"wpforms-field-label\" for=\"wpforms-540-field_62\">\u0391\u03b3\u03b3\u03b5\u03b9\u03b1\u03ba\u03cc <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-540-field_62\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_62_1\" name=\"wpforms[fields][62]\" value=\"Yes\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_62_1\">\u039d\u03b1\u03af<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_62_2\" name=\"wpforms[fields][62]\" value=\"No\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_62_2\">\u039f\u03a7\u0399<\/label><\/li><\/ul><\/div><div id=\"wpforms-540-field_63-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"63\"><label class=\"wpforms-field-label\" for=\"wpforms-540-field_63\">\u0395\u03b3\u03ba\u03b5\u03c6\u03b1\u03bb\u03b9\u03ba\u03cc <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-540-field_63\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_63_1\" name=\"wpforms[fields][63]\" value=\"Yes\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_63_1\">\u039d\u03b1\u03af<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_63_2\" name=\"wpforms[fields][63]\" value=\"No\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_63_2\">\u039f\u03a7\u0399<\/label><\/li><\/ul><\/div><div id=\"wpforms-540-field_64-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"64\"><label class=\"wpforms-field-label\" for=\"wpforms-540-field_64\">\u0394\u03b9\u03b1\u03b2\u03ae\u03c4\u03b7\u03c2 <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-540-field_64\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_64_1\" name=\"wpforms[fields][64]\" value=\"Type 1\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_64_1\">\u03a4\u03cd\u03c0\u03bf\u03c5 1<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_64_2\" name=\"wpforms[fields][64]\" value=\"Type 2\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_64_2\">\u03a4\u03cd\u03c0\u03bf\u03c5 2<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_64_3\" name=\"wpforms[fields][64]\" value=\"N\/A\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_64_3\">N\/A<\/label><\/li><\/ul><\/div><div id=\"wpforms-540-field_65-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"65\"><label class=\"wpforms-field-label\" for=\"wpforms-540-field_65\">\u03a6\u03bb\u03b5\u03b2\u03b9\u03ba\u03ae \u03b8\u03c1\u03cc\u03bc\u03b2\u03c9\u03c3\u03b7 <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-540-field_65\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_65_1\" name=\"wpforms[fields][65]\" value=\"Yes\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_65_1\">\u039d\u03b1\u03af<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_65_2\" name=\"wpforms[fields][65]\" value=\"No\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_65_2\">\u039f\u03a7\u0399<\/label><\/li><\/ul><\/div><div id=\"wpforms-540-field_66-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"66\"><label class=\"wpforms-field-label\" for=\"wpforms-540-field_66\">\u03a0\u03bd\u03b5\u03c5\u03bc\u03bf\u03bd\u03b9\u03ba\u03ae \u03b5\u03bc\u03b2\u03bf\u03bb\u03ae <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-540-field_66\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_66_1\" name=\"wpforms[fields][66]\" value=\"Yes\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_66_1\">\u039d\u03b1\u03af<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_66_2\" name=\"wpforms[fields][66]\" value=\"No\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_66_2\">\u039f\u03a7\u0399<\/label><\/li><\/ul><\/div><div id=\"wpforms-540-field_67-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"67\"><label class=\"wpforms-field-label\" for=\"wpforms-540-field_67\">\u03a0\u03c1\u03cc\u03b2\u03bb\u03b7\u03bc\u03b1 \u03bd\u03b5\u03c6\u03c1\u03ce\u03bd <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-540-field_67\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_67_1\" name=\"wpforms[fields][67]\" value=\"Yes\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_67_1\">\u039d\u03b1\u03af<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_67_2\" name=\"wpforms[fields][67]\" value=\"No\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_67_2\">\u039f\u03a7\u0399<\/label><\/li><\/ul><\/div><div id=\"wpforms-540-field_68-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"68\"><label class=\"wpforms-field-label\" for=\"wpforms-540-field_68\">\u0394\u03b9\u03b1\u03c4\u03b1\u03c1\u03b1\u03c7\u03ad\u03c2 \u03b1\u03af\u03bc\u03b1\u03c4\u03bf\u03c2 <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-540-field_68\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_68_1\" name=\"wpforms[fields][68]\" value=\"Yes\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_68_1\">\u039d\u03b1\u03af<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_68_2\" name=\"wpforms[fields][68]\" value=\"No\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_68_2\">\u039f\u03a7\u0399<\/label><\/li><\/ul><\/div><div id=\"wpforms-540-field_69-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"69\"><label class=\"wpforms-field-label\" for=\"wpforms-540-field_69\">\u0399\u03c3\u03c4\u03bf\u03c1\u03b9\u03ba\u03cc \u03ba\u03b1\u03c1\u03ba\u03af\u03bd\u03bf\u03c5 <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-540-field_69\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_69_1\" name=\"wpforms[fields][69]\" value=\"Yes\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_69_1\">\u039d\u03b1\u03af<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_69_2\" name=\"wpforms[fields][69]\" value=\"No\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_69_2\">\u039f\u03a7\u0399<\/label><\/li><\/ul><\/div><div id=\"wpforms-540-field_70-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"70\"><h3 id=\"wpforms-540-field_70\" name=\"wpforms[fields][70]\">C.\u03a6\u03b1\u03c1\u03bc\u03b1\u03ba\u03b5\u03c5\u03c4\u03b9\u03ba\u03ae \u03b1\u03b3\u03c9\u03b3\u03ae<\/h3><div class=\"wpforms-field-description\">\u03a3\u03c5\u03bc\u03c0\u03bb\u03b7\u03c1\u03ce\u03c3\u03c4\u03b5 \u03b1\u03c5\u03c4\u03ae\u03bd \u03c4\u03b7\u03bd \u03b5\u03bd\u03cc\u03c4\u03b7\u03c4\u03b1 \u03b5\u03ac\u03bd \u03c0\u03b1\u03af\u03c1\u03bd\u03b1\u03c4\u03b5 \u03c6\u03ac\u03c1\u03bc\u03b1\u03ba\u03b1 \u03c0\u03c1\u03b9\u03bd \u03b1\u03c0\u03cc \u03c4\u03ce\u03c1\u03b1.<\/div><\/div><div id=\"wpforms-540-field_72-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"72\"><label class=\"wpforms-field-label\" for=\"wpforms-540-field_72\">\u03a6\u03ac\u03c1\u03bc\u03b1\u03ba\u03bf 1<\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-two-fifths\"><input type=\"text\" id=\"wpforms-540-field_72\" class=\"wpforms-field-name-first\" name=\"wpforms[fields][72][first]\" placeholder=\"\u038c\u03bd\u03bf\u03bc\u03b1\" ><label for=\"wpforms-540-field_72\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-fifth\"><input type=\"text\" id=\"wpforms-540-field_72-middle\" class=\"wpforms-field-name-middle\" name=\"wpforms[fields][72][middle]\" placeholder=\"\u0394\u03cc\u03c3\u03b7\" ><label for=\"wpforms-540-field_72-middle\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Middle<\/label><\/div><div class=\"wpforms-field-row-block wpforms-two-fifths\"><input type=\"text\" id=\"wpforms-540-field_72-last\" class=\"wpforms-field-name-last\" name=\"wpforms[fields][72][last]\" placeholder=\"\u03a3\u03c5\u03c7\u03bd\u03cc\u03c4\u03b7\u03c4\u03b1\" ><label for=\"wpforms-540-field_72-last\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-540-field_73-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"73\"><label class=\"wpforms-field-label\" for=\"wpforms-540-field_73\">\u03a6\u03b1\u03c1\u03bc\u03b1\u03ba\u03b5\u03c5\u03c4\u03b9\u03ba\u03ae \u03b1\u03b3\u03c9\u03b3\u03ae 2<\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-two-fifths\"><input type=\"text\" id=\"wpforms-540-field_73\" class=\"wpforms-field-name-first\" name=\"wpforms[fields][73][first]\" placeholder=\"\u038c\u03bd\u03bf\u03bc\u03b1\" ><label for=\"wpforms-540-field_73\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-fifth\"><input type=\"text\" id=\"wpforms-540-field_73-middle\" class=\"wpforms-field-name-middle\" name=\"wpforms[fields][73][middle]\" placeholder=\"\u0394\u03cc\u03c3\u03b7\" ><label for=\"wpforms-540-field_73-middle\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Middle<\/label><\/div><div class=\"wpforms-field-row-block wpforms-two-fifths\"><input type=\"text\" id=\"wpforms-540-field_73-last\" class=\"wpforms-field-name-last\" name=\"wpforms[fields][73][last]\" placeholder=\"\u03a3\u03c5\u03c7\u03bd\u03cc\u03c4\u03b7\u03c4\u03b1\" ><label for=\"wpforms-540-field_73-last\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-540-field_74-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"74\"><label class=\"wpforms-field-label\" for=\"wpforms-540-field_74\">\u03a6\u03ac\u03c1\u03bc\u03b1\u03ba\u03b1 3<\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-two-fifths\"><input type=\"text\" id=\"wpforms-540-field_74\" class=\"wpforms-field-name-first\" name=\"wpforms[fields][74][first]\" placeholder=\"\u038c\u03bd\u03bf\u03bc\u03b1\" ><label for=\"wpforms-540-field_74\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-fifth\"><input type=\"text\" id=\"wpforms-540-field_74-middle\" class=\"wpforms-field-name-middle\" name=\"wpforms[fields][74][middle]\" placeholder=\"\u0394\u03cc\u03c3\u03b7\" ><label for=\"wpforms-540-field_74-middle\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Middle<\/label><\/div><div class=\"wpforms-field-row-block wpforms-two-fifths\"><input type=\"text\" id=\"wpforms-540-field_74-last\" class=\"wpforms-field-name-last\" name=\"wpforms[fields][74][last]\" placeholder=\"\u03a3\u03c5\u03c7\u03bd\u03cc\u03c4\u03b7\u03c4\u03b1\" ><label for=\"wpforms-540-field_74-last\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-540-field_75-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline wpforms-conditional-trigger\" data-field-id=\"75\"><label class=\"wpforms-field-label\" for=\"wpforms-540-field_75\">\u0391\u03bb\u03bb\u03b5\u03c1\u03b3\u03af\u03b5\u03c2 <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-540-field_75\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_75_1\" name=\"wpforms[fields][75]\" value=\"Yes\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_75_1\">\u039d\u03b1\u03af<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_75_2\" name=\"wpforms[fields][75]\" value=\"No\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_75_2\">\u039f\u03a7\u0399<\/label><\/li><\/ul><\/div><div id=\"wpforms-540-field_76-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"76\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-540-field_76\">\u039f\u03bd\u03bf\u03bc\u03b1\u03c3\u03af\u03b1 \u03b1\u03bb\u03bb\u03b5\u03c1\u03b3\u03b9\u03ce\u03bd \u03c3\u03b5 \u03c6\u03ac\u03c1\u03bc\u03b1\u03ba\u03b1 <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-540-field_76\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][76]\" required><\/div><div id=\"wpforms-540-field_78-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline wpforms-conditional-trigger\" data-field-id=\"78\"><label class=\"wpforms-field-label\" for=\"wpforms-540-field_78\">\u03a0\u03c1\u03bf\u03b7\u03b3\u03bf\u03cd\u03bc\u03b5\u03bd\u03b1 \u03a7\u03b5\u03b9\u03c1\u03bf\u03c5\u03c1\u03b3\u03b5\u03af\u03b1 <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-540-field_78\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_78_1\" name=\"wpforms[fields][78]\" value=\"Yes\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_78_1\">\u039d\u03b1\u03af<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_78_2\" name=\"wpforms[fields][78]\" value=\"No\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_78_2\">\u039f\u03a7\u0399<\/label><\/li><\/ul><\/div><div id=\"wpforms-540-field_79-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"79\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-540-field_79\">\u03a0\u03b1\u03c1\u03b1\u03ba\u03b1\u03bb\u03ce \u03b4\u03b7\u03bb\u03ce\u03c3\u03c4\u03b5 \u03c4\u03bf \u03c7\u03b5\u03b9\u03c1\u03bf\u03c5\u03c1\u03b3\u03b5\u03af\u03bf <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-540-field_79\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][79]\" required><\/div><div id=\"wpforms-540-field_80-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"80\"><label class=\"wpforms-field-label\" for=\"wpforms-540-field_80\">\u039f\u03c1\u03b8\u03bf\u03c0\u03b5\u03b4\u03b9\u03ba\u03ac \u03b5\u03bc\u03c6\u03c5\u03c4\u03b5\u03cd\u03bc\u03b1\u03c4\u03b1 <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-540-field_80\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_80_1\" name=\"wpforms[fields][80]\" value=\"Yes\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_80_1\">\u039d\u03b1\u03af<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_80_2\" name=\"wpforms[fields][80]\" value=\"No\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_80_2\">\u039f\u03a7\u0399<\/label><\/li><\/ul><\/div><div id=\"wpforms-540-field_81-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"81\"><label class=\"wpforms-field-label\" for=\"wpforms-540-field_81\">\u0392\u03b7\u03bc\u03b1\u03c4\u03bf\u03b4\u03cc\u03c4\u03b7\u03c2  <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-540-field_81\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_81_1\" name=\"wpforms[fields][81]\" value=\"Yes\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_81_1\">\u039d\u03b1\u03af<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_81_2\" name=\"wpforms[fields][81]\" value=\"No\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_81_2\">\u039f\u03a7\u0399<\/label><\/li><\/ul><\/div><div id=\"wpforms-540-field_82-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"82\"><label class=\"wpforms-field-label\" for=\"wpforms-540-field_82\">\u0392\u03b1\u03bb\u03b2\u03af\u03b4\u03b1\/\u03a3\u03c4\u03ad\u03bd\u03c4 <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-540-field_82\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_82_1\" name=\"wpforms[fields][82]\" value=\"Yes\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_82_1\">\u039d\u03b1\u03af<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_82_2\" name=\"wpforms[fields][82]\" value=\"No\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_82_2\">\u039f\u03a7\u0399<\/label><\/li><\/ul><\/div><div id=\"wpforms-540-field_83-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"83\"><label class=\"wpforms-field-label\" for=\"wpforms-540-field_83\">\u03a0\u03c1\u03bf\u03b2\u03bb\u03ae\u03bc\u03b1\u03c4\u03b1 \u03b1\u03bd\u03b1\u03b9\u03c3\u03b8\u03b7\u03c3\u03af\u03b1\u03c2 <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-540-field_83\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_83_1\" name=\"wpforms[fields][83]\" value=\"Yes\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_83_1\">\u039d\u03b1\u03af<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_83_2\" name=\"wpforms[fields][83]\" value=\"No\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_83_2\">\u039f\u03a7\u0399<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_83_4\" name=\"wpforms[fields][83]\" value=\"Other\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_83_4\">\u0386\u03bb\u03bb\u03bf<\/label><\/li><\/ul><\/div><div id=\"wpforms-540-field_85-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"85\"><label class=\"wpforms-field-label\" for=\"wpforms-540-field_85\">\u039a\u03bf\u03b9\u03bd\u03c9\u03bd\u03b9\u03ba\u03cc \u03b9\u03c3\u03c4\u03bf\u03c1\u03b9\u03ba\u03cc<\/label><input type=\"text\" id=\"wpforms-540-field_85\" class=\"wpforms-field-medium\" name=\"wpforms[fields][85]\" ><\/div><div id=\"wpforms-540-field_86-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"86\"><label class=\"wpforms-field-label\" for=\"wpforms-540-field_86\">\u0394\u03c1\u03b1\u03c3\u03c4\u03b7\u03c1\u03b9\u03cc\u03c4\u03b7\u03c4\u03b5\u03c2 <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-540-field_86\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_86_1\" name=\"wpforms[fields][86]\" value=\"Independent\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_86_1\">\u0391\u03bd\u03b5\u03be\u03ac\u03c1\u03c4\u03b7\u03c4\u03bf\u03c2\/\u03b7<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_86_2\" name=\"wpforms[fields][86]\" value=\"Residential home\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_86_2\">\u039f\u03af\u03ba\u03bf\u03c2 \u03b5\u03c5\u03b3\u03b7\u03c1\u03af\u03b1\u03c2<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_86_4\" name=\"wpforms[fields][86]\" value=\"Carers ( x\/day)\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_86_4\">\u03a6\u03c1\u03bf\u03bd\u03c4\u03b9\u03c3\u03c4\u03ad\u03c2<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_86_5\" name=\"wpforms[fields][86]\" value=\"Nursing home\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_86_5\">\u0393\u03b7\u03c1\u03bf\u03ba\u03bf\u03bc\u03b5\u03af\u03bf<\/label><\/li><\/ul><\/div><div id=\"wpforms-540-field_87-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline wpforms-conditional-trigger\" data-field-id=\"87\"><label class=\"wpforms-field-label\" for=\"wpforms-540-field_87\">\u039a\u03b9\u03bd\u03b7\u03c4\u03b9\u03ba\u03cc\u03c4\u03b7\u03c4\u03b1 <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-540-field_87\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_87_1\" name=\"wpforms[fields][87]\" value=\"Independent\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_87_1\">\u0391\u03bd\u03b5\u03be\u03ac\u03c1\u03c4\u03b7\u03c4\u03bf\u03c2\/\u03b7<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_87_2\" name=\"wpforms[fields][87]\" value=\"Frame \" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_87_2\">\u03a0\u03b5\u03c1\u03c0\u03b1\u03c4\u03bf\u03cd\u03c1\u03b1 \/ <\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_87_4\" name=\"wpforms[fields][87]\" value=\"Stick \" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_87_4\">\u039c\u03c0\u03b1\u03c3\u03c4\u03bf\u03cd\u03bd\u03b9 <\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_87_6\" name=\"wpforms[fields][87]\" value=\"Wheel chair\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_87_6\">\u0391\u03bd\u03b1\u03c0\u03b7\u03c1\u03b9\u03ba\u03cc \u039a\u03b1\u03c1\u03bf\u03c4\u03c3\u03ac\u03ba\u03b9<\/label><\/li><\/ul><\/div><div id=\"wpforms-540-field_101-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"101\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-540-field_101\">\u039a\u03b1\u03b8\u03bf\u03c1\u03af\u03c3\u03c4\u03b5 \u03c4\u03b7\u03bd \u03b1\u03c0\u03cc\u03c3\u03c4\u03b1\u03c3\u03b7 \u03b1\u03bd\u03ac \u03b7\u03bc\u03ad\u03c1\u03b1 <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-540-field_101\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][101]\" required><\/div><div id=\"wpforms-540-field_102-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline wpforms-conditional-trigger\" data-field-id=\"102\"><label class=\"wpforms-field-label\" for=\"wpforms-540-field_102\">\u0391\u03bb\u03ba\u03bf\u03cc\u03bb  <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-540-field_102\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_102_1\" name=\"wpforms[fields][102]\" value=\"Yes\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_102_1\">\u039d\u03b1\u03af<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_102_2\" name=\"wpforms[fields][102]\" value=\"No\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_102_2\">\u039f\u03a7\u0399<\/label><\/li><\/ul><\/div><div id=\"wpforms-540-field_103-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"103\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-540-field_103\">\u03a0\u03bf\u03c4\u03ae\u03c1\u03b9\u03b1: <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-540-field_103\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][103]\" required><\/div><div id=\"wpforms-540-field_89-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline wpforms-conditional-trigger\" data-field-id=\"89\"><label class=\"wpforms-field-label\" for=\"wpforms-540-field_89\">\u039a\u03ac\u03c0\u03bd\u03b9\u03c3\u03bc\u03b1  <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-540-field_89\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_89_1\" name=\"wpforms[fields][89]\" value=\"Yes\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_89_1\">\u039d\u03b1\u03af<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-540-field_89_2\" name=\"wpforms[fields][89]\" value=\"No\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-540-field_89_2\">\u039f\u03a7\u0399<\/label><\/li><\/ul><\/div><div id=\"wpforms-540-field_90-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"90\" style=\"display:none;\"><label class=\"wpforms-field-label\" 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