{"id":27555,"date":"2025-02-05T11:01:19","date_gmt":"2025-02-05T04:01:19","guid":{"rendered":""},"modified":"2025-02-05T14:54:53","modified_gmt":"2025-02-05T07:54:53","slug":"customer-service-evaluation-forms-mm","status":"publish","type":"post","link":"https:\/\/www.intouchmedicare.com\/mm\/customer-service-evaluation-forms-mm","title":{"rendered":"\u0e41\u0e1a\u0e1a\u0e1b\u0e23\u0e30\u0e40\u0e21\u0e34\u0e19\u0e04\u0e27\u0e32\u0e21\u0e1e\u0e36\u0e07\u0e1e\u0e2d\u0e43\u0e08\u0e2b\u0e25\u0e31\u0e07\u0e23\u0e31\u0e1a\u0e1a\u0e23\u0e34\u0e01\u0e32\u0e23"},"content":{"rendered":"\n\t<section class=\"section\" id=\"section_1303091754\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f27552-o1\" lang=\"my-MM\" dir=\"ltr\" data-wpcf7-id=\"27552\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/mm\/wp-json\/wp\/v2\/posts\/27555#wpcf7-f27552-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"27552\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.6\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"my_MM\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f27552-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/fieldset>\n<p><label><b><span style=\"color: #4f9111;\">1. \u0e02\u0e49\u0e2d\u0e21\u0e39\u0e25\u0e40\u0e1a\u0e37\u0e49\u0e2d\u0e07\u0e15\u0e49\u0e19\u0e02\u0e2d\u0e07\u0e1c\u0e39\u0e49\u0e23\u0e31\u0e1a\u0e1a\u0e23\u0e34\u0e01\u0e32\u0e23<\/span><\/b><\/label>\n<\/p>\n<p><label>\u0e40\u0e1e\u0e28*<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-619\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"checkbox-619[]\" value=\"\u0e0a\u0e32\u0e22\" \/><span class=\"wpcf7-list-item-label\">\u0e0a\u0e32\u0e22<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-619[]\" value=\"\u0e2b\u0e0d\u0e34\u0e07\" \/><span class=\"wpcf7-list-item-label\">\u0e2b\u0e0d\u0e34\u0e07<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"checkbox-619[]\" value=\"\u0e2d\u0e37\u0e48\u0e19\u0e46\" \/><span class=\"wpcf7-list-item-label\">\u0e2d\u0e37\u0e48\u0e19\u0e46<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><label>\u0e2d\u0e32\u0e22\u0e38*<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-245\"><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=\"text-245\" \/><\/span>\n<\/p>\n<p><label>\u0e2d\u0e35\u0e40\u0e21\u0e25\u0e25\u0e4c*<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"email-user\"><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=\"email-user\" \/><\/span>\n<\/p>\n<p><label>\u0e27\u0e31\u0e19\u0e17\u0e35\u0e48\u0e40\u0e02\u0e49\u0e32\u0e23\u0e31\u0e1a\u0e1a\u0e23\u0e34\u0e01\u0e32\u0e23*<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-494\"><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=\"text-494\" \/><\/span>\n<\/p>\n<p><label>\u0e2a\u0e32\u0e02\u0e32\u0e17\u0e35\u0e48\u0e17\u0e33\u0e01\u0e32\u0e23\u0e40\u0e02\u0e49\u0e32\u0e23\u0e31\u0e1a\u0e1a\u0e23\u0e34\u0e01\u0e32\u0e23*<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-533\"><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=\"text-533\" \/><\/span>\n<\/p>\n<p><label>\u0e1b\u0e23\u0e30\u0e40\u0e20\u0e17\u0e1a\u0e23\u0e34\u0e01\u0e32\u0e23\u0e17\u0e35\u0e48\u0e44\u0e14\u0e49\u0e23\u0e31\u0e1a*<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-935\"><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=\"text-935\" \/><\/span>\n<\/p>\n<p><label><b><span style=\"color: #4f9111;\">2. \u0e04\u0e27\u0e32\u0e21\u0e1e\u0e36\u0e07\u0e1e\u0e2d\u0e43\u0e08\u0e43\u0e19\u0e14\u0e49\u0e32\u0e19\u0e01\u0e32\u0e23\u0e1a\u0e23\u0e34\u0e01\u0e32\u0e23 (\u0e43\u0e2b\u0e49\u0e04\u0e30\u0e41\u0e19\u0e19 1-5)<\/span><\/b><\/label>\n<\/p>\n<p><label>2.1 \u0e14\u0e49\u0e32\u0e19\u0e1e\u0e19\u0e31\u0e01\u0e07\u0e32\u0e19\u0e41\u0e25\u0e30\u0e01\u0e32\u0e23\u0e43\u0e2b\u0e49\u0e1a\u0e23\u0e34\u0e01\u0e32\u0e23<\/label>\n<\/p>\n<p><label>\u0e04\u0e27\u0e32\u0e21\u0e2a\u0e38\u0e20\u0e32\u0e1e\u0e41\u0e25\u0e30\u0e01\u0e32\u0e23\u0e15\u0e49\u0e2d\u0e19\u0e23\u0e31\u0e1a\u0e02\u0e2d\u0e07\u0e40\u0e08\u0e49\u0e32\u0e2b\u0e19\u0e49\u0e32\u0e17\u0e35\u0e48:<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-894\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"checkbox-894[]\" value=\"1\" \/><span class=\"wpcf7-list-item-label\">1<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-894[]\" value=\"2\" \/><span class=\"wpcf7-list-item-label\">2<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-894[]\" value=\"3\" \/><span class=\"wpcf7-list-item-label\">3<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-894[]\" value=\"4\" \/><span class=\"wpcf7-list-item-label\">4<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"checkbox-894[]\" value=\"5\" \/><span class=\"wpcf7-list-item-label\">5<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><label>\u0e01\u0e32\u0e23\u0e43\u0e2b\u0e49\u0e02\u0e49\u0e2d\u0e21\u0e39\u0e25\u0e2b\u0e23\u0e37\u0e2d\u0e04\u0e33\u0e41\u0e19\u0e30\u0e19\u0e33\u0e17\u0e35\u0e48\u0e0a\u0e31\u0e14\u0e40\u0e08\u0e19:<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-230\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"checkbox-230[]\" value=\"1\" \/><span class=\"wpcf7-list-item-label\">1<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-230[]\" value=\"2\" \/><span class=\"wpcf7-list-item-label\">2<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-230[]\" value=\"3\" \/><span class=\"wpcf7-list-item-label\">3<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-230[]\" value=\"4\" \/><span class=\"wpcf7-list-item-label\">4<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"checkbox-230[]\" value=\"5\" \/><span class=\"wpcf7-list-item-label\">5<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><label>\u0e04\u0e27\u0e32\u0e21\u0e40\u0e2d\u0e32\u0e43\u0e08\u0e43\u0e2a\u0e48\u0e41\u0e25\u0e30\u0e01\u0e32\u0e23\u0e14\u0e39\u0e41\u0e25\u0e02\u0e2d\u0e07\u0e40\u0e08\u0e49\u0e32\u0e2b\u0e19\u0e49\u0e32\u0e17\u0e35\u0e48:<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-842\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"checkbox-842[]\" value=\"1\" \/><span class=\"wpcf7-list-item-label\">1<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-842[]\" value=\"2\" \/><span class=\"wpcf7-list-item-label\">2<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-842[]\" value=\"3\" \/><span class=\"wpcf7-list-item-label\">3<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-842[]\" value=\"4\" \/><span class=\"wpcf7-list-item-label\">4<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"checkbox-842[]\" value=\"5\" \/><span class=\"wpcf7-list-item-label\">5<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><label>2.2 \u0e14\u0e49\u0e32\u0e19\u0e04\u0e38\u0e13\u0e20\u0e32\u0e1e\u0e1a\u0e23\u0e34\u0e01\u0e32\u0e23\u0e17\u0e32\u0e07\u0e01\u0e32\u0e23\u0e41\u0e1e\u0e17\u0e22\u0e4c<\/label>\n<\/p>\n<p><label>\u0e04\u0e27\u0e32\u0e21\u0e40\u0e0a\u0e35\u0e48\u0e22\u0e27\u0e0a\u0e32\u0e0d\u0e41\u0e25\u0e30\u0e04\u0e27\u0e32\u0e21\u0e19\u0e48\u0e32\u0e40\u0e0a\u0e37\u0e48\u0e2d\u0e16\u0e37\u0e2d\u0e02\u0e2d\u0e07\u0e41\u0e1e\u0e17\u0e22\u0e4c:<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-260\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"checkbox-260[]\" value=\"1\" \/><span class=\"wpcf7-list-item-label\">1<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-260[]\" value=\"2\" \/><span class=\"wpcf7-list-item-label\">2<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-260[]\" value=\"3\" \/><span class=\"wpcf7-list-item-label\">3<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-260[]\" value=\"4\" \/><span class=\"wpcf7-list-item-label\">4<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"checkbox-260[]\" value=\"5\" \/><span class=\"wpcf7-list-item-label\">5<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><label>\u0e04\u0e27\u0e32\u0e21\u0e0a\u0e31\u0e14\u0e40\u0e08\u0e19\u0e43\u0e19\u0e01\u0e32\u0e23\u0e2d\u0e18\u0e34\u0e1a\u0e32\u0e22\u0e01\u0e32\u0e23\u0e27\u0e34\u0e19\u0e34\u0e08\u0e09\u0e31\u0e22\/\u0e01\u0e32\u0e23\u0e23\u0e31\u0e01\u0e29\u0e32:<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-958\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"checkbox-958[]\" value=\"1\" \/><span class=\"wpcf7-list-item-label\">1<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-958[]\" value=\"2\" \/><span class=\"wpcf7-list-item-label\">2<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-958[]\" value=\"3\" \/><span class=\"wpcf7-list-item-label\">3<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-958[]\" value=\"4\" \/><span class=\"wpcf7-list-item-label\">4<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"checkbox-958[]\" value=\"5\" \/><span class=\"wpcf7-list-item-label\">5<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><label>\u0e23\u0e30\u0e22\u0e30\u0e40\u0e27\u0e25\u0e32\u0e43\u0e19\u0e01\u0e32\u0e23\u0e43\u0e2b\u0e49\u0e1a\u0e23\u0e34\u0e01\u0e32\u0e23 (\u0e44\u0e21\u0e48\u0e25\u0e48\u0e32\u0e0a\u0e49\u0e32):<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-114\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"checkbox-114[]\" value=\"1\" \/><span class=\"wpcf7-list-item-label\">1<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-114[]\" value=\"2\" \/><span class=\"wpcf7-list-item-label\">2<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-114[]\" value=\"3\" \/><span class=\"wpcf7-list-item-label\">3<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-114[]\" value=\"4\" \/><span class=\"wpcf7-list-item-label\">4<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"checkbox-114[]\" value=\"5\" \/><span class=\"wpcf7-list-item-label\">5<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><label>2.3 \u0e14\u0e49\u0e32\u0e19\u0e2a\u0e34\u0e48\u0e07\u0e2d\u0e33\u0e19\u0e27\u0e22\u0e04\u0e27\u0e32\u0e21\u0e2a\u0e30\u0e14\u0e27\u0e01<\/label>\n<\/p>\n<p><label>\u0e04\u0e27\u0e32\u0e21\u0e2a\u0e30\u0e2d\u0e32\u0e14\u0e02\u0e2d\u0e07\u0e2a\u0e16\u0e32\u0e19\u0e17\u0e35\u0e48:<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-117\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"checkbox-117[]\" value=\"1\" \/><span class=\"wpcf7-list-item-label\">1<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-117[]\" value=\"2\" \/><span class=\"wpcf7-list-item-label\">2<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-117[]\" value=\"3\" \/><span class=\"wpcf7-list-item-label\">3<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-117[]\" value=\"4\" \/><span class=\"wpcf7-list-item-label\">4<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"checkbox-117[]\" value=\"5\" \/><span class=\"wpcf7-list-item-label\">5<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><label>\u0e04\u0e27\u0e32\u0e21\u0e2a\u0e30\u0e14\u0e27\u0e01\u0e2a\u0e1a\u0e32\u0e22\u0e43\u0e19\u0e1e\u0e37\u0e49\u0e19\u0e17\u0e35\u0e48\u0e23\u0e2d\u0e23\u0e31\u0e1a\u0e1a\u0e23\u0e34\u0e01\u0e32\u0e23:<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-306\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"checkbox-306[]\" value=\"1\" \/><span class=\"wpcf7-list-item-label\">1<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-306[]\" value=\"2\" \/><span class=\"wpcf7-list-item-label\">2<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-306[]\" value=\"3\" \/><span class=\"wpcf7-list-item-label\">3<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-306[]\" value=\"4\" \/><span class=\"wpcf7-list-item-label\">4<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"checkbox-306[]\" value=\"5\" \/><span class=\"wpcf7-list-item-label\">5<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><label>\u0e04\u0e27\u0e32\u0e21\u0e40\u0e1e\u0e35\u0e22\u0e07\u0e1e\u0e2d\u0e02\u0e2d\u0e07\u0e2d\u0e38\u0e1b\u0e01\u0e23\u0e13\u0e4c\/\u0e40\u0e04\u0e23\u0e37\u0e48\u0e2d\u0e07\u0e21\u0e37\u0e2d\u0e17\u0e32\u0e07\u0e01\u0e32\u0e23\u0e41\u0e1e\u0e17\u0e22\u0e4c:<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-249\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"checkbox-249[]\" value=\"1\" \/><span class=\"wpcf7-list-item-label\">1<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-249[]\" value=\"2\" \/><span class=\"wpcf7-list-item-label\">2<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-249[]\" value=\"3\" \/><span class=\"wpcf7-list-item-label\">3<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-249[]\" value=\"4\" \/><span class=\"wpcf7-list-item-label\">4<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"checkbox-249[]\" value=\"5\" \/><span class=\"wpcf7-list-item-label\">5<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><label><b><span style=\"color: #4f9111;\">3. \u0e04\u0e27\u0e32\u0e21\u0e1e\u0e36\u0e07\u0e1e\u0e2d\u0e43\u0e08\u0e42\u0e14\u0e22\u0e23\u0e27\u0e21 (\u0e43\u0e2b\u0e49\u0e04\u0e30\u0e41\u0e19\u0e19 1-5)<\/span><\/b><\/label>\n<\/p>\n<p><label>\u0e04\u0e27\u0e32\u0e21\u0e1e\u0e36\u0e07\u0e1e\u0e2d\u0e43\u0e08\u0e42\u0e14\u0e22\u0e23\u0e27\u0e21\u0e15\u0e48\u0e2d\u0e1a\u0e23\u0e34\u0e01\u0e32\u0e23\u0e02\u0e2d\u0e07\u0e04\u0e25\u0e34\u0e19\u0e34\u0e01:<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-127\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"checkbox-127[]\" value=\"1\" \/><span class=\"wpcf7-list-item-label\">1<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-127[]\" value=\"2\" \/><span class=\"wpcf7-list-item-label\">2<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-127[]\" value=\"3\" \/><span class=\"wpcf7-list-item-label\">3<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-127[]\" value=\"4\" \/><span class=\"wpcf7-list-item-label\">4<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"checkbox-127[]\" value=\"5\" \/><span class=\"wpcf7-list-item-label\">5<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><label>\u0e04\u0e27\u0e32\u0e21\u0e04\u0e38\u0e49\u0e21\u0e04\u0e48\u0e32\u0e02\u0e2d\u0e07\u0e1a\u0e23\u0e34\u0e01\u0e32\u0e23\u0e40\u0e21\u0e37\u0e48\u0e2d\u0e40\u0e17\u0e35\u0e22\u0e1a\u0e01\u0e31\u0e1a\u0e04\u0e48\u0e32\u0e43\u0e0a\u0e49\u0e08\u0e48\u0e32\u0e22:<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-440\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"checkbox-440[]\" value=\"1\" \/><span class=\"wpcf7-list-item-label\">1<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-440[]\" value=\"2\" \/><span class=\"wpcf7-list-item-label\">2<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-440[]\" value=\"3\" \/><span class=\"wpcf7-list-item-label\">3<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-440[]\" value=\"4\" \/><span class=\"wpcf7-list-item-label\">4<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"checkbox-440[]\" value=\"5\" \/><span class=\"wpcf7-list-item-label\">5<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><label>\u0e17\u0e48\u0e32\u0e19\u0e21\u0e35\u0e41\u0e19\u0e27\u0e42\u0e19\u0e49\u0e21\u0e17\u0e35\u0e48\u0e08\u0e30\u0e41\u0e19\u0e30\u0e19\u0e33\u0e04\u0e25\u0e34\u0e19\u0e34\u0e01\u0e2d\u0e34\u0e19\u0e17\u0e31\u0e0a\u0e40\u0e21\u0e14\u0e34\u0e41\u0e04\u0e23\u0e4c\u0e43\u0e2b\u0e49\u0e04\u0e19\u0e23\u0e39\u0e49\u0e08\u0e31\u0e01\u0e2b\u0e23\u0e37\u0e2d\u0e44\u0e21\u0e48?<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-520\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"checkbox-520[]\" value=\"\u0e41\u0e19\u0e48\u0e19\u0e2d\u0e19\" \/><span class=\"wpcf7-list-item-label\">\u0e41\u0e19\u0e48\u0e19\u0e2d\u0e19<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-520[]\" value=\"\u0e04\u0e48\u0e2d\u0e19\u0e02\u0e49\u0e32\u0e07\u0e41\u0e19\u0e48\u0e19\u0e2d\u0e19\" \/><span class=\"wpcf7-list-item-label\">\u0e04\u0e48\u0e2d\u0e19\u0e02\u0e49\u0e32\u0e07\u0e41\u0e19\u0e48\u0e19\u0e2d\u0e19<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-520[]\" value=\"\u0e2d\u0e32\u0e08\u0e08\u0e30\" \/><span class=\"wpcf7-list-item-label\">\u0e2d\u0e32\u0e08\u0e08\u0e30<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-520[]\" value=\"\u0e44\u0e21\u0e48\u0e19\u0e48\u0e32\u0e08\u0e30\u0e41\u0e19\u0e30\u0e19\u0e33\" \/><span class=\"wpcf7-list-item-label\">\u0e44\u0e21\u0e48\u0e19\u0e48\u0e32\u0e08\u0e30\u0e41\u0e19\u0e30\u0e19\u0e33<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"checkbox-520[]\" value=\"\u0e44\u0e21\u0e48\u0e41\u0e19\u0e30\u0e19\u0e33\" \/><span class=\"wpcf7-list-item-label\">\u0e44\u0e21\u0e48\u0e41\u0e19\u0e30\u0e19\u0e33<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><label><b><span style=\"color: #4f9111;\">4. \u0e04\u0e33\u0e41\u0e19\u0e30\u0e19\u0e33\u0e41\u0e25\u0e30\u0e15\u0e34\u0e0a\u0e21\u0e01\u0e32\u0e23\u0e43\u0e2b\u0e49\u0e1a\u0e23\u0e34\u0e01\u0e32\u0e23<\/span><\/b><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"textarea-278\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"textarea-278\"><\/textarea><\/span>\n<\/p>\n<p>\u0e02\u0e2d\u0e02\u0e2d\u0e1a\u0e1e\u0e23\u0e30\u0e04\u0e38\u0e13\u0e17\u0e35\u0e48\u0e2a\u0e25\u0e30\u0e40\u0e27\u0e25\u0e32\u0e43\u0e19\u0e01\u0e32\u0e23\u0e1b\u0e23\u0e30\u0e40\u0e21\u0e34\u0e19\u0e04\u0e27\u0e32\u0e21\u0e1e\u0e36\u0e07\u0e1e\u0e2d\u0e43\u0e08\u0e02\u0e2d\u0e07\u0e17\u0e48\u0e32\u0e19 \u0e02\u0e49\u0e2d\u0e21\u0e39\u0e25\u0e19\u0e35\u0e49\u0e08\u0e30\u0e0a\u0e48\u0e27\u0e22\u0e43\u0e2b\u0e49\u0e40\u0e23\u0e32\u0e1e\u0e31\u0e12\u0e19\u0e32\u0e01\u0e32\u0e23\u0e1a\u0e23\u0e34\u0e01\u0e32\u0e23\u0e43\u0e2b\u0e49\u0e14\u0e35\u0e22\u0e34\u0e48\u0e07\u0e02\u0e36\u0e49\u0e19\n<\/p>\n<span class=\"wpcf7-form-control-wrap recaptcha\" data-name=\"recaptcha\"><span data-sitekey=\"6LdNTpcqAAAAAAGogF7KFSg7BAoD8_Z_qsBKj6zh\" class=\"wpcf7-form-control wpcf7-recaptcha g-recaptcha\"><\/span>\r\n<noscript>\r\n\t<div class=\"grecaptcha-noscript\">\r\n\t\t<iframe loading=\"lazy\" src=\"https:\/\/www.google.com\/recaptcha\/api\/fallback?k=6LdNTpcqAAAAAAGogF7KFSg7BAoD8_Z_qsBKj6zh\" frameborder=\"0\" scrolling=\"no\" width=\"310\" height=\"430\">\r\n\t\t<\/iframe>\r\n\t\t<textarea name=\"g-recaptcha-response\" rows=\"3\" cols=\"40\" placeholder=\"reCaptcha Response Here\">\r\n\t\t<\/textarea>\r\n\t<\/div>\r\n<\/noscript>\r\n<\/span>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"\u0e2a\u0e48\u0e07\u0e02\u0e49\u0e2d\u0e04\u0e27\u0e32\u0e21\" \/>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n\t\t<\/div>\n\n\t\t\n<style>\n#section_1303091754 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n  background-color: rgb(230, 247, 205);\n}\n<\/style>\n\t<\/section>\n\t\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":4,"featured_media":27531,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[143],"tags":[],"class_list":["post-27555","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized-mm"],"_links":{"self":[{"href":"https:\/\/www.intouchmedicare.com\/mm\/wp-json\/wp\/v2\/posts\/27555","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.intouchmedicare.com\/mm\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.intouchmedicare.com\/mm\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.intouchmedicare.com\/mm\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/www.intouchmedicare.com\/mm\/wp-json\/wp\/v2\/comments?post=27555"}],"version-history":[{"count":0,"href":"https:\/\/www.intouchmedicare.com\/mm\/wp-json\/wp\/v2\/posts\/27555\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.intouchmedicare.com\/mm\/wp-json\/wp\/v2\/media\/27531"}],"wp:attachment":[{"href":"https:\/\/www.intouchmedicare.com\/mm\/wp-json\/wp\/v2\/media?parent=27555"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.intouchmedicare.com\/mm\/wp-json\/wp\/v2\/categories?post=27555"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.intouchmedicare.com\/mm\/wp-json\/wp\/v2\/tags?post=27555"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}