{"id":432,"date":"2023-06-27T06:20:46","date_gmt":"2023-06-27T06:20:46","guid":{"rendered":"http:\/\/appaphatespeech.org\/laporan-kejadian\/"},"modified":"2023-06-27T06:20:48","modified_gmt":"2023-06-27T06:20:48","slug":"laporan-kejadian","status":"publish","type":"page","link":"http:\/\/appaphatespeech.org\/ms\/laporan-kejadian\/","title":{"rendered":"Laporan kejadian"},"content":{"rendered":"<script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener(\"DOMContentLoaded\",o):document.addEventListener(\"gform_main_scripts_loaded\",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook(\"action\",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook(\"filter\",o,n,r,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,n){gform.removeHook(\"action\",o,n)},removeFilter:function(o,n,r){gform.removeHook(\"filter\",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var e=gform.hooks[o][n];null==i&&(i=n+\"_\"+e.length),gform.hooks[o][n].push({tag:i,callable:r,priority:t=null==t?10:t})},doHook:function(n,o,r){var t;if(r=Array.prototype.slice.call(r,1),null!=gform.hooks[n][o]&&((o=gform.hooks[n][o]).sort(function(o,n){return o.priority-n.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==n?t.apply(null,r):r[0]=t.apply(null,r)})),\"filter\"==n)return r[0]},removeHook:function(o,n,t,i){var r;null!=gform.hooks[o][n]&&(r=(r=gform.hooks[o][n]).filter(function(o,n,r){return!!(null!=i&&i!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][n]=r)}});<\/script>\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_2' style='display:none'><div id='gf_2' class='gform_anchor' tabindex='-1'><\/div>\n                        <div class='gform_heading'>\n                            <h2 class=\"gform_title\">Borang Kutipan Insiden Tuturan kebencian<\/h2>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_2'  action='\/ms\/wp-json\/wp\/v2\/pages\/432#gf_2' data-formid='2' novalidate>\n        <div id='gf_progressbar_wrapper_2' class='gf_progressbar_wrapper'>\n        \t<p class=\"gf_progressbar_title\">Step <span class='gf_step_current_page'>1<\/span> of <span class='gf_step_page_count'>9<\/span>\n        \t<\/p>\n            <div class='gf_progressbar gf_progressbar_blue' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_blue percentbar_11' style='width:11%;'><span>11%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_2_1' class='gform_page ' >\n                                    <div class='gform_page_fields'><div id='gform_fields_2' class='gform_fields top_label form_sublabel_below description_below'><div id=\"field_2_10\"  class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_10\"><h3>Pengenalan<\/h3>\nSalam!<br><br>\n\nTerima kasih kerana berkongsi pengalaman anda mengenai tuturan kebencian. Pengisian borang ini akan mengambil masa kira-kira 15 minit.<br><br>\n\nSila isikan soalan tentang SATU peristiwa yang anda alami. Jika anda mengalami beberapa peristiwa, anda mesti mengisi aduan yang berasingan untuk setiap peristiwa.<\/div><\/div>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_2_23' class='gform_next_button gform-theme-button button' value='Seterusnya'  onclick='jQuery(\"#gform_target_page_number_2\").val(\"2\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_2\").val(\"2\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); } ' \/> <button type='button'  id='gform_save_2_2_link' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  onclick='if(window[\"gf_submitting_2\"]){return false;}  if( !jQuery(\"#gform_2\")[0].checkValidity || jQuery(\"#gform_2\")[0].checkValidity()){window[\"gf_submitting_2\"]=true;} jQuery(\"#gform_save_2\").val(1); jQuery(\"#gform_2\").trigger(\"submit\",[true]);' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_2\"]){return false;} if( !jQuery(\"#gform_2\")[0].checkValidity || jQuery(\"#gform_2\")[0].checkValidity()){window[\"gf_submitting_2\"]=true;} jQuery(\"#gform_save_2\").val(1); jQuery(\"#gform_2\").trigger(\"submit\",[true]); }'><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> Simpan dan Sambung kemudian<\/button>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_2_2' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_2_2' class='gform_fields top_label form_sublabel_below description_below'><fieldset id=\"field_2_8\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_8\"><legend class='gfield_label gform-field-label'  >1. Di manakah lokasi anda?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_8'>\n\t\t\t<div class='gchoice gchoice_2_8_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='Burma'  id='choice_2_8_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_8_0' id='label_2_8_0' class='gform-field-label gform-field-label--type-inline'>Burma<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_8_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='Malaysia'  id='choice_2_8_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_8_1' id='label_2_8_1' class='gform-field-label gform-field-label--type-inline'>Malaysia<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_8_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='Thailand'  id='choice_2_8_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_8_2' id='label_2_8_2' class='gform-field-label gform-field-label--type-inline'>Thailand<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_8_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='Selain daripada Burma, Malaysia atau Thailand'  id='choice_2_8_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_8_3' id='label_2_8_3' class='gform-field-label gform-field-label--type-inline'>Selain daripada Burma, Malaysia atau Thailand<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_2_173\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_173\"><legend class='gfield_label gform-field-label'  >Di manakah kejadian ini berlaku?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_173'>\n\t\t\t<div class='gchoice gchoice_2_173_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_173' type='radio' value='Di Burma'  id='choice_2_173_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_173_0' id='label_2_173_0' class='gform-field-label gform-field-label--type-inline'>Di Burma<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_173_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_173' type='radio' value='Di luar Burma'  id='choice_2_173_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_173_1' id='label_2_173_1' class='gform-field-label gform-field-label--type-inline'>Di luar Burma<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_2_174\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_174\"><legend class='gfield_label gform-field-label'  >Di manakah kejadian ini berlaku?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_174'>\n\t\t\t<div class='gchoice gchoice_2_174_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_174' type='radio' value='Di Malaysia'  id='choice_2_174_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_174_0' id='label_2_174_0' class='gform-field-label gform-field-label--type-inline'>Di Malaysia<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_174_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_174' type='radio' value='Di luar Malaysia'  id='choice_2_174_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_174_1' id='label_2_174_1' class='gform-field-label gform-field-label--type-inline'>Di luar Malaysia<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_2_175\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_175\"><legend class='gfield_label gform-field-label'  >Di manakah kejadian ini berlaku?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_175'>\n\t\t\t<div class='gchoice gchoice_2_175_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_175' type='radio' value='Di Thailand'  id='choice_2_175_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_175_0' id='label_2_175_0' class='gform-field-label gform-field-label--type-inline'>Di Thailand<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_175_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_175' type='radio' value='Di luar Thailand'  id='choice_2_175_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_175_1' id='label_2_175_1' class='gform-field-label gform-field-label--type-inline'>Di luar Thailand<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_2_177\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_177\"><legend class='gfield_label gform-field-label'  >2.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_177'>\n\t\t\t<div class='gchoice gchoice_2_177_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_177' type='radio' value='Saya melihat sesuatu dalam talian yang saya percaya ialah ucapan benci'  id='choice_2_177_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_177_0' id='label_2_177_0' class='gform-field-label gform-field-label--type-inline'>Saya melihat sesuatu dalam talian yang saya percaya ialah ucapan benci<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_177_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_177' type='radio' value='Saya melihat sesuatu secara peribadi yang saya percaya adalah ucapan benci'  id='choice_2_177_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_177_1' id='label_2_177_1' class='gform-field-label gform-field-label--type-inline'>Saya melihat sesuatu secara peribadi yang saya percaya adalah ucapan benci<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_2_176\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_176\"><legend class='gfield_label gform-field-label'  >Anda menyatakan bahawa tuturan kebencian berlaku dalam talian. Apakah platform yang digunakan?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_176'>\n\t\t\t<div class='gchoice gchoice_2_176_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_176' type='radio' value='Facebook'  id='choice_2_176_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_176_0' id='label_2_176_0' class='gform-field-label gform-field-label--type-inline'>Facebook<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_176_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_176' type='radio' value='Twitter'  id='choice_2_176_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_176_1' id='label_2_176_1' class='gform-field-label gform-field-label--type-inline'>Twitter<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_176_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_176' type='radio' value='WhatsApp'  id='choice_2_176_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_176_2' id='label_2_176_2' class='gform-field-label gform-field-label--type-inline'>WhatsApp<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_176_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_176' type='radio' value='YouTube'  id='choice_2_176_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_176_3' id='label_2_176_3' class='gform-field-label gform-field-label--type-inline'>YouTube<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_176_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_176' type='radio' value='Tik Tok'  id='choice_2_176_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_176_4' id='label_2_176_4' class='gform-field-label gform-field-label--type-inline'>Tik Tok<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_176_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_176' type='radio' value='Snap Chat'  id='choice_2_176_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_176_5' id='label_2_176_5' class='gform-field-label gform-field-label--type-inline'>Snap Chat<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_176_6'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_176' type='radio' value='Instagram'  id='choice_2_176_6' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_176_6' id='label_2_176_6' class='gform-field-label gform-field-label--type-inline'>Instagram<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_176_7'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_176' type='radio' value='gf_other_choice'  id='choice_2_176_7' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_176_7' id='label_2_176_7' class='gform-field-label gform-field-label--type-inline'>Other<\/label><br \/><input id='input_2_176_other' class='gchoice_other_control' name='input_176_other' type='text' value='Other' aria-label='Other Choice, please specify'  disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_2_169\"  class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_169\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >3. Tuturan kebencian itu menyasarkan orang\/kumpulan atas dasar:<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_2_169'><div class='gchoice gchoice_2_169_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_169.1' type='checkbox'  value='Bangsa\/etnik'  id='choice_2_169_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_169_1' id='label_2_169_1' class='gform-field-label gform-field-label--type-inline'>Bangsa\/etnik<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_169_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_169.2' type='checkbox'  value='Agama'  id='choice_2_169_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_169_2' id='label_2_169_2' class='gform-field-label gform-field-label--type-inline'>Agama<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_169_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_169.3' type='checkbox'  value='Jantina'  id='choice_2_169_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_169_3' id='label_2_169_3' class='gform-field-label gform-field-label--type-inline'>Jantina<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_169_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_169.4' type='checkbox'  value='Orientasi seksual'  id='choice_2_169_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_169_4' id='label_2_169_4' class='gform-field-label gform-field-label--type-inline'>Orientasi seksual<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_169_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_169.5' type='checkbox'  value='Gabungan politik'  id='choice_2_169_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_169_5' id='label_2_169_5' class='gform-field-label gform-field-label--type-inline'>Gabungan politik<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_169_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_169.6' type='checkbox'  value='Kecacatan'  id='choice_2_169_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_169_6' id='label_2_169_6' class='gform-field-label gform-field-label--type-inline'>Kecacatan<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_169_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_169.7' type='checkbox'  value='Warna kulit'  id='choice_2_169_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_169_7' id='label_2_169_7' class='gform-field-label gform-field-label--type-inline'>Warna kulit<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_169_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_169.8' type='checkbox'  value='Kasta'  id='choice_2_169_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_169_8' id='label_2_169_8' class='gform-field-label gform-field-label--type-inline'>Kasta<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_169_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_169.9' type='checkbox'  value='Status migran'  id='choice_2_169_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_169_9' id='label_2_169_9' class='gform-field-label gform-field-label--type-inline'>Status migran<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_169_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_169.11' type='checkbox'  value='Lain-lain'  id='choice_2_169_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_169_11' id='label_2_169_11' class='gform-field-label gform-field-label--type-inline'>Lain-lain<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_2_168\"  class=\"gfield gfield--type-text gfield--width-full field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_168\"><label class='gfield_label gform-field-label' for='input_2_168' >Lain-lain<\/label><div class='ginput_container ginput_container_text'><input name='input_168' id='input_2_168' type='text' value='' class='large'  aria-describedby=\"gfield_description_2_168\"    aria-invalid=\"false\"   \/> <\/div><div class='gfield_description' id='gfield_description_2_168'>Anda menyatakan bahawa tuturan kebencian itu mendiskriminasi seseorang untuk sesuatu selain daripada pilihan yang disenaraikan. Apa itu? Senaraikan seberapa banyak yang berkaitan.<\/div><\/div><fieldset id=\"field_2_32\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_32\"><legend class='gfield_label gform-field-label'  >4. Apakah bukti yang boleh anda berikan? (Anda boleh hantar kemudian jika perlu)<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_32'>\n\t\t\t<div class='gchoice gchoice_2_32_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_32' type='radio' value='Tangkapan skrin\/foto'  id='choice_2_32_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_2_32\"   \/>\n\t\t\t\t\t<label for='choice_2_32_0' id='label_2_32_0' class='gform-field-label gform-field-label--type-inline'>Tangkapan skrin\/foto<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_32_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_32' type='radio' value='Rakaman'  id='choice_2_32_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_32_1' id='label_2_32_1' class='gform-field-label gform-field-label--type-inline'>Rakaman<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_32_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_32' type='radio' value='Kesaksian bertulis'  id='choice_2_32_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_32_2' id='label_2_32_2' class='gform-field-label gform-field-label--type-inline'>Kesaksian bertulis<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_32_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_32' type='radio' value='Laporan'  id='choice_2_32_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_32_3' id='label_2_32_3' class='gform-field-label gform-field-label--type-inline'>Laporan<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_32_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_32' type='radio' value='Khabar angin'  id='choice_2_32_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_32_4' id='label_2_32_4' class='gform-field-label gform-field-label--type-inline'>Khabar angin<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_32_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_32' type='radio' value='Lain-lain'  id='choice_2_32_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_32_5' id='label_2_32_5' class='gform-field-label gform-field-label--type-inline'>Lain-lain<\/label>\n\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_2_32'>Jika tiada pilihan berkenaan, sila klik &#8216;Seterusnya&#8217; atau pilih &#8216;Lain-lain&#8217; dan isikan butiran dalam kotak teks di bawah<\/div><\/fieldset><div id=\"field_2_221\"  class=\"gfield gfield--type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_221\"><label class='gfield_label gform-field-label' for='input_2_221' >Lain-lain<\/label><div class='ginput_container ginput_container_text'><input name='input_221' id='input_2_221' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_2_148' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='Kembali'  onclick='jQuery(\"#gform_target_page_number_2\").val(\"1\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_2\").val(\"1\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_2_148' class='gform_next_button gform-theme-button button' value='Seterusnya'  onclick='jQuery(\"#gform_target_page_number_2\").val(\"3\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_2\").val(\"3\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); } ' \/> <button type='button'  id='gform_save_2_3_link' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  onclick='if(window[\"gf_submitting_2\"]){return false;}  if( !jQuery(\"#gform_2\")[0].checkValidity || jQuery(\"#gform_2\")[0].checkValidity()){window[\"gf_submitting_2\"]=true;} jQuery(\"#gform_save_2\").val(1); jQuery(\"#gform_2\").trigger(\"submit\",[true]);' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_2\"]){return false;} if( !jQuery(\"#gform_2\")[0].checkValidity || jQuery(\"#gform_2\")[0].checkValidity()){window[\"gf_submitting_2\"]=true;} jQuery(\"#gform_save_2\").val(1); jQuery(\"#gform_2\").trigger(\"submit\",[true]); }'><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> Simpan dan Sambung kemudian<\/button>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_2_3' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_2_3' class='gform_fields top_label form_sublabel_below description_below'><fieldset id=\"field_2_33\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_33\"><legend class='gfield_label gform-field-label'  >5. Apakah peranan anda dalam tuturan kebencian ini?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_33'>\n\t\t\t<div class='gchoice gchoice_2_33_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_33' type='radio' value='Mangsa'  id='choice_2_33_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_33_0' id='label_2_33_0' class='gform-field-label gform-field-label--type-inline'>Mangsa<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_33_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_33' type='radio' value='Saksi'  id='choice_2_33_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_33_1' id='label_2_33_1' class='gform-field-label gform-field-label--type-inline'>Saksi<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_2_166\"  class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_166\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >6. Apakah keputusan yang anda harapkan?<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_2_166'><div class='gchoice gchoice_2_166_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_166.1' type='checkbox'  value='Pemahaman yang lebih baik tentang tuturan kebencian &amp; diskriminasi'  id='choice_2_166_1'   aria-describedby=\"gfield_description_2_166\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_2_166_1' id='label_2_166_1' class='gform-field-label gform-field-label--type-inline'>Pemahaman yang lebih baik tentang tuturan kebencian &amp; diskriminasi<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_166_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_166.2' type='checkbox'  value='Pemahaman yang lebih baik tentang tindakan undang-undang yang boleh diambil'  id='choice_2_166_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_166_2' id='label_2_166_2' class='gform-field-label gform-field-label--type-inline'>Pemahaman yang lebih baik tentang tindakan undang-undang yang boleh diambil<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_166_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_166.3' type='checkbox'  value='Penyelesaian konflik dengan si pelaku'  id='choice_2_166_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_166_3' id='label_2_166_3' class='gform-field-label gform-field-label--type-inline'>Penyelesaian konflik dengan si pelaku<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_166_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_166.4' type='checkbox'  value='Meningkatkan kesedaran'  id='choice_2_166_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_166_4' id='label_2_166_4' class='gform-field-label gform-field-label--type-inline'>Meningkatkan kesedaran<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_166_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_166.5' type='checkbox'  value='Mencegah ucapan benci masa depan'  id='choice_2_166_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_166_5' id='label_2_166_5' class='gform-field-label gform-field-label--type-inline'>Mencegah ucapan benci masa depan<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_166_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_166.6' type='checkbox'  value='Melaporkan perkara ini kepada United Nations'  id='choice_2_166_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_166_6' id='label_2_166_6' class='gform-field-label gform-field-label--type-inline'>Melaporkan perkara ini kepada United Nations<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_166_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_166.7' type='checkbox'  value='Lain-lain'  id='choice_2_166_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_166_7' id='label_2_166_7' class='gform-field-label gform-field-label--type-inline'>Lain-lain<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_2_166'>Jika tiada pilihan berkenaan, sila klik &#8216;Seterusnya&#8217; atau pilih &#8216;Lain-lain&#8217; dan isikan butiran dalam kotak teks di bawah <\/div><\/fieldset><div id=\"field_2_167\"  class=\"gfield gfield--type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_167\"><label class='gfield_label gform-field-label' for='input_2_167' >Lain-lain<\/label><div class='ginput_container ginput_container_text'><input name='input_167' id='input_2_167' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><fieldset id=\"field_2_60\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_60\"><legend class='gfield_label gform-field-label'  >7. Adakah anda dapat membuat laporan kepada polis dengan selamat?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_60'>\n\t\t\t<div class='gchoice gchoice_2_60_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_60' type='radio' value='Ya'  id='choice_2_60_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_60_0' id='label_2_60_0' class='gform-field-label gform-field-label--type-inline'>Ya<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_60_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_60' type='radio' value='Tidak'  id='choice_2_60_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_60_1' id='label_2_60_1' class='gform-field-label gform-field-label--type-inline'>Tidak<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_60_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_60' type='radio' value='Saya tidak ingin menjawab'  id='choice_2_60_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_60_2' id='label_2_60_2' class='gform-field-label gform-field-label--type-inline'>Saya tidak ingin menjawab<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_2_63\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_63\"><legend class='gfield_label gform-field-label'  >8. Jika ini adalah masalah yang memerlukan campur tangan kerajaan, adakah anda akan menghubungi mereka untuk mendapatkan bantuan?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_63'>\n\t\t\t<div class='gchoice gchoice_2_63_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_63' type='radio' value='Tidak sama sekali'  id='choice_2_63_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_63_0' id='label_2_63_0' class='gform-field-label gform-field-label--type-inline'>Tidak sama sekali<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_63_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_63' type='radio' value='Hanya jika ia adalah situasi hidup atau mati'  id='choice_2_63_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_63_1' id='label_2_63_1' class='gform-field-label gform-field-label--type-inline'>Hanya jika ia adalah situasi hidup atau mati<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_63_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_63' type='radio' value='Saya tidak pasti'  id='choice_2_63_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_63_2' id='label_2_63_2' class='gform-field-label gform-field-label--type-inline'>Saya tidak pasti<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_63_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_63' type='radio' value='Ya'  id='choice_2_63_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_63_3' id='label_2_63_3' class='gform-field-label gform-field-label--type-inline'>Ya<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_2_222' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='Kembali'  onclick='jQuery(\"#gform_target_page_number_2\").val(\"2\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_2\").val(\"2\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_2_222' class='gform_next_button gform-theme-button button' value='Seterusnya'  onclick='jQuery(\"#gform_target_page_number_2\").val(\"4\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_2\").val(\"4\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); } ' \/> <button type='button'  id='gform_save_2_4_link' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  onclick='if(window[\"gf_submitting_2\"]){return false;}  if( !jQuery(\"#gform_2\")[0].checkValidity || jQuery(\"#gform_2\")[0].checkValidity()){window[\"gf_submitting_2\"]=true;} jQuery(\"#gform_save_2\").val(1); jQuery(\"#gform_2\").trigger(\"submit\",[true]);' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_2\"]){return false;} if( !jQuery(\"#gform_2\")[0].checkValidity || jQuery(\"#gform_2\")[0].checkValidity()){window[\"gf_submitting_2\"]=true;} jQuery(\"#gform_save_2\").val(1); jQuery(\"#gform_2\").trigger(\"submit\",[true]); }'><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> Simpan dan Sambung kemudian<\/button>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_2_4' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_2_4' class='gform_fields top_label form_sublabel_below description_below'><div id=\"field_2_220\"  class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_220\"><h3>Terima kasih kerana melaporkan insiden tuturan kebencian menggunakan borang dalam talian kami.<\/h3>\nBahagian seterusnya dalam borang ini adalah opsyenal dan anda boleh memilih untuk melangkaunya. Walau bagaimanapun, kami mengesyorkan agar anda melengkapkannya jika anda ingin memberikan maklumat lanjut tentang kejadian tersebut.<\/div><\/div>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_2_75' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='Kembali'  onclick='jQuery(\"#gform_target_page_number_2\").val(\"3\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_2\").val(\"3\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_2_75' class='gform_next_button gform-theme-button button' value='Seterusnya'  onclick='jQuery(\"#gform_target_page_number_2\").val(\"5\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_2\").val(\"5\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); } ' \/> <button type='button'  id='gform_save_2_5_link' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  onclick='if(window[\"gf_submitting_2\"]){return false;}  if( !jQuery(\"#gform_2\")[0].checkValidity || jQuery(\"#gform_2\")[0].checkValidity()){window[\"gf_submitting_2\"]=true;} jQuery(\"#gform_save_2\").val(1); jQuery(\"#gform_2\").trigger(\"submit\",[true]);' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_2\"]){return false;} if( !jQuery(\"#gform_2\")[0].checkValidity || jQuery(\"#gform_2\")[0].checkValidity()){window[\"gf_submitting_2\"]=true;} jQuery(\"#gform_save_2\").val(1); jQuery(\"#gform_2\").trigger(\"submit\",[true]); }'><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> Simpan dan Sambung kemudian<\/button>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_2_5' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_2_5' class='gform_fields top_label form_sublabel_below description_below'><div id=\"field_2_149\"  class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_149\"><h3>(PILIHAN) Mengenai Anda<\/h3>Jika anda selesa, sila kongsi beberapa maklumat peribadi (maklumat akan dirahsiakan &amp; disimpan dengan selamat).<\/div><fieldset id=\"field_2_35\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_35\"><legend class='gfield_label gform-field-label'  >9. Jantina saya ialah<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_35'>\n\t\t\t<div class='gchoice gchoice_2_35_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_35' type='radio' value='Lelaki'  id='choice_2_35_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_35_0' id='label_2_35_0' class='gform-field-label gform-field-label--type-inline'>Lelaki<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_35_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_35' type='radio' value='Perempuan'  id='choice_2_35_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_35_1' id='label_2_35_1' class='gform-field-label gform-field-label--type-inline'>Perempuan<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_35_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_35' type='radio' value='Lain-lain'  id='choice_2_35_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_35_2' id='label_2_35_2' class='gform-field-label gform-field-label--type-inline'>Lain-lain<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_2_223\"  class=\"gfield gfield--type-select gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_223\"><label class='gfield_label gform-field-label' for='input_2_223' >9.1 Umur saya ialah<\/label><div class='ginput_container ginput_container_select'><select name='input_223' id='input_2_223' class='large gfield_select'     aria-invalid=\"false\" ><option value='Sila pilih' >Sila pilih<\/option><option value='12 hingga 17' >12 hingga 17<\/option><option value='18 hingga 24' >18 hingga 24<\/option><option value='25 hingga 34' >25 hingga 34<\/option><option value='35 hingga 44' >35 hingga 44<\/option><option value='45 hingga 54' >45 hingga 54<\/option><option value='55 hingga 64' >55 hingga 64<\/option><option value='65 atau lebih' >65 atau lebih<\/option><\/select><\/div><\/div><div id=\"field_2_151\"  class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_151\">Untuk menjawab soalan berikut, sila isikan dengan jawapan anda atau letakkan &#8216;T\/A&#8217;.<\/div><div id=\"field_2_43\"  class=\"gfield gfield--type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_43\"><label class='gfield_label gform-field-label' for='input_2_43' >9.2 Etnik saya ialah<\/label><div class='ginput_container ginput_container_text'><input name='input_43' id='input_2_43' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_2_46\"  class=\"gfield gfield--type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_46\"><label class='gfield_label gform-field-label' for='input_2_46' >9.3 Identiti orientasi seksual saya ialah<\/label><div class='ginput_container ginput_container_text'><input name='input_46' id='input_2_46' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_2_150\"  class=\"gfield gfield--type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_150\"><label class='gfield_label gform-field-label' for='input_2_150' >9.4 Identiti agama\/kerohanian saya ialah<\/label><div class='ginput_container ginput_container_text'><input name='input_150' id='input_2_150' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_2_34' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='Kembali'  onclick='jQuery(\"#gform_target_page_number_2\").val(\"4\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_2\").val(\"4\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_2_34' class='gform_next_button gform-theme-button button' value='Seterusnya'  onclick='jQuery(\"#gform_target_page_number_2\").val(\"6\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_2\").val(\"6\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); } ' \/> <button type='button'  id='gform_save_2_6_link' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  onclick='if(window[\"gf_submitting_2\"]){return false;}  if( !jQuery(\"#gform_2\")[0].checkValidity || jQuery(\"#gform_2\")[0].checkValidity()){window[\"gf_submitting_2\"]=true;} jQuery(\"#gform_save_2\").val(1); jQuery(\"#gform_2\").trigger(\"submit\",[true]);' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_2\"]){return false;} if( !jQuery(\"#gform_2\")[0].checkValidity || jQuery(\"#gform_2\")[0].checkValidity()){window[\"gf_submitting_2\"]=true;} jQuery(\"#gform_save_2\").val(1); jQuery(\"#gform_2\").trigger(\"submit\",[true]); }'><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> Simpan dan Sambung kemudian<\/button>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_2_6' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_2_6' class='gform_fields top_label form_sublabel_below description_below'><div id=\"field_2_154\"  class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_154\"><h3>(PILIHAN) Apakah perasaan anda? <\/h3>\nJika anda selesa, sila kongsikan perasaan anda.<\/div><fieldset id=\"field_2_52\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_52\"><legend class='gfield_label gform-field-label'  >10. Kejadian itu telah menjejaskan tidur saya (tidur lebih atau kurang)<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_52'>\n\t\t\t<div class='gchoice gchoice_2_52_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_52' type='radio' value='Tidak sama sekali'  id='choice_2_52_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_52_0' id='label_2_52_0' class='gform-field-label gform-field-label--type-inline'>Tidak sama sekali<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_52_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_52' type='radio' value='Sedikit'  id='choice_2_52_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_52_1' id='label_2_52_1' class='gform-field-label gform-field-label--type-inline'>Sedikit<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_52_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_52' type='radio' value='Sederhana'  id='choice_2_52_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_52_2' id='label_2_52_2' class='gform-field-label gform-field-label--type-inline'>Sederhana<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_52_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_52' type='radio' value='Banyak'  id='choice_2_52_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_52_3' id='label_2_52_3' class='gform-field-label gform-field-label--type-inline'>Banyak<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_2_53\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_53\"><legend class='gfield_label gform-field-label'  >10.1 Insiden itu telah menjejaskan tabiat pemakanan saya (makan lebih atau kurang)<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_53'>\n\t\t\t<div class='gchoice gchoice_2_53_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_53' type='radio' value='Tidak sama sekali'  id='choice_2_53_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_53_0' id='label_2_53_0' class='gform-field-label gform-field-label--type-inline'>Tidak sama sekali<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_53_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_53' type='radio' value='Sedikit'  id='choice_2_53_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_53_1' id='label_2_53_1' class='gform-field-label gform-field-label--type-inline'>Sedikit<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_53_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_53' type='radio' value='Sederhana'  id='choice_2_53_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_53_2' id='label_2_53_2' class='gform-field-label gform-field-label--type-inline'>Sederhana<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_53_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_53' type='radio' value='Banyak'  id='choice_2_53_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_53_3' id='label_2_53_3' class='gform-field-label gform-field-label--type-inline'>Banyak<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_2_54\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_54\"><legend class='gfield_label gform-field-label'  >10.2 Insiden itu telah menjejaskan keupayaan saya untuk meninggalkan rumah saya<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_54'>\n\t\t\t<div class='gchoice gchoice_2_54_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_54' type='radio' value='Tidak sama sekali'  id='choice_2_54_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_54_0' id='label_2_54_0' class='gform-field-label gform-field-label--type-inline'>Tidak sama sekali<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_54_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_54' type='radio' value='Sedikit'  id='choice_2_54_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_54_1' id='label_2_54_1' class='gform-field-label gform-field-label--type-inline'>Sedikit<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_54_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_54' type='radio' value='Sederhana'  id='choice_2_54_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_54_2' id='label_2_54_2' class='gform-field-label gform-field-label--type-inline'>Sederhana<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_54_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_54' type='radio' value='Banyak'  id='choice_2_54_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_54_3' id='label_2_54_3' class='gform-field-label gform-field-label--type-inline'>Banyak<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_2_55\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_55\"><legend class='gfield_label gform-field-label'  >10.3 Insiden itu telah menjejaskan perasaan selamat saya di rumah saya<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_55'>\n\t\t\t<div class='gchoice gchoice_2_55_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_55' type='radio' value='Tidak sama sekali'  id='choice_2_55_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_55_0' id='label_2_55_0' class='gform-field-label gform-field-label--type-inline'>Tidak sama sekali<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_55_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_55' type='radio' value='Sedikit'  id='choice_2_55_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_55_1' id='label_2_55_1' class='gform-field-label gform-field-label--type-inline'>Sedikit<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_55_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_55' type='radio' value='Sederhana'  id='choice_2_55_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_55_2' id='label_2_55_2' class='gform-field-label gform-field-label--type-inline'>Sederhana<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_55_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_55' type='radio' value='Banyak'  id='choice_2_55_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_55_3' id='label_2_55_3' class='gform-field-label gform-field-label--type-inline'>Banyak<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_2_56\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_56\"><legend class='gfield_label gform-field-label'  >10.4 Insiden tersebut telah membawa kepada penggunaan bahan yang memabukkan<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_56'>\n\t\t\t<div class='gchoice gchoice_2_56_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_56' type='radio' value='Tidak sama sekali'  id='choice_2_56_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_56_0' id='label_2_56_0' class='gform-field-label gform-field-label--type-inline'>Tidak sama sekali<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_56_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_56' type='radio' value='Sedikit'  id='choice_2_56_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_56_1' id='label_2_56_1' class='gform-field-label gform-field-label--type-inline'>Sedikit<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_56_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_56' type='radio' value='Sederhana'  id='choice_2_56_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_56_2' id='label_2_56_2' class='gform-field-label gform-field-label--type-inline'>Sederhana<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_56_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_56' type='radio' value='Banyak'  id='choice_2_56_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_56_3' id='label_2_56_3' class='gform-field-label gform-field-label--type-inline'>Banyak<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_56_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_56' type='radio' value='Tidak berkaitan'  id='choice_2_56_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_56_4' id='label_2_56_4' class='gform-field-label gform-field-label--type-inline'>Tidak berkaitan<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_2_57\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_57\"><legend class='gfield_label gform-field-label'  >10.5 Sejak kejadian itu, saya bimbang akan kesejahteraan mangsa atau komuniti saya<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_57'>\n\t\t\t<div class='gchoice gchoice_2_57_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_57' type='radio' value='Ya'  id='choice_2_57_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_57_0' id='label_2_57_0' class='gform-field-label gform-field-label--type-inline'>Ya<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_57_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_57' type='radio' value='Tidak'  id='choice_2_57_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_57_1' id='label_2_57_1' class='gform-field-label gform-field-label--type-inline'>Tidak<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_57_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_57' type='radio' value='Saya tidak ingin menjawab'  id='choice_2_57_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_57_2' id='label_2_57_2' class='gform-field-label gform-field-label--type-inline'>Saya tidak ingin menjawab<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_2_58\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_58\"><legend class='gfield_label gform-field-label'  >10.6 Sejak kejadian itu saya takut untuk pergi ke dalam talian<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_58'>\n\t\t\t<div class='gchoice gchoice_2_58_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_58' type='radio' value='Ya'  id='choice_2_58_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_58_0' id='label_2_58_0' class='gform-field-label gform-field-label--type-inline'>Ya<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_58_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_58' type='radio' value='Tidak'  id='choice_2_58_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_58_1' id='label_2_58_1' class='gform-field-label gform-field-label--type-inline'>Tidak<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_58_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_58' type='radio' value='Saya tidak ingin menjawab'  id='choice_2_58_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_58_2' id='label_2_58_2' class='gform-field-label gform-field-label--type-inline'>Saya tidak ingin menjawab<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_2_59\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_59\"><legend class='gfield_label gform-field-label'  >10.7 Sejak kejadian itu saya telah mengubah rutin harian saya<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_59'>\n\t\t\t<div class='gchoice gchoice_2_59_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_59' type='radio' value='Ya'  id='choice_2_59_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_59_0' id='label_2_59_0' class='gform-field-label gform-field-label--type-inline'>Ya<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_59_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_59' type='radio' value='Tidak'  id='choice_2_59_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_59_1' id='label_2_59_1' class='gform-field-label gform-field-label--type-inline'>Tidak<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_59_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_59' type='radio' value='Saya tidak ingin menjawab'  id='choice_2_59_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_59_2' id='label_2_59_2' class='gform-field-label gform-field-label--type-inline'>Saya tidak ingin menjawab<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_2_61\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_61\"><legend class='gfield_label gform-field-label'  >10.8 Sejak kejadian itu, saya mengelak daripada bercakap atau melihat seseorang yang saya percaya adalah daripada kumpulan pelaku<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_61'>\n\t\t\t<div class='gchoice gchoice_2_61_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_61' type='radio' value='Ya'  id='choice_2_61_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_61_0' id='label_2_61_0' class='gform-field-label gform-field-label--type-inline'>Ya<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_61_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_61' type='radio' value='Tidak'  id='choice_2_61_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_61_1' id='label_2_61_1' class='gform-field-label gform-field-label--type-inline'>Tidak<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_61_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_61' type='radio' value='Saya tidak ingin menjawab'  id='choice_2_61_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_61_2' id='label_2_61_2' class='gform-field-label gform-field-label--type-inline'>Saya tidak ingin menjawab<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_2_64\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_64\"><legend class='gfield_label gform-field-label'  >10.9 Sejak kejadian itu saya rasa<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_64'>\n\t\t\t<div class='gchoice gchoice_2_64_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_64' type='radio' value='Baik'  id='choice_2_64_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_64_0' id='label_2_64_0' class='gform-field-label gform-field-label--type-inline'>Baik<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_64_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_64' type='radio' value='Marah'  id='choice_2_64_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_64_1' id='label_2_64_1' class='gform-field-label gform-field-label--type-inline'>Marah<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_64_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_64' type='radio' value='Kecewa'  id='choice_2_64_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_64_2' id='label_2_64_2' class='gform-field-label gform-field-label--type-inline'>Kecewa<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_64_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_64' type='radio' value='Sangat kecewa dan saya mungkin membahayakan diri sendiri atau orang lain'  id='choice_2_64_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_64_3' id='label_2_64_3' class='gform-field-label gform-field-label--type-inline'>Sangat kecewa dan saya mungkin membahayakan diri sendiri atau orang lain<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_2_159\"  class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_159\"><b>Jika anda sangat kecewa, dan sedang mempertimbangkan untuk mencederakan diri sendiri atau orang lain, sila hubungi segera:<\/b>\n<ol type=\"1\">\n<li>Burma: &#8216;Call Me Today&#8217; \u2013 Talian Telefon Kaunseling Burma beroperasi pada hari bekerja dari 5 petang hingga 11 malam. &#8211; <b>09 782 383 145<\/b><\/li>\n\n<li>Malaysia: Talian mudah alih kecemasan Beyond Borders dan WhatsApp &#8211; <b>012 3739419<\/b><\/li>\n\n<li>Thailand: Talian kecemasan Samaritan &#8211; <b>02 713-6793<\/b><\/li><\/ol><\/div><\/div>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_2_51' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='Kembali'  onclick='jQuery(\"#gform_target_page_number_2\").val(\"5\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_2\").val(\"5\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_2_51' class='gform_next_button gform-theme-button button' value='Seterusnya'  onclick='jQuery(\"#gform_target_page_number_2\").val(\"7\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_2\").val(\"7\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); } ' \/> <button type='button'  id='gform_save_2_7_link' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  onclick='if(window[\"gf_submitting_2\"]){return false;}  if( !jQuery(\"#gform_2\")[0].checkValidity || jQuery(\"#gform_2\")[0].checkValidity()){window[\"gf_submitting_2\"]=true;} jQuery(\"#gform_save_2\").val(1); jQuery(\"#gform_2\").trigger(\"submit\",[true]);' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_2\"]){return false;} if( !jQuery(\"#gform_2\")[0].checkValidity || jQuery(\"#gform_2\")[0].checkValidity()){window[\"gf_submitting_2\"]=true;} jQuery(\"#gform_save_2\").val(1); jQuery(\"#gform_2\").trigger(\"submit\",[true]); }'><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> Simpan dan Sambung kemudian<\/button>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_2_7' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_2_7' class='gform_fields top_label form_sublabel_below description_below'><div id=\"field_2_224\"  class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_224\"><h3>(PILIHAN) Mengenai pelaku<\/h3><\/div><fieldset id=\"field_2_227\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_227\"><legend class='gfield_label gform-field-label'  >11. Adakah pelaku jenayah ini diketahui oleh anda?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_227'>\n\t\t\t<div class='gchoice gchoice_2_227_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_227' type='radio' value='Ya'  id='choice_2_227_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_227_0' id='label_2_227_0' class='gform-field-label gform-field-label--type-inline'>Ya<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_227_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_227' type='radio' value='Tidak'  id='choice_2_227_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_227_1' id='label_2_227_1' class='gform-field-label gform-field-label--type-inline'>Tidak<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_2_228\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_228\"><legend class='gfield_label gform-field-label'  >11.1 Adakah pelakunya lelaki atau perempuan?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_228'>\n\t\t\t<div class='gchoice gchoice_2_228_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_228' type='radio' value='Lelaki muda'  id='choice_2_228_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_228_0' id='label_2_228_0' class='gform-field-label gform-field-label--type-inline'>Lelaki muda<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_228_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_228' type='radio' value='Lelaki pertengahan umur'  id='choice_2_228_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_228_1' id='label_2_228_1' class='gform-field-label gform-field-label--type-inline'>Lelaki pertengahan umur<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_228_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_228' type='radio' value='Lelaki tua'  id='choice_2_228_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_228_2' id='label_2_228_2' class='gform-field-label gform-field-label--type-inline'>Lelaki tua<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_228_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_228' type='radio' value='Wanita muda'  id='choice_2_228_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_228_3' id='label_2_228_3' class='gform-field-label gform-field-label--type-inline'>Wanita muda<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_228_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_228' type='radio' value='Wanita pertengahan umur'  id='choice_2_228_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_228_4' id='label_2_228_4' class='gform-field-label gform-field-label--type-inline'>Wanita pertengahan umur<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_228_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_228' type='radio' value='Wanita tua'  id='choice_2_228_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_228_5' id='label_2_228_5' class='gform-field-label gform-field-label--type-inline'>Wanita tua<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_228_6'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_228' type='radio' value='Tidak diketahui'  id='choice_2_228_6' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_228_6' id='label_2_228_6' class='gform-field-label gform-field-label--type-inline'>Tidak diketahui<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_2_230\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_230\"><legend class='gfield_label gform-field-label'  >11.2 Apakah hubungan pelaku dengan anda?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_230'>\n\t\t\t<div class='gchoice gchoice_2_230_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_230' type='radio' value='Pasangan'  id='choice_2_230_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_230_0' id='label_2_230_0' class='gform-field-label gform-field-label--type-inline'>Pasangan<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_230_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_230' type='radio' value='Ahli keluarga'  id='choice_2_230_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_230_1' id='label_2_230_1' class='gform-field-label gform-field-label--type-inline'>Ahli keluarga<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_230_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_230' type='radio' value='Jiran\/Kawan'  id='choice_2_230_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_230_2' id='label_2_230_2' class='gform-field-label gform-field-label--type-inline'>Jiran\/Kawan<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_230_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_230' type='radio' value='Guru\/Pendidik'  id='choice_2_230_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_230_3' id='label_2_230_3' class='gform-field-label gform-field-label--type-inline'>Guru\/Pendidik<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_230_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_230' type='radio' value='Pasangan intim'  id='choice_2_230_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_230_4' id='label_2_230_4' class='gform-field-label gform-field-label--type-inline'>Pasangan intim<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_230_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_230' type='radio' value='Pegawai agama'  id='choice_2_230_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_230_5' id='label_2_230_5' class='gform-field-label gform-field-label--type-inline'>Pegawai agama<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_230_6'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_230' type='radio' value='Pekerja bantuan'  id='choice_2_230_6' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_230_6' id='label_2_230_6' class='gform-field-label gform-field-label--type-inline'>Pekerja bantuan<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_230_7'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_230' type='radio' value='Asing\/Barat'  id='choice_2_230_7' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_230_7' id='label_2_230_7' class='gform-field-label gform-field-label--type-inline'>Asing\/Barat<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_230_8'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_230' type='radio' value='Pelancong'  id='choice_2_230_8' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_230_8' id='label_2_230_8' class='gform-field-label gform-field-label--type-inline'>Pelancong<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_230_9'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_230' type='radio' value='Kakitangan keselamatan'  id='choice_2_230_9' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_230_9' id='label_2_230_9' class='gform-field-label gform-field-label--type-inline'>Kakitangan keselamatan<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_230_10'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_230' type='radio' value='Polis\/tentera rasmi'  id='choice_2_230_10' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_230_10' id='label_2_230_10' class='gform-field-label gform-field-label--type-inline'>Polis\/tentera rasmi<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_230_11'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_230' type='radio' value='Wartawan'  id='choice_2_230_11' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_230_11' id='label_2_230_11' class='gform-field-label gform-field-label--type-inline'>Wartawan<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_230_12'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_230' type='radio' value='Tiada hubungan'  id='choice_2_230_12' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_230_12' id='label_2_230_12' class='gform-field-label gform-field-label--type-inline'>Tiada hubungan<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_230_13'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_230' type='radio' value='gf_other_choice'  id='choice_2_230_13' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_230_13' id='label_2_230_13' class='gform-field-label gform-field-label--type-inline'>Other<\/label><br \/><input id='input_2_230_other' class='gchoice_other_control' name='input_230_other' type='text' value='Other' aria-label='Other Choice, please specify'  disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_2_229\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_229\"><legend class='gfield_label gform-field-label'  >11.3 Apakah etnik pelakunya?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_229'>\n\t\t\t<div class='gchoice gchoice_2_229_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_229' type='radio' value='Rohingya'  id='choice_2_229_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_229_0' id='label_2_229_0' class='gform-field-label gform-field-label--type-inline'>Rohingya<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_229_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_229' type='radio' value='Bangladesh'  id='choice_2_229_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_229_1' id='label_2_229_1' class='gform-field-label gform-field-label--type-inline'>Bangladesh<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_229_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_229' type='radio' value='Malaysia'  id='choice_2_229_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_229_2' id='label_2_229_2' class='gform-field-label gform-field-label--type-inline'>Malaysia<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_229_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_229' type='radio' value='Thai'  id='choice_2_229_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_229_3' id='label_2_229_3' class='gform-field-label gform-field-label--type-inline'>Thai<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_229_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_229' type='radio' value='Burma'  id='choice_2_229_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_229_4' id='label_2_229_4' class='gform-field-label gform-field-label--type-inline'>Burma<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_229_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_229' type='radio' value='Orang Barat'  id='choice_2_229_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_229_5' id='label_2_229_5' class='gform-field-label gform-field-label--type-inline'>Orang Barat<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_229_6'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_229' type='radio' value='gf_other_choice'  id='choice_2_229_6' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_229_6' id='label_2_229_6' class='gform-field-label gform-field-label--type-inline'>Other<\/label><br \/><input id='input_2_229_other' class='gchoice_other_control' name='input_229_other' type='text' value='Other' aria-label='Other Choice, please specify'  disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_2_81\"  class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_81\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >11.4 Siapa yang dicederakan oleh pelaku? Sila pilih SEMUA yang berkenaan:<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_2_81'><div class='gchoice gchoice_2_81_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_81.1' type='checkbox'  value='Mereka mahu menyakiti saya secara peribadi'  id='choice_2_81_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_81_1' id='label_2_81_1' class='gform-field-label gform-field-label--type-inline'>Mereka mahu menyakiti saya secara peribadi<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_81_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_81.2' type='checkbox'  value='Mereka mahu menyakiti orang lain'  id='choice_2_81_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_81_2' id='label_2_81_2' class='gform-field-label gform-field-label--type-inline'>Mereka mahu menyakiti orang lain<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_2_184\"  class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_184\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >Dengan cara apakah pelaku berniat untuk menyakiti anda?<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_2_184'><div class='gchoice gchoice_2_184_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_184.1' type='checkbox'  value='Mereka mahu membuat saya takut'  id='choice_2_184_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_184_1' id='label_2_184_1' class='gform-field-label gform-field-label--type-inline'>Mereka mahu membuat saya takut<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_184_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_184.2' type='checkbox'  value='Mereka mahu memaksa saya melakukan sesuatu'  id='choice_2_184_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_184_2' id='label_2_184_2' class='gform-field-label gform-field-label--type-inline'>Mereka mahu memaksa saya melakukan sesuatu<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_184_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_184.3' type='checkbox'  value='Mereka mahu menghalang saya daripada melakukan sesuatu yang sah'  id='choice_2_184_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_184_3' id='label_2_184_3' class='gform-field-label gform-field-label--type-inline'>Mereka mahu menghalang saya daripada melakukan sesuatu yang sah<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_2_185\"  class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_185\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >Dengan cara apakah pelaku berniat untuk menyakiti orang lain?<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_2_185'><div class='gchoice gchoice_2_185_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_185.1' type='checkbox'  value='Mereka mahu membuat orang itu takut'  id='choice_2_185_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_185_1' id='label_2_185_1' class='gform-field-label gform-field-label--type-inline'>Mereka mahu membuat orang itu takut<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_185_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_185.2' type='checkbox'  value='Mereka mahu orang itu melakukan sesuatu yang menyalahi undang-undang'  id='choice_2_185_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_185_2' id='label_2_185_2' class='gform-field-label gform-field-label--type-inline'>Mereka mahu orang itu melakukan sesuatu yang menyalahi undang-undang<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_185_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_185.3' type='checkbox'  value='Mereka mahu menghalang orang itu daripada melakukan sesuatu yang sah'  id='choice_2_185_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_185_3' id='label_2_185_3' class='gform-field-label gform-field-label--type-inline'>Mereka mahu menghalang orang itu daripada melakukan sesuatu yang sah<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_2_83\"  class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_83\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >11.5 Pada pendapat anda, apakah niat pelaku?<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_2_83'><div class='gchoice gchoice_2_83_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_83.1' type='checkbox'  value='Mereka mahu menghina saya'  id='choice_2_83_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_83_1' id='label_2_83_1' class='gform-field-label gform-field-label--type-inline'>Mereka mahu menghina saya<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_83_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_83.2' type='checkbox'  value='Mereka mahu memprovokasi'  id='choice_2_83_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_83_2' id='label_2_83_2' class='gform-field-label gform-field-label--type-inline'>Mereka mahu memprovokasi<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_83_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_83.3' type='checkbox'  value='Mereka sengaja mahu menghasut keganasan'  id='choice_2_83_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_83_3' id='label_2_83_3' class='gform-field-label gform-field-label--type-inline'>Mereka sengaja mahu menghasut keganasan<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_83_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_83.4' type='checkbox'  value='Mereka mahu menimbulkan ketakutan atau kebimbangan orang ramai'  id='choice_2_83_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_83_4' id='label_2_83_4' class='gform-field-label gform-field-label--type-inline'>Mereka mahu menimbulkan ketakutan atau kebimbangan orang ramai<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_83_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_83.5' type='checkbox'  value='Mereka mahu menyebabkan satu kumpulan orang melakukan kesalahan terhadap kumpulan orang lain'  id='choice_2_83_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_83_5' id='label_2_83_5' class='gform-field-label gform-field-label--type-inline'>Mereka mahu menyebabkan satu kumpulan orang melakukan kesalahan terhadap kumpulan orang lain<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_2_225' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='Kembali'  onclick='jQuery(\"#gform_target_page_number_2\").val(\"6\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_2\").val(\"6\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_2_225' class='gform_next_button gform-theme-button button' value='Seterusnya'  onclick='jQuery(\"#gform_target_page_number_2\").val(\"8\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_2\").val(\"8\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); } ' \/> <button type='button'  id='gform_save_2_8_link' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  onclick='if(window[\"gf_submitting_2\"]){return false;}  if( !jQuery(\"#gform_2\")[0].checkValidity || jQuery(\"#gform_2\")[0].checkValidity()){window[\"gf_submitting_2\"]=true;} jQuery(\"#gform_save_2\").val(1); jQuery(\"#gform_2\").trigger(\"submit\",[true]);' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_2\"]){return false;} if( !jQuery(\"#gform_2\")[0].checkValidity || jQuery(\"#gform_2\")[0].checkValidity()){window[\"gf_submitting_2\"]=true;} jQuery(\"#gform_save_2\").val(1); jQuery(\"#gform_2\").trigger(\"submit\",[true]); }'><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> Simpan dan Sambung kemudian<\/button>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_2_8' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_2_8' class='gform_fields top_label form_sublabel_below description_below'><div id=\"field_2_226\"  class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_226\"><h3>Langkah Akhir<\/h3><\/div><fieldset id=\"field_2_66\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_66\"><legend class='gfield_label gform-field-label'  >12. Selepas melengkapkan borang ini, maklumat yang anda masukkan akan dihantar kepada pasukan negara APPAP kami. APPAP tidak akan berkongsi maklumat ini tanpa kebenaran anda. Adakah anda selesa dengan APPAP berkongsi maklumat anda?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_66'>\n\t\t\t<div class='gchoice gchoice_2_66_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_66' type='radio' value='Aduan'  id='choice_2_66_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_66_0' id='label_2_66_0' class='gform-field-label gform-field-label--type-inline'>Saya membenarkan maklumat saya digunakan dalam aduan kepada platform media sosial atau UN, tetapi BUKAN dalam laporan awam<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_66_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_66' type='radio' value='Laporan, Aduan'  id='choice_2_66_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_66_1' id='label_2_66_1' class='gform-field-label gform-field-label--type-inline'>Saya membenarkan maklumat saya digunakan dalam aduan kepada platform media sosial atau UN, atau dalam laporan awam<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_66_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_66' type='radio' value='Tiada'  id='choice_2_66_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_66_2' id='label_2_66_2' class='gform-field-label gform-field-label--type-inline'>Saya tidak membenarkan APPAP berkongsi data saya dengan sesiapa sahaja<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_2_68\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_68\"><legend class='gfield_label gform-field-label'  >13. Terima kasih kerana melengkapkan tinjauan ini. Kami komited dan bersedia untuk membuat susulan ke atas aduan anda.<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_68'>\n\t\t\t<div class='gchoice gchoice_2_68_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_68' type='radio' value='Saya ingin mencari penyelesaian sendiri'  id='choice_2_68_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_68_0' id='label_2_68_0' class='gform-field-label gform-field-label--type-inline'>Saya ingin mencari penyelesaian sendiri<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_68_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_68' type='radio' value='Saya ingin APPAP membantu saya memfailkan aduan'  id='choice_2_68_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_68_1' id='label_2_68_1' class='gform-field-label gform-field-label--type-inline'>Saya ingin APPAP membantu saya memfailkan aduan<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_2_65' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='Kembali'  onclick='jQuery(\"#gform_target_page_number_2\").val(\"7\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_2\").val(\"7\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_2_65' class='gform_next_button gform-theme-button button' value='Seterusnya'  onclick='jQuery(\"#gform_target_page_number_2\").val(\"9\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_2\").val(\"9\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); } ' \/> <button type='button'  id='gform_save_2_9_link' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  onclick='if(window[\"gf_submitting_2\"]){return false;}  if( !jQuery(\"#gform_2\")[0].checkValidity || jQuery(\"#gform_2\")[0].checkValidity()){window[\"gf_submitting_2\"]=true;} jQuery(\"#gform_save_2\").val(1); jQuery(\"#gform_2\").trigger(\"submit\",[true]);' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_2\"]){return false;} if( !jQuery(\"#gform_2\")[0].checkValidity || jQuery(\"#gform_2\")[0].checkValidity()){window[\"gf_submitting_2\"]=true;} jQuery(\"#gform_save_2\").val(1); jQuery(\"#gform_2\").trigger(\"submit\",[true]); }'><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> Simpan dan Sambung kemudian<\/button>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_2_9' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_2_9' class='gform_fields top_label form_sublabel_below description_below'><div id=\"field_2_69\"  class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_69\"><label class='gfield_label gform-field-label' for='input_2_69' >Kami akan menghubungi anda untuk maklumat lanjut, sila masukkan maklumat hubungan anda di bawah:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_69' id='input_2_69' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><fieldset id=\"field_2_70\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_70\"><legend class='gfield_label gform-field-label'  >Sesetengah orang yang kami maklumkan tentang aduan anda (cth. Pejabat UN tempatan) mungkin berminat untuk mengetahui lebih lanjut tentang apa yang berlaku. Jika ini berlaku, adakah anda sanggup bercakap dengan mereka? (Anda sentiasa mempunyai hak untuk mengubah fikiran anda)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_70'>\n\t\t\t<div class='gchoice gchoice_2_70_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_70' type='radio' value='Ya'  id='choice_2_70_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_70_0' id='label_2_70_0' class='gform-field-label gform-field-label--type-inline'>Ya<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_70_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_70' type='radio' value='Tidak'  id='choice_2_70_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_70_1' id='label_2_70_1' class='gform-field-label gform-field-label--type-inline'>Tidak<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div><\/div>\n        <div class='gform_page_footer top_label'><input type='submit' id='gform_previous_button_2' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='Kembali'  onclick='if(window[\"gf_submitting_2\"]){return false;}  if( !jQuery(\"#gform_2\")[0].checkValidity || jQuery(\"#gform_2\")[0].checkValidity()){window[\"gf_submitting_2\"]=true;}  ' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_2\"]){return false;} if( !jQuery(\"#gform_2\")[0].checkValidity || jQuery(\"#gform_2\")[0].checkValidity()){window[\"gf_submitting_2\"]=true;}  jQuery(\"#gform_2\").trigger(\"submit\",[true]); }' \/> <input type='submit' id='gform_submit_button_2' class='gform_button button' value='Hantar'  onclick='if(window[\"gf_submitting_2\"]){return false;}  if( !jQuery(\"#gform_2\")[0].checkValidity || jQuery(\"#gform_2\")[0].checkValidity()){window[\"gf_submitting_2\"]=true;}  ' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_2\"]){return false;} if( !jQuery(\"#gform_2\")[0].checkValidity || jQuery(\"#gform_2\")[0].checkValidity()){window[\"gf_submitting_2\"]=true;}  jQuery(\"#gform_2\").trigger(\"submit\",[true]); }' \/> <button type='button'  id='gform_save_2_footer_link' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  onclick='if(window[\"gf_submitting_2\"]){return false;}  if( !jQuery(\"#gform_2\")[0].checkValidity || jQuery(\"#gform_2\")[0].checkValidity()){window[\"gf_submitting_2\"]=true;} jQuery(\"#gform_save_2\").val(1); jQuery(\"#gform_2\").trigger(\"submit\",[true]);' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_2\"]){return false;} if( !jQuery(\"#gform_2\")[0].checkValidity || jQuery(\"#gform_2\")[0].checkValidity()){window[\"gf_submitting_2\"]=true;} jQuery(\"#gform_save_2\").val(1); 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