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Please enable it in order to use this form.</p></div></div> </noscript><style type="text/css">.ipt_uif_ajax_loader, .ipt_uif_ajax_loader *, ipt_uif_ajax_loader *::before, ipt_uif_ajax_loader *::after { box-sizing: border-box; }</style><div class="ipt_uif_init_loader ipt-eform-preloader-inline ipt_uif_ajax_loader"><div class="ipt-eform-preloader-inner"><div class="ipt-eform-preloader-circle"><div class="preloader-wrapper active"><div class="spinner-layer spinner-blue"><div class="circle-clipper left"><div class="circle"></div></div><div class="gap-patch"><div class="circle"></div></div><div class="circle-clipper right"><div class="circle"></div></div></div><div class="spinner-layer spinner-red"><div class="circle-clipper left"><div class="circle"></div></div><div class="gap-patch"><div class="circle"></div></div><div class="circle-clipper right"><div class="circle"></div></div></div><div class="spinner-layer spinner-yellow"><div class="circle-clipper left"><div class="circle"></div></div><div class="gap-patch"><div class="circle"></div></div><div class="circle-clipper right"><div class="circle"></div></div></div><div class="spinner-layer spinner-green"><div class="circle-clipper left"><div class="circle"></div></div><div class="gap-patch"><div class="circle"></div></div><div class="circle-clipper right"><div class="circle"></div></div></div></div></div><div class="ipt-eform-preloader-text"><div class="ipt-eform-preloader-text-inner ipt_uif_ajax_loader_text">Loading</div></div><div class="clear"></div></div></div> <input type="hidden" data-sayt-exclude class="ipt_uif_conditional_logic" id="ipt_uif_conditional_logic_53" value="{"logics":[],"indexes":[],"base":"53"}" /> <input type="hidden" data-sayt-exclude class="ipt_fsqm_timer_data" id="ipt_fsqm_timer_data_53" value="{"type":"none"}" /> <input type="hidden" data-sayt-exclude class="ipt_fsqm_epoc_data" id="ipt_fsqm_epoc_data_53" value="{"CURRENTYEAR":2021,"CURRENTDATE":1623788649000,"CURRENTDAY":15,"CURRENTMONTH":6,"CURRENTHOUR":20,"CURRENTMINUTE":24,"CURRENTSECOND":9,"CURRENTWEEK":24,"CURRENTEPOC":18793}" /><div style="display: none;" class="ipt_uif_hidden_init"><form method="post" action="" class="ipt_uif_validate_form ipt_fsqm_main_form" id="ipt_fsqm_form_53" autocomplete="on"> <input type="hidden" data-sayt-exclude name="action" id="action" value="ipt_fsqm_save_form" /> <input type="hidden" data-sayt-exclude name="ipt_fsqm_epoc" class="eform-epoc-value" value="1623788649" /> <input type="hidden" class="ipt_fsqm_form_tab_pos" name="fsqm_form53_tab_pos" value="0" id="fsqm_form53_tab_pos" /> <input type="hidden" id="ipt_fsqm_form_data_save" name="ipt_fsqm_form_data_save" value="fead4c7f2c" data-sayt-exclude /> <input type="hidden" name="_wp_http_referer" value="/5004/" /> <input type="hidden" data-sayt-exclude name="form_id" value="53" /><div class="ipt-eform-width-restrain"><div class="ipt-eform-content "><div data-settings="{"can_previous":true,"show_progress_bar":true,"progress_bar_bottom":false,"block_previous":false,"any_tab":false,"type":"1","scroll":true,"decimal_point":2,"auto_progress":false,"auto_progress_delay":"1500","auto_submit":false,"hidden_buttons":false,"scroll_on_error":true}" class="ipt_fsqm_main_tab ipt_uif_tabs horizontal"><div class="ipt-eform-tab-nav-wrap"><ul><li id="ipt_fsqm_form_53_tab_0_control_li"><a class="eform-ripple" href="#ipt_fsqm_form_53_tab_0"><span class="eform-tab-labels"> </span></a></li></ul> <i class="eform-tab-nav eform-tab-nav-right ipt-icomoon-angle-right disabled eform-ripple"></i> <i class="eform-tab-nav eform-tab-nav-left ipt-icomoon-angle-left disabled eform-ripple"></i> <span class="eform-tab-passive-notifier"></span> <span class="eform-tab-active-notifier"></span></div><div id="ipt_fsqm_form_53_tab_0" class="ipt_fsqm_form_tab_panel"><div id="ipt_fsqm_form_53_layout_0_inner" class="ipt-eform-layout-wrapper"> <input type="hidden" data-sayt-exclude name="ipt_fsqm_form_53[design][1][m_type]" id="ipt_fsqm_form_53_design_1_m_type" value="design" class="ipt_fsqm_hf_m_type" /> <input type="hidden" data-sayt-exclude name="ipt_fsqm_form_53[design][1][type]" id="ipt_fsqm_form_53_design_1_type" value="richtext" class="ipt_fsqm_hf_type" /><div class="ipt_uif_column ipt_uif_column_full ipt_uif_conditional" id="ipt_fsqm_form_53_design_1"><div class="ipt_uif_column_inner side_margin"><h2 class="ipt_uif_heading ipt_uif_divider ipt_uif_align_left ipt_uif_divider_no_icon"> <span class="ipt_uif_divider_text"> <span class="ipt_uif_divider_text_inner"> National Hugging Day - 21 Januari </span> </span></h2><div class="ipt_uif_richtext"><p><span style="color: #333333; font-family: brandon; font-size: 18px; background-color: #ffffff;">Orang yang paling sering kamu peluk adalah..</span></p><div class="clear-both"></div></div><div class="clear-both"></div></div></div> <input type="hidden" data-sayt-exclude name="ipt_fsqm_form_53[mcq][0][m_type]" id="ipt_fsqm_form_53_mcq_0_m_type" value="mcq" class="ipt_fsqm_hf_m_type" /> <input type="hidden" data-sayt-exclude name="ipt_fsqm_form_53[mcq][0][type]" id="ipt_fsqm_form_53_mcq_0_type" value="radio" class="ipt_fsqm_hf_type" /><div class="ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_radio" id="ipt_fsqm_form_53_mcq_0"><div class="ipt_uif_column_inner side_margin"><div class="ipt_uif_question ipt_uif_question_full"><div class="ipt_uif_question_content"><div class="ipt_uif_label_column column_1"> <input data-num="" type="radio" class="check_me validate[required] ipt_uif_radio with-gap" name="ipt_fsqm_form_53[mcq][0][options][]" id="ipt_fsqm_form_53_mcq_0_options__0" value="0" /> <label class="eform-label-with-tabindex" tabindex="0" for="ipt_fsqm_form_53_mcq_0_options__0" data-labelcon=""> Orangtua </label></div><div class="ipt_uif_label_column column_1"> <input data-num="" type="radio" class="check_me validate[required] ipt_uif_radio with-gap" name="ipt_fsqm_form_53[mcq][0][options][]" id="ipt_fsqm_form_53_mcq_0_options__1" value="1" /> <label class="eform-label-with-tabindex" tabindex="0" for="ipt_fsqm_form_53_mcq_0_options__1" data-labelcon=""> Kakak/adik </label></div><div class="ipt_uif_label_column column_1"> <input data-num="" type="radio" class="check_me validate[required] ipt_uif_radio with-gap" name="ipt_fsqm_form_53[mcq][0][options][]" id="ipt_fsqm_form_53_mcq_0_options__2" value="2" /> <label class="eform-label-with-tabindex" tabindex="0" for="ipt_fsqm_form_53_mcq_0_options__2" data-labelcon=""> Sahabat </label></div><div class="ipt_uif_label_column column_1"> <input data-num="" type="radio" class="check_me validate[required] ipt_uif_radio with-gap" name="ipt_fsqm_form_53[mcq][0][options][]" id="ipt_fsqm_form_53_mcq_0_options__3" value="3" /> <label class="eform-label-with-tabindex" tabindex="0" for="ipt_fsqm_form_53_mcq_0_options__3" data-labelcon=""> Pacar </label></div><div class="clear-both"></div><div class="clear-both"></div></div></div><div class="clear-both"></div></div></div></div><div class="clear-both"></div></div></div><div class="clear"></div><div id="ipt_fsqm_form_53_button_container" class="ipt_fsqm_form_button_container ipt_fsqm_form_button_container--classic ipt-eform-material-button-container"><div class="eform-button-container-inner"> <button type="submit" class="ipt_uif_button eform-material-button eform-ripple ipt_fsqm_form_button_submit medium primary-button" name="ipt_fsqm_form_53_button_submit" id="ipt_fsqm_form_53_button_submit"> Submit</button></div></div><div class="clear-both"></div></div></div></form></div><div style="display: none;" class="ipt_fsqm_form_message_success ui-widget ui-widget-content ui-corner-all ipt_uif_widget_box"><div class="ui-helper-reset ui-helper-clearfix ui-widget-header ui-corner-all"><h3><i title="" class=" ipt-icomoon-checkmark-circle ipticm prefix"></i> Your form has been submitted</h3></div><div class="ui-widget-content ui-corner-all ipt_fsqm_success_wrap"><p>Thank you %NAME% for taking the polling.<br /> We have received your answers.</p></div></div><div style="display: none;" class="ipt_fsqm_form_message_error ui-widget ui-widget-content ui-corner-all ipt_uif_widget_box"><div class="ui-helper-reset ui-helper-clearfix ui-widget-header ui-corner-all"><div><i title="" class=" ipt-icomoon-laptop ipticm prefix"></i> Server Side Error</div></div><div class="ui-widget-content ui-corner-all"><p>We faced problems while connecting to the server or receiving data from the server. Please wait for a few seconds and try again.</p><p>If the problem persists, then check your internet connectivity. If all other sites open fine, then please contact the administrator of this website with the following information.</p><p class="jqXHR"> <strong>TextStatus: </strong><span class="textStatus">undefined</span><br /> <strong>HTTP Error: </strong><span class="errorThrown">undefined</span></p></div></div><div style="display: none" class="ipt_uif_widget_box ipt_fsqm_form_message_process"><div class="ui-widget ui-widget-header ui-corner-all"><style type="text/css">.ipt_uif_ajax_loader, .ipt_uif_ajax_loader *, ipt_uif_ajax_loader *::before, ipt_uif_ajax_loader *::after { box-sizing: border-box; }</style><div class="ipt-eform-preloader-inline ipt_uif_ajax_loader"><div class="ipt-eform-preloader-inner"><div class="ipt-eform-preloader-circle"><div class="preloader-wrapper active"><div class="spinner-layer spinner-blue"><div class="circle-clipper left"><div class="circle"></div></div><div class="gap-patch"><div class="circle"></div></div><div class="circle-clipper right"><div class="circle"></div></div></div><div class="spinner-layer spinner-red"><div class="circle-clipper left"><div class="circle"></div></div><div class="gap-patch"><div class="circle"></div></div><div class="circle-clipper right"><div class="circle"></div></div></div><div class="spinner-layer spinner-yellow"><div class="circle-clipper left"><div class="circle"></div></div><div class="gap-patch"><div class="circle"></div></div><div class="circle-clipper right"><div class="circle"></div></div></div><div class="spinner-layer spinner-green"><div class="circle-clipper left"><div class="circle"></div></div><div class="gap-patch"><div class="circle"></div></div><div class="circle-clipper right"><div class="circle"></div></div></div></div></div><div class="ipt-eform-preloader-text"><div class="ipt-eform-preloader-text-inner ipt_uif_ajax_loader_text">Processing your request</div></div><div class="clear"></div></div></div></div></div><div style="display: none;" class="ipt_fsqm_form_validation_error ui-widget ui-widget-content ui-corner-all ipt_uif_widget_box"><div class="ui-helper-reset ui-helper-clearfix ui-widget-header ui-corner-all"><div><i title="" class=" ipt-icomoon-warning2 ipticm prefix"></i> <span class="fsqm_ve_text">Error</span></div></div><div class="ui-widget-content ui-corner-all"><p class="fsqm_ve_msg">Some error has occured.</p></div></div></div> </div></div></div></div></div></div></div></div></div></div><div id="tdi_87" class="tdc-row stretch_row_1400 td-stretch-content"><div class="vc_row tdi_88 wpb_row td-pb-row tdc-element-style tdc-row-content-vert-center" > <style scoped> /* custom css */ .tdi_88, .tdi_88 .tdc-columns{ min-height: 0; }.tdi_88, .tdi_88 .tdc-columns{ display: block; }.tdi_88 .tdc-columns{ width: 100%; }@media (min-width: 768px) { .tdi_88 { margin-left: -5px; margin-right: -5px; } .tdi_88 .vc_column { padding-left: 5px; padding-right: 5px; } }@media (min-width: 767px) { .tdi_88.tdc-row-content-vert-center, .tdi_88.tdc-row-content-vert-center .tdc-columns { display: flex; align-items: center; flex: 1; } .tdi_88.tdc-row-content-vert-bottom, .tdi_88.tdc-row-content-vert-bottom .tdc-columns { display: flex; align-items: flex-end; flex: 1; } .tdi_88.tdc-row-content-vert-center .td_block_wrap { vertical-align: middle; } .tdi_88.tdc-row-content-vert-bottom .td_block_wrap { vertical-align: bottom; } } /* inline tdc_css att */ .tdi_88{ justify-content:center !important; text-align:center !important; position:relative; } .tdi_88 .td_block_wrap{ text-align:left } </style> <div class="tdi_87_rand_style td-element-style" ><style> .tdi_87_rand_style{ background-color:#0a0002 !important; } </style></div><div class="vc_column tdi_90 wpb_column vc_column_container tdc-column td-pb-span12"> <style scoped> /* custom css */ .tdi_90{ vertical-align: baseline; }.tdi_90 > .wpb_wrapper, .tdi_90 > .wpb_wrapper > .tdc-elements{ display: block; }.tdi_90 > .wpb_wrapper > .tdc-elements{ width: 100%; }.tdi_90 > .wpb_wrapper{ width: auto; height: auto; } </style><div class="wpb_wrapper"><div class="vc_row_inner tdi_92 vc_row vc_inner wpb_row td-pb-row" > <style scoped> /* custom css */ .tdi_92{ position: relative !important; top: 0; transform: none; -webkit-transform: none; }.tdi_92, .tdi_92 .tdc-inner-columns{ display: block; }.tdi_92 .tdc-inner-columns{ width: 100%; }@media (min-width: 768px) { .tdi_92 { margin-left: -5px; margin-right: -5px; } .tdi_92 .vc_column_inner { padding-left: 5px; padding-right: 5px; } } /* inline tdc_css att */ .tdi_92{ margin-top:20px !important; } .tdi_92 .td_block_wrap{ text-align:left } </style><div class="vc_column_inner tdi_94 wpb_column vc_column_container tdc-inner-column td-pb-span12"> <style scoped> /* custom css */ .tdi_94{ vertical-align: baseline; }.tdi_94 .vc_column-inner > .wpb_wrapper, .tdi_94 .vc_column-inner > .wpb_wrapper .tdc-elements{ display: block; 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