{"id":22136,"date":"2022-11-24T17:38:44","date_gmt":"2022-11-24T09:38:44","guid":{"rendered":"https:\/\/aidsconcern.org.hk\/?page_id=22136"},"modified":"2023-02-20T12:13:06","modified_gmt":"2023-02-20T04:13:06","slug":"%e6%89%8b%e6%8c%87%e9%87%9d%e5%88%ba%e5%8f%96%e8%a1%80-hiv-%e8%87%aa%e6%88%91%e6%aa%a2%e6%b8%ac","status":"publish","type":"page","link":"https:\/\/aidsconcern.org.hk\/zh\/%e6%89%8b%e6%8c%87%e9%87%9d%e5%88%ba%e5%8f%96%e8%a1%80-hiv-%e8%87%aa%e6%88%91%e6%aa%a2%e6%b8%ac\/","title":{"rendered":"\u624b\u6307\u91dd\u523a\u53d6\u8840 HIV \u81ea\u6211\u6aa2\u6e2c"},"content":{"rendered":"<p>[vc_row][vc_column][vc_empty_space][vc_single_image image=&#8221;22147&#8243;][vc_empty_space][\/vc_column][\/vc_row][vc_row][vc_column width=&#8221;2\/3&#8243;][vc_column_text]<\/p>\n<h4>Chembio SURE CHECK \u611b\u6ecb\u75c5\u75c5\u6bd2\u81ea\u6211\u6aa2\u6e2c\u662f\u7372\u5f97CE\u8a8d\u8b49\u7684\u81ea\u6211\u6aa2\u6e2c\u5de5\u5177\uff0c\u65b9\u4fbf\u6613\u7528\uff0c\u60a8\u53ef\u96a8\u6642\u96a8\u5730\u9032\u884c\u6aa2\u6e2c\uff0c\u53ea\u9700\u4e00\u6ef4\u8840\u6db2\u53ca\u7d0415\u5206\u9418\u4fbf\u53ef\u6aa2\u6e2c\u8840\u6db2\u4e2d\u662f\u5426\u5e36\u6709\u611b\u6ecb\u75c5\u75c5\u6bd2\u3002 \u60a8\u53ef\u5728\u9ad8\u611f\u67d3\u98a8\u96aa\u884c\u70ba\u5f8c4\u661f\u671f\u958b\u59cb\u958b\u59cb\u63a5\u53d7\u6e2c\u8a66\uff0c\u4f46\u7531\u65bc\u6bcf\u500b\u4eba\u7522\u751f\u75c5\u6bd2\u6297\u9ad4\u7684\u6642\u9593\u4e0d\u4e00\u6a23\uff0c\u5982\u679c\u60a8\u7684\u9996\u6b21\u6e2c\u8a66\u7d50\u679c\u5448\u9670\u6027\uff0c\u5efa\u8b70\u60a8\u65bc12\u661f\u671f\u5f8c\u518d\u6b21\u63a5\u53d7\u6e2c\u8a66\uff0c\u4ee5\u518d\u6b21\u78ba\u8a8d\u3002<\/h4>\n<p>[\/vc_column_text][vc_empty_space][vc_column_text]\u300c\u95dc\u61f7\u611b\u6ecb\u300d\u5efa\u8b70\u6709\u6301\u7e8c\u611f\u67d3\u98a8\u96aa\u4eba\u58eb\u6bcf3\u500b\u6708\u9032\u884c\u4e00\u6b21HIV\u6aa2\u6e2c\u3002[\/vc_column_text][vc_empty_space][vc_column_text]<\/p>\n<table>\n<tbody>\n<tr>\n<td width=\"149\">\u8a66\u7d19\u540d\u7a31<\/td>\n<td width=\"387\">Chembio SURE CHECK HIV Self Test<\/td>\n<\/tr>\n<tr>\n<td width=\"149\">\u6aa2\u6e2c<\/td>\n<td width=\"387\">HIV-1\/2\u6297\u9ad4<\/td>\n<\/tr>\n<tr>\n<td width=\"149\">\u751f\u7522\u5546<\/td>\n<td width=\"387\">Chembio Diagnostic Systems Inc.<\/td>\n<\/tr>\n<tr>\n<td width=\"149\">\u8a8d\u8b49<\/td>\n<td width=\"387\">\u6b50\u76df\u8a8d\u8b49CE Mark (0459)<\/td>\n<\/tr>\n<tr>\n<td width=\"149\">\u6e2c\u8a66\u7a7a\u7a97\u671f<\/td>\n<td width=\"387\">90\u65e5<\/td>\n<\/tr>\n<tr>\n<td width=\"149\">\u9748\u654f\u5ea6 (\u771f\u967d\u6027\u7387)<\/td>\n<td width=\"387\">99%<\/td>\n<\/tr>\n<tr>\n<td width=\"149\">\u7279\u7570\u5ea6 (\u771f\u9670\u6027\u7387)<\/td>\n<td width=\"387\">99%<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>[\/vc_column_text][vc_empty_space][\/vc_column][vc_column width=&#8221;1\/3&#8243; css=&#8221;.vc_custom_1554361698628{background-color: #e0e0e0 !important;}&#8221;][vc_custom_heading text=&#8221;\u7acb\u5373\u8cfc\u8cb7&#8221; font_container=&#8221;tag:h2|font_size:30|text_align:left|color:%23bb3333&#8243;]<script type=\"text\/javascript\">if(!gform){document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0});var 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),null==t&&(t=10),gform.hooks[o][n].push({tag:i,callable:r,priority:t})},doHook:function(o,n,r){if(r=Array.prototype.slice.call(r,1),null!=gform.hooks[o][n]){var t,i=gform.hooks[o][n];i.sort(function(o,n){return o.priority-n.priority});for(var e=0;e<i.length;e++)\"function\"!=typeof(t=i[e].callable)&&(t=window[t]),\"action\"==o?t.apply(null,r):r[0]=t.apply(null,r)}if(\"filter\"==o)return r[0]},removeHook:function(o,n,r,t){if(null!=gform.hooks[o][n])for(var i=gform.hooks[o][n],e=i.length-1;0<=e;e--)null!=t&&t!=i[e].tag||null!=r&&r!=i[e].priority||i.splice(e,1)}}}<\/script>\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper' id='gform_wrapper_58' style='display:none'><form method='post' enctype='multipart\/form-data'  id='gform_58'  action=\"\/zh\/wp-json\/wp\/v2\/pages\/22136\" > \r\n <input type='hidden' class='gforms-pum' value='{\"closepopup\":false,\"closedelay\":0,\"openpopup\":false,\"openpopup_id\":0}' \/>\n                        <div class='gform_body gform-body'><ul id='gform_fields_58' class='gform_fields top_label form_sublabel_below description_below'><li id=\"field_58_84\" class=\"gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible\" ><\/li><li id=\"field_58_93\" class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label gfield_label_before_complex'  >\u8acb\u9078\u64c7\u6aa2\u6e2c\u5305\u7a2e\u985e<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_58_93'><li class='gchoice gchoice_58_93_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_93.1' type='checkbox'  value='ChemBio SURE CHECK \u624b\u6307\u91dd\u523a\u53d6\u8840\u6aa2\u6e2c\u5305'  id='choice_58_93_1'   aria-describedby=\"gfield_description_58_93\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_58_93_1' id='label_58_93_1'>ChemBio SURE CHECK \u624b\u6307\u91dd\u523a\u53d6\u8840\u6aa2\u6e2c\u5305<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_58_93_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_93.2' type='checkbox'  value='OraQuick \u53e3\u8154\u9ecf\u6db2\u6aa2\u6e2c\u5305'  id='choice_58_93_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_58_93_2' id='label_58_93_2'>OraQuick \u53e3\u8154\u9ecf\u6db2\u6aa2\u6e2c\u5305<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_58_93_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_93.3' type='checkbox'  value='Doctoreyes \u6885\u6bd2\u87ba\u65cb\u9ad4\u6297\u9ad4\u6aa2\u6e2c'  id='choice_58_93_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_58_93_3' id='label_58_93_3'>Doctoreyes \u6885\u6bd2\u87ba\u65cb\u9ad4\u6297\u9ad4\u6aa2\u6e2c<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><div class='gfield_description' id='gfield_description_58_93'>\u6aa2\u6e2c\u5305\u63a1\u7528\u672c\u5730\u9806\u8c50\u904b\u8cbb\u5230\u4ed8\u5f62\u5f0f\u5bc4\u51fa<\/div><\/li><li id=\"field_58_96\" class=\"gfield gfield--width-full gfield_price gfield_price_58_96 gfield_product_58_96 gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label gfield_label_before_complex' for='input_58_96_1' >ChemBio SURE CHECK \u624b\u6307\u91dd\u523a\u53d6\u8840\u6aa2\u6e2c\u5305<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_96.1' value='ChemBio SURE CHECK \u624b\u6307\u91dd\u523a\u53d6\u8840\u6aa2\u6e2c\u5305' class='gform_hidden' \/>\n\t\t\t\t\t\n\t\t\t\t\t\t<span class='ginput_product_price_label'>Price:<\/span>\n\t\t\t\t\t\t<span class='ginput_product_price' id='input_58_96'>HK$290.00<\/span>\n\t\t\t\t\t\n\t\t\t\t\t<input type='hidden' name='input_96.2' id='ginput_base_price_58_96' class='gform_hidden' value='HK$290.00'\/>\n\t\t\t\t\t <span class='ginput_quantity_label' aria-hidden='true'>Quantity:<\/span> <input type='text' name='input_96.3' value='' id='input_58_96_1' class='ginput_quantity' size='10'    aria-label=\"Quantity ChemBio SURE CHECK \u624b\u6307\u91dd\u523a\u53d6\u8840\u6aa2\u6e2c\u5305\"  \/>\n\t\t\t\t<\/div><\/li><li id=\"field_58_15\" class=\"gfield gfield_price gfield_price_58_15 gfield_product_58_15 gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label gfield_label_before_complex' for='input_58_15_1' >OraQuick \u53e3\u8154\u9ecf\u6db2\u6aa2\u6e2c\u5305<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_15.1' value='OraQuick \u53e3\u8154\u9ecf\u6db2\u6aa2\u6e2c\u5305' class='gform_hidden' \/>\n\t\t\t\t\t\n\t\t\t\t\t\t<span class='ginput_product_price_label'>Price:<\/span>\n\t\t\t\t\t\t<span class='ginput_product_price' id='input_58_15'>HK$300.00<\/span>\n\t\t\t\t\t\n\t\t\t\t\t<input type='hidden' name='input_15.2' id='ginput_base_price_58_15' class='gform_hidden' value='HK$300.00'\/>\n\t\t\t\t\t <span class='ginput_quantity_label' aria-hidden='true'>Quantity:<\/span> <input type='text' name='input_15.3' value='' id='input_58_15_1' class='ginput_quantity' size='10'    aria-label=\"Quantity OraQuick \u53e3\u8154\u9ecf\u6db2\u6aa2\u6e2c\u5305\"  \/>\n\t\t\t\t<\/div><\/li><li id=\"field_58_85\" class=\"gfield gfield_price gfield_price_58_85 gfield_product_58_85 gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label gfield_label_before_complex' for='input_58_85_1' >Doctoreyes \u6885\u6bd2\u87ba\u65cb\u9ad4\u6297\u9ad4\u6aa2\u6e2c<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_85.1' value='Doctoreyes \u6885\u6bd2\u87ba\u65cb\u9ad4\u6297\u9ad4\u6aa2\u6e2c' class='gform_hidden' \/>\n\t\t\t\t\t\n\t\t\t\t\t\t<span class='ginput_product_price_label'>Price:<\/span>\n\t\t\t\t\t\t<span class='ginput_product_price' id='input_58_85'>HK$228.00<\/span>\n\t\t\t\t\t\n\t\t\t\t\t<input type='hidden' name='input_85.2' id='ginput_base_price_58_85' class='gform_hidden' value='HK$228.00'\/>\n\t\t\t\t\t <span class='ginput_quantity_label' aria-hidden='true'>Quantity:<\/span> <input type='text' name='input_85.3' value='' id='input_58_85_1' class='ginput_quantity' size='10'    aria-label=\"Quantity Doctoreyes \u6885\u6bd2\u87ba\u65cb\u9ad4\u6297\u9ad4\u6aa2\u6e2c\"  \/>\n\t\t\t\t<\/div><\/li><li id=\"field_58_83\" class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label'  >\u662f\u5426\u9700\u8981Shall We Talk\u81ea\u6211\u6aa2\u6e2c\u652f\u63f4\u670d\u52d9?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_58_83'>\n\t\t\t<li class='gchoice gchoice_58_83_0'>\n\t\t\t\t<input name='input_83' type='radio' value='\u662f'  id='choice_58_83_0'    \/>\n\t\t\t\t<label for='choice_58_83_0' id='label_58_83_0'>\u662f<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_58_83_1'>\n\t\t\t\t<input name='input_83' type='radio' value='\u5426'  id='choice_58_83_1'    \/>\n\t\t\t\t<label for='choice_58_83_1' id='label_58_83_1'>\u5426<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_58_81\" class=\"gfield gfield_price gfield_price_58_81 gfield_product_58_81 gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label gfield_label_before_complex' for='input_58_81_1' >\u81ea\u6211\u6aa2\u6e2c\u652f\u63f4\u670d\u52d9\u6578\u91cf<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_81.1' value='\u81ea\u6211\u6aa2\u6e2c\u652f\u63f4\u670d\u52d9\u6578\u91cf' class='gform_hidden' \/>\n\t\t\t\t\t\n\t\t\t\t\t\t<span class='ginput_product_price_label'>Price:<\/span>\n\t\t\t\t\t\t<span class='ginput_product_price' id='input_58_81'>HK$200.00<\/span>\n\t\t\t\t\t\n\t\t\t\t\t<input type='hidden' name='input_81.2' id='ginput_base_price_58_81' class='gform_hidden' value='HK$200.00'\/>\n\t\t\t\t\t <span class='ginput_quantity_label' aria-hidden='true'>Quantity:<\/span> <input type='text' name='input_81.3' value='' id='input_58_81_1' class='ginput_quantity' size='10'    aria-label=\"Quantity \u81ea\u6211\u6aa2\u6e2c\u652f\u63f4\u670d\u52d9\u6578\u91cf\" aria-describedby=\"gfield_description_58_81\" \/>\n\t\t\t\t<\/div><div class='gfield_description' id='gfield_description_58_81'>\u4e0d\u53ef\u55ae\u9078\uff0c\u9700\u9023\u540c\u81ea\u6211\u6aa2\u6e2c\u5305\u4e00\u540c\u8cfc\u8cb7<\/div><\/li><li id=\"field_58_82\" class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label'  >\u4f60\u5e0c\u671b\u6211\u5011\u4ee5\u4ee5\u4e0b\u54ea\u7a2e\u65b9\u5f0f\u806f\u7d61\u9810\u7d04\u6642\u9593\uff1f<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_58_82'>\n\t\t\t<li class='gchoice gchoice_58_82_0'>\n\t\t\t\t<input name='input_82' type='radio' value='\u96fb\u8a71'  id='choice_58_82_0'    \/>\n\t\t\t\t<label for='choice_58_82_0' id='label_58_82_0'>\u96fb\u8a71<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_58_82_1'>\n\t\t\t\t<input name='input_82' type='radio' value='\u96fb\u90f5'  id='choice_58_82_1'    \/>\n\t\t\t\t<label for='choice_58_82_1' id='label_58_82_1'>\u96fb\u90f5<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_58_95\" class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label'  >\u4f60\u66fe\u7d93\u63a5\u53d7\u904eHIV\u6e2c\u8a66\u55ce\uff1f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_58_95'>\n\t\t\t<li class='gchoice gchoice_58_95_0'>\n\t\t\t\t<input name='input_95' type='radio' value='\u6709'  id='choice_58_95_0'    \/>\n\t\t\t\t<label for='choice_58_95_0' id='label_58_95_0'>\u6709<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_58_95_1'>\n\t\t\t\t<input name='input_95' type='radio' value='\u6c92\u6709'  id='choice_58_95_1'    \/>\n\t\t\t\t<label for='choice_58_95_1' id='label_58_95_1'>\u6c92\u6709<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_58_61\" class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label'  >\u4f60\u66fe\u7d93\u8a66\u7528\u904e\u611b\u6ecb\u75c5\u81ea\u6211\u6aa2\u6e2c\u5de5\u5177\u55ce\uff1f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_58_61'>\n\t\t\t<li class='gchoice gchoice_58_61_0'>\n\t\t\t\t<input name='input_61' type='radio' value='\u6709'  id='choice_58_61_0'    \/>\n\t\t\t\t<label for='choice_58_61_0' id='label_58_61_0'>\u6709<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_58_61_1'>\n\t\t\t\t<input name='input_61' type='radio' value='\u6c92\u6709'  id='choice_58_61_1'    \/>\n\t\t\t\t<label for='choice_58_61_1' id='label_58_61_1'>\u6c92\u6709<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_58_68\" class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label' for='input_58_68' >\u6700\u8fd1\u4e00\u6b21\u611b\u6ecb\u75c5\u6e2c\u8a66\u7684\u6642\u9593\u662f\uff1f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_68' id='input_58_68' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>\u8acb\u9078\u64c7<\/option><option value='0-3\u500b\u6708\u524d' >0-3\u500b\u6708\u524d<\/option><option value='4-6\u500b\u6708\u524d' >4-6\u500b\u6708\u524d<\/option><option value='7-9\u500b\u6708\u524d' >7-9\u500b\u6708\u524d<\/option><option value='10-12\u500b\u6708\u524d' >10-12\u500b\u6708\u524d<\/option><option value='\u591a\u904e12\u500b\u6708\u524d' >\u591a\u904e12\u500b\u6708\u524d<\/option><option value='\u5f9e\u4f86\u6c92\u6709\u63a5\u53d7\u904e\u6e2c\u8a66' >\u5f9e\u4f86\u6c92\u6709\u63a5\u53d7\u904e\u6e2c\u8a66<\/option><\/select><\/div><\/li><li id=\"field_58_87\" class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label'  >\u4f60\u66fe\u7d93\u4f7f\u7528\u904e\u6885\u6bd2\u87ba\u65cb\u9ad4\u6297\u9ad4\u6aa2\u6e2c\u5305\u55ce\uff1f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_58_87'>\n\t\t\t<li class='gchoice gchoice_58_87_0'>\n\t\t\t\t<input name='input_87' type='radio' value='\u6709'  id='choice_58_87_0'    \/>\n\t\t\t\t<label for='choice_58_87_0' id='label_58_87_0'>\u6709<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_58_87_1'>\n\t\t\t\t<input name='input_87' type='radio' value='\u6c92\u6709'  id='choice_58_87_1'    \/>\n\t\t\t\t<label for='choice_58_87_1' id='label_58_87_1'>\u6c92\u6709<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_58_88\" class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label' for='input_58_88' >\u6700\u8fd1\u4e00\u6b21\u9032\u884c\u6885\u6bd2\u6e2c\u8a66\u7684\u6642\u9593\u662f\uff1f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_88' id='input_58_88' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>\u8acb\u9078\u64c7<\/option><option value='0-3\u500b\u6708\u524d' >0-3\u500b\u6708\u524d<\/option><option value='4-6\u500b\u6708\u524d' >4-6\u500b\u6708\u524d<\/option><option value='7-9\u500b\u6708\u524d' >7-9\u500b\u6708\u524d<\/option><option value='10-12\u500b\u6708\u524d' >10-12\u500b\u6708\u524d<\/option><option value='\u591a\u904e12\u500b\u6708\u524d' >\u591a\u904e12\u500b\u6708\u524d<\/option><option value='\u5f9e\u4f86\u6c92\u6709\u63a5\u53d7\u904e\u6e2c\u8a66' >\u5f9e\u4f86\u6c92\u6709\u63a5\u53d7\u904e\u6e2c\u8a66<\/option><\/select><\/div><\/li><li id=\"field_58_70\" class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label' for='input_58_70' >\u4f60\u5c6c\u65bc\u4ee5\u4e0b\u90a3\u500b\u7d44\u5225\u4eba\u58eb\uff1f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_70' id='input_58_70' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>\u8acb\u9078\u64c7<\/option><option value='\u7537\u7537\u6027\u63a5\u89f8\u8005' >\u7537\u7537\u6027\u63a5\u89f8\u8005<\/option><option value='\u7570\u6027\u6200\u7537\u58eb' >\u7570\u6027\u6200\u7537\u58eb<\/option><option value='\u7570\u6027\u6200\u5973\u58eb' >\u7570\u6027\u6200\u5973\u58eb<\/option><option value='\u96d9\u6027\u6200\u4eba\u58eb' >\u96d9\u6027\u6200\u4eba\u58eb<\/option><option value='\u8de8\u6027\u5225\u4eba\u58eb' >\u8de8\u6027\u5225\u4eba\u58eb<\/option><option value='\u4e0d\u5c6c\u65bc\u4ee5\u4e0a\u4efb\u4f55\u7d44\u5225\u4eba\u58eb' >\u4e0d\u5c6c\u65bc\u4ee5\u4e0a\u4efb\u4f55\u7d44\u5225\u4eba\u58eb<\/option><\/select><\/div><\/li><li id=\"field_58_69\" class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label' for='input_58_69' >\u4f60\u7684\u5e74\u9f61<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_69' id='input_58_69' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>\u8acb\u9078\u64c7<\/option><option value='20\u4ee5\u4e0b' >20\u4ee5\u4e0b<\/option><option value='20-29' >20-29<\/option><option value='30-39' >30-39<\/option><option value='40-49' >40-49<\/option><option value='50-59' >50-59<\/option><option value='59\u4ee5\u4e0a' >59\u4ee5\u4e0a<\/option><\/select><\/div><\/li><li id=\"field_58_8\" class=\"gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible\" >\u8acb\u63d0\u4f9b\u771f\u5be6\u500b\u4eba\u8cc7\u6599\u5305\u62ec\u59d3\u540d\u3001\u5730\u5740\u53ca\u96fb\u8a71\u865f\u78bc\uff0c\u4ee5\u4fbf\u9806\u5229\u6536\u53d6\u8ca8\u7269\uff0c\u60a8\u7684\u500b\u4eba\u8cc7\u6599\u5c07\u6703\u7d55\u5c0d\u4fdd\u5bc6\u3002\u5c0d\u65bc\u56e0\u8cb7\u5bb6\u63d0\u4f9b\u865b\u5047\u8cc7\u6599\u800c\u5c0e\u81f4\u4efb\u4f55\u640d\u5931\uff0c\u300c\u95dc\u61f7\u611b\u6ecb\u300d\u6982\u4e0d\u8ca0\u8cac\u3002<\/li><li id=\"field_58_9\" class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label' for='input_58_9' >\u7a31\u547c<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_9' id='input_58_9' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_58_10\" class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label' for='input_58_10' >\u624b\u6a5f\u865f\u78bc<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_10' id='input_58_10' type='text' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_58_11\" class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label' for='input_58_11' >\u96fb\u90f5<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_11' id='input_58_11' type='text' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_58_72\" class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label'  >\u9078\u64c7\u9001\u8ca8\u65b9\u5f0f<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_58_72'>\n\t\t\t<li class='gchoice gchoice_58_72_0'>\n\t\t\t\t<input name='input_72' type='radio' value='\u81ea\u884c\u5230\u9806\u8c50\u7ad9\u6216\u667a\u80fd\u6ac3\u53d6\u4ef6'  id='choice_58_72_0'    \/>\n\t\t\t\t<label for='choice_58_72_0' id='label_58_72_0'>\u81ea\u884c\u5230\u9806\u8c50\u7ad9\u6216\u667a\u80fd\u6ac3\u53d6\u4ef6<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_58_72_1'>\n\t\t\t\t<input name='input_72' type='radio' value='\u9001\u8ca8\u4e0a\u9580'  id='choice_58_72_1'    \/>\n\t\t\t\t<label for='choice_58_72_1' id='label_58_72_1'>\u9001\u8ca8\u4e0a\u9580<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_58_76\" class=\"gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible\" >\u300c\u95dc\u61f7\u611b\u6ecb\u300d\u5c07\u65bc\u78ba\u8a8d\u4ed8\u6b3e\u53ca\u60a8\u7684\u500b\u4eba\u8cc7\u6599\u5f8c\u76e1\u5feb\u5bc4\u51fa\u90f5\u4ef6\uff0c\u5728\u6b63\u5e38\u60c5\u6cc1\u4e0b\uff0c\u5c07\u65bc\u4ed8\u6b3e\u5f8c\u4e94\u500b\u5de5\u4f5c\u5929\u5167\u9001\u9054\uff0c\u8acb\u6ce8\u610f\u67e5\u6536\u3002<\/li><li id=\"field_58_13\" class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label' for='input_58_13' >\u6536\u8ca8\u5730\u5740 (\u53ea\u9650\u9999\u6e2f\u5730\u5740)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_13' id='input_58_13' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_58_78\" class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label' for='input_58_78' >\u9806\u8c50\u7ad9\/\u9806\u4fbf\u667a\u80fd\u6ac3\u9ede\u78bc (\u53ea\u9650\u9999\u6e2f\u5730\u5740)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_78' id='input_58_78' type='text' value='' class='large'  aria-describedby=\"gfield_description_58_78\"   aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><div class='gfield_description' id='gfield_description_58_78'>\u8acb\u65bc\u4ee5\u4e0b\u9806\u8c50\u7db2\u7ad9\u8907\u88fd\u6240\u9700\u9ede\u78bc\u4e26\u8cbc\u4e0a\u65bc\u7a7a\u767d\u683c\u5167\uff1a\n<a href=\"https:\/\/htm.sf-express.com\/hk\/tc\/dynamic_function\/S.F.Network\/SF_Locker\/\" target=\"_blank\"><font color=\"#FF0000\">\u9806\u4fbf\u667a\u80fd\u6ac3\u5730\u5740<\/font><\/a> \/ <a href=\"https:\/\/htm.sf-express.com\/hk\/tc\/dynamic_function\/S.F.Network\/SF_service_partner_address\/\" target=\"_blank\"><font color=\"#FF0000\">\u9806\u8c50\u5408\u4f5c\u9ede\u5730\u5740<\/font><\/a> \/ <a href=\"https:\/\/htm.sf-express.com\/hk\/tc\/dynamic_function\/S.F.Network\/SF_store_address\/\" target=\"_blank\"><font color=\"#FF0000\">\u9806\u8c50\u7ad9\u5730\u5740<\/font><\/a> \/ <a href=\"https:\/\/htm.sf-express.com\/hk\/tc\/dynamic_function\/S.F.Network\/SF_business_station_address\/\" target=\"_blank\"><font color=\"#FF0000\">\u9806\u8c50\u71df\u696d\u9ede\u5730\u5740<\/font><\/a><\/div><\/li><li id=\"field_58_79\" class=\"gfield field_sublabel_below field_description_below gfield_visibility_hidden\" ><div class='admin-hidden-markup'><i class='gform-icon gform-icon--hidden'><\/i><span>Hidden<\/span><\/div><label class='gfield_label' for='input_58_79' >Coupon<\/label><\/li><li id=\"field_58_65\" class=\"gfield gfield_price gfield_price_58_ gfield_total gfield_total_58_ field_sublabel_below field_description_below gfield_visibility_visible\"  aria-atomic=\"true\" aria-live=\"polite\"><label class='gfield_label' for='input_58_65' >\u7e3d\u91d1\u984d:<\/label><div class='ginput_container ginput_container_total'>\n\t\t\t\t\t\t\t<span class='ginput_total ginput_total_58'>HK$0.00<\/span>\n\t\t\t\t\t\t\t<input type='hidden' name='input_65' id='input_58_65' class='gform_hidden'\/>\n\t\t\t\t\t\t<\/div><\/li><li id=\"field_58_66\" class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label gfield_label_before_complex' for='input_58_66_1' >\u4fe1\u7528\u5361<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container_creditcard' id='input_58_66'><span class='ginput_full' id='input_58_66_1_container' >\n                                    <div class='gform_card_icon_container'><div class='gform_card_icon gform_card_icon_mastercard' >MasterCard<\/div><div class='gform_card_icon gform_card_icon_visa' >Visa<\/div><span class='screen-reader-text' id='field_58_66_supported_creditcards'>Supported Credit Cards: MasterCard, Visa<\/span><\/div>\n                                    <input type='text'  id='input_58_66_1' value=''   onchange='gformMatchCard(\"input_58_66_1\");' onkeyup='gformMatchCard(\"input_58_66_1\");'    aria-required='true'  \/>\n                                    <label for='input_58_66_1' id='input_58_66_1_label' >\u5361\u865f<\/label>\n                                 <\/span><span class='ginput_full ginput_cardextras' id='input_58_66_2_container'>\n                                            <span class='ginput_cardinfo_left' id='input_58_66_2_cardinfo_left'>\n                                                <span class='ginput_card_expiration_container ginput_card_field'>\n                                                    \n                                                       <select  id='input_58_66_2_month'   class='ginput_card_expiration ginput_card_expiration_month' aria-required='true'  >\n                                                           <option value=''>Month<\/option><option value='1' >01<\/option><option value='2' >02<\/option><option value='3' >03<\/option><option value='4' >04<\/option><option value='5' >05<\/option><option value='6' >06<\/option><option value='7' >07<\/option><option value='8' >08<\/option><option value='9' >09<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option>\n                                                       <\/select>\n                                                       \n                                                   \n                                                   \n                                                       <select  id='input_58_66_2_year'   class='ginput_card_expiration ginput_card_expiration_year' aria-required='true'  >\n                                                           <option value=''>Year<\/option><option value='2025' >2025<\/option><option value='2026' >2026<\/option><option value='2027' >2027<\/option><option value='2028' >2028<\/option><option value='2029' >2029<\/option><option value='2030' >2030<\/option><option value='2031' >2031<\/option><option value='2032' >2032<\/option><option value='2033' >2033<\/option><option value='2034' >2034<\/option><option value='2035' >2035<\/option><option value='2036' >2036<\/option><option value='2037' >2037<\/option><option value='2038' >2038<\/option><option value='2039' >2039<\/option><option value='2040' >2040<\/option><option value='2041' >2041<\/option><option value='2042' >2042<\/option><option value='2043' >2043<\/option><option value='2044' >2044<\/option>\n                                                       <\/select>\n                                                       \n                                                       \n                                                <\/span>\n                                                 <label >\u5230\u671f\u65e5<\/label>\n                                            <\/span><span class='ginput_cardinfo_right' id='input_58_66_2_cardinfo_right'>\n                                                <input type='text'  id='input_58_66_3'   class='ginput_card_security_code' value=''    aria-required='true'  \/>\n                                                <span class='ginput_card_security_code_icon'>&nbsp;<\/span>\n                                                <label for='input_58_66_3' >\u9a57\u8a3c\u78bc<\/label>\n                                             <\/span>\n                                        <\/span><span class='ginput_full' id='input_58_66_5_container'>\n                                            <input type='text'  id='input_58_66_5' value=''    aria-required='false'  \/>\n                                            <label for='input_58_66_5' id='input_58_66_5_label' >\u6301\u5361\u4eba\u59d3\u540d<\/label>\n                                        <\/span> <\/div><\/li><li id=\"field_58_67\" class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label gfield_label_before_complex'  >\u689d\u6b3e\u53ca\u7d30\u5247<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_58_67'><li class='gchoice gchoice_58_67_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_67.1' type='checkbox'  value='\u672c\u4eba\u5df2\u95b1\u8b80\u4e26\u540c\u610f\u6211\u5011\u7684\u689d\u6b3e\u7d30\u5247'  id='choice_58_67_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_58_67_1' id='label_58_67_1'>\u672c\u4eba\u5df2\u95b1\u8b80\u4e26\u540c\u610f\u6211\u5011\u7684\u689d\u6b3e\u7d30\u5247<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><\/ul><\/div>\n        <div class='gform_footer top_label'> <input type='submit' id='gform_submit_button_58' class='gform_button button' value='\u63d0\u4ea4'  onclick='if(window[\"gf_submitting_58\"]){return false;}  window[\"gf_submitting_58\"]=true;  ' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_58\"]){return false;} window[\"gf_submitting_58\"]=true;  jQuery(\"#gform_58\").trigger(\"submit\",[true]); }' \/> \n            <input type='hidden' class='gform_hidden' name='is_submit_58' value='1' \/>\n    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