{{collocutor.collocutorFormText}}

{{::dictionary.get('CONTACT_INFO2')}}

{{::dictionary.get('IDENTITY_NUMBER2')}}

{{::dictionary.get('BIRTHDATE')}}

{{::dictionary.get('NAME_SURNAME2')}}

{{::dictionary.get('CELL_PHONE_NUMBER')}}

{{::dictionary.get('EMAIL')}}

{{::dictionary.get('ADDRESS_INFORMATION')}}

{{::dictionary.get('TOWN')}}

{{::dictionary.get('DISTRICT')}}

{{::dictionary.get('STREET')}}

{{$index + 1}}-{{question.questionInfo.question}} *

{{question.questionInfo.helpText}}

{{::dictionary.get('YES')}}
{{::dictionary.get('NO')}}

{{::dictionary.get('YES')}}
{{::dictionary.get('NO')}}
{{::dictionary.get('PARTLY')}}

{{::dictionary.get('ABSOLUTELY_SATISFIED')}}
{{::dictionary.get('SATISFIED')}}
{{::dictionary.get('PARTLY_SATISFIED')}}
{{::dictionary.get('ALMOST_NOT_SATISFIED')}}
{{::dictionary.get('NOT_SATISFIED')}}

{{::dictionary.get('LOW')}} {{::dictionary.get('HIGH')}}
1	2	3	4	5

{{::option.answer}}

{{::option.answer}}

	{{::answer1.value}}
{{::question1.value}}

{{dictionary.get('CAUSE')}} *

	{{::answer1.value}}
{{::question1.value}}