{"id":32,"date":"2024-09-18T10:01:03","date_gmt":"2024-09-18T01:01:03","guid":{"rendered":"http:\/\/chusinsou.besket.jp\/universal\/?page_id=32"},"modified":"2024-09-24T18:57:10","modified_gmt":"2024-09-24T09:57:10","slug":"questionnaire","status":"publish","type":"page","link":"https:\/\/chusinkai.net\/universal\/questionnaire\/","title":{"rendered":"\u30a2\u30f3\u30b1\u30fc\u30c8"},"content":{"rendered":"<h2 class=\"mainview personal\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/chusinkai.net\/universal\/wp-content\/themes\/universal\/common\/img\/questionnaire\/mainview.jpg\" alt=\"\u30a2\u30f3\u30b1\u30fc\u30c8\" width=\"644\" height=\"151\"><\/h2>\r\n<div class=\"h3_about1_title\">\r\n<h3>\u50cd\u304d\u3065\u3089\u3055\u3092\u611f\u3058\u3066\u3044\u308b\u65b9\u3078\u306e\u30a2\u30f3\u30b1\u30fc\u30c8<\/h3>\r\n<\/div>\r\n\r\n<p class=\"questionnaire_text\">\u30e6\u30cb\u30d0\u30fc\u30b5\u30eb\u5c31\u52b4\u652f\u63f4\u4e8b\u52d9\u5c40\u3067\u306f\u3001\u3055\u307e\u3056\u307e\u306a\u7406\u7531\u3067\u300c\u50cd\u304d\u3065\u3089\u3055\u300d\u3092\u611f\u3058\u3066\u3044\u308b\u65b9\u3005\u306b\u3001\u72b6\u6cc1\u3084\u3054\u5e0c\u671b\u3092\u304a\u805e\u304d\u3057\u3001\u3055\u3089\u306a\u308b\u652f\u63f4\u4f53\u5236\u306e\u5f37\u5316\u3092\u306f\u304b\u3063\u3066\u3044\u304d\u305f\u3044\u3068\u8003\u3048\u3066\u3044\u307e\u3059\u3002<br>\r\n\u305d\u306e\u305f\u3081\u3001\u30e6\u30cb\u30d0\u30fc\u30b5\u30eb\u5c31\u52b4\u652f\u63f4\u306e\u3054\u5229\u7528\u3092\u304a\u8003\u3048\u306e\u65b9\u3082\u305d\u3046\u3067\u306a\u3044\u65b9\u3082\u3001\u30a2\u30f3\u30b1\u30fc\u30c8\u306b\u3054\u5354\u529b\u3044\u305f\u3060\u3051\u307e\u3057\u305f\u3089\u5e78\u3044\u3067\u3059\u3002<\/p>\r\n\r\n<!--exampleframe-->\r\n<div class=\"exampleframe mt40 mb40 _w90 _sp_w100\">\r\n<div class=\"exampleframe_top\">\r\n<div class=\"inner clear\">\r\n<p class=\"question_text1\">\u203b\u3054\u8a18\u5165\u3044\u305f\u3060\u3044\u305f\u500b\u4eba\u60c5\u5831\u7b49\u306f\u4eca\u5f8c\u306e\u5c31\u52b4\u652f\u63f4\u30b5\u30fc\u30d3\u30b9\u306e\u5145\u5b9f\u30fb\u5f37\u5316\u306e\u76ee\u7684\u306b\u306e\u307f\u4f7f\u7528\u3057\u307e\u3059\u3002\u5206\u6790\u7d50\u679c\u3092\u4f7f\u7528\u3059\u308b\u969b\u306f\u3001\u3054\u56de\u7b54\u8005\u304c\u7279\u5b9a\u3055\u308c\u306a\u3044\u5f62\u3067\u306e\u307f\u4f7f\u7528\u3057\u307e\u3059\u3002<\/p>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<!--\/exampleframe-->\r\n<div class=\"h3_about1_title\">\r\n<h3>\u30a2\u30f3\u30b1\u30fc\u30c8\u30d5\u30a9\u30fc\u30e0<\/h3>\r\n<\/div>\r\n<!--container_area-->\r\n<div id=\"container_area\">\r\n<p class=\"hissu_komoku\">\u5fc5\u9808\u9805\u76ee\u306f\u3042\u308a\u307e\u305b\u3093\u306e\u3067\u3001\u3054\u8a18\u5165\u3044\u305f\u3060\u3051\u308b\u90e8\u5206\u3060\u3051\u3067\u3082\u304b\u307e\u3044\u307e\u305b\u3093\u3002<\/p>\r\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f39-o1\" lang=\"ja\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/universal\/wp-json\/wp\/v2\/pages\/32#wpcf7-f39-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"\u30b3\u30f3\u30bf\u30af\u30c8\u30d5\u30a9\u30fc\u30e0\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"39\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.9.8\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"ja\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f39-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/div>\n<ul class=\"questionnaire\">\n\t<li>\n\t\t<div class=\"title\">\n\t\t\t<p>\u25a0 \u6c0f\u540d\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"input\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"name1\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"name1\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"name1\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/li>\n\t<li>\n\t\t<div class=\"title\">\n\t\t\t<p>\u25a0 \u6027\u5225\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"input\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"gender\"><span class=\"wpcf7-form-control wpcf7-radio _radio\" id=\"gender\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"gender\" value=\"\u7121\u56de\u7b54\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">\u7121\u56de\u7b54<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"gender\" value=\"\u7537\u6027\" \/><span class=\"wpcf7-list-item-label\">\u7537\u6027<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"gender\" value=\"\u5973\u6027\" \/><span class=\"wpcf7-list-item-label\">\u5973\u6027<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/li>\n\t<li>\n\t\t<div class=\"title\">\n\t\t\t<p>\u25a0 \u5e74\u9f62<br \/>\n<span class=\"kome\">\u203b\u9078\u629e<\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"input\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"age\"><span class=\"wpcf7-form-control wpcf7-radio _radio\" id=\"age\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"age\" value=\"\u7121\u56de\u7b54\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">\u7121\u56de\u7b54<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"age\" value=\"10\u4ee3\" \/><span class=\"wpcf7-list-item-label\">10\u4ee3<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"age\" value=\"20\u4ee3\" \/><span class=\"wpcf7-list-item-label\">20\u4ee3<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"age\" value=\"30\u4ee3\" \/><span class=\"wpcf7-list-item-label\">30\u4ee3<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"age\" value=\"40\u4ee3\" \/><span class=\"wpcf7-list-item-label\">40\u4ee3<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"age\" value=\"50\u4ee3\" \/><span class=\"wpcf7-list-item-label\">50\u4ee3<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"age\" value=\"60\u4ee3\" \/><span class=\"wpcf7-list-item-label\">60\u4ee3<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"age\" value=\"70\u4ee3\u4ee5\u4e0a\" \/><span class=\"wpcf7-list-item-label\">70\u4ee3\u4ee5\u4e0a<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/li>\n\t<li>\n\t\t<div class=\"title\">\n\t\t\t<p>\u25a0 \u96fb\u8a71\u756a\u53f7\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"input\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"tel\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"tel\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"tel\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/li>\n\t<li>\n\t\t<div class=\"title\">\n\t\t\t<p>\u25a0 \u30e1\u30fc\u30eb\u30a2\u30c9\u30ec\u30b9\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"input\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"mail\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"mail\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"mail\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/li>\n\t<li>\n\t\t<div class=\"title\">\n\t\t\t<p>\u25a0 \u4f4f\u6240\u5730\uff08\u5e02\u540d\u3001\u307e\u305f\u306f\u753a\u6751\u540d\u307e\u3067\u3067\uff2f\uff2b\u3067\u3059\uff09\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"input\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"address1\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"address1\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"address1\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/li>\n\t<li>\n\t\t<div class=\"title\">\n\t\t\t<p>\u25a0 \u73fe\u5728\u306e\u5c31\u52b4\u72b6\u6cc1<br \/>\n<span class=\"kome\">\u203b\u9078\u629e<\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"input\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"work\"><span class=\"wpcf7-form-control wpcf7-radio _radio\" id=\"work\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"work\" value=\"\u7121\u56de\u7b54\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">\u7121\u56de\u7b54<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"work\" value=\"\u5c31\u696d\u4e2d\" \/><span class=\"wpcf7-list-item-label\">\u5c31\u696d\u4e2d<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"work\" value=\"\u7121\u8077\" \/><span class=\"wpcf7-list-item-label\">\u7121\u8077<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"work\" value=\"\u9000\u8077\u4e88\u5b9a\" \/><span class=\"wpcf7-list-item-label\">\u9000\u8077\u4e88\u5b9a<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/li>\n\t<li>\n\t\t<div class=\"title\">\n\t\t\t<p>\u25a0 \u73fe\u5728\u304a\u56f0\u308a\u306e\u3053\u3068<br \/>\n<span class=\"kome\">\u203b\u9078\u629e \u3044\u304f\u3064\u3067\u3082\u53ef<\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"input\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"problem\"><span class=\"wpcf7-form-control wpcf7-checkbox _check\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"problem[]\" value=\"\u7d4c\u6e08\u9762\" \/><span class=\"wpcf7-list-item-label\">\u7d4c\u6e08\u9762<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"problem[]\" value=\"\u5065\u5eb7\u9762\" \/><span class=\"wpcf7-list-item-label\">\u5065\u5eb7\u9762<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"problem[]\" value=\"\u5c31\u8077\u306b\u95a2\u3059\u308b\u3053\u3068\" \/><span class=\"wpcf7-list-item-label\">\u5c31\u8077\u306b\u95a2\u3059\u308b\u3053\u3068<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"problem[]\" value=\"\u7cbe\u795e\u9762\" \/><span class=\"wpcf7-list-item-label\">\u7cbe\u795e\u9762<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"problem[]\" value=\"\u4eba\u9593\u95a2\u4fc2\" \/><span class=\"wpcf7-list-item-label\">\u4eba\u9593\u95a2\u4fc2<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"problem[]\" value=\"\u5bb6\u65cf\u306e\u554f\u984c\" \/><span class=\"wpcf7-list-item-label\">\u5bb6\u65cf\u306e\u554f\u984c<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"problem[]\" value=\"\u305d\u306e\u4ed6\" \/><span class=\"wpcf7-list-item-label\">\u305d\u306e\u4ed6<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t\t<p>\u4e0a\u8a18\u304c\u300c\u305d\u306e\u4ed6\u300d\u306e\u65b9\u3001\u5177\u4f53\u7684\u5185\u5bb9\n\t\t\t<\/p>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"problem_others\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" id=\"problem_others\" aria-invalid=\"false\" name=\"problem_others\"><\/textarea><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/li>\n\t<li>\n\t\t<div class=\"title\">\n\t\t\t<p>\u25a0 \u5c31\u8077\u3059\u308b\u4e0a\u3067\u306e\u8ab2\u984c<br \/>\n<span class=\"kome\">\u203b\u9078\u629e \u3044\u304f\u3064\u3067\u3082\u53ef<\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"input\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"assignment\"><span class=\"wpcf7-form-control wpcf7-checkbox _check\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"assignment[]\" value=\"\u3084\u308a\u305f\u3044\u3053\u3068\u304c\u308f\u304b\u3089\u306a\u3044\" \/><span class=\"wpcf7-list-item-label\">\u3084\u308a\u305f\u3044\u3053\u3068\u304c\u308f\u304b\u3089\u306a\u3044<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"assignment[]\" value=\"\u7d4c\u9a13\u304c\u306a\u3044\uff08\u5c11\u306a\u3044\uff09\" \/><span class=\"wpcf7-list-item-label\">\u7d4c\u9a13\u304c\u306a\u3044\uff08\u5c11\u306a\u3044\uff09<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"assignment[]\" value=\"\u8cc7\u683c\u3084\u30b9\u30ad\u30eb\u304c\u306a\u3044\" \/><span class=\"wpcf7-list-item-label\">\u8cc7\u683c\u3084\u30b9\u30ad\u30eb\u304c\u306a\u3044<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"assignment[]\" value=\"\u30b3\u30df\u30e5\u30cb\u30b1\u30fc\u30b7\u30e7\u30f3\u304c\u82e6\u624b\" \/><span class=\"wpcf7-list-item-label\">\u30b3\u30df\u30e5\u30cb\u30b1\u30fc\u30b7\u30e7\u30f3\u304c\u82e6\u624b<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"assignment[]\" value=\"\u9762\u63a5\u306b\u81ea\u4fe1\u304c\u306a\u3044\" \/><span class=\"wpcf7-list-item-label\">\u9762\u63a5\u306b\u81ea\u4fe1\u304c\u306a\u3044<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"assignment[]\" value=\"\u5e74\u9f62\u306b\u3088\u308b\u4e0d\u5229\" \/><span class=\"wpcf7-list-item-label\">\u5e74\u9f62\u306b\u3088\u308b\u4e0d\u5229<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"assignment[]\" value=\"\u4f53\u529b\u306b\u81ea\u4fe1\u304c\u306a\u3044\" \/><span class=\"wpcf7-list-item-label\">\u4f53\u529b\u306b\u81ea\u4fe1\u304c\u306a\u3044<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"assignment[]\" value=\"\u5e0c\u671b\u306e\u6761\u4ef6\u306b\u5408\u3046\u6c42\u4eba\u304c\u306a\u3044\" \/><span class=\"wpcf7-list-item-label\">\u5e0c\u671b\u306e\u6761\u4ef6\u306b\u5408\u3046\u6c42\u4eba\u304c\u306a\u3044<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"assignment[]\" value=\"\u5c31\u52b4\u306b\u95a2\u3059\u308b\u76f8\u8ac7\u5148\u304c\u306a\u3044\" \/><span class=\"wpcf7-list-item-label\">\u5c31\u52b4\u306b\u95a2\u3059\u308b\u76f8\u8ac7\u5148\u304c\u306a\u3044<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"assignment[]\" value=\"\u305d\u306e\u4ed6\" \/><span class=\"wpcf7-list-item-label\">\u305d\u306e\u4ed6<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t\t<p>\u4e0a\u8a18\u304c\u300c\u305d\u306e\u4ed6\u300d\u306e\u65b9\u3001\u5177\u4f53\u7684\u5185\u5bb9\n\t\t\t<\/p>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"assignment_others\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" id=\"assignment_others\" aria-invalid=\"false\" name=\"assignment_others\"><\/textarea><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/li>\n\t<li>\n\t\t<div class=\"title\">\n\t\t\t<p>\u25a0 \u5e0c\u671b\u3059\u308b\u8077\u7a2e\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"input\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"job-type1\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"job-type1\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"job-type1\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/li>\n\t<li>\n\t\t<div class=\"title\">\n\t\t\t<p>\u25a0 \u5e0c\u671b\u3059\u308b\u96c7\u7528\u5f62\u614b<br \/>\n<span class=\"kome\">\u203b\u9078\u629e<\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"input\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"status\"><span class=\"wpcf7-form-control wpcf7-radio _radio\" id=\"status\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"status\" value=\"\u7121\u56de\u7b54\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">\u7121\u56de\u7b54<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"status\" value=\"\u6b63\u793e\u54e1\" \/><span class=\"wpcf7-list-item-label\">\u6b63\u793e\u54e1<\/span><\/label><\/span><span 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name=\"status_others\"><\/textarea><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/li>\n\t<li>\n\t\t<div class=\"title\">\n\t\t\t<p>\u25a0 \u5c31\u52b4\u652f\u63f4\u306b\u95a2\u3057\u3066\u3069\u306e\u3088\u3046\u306a\u30b5\u30fc\u30d3\u30b9\u3092\u671b\u3093\u3067\u3044\u307e\u3059\u304b\uff1f\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"input\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"hope\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" id=\"hope\" aria-invalid=\"false\" name=\"hope\"><\/textarea><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/li>\n\t<li>\n\t\t<div class=\"title\">\n\t\t\t<p>\u25a0 \u30e6\u30cb\u30d0\u30fc\u30b5\u30eb\u5c31\u52b4\u652f\u63f4\u4e8b\u52d9\u5c40\u304b\u3089\u306e\u3054\u9023\u7d61\u3092\u5e0c\u671b\u3055\u308c\u307e\u3059\u304b\uff1f<br \/>\n<span class=\"kome\">\u203b\u9078\u629e<\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"input\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"cooperation\"><span class=\"wpcf7-form-control wpcf7-radio _radio\" id=\"cooperation\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"cooperation\" value=\"\u7121\u56de\u7b54\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">\u7121\u56de\u7b54<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"cooperation\" value=\"\u96fb\u8a71\u306e\u307f\u53ef\" \/><span class=\"wpcf7-list-item-label\">\u96fb\u8a71\u306e\u307f\u53ef<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"cooperation\" value=\"\u30e1\u30fc\u30eb\u306e\u307f\u53ef\" \/><span class=\"wpcf7-list-item-label\">\u30e1\u30fc\u30eb\u306e\u307f\u53ef<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"cooperation\" value=\"\u4e21\u65b9\u53ef\" \/><span class=\"wpcf7-list-item-label\">\u4e21\u65b9\u53ef<\/span><\/label><\/span><span class=\"wpcf7-list-item 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