{"id":155,"date":"2019-01-24T16:48:25","date_gmt":"2019-01-24T07:48:25","guid":{"rendered":"https:\/\/www.anest.net\/form2\/?page_id=155"},"modified":"2026-03-21T13:08:21","modified_gmt":"2026-03-21T04:08:21","slug":"toiawase-koutei","status":"publish","type":"page","link":"https:\/\/www.anest.net\/form2\/toiawase-koutei\/","title":{"rendered":"\u4f4f\u5b85\u3042\u3093\u3057\u3093\u5de5\u7a0b\u691c\u67fb\u306e\u304a\u554f\u5408\u305b"},"content":{"rendered":"\n<p class=\"has-text-align-center\"><img decoding=\"async\" src=\"..\/..\/form\/css\/toi_title.gif\"><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u3053\u3061\u3089\u306f\u300c<a href=\"https:\/\/www.anest.net\/kodate\/k_koutei.html\">\u4f4f\u5b85\u3042\u3093\u3057\u3093\u5de5\u7a0b\u691c\u67fb<\/a>\u300d\u30b5\u30fc\u30d3\u30b9\u5c02\u7528\u306e\u304a\u554f\u5408\u305b\u30d5\u30a9\u30fc\u30e0\u3067\u3059\u3002<\/li>\n\n\n\n<li><a 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type=\"text\" name=\"Menseki1\" \/><\/span> \u5e73\u7c73<\/p>\n\n[\u4efb\u610f]\u571f\u5730\u9762\u7a4d\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"Menseki2\"><input size=\"4\" maxlength=\"10\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"\" value=\"\" type=\"text\" name=\"Menseki2\" \/><\/span> \u5e73\u7c73<\/p>\n\n<img loading=\"lazy\" decoding=\"async\" src=\"..\/..\/form\/images\/mfp_must.gif\" width=\"30\" height=\"16\" alt=\"\u5fc5\u9808\" class=\"must\" \/>\u69cb\u9020\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"Ck2\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"Ck2\" value=\"\u6728\u9020\uff08\u5728\u6765\u5de5\u6cd5\uff09\" \/><span class=\"wpcf7-list-item-label\">\u6728\u9020\uff08\u5728\u6765\u5de5\u6cd5\uff09<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"Ck2\" value=\"\u6728\u9020\uff082\u00d74\u5de5\u6cd5\u7b49\u306e\u67a0\u7d44\u58c1\u5de5\u6cd5\uff09\" \/><span class=\"wpcf7-list-item-label\">\u6728\u9020\uff082\u00d74\u5de5\u6cd5\u7b49\u306e\u67a0\u7d44\u58c1\u5de5\u6cd5\uff09<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"Ck2\" value=\"\u6728\u9020\uff08\u305d\u306e\u4ed6\u30fb\u4e0d\u660e\uff09\" \/><span class=\"wpcf7-list-item-label\">\u6728\u9020\uff08\u305d\u306e\u4ed6\u30fb\u4e0d\u660e\uff09<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"Ck2\" value=\"\u9244\u9aa8\u9020\uff08\u8efd\u91cf\uff09\" \/><span class=\"wpcf7-list-item-label\">\u9244\u9aa8\u9020\uff08\u8efd\u91cf\uff09<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"Ck2\" value=\"\u9244\u9aa8\u9020\uff08\u91cd\u91cf\uff09\" \/><span class=\"wpcf7-list-item-label\">\u9244\u9aa8\u9020\uff08\u91cd\u91cf\uff09<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"Ck2\" value=\"\u9244\u9aa8\u9020\uff08\u305d\u306e\u4ed6\u30fb\u4e0d\u660e\uff09\" \/><span class=\"wpcf7-list-item-label\">\u9244\u9aa8\u9020\uff08\u305d\u306e\u4ed6\u30fb\u4e0d\u660e\uff09<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"Ck2\" value=\"RC\u9020\uff08\u9244\u7b4b\u30b3\u30f3\u30af\u30ea\u30fc\u30c8\u9020\uff09\" \/><span class=\"wpcf7-list-item-label\">RC\u9020\uff08\u9244\u7b4b\u30b3\u30f3\u30af\u30ea\u30fc\u30c8\u9020\uff09<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"Ck2\" value=\"\u6df7\u69cb\u9020\uff08\u9244\u7b4b\u30b3\u30f3\u30af\u30ea\u30fc\u30c8\u9020\uff0b\u6728\u9020\uff09\" \/><span class=\"wpcf7-list-item-label\">\u6df7\u69cb\u9020\uff08\u9244\u7b4b\u30b3\u30f3\u30af\u30ea\u30fc\u30c8\u9020\uff0b\u6728\u9020\uff09<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"Ck2\" value=\"\u3088\u304f\u308f\u304b\u3089\u306a\u3044\" \/><span 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data-name=\"Ck4\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"Ck4\" value=\"\u5951\u7d04\u524d\" \/><span class=\"wpcf7-list-item-label\">\u5951\u7d04\u524d<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"Ck4\" value=\"\u5951\u7d04\u5f8c\" \/><span class=\"wpcf7-list-item-label\">\u5951\u7d04\u5f8c<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"Ck4\" value=\"\u3088\u304f\u308f\u304b\u3089\u306a\u3044\" \/><span class=\"wpcf7-list-item-label\">\u3088\u304f\u308f\u304b\u3089\u306a\u3044<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"Ck4\" value=\"\u305d\u306e\u4ed6\" \/><span class=\"wpcf7-list-item-label\">\u305d\u306e\u4ed6<\/span><\/span><\/span><\/span><\/p>\n\n\u58f2\u4e3b\u307e\u305f\u306f\u65bd\u5de5\u4f1a\u793e\u306e\u793e\u540d\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"com2\"><input size=\"35\" 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value=\"\u305d\u306e\u4ed6\">\u305d\u306e\u4ed6<\/option><\/select><\/span>\n<\/p>\n\n[\u4efb\u610f]\u81ea\u7531\u8a18\u5165\u6b04<br>\n\u30fb1\u56de\u306e\u307f\u306e\u691c\u67fb\u3092\u691c\u8a0e\u4e2d\u306e\u65b9\u306f\u3001\u3054\u5e0c\u671b\u306e\u691c\u67fb\u5185\u5bb9\u3068\u6642\u671f\u3092\u3054\u5165\u529b\u304f\u3060\u3055\u3044\u3002<br>\n\u30fb\u7740\u5de5\u6e08\u307f\u306e\u65b9\u306f\u3001\u3054\u5e0c\u671b\u306e\u691c\u67fb\u56de\u6570\u3084\u5185\u5bb9\u3092\u308f\u304b\u308b\u7bc4\u56f2\u3067\u3054\u5165\u529b\u304f\u3060\u3055\u3044\u3002<br>\n\u30fb2\u4e16\u5e2f\u4f4f\u5b85\u307e\u305f\u306f\u30ed\u30b0\u30cf\u30a6\u30b9\u306e\u5834\u5408\u306f\u305d\u306e\u65e8\u3092\u3054\u5165\u529b\u304f\u3060\u3055\u3044\u3002<br>\n\u30fb\u305d\u306e\u4ed6\u3001\u6c17\u306b\u306a\u308b\u3053\u3068\u306a\u3069\u3092\u3054\u81ea\u7531\u306b\u3054\u5165\u529b\u304f\u3060\u3055\u3044\u3002<\/span>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"Mes\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"Mes\"><\/textarea><\/span><\/p>\n\n[\u4efb\u610f]\u9593\u53d6\u308a\u56f3\u7b49\u306e\u6dfb\u4ed8<br>\n\u30fbjpg,jpeg,png,gif,pdf\u306e\u307f\u54043MB\u307e\u3067\u6dfb\u4ed8\u53ef<br>\n\u30fb\u6dfb\u4ed8\u4e0d\u53ef\u306e\u30d5\u30a1\u30a4\u30eb\u306f\u304a\u554f\u5408\u305b\u5f8c\u306e\u81ea\u52d5\u8fd4\u4fe1\u30e1\u30fc\u30eb\u3078\u3054\u8fd4\u4fe1\uff08\u30e1\u30fc\u30eb\u6dfb\u4ed8\uff09\u3067\u3054\u9001\u4ed8\u304f\u3060\u3055\u3044<br>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"file-01\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\".jpg,.jpeg,.png,.gif,.pdf\" aria-invalid=\"false\" type=\"file\" name=\"file-01\" \/><\/span>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"file-02\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\".jpg,.jpeg,.png,.gif,.pdf\" aria-invalid=\"false\" type=\"file\" name=\"file-02\" 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