{"id":88,"date":"2020-09-07T13:28:32","date_gmt":"2020-09-07T04:28:32","guid":{"rendered":"https:\/\/sls-tech.jp\/wordpress\/?page_id=88"},"modified":"2020-11-26T16:06:15","modified_gmt":"2020-11-26T07:06:15","slug":"questionnaire","status":"publish","type":"page","link":"https:\/\/sls-tech.jp\/contact\/questionnaire\/","title":{"rendered":"\u30b5\u30fc\u30d3\u30b9\u30de\u30f3\u8a2a\u554f\u5bfe\u5fdc\u30a2\u30f3\u30b1\u30fc\u30c8"},"content":{"rendered":"\n<div class=\"notes-info\">\u3053\u3061\u3089\u306e\u30a2\u30f3\u30b1\u30fc\u30c8\u306f\u3001\u8a2a\u554f\u4fee\u7406\u3092\u3054\u4f9d\u983c\u3055\u308c\u305f\u304a\u5ba2\u69d8\u3092\u5bfe\u8c61\u3068\u3057\u305f\u3082\u306e\u3067\u3059\u3002<\/div>\n<div class=\"information-questionnaire\">\u79c1\u3069\u3082\u306f\u3001\u4eca\u5f8c\u3068\u3082\u304a\u5ba2\u69d8\u306e\u3054\u610f\u898b\u3092\u3082\u3068\u306b\u3001\u3088\u308a\u4e00\u5c64\u30b5\u30fc\u30d3\u30b9\u30fb\u30b5\u30dd\u30fc\u30c8\u306e\u5411\u4e0a\u306b\u52aa\u529b\u3057\u3066\u3044\u304f\u6240\u5b58\u3067\u3054\u3056\u3044\u307e\u3059\u3002<br \/>\u305c\u3072\u3001\u5f53\u30a2\u30f3\u30b1\u30fc\u30c8\u306b\u3054\u5354\u529b\u304f\u3060\u3055\u3044\u3002<\/div>\n\n\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f60-o1\" lang=\"ja\" dir=\"ltr\" data-wpcf7-id=\"60\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/contact\/wp-json\/wp\/v2\/pages\/88#wpcf7-f60-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"\u30b3\u30f3\u30bf\u30af\u30c8\u30d5\u30a9\u30fc\u30e0\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"60\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.5\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"ja\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f60-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7cf_hidden_group_fields\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_hidden_groups\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_visible_groups\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_repeaters\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_steps\" value=\"{}\" \/><input type=\"hidden\" name=\"_wpcf7cf_options\" value=\"{&quot;form_id&quot;:60,&quot;conditions&quot;:[{&quot;then_field&quot;:&quot;group-personal-information&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;personal-information&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;\\u304a\\u5ba2\\u69d8\\u60c5\\u5831\\u3092\\u5165\\u529b\\u3059\\u308b&quot;}]},{&quot;then_field&quot;:&quot;group-customer-satisfaction&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;customer-satisfaction&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;\\u6e80\\u8db3&quot;}]},{&quot;then_field&quot;:&quot;group-customer-satisfaction&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;customer-satisfaction&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;\\u3084\\u3084\\u6e80\\u8db3&quot;}]},{&quot;then_field&quot;:&quot;group-customer-satisfaction&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;customer-satisfaction&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;\\u3075\\u3064\\u3046&quot;}]},{&quot;then_field&quot;:&quot;group-customer-satisfaction&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;customer-satisfaction&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;\\u3084\\u3084\\u4e0d\\u6e80&quot;}]},{&quot;then_field&quot;:&quot;group-customer-satisfaction&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;customer-satisfaction&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;\\u3068\\u3066\\u3082\\u4e0d\\u6e80&quot;}]},{&quot;then_field&quot;:&quot;group-delivery-date&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;delivery-date&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;\\u6e80\\u8db3&quot;}]},{&quot;then_field&quot;:&quot;group-delivery-date&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;delivery-date&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;\\u3084\\u3084\\u6e80\\u8db3&quot;}]},{&quot;then_field&quot;:&quot;group-delivery-date&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;delivery-date&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;\\u3075\\u3064\\u3046&quot;}]},{&quot;then_field&quot;:&quot;group-delivery-date&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;delivery-date&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;\\u3084\\u3084\\u4e0d\\u6e80&quot;}]},{&quot;then_field&quot;:&quot;group-delivery-date&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;delivery-date&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;\\u3068\\u3066\\u3082\\u4e0d\\u6e80&quot;}]},{&quot;then_field&quot;:&quot;group-improvement-confirm&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;improvement-confirm&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;\\u306f\\u3044&quot;}]},{&quot;then_field&quot;:&quot;group-improvement-confirm&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;improvement-confirm&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;\\u3044\\u3044\\u3048&quot;}]},{&quot;then_field&quot;:&quot;group-service-support&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;service-support&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;\\u6e80\\u8db3&quot;}]},{&quot;then_field&quot;:&quot;group-service-support&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;service-support&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;\\u3084\\u3084\\u6e80\\u8db3&quot;}]},{&quot;then_field&quot;:&quot;group-service-support&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;service-support&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;\\u3075\\u3064\\u3046&quot;}]},{&quot;then_field&quot;:&quot;group-service-support&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;service-support&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;\\u3084\\u3084\\u4e0d\\u6e80&quot;}]},{&quot;then_field&quot;:&quot;group-service-support&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;service-support&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;\\u3068\\u3066\\u3082\\u4e0d\\u6e80&quot;}]}],&quot;settings&quot;:{&quot;animation&quot;:&quot;yes&quot;,&quot;animation_intime&quot;:200,&quot;animation_outtime&quot;:200,&quot;conditions_ui&quot;:&quot;normal&quot;,&quot;notice_dismissed&quot;:false,&quot;notice_dismissed_rollback-cf7-5.8&quot;:true}}\" \/><input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/fieldset>\n<div class=\"form__wrap template04\">\n\t<div class=\"form__wrap\">\n\t\t<div class=\"form__row row-personal-information\">\n\t\t\t<p class=\"form__label\"><label>\u304a\u5ba2\u69d8\u60c5\u5831<\/label>\n\t\t\t<\/p>\n\t\t\t<p class=\"form__body\"><span class=\"wpcf7-form-control-wrap\" data-name=\"personal-information\"><span class=\"wpcf7-form-control wpcf7-checkbox\" id=\"personal-information\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"personal-information[]\" value=\"\u304a\u5ba2\u69d8\u60c5\u5831\u3092\u5165\u529b\u3059\u308b\" \/><span class=\"wpcf7-list-item-label\">\u304a\u5ba2\u69d8\u60c5\u5831\u3092\u5165\u529b\u3059\u308b<\/span><\/label><\/span><\/span><\/span><br \/>\n<span style=\"font-size : 9pt;color:#ff0000;\">\u203b<a href=\"https:\/\/www2.sls-net.co.jp\/privacy\" target=\"_blank\" rel=\"noopener noreferrer\">\u5f0a\u793e\u30d7\u30e9\u30a4\u30d0\u30b7\u30fc\u30dd\u30ea\u30b7\u30fc<\/a>\u306b\u3054\u540c\u610f\u306e\u4e0a\u3001\u304a\u5ba2\u69d8\u60c5\u5831\u3092\u3054\u5165\u529b\u304f\u3060\u3055\u3044\u3002<\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div data-id=\"group-personal-information\" data-orig_data_id=\"group-personal-information\"  class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t<div class=\"form__row row-your-person-name\">\n\t\t\t\t<p class=\"form__label\"><label for=\"your-person-name\">\u3054\u62c5\u5f53\u8005\u69d8\u306e\u304a\u540d\u524d<\/label>\n\t\t\t\t<\/p>\n\t\t\t\t<p class=\"form__body\"><span class=\"wpcf7-form-control-wrap\" data-name=\"your-person-name\"><input size=\"40\" maxlength=\"15\" class=\"wpcf7-form-control wpcf7-text\" id=\"your-person-name\" aria-invalid=\"false\" placeholder=\"\u4f8b\uff1a\u702c\u5f62 \u4e09\u56db\u90ce\" value=\"\" type=\"text\" name=\"your-person-name\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"form__row row-your-email\">\n\t\t\t\t<p class=\"form__label\"><label for=\"your-email\">\u3054\u62c5\u5f53\u8005\u69d8\u306e\u30e1\u30fc\u30eb\u30a2\u30c9\u30ec\u30b9<br \/>\n<span style=\"font-size : 9pt; font-weight : 100; color:#ff0000;\"> \u203b\u3054\u8a18\u5165\u5185\u5bb9\u306b\u95a2\u3057\u3066\u5f0a\u793e\u304b\u3089\u3054\u9023\u7d61\u3055\u305b\u3066\u9802\u304f\u53ef\u80fd\u6027\u304c\u3054\u3056\u3044\u307e\u3059\u3002<\/span><\/label>\n\t\t\t\t<\/p>\n\t\t\t\t<p class=\"form__body\"><span class=\"wpcf7-form-control-wrap\" data-name=\"your-email\"><input size=\"40\" maxlength=\"63\" class=\"wpcf7-form-control wpcf7-email wpcf7-text wpcf7-validates-as-email\" id=\"your-email\" aria-invalid=\"false\" placeholder=\"\u4f8b\uff1asample@sample.com\" value=\"\" type=\"email\" name=\"your-email\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"form__row row-your-corporate-name\">\n\t\t\t\t<p class=\"form__label\"><label for=\"your-corporate-name\">\u8cb4\u793e\u540d<\/label>\n\t\t\t\t<\/p>\n\t\t\t\t<p class=\"form__body\"><span class=\"wpcf7-form-control-wrap\" data-name=\"your-corporate-name\"><input size=\"40\" maxlength=\"31\" class=\"wpcf7-form-control wpcf7-text\" id=\"your-corporate-name\" aria-invalid=\"false\" placeholder=\"\u4f8b\uff1a\u682a\u5f0f\u4f1a\u793e\u30bb\u30ac\u30fb\u30ed\u30b8\u30b9\u30c6\u30a3\u30af\u30b9\u30b5\u30fc\u30d3\u30b9\" value=\"\" type=\"text\" name=\"your-corporate-name\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"form__row row-your-shop-name\">\n\t\t\t\t<p class=\"form__label \"><label for=\"your-shop-name\">\u5e97\u8217\u540d<\/label>\n\t\t\t\t<\/p>\n\t\t\t\t<p class=\"form__body\"><span class=\"wpcf7-form-control-wrap\" data-name=\"your-shop-name\"><input size=\"40\" maxlength=\"31\" class=\"wpcf7-form-control wpcf7-text\" id=\"your-shop-name\" aria-invalid=\"false\" placeholder=\"\u4f8b\uff1a\u30ed\u30b8\u30a2\u30df\u30e5\u30fc\u30ba\u30e1\u30f3\u30c8\u5e97\" value=\"\" type=\"text\" name=\"your-shop-name\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"form__row row-your-shop-tel\">\n\t\t\t\t<p class=\"form__label\"><label for=\"your-shop-tel\">\u5e97\u8217\u540d\u306e\u96fb\u8a71\u756a\u53f7<\/label>\n\t\t\t\t<\/p>\n\t\t\t\t<p class=\"form__body\"><span class=\"wpcf7-form-control-wrap\" data-name=\"your-shop-tel\"><input size=\"40\" maxlength=\"15\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel\" id=\"your-shop-tel\" aria-invalid=\"false\" placeholder=\"\u4f8b\uff1a03-5737-0230\" value=\"\" type=\"tel\" name=\"your-shop-tel\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"form__row row-customer-satisfaction-message\">\n\t\t\t<p class=\"form__label\"><label for=\"customer-satisfaction-message\">\u30ab\u30b9\u30bf\u30de\u30fc\u30b5\u30dd\u30fc\u30c8\u306e\u5bfe\u5fdc\u306b\u3064\u3044\u3066\u306e\u3054\u610f\u898b<\/label>\n\t\t\t<\/p>\n\t\t\t<p class=\"form__body\"><span class=\"wpcf7-form-control-wrap\" data-name=\"customer-satisfaction-message\"><input size=\"40\" maxlength=\"200\" class=\"wpcf7-form-control wpcf7-text\" id=\"customer-satisfaction-message\" aria-invalid=\"false\" placeholder=\"\u30ab\u30b9\u30bf\u30de\u30fc\u30b5\u30dd\u30fc\u30c8\u306e\u5bfe\u5fdc\u306b\u3064\u3044\u3066\u3001\u3054\u610f\u898b\u304c\u3054\u3056\u3044\u307e\u3057\u305f\u3089\u3054\u8a18\u5165\u3092\u304a\u9858\u3044\u81f4\u3057\u307e\u3059\u3002\" value=\"\" type=\"text\" name=\"customer-satisfaction-message\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"form__row row-customer-satisfaction\">\n\t\t\t<p class=\"form__label\"><label>\u30ab\u30b9\u30bf\u30de\u30fc\u30b5\u30dd\u30fc\u30c8\u306e\u5bfe\u5fdc\u306b\u3064\u3044\u3066 <span style=\"font-size : 9pt; font-weight : 100; color:#ff0000;\"> \u203b\u30ab\u30b9\u30bf\u30de\u30fc\u30b5\u30dd\u30fc\u30c8(0120-412-159)\u3092\u3054\u5229\u7528\u3055\u308c\u305f\u304a\u5ba2\u69d8<\/span><\/label>\n\t\t\t<\/p>\n\t\t\t<p class=\"form__body\"><span class=\"wpcf7-form-control-wrap\" data-name=\"customer-satisfaction\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"customer-satisfaction\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"customer-satisfaction\" value=\"\u6e80\u8db3\" \/><span class=\"wpcf7-list-item-label\">\u6e80\u8db3<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"customer-satisfaction\" value=\"\u3084\u3084\u6e80\u8db3\" \/><span class=\"wpcf7-list-item-label\">\u3084\u3084\u6e80\u8db3<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"customer-satisfaction\" value=\"\u3075\u3064\u3046\" \/><span class=\"wpcf7-list-item-label\">\u3075\u3064\u3046<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"customer-satisfaction\" value=\"\u3084\u3084\u4e0d\u6e80\" \/><span class=\"wpcf7-list-item-label\">\u3084\u3084\u4e0d\u6e80<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"customer-satisfaction\" value=\"\u3068\u3066\u3082\u4e0d\u6e80\" \/><span class=\"wpcf7-list-item-label\">\u3068\u3066\u3082\u4e0d\u6e80<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"customer-satisfaction\" value=\"\u9078\u629e\u3057\u306a\u3044\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">\u9078\u629e\u3057\u306a\u3044<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div data-id=\"group-customer-satisfaction\" data-orig_data_id=\"group-customer-satisfaction\"  class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t<div class=\"form__row row-customer-satisfaction-message\">\n\t\t\t\t<p class=\"form__label\"><label for=\"customer-satisfaction-message\">\u30ab\u30b9\u30bf\u30de\u30fc\u30b5\u30dd\u30fc\u30c8\u306e\u5bfe\u5fdc\u306b\u3064\u3044\u3066\u306e\u3054\u610f\u898b<\/label>\n\t\t\t\t<\/p>\n\t\t\t\t<p class=\"form__body\"><span class=\"wpcf7-form-control-wrap\" data-name=\"customer-satisfaction-message\"><input size=\"40\" maxlength=\"200\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"\u30ab\u30b9\u30bf\u30de\u30fc\u30b5\u30dd\u30fc\u30c8\u306e\u5bfe\u5fdc\u306b\u3064\u3044\u3066\u3001\u3054\u610f\u898b\u304c\u3054\u3056\u3044\u307e\u3057\u305f\u3089\u3054\u8a18\u5165\u3092\u304a\u9858\u3044\u81f4\u3057\u307e\u3059\u3002\" value=\"\" type=\"text\" name=\"customer-satisfaction-message\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"form__row row-delivery-date\">\n\t\t\t<p class=\"form__label\"><label>\u3054\u4f9d\u983c\u304b\u3089\u8a2a\u554f\u4fee\u7406\u307e\u3067\u306e\u7d0d\u671f\u306b\u3064\u3044\u3066<\/label>\n\t\t\t<\/p>\n\t\t\t<p class=\"form__body\"><span class=\"wpcf7-form-control-wrap\" data-name=\"delivery-date\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"delivery-date\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"delivery-date\" value=\"\u6e80\u8db3\" \/><span class=\"wpcf7-list-item-label\">\u6e80\u8db3<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"delivery-date\" value=\"\u3084\u3084\u6e80\u8db3\" \/><span class=\"wpcf7-list-item-label\">\u3084\u3084\u6e80\u8db3<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"delivery-date\" value=\"\u3075\u3064\u3046\" \/><span class=\"wpcf7-list-item-label\">\u3075\u3064\u3046<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"delivery-date\" value=\"\u3084\u3084\u4e0d\u6e80\" \/><span class=\"wpcf7-list-item-label\">\u3084\u3084\u4e0d\u6e80<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"delivery-date\" value=\"\u3068\u3066\u3082\u4e0d\u6e80\" \/><span class=\"wpcf7-list-item-label\">\u3068\u3066\u3082\u4e0d\u6e80<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div data-id=\"group-delivery-date\" data-orig_data_id=\"group-delivery-date\"  class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t<div class=\"form__row row-delivery-date-message\">\n\t\t\t\t<p class=\"form__label\"><label for=\"delivery-date-message\">\u3054\u4f9d\u983c\u304b\u3089\u8a2a\u554f\u4fee\u7406\u307e\u3067\u306e\u7d0d\u671f\u306b\u3064\u3044\u3066\u306e\u3054\u610f\u898b<\/label>\n\t\t\t\t<\/p>\n\t\t\t\t<p class=\"form__body\"><span class=\"wpcf7-form-control-wrap\" data-name=\"delivery-date-message\"><input size=\"40\" maxlength=\"200\" class=\"wpcf7-form-control wpcf7-text\" id=\"message\" aria-invalid=\"false\" placeholder=\"\u3054\u4f9d\u983c\u304b\u3089\u8a2a\u554f\u4fee\u7406\u307e\u3067\u306e\u7d0d\u671f\u306b\u3064\u3044\u3066\u3001\u3054\u610f\u898b\u304c\u3054\u3056\u3044\u307e\u3057\u305f\u3089\u3054\u8a18\u5165\u3092\u304a\u9858\u3044\u81f4\u3057\u307e\u3059\u3002\" value=\"\" type=\"text\" name=\"delivery-date-message\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"form__row row-improvement-confirm\">\n\t\t\t<p class=\"form__label\"><label>\u4eca\u56de\u3054\u4f9d\u983c\u3055\u308c\u305f\u75c7\u72b6\u306f\u6539\u5584\u3055\u308c\u307e\u3057\u305f\u304b\uff1f <span style=\"font-size : 9pt; font-weight : 100; color:#ff0000;\"> \u203b\u518d\u8a2a\u554f\u304c\u5fc5\u8981\u306a\u5834\u5408\u306f\u3001\u304a\u624b\u6570\u3067\u3059\u304c\u518d\u4f9d\u983c\u3092\u304a\u9858\u3044\u3044\u305f\u3057\u307e\u3059\u3002<\/span><\/label>\n\t\t\t<\/p>\n\t\t\t<p class=\"form__body\"><span class=\"wpcf7-form-control-wrap\" data-name=\"improvement-confirm\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"improvement-confirm\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"improvement-confirm\" value=\"\u306f\u3044\" \/><span class=\"wpcf7-list-item-label\">\u306f\u3044<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"improvement-confirm\" value=\"\u3044\u3044\u3048\" \/><span class=\"wpcf7-list-item-label\">\u3044\u3044\u3048<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div data-id=\"group-improvement-confirm\" data-orig_data_id=\"group-improvement-confirm\"  class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t<div class=\"form__row row-improvement-confirm-machine\">\n\t\t\t\t<p class=\"form__label\"><label for=\"improvement-confirm-machine\">\u6a5f\u7a2e\u540d<\/label>\n\t\t\t\t<\/p>\n\t\t\t\t<p class=\"form__body\"><span class=\"wpcf7-form-control-wrap\" 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