{"id":3492,"date":"2018-08-25T23:55:54","date_gmt":"2018-08-25T23:55:54","guid":{"rendered":"https:\/\/www.higarcia.com\/us-ifjc2024\/?page_id=3492"},"modified":"2024-06-11T04:23:47","modified_gmt":"2024-06-11T04:23:47","slug":"online-intake-form","status":"publish","type":"page","link":"https:\/\/www.higarcia.com\/us-ifjc2024\/ja-jp\/online-intake-form\/","title":{"rendered":"\u30aa\u30f3\u30e9\u30a4\u30f3\u30d5\u30a9\u30fc\u30e0"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row wrap_container=&#8221;yes&#8221;][vc_column][vc_custom_heading text=&#8221;\u30aa\u30f3\u30e9\u30a4\u30f3\u7533\u8fbc\u66f8&#8221; font_container=&#8221;tag:h1|text_align:left&#8221; use_theme_fonts=&#8221;yes&#8221; css=&#8221;.vc_custom_1535241401912{margin-top: 20px !important;}&#8221;][vc_custom_heading text=&#8221;\u6cd5\u7684\u30a2\u30c9\u30d0\u30a4\u30b9\u3082\u3057\u304f\u306f\u6cd5\u5ef7\u4ee3\u7406\u3092\u3054\u5e0c\u671b\u306e\u65b9\u306f\u3001\u4e0b\u8a18\u306e\u30aa\u30f3\u30e9\u30a4\u30f3\u7533\u8fbc\u66f8\u306b\u3066\u304a\u7533\u3057\u8fbc\u307f\u4e0b\u3055\u3044\u3002\u7533\u8fbc\u66f8\u306b\u8a18\u5165\u3055\u308c\u305f\u60c5\u5831\u3092\u3082\u3068\u306b\u3001\u652f\u63f4\u53ef\u80fd\u304b\u3069\u3046\u304b\u3092\u5be9\u67fb\u3057\u307e\u3059\u3002\u7533\u3057\u8fbc\u307f\u591a\u6570\u306e\u5834\u5408\u306f\u3001<strong><u>\u8cc7\u683c\u8981\u4ef6<\/u><\/strong>\u3092\u6e80\u305f\u3057\u3066\u3044\u3066\u3082\u3001\u4f9d\u983c\u3092\u304a\u53d7\u3051\u3067\u304d\u306a\u3044\u5834\u5408\u3082\u3054\u3056\u3044\u307e\u3059\u306e\u3067\u3042\u3089\u304b\u3058\u3081\u3054\u4e86\u627f\u304f\u3060\u3055\u3044\u3002&#8221; font_container=&#8221;tag:p|text_align:left&#8221; use_theme_fonts=&#8221;yes&#8221;][vc_separator color=&#8221;custom&#8221; gap=&#8221;tall&#8221; gradient=&#8221;yes&#8221;][\/vc_column][\/vc_row][vc_row wrap_container=&#8221;yes&#8221;][vc_column]\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f3491-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"3491\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/us-ifjc2024\/wp-json\/wp\/v2\/pages\/3492#wpcf7-f3491-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"3491\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.0.6\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f3491-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/div>\n<div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div> \n<h2 class=\"short\"><\/h2>\n<div class=\"row\">\n    <div class=\"col-lg-4\">\n        <div class=\"form-group\">\n            <label for=\"contact-first\">\u540d *<\/label>\n            <span class=\"wpcf7-form-control-wrap\" data-name=\"first-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" id=\"contact-name\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"first-name\" \/><\/span>\n        <\/div>\n    <\/div>\n    <div class=\"col-lg-4\">\n        <div class=\"form-group\">\n            <label for=\"contact-middle\">\u30df\u30c9\u30eb\u30cd\u30fc\u30e0 <small>(\u306a\u3044\u5834\u5408\u306f\u3001N\/A\u3068\u3054\u8a18\u5165)<\/small><\/label>\n            <span class=\"wpcf7-form-control-wrap\" data-name=\"middle-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-control\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"middle-name\" \/><\/span>\n        <\/div>\n    <\/div>\n    <div class=\"col-lg-4\">\n        <div class=\"form-group\">\n            <label for=\"contact-last\">\u59d3 *<\/label>\n            <span class=\"wpcf7-form-control-wrap\" data-name=\"last-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"last-name\" \/><\/span>\n        <\/div>\n    <\/div>\n    <div class=\"col-lg-6\">\n        <div class=\"form-group\">\n            <label for=\"contact-email\">\u30e1\u30fc\u30eb\u30a2\u30c9\u30ec\u30b9 *<\/label>\n            <span class=\"wpcf7-form-control-wrap\" data-name=\"your-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email form-control\" id=\"contact-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"your-email\" \/><\/span>\n        <\/div>\n    <\/div>\n    <div class=\"col-lg-6\">\n        <div class=\"form-group\">\n            <label for=\"alt-email\">\u4ee3\u66ff\u30e1\u30fc\u30eb\u30a2\u30c9\u30ec\u30b9 *<\/label>\n            <span class=\"wpcf7-form-control-wrap\" data-name=\"alt-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email form-control\" id=\"alt-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"alt-email\" \/><\/span>\n        <\/div>\n    <\/div>\n    <div class=\"col-lg-6\">\n        <div class=\"form-group\">\n            <label for=\"contact-phone\">\u96fb\u8a71\u756a\u53f7 *<\/label>\n            <span class=\"wpcf7-form-control-wrap\" data-name=\"your-phone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel form-control\" id=\"contact-phone\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"your-phone\" \/><\/span>\n        <\/div>\n    <\/div>\n    <div class=\"col-lg-6\">\n        <div class=\"form-group\">\n            <label for=\"alt-phone\">\u4ee3\u66ff\u96fb\u8a71\u756a\u53f7 *<\/label>\n            <span class=\"wpcf7-form-control-wrap\" data-name=\"alt-phone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel form-control\" id=\"alt-phone\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"alt-phone\" \/><\/span>\n        <\/div>\n    <\/div>\n    <div class=\"col-lg-12\">\n        <div class=\"form-group\">\n            <label for=\"wa-resident\">\u30ef\u30b7\u30f3\u30c8\u30f3\u5dde\u3067\u306e\u5c45\u4f4f\u671f\u9593\u306f *<\/label>\n            <span class=\"wpcf7-form-control-wrap\" data-name=\"wa-resident\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required form-control\" id=\"wa-resident\" aria-required=\"true\" aria-invalid=\"false\" name=\"wa-resident\"><option value=\"\"><\/option><option value=\"6\u30f6\u6708\u4ee5\u4e0b\">6\u30f6\u6708\u4ee5\u4e0b<\/option><option value=\"6\u30f6\u6708\u304b\u30891\u5e74\">6\u30f6\u6708\u304b\u30891\u5e74<\/option><option value=\"1\u5e74\u304b\u30892\u5e74\">1\u5e74\u304b\u30892\u5e74<\/option><option value=\"2\u5e74\u4ee5\u4e0a\">2\u5e74\u4ee5\u4e0a<\/option><\/select><\/span>\n        <\/div>\n    <\/div>\n    <div class=\"col-lg-12\">\n        <div class=\"form-group\">\n            <label for=\"us-resident\">\u30a2\u30e1\u30ea\u30ab\u5408\u8846\u56fd\u306b\u3069\u308c\u304f\u3089\u3044\u306e\u671f\u9593\u4f4f\u3093\u3067\u3044\u307e\u3059\u304b?  *<\/label>\n            <span class=\"wpcf7-form-control-wrap\" data-name=\"us-resident\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required form-control\" id=\"us-resident\" aria-required=\"true\" aria-invalid=\"false\" name=\"us-resident\"><option value=\"\"><\/option><option value=\"6\u30f6\u6708\u4ee5\u4e0b\">6\u30f6\u6708\u4ee5\u4e0b<\/option><option value=\"6\u30f6\u6708\u304b\u30891\u5e74\">6\u30f6\u6708\u304b\u30891\u5e74<\/option><option value=\"1\u5e74\u304b\u30892\u5e74\">1\u5e74\u304b\u30892\u5e74<\/option><option value=\"2\u5e74\u304b\u30895\u5e74\">2\u5e74\u304b\u30895\u5e74<\/option><option value=\"5\u5e74\u304b\u308910\u5e74\">5\u5e74\u304b\u308910\u5e74<\/option><option value=\"10\u5e74\u4ee5\u4e0a\">10\u5e74\u4ee5\u4e0a<\/option><\/select><\/span>\n        <\/div>\n    <\/div>\n    <div class=\"col-lg-6\">\n        <div class=\"form-group\">\n            <label for=\"contact-age\">\u5e74\u9f62 *<\/label>\n            <span class=\"wpcf7-form-control-wrap\" data-name=\"your-age\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-required wpcf7-validates-as-number form-control\" id=\"contact-age\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"number\" name=\"your-age\" \/><\/span>\n        <\/div>\n    <\/div>\n    <div class=\"col-lg-6\">\n        <div class=\"form-group\">\n            <label for=\"how-referred\">IFJC \u306b\u3064\u3044\u3066\u3069\u3053\u3067\u304a\u77e5\u308a\u306b\u306a\u308a\u307e\u3057\u305f\u304b? *<\/label>\n            <span class=\"wpcf7-form-control-wrap\" data-name=\"how-referred\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" id=\"how-referred\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"how-referred\" \/><\/span>\n        <\/div>\n    <\/div>\n\n    <div class=\"col-lg-4\">\n        <div class=\"form-group\">\n            <label>\u82f1\u8a9e\u306f\u582a\u80fd\u3067\u3059\u304b? *<\/label>\n            <span class=\"wpcf7-form-control-wrap\" data-name=\"english-proficient\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"english-proficient\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"english-proficient\" value=\"\u306f\u3044\" \/><span class=\"wpcf7-list-item-label\">\u306f\u3044<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"english-proficient\" value=\"\u3044\u3044\u3048\" \/><span class=\"wpcf7-list-item-label\">\u3044\u3044\u3048<\/span><\/span><\/span><\/span>\n        <\/div>\n    <\/div>\n    <div class=\"col-lg-8\">\n        <div class=\"form-group\">\n            <label for=\"proficient-level\">\u300c\u306f\u3044\u300d\u306e\u65b9\u306f\u3001\u82f1\u8a9e\u306e\u30ec\u30d9\u30eb\u3092\u304a\u9078\u3073\u304f\u3060\u3055\u3044\u3002<\/label>\n            <span class=\"wpcf7-form-control-wrap\" data-name=\"proficient-level\"><select class=\"wpcf7-form-control wpcf7-select form-control\" id=\"proficient-level\" aria-invalid=\"false\" name=\"proficient-level\"><option value=\"\"><\/option><option value=\"\u307e\u3063\u305f\u304f\u306e\u521d\u5fc3\u8005\">\u307e\u3063\u305f\u304f\u306e\u521d\u5fc3\u8005<\/option><option value=\"\u4f1a\u8a71\u7a0b\u5ea6\u306a\u3089\u53ef\u80fd\">\u4f1a\u8a71\u7a0b\u5ea6\u306a\u3089\u53ef\u80fd<\/option><option value=\"\u30d3\u30b8\u30cd\u30b9\u30ec\u30d9\u30eb\">\u30d3\u30b8\u30cd\u30b9\u30ec\u30d9\u30eb<\/option><option value=\"\u6d41\u66a2\">\u6d41\u66a2<\/option><\/select><\/span>\n        <\/div>\n    <\/div>\n\n    <div class=\"col-lg-12\">\n        <div class=\"form-group\">\n            <label>\u5f01\u8b77\u58eb\u3068\u82f1\u8a9e\u3067\u3084\u308a\u3068\u308a\u3067\u304d\u307e\u3059\u304b?  *<\/label>\n            <span class=\"wpcf7-form-control-wrap\" data-name=\"english-comfortableness\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"english-comfortableness\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"english-comfortableness\" value=\"\u306f\u3044\" \/><span class=\"wpcf7-list-item-label\">\u306f\u3044<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"english-comfortableness\" value=\"\u3044\u3044\u3048\" \/><span class=\"wpcf7-list-item-label\">\u3044\u3044\u3048<\/span><\/span><\/span><\/span>\n        <\/div>\n    <\/div>\n    <div class=\"col-lg-4\">\n        <div class=\"form-group\">\n            <label>\u73fe\u5728\u50cd\u3044\u3066\u3044\u307e\u3059\u304b? *<\/label>\n            <span class=\"wpcf7-form-control-wrap\" data-name=\"current-employed\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"current-employed\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"current-employed\" value=\"\u306f\u3044\" \/><span class=\"wpcf7-list-item-label\">\u306f\u3044<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"current-employed\" value=\"\u3044\u3044\u3048\" \/><span class=\"wpcf7-list-item-label\">\u3044\u3044\u3048<\/span><\/span><\/span><\/span>\n        <\/div>\n    <\/div>\n    <div class=\"col-lg-8\">\n        <div class=\"form-group\">\n            <label for=\"employer-name\">\u300c\u306f\u3044\u300d\u306e\u65b9\u306f\u3001\u96c7\u7528\u4e3b\u540d\u3092\u3054\u8a18\u5165\u304f\u3060\u3055\u3044 <small>(\u4f01\u696d\u3001\u56e3\u4f53\u540d) <\/small><\/label>\n            <span class=\"wpcf7-form-control-wrap\" data-name=\"employer-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-control\" id=\"employer-name\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"employer-name\" \/><\/span>\n        <\/div>\n    <\/div>\n\n    <div class=\"col-lg-12\">\n        <div class=\"form-group\">\n            <label for=\"annual-income\">\u3042\u306a\u305f\u3068\u914d\u5076\u8005\u3082\u3057\u304f\u306f\u30d1\u30fc\u30c8\u30ca\u30fc\u306e\u5408\u8a08\u5e74\u9593\u6240\u5f97 *<\/label>\n            <span class=\"wpcf7-form-control-wrap\" data-name=\"annual-income\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required form-control\" id=\"annual-income\" aria-required=\"true\" aria-invalid=\"false\" name=\"annual-income\"><option value=\"\"><\/option><option value=\"$20,000\u4ee5\u4e0b\">$20,000\u4ee5\u4e0b<\/option><option value=\"$20,000\u304b\u3089$40,000\">$20,000\u304b\u3089$40,000<\/option><option value=\"$40,000\u304b\u3089$70,000\">$40,000\u304b\u3089$70,000<\/option><option value=\"$70,000\u304b\u3089$100,000\">$70,000\u304b\u3089$100,000<\/option><option value=\"$100,000\u4ee5\u4e0a\">$100,000\u4ee5\u4e0a<\/option><\/select><\/span>\n        <\/div>\n    <\/div>\n\n    <div class=\"col-lg-6\">\n        <div class=\"form-group\">\n            <label for=\"partner-first\">\u914d\u5076\u8005\u3082\u3057\u304f\u306f\u30d1\u30fc\u30c8\u30ca\u30fc\u306e\u540d *<\/label>\n            <span class=\"wpcf7-form-control-wrap\" data-name=\"partner-first\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" id=\"partner-first\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"partner-first\" \/><\/span>\n        <\/div>\n    <\/div>\n    <div class=\"col-lg-6\">\n        <div class=\"form-group\">\n            <label for=\"partner-last\">\u914d\u5076\u8005\u3082\u3057\u304f\u306f\u30d1\u30fc\u30c8\u30ca\u30fc\u306e\u59d3 *<\/label>\n            <span class=\"wpcf7-form-control-wrap\" data-name=\"partner-last\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" id=\"partner-last\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"partner-last\" \/><\/span>\n        <\/div>\n    <\/div>\n\n    <div class=\"col-lg-8\">\n        <div class=\"form-group\">\n            <label>\u73fe\u5728\u3001\u3042\u306a\u305f\u306e\u914d\u5076\u8005\u3082\u3057\u304f\u306f\u30d1\u30fc\u30c8\u30ca\u30fc\u306f\u50cd\u3044\u3066\u3044\u307e\u3059\u304b? *<\/label>\n            <span class=\"wpcf7-form-control-wrap\" data-name=\"partner-employed\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"partner-employed\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"partner-employed\" value=\"\u306f\u3044\" \/><span class=\"wpcf7-list-item-label\">\u306f\u3044<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"partner-employed\" value=\"\u3044\u3044\u3048\" \/><span class=\"wpcf7-list-item-label\">\u3044\u3044\u3048<\/span><\/span><\/span><\/span>\n        <\/div>\n    <\/div>\n    <div class=\"col-lg-12\">\n        <div class=\"form-group\">\n            <label for=\"partner-employer\">\u300c\u306f\u3044\u300d\u306e\u65b9\u306f\u3001\u914d\u5076\u8005\u3082\u3057\u304f\u306f\u30d1\u30fc\u30c8\u30ca\u30fc\u306e\u96c7\u7528\u4e3b\u540d\u3092\u3054\u8a18\u5165\u304f\u3060\u3055\u3044 <small>(\u4f01\u696d\u3001\u56e3\u4f53\u540d) <\/small><\/label>\n            <span class=\"wpcf7-form-control-wrap\" data-name=\"partner-employer\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-control\" id=\"partner-employer\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"partner-employer\" \/><\/span>\n        <\/div>\n    <\/div>\n    <div class=\"col-lg-12\">\n        <div class=\"form-group\">\n            <label for=\"income-assets\">\u3042\u306a\u305f\u306e\u53ce\u5165\u53ca\u3073\u8cc7\u7523\u306f\u3001\u914d\u5076\u8005\u3082\u3057\u304f\u306f\u30d1\u30fc\u30c8\u30ca\u30fc\u306e\u3082\u306e\u3068\u5225\u500b\u3067\u3059\u304b\u3001\u305d\u308c\u3068\u3082\u5171\u540c\u3067\u3059\u304b? *<\/label>\n            <span class=\"wpcf7-form-control-wrap\" data-name=\"income-assets\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" id=\"income-assets\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"income-assets\" \/><\/span>\n        <\/div>\n    <\/div>\n    <div class=\"col-lg-4\">\n        <div class=\"form-group\">\n            <label>\u5a5a\u59fb\u306e\u6709\u7121 *<\/label>\n            <span class=\"wpcf7-form-control-wrap\" data-name=\"marital-status\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"marital-status\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"marital-status\" value=\"\u65e2\u5a5a\" \/><span class=\"wpcf7-list-item-label\">\u65e2\u5a5a<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"marital-status\" value=\"\u672a\u5a5a\" \/><span class=\"wpcf7-list-item-label\">\u672a\u5a5a<\/span><\/span><\/span><\/span>\n        <\/div>\n    <\/div>\n    <div class=\"col-lg-8\">\n        <div class=\"form-group\">\n            <label for=\"marital-years\">\u300c\u65e2\u5a5a\u300d\u306e\u65b9\u306f\u3001\u5a5a\u59fb\u671f\u9593\u3092\u3054\u8a18\u5165\u304f\u3060\u3055\u3044 *<\/label>\n            <span class=\"wpcf7-form-control-wrap\" data-name=\"marital-years\"><select class=\"wpcf7-form-control wpcf7-select form-control\" id=\"marital-years\" aria-invalid=\"false\" name=\"marital-years\"><option value=\"\"><\/option><option value=\"6\u30f6\u6708\u4ee5\u4e0b\">6\u30f6\u6708\u4ee5\u4e0b<\/option><option value=\"6\u30f6\u6708\u304b\u30891\u5e74\">6\u30f6\u6708\u304b\u30891\u5e74<\/option><option value=\"1\u5e74\u304b\u30892\u5e74\">1\u5e74\u304b\u30892\u5e74<\/option><option value=\"2\u5e74\u4ee5\u4e0a\">2\u5e74\u4ee5\u4e0a<\/option><\/select><\/span>\n        <\/div>\n    <\/div>\n\n    <div class=\"col-lg-12\">\n        <div class=\"form-group\">\n            <label>\u73fe\u5728\u3001\u914d\u5076\u8005\u3068\u540c\u5c45\u3057\u3066\u3044\u307e\u3059\u304b? *<\/label>\n            <span class=\"wpcf7-form-control-wrap\" data-name=\"living-spouse\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"contact-radios\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"living-spouse\" value=\"\u306f\u3044\" \/><span class=\"wpcf7-list-item-label\">\u306f\u3044<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"living-spouse\" value=\"\u3044\u3044\u3048\" \/><span class=\"wpcf7-list-item-label\">\u3044\u3044\u3048<\/span><\/span><\/span><\/span>\n        <\/div>\n    <\/div>\n\n    <div class=\"col-lg-8\">\n        <div class=\"form-group\">\n            <label>\u304a\u5b50\u69d8\u306f\u3044\u3089\u3063\u3057\u3083\u3044\u307e\u3059\u304b? *<\/label>\n            <span class=\"wpcf7-form-control-wrap\" data-name=\"howmany-child\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"howmany-child\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"howmany-child\" value=\"\u306f\u3044\" \/><span class=\"wpcf7-list-item-label\">\u306f\u3044<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"howmany-child\" value=\"\u3044\u3044\u3048\" \/><span class=\"wpcf7-list-item-label\">\u3044\u3044\u3048<\/span><\/span><\/span><\/span>\n        <\/div>\n    <\/div>\n    <div class=\"col-lg-6\">\n        <div class=\"form-group\">\n            <label for=\"number-child\">\u300c\u306f\u3044\u300d\u306e\u65b9\u306f\u3001\u304a\u5b50\u69d8\u306e\u4eba\u6570\u3092\u3054\u8a18\u5165\u4e0b\u3055\u3044 *<\/label>\n            <span class=\"wpcf7-form-control-wrap\" data-name=\"number-child\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number form-control\" id=\"number-child\" aria-invalid=\"false\" value=\"\" type=\"number\" name=\"number-child\" \/><\/span>\n        <\/div>\n    <\/div>\n    <div class=\"col-lg-6\">\n        <div class=\"form-group\">\n            <label for=\"age-child\">\u300c\u306f\u3044\u300d\u306e\u65b9\u306f\u3001\u304a\u5b50\u69d8\u306e\u5e74\u9f62\u3092\u3054\u8a18\u5165\u4e0b\u3055\u3044 *<\/label>\n            <span class=\"wpcf7-form-control-wrap\" data-name=\"age-child\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number form-control\" id=\"age-child\" aria-invalid=\"false\" value=\"\" type=\"number\" name=\"age-child\" \/><\/span>\n        <\/div>\n    <\/div>\n\n    <div class=\"col-lg-12\">\n        <div class=\"form-group\">\n            <label>\u4e0d\u52d5\u7523\u3092\u6240\u6709\u3057\u3066\u3044\u307e\u3059\u304b? *<\/label>\n            <span class=\"wpcf7-form-control-wrap\" data-name=\"own-property\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"own-property\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"own-property\" value=\"\u306f\u3044\" \/><span class=\"wpcf7-list-item-label\">\u306f\u3044<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"own-property\" value=\"\u3044\u3044\u3048\" \/><span class=\"wpcf7-list-item-label\">\u3044\u3044\u3048<\/span><\/span><\/span><\/span>\n        <\/div>\n    <\/div>\n\n    <div class=\"col-lg-12\">\n        <div class=\"form-group\">\n            <label>\u30c9\u30e1\u30b9\u30c6\u30a3\u30c3\u30af\u30fb\u30d0\u30a4\u30aa\u30ec\u30f3\u30b9(DV)\u88ab\u5bb3\u306b\u3042\u3063\u305f\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u304b? *<\/label>\n            <span class=\"wpcf7-form-control-wrap\" data-name=\"dv-experienced\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"dv-experienced\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"dv-experienced\" value=\"\u306f\u3044\" \/><span class=\"wpcf7-list-item-label\">\u306f\u3044<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"dv-experienced\" value=\"\u3044\u3044\u3048\" \/><span class=\"wpcf7-list-item-label\">\u3044\u3044\u3048<\/span><\/span><\/span><\/span>\n        <\/div>\n    <\/div>\n    <div class=\"col-lg-12\">\n        <div class=\"form-group\">\n            <label for=\"dv-describe\">\u306f\u3044\u300d\u306e\u65b9\u306f\u3001DV\u88ab\u5bb3\u306b\u3064\u3044\u3066\u8aac\u660e\u3057\u3066\u4e0b\u3055\u3044\u3002 *<\/label>\n            <span class=\"wpcf7-form-control-wrap\" data-name=\"dv-describe\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea form-control\" id=\"dv-describe\" aria-invalid=\"false\" name=\"dv-describe\"><\/textarea><\/span>\n        <\/div>\n    <\/div>\n\n\n\n    <div class=\"col-lg-12 mt-lg mb-lg\">\n        <div class=\"form-group\">\n            [recaptcha]\n        <\/div>\n    <\/div>\n    <hr>\n\n\n    <div class=\"col-lg-12\">\n        <div class=\"form-group\">\n            <input class=\"wpcf7-form-control wpcf7-submit has-spinner btn btn-primary btn-lg\" type=\"submit\" value=\"\u9001\u4fe1\u3059\u308b\" \/>\n        <\/div>\n    <\/div>\n<\/div>\n<div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n[\/vc_column][\/vc_row][vc_row wrap_container=&#8221;yes&#8221;][vc_column][vc_separator color=&#8221;custom&#8221; gap=&#8221;tall&#8221; gradient=&#8221;yes&#8221;][vc_custom_heading text=&#8221;<strong>\u30d7\u30e9\u30a4\u30d0\u30b7\u30fc\u3068\u500b\u4eba\u306e\u5b89\u5168\u306b\u3064\u3044\u3066<\/strong>&#8221; font_container=&#8221;tag:h4|text_align:left&#8221; use_theme_fonts=&#8221;yes&#8221; el_class=&#8221;m-b-sm&#8221;][vc_custom_heading text=&#8221;\u30d7\u30e9\u30a4\u30d0\u30b7\u30fc&#8221; font_container=&#8221;tag:h5|text_align:left&#8221; use_theme_fonts=&#8221;yes&#8221; 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