{"id":6689,"date":"2023-11-20T07:58:26","date_gmt":"2023-11-20T07:58:26","guid":{"rendered":"https:\/\/neuropediatoolkit.org\/?p=6689"},"modified":"2023-11-26T08:04:01","modified_gmt":"2023-11-26T08:04:01","slug":"pednihss","status":"publish","type":"post","link":"https:\/\/neuropediatoolkit.org\/ja\/pednihss\/","title":{"rendered":"PedNIHSS"},"content":{"rendered":"<p class=\"wp-block-paragraph\"><div class=\"formbox-wrapper\"><form action=\"https:\/\/neuropediatoolkit.org\/ja\/pednihss\/\" name=\"formbox\" class=\"formbox formbox-2\" id=\"calculator_2\" data-trp-original-action=\"https:\/\/neuropediatoolkit.org\/ja\/pednihss\/\">\n\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<fieldset class=\"formbox__container\"><div class=\"formbox__title is-title-only\" style=\"font-size: 18px;font-weight: bold;box-shadow: none\">1. \u610f\u8b58\u30ec\u30d9\u30eb\u3002 <\/div> <\/fieldset><fieldset class=\"formbox__container\"><div class=\"formbox__title\">1a.\u30b0\u30ed\u30fc\u30d0\u30eb\u3002<\/div><div class=\"formbox__body\"><div class=\"formbox__field\"><div class=\"formbox__field-radio\"><input type=\"radio\" value=\"0\" name=\"formbox-field-1\" id=\"formbox-field-1_1\"><label for=\"formbox-field-1_1\">\u30a2\u30e9\u30fc\u30c8<\/label><\/div><div class=\"formbox__field-radio\"><input type=\"radio\" value=\"1\" name=\"formbox-field-1\" id=\"formbox-field-1_2\"><label for=\"formbox-field-1_2\">\u7720\u6c17\u304c\u3042\u308a\u3001\u6ce8\u610f\u529b\u306f\u3042\u308a\u307e\u305b\u3093\u304c\u3001\u5c0f\u3055\u306a\u523a\u6fc0\u3067\u76ee\u304c\u899a\u3081\u3001\u5f93\u3063\u3066\u53cd\u5fdc\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u3059<\/label><\/div><div class=\"formbox__field-radio\"><input type=\"radio\" value=\"2\" name=\"formbox-field-1\" id=\"formbox-field-1_3\"><label for=\"formbox-field-1_3\">\u8b66\u6212\u5fc3\u304c\u306a\u304f\u3001\u6ce8\u610f\u3092\u7dad\u6301\u3059\u308b\u305f\u3081\u306b\u7e70\u308a\u8fd4\u3057\u306e\u523a\u6fc0\u304c\u5fc5\u8981\u3001\u307e\u305f\u306f\u5b8c\u5168\u306b\u610f\u8b58\u304c\u3042\u308a\u3001\u52d5\u4f5c\u3092\u5b9f\u884c\u3059\u308b\u306b\u306f\u5f37\u3044\u307e\u305f\u306f\u75db\u307f\u3092\u4f34\u3046\u523a\u6fc0\u304c\u5fc5\u8981\u3067\u3059\uff08\u975e\u5b9a\u578b\u7684\uff09<\/label><\/div><div class=\"formbox__field-radio\"><input type=\"radio\" value=\"3\" name=\"formbox-field-1\" id=\"formbox-field-1_4\"><label for=\"formbox-field-1_4\">\u305d\u308c\u306f\u3001\u53cd\u5c04\u7684\u3001\u307e\u305f\u306f\u5168\u304f\u7121\u95a2\u5fc3\u3001\u5f1b\u7de9\u3057\u305f\u3001\u7121\u53cd\u5c04\u306e\u904b\u52d5\u53cd\u5fdc\u307e\u305f\u306f\u81ea\u5f8b\u795e\u7d4c\u53cd\u5fdc\u3067\u306e\u307f\u53cd\u5fdc\u3057\u307e\u3059\u3002\u30b3\u30de\u3002<\/label><\/div><\/div><\/div> <\/fieldset><fieldset class=\"formbox__container\"><div class=\"formbox__title is-title-only\" style=\"font-size:10px;font-weight:bold\">\u6c17\u7ba1\u5185\u30c1\u30e5\u30fc\u30d6\u3084\u8a00\u8a9e\u306e\u58c1\u306a\u3069\u691c\u67fb\u306b\u969c\u5bb3\u304c\u3042\u308b\u5834\u5408\u3067\u3082\u3001\u5e38\u306b\u63a1\u70b9\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002\u30b9\u30b3\u30a2\u300c3\u300d\u306f\u3001\u60a3\u8005\u304c\u75db\u307f\u3092\u4f34\u3046\u523a\u6fc0\u306b\u53cd\u5fdc\u3057\u3066\uff08\u53cd\u5c04\u53cd\u5fdc\u4ee5\u5916\u306e\uff09\u52d5\u304d\u3092\u3057\u306a\u3044\u5834\u5408\u306b\u306e\u307f\u8003\u616e\u3055\u308c\u307e\u3059\u3002<\/div> <\/fieldset><fieldset class=\"formbox__container\"><div class=\"formbox__title\">1b.\u53e3\u982d\u3067\u306e\u8cea\u554f\u3002 <\/div><div class=\"formbox__body\"><div class=\"formbox__field\"><div class=\"formbox__field-radio\"><input type=\"radio\" value=\"0\" name=\"formbox-field-2\" id=\"formbox-field-2_1\"><label for=\"formbox-field-2_1\">\u3069\u3061\u3089\u306e\u7b54\u3048\u3082\u6b63\u89e3\u3067\u3059<\/label><\/div><div class=\"formbox__field-radio\"><input type=\"radio\" value=\"1\" name=\"formbox-field-2\" id=\"formbox-field-2_2\"><label for=\"formbox-field-2_2\">\u4e0d\u6b63\u89e3 1 \u4ef6<\/label><\/div><div class=\"formbox__field-radio\"><input type=\"radio\" value=\"2\" name=\"formbox-field-2\" id=\"formbox-field-2_3\"><label for=\"formbox-field-2_3\">\u4e0d\u6b63\u89e3 2 \u4ef6<\/label><\/div><\/div><\/div> <\/fieldset><fieldset class=\"formbox__container\"><div class=\"formbox__title is-title-only\" style=\"font-size:10px;font-weight:bold\">2 \u6b73\u672a\u6e80\u306e\u304a\u5b50\u69d8: \u3054\u5bb6\u65cf\u306e\u540c\u4f34\u304c\u5fc5\u8981\u3067\u3059\u3002 \u6700\u521d\u306e\u8cea\u554f: \u3042\u306a\u305f\u306f\u4f55\u6b73\u3067\u3059\u304b? \uff08\u53e3\u982d\u307e\u305f\u306f\u6307\u3067\u793a\u3057\u305f\u5834\u5408\u306f\u6b63\u89e3\uff09 2 \u756a\u76ee\u306e\u8cea\u554f\uff1aXX \u306f\u3069\u3053\u3067\u3059\u304b\uff1f\u3001XX \u306f\u540c\u884c\u3059\u308b\u5bb6\u65cf\u3067\u3059\uff08\u8a00\u3063\u305f\u308a\u3001\u624b\u3067\u6307\u3057\u305f\u308a\u3001\u898b\u3064\u3081\u305f\u308a\u3057\u305f\u5834\u5408\u306f\u6b63\u89e3\uff09\u3002\u633f\u7ba1\u7b49\u307e\u305f\u306f\u91cd\u5ea6\u306e\u69cb\u97f3\u969c\u5bb3\u304c\u3042\u308b\u5834\u5408\u306f 1 \u70b9\u3001\u5931\u8a9e\u75c7\u307e\u305f\u306f\u660f\u8ff7\uff08\u7406\u89e3\u3067\u304d\u306a\u3044\uff09\u306e\u5834\u5408\u306f 2 \u70b9\u3068\u306a\u308a\u307e\u3059\u3002<\/div> <\/fieldset><fieldset class=\"formbox__container\"><div class=\"formbox__title\">1c.\u6ce8\u6587\u3002 <\/div><div class=\"formbox__body\"><div class=\"formbox__field\" style=\"box-shadow: none\"><div class=\"formbox__field-radio\"><input type=\"radio\" value=\"0\" name=\"formbox-field-3\" id=\"formbox-field-3_1\"><label for=\"formbox-field-3_1\">\u4e21\u65b9\u3092\u6b63\u3057\u304f\u5b9f\u884c\u3057\u3066\u304f\u3060\u3055\u3044<\/label><\/div><div class=\"formbox__field-radio\"><input type=\"radio\" value=\"1\" name=\"formbox-field-3\" id=\"formbox-field-3_2\"><label for=\"formbox-field-3_2\">1 \u3064\u3092\u6b63\u3057\u304f\u5b9f\u884c\u3059\u308b<\/label><\/div><div class=\"formbox__field-radio\"><input type=\"radio\" value=\"2\" name=\"formbox-field-3\" id=\"formbox-field-3_3\"><label for=\"formbox-field-3_3\">\u4f55\u3082\u6b63\u3057\u304f\u5b9f\u884c\u3055\u308c\u306a\u3044<\/label><\/div><\/div><\/div> <\/fieldset><fieldset class=\"formbox__container\"><div class=\"formbox__title is-title-only\" style=\"font-size:10px;font-weight:bold\">\u5b50\u4f9b\u306b\u76ee\u3092\u958b\u3051\u305f\u308a\u9589\u3058\u305f\u308a\u3001\u9f3b\u3092\u6307\u3059\u3088\u3046\u306b\u6c42\u3081\u307e\u3059\u3002\u4f55\u3089\u304b\u306e\u7406\u7531\u3067\u624b\u304c\u4f7f\u3048\u306a\u3044\u5834\u5408\u306f\u3001\u5225\u306e\u6ce8\u6587\u306b\u7f6e\u304d\u63db\u3048\u3066\u304f\u3060\u3055\u3044\u3002\u904b\u52d5\u80fd\u529b\u306e\u4f4e\u4e0b\u306b\u3088\u308a\u30b3\u30de\u30f3\u30c9\u304c\u5b8c\u4e86\u3057\u306a\u304b\u3063\u305f\u3068\u3057\u3066\u3082\u3001\u30b3\u30de\u30f3\u30c9\u306b\u5fdc\u7b54\u3059\u308b\u660e\u78ba\u306a\u610f\u56f3\u304c\u3042\u308c\u3070\u3001\u305d\u308c\u306f\u9069\u5207\u3067\u3042\u308b\u3068\u8003\u3048\u3089\u308c\u307e\u3059\u3002\u60a3\u8005\u304c\u547d\u4ee4\u306b\u53cd\u5fdc\u3057\u306a\u3044\u5834\u5408\u306f\u3001\u79c1\u305f\u3061\u304c\u60a3\u8005\u306b\u4f55\u3092\u3057\u3066\u307b\u3057\u3044\u304b\u3092\u30d1\u30f3\u30c8\u30de\u30a4\u30e0\u3067\u793a\u3057\u3001\u305d\u306e\u7d50\u679c\u3092\u66f8\u304d\u7559\u3081\u307e\u3059\u3002\u521d\u671f\u5fdc\u7b54\u306e\u307f\u304c\u8003\u616e\u3055\u308c\u307e\u3059\u3002<\/div> <\/fieldset><fieldset class=\"formbox__container\"><div class=\"formbox__title\">2. \u76ee\u306e\u52d5\u304d\u3001\u5171\u5f79\u8996\u7dda\u3002<\/div><div class=\"formbox__body\"><div class=\"formbox__field\" style=\"box-shadow: none\"><div class=\"formbox__field-radio\"><input type=\"radio\" value=\"0\" name=\"formbox-field-4\" id=\"formbox-field-4_1\"><label for=\"formbox-field-4_1\">\u666e\u901a<\/label><\/div><div class=\"formbox__field-radio\"><input type=\"radio\" value=\"1\" name=\"formbox-field-4\" id=\"formbox-field-4_2\"><label for=\"formbox-field-4_2\">\u90e8\u5206\u7684\u8996\u7dda\u9ebb\u75fa<\/label><\/div><div class=\"formbox__field-radio\"><input type=\"radio\" value=\"2\" name=\"formbox-field-4\" id=\"formbox-field-4_3\"><label for=\"formbox-field-4_3\">\u5b8c\u5168\u9ebb\u75fa\u307e\u305f\u306f\u5171\u5f79\u8996\u7dda\u306e\u5f37\u5236\u7684\u306a\u9038\u8131<\/label><\/div><\/div><\/div> <\/fieldset><fieldset class=\"formbox__container\"><div class=\"formbox__title is-title-only\" style=\"font-size:10px;font-weight:bold\">\u6c34\u5e73\u65b9\u5411\u306e\u8996\u7dda\u3092\u81ea\u767a\u7684\u306b\u3001\u307e\u305f\u306f\u773c\u982d\u53cd\u5c04\u306b\u3088\u3063\u3066\u306e\u307f\u8a55\u4fa1\u3057\u3066\u304f\u3060\u3055\u3044\u3002\u60a3\u8005\u304c\u8996\u7dda\u3092\u305d\u3089\u3057\u3066\u3044\u308b\u304c\u3001\u30a2\u30a4\u30b3\u30f3\u30bf\u30af\u30c8\u307e\u305f\u306f\u53cd\u5c04\u7684\u306b\u81ea\u767a\u7684\u306b\u4fee\u6b63\u3055\u308c\u308b\u5834\u5408\u306f\u3001\u30b9\u30b3\u30a2 1 \u3092\u7372\u5f97\u3057\u307e\u3059\u3002 \u773c\u7403\u904b\u52d5\u795e\u7d4c\u306e\u672b\u68a2\u9ebb\u75fa (III\u3001IV\u3001\u307e\u305f\u306f VI) \u304c\u3042\u308b\u5834\u5408\u306f\u3001\u30b9\u30b3\u30a2 1 \u3092\u7372\u5f97\u3057\u307e\u3059\u3002<\/div> <\/fieldset><fieldset class=\"formbox__container\"><div class=\"formbox__title\">3. \u8996\u91ce\u3002<\/div><div class=\"formbox__body\"><div class=\"formbox__field\" style=\"box-shadow: none\"><div class=\"formbox__field-radio\"><input type=\"radio\" value=\"0\" name=\"formbox-field-5\" id=\"formbox-field-5_1\"><label for=\"formbox-field-5_1\">\u8996\u899a\u969c\u5bb3\u306a\u3057<\/label><\/div><div class=\"formbox__field-radio\"><input type=\"radio\" value=\"1\" name=\"formbox-field-5\" id=\"formbox-field-5_2\"><label for=\"formbox-field-5_2\">\u90e8\u5206\u534a\u76f2\/\u56db\u5206\u76f2<\/label><\/div><div class=\"formbox__field-radio\"><input type=\"radio\" value=\"2\" name=\"formbox-field-5\" id=\"formbox-field-5_3\"><label for=\"formbox-field-5_3\">\u5b8c\u5168\u534a\u76f2<\/label><\/div><div class=\"formbox__field-radio\"><input type=\"radio\" value=\"3\" name=\"formbox-field-5\" id=\"formbox-field-5_4\"><label for=\"formbox-field-5_4\">\u4e21\u5074\u534a\u76f2\uff08\u76ae\u8cea\u5931\u660e\u3092\u542b\u3080\u76f2\u76ee\uff09<\/label><\/div><\/div><\/div> <\/fieldset><fieldset class=\"formbox__container\"><div class=\"formbox__title is-title-only\" style=\"font-size:10px;font-weight:bold\">\u8996\u91ce\uff08\u4e0a\u90e8\u8c61\u9650\u3068\u4e0b\u90e8\u8c61\u9650\uff09\u306f\u3001\u6307\u6570\u3048\uff086 \u6b73\u4ee5\u4e0a\u306e\u5b50\u4f9b\uff09\u307e\u305f\u306f\u8105\u5a01\u53cd\u5c04\uff08\u751f\u5f8c 4 \u304b\u6708\uff5e6 \u6b73\u306e\u5b50\u4f9b\uff09\u3092\u4f7f\u7528\u3057\u3066\u3001\u5bfe\u6c7a\u306b\u3088\u3063\u3066\u63a2\u7d22\u3055\u308c\u307e\u3059\u3002\u60a3\u8005\u3092\u52b1\u307e\u3059\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u304c\u3001\u6307\u304c\u52d5\u3044\u3066\u3044\u308b\u5834\u6240\u3092\u89b3\u5bdf\u3055\u308c\u3066\u3044\u308b\u5834\u5408\u306f\u3001\u6b63\u5e38\u306a\u53cd\u5fdc\u3068\u3057\u3066\u30b9\u30b3\u30a2\u4ed8\u3051\u3055\u308c\u307e\u3059\u3002\u7247\u5074\u306e\u5931\u660e\u307e\u305f\u306f\u773c\u7403\u6458\u51fa\u304c\u3042\u308b\u5834\u5408\u306f\u3001\u4fdd\u5b58\u3055\u308c\u3066\u3044\u308b\u76ee\u306e\u8996\u91ce\u304c\u8a55\u4fa1\u3055\u308c\u307e\u3059\u3002\u56db\u5206\u8996\u3092\u542b\u3080\u660e\u3089\u304b\u306a\u975e\u5bfe\u79f0\u6027\u304c\u3042\u308b\u5834\u5408\u306b\u306e\u307f\u300c1\u300d\u3092\u30b9\u30b3\u30a2\u3057\u307e\u3059\u3002\u4f55\u3089\u304b\u306e\u7406\u7531\u3067\u60a3\u8005\u304c\u76f2\u76ee\u306e\u5834\u5408\u306f\u300c3\u300d\u3092\u30b9\u30b3\u30a2\u3057\u307e\u3059\u3002\u8996\u899a\u6d88\u5931\u306e\u53ef\u80fd\u6027\u3092\u691c\u51fa\u3059\u308b\u306b\u306f\u30012 \u3064\u306e\u540c\u6642\u523a\u6fc0\u3092\u5b9f\u884c\u3057\u307e\u3059\u3002\u6d88\u6ec5\u304c\u8a3c\u660e\u3055\u308c\u305f\u5834\u5408\u3001\u30b9\u30b3\u30a2\u306f\u300c1\u300d\u3068\u306a\u308a\u3001\u3053\u308c\u3089\u306e\u7d50\u679c\u306f\u8cea\u554f 11 \u3067\u3082\u4f7f\u7528\u3055\u308c\u307e\u3059\u3002<\/div> <\/fieldset><fieldset class=\"formbox__container\"><div class=\"formbox__title\">4. \u9854\u9762\u9ebb\u75fa<\/div><div class=\"formbox__body\"><div class=\"formbox__field\" style=\"box-shadow: none\"><div class=\"formbox__field-radio\"><input type=\"radio\" value=\"0\" name=\"formbox-field-6\" id=\"formbox-field-6_1\"><label for=\"formbox-field-6_1\">\u901a\u5e38\u306e\u5bfe\u79f0\u7684\u306a\u52d5\u304d<\/label><\/div><div class=\"formbox__field-radio\"><input type=\"radio\" value=\"1\" name=\"formbox-field-6\" id=\"formbox-field-6_2\"><label for=\"formbox-field-6_2\">\u8efd\u5ea6\u306e\u9ebb\u75fa\uff08\u307b\u3046\u308c\u3044\u7dda\u306e\u6d88\u5931\u3001\u7b11\u9854\u306e\u975e\u5bfe\u79f0\u3001\u4e0a\u5507\u306e\u305f\u308b\u307f\uff09<\/label><\/div><div class=\"formbox__field-radio\"><input type=\"radio\" value=\"2\" name=\"formbox-field-6\" id=\"formbox-field-6_3\"><label for=\"formbox-field-6_3\">\u90e8\u5206\u9ebb\u75fa\uff08\u9854\u306e\u4e0b\u534a\u5206\u306e\u7b4b\u8089\u306e\u5b8c\u5168\u307e\u305f\u306f\u307b\u307c\u5b8c\u5168\u306a\u9ebb\u75fa\uff09<\/label><\/div><div class=\"formbox__field-radio\"><input type=\"radio\" value=\"3\" name=\"formbox-field-6\" id=\"formbox-field-6_4\"><label for=\"formbox-field-6_4\">\u7247\u5074\u307e\u305f\u306f\u4e21\u5074\u306e\u5b8c\u5168\u306a\u9ebb\u75fa\uff08\u9854\u306e\u4e0a\u534a\u5206\u3068\u4e0b\u534a\u5206\u306e\u9854\u306e\u52d5\u304d\u304c\u306a\u3044\uff09<\/label><\/div><\/div><\/div> <\/fieldset><fieldset class=\"formbox__container\"><div class=\"formbox__title is-title-only\" style=\"font-size: 10px;font-weight: bold;box-shadow: none\">\uff08\u5fc5\u8981\u306b\u5fdc\u3058\u3066\u30d1\u30f3\u30c8\u30de\u30a4\u30e0\u3092\u4f7f\u7528\u3057\u3066\uff09\u5b50\u4f9b\u306b\u6b6f\u3092\u898b\u305b\u3001\u7709\u3092\u4e0a\u3052\u3001\u76ee\u3092\u9589\u3058\u308b\u3088\u3046\u306b\u983c\u307f\u307e\u3059\u3002\u53cd\u5fdc\u3057\u306a\u3044\u3001\u307e\u305f\u306f\u30b3\u30de\u30f3\u30c9\u3092\u7406\u89e3\u3057\u3066\u3044\u306a\u3044\u60a3\u8005\u306e\u75db\u307f\u3092\u4f34\u3046\u523a\u6fc0\u306b\u53cd\u5fdc\u3057\u305f\u3057\u304b\u3081\u3063\u9762\u306e\u5bfe\u79f0\u6027\u3092\u30b9\u30b3\u30a2\u5316\u3057\u307e\u3059\u3002\u9854\u9762\u306e\u5916\u50b7\u3001\u5305\u5e2f\u3001\u6c17\u7ba1\u76f4\u7acb\u30c1\u30e5\u30fc\u30d6\u3001\u307e\u305f\u306f\u305d\u306e\u4ed6\u306e\u7269\u7406\u7684\u969c\u58c1\u304c\u3042\u308b\u5834\u5408\u306f\u3001\u3053\u306e\u30bb\u30af\u30b7\u30e7\u30f3\u306e\u8a55\u4fa1\u3092\u5bb9\u6613\u306b\u3059\u308b\u305f\u3081\u306b\u3001\u53ef\u80fd\u306a\u9650\u308a\u305d\u308c\u3089\u3092\u53d6\u308a\u9664\u304f\u3088\u3046\u306b\u3057\u3066\u304f\u3060\u3055\u3044\u3002<\/div> <\/fieldset><fieldset class=\"formbox__container\"><div class=\"formbox__title is-title-only\" style=\"font-size: 18px;font-weight: bold;box-shadow: none\">5. \u8155\u306e\u904b\u52d5\u6a5f\u80fd\uff08\u4e0a\u80a2\u9ebb\u75fa\uff09<\/div> <\/fieldset><fieldset class=\"formbox__container\"><div class=\"formbox__title is-title-only\" style=\"font-size: 10px;font-weight: bold;box-shadow: none\">\u624b\u8db3\u306f\u9069\u5207\u306a\u4f4d\u7f6e\u306b\u914d\u7f6e\u3055\u308c\u307e\u3059\u3002\u8155\u3092 (\u624b\u306e\u3072\u3089\u3092\u4e0b\u306b) 90 \u5ea6 (\u5ea7\u3063\u3066\u3044\u308b\u5834\u5408) \u307e\u305f\u306f 45 \u5ea6 (\u4ef0\u5411\u3051\u306e\u5834\u5408) \u306b\u4f38\u3070\u3057\u307e\u3059\u3002\u8ddb\u884c\u306f\u8155\u304c10\u79d2\u4ee5\u5185\u306b\u843d\u3061\u308b\u3068\u63a1\u70b9\u3055\u308c\u307e\u3059\u3002\u6b63\u78ba\u306a\u6307\u793a\u306b\u5f93\u3046\u3053\u3068\u304c\u3067\u304d\u306a\u3044\u307b\u3069\u672a\u719f\u306a\u5b50\u3069\u3082\u3084\u3001\u4f55\u3089\u304b\u306e\u7406\u7531\u3067\u975e\u5354\u529b\u7684\u306a\u5b50\u3069\u3082\u306e\u5834\u5408\u3001\u4e00\u6642\u7684\u306a\u57fa\u6e96\u306b\u95a2\u4fc2\u306a\u304f\u3001\u540c\u3058\u5206\u985e\u30b9\u30ad\u30fc\u30e0\u306b\u5f93\u3063\u3066\u81ea\u767a\u7684\u307e\u305f\u306f\u8a98\u767a\u3055\u308c\u305f\u52d5\u304d\u306e\u89b3\u5bdf\u306b\u57fa\u3065\u3044\u3066\u30b9\u30b3\u30a2\u30ea\u30f3\u30b0\u304c\u884c\u308f\u308c\u307e\u3059\u3002\u5931\u8a9e\u75c7\u60a3\u8005\u306e\u5834\u5408\u3001\u63a2\u7d22\u8005\u306e\u58f0\u3084\u30d1\u30f3\u30c8\u30de\u30a4\u30e0\u306b\u5207\u8feb\u611f\u3092\u6301\u305f\u305b\u308b\u3053\u3068\u3067\u53cd\u5fdc\u3092\u4fc3\u3057\u307e\u3059\u304c\u3001\u75db\u307f\u3092\u4f34\u3046\u523a\u6fc0\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u9ebb\u75fa\u306e\u306a\u3044\u8155\u304b\u3089\u59cb\u3081\u3066\u3001\u5404\u8155\u3092\u500b\u5225\u306b\u691c\u67fb\u3057\u307e\u3059\u3002\u5207\u65ad\u3001\u95a2\u7bc0\u7652\u5408\u3001\u307e\u305f\u306f\u56fa\u5b9a\u5316\u306e\u5834\u5408\u306b\u306e\u307f\u300c9\u300d\u3092\u63a1\u70b9\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u3001\u691c\u67fb\u5b98\u306f\u300c9\u300d\u3068\u63a1\u70b9\u3059\u308b\u305f\u3081\u306e\u8aac\u660e\u3092\u660e\u78ba\u306b\u8a18\u8f09\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002<\/div> <\/fieldset><fieldset class=\"formbox__container\"><div class=\"formbox__title\">\u53f3\u5074\u3002 <\/div><div class=\"formbox__body\"><div class=\"formbox__field\" style=\"box-shadow: none\"><div class=\"formbox__field-radio\"><input type=\"radio\" value=\"0\" name=\"formbox-field-7\" id=\"formbox-field-7_1\"><label for=\"formbox-field-7_1\">\u843d\u4e0b\u305b\u305a\u3001\u8155\u306f 90 \u5ea6 (\u307e\u305f\u306f 45 \u5ea6) \u4e0a\u3052\u305f\u307e\u307e 10 \u79d2\u9593\u7dad\u6301\u3055\u308c\u307e\u3059\u3002<\/label><\/div><div class=\"formbox__field-radio\"><input type=\"radio\" value=\"1\" name=\"formbox-field-7\" id=\"formbox-field-7_2\"><label for=\"formbox-field-7_2\">\u8ddb\u884c\u3001\u8155\u306f 90 \u5ea6 (\u307e\u305f\u306f 45 \u5ea6) \u306b\u4e0a\u3052\u3089\u308c\u305f\u307e\u307e\u3067\u3059\u304c\u3001\u5b8c\u5168\u306b\u306f\u4e0b\u304c\u3089\u305a\u306b 10 \u79d2\u4ee5\u5185\u306b\u4e0b\u964d\u3057\u307e\u3059\u3002<\/label><\/div><div class=\"formbox__field-radio\"><input type=\"radio\" value=\"2\" name=\"formbox-field-7\" id=\"formbox-field-7_3\"><label for=\"formbox-field-7_3\">\u8155\u3092\u4e0a\u3052\u308b\u3053\u3068\u3082\u300190 \u5ea6 (\u307e\u305f\u306f 45 \u5ea6) \u306b\u7dad\u6301\u3059\u308b\u3053\u3068\u3082\u3067\u304d\u305a\u3001\u30d9\u30c3\u30c9\u306b\u843d\u3061\u307e\u3059\u304c\u3001\u91cd\u529b\u306b\u9006\u3089\u3046\u52aa\u529b\u304c\u898b\u3089\u308c\u307e\u3059\u3002<\/label><\/div><div class=\"formbox__field-radio\"><input type=\"radio\" value=\"3\" name=\"formbox-field-7\" id=\"formbox-field-7_4\"><label for=\"formbox-field-7_4\">\u91cd\u529b\u306b\u9006\u3089\u308f\u305a\u306b\u8155\u304c\u5b8c\u5168\u306b\u843d\u3061\u307e\u3059<\/label><\/div><div class=\"formbox__field-radio\"><input type=\"radio\" value=\"4\" name=\"formbox-field-7\" id=\"formbox-field-7_5\"><label for=\"formbox-field-7_5\">\u52d5\u304d\u304c\u306a\u3044<\/label><\/div><div class=\"formbox__field-radio\"><input type=\"radio\" value=\"9\" name=\"formbox-field-7\" id=\"formbox-field-7_6\"><label for=\"formbox-field-7_6\">\u5207\u65ad\u3001\u95a2\u7bc0\u56fa\u5b9a\u8853<\/label><\/div><\/div><\/div> <\/fieldset><fieldset class=\"formbox__container\"><div class=\"formbox__title\">\u5de6\u5074\u3002 <\/div><div class=\"formbox__body\"><div class=\"formbox__field\" style=\"box-shadow: none\"><div class=\"formbox__field-radio\"><input type=\"radio\" value=\"0\" name=\"formbox-field-8\" id=\"formbox-field-8_1\"><label for=\"formbox-field-8_1\">\u843d\u4e0b\u305b\u305a\u3001\u8155\u306f 90 \u5ea6 (\u307e\u305f\u306f 45 \u5ea6) \u4e0a\u3052\u305f\u307e\u307e 10 \u79d2\u9593\u7dad\u6301\u3055\u308c\u307e\u3059\u3002<\/label><\/div><div class=\"formbox__field-radio\"><input type=\"radio\" value=\"1\" name=\"formbox-field-8\" id=\"formbox-field-8_2\"><label for=\"formbox-field-8_2\">\u8ddb\u884c\u3001\u8155\u306f 90 \u5ea6 (\u307e\u305f\u306f 45 \u5ea6) \u306b\u4e0a\u3052\u3089\u308c\u305f\u307e\u307e\u3067\u3059\u304c\u3001\u5b8c\u5168\u306b\u306f\u4e0b\u304c\u3089\u305a\u306b 10 \u79d2\u4ee5\u5185\u306b\u4e0b\u964d\u3057\u307e\u3059\u3002<\/label><\/div><div class=\"formbox__field-radio\"><input type=\"radio\" value=\"2\" name=\"formbox-field-8\" id=\"formbox-field-8_3\"><label for=\"formbox-field-8_3\">\u8155\u3092\u4e0a\u3052\u308b\u3053\u3068\u3082\u300190 \u5ea6 (\u307e\u305f\u306f 45 \u5ea6) \u306b\u7dad\u6301\u3059\u308b\u3053\u3068\u3082\u3067\u304d\u305a\u3001\u30d9\u30c3\u30c9\u306b\u843d\u3061\u307e\u3059\u304c\u3001\u91cd\u529b\u306b\u9006\u3089\u3046\u52aa\u529b\u304c\u898b\u3089\u308c\u307e\u3059\u3002<\/label><\/div><div class=\"formbox__field-radio\"><input type=\"radio\" value=\"3\" name=\"formbox-field-8\" id=\"formbox-field-8_4\"><label for=\"formbox-field-8_4\">\u91cd\u529b\u306b\u9006\u3089\u308f\u305a\u306b\u8155\u304c\u5b8c\u5168\u306b\u843d\u3061\u307e\u3059<\/label><\/div><div class=\"formbox__field-radio\"><input type=\"radio\" value=\"4\" name=\"formbox-field-8\" id=\"formbox-field-8_5\"><label for=\"formbox-field-8_5\">\u52d5\u304d\u304c\u306a\u3044<\/label><\/div><div class=\"formbox__field-radio\"><input type=\"radio\" value=\"9\" name=\"formbox-field-8\" id=\"formbox-field-8_6\"><label for=\"formbox-field-8_6\">\u5207\u65ad\u3001\u95a2\u7bc0\u56fa\u5b9a\u8853<\/label><\/div><\/div><\/div> <\/fieldset><fieldset class=\"formbox__container\"><div class=\"formbox__title is-title-only\" style=\"font-size:18px;font-weight:bold\">6. \u811a\u306e\u904b\u52d5\u6a5f\u80fd\uff08\u4e0b\u80a2\u9ebb\u75fa\uff09<\/div> <\/fieldset><fieldset class=\"formbox__container\"><div class=\"formbox__title is-title-only\" style=\"font-size:10px;font-weight:bold\">\u624b\u8db3\u3092\u9069\u5207\u306a\u4f4d\u7f6e\u306b\u7f6e\u304d\u307e\u3059\u3002\u4ef0\u81e5\u4f4d\u3067\u811a\u3092 30 \u5ea6\u4f38\u3070\u3057\u307e\u3059\u3002\u8ddb\u884c\u306f\u3001\u811a\u304c 5 \u79d2\u4ee5\u5185\u306b\u843d\u3061\u305f\u5834\u5408\u306b\u8a18\u9332\u3055\u308c\u307e\u3059\u3002\u672a\u719f\u3059\u304e\u3066\u6b63\u78ba\u306a\u6307\u793a\u306b\u5f93\u3046\u3053\u3068\u304c\u3067\u304d\u306a\u3044\u3001\u307e\u305f\u306f\u4f55\u3089\u304b\u306e\u7406\u7531\u3067\u975e\u5354\u529b\u7684\u306a\u5b50\u3069\u3082\u306e\u5834\u5408\u3001\u4e00\u6642\u7684\u306a\u57fa\u6e96\u306b\u95a2\u4fc2\u306a\u304f\u3001\u540c\u3058\u5206\u985e\u30b9\u30ad\u30fc\u30e0\u306b\u5f93\u3063\u3066\u81ea\u767a\u7684\u307e\u305f\u306f\u8a98\u767a\u3055\u308c\u305f\u52d5\u304d\u306e\u89b3\u5bdf\u306b\u57fa\u3065\u3044\u3066\u30b9\u30b3\u30a2\u30ea\u30f3\u30b0\u304c\u884c\u308f\u308c\u307e\u3059\u3002\u5931\u8a9e\u75c7\u60a3\u8005\u306e\u5834\u5408\u3001\u63a2\u7d22\u8005\u306e\u58f0\u3084\u30d1\u30f3\u30c8\u30de\u30a4\u30e0\u306b\u5207\u8feb\u611f\u3092\u6301\u305f\u305b\u308b\u3053\u3068\u3067\u53cd\u5fdc\u3092\u4fc3\u3057\u307e\u3059\u304c\u3001\u75db\u307f\u3092\u4f34\u3046\u523a\u6fc0\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u9ebb\u75fa\u306e\u306a\u3044\u811a\u304b\u3089\u59cb\u3081\u3066\u3001\u5404\u811a\u3092\u500b\u5225\u306b\u691c\u67fb\u3057\u307e\u3059\u3002\u5207\u65ad\u3001\u95a2\u7bc0\u7652\u5408\u3001\u307e\u305f\u306f\u56fa\u5b9a\u5316\u306e\u5834\u5408\u306b\u306e\u307f\u300c9\u300d\u3092\u63a1\u70b9\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u3001\u691c\u67fb\u5b98\u306f\u300c9\u300d\u3068\u63a1\u70b9\u3059\u308b\u305f\u3081\u306e\u8aac\u660e\u3092\u660e\u78ba\u306b\u8a18\u8f09\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002<\/div> <\/fieldset><fieldset class=\"formbox__container\"><div class=\"formbox__title\">\u53f3\u5074\u3002 <\/div><div class=\"formbox__body\"><div class=\"formbox__field\" style=\"box-shadow: none\"><div class=\"formbox__field-radio\"><input type=\"radio\" value=\"0\" name=\"formbox-field-9\" id=\"formbox-field-9_1\"><label for=\"formbox-field-9_1\">\u8ee2\u5012\u305b\u305a\u3001\u811a\u3092 30 \u5ea6\u4e0a\u3052\u305f\u72b6\u614b\u3092 5 \u79d2\u9593\u7dad\u6301\u3057\u307e\u3059<\/label><\/div><div class=\"formbox__field-radio\"><input type=\"radio\" value=\"1\" name=\"formbox-field-9\" id=\"formbox-field-9_2\"><label for=\"formbox-field-9_2\">\u8ddb\u884c\u3001\u811a\u306f 30 \u5ea6\u3067\u6319\u4e0a\u3057\u305f\u307e\u307e\u3067\u3059\u304c\u3001\u5b8c\u5168\u306b\u306f\u4e0b\u304c\u3089\u305a\u306b 5 \u79d2\u4ee5\u5185\u306b\u4e0b\u964d\u3057\u307e\u3059\u3002<\/label><\/div><div class=\"formbox__field-radio\"><input type=\"radio\" value=\"2\" name=\"formbox-field-9\" id=\"formbox-field-9_3\"><label for=\"formbox-field-9_3\">\u811a\u3092\u4e0a\u3052\u305f\u308a\u300130 \u5ea6\u306b\u7dad\u6301\u3057\u305f\u308a\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u305a\u3001\u30d9\u30c3\u30c9\u306b\u843d\u3061\u307e\u3059\u304c\u3001\u91cd\u529b\u306b\u9006\u3089\u3046\u52aa\u529b\u304c\u898b\u3089\u308c\u307e\u3059\u3002<\/label><\/div><div class=\"formbox__field-radio\"><input type=\"radio\" value=\"3\" name=\"formbox-field-9\" id=\"formbox-field-9_4\"><label for=\"formbox-field-9_4\">\u91cd\u529b\u306b\u9006\u3089\u308f\u305a\u306b\u811a\u304c\u5b8c\u5168\u306b\u843d\u3061\u307e\u3059<\/label><\/div><div class=\"formbox__field-radio\"><input type=\"radio\" value=\"4\" name=\"formbox-field-9\" id=\"formbox-field-9_5\"><label for=\"formbox-field-9_5\">\u52d5\u304d\u304c\u306a\u3044<\/label><\/div><div class=\"formbox__field-radio\"><input type=\"radio\" value=\"9\" name=\"formbox-field-9\" id=\"formbox-field-9_6\"><label for=\"formbox-field-9_6\">\u5207\u65ad\u3001\u95a2\u7bc0\u56fa\u5b9a\u8853<\/label><\/div><\/div><\/div> <\/fieldset><fieldset class=\"formbox__container\"><div class=\"formbox__title\">\u5de6\u5074\u3002 <\/div><div class=\"formbox__body\"><div class=\"formbox__field\" style=\"box-shadow: none\"><div class=\"formbox__field-radio\"><input type=\"radio\" value=\"0\" name=\"formbox-field-10\" id=\"formbox-field-10_1\"><label for=\"formbox-field-10_1\">\u8ee2\u5012\u305b\u305a\u3001\u811a\u3092 30 \u5ea6\u4e0a\u3052\u305f\u72b6\u614b\u3092 5 \u79d2\u9593\u7dad\u6301\u3057\u307e\u3059<\/label><\/div><div class=\"formbox__field-radio\"><input type=\"radio\" value=\"1\" name=\"formbox-field-10\" id=\"formbox-field-10_2\"><label for=\"formbox-field-10_2\">\u8ddb\u884c\u3001\u811a\u306f 30 \u5ea6\u3067\u6319\u4e0a\u3057\u305f\u307e\u307e\u3067\u3059\u304c\u3001\u5b8c\u5168\u306b\u306f\u4e0b\u304c\u3089\u305a\u306b 5 \u79d2\u4ee5\u5185\u306b\u4e0b\u964d\u3057\u307e\u3059\u3002<\/label><\/div><div class=\"formbox__field-radio\"><input type=\"radio\" value=\"2\" name=\"formbox-field-10\" id=\"formbox-field-10_3\"><label for=\"formbox-field-10_3\">\u811a\u3092\u4e0a\u3052\u305f\u308a\u300130 \u5ea6\u306b\u7dad\u6301\u3057\u305f\u308a\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u305a\u3001\u30d9\u30c3\u30c9\u306b\u843d\u3061\u307e\u3059\u304c\u3001\u91cd\u529b\u306b\u9006\u3089\u3046\u52aa\u529b\u304c\u898b\u3089\u308c\u307e\u3059\u3002<\/label><\/div><div class=\"formbox__field-radio\"><input type=\"radio\" value=\"3\" name=\"formbox-field-10\" id=\"formbox-field-10_4\"><label for=\"formbox-field-10_4\">\u91cd\u529b\u306b\u9006\u3089\u308f\u305a\u306b\u811a\u304c\u5b8c\u5168\u306b\u843d\u3061\u307e\u3059<\/label><\/div><div class=\"formbox__field-radio\"><input type=\"radio\" value=\"4\" name=\"formbox-field-10\" id=\"formbox-field-10_5\"><label for=\"formbox-field-10_5\">\u52d5\u304d\u304c\u306a\u3044<\/label><\/div><div class=\"formbox__field-radio\"><input type=\"radio\" value=\"9\" name=\"formbox-field-10\" id=\"formbox-field-10_6\"><label for=\"formbox-field-10_6\">\u5207\u65ad\u3001\u95a2\u7bc0\u56fa\u5b9a\u8853<\/label><\/div><\/div><\/div> <\/fieldset><fieldset class=\"formbox__container\"><div class=\"formbox__title\">7. \u56db\u80a2\u306e\u904b\u52d5\u5931\u8abf<\/div><div class=\"formbox__body\"><div class=\"formbox__field\" style=\"box-shadow: none\"><div class=\"formbox__field-radio\"><input type=\"radio\" value=\"0\" name=\"formbox-field-11\" id=\"formbox-field-11_1\"><label for=\"formbox-field-11_1\">\u904b\u52d5\u5931\u8abf\u306a\u3057<\/label><\/div><div class=\"formbox__field-radio\"><input type=\"radio\" value=\"1\" name=\"formbox-field-11\" id=\"formbox-field-11_2\"><label for=\"formbox-field-11_2\">\u7247\u65b9\u306e\u624b\u8db3\u306e\u904b\u52d5\u5931\u8abf<\/label><\/div><div class=\"formbox__field-radio\"><input type=\"radio\" value=\"2\" name=\"formbox-field-11\" id=\"formbox-field-11_3\"><label for=\"formbox-field-11_3\">\u4e21\u80a2\u306e\u904b\u52d5\u5931\u8abf<\/label><\/div><\/div><\/div> <\/fieldset><fieldset class=\"formbox__container\"><div class=\"formbox__title is-title-only\" style=\"font-size:10px;font-weight:bold\">\u3053\u306e\u30bb\u30af\u30b7\u30e7\u30f3\u3067\u306f\u3001\u5c0f\u8133\u75c5\u5909\u306e\u5b58\u5728\u306b\u3064\u3044\u3066\u691c\u8a0e\u3057\u307e\u3059\u3002\u76ee\u3092\u958b\u3051\u305f\u72b6\u614b\u3067\u3001\u4e21\u5074\u306e\u300c\u6307-\u9f3b-\u6307\u300d\u304a\u3088\u3073\u300c\u304b\u304b\u3068-\u819d\u300d\u64cd\u4f5c\u3092\u4f7f\u7528\u3057\u3066\u8a55\u4fa1\u3055\u308c\u307e\u3059\u3002\u904b\u52d5\u5931\u8abf\u306f\u3001\u305d\u308c\u304c\u5b58\u5728\u3057\u3001\u9ebb\u75fa\u306e\u7a0b\u5ea6\u306b\u4e0d\u91e3\u308a\u5408\u3044\u306a\u5834\u5408\u306b\u306e\u307f\u30b9\u30b3\u30a2\u4ed8\u3051\u3055\u308c\u307e\u3059\u3002 5 \u6b73\u672a\u6e80\u306e\u5b50\u4f9b\u3067\u306f\u3001\u4e0a\u80a2\u306e\u304a\u3082\u3061\u3083\u306b\u624b\u3092\u4f38\u3070\u3057\u3001\u63a2\u7d22\u8005\u304c\u624b\u306b\u6301\u3063\u3066\u3044\u308b\u304a\u3082\u3061\u3083\u3092\u8e74\u308b\u3068\u3044\u3046\u4f5c\u696d\u306b\u7f6e\u304d\u63db\u3048\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u3059\u3002\u7406\u89e3\u3067\u304d\u306a\u3044\u60a3\u8005\u3001\u307e\u305f\u306f\u9ebb\u75fa\u3092\u793a\u3059\u60a3\u8005\u306f\u300c0\u300d\u3068\u30b9\u30b3\u30a2\u4ed8\u3051\u3055\u308c\u307e\u3059\u3002<\/div> <\/fieldset><fieldset class=\"formbox__container\"><div class=\"formbox__title\">8. \u611f\u5ea6<\/div><div class=\"formbox__body\"><div class=\"formbox__field\" style=\"box-shadow: none\"><div class=\"formbox__field-radio\"><input type=\"radio\" value=\"0\" name=\"formbox-field-12\" id=\"formbox-field-12_1\"><label for=\"formbox-field-12_1\">\u6b63\u5e38\u3001\u611f\u899a\u55aa\u5931\u306a\u3057<\/label><\/div><div class=\"formbox__field-radio\"><input type=\"radio\" value=\"1\" name=\"formbox-field-12\" id=\"formbox-field-12_2\"><label for=\"formbox-field-12_2\">\u5f31\u3044\u307e\u305f\u306f\u4e2d\u7a0b\u5ea6\u306e\u611f\u5ea6\u306e\u4f4e\u4e0b\uff08\u60a3\u8005\u306f\u63a5\u89e6\u306b\u306f\u6c17\u3065\u304f\u304c\u3001\u305d\u308c\u304c\u5148\u7aef\u306a\u306e\u304b\u5e73\u3089\u306a\u9762\u306a\u306e\u304b\u306f\u8a8d\u8b58\u3057\u306a\u3044\uff09<\/label><\/div><div class=\"formbox__field-radio\"><input type=\"radio\" value=\"2\" name=\"formbox-field-12\" id=\"formbox-field-12_3\"><label for=\"formbox-field-12_3\">\u9ebb\u9154\u3002\u60a3\u8005\u306f\u9854\u3001\u8155\u3001\u811a\u306b\u89e6\u308c\u3089\u308c\u305f\u3053\u3068\u306b\u6c17\u3065\u3044\u3066\u3044\u306a\u3044<\/label><\/div><\/div><\/div> <\/fieldset><fieldset class=\"formbox__container\"><div class=\"formbox__title is-title-only\" style=\"font-size:10px;font-weight:bold\">\u5931\u8a9e\u75c7\u60a3\u8005\u3084\u660f\u7761\u72b6\u614b\u306e\u60a3\u8005\u306b\u304a\u3051\u308b\u3001\u523a\u3055\u308c\u305f\u3068\u304d\u306e\u611f\u899a\u3084\u3057\u304b\u3081\u3063\u9762\u3001\u307e\u305f\u306f\u75db\u307f\u306e\u523a\u6fc0\u304b\u3089\u306e\u96e2\u8131\u3002\u611f\u899a\u55aa\u5931\u3092\u8a55\u4fa1\u3059\u308b\u306b\u306f\u5e7c\u3059\u304e\u308b\u304b\u975e\u5354\u529b\u7684\u306a\u5c0f\u5150\u306e\u5834\u5408\u306f\u3001\u523a\u3057\u305f\u3068\u304d\u306e\u53cd\u5fdc\u3092\u89b3\u5bdf\u3057\u3001\u30b9\u30b3\u30a2\u30ea\u30f3\u30b0\u30b9\u30ad\u30fc\u30e0\u306b\u5f93\u3063\u3066\u6b63\u5e38\u3001\u53cd\u5fdc\u306e\u4f4e\u4e0b\u3001\u307e\u305f\u306f\u8457\u3057\u304f\u4f4e\u4e0b\u3057\u305f\u53cd\u5fdc\u3068\u3057\u3066\u63a1\u70b9\u3057\u307e\u3059\u3002\u8133\u5352\u4e2d\u306b\u3088\u308b\u611f\u899a\u55aa\u5931\u306e\u307f\u304c\u7570\u5e38\u3068\u3057\u3066\u30b9\u30b3\u30a2\u4ed8\u3051\u3055\u308c\u3001\u8a55\u4fa1\u8005\u306f\u611f\u899a\u55aa\u5931\u3092\u9069\u5207\u306b\u30c1\u30a7\u30c3\u30af\u3059\u308b\u305f\u3081\u306b\u5fc5\u8981\u306a\u3060\u3051\u591a\u304f\u306e\u8eab\u4f53\u9818\u57df\uff08\u8155\uff08\u624b\u3067\u306f\u306a\u3044\uff09\u3001\u811a\u3001\u80f4\u4f53\u3001\u9854\uff09\u3092\u691c\u67fb\u3057\u306a\u3051\u308c\u3070\u306a\u308a\u307e\u305b\u3093\u3002 \u300c2\u300d\u306e\u30b9\u30b3\u30a2\u306f\u3001\u91cd\u5ea6\u307e\u305f\u306f\u5b8c\u5168\u306a\u611f\u899a\u55aa\u5931\u304c\u660e\u78ba\u306b\u8a3c\u660e\u3067\u304d\u308b\u5834\u5408\u306b\u306e\u307f\u4e0e\u3048\u3089\u308c\u307e\u3059\u3002\u5931\u8a9e\u75c7\u307e\u305f\u306f\u660f\u8ff7\u306e\u60a3\u8005\u306f\u300c1\u300d\u307e\u305f\u306f\u300c0\u300d\u3068\u30b9\u30b3\u30a2\u4ed8\u3051\u3055\u308c\u307e\u3059\u3002<\/div> <\/fieldset><fieldset class=\"formbox__container\"><div class=\"formbox__title\">9a.\u8a00\u8a9e\uff082\u6b73\u4ee5\u4e0a\uff09\u3002<\/div><div class=\"formbox__body\"><div class=\"formbox__field\" style=\"box-shadow: none\"><div class=\"formbox__field-radio\"><input type=\"radio\" value=\"0\" name=\"formbox-field-13\" id=\"formbox-field-13_1\"><label for=\"formbox-field-13_1\">\u6b63\u5e38\u3001\u5931\u8a9e\u75c7\u306a\u3057<\/label><\/div><div class=\"formbox__field-radio\"><input type=\"radio\" value=\"1\" name=\"formbox-field-13\" id=\"formbox-field-13_2\"><label for=\"formbox-field-13_2\">\u8efd\u5ea6\u307e\u305f\u306f\u4e2d\u7b49\u5ea6\u306e\u5931\u8a9e\u75c7: \u60a3\u8005\u306f\u8a71\u3059\u3053\u3068\u304a\u3088\u3073\/\u307e\u305f\u306f\u7406\u89e3\u3059\u308b\u3053\u3068\u304c\u56f0\u96e3\u3067\u3059\u304c\u3001\u4f55\u3092\u8a00\u3063\u3066\u3044\u308b\u304b\u306f\u8b58\u5225\u3067\u304d\u307e\u3059\u3002<\/label><\/div><div class=\"formbox__field-radio\"><input type=\"radio\" value=\"2\" name=\"formbox-field-13\" id=\"formbox-field-13_3\"><label for=\"formbox-field-13_3\">\u91cd\u5ea6\u306e\u5931\u8a9e\u75c7: \u6700\u5c0f\u9650\u306e\u30b3\u30df\u30e5\u30cb\u30b1\u30fc\u30b7\u30e7\u30f3\u3057\u304b\u306a\u304f\u3001\u60a3\u8005\u304c\u4f55\u3092\u8a00\u3044\u305f\u3044\u306e\u304b\u3092\u7279\u5b9a\u3059\u308b\u3053\u3068\u304c\u975e\u5e38\u306b\u56f0\u96e3\u3067\u3059\u3002<\/label><\/div><div class=\"formbox__field-radio\"><input type=\"radio\" value=\"3\" name=\"formbox-field-13\" id=\"formbox-field-13_4\"><label for=\"formbox-field-13_4\">\u5168\u5931\u8a9e\u75c7\u3001\u7dd8\u9ed9\u75c7\uff1a\u8a71\u3059\u3053\u3068\u3082\u7406\u89e3\u3059\u308b\u3053\u3068\u3082\u3067\u304d\u306a\u3044<\/label><\/div><\/div><\/div> <\/fieldset><fieldset class=\"formbox__container\"><div class=\"formbox__title is-title-only\" style=\"font-size:10px;font-weight:bold\">\u3053\u308c\u307e\u3067\u306e\u3059\u3079\u3066\u306e\u30c6\u30b9\u30c8\u3067\u793a\u3055\u308c\u305f\u7406\u89e3\u3092\u8a55\u4fa1\u3057\u307e\u3059\u3002\u8a00\u8a9e\u767a\u9054\u304c\u6b63\u5e38\u306a6\u6b73\u4ee5\u4e0a\u306e\u5b50\u4f9b\u304c\u5bfe\u8c61\u3002\u30ea\u30b9\u30c8\u306b\u3042\u308b\u5358\u8a9e\u3092\u7e70\u308a\u8fd4\u3057\u306a\u304c\u3089\u3001\u4f55\u304c\u8d77\u3053\u3063\u305f\u306e\u304b\u3001\u307e\u305f\u306f\u8868\u793a\u3055\u308c\u3066\u3044\u308b\u3055\u307e\u3056\u307e\u306a\u30aa\u30d6\u30b8\u30a7\u30af\u30c8\u306e\u540d\u524d\u3092\u8aac\u660e\u3059\u308b\u3088\u3046\u306b\u6c42\u3081\u3089\u308c\u307e\u3059\u3002\u8996\u529b\u55aa\u5931\u306b\u3088\u308a\u691c\u67fb\u304c\u59a8\u3052\u3089\u308c\u308b\u5834\u5408\u306f\u3001\u60a3\u8005\u306b\u624b\u306b\u7f6e\u304b\u308c\u305f\u7269\u4f53\u3092\u8b58\u5225\u3057\u3001\u7e70\u308a\u8fd4\u3057\u3001\u767a\u8a71\u3059\u308b\u3088\u3046\u4f9d\u983c\u3057\u307e\u3059\u3002\u633f\u7ba1\u3055\u308c\u305f\u60a3\u8005\u306b\u306f\u66f8\u304f\u3088\u3046\u306b\u6c42\u3081\u3089\u308c\u307e\u3059\u3002\u660f\u7761\u72b6\u614b\u306e\u60a3\u8005\uff08\u8cea\u554f 1a = 3\uff09\u306f\u3001\u3053\u306e\u6642\u70b9\u3067\u4efb\u610f\u306b\u300c3\u300d\u3092\u63a1\u70b9\u3057\u307e\u3059\u3002\u691c\u67fb\u8005\u306f\u3001\u660f\u8ff7\u307e\u305f\u306f\u5354\u529b\u304c\u5236\u9650\u3055\u308c\u3066\u3044\u308b\u60a3\u8005\u306e\u30b9\u30b3\u30a2\u3092\u9078\u629e\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u304c\u3001\u60a3\u8005\u304c\u7121\u8a00\u3067\u7c21\u5358\u306a\u547d\u4ee4\u306b\u5f93\u308f\u306a\u3044\u5834\u5408\u306b\u306e\u307f\u30b9\u30b3\u30a2\u300c3\u300d\u3092\u9078\u629e\u3057\u307e\u3059\u3002 2 \u6b73\u304b\u3089 6 \u6b73\u307e\u3067\u306e\u5b50\u4f9b\u306e\u5834\u5408\u3001\u63a1\u70b9\u306f\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u4e2d\u306e\u767a\u8a71\u3068\u8a00\u8a9e\u7406\u89e3\u306e\u89b3\u5bdf\u306b\u57fa\u3065\u3044\u3066\u884c\u308f\u308c\u307e\u3059\u3002<\/div> <\/fieldset><fieldset class=\"formbox__container\"><div class=\"formbox__title\">9b.\u8a00\u8a9e\uff08\u751f\u5f8c4\u304b\u6708\u304b\u30892\u6b73\u307e\u3067\u306e\u304a\u5b50\u69d8\u5411\u3051\uff09<\/div><div class=\"formbox__body\"><div class=\"formbox__field\" style=\"box-shadow: none\"><div class=\"formbox__field-radio\"><input type=\"radio\" value=\"0\" name=\"formbox-field-14\" id=\"formbox-field-14_1\"><label for=\"formbox-field-14_1\">\u97f3\u3092\u8b66\u544a\u3057\u3001\u97f3\u306e\u4f4d\u7f6e\u3092\u8996\u899a\u7684\u306b\u65b9\u5411\u4ed8\u3051\u308b\u304b\u3001\u97f3\u306e\u4f4d\u7f6e\u306b\u5411\u304b\u3063\u3066\u884c\u52d5\u3092\u793a\u3057\u307e\u3059\u3002<\/label><\/div><div class=\"formbox__field-radio\"><input type=\"radio\" value=\"2\" name=\"formbox-field-14\" id=\"formbox-field-14_2\"><label for=\"formbox-field-14_2\">\u97f3\u306b\u5bfe\u3057\u3066\u8b66\u544a\u3057\u307e\u3059\u304c\u3001\u97f3\u306b\u5bfe\u3059\u308b\u7a7a\u9593\u5b9a\u4f4d\u884c\u52d5\u306f\u3042\u308a\u307e\u305b\u3093<\/label><\/div><div class=\"formbox__field-radio\"><input type=\"radio\" value=\"3\" name=\"formbox-field-14\" id=\"formbox-field-14_3\"><label for=\"formbox-field-14_3\">\u97f3\u306b\u6ce8\u610f\u3092\u6255\u3063\u3066\u3044\u306a\u3044\u3001\u307e\u305f\u306f\u97f3\u306b\u6ce8\u610f\u3092\u5411\u3051\u3066\u3044\u306a\u3044<\/label><\/div><\/div><\/div> <\/fieldset><fieldset class=\"formbox__container\"><div class=\"formbox__title\">10.\u69cb\u97f3\u969c\u5bb3<\/div><div class=\"formbox__body\"><div class=\"formbox__field\" style=\"box-shadow: none\"><div class=\"formbox__field-radio\"><input type=\"radio\" value=\"0\" name=\"formbox-field-15\" id=\"formbox-field-15_1\"><label for=\"formbox-field-15_1\">\u666e\u901a<\/label><\/div><div class=\"formbox__field-radio\"><input type=\"radio\" value=\"1\" name=\"formbox-field-15\" id=\"formbox-field-15_2\"><label 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