{"id":445,"date":"2026-09-08T12:15:59","date_gmt":"2026-09-08T03:15:59","guid":{"rendered":"https:\/\/seikatu-sien.com\/?page_id=445"},"modified":"2026-09-08T12:15:59","modified_gmt":"2026-09-08T03:15:59","slug":"%e4%ba%8b%e5%89%8d%e7%9b%b8%e8%ab%87","status":"publish","type":"page","link":"https:\/\/seikatu-sien.com\/?page_id=445","title":{"rendered":"\u4e8b\u524d\u76f8\u8ac7"},"content":{"rendered":"\r\n\r\n<style>\r\n\r\n.uspc-wrap,\r\n.uspc-wrap *{\r\nbox-sizing:border-box;\r\n}\r\n\r\n.uspc-wrap{\r\nmax-width:980px;\r\nmargin:0 auto;\r\npadding:12px 10px 50px;\r\nfont-family:\r\n-apple-system,\r\nBlinkMacSystemFont,\r\n\"Yu Gothic\",\r\nMeiryo,\r\nsans-serif;\r\ncolor:#30383d;\r\nline-height:1.75;\r\n}\r\n\r\n\r\n\/* HERO *\/\r\n\r\n.uspc-hero{\r\nbackground:\r\nlinear-gradient(\r\n135deg,\r\n#eef8fc,\r\n#f9fcfd\r\n);\r\nborder:1px solid #cfe4ed;\r\nborder-radius:20px;\r\npadding:30px 22px;\r\ntext-align:center;\r\n}\r\n\r\n.uspc-badge{\r\ndisplay:inline-block;\r\nbackground:#246d91;\r\ncolor:#fff;\r\nfont-size:13px;\r\nfont-weight:800;\r\npadding:6px 15px;\r\nborder-radius:30px;\r\n}\r\n\r\n.uspc-hero h1{\r\nmargin:12px 0 8px;\r\nfont-size:31px;\r\nline-height:1.4;\r\ncolor:#264e62;\r\n}\r\n\r\n.uspc-hero-lead{\r\nmax-width:700px;\r\nmargin:0 auto;\r\n}\r\n\r\n\r\n\/* \u76f8\u8ac7\u65b9\u6cd5 *\/\r\n\r\n.uspc-method-intro{\r\nmargin:25px 0 10px;\r\ntext-align:center;\r\nfont-size:21px;\r\nfont-weight:800;\r\ncolor:#264e62;\r\n}\r\n\r\n.uspc-methods{\r\ndisplay:grid;\r\ngrid-template-columns:\r\nrepeat(3,1fr);\r\ngap:13px;\r\nmargin:15px 0 28px;\r\n}\r\n\r\n.uspc-method-card{\r\nbackground:#fff;\r\nborder:1px solid #d8e3e8;\r\nborder-radius:15px;\r\npadding:20px 15px;\r\ntext-align:center;\r\nbox-shadow:\r\n0 4px 15px rgba(0,0,0,.05);\r\n}\r\n\r\n.uspc-method-icon{\r\nfont-size:32px;\r\ndisplay:block;\r\nmargin-bottom:5px;\r\n}\r\n\r\n.uspc-method-card strong{\r\ndisplay:block;\r\nfont-size:18px;\r\ncolor:#264e62;\r\nmargin-bottom:5px;\r\n}\r\n\r\n.uspc-method-card p{\r\nfont-size:13px;\r\nmargin:0;\r\ncolor:#65747b;\r\n}\r\n\r\n\r\n\/* \u6848\u5185 *\/\r\n\r\n.uspc-info{\r\nbackground:#fff7e9;\r\nborder:1px solid #e5c994;\r\nborder-radius:13px;\r\npadding:17px;\r\nmargin:22px 0;\r\n}\r\n\r\n.uspc-info strong{\r\ncolor:#805500;\r\n}\r\n\r\n\r\n\/* \u30bb\u30af\u30b7\u30e7\u30f3 *\/\r\n\r\n.uspc-section{\r\nmargin-top:26px;\r\npadding:22px;\r\nbackground:#f7fafb;\r\nborder:1px solid #d9e5ea;\r\nborder-radius:16px;\r\n}\r\n\r\n.uspc-section h2{\r\nmargin:0 0 18px;\r\npadding-bottom:9px;\r\nborder-bottom:2px solid #c4dce7;\r\nfont-size:23px;\r\ncolor:#264e62;\r\n}\r\n\r\n.uspc-section-number{\r\ndisplay:inline-flex;\r\nalign-items:center;\r\njustify-content:center;\r\nwidth:30px;\r\nheight:30px;\r\nmargin-right:7px;\r\nborder-radius:50%;\r\nbackground:#246d91;\r\ncolor:#fff;\r\nfont-size:15px;\r\n}\r\n\r\n\r\n\/* FORM *\/\r\n\r\n.uspc-field{\r\nmargin-bottom:18px;\r\n}\r\n\r\n.uspc-label{\r\ndisplay:block;\r\nmargin-bottom:6px;\r\nfont-weight:800;\r\n}\r\n\r\n.uspc-required{\r\ndisplay:inline-block;\r\nmargin-left:5px;\r\npadding:2px 7px;\r\nborder-radius:4px;\r\nbackground:#b23530;\r\ncolor:#fff;\r\nfont-size:11px;\r\nvertical-align:middle;\r\n}\r\n\r\n.uspc-conditional{\r\ndisplay:inline-block;\r\nmargin-left:5px;\r\npadding:2px 7px;\r\nborder-radius:4px;\r\nbackground:#246d91;\r\ncolor:#fff;\r\nfont-size:11px;\r\n}\r\n\r\n.uspc-field input[type=text],\r\n.uspc-field input[type=tel],\r\n.uspc-field input[type=email],\r\n.uspc-field input[type=date],\r\n.uspc-field select,\r\n.uspc-field textarea{\r\ndisplay:block;\r\nwidth:100%;\r\nmin-height:50px;\r\npadding:11px 12px;\r\nborder:1px solid #b9cbd3;\r\nborder-radius:9px;\r\nbackground:#fff;\r\nfont-size:16px;\r\ncolor:#333;\r\n}\r\n\r\n.uspc-field textarea{\r\nmin-height:105px;\r\nresize:vertical;\r\n}\r\n\r\n.uspc-field input:focus,\r\n.uspc-field select:focus,\r\n.uspc-field textarea:focus{\r\noutline:none;\r\nborder-color:#3d86a8;\r\nbox-shadow:\r\n0 0 0 3px rgba(61,134,168,.12);\r\n}\r\n\r\n.uspc-two{\r\ndisplay:grid;\r\ngrid-template-columns:\r\n1fr 1fr;\r\ngap:13px;\r\n}\r\n\r\n.uspc-help{\r\nmargin:5px 0 0;\r\nfont-size:13px;\r\ncolor:#67777e;\r\n}\r\n\r\n\r\n\/* \u76f8\u8ac7\u65b9\u6cd5\u9078\u629e *\/\r\n\r\n.uspc-choice-grid{\r\ndisplay:grid;\r\ngrid-template-columns:\r\nrepeat(3,1fr);\r\ngap:10px;\r\n}\r\n\r\n.uspc-choice{\r\nposition:relative;\r\n}\r\n\r\n.uspc-choice input{\r\nposition:absolute;\r\nopacity:0;\r\npointer-events:none;\r\n}\r\n\r\n.uspc-choice label{\r\ndisplay:block;\r\nheight:100%;\r\npadding:17px 10px;\r\nbackground:#fff;\r\nborder:2px solid #ccdce3;\r\nborder-radius:11px;\r\ntext-align:center;\r\ncursor:pointer;\r\nfont-weight:800;\r\ntransition:.15s;\r\n}\r\n\r\n.uspc-choice input:checked + label{\r\nbackground:#eaf6fb;\r\nborder-color:#246d91;\r\ncolor:#1e5977;\r\nbox-shadow:\r\n0 0 0 2px rgba(36,109,145,.08);\r\n}\r\n\r\n.uspc-choice-title{\r\ndisplay:block;\r\nfont-size:18px;\r\n}\r\n\r\n.uspc-choice-text{\r\ndisplay:block;\r\nfont-size:12px;\r\nfont-weight:400;\r\ncolor:#66777f;\r\nmargin-top:4px;\r\n}\r\n\r\n\r\n\/* \u6700\u7d42\u78ba\u8a8d *\/\r\n\r\n.uspc-final{\r\nbackground:#fff2ef;\r\nborder:2px solid #db8877;\r\nborder-radius:13px;\r\npadding:18px;\r\nmargin:27px 0 18px;\r\n}\r\n\r\n.uspc-final strong{\r\ncolor:#973124;\r\n}\r\n\r\n.uspc-check{\r\ndisplay:block;\r\nmargin-bottom:12px;\r\npadding:14px;\r\nbackground:#fff;\r\nborder:1px solid #ccd8dd;\r\nborder-radius:9px;\r\n}\r\n\r\n.uspc-check input{\r\nmargin-right:6px;\r\ntransform:scale(1.2);\r\n}\r\n\r\n\r\n\/* SUBMIT *\/\r\n\r\n.uspc-submit{\r\ndisplay:block;\r\nwidth:100%;\r\nborder:0;\r\nborder-radius:11px;\r\npadding:18px 15px;\r\nbackground:#b23530;\r\ncolor:#fff;\r\nfont-size:19px;\r\nfont-weight:900;\r\ncursor:pointer;\r\nbox-shadow:0 4px 0 #792823;\r\n}\r\n\r\n.uspc-submit:hover{\r\nopacity:.94;\r\n}\r\n\r\n\r\n\/* SUCCESS *\/\r\n\r\n.uspc-success{\r\nbackground:#eef9f1;\r\nborder:1px solid #a3ceb0;\r\nborder-radius:15px;\r\npadding:22px;\r\n}\r\n\r\n.uspc-success h2{\r\nmargin-top:0;\r\ncolor:#27603a;\r\n}\r\n\r\n.uspc-id{\r\npadding:14px;\r\nmargin:15px 0;\r\nbackground:#fff;\r\nborder:2px solid #b23530;\r\nborder-radius:11px;\r\ntext-align:center;\r\n}\r\n\r\n.uspc-id small{\r\ndisplay:block;\r\n}\r\n\r\n.uspc-id strong{\r\ndisplay:block;\r\nfont-size:26px;\r\ncolor:#b23530;\r\n}\r\n\r\n.uspc-save{\r\ndisplay:block;\r\nwidth:100%;\r\nborder:0;\r\nborder-radius:10px;\r\npadding:17px;\r\nbackground:#246d91;\r\ncolor:#fff;\r\nfont-size:17px;\r\nfont-weight:900;\r\ncursor:pointer;\r\n}\r\n\r\n.uspc-error{\r\nbackground:#fff0f0;\r\nborder:1px solid #dda6a6;\r\nborder-radius:11px;\r\npadding:17px;\r\nmargin-bottom:20px;\r\n}\r\n\r\n\r\n\/* BOT *\/\r\n\r\n.uspc-hp{\r\nposition:absolute;\r\nleft:-9999px;\r\n}\r\n\r\n\r\n\/* MOBILE *\/\r\n\r\n@media(max-width:700px){\r\n\r\n.uspc-wrap{\r\npadding:7px 7px 40px;\r\n}\r\n\r\n.uspc-hero{\r\npadding:23px 13px;\r\n}\r\n\r\n.uspc-hero h1{\r\nfont-size:25px;\r\n}\r\n\r\n.uspc-methods,\r\n.uspc-choice-grid,\r\n.uspc-two{\r\ngrid-template-columns:1fr;\r\n}\r\n\r\n.uspc-methods{\r\ngap:8px;\r\n}\r\n\r\n.uspc-method-card{\r\npadding:14px;\r\n}\r\n\r\n.uspc-section{\r\npadding:17px 12px;\r\n}\r\n\r\n.uspc-section h2{\r\nfont-size:21px;\r\n}\r\n\r\n.uspc-choice label{\r\npadding:15px 10px;\r\n}\r\n\r\n}\r\n\r\n<\/style>\r\n\r\n\r\n<div class=\"uspc-wrap\">\r\n\r\n\r\n<!-- ====================================\r\n HERO\r\n===================================== -->\r\n\r\n<section class=\"uspc-hero\">\r\n\r\n<div class=\"uspc-badge\">\r\n\u7121\u6599\u4e8b\u524d\u76f8\u8ac7\r\n<\/div>\r\n\r\n<h1>\r\n\u304a\u846c\u5f0f\u306e\u4e0d\u5b89\u3084\u7591\u554f\u3092<br>\r\n\u4e8b\u524d\u306b\u76f8\u8ac7\u3057\u3066\u304a\u304d\u307e\u305b\u3093\u304b\uff1f\r\n<\/h1>\r\n\r\n<p class=\"uspc-hero-lead\">\r\n\u8cbb\u7528\u30fb\u846c\u5100\u306e\u6d41\u308c\u30fb\u658e\u5834\u30fb\u706b\u846c\u30fb\u304a\u5893\u3084\u3054\u907a\u9aa8\u306e\u3053\u3068\u307e\u3067\u3001\r\n\u5206\u304b\u3089\u306a\u3044\u3053\u3068\u3092\u4e8b\u524d\u306b\u3054\u76f8\u8ac7\u3044\u305f\u3060\u3051\u307e\u3059\u3002\r\n\u76f8\u8ac7\u3057\u305f\u304b\u3089\u3068\u3044\u3063\u3066\u846c\u5100\u3092\u4f9d\u983c\u3059\u308b\u5fc5\u8981\u306f\u3042\u308a\u307e\u305b\u3093\u3002\r\n<\/p>\r\n\r\n<\/section>\r\n\r\n\r\n<div class=\"uspc-method-intro\">\r\n\u3054\u90fd\u5408\u306b\u5408\u308f\u305b\u30663\u3064\u306e\u76f8\u8ac7\u65b9\u6cd5\u304b\u3089\u9078\u3079\u307e\u3059\r\n<\/div>\r\n\r\n\r\n<div class=\"uspc-methods\">\r\n\r\n<div class=\"uspc-method-card\">\r\n\r\n<span class=\"uspc-method-icon\">\r\n\ud83c\udfe2\r\n<\/span>\r\n\r\n<strong>\r\n\u6765\u793e\u76f8\u8ac7\r\n<\/strong>\r\n\r\n<p>\r\n\u62c5\u5f53\u8005\u3068\u76f4\u63a5\u76f8\u8ac7\u3057\u305f\u3044\u65b9\u306b\u3002\r\n\u5e0c\u671b\u65e5\u6642\u3092\u304a\u77e5\u3089\u305b\u304f\u3060\u3055\u3044\u3002\r\n<\/p>\r\n\r\n<\/div>\r\n\r\n\r\n<div class=\"uspc-method-card\">\r\n\r\n<span class=\"uspc-method-icon\">\r\n\u2709\ufe0f\r\n<\/span>\r\n\r\n<strong>\r\n\u30e1\u30fc\u30eb\u76f8\u8ac7\r\n<\/strong>\r\n\r\n<p>\r\n\u6642\u9593\u3092\u6c17\u306b\u305b\u305a\u3001\r\n\u6587\u7ae0\u3067\u76f8\u8ac7\u3057\u305f\u3044\u65b9\u306b\u3002\r\n<\/p>\r\n\r\n<\/div>\r\n\r\n\r\n<div class=\"uspc-method-card\">\r\n\r\n<span class=\"uspc-method-icon\">\r\n\ud83d\udcbb\r\n<\/span>\r\n\r\n<strong>\r\n\u30aa\u30f3\u30e9\u30a4\u30f3\u76f8\u8ac7\r\n<\/strong>\r\n\r\n<p>\r\n\u3054\u81ea\u5b85\u306a\u3069\u304b\u3089\r\n\u30aa\u30f3\u30e9\u30a4\u30f3\u3067\u62c5\u5f53\u8005\u3068\u76f8\u8ac7\u3067\u304d\u307e\u3059\u3002\r\n<\/p>\r\n\r\n<\/div>\r\n\r\n<\/div>\r\n\r\n\r\n<div class=\"uspc-info\">\r\n\r\n<strong>\r\n\u307e\u3060\u5177\u4f53\u7684\u306b\u6c7a\u307e\u3063\u3066\u3044\u306a\u304f\u3066\u3082\u5927\u4e08\u592b\u3067\u3059\u3002\r\n<\/strong>\r\n\r\n<br>\r\n\r\n\u300c\u4f55\u304b\u3089\u6c7a\u3081\u308c\u3070\u3044\u3044\u306e\u304b\u5206\u304b\u3089\u306a\u3044\u300d\r\n\u300c\u706b\u846c\u5f0f\u3068\u4e00\u65e5\u846c\u306e\u9055\u3044\u3092\u77e5\u308a\u305f\u3044\u300d\r\n\u300c\u8cbb\u7528\u304c\u3069\u306e\u304f\u3089\u3044\u306b\u306a\u308b\u304b\u77e5\u308a\u305f\u3044\u300d\r\n\u3068\u3044\u3063\u305f\u6bb5\u968e\u3067\u3082\u3054\u76f8\u8ac7\u3044\u305f\u3060\u3051\u307e\u3059\u3002\r\n\r\n<\/div>\r\n\r\n\r\n<section id=\"us-preconsultation\">\r\n\r\n\r\n\r\n\r\n<!-- ====================================\r\n ERROR\r\n===================================== -->\r\n\r\n\r\n\r\n\r\n\r\n<!-- ====================================\r\n FORM\r\n===================================== -->\r\n\r\n<form\r\nmethod=\"post\"\r\naction=\"https:\/\/seikatu-sien.com\/wp-admin\/admin-post.php\"\r\nid=\"uspc-form\"\r\n>\r\n\r\n\r\n<input\r\ntype=\"hidden\"\r\nname=\"action\"\r\nvalue=\"us_preconsultation_submit\"\r\n>\r\n\r\n\r\n<input\r\ntype=\"hidden\"\r\nname=\"return_url\"\r\nvalue=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F445\"\r\n>\r\n\r\n\r\n<input type=\"hidden\" id=\"us_pc_nonce\" name=\"us_pc_nonce\" value=\"345520364b\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F445\" \/>\r\n\r\n<!-- ====================================\r\n 1. \u76f8\u8ac7\u65b9\u6cd5\r\n===================================== -->\r\n\r\n<div class=\"uspc-section\">\r\n\r\n<h2>\r\n<span class=\"uspc-section-number\">\r\n1\r\n<\/span>\r\n\u76f8\u8ac7\u65b9\u6cd5\u3092\u9078\u629e\r\n<\/h2>\r\n\r\n\r\n<div class=\"uspc-choice-grid\">\r\n\r\n\r\n<div class=\"uspc-choice\">\r\n\r\n<input\r\ntype=\"radio\"\r\nname=\"consult_method\"\r\nvalue=\"\u6765\u793e\u76f8\u8ac7\"\r\nid=\"uspc-method-office\"\r\nrequired\r\n>\r\n\r\n<label for=\"uspc-method-office\">\r\n\r\n<span class=\"uspc-choice-title\">\r\n\ud83c\udfe2 \u6765\u793e\u76f8\u8ac7\r\n<\/span>\r\n\r\n<span class=\"uspc-choice-text\">\r\n\u76f4\u63a5\u4f1a\u3063\u3066\u76f8\u8ac7\u3057\u305f\u3044\r\n<\/span>\r\n\r\n<\/label>\r\n\r\n<\/div>\r\n\r\n\r\n<div class=\"uspc-choice\">\r\n\r\n<input\r\ntype=\"radio\"\r\nname=\"consult_method\"\r\nvalue=\"\u30e1\u30fc\u30eb\u76f8\u8ac7\"\r\nid=\"uspc-method-email\"\r\nrequired\r\n>\r\n\r\n<label for=\"uspc-method-email\">\r\n\r\n<span class=\"uspc-choice-title\">\r\n\u2709\ufe0f \u30e1\u30fc\u30eb\u76f8\u8ac7\r\n<\/span>\r\n\r\n<span class=\"uspc-choice-text\">\r\n\u6587\u7ae0\u3067\u76f8\u8ac7\u3057\u305f\u3044\r\n<\/span>\r\n\r\n<\/label>\r\n\r\n<\/div>\r\n\r\n\r\n<div class=\"uspc-choice\">\r\n\r\n<input\r\ntype=\"radio\"\r\nname=\"consult_method\"\r\nvalue=\"\u30aa\u30f3\u30e9\u30a4\u30f3\u76f8\u8ac7\"\r\nid=\"uspc-method-online\"\r\nrequired\r\n>\r\n\r\n<label for=\"uspc-method-online\">\r\n\r\n<span class=\"uspc-choice-title\">\r\n\ud83d\udcbb \u30aa\u30f3\u30e9\u30a4\u30f3\r\n<\/span>\r\n\r\n<span class=\"uspc-choice-text\">\r\n\u81ea\u5b85\u304b\u3089\u76f8\u8ac7\u3057\u305f\u3044\r\n<\/span>\r\n\r\n<\/label>\r\n\r\n<\/div>\r\n\r\n\r\n<\/div>\r\n\r\n\r\n<div class=\"uspc-two\"\r\nstyle=\"margin-top:20px;\">\r\n\r\n\r\n<div class=\"uspc-field\">\r\n\r\n<label class=\"uspc-label\">\r\n\u5e0c\u671b\u76f8\u8ac7\u65e5\r\n<\/label>\r\n\r\n<input\r\ntype=\"date\"\r\nname=\"preferred_date\"\r\n>\r\n\r\n<\/div>\r\n\r\n\r\n<div class=\"uspc-field\">\r\n\r\n<label class=\"uspc-label\">\r\n\u5e0c\u671b\u6642\u9593\u5e2f\r\n<\/label>\r\n\r\n<select name=\"preferred_time\">\r\n\r\n<option value=\"\">\r\n\u9078\u629e\u3057\u3066\u304f\u3060\u3055\u3044\r\n<\/option>\r\n\r\n<option value=\"\u5348\u524d\u4e2d\">\r\n\u5348\u524d\u4e2d\r\n<\/option>\r\n\r\n<option value=\"12\u6642\uff5e15\u6642\">\r\n12\u6642\uff5e15\u6642\r\n<\/option>\r\n\r\n<option value=\"15\u6642\uff5e18\u6642\">\r\n15\u6642\uff5e18\u6642\r\n<\/option>\r\n\r\n<option value=\"18\u6642\u4ee5\u964d\">\r\n18\u6642\u4ee5\u964d\r\n<\/option>\r\n\r\n<option value=\"\u3044\u3064\u3067\u3082\u53ef\">\r\n\u3044\u3064\u3067\u3082\u53ef\r\n<\/option>\r\n\r\n<\/select>\r\n\r\n<\/div>\r\n\r\n<\/div>\r\n\r\n\r\n<div class=\"uspc-field\">\r\n\r\n<label class=\"uspc-label\">\r\n\u5e0c\u671b\u3059\u308b\u9023\u7d61\u65b9\u6cd5\r\n<\/label>\r\n\r\n<select name=\"contact_preference\">\r\n\r\n<option value=\"\">\r\n\u9078\u629e\u3057\u3066\u304f\u3060\u3055\u3044\r\n<\/option>\r\n\r\n<option value=\"\u96fb\u8a71\">\r\n\u96fb\u8a71\r\n<\/option>\r\n\r\n<option value=\"\u30e1\u30fc\u30eb\">\r\n\u30e1\u30fc\u30eb\r\n<\/option>\r\n\r\n<option value=\"\u3069\u3061\u3089\u3067\u3082\u53ef\">\r\n\u3069\u3061\u3089\u3067\u3082\u53ef\r\n<\/option>\r\n\r\n<\/select>\r\n\r\n<\/div>\r\n\r\n<\/div>\r\n\r\n\r\n<!-- ====================================\r\n 2. \u76f8\u8ac7\u8005\r\n===================================== -->\r\n\r\n<div class=\"uspc-section\">\r\n\r\n<h2>\r\n<span class=\"uspc-section-number\">\r\n2\r\n<\/span>\r\n\u3054\u76f8\u8ac7\u8005\u69d8\u306b\u3064\u3044\u3066\r\n<\/h2>\r\n\r\n\r\n<div class=\"uspc-two\">\r\n\r\n<div class=\"uspc-field\">\r\n\r\n<label class=\"uspc-label\">\r\n\r\n\u304a\u540d\u524d\r\n\r\n<span class=\"uspc-required\">\r\n\u5fc5\u9808\r\n<\/span>\r\n\r\n<\/label>\r\n\r\n<input\r\ntype=\"text\"\r\nname=\"customer_name\"\r\nrequired\r\nautocomplete=\"name\"\r\n>\r\n\r\n<\/div>\r\n\r\n\r\n<div class=\"uspc-field\">\r\n\r\n<label class=\"uspc-label\">\r\n\u3075\u308a\u304c\u306a\r\n<\/label>\r\n\r\n<input\r\ntype=\"text\"\r\nname=\"customer_kana\"\r\n>\r\n\r\n<\/div>\r\n\r\n<\/div>\r\n\r\n\r\n<div class=\"uspc-two\">\r\n\r\n<div class=\"uspc-field\">\r\n\r\n<label class=\"uspc-label\">\r\n\r\n\u96fb\u8a71\u756a\u53f7\r\n\r\n<span class=\"uspc-required\">\r\n\u5fc5\u9808\r\n<\/span>\r\n\r\n<\/label>\r\n\r\n<input\r\ntype=\"tel\"\r\nname=\"phone\"\r\nrequired\r\nautocomplete=\"tel\"\r\n>\r\n\r\n<\/div>\r\n\r\n\r\n<div class=\"uspc-field\">\r\n\r\n<label class=\"uspc-label\">\r\n\r\n\u30e1\u30fc\u30eb\u30a2\u30c9\u30ec\u30b9\r\n\r\n<span\r\nclass=\"uspc-conditional\"\r\nid=\"uspc-email-badge\"\r\n>\r\n\u30e1\u30fc\u30eb\u30fb\u30aa\u30f3\u30e9\u30a4\u30f3\u306f\u5fc5\u9808\r\n<\/span>\r\n\r\n<\/label>\r\n\r\n<input\r\ntype=\"email\"\r\nname=\"email\"\r\nid=\"uspc-email\"\r\nautocomplete=\"email\"\r\nplaceholder=\"example@example.com\"\r\n>\r\n\r\n<\/div>\r\n\r\n<\/div>\r\n\r\n\r\n<div class=\"uspc-two\">\r\n\r\n<div class=\"uspc-field\">\r\n\r\n<label class=\"uspc-label\">\r\n\u90f5\u4fbf\u756a\u53f7\r\n<\/label>\r\n\r\n<input\r\ntype=\"text\"\r\nname=\"postal\"\r\ninputmode=\"numeric\"\r\nplaceholder=\"\u4f8b\uff1a320-0836\"\r\n>\r\n\r\n<\/div>\r\n\r\n\r\n<div class=\"uspc-field\">\r\n\r\n<label class=\"uspc-label\">\r\n\u76f8\u8ac7\u5bfe\u8c61\u8005\u3068\u306e\u95a2\u4fc2\r\n<\/label>\r\n\r\n<select name=\"relationship\">\r\n\r\n<option value=\"\">\r\n\u9078\u629e\u3057\u3066\u304f\u3060\u3055\u3044\r\n<\/option>\r\n\r\n<option value=\"\u672c\u4eba\">\r\n\u672c\u4eba\r\n<\/option>\r\n\r\n<option value=\"\u914d\u5076\u8005\">\r\n\u914d\u5076\u8005\r\n<\/option>\r\n\r\n<option value=\"\u7236\">\r\n\u7236\r\n<\/option>\r\n\r\n<option value=\"\u6bcd\">\r\n\u6bcd\r\n<\/option>\r\n\r\n<option value=\"\u5b50\">\r\n\u5b50\r\n<\/option>\r\n\r\n<option value=\"\u5144\u5f1f\u30fb\u59c9\u59b9\">\r\n\u5144\u5f1f\u30fb\u59c9\u59b9\r\n<\/option>\r\n\r\n<option value=\"\u89aa\u65cf\">\r\n\u305d\u306e\u4ed6\u89aa\u65cf\r\n<\/option>\r\n\r\n<option value=\"\u305d\u306e\u4ed6\">\r\n\u305d\u306e\u4ed6\r\n<\/option>\r\n\r\n<\/select>\r\n\r\n<\/div>\r\n\r\n<\/div>\r\n\r\n\r\n<div class=\"uspc-field\">\r\n\r\n<label class=\"uspc-label\">\r\n\u4f4f\u6240\r\n<\/label>\r\n\r\n<textarea\r\nname=\"address\"\r\nplaceholder=\"\u5e02\u753a\u6751\u307e\u3067\u3067\u3082\u69cb\u3044\u307e\u305b\u3093\u3002\"\r\n><\/textarea>\r\n\r\n<\/div>\r\n\r\n<\/div>\r\n\r\n\r\n<!-- ====================================\r\n 3. \u5bfe\u8c61\r\n===================================== -->\r\n\r\n<div class=\"uspc-section\">\r\n\r\n<h2>\r\n<span class=\"uspc-section-number\">\r\n3\r\n<\/span>\r\n\u3069\u306a\u305f\u306b\u3064\u3044\u3066\u306e\u3054\u76f8\u8ac7\u3067\u3059\u304b\uff1f\r\n<\/h2>\r\n\r\n\r\n<div class=\"uspc-field\">\r\n\r\n<label class=\"uspc-label\">\r\n\r\n\u76f8\u8ac7\u5bfe\u8c61\r\n\r\n<span class=\"uspc-required\">\r\n\u5fc5\u9808\r\n<\/span>\r\n\r\n<\/label>\r\n\r\n<select\r\nname=\"consult_for\"\r\nrequired\r\n>\r\n\r\n<option value=\"\">\r\n\u9078\u629e\u3057\u3066\u304f\u3060\u3055\u3044\r\n<\/option>\r\n\r\n<option value=\"\u81ea\u5206\u81ea\u8eab\u306e\u5c06\u6765\u306b\u3064\u3044\u3066\">\r\n\u81ea\u5206\u81ea\u8eab\u306e\u5c06\u6765\u306b\u3064\u3044\u3066\r\n<\/option>\r\n\r\n<option value=\"\u3054\u5bb6\u65cf\u306b\u3064\u3044\u3066\">\r\n\u3054\u5bb6\u65cf\u306b\u3064\u3044\u3066\r\n<\/option>\r\n\r\n<option value=\"\u3054\u89aa\u65cf\u306b\u3064\u3044\u3066\">\r\n\u3054\u89aa\u65cf\u306b\u3064\u3044\u3066\r\n<\/option>\r\n\r\n<option value=\"\u305d\u306e\u4ed6\">\r\n\u305d\u306e\u4ed6\r\n<\/option>\r\n\r\n<\/select>\r\n\r\n<\/div>\r\n\r\n\r\n<div class=\"uspc-two\">\r\n\r\n<div class=\"uspc-field\">\r\n\r\n<label class=\"uspc-label\">\r\n\u5bfe\u8c61\u8005\u306e\u304a\u540d\u524d\r\n<\/label>\r\n\r\n<input\r\ntype=\"text\"\r\nname=\"target_name\"\r\n>\r\n\r\n<\/div>\r\n\r\n\r\n<div class=\"uspc-field\">\r\n\r\n<label class=\"uspc-label\">\r\n\u5bfe\u8c61\u8005\u306e\u5e74\u9f62\r\n<\/label>\r\n\r\n<input\r\ntype=\"text\"\r\nname=\"target_age\"\r\nplaceholder=\"\u4f8b\uff1a78\u6b73\"\r\n>\r\n\r\n<\/div>\r\n\r\n<\/div>\r\n\r\n\r\n<div class=\"uspc-field\">\r\n\r\n<label class=\"uspc-label\">\r\n\r\n\u73fe\u5728\u306e\u72b6\u6cc1\r\n\r\n<span class=\"uspc-required\">\r\n\u5fc5\u9808\r\n<\/span>\r\n\r\n<\/label>\r\n\r\n<select\r\nname=\"current_status\"\r\nrequired\r\n>\r\n\r\n<option value=\"\">\r\n\u9078\u629e\u3057\u3066\u304f\u3060\u3055\u3044\r\n<\/option>\r\n\r\n<option value=\"\u5143\u6c17\u3060\u304c\u5c06\u6765\u306b\u5099\u3048\u3066\u76f8\u8ac7\u3057\u305f\u3044\">\r\n\u5143\u6c17\u3060\u304c\u5c06\u6765\u306b\u5099\u3048\u3066\u76f8\u8ac7\u3057\u305f\u3044\r\n<\/option>\r\n\r\n<option value=\"\u9ad8\u9f62\u306e\u305f\u3081\u4e8b\u524d\u306b\u6e96\u5099\u3057\u305f\u3044\">\r\n\u9ad8\u9f62\u306e\u305f\u3081\u4e8b\u524d\u306b\u6e96\u5099\u3057\u305f\u3044\r\n<\/option>\r\n\r\n<option value=\"\u5165\u9662\u4e2d\">\r\n\u5165\u9662\u4e2d\r\n<\/option>\r\n\r\n<option value=\"\u65bd\u8a2d\u5165\u6240\u4e2d\">\r\n\u65bd\u8a2d\u5165\u6240\u4e2d\r\n<\/option>\r\n\r\n<option value=\"\u81ea\u5b85\u7642\u990a\u4e2d\">\r\n\u81ea\u5b85\u7642\u990a\u4e2d\r\n<\/option>\r\n\r\n<option value=\"\u5371\u7be4\u30fb\u7dca\u6025\u6027\u304c\u9ad8\u3044\">\r\n\u5371\u7be4\u30fb\u7dca\u6025\u6027\u304c\u9ad8\u3044\r\n<\/option>\r\n\r\n<option value=\"\u305d\u306e\u4ed6\">\r\n\u305d\u306e\u4ed6\r\n<\/option>\r\n\r\n<\/select>\r\n\r\n<\/div>\r\n\r\n\r\n<div class=\"uspc-field\">\r\n\r\n<label class=\"uspc-label\">\r\n\u76f8\u8ac7\u306e\u7dca\u6025\u5ea6\r\n<\/label>\r\n\r\n<select name=\"urgency\">\r\n\r\n<option value=\"\">\r\n\u9078\u629e\u3057\u3066\u304f\u3060\u3055\u3044\r\n<\/option>\r\n\r\n<option value=\"\u7279\u306b\u6025\u3044\u3067\u3044\u306a\u3044\">\r\n\u7279\u306b\u6025\u3044\u3067\u3044\u306a\u3044\r\n<\/option>\r\n\r\n<option value=\"1\u9031\u9593\u4ee5\u5185\u306b\u76f8\u8ac7\u3057\u305f\u3044\">\r\n1\u9031\u9593\u4ee5\u5185\u306b\u76f8\u8ac7\u3057\u305f\u3044\r\n<\/option>\r\n\r\n<option value=\"\u6570\u65e5\u4ee5\u5185\u306b\u76f8\u8ac7\u3057\u305f\u3044\">\r\n\u6570\u65e5\u4ee5\u5185\u306b\u76f8\u8ac7\u3057\u305f\u3044\r\n<\/option>\r\n\r\n<option value=\"\u3067\u304d\u308b\u3060\u3051\u65e9\u304f\u76f8\u8ac7\u3057\u305f\u3044\">\r\n\u3067\u304d\u308b\u3060\u3051\u65e9\u304f\u76f8\u8ac7\u3057\u305f\u3044\r\n<\/option>\r\n\r\n<\/select>\r\n\r\n<\/div>\r\n\r\n<\/div>\r\n\r\n\r\n<!-- ====================================\r\n 4. \u846c\u5100\u5e0c\u671b\r\n===================================== -->\r\n\r\n<div class=\"uspc-section\">\r\n\r\n<h2>\r\n<span class=\"uspc-section-number\">\r\n4\r\n<\/span>\r\n\u846c\u5100\u306b\u3064\u3044\u3066\r\n<\/h2>\r\n\r\n\r\n<div class=\"uspc-two\">\r\n\r\n<div class=\"uspc-field\">\r\n\r\n<label class=\"uspc-label\">\r\n\u691c\u8a0e\u3057\u3066\u3044\u308b\u846c\u5100\r\n<\/label>\r\n\r\n<select name=\"desired_plan\">\r\n\r\n<option value=\"\">\r\n\u307e\u3060\u6c7a\u307e\u3063\u3066\u3044\u306a\u3044\r\n<\/option>\r\n\r\n<option value=\"\u76f4\u846c\">\r\n\u76f4\u846c\r\n<\/option>\r\n\r\n<option value=\"\u706b\u846c\u5f0f\">\r\n\u706b\u846c\u5f0f\r\n<\/option>\r\n\r\n<option value=\"\u4e00\u65e5\u846c\">\r\n\u4e00\u65e5\u846c\r\n<\/option>\r\n\r\n<option value=\"\u4e8c\u65e5\u846c\u30fb\u5bb6\u65cf\u846c\">\r\n\u4e8c\u65e5\u846c\u30fb\u5bb6\u65cf\u846c\r\n<\/option>\r\n\r\n<option value=\"\u4e00\u822c\u846c\">\r\n\u4e00\u822c\u846c\r\n<\/option>\r\n\r\n<option value=\"\u76f8\u8ac7\u3057\u3066\u6c7a\u3081\u305f\u3044\">\r\n\u76f8\u8ac7\u3057\u3066\u6c7a\u3081\u305f\u3044\r\n<\/option>\r\n\r\n<\/select>\r\n\r\n<\/div>\r\n\r\n\r\n<div class=\"uspc-field\">\r\n\r\n<label class=\"uspc-label\">\r\n\u60f3\u5b9a\u4eba\u6570\r\n<\/label>\r\n\r\n<select name=\"expected_people\">\r\n\r\n<option value=\"\">\r\n\u672a\u5b9a\r\n<\/option>\r\n\r\n<option value=\"10\u4eba\u4ee5\u5185\">\r\n10\u4eba\u4ee5\u5185\r\n<\/option>\r\n\r\n<option value=\"20\u4eba\u4ee5\u5185\">\r\n20\u4eba\u4ee5\u5185\r\n<\/option>\r\n\r\n<option value=\"30\u4eba\u4ee5\u5185\">\r\n30\u4eba\u4ee5\u5185\r\n<\/option>\r\n\r\n<option value=\"50\u4eba\u4ee5\u5185\">\r\n50\u4eba\u4ee5\u5185\r\n<\/option>\r\n\r\n<option value=\"50\u4eba\u4ee5\u4e0a\">\r\n50\u4eba\u4ee5\u4e0a\r\n<\/option>\r\n\r\n<\/select>\r\n\r\n<\/div>\r\n\r\n<\/div>\r\n\r\n\r\n<div class=\"uspc-two\">\r\n\r\n<div class=\"uspc-field\">\r\n\r\n<label class=\"uspc-label\">\r\n\u5e0c\u671b\u5730\u57df\r\n<\/label>\r\n\r\n<input\r\ntype=\"text\"\r\nname=\"desired_area\"\r\nplaceholder=\"\u4f8b\uff1a\u5b87\u90fd\u5bae\u5e02\"\r\n>\r\n\r\n<\/div>\r\n\r\n\r\n<div class=\"uspc-field\">\r\n\r\n<label class=\"uspc-label\">\r\n\u5e0c\u671b\u658e\u5834\u30fb\u706b\u846c\u5834\r\n<\/label>\r\n\r\n<input\r\ntype=\"text\"\r\nname=\"desired_crematorium\"\r\nplaceholder=\"\u4f8b\uff1a\u60a0\u4e45\u306e\u4e18\uff0f\u307e\u3060\u6c7a\u307e\u3063\u3066\u3044\u306a\u3044\"\r\n>\r\n\r\n<\/div>\r\n\r\n<\/div>\r\n\r\n\r\n<div class=\"uspc-two\">\r\n\r\n<div class=\"uspc-field\">\r\n\r\n<label class=\"uspc-label\">\r\n\u5b97\u6559\u30fb\u5b97\u6d3e\r\n<\/label>\r\n\r\n<select name=\"religion\">\r\n\r\n<option value=\"\">\r\n\u672a\u5b9a\u30fb\u4e0d\u660e\r\n<\/option>\r\n\r\n<option value=\"\u7121\u5b97\u6559\">\r\n\u7121\u5b97\u6559\r\n<\/option>\r\n\r\n<option value=\"\u4ecf\u5f0f\">\r\n\u4ecf\u5f0f\r\n<\/option>\r\n\r\n<option value=\"\u795e\u5f0f\">\r\n\u795e\u5f0f\r\n<\/option>\r\n\r\n<option value=\"\u30ad\u30ea\u30b9\u30c8\u6559\">\r\n\u30ad\u30ea\u30b9\u30c8\u6559\r\n<\/option>\r\n\r\n<option value=\"\u53cb\u4eba\u846c\">\r\n\u53cb\u4eba\u846c\r\n<\/option>\r\n\r\n<option value=\"\u305d\u306e\u4ed6\">\r\n\u305d\u306e\u4ed6\r\n<\/option>\r\n\r\n<\/select>\r\n\r\n<\/div>\r\n\r\n\r\n<div class=\"uspc-field\">\r\n\r\n<label class=\"uspc-label\">\r\n\u4e88\u7b97\u306e\u76ee\u5b89\r\n<\/label>\r\n\r\n<select name=\"budget\">\r\n\r\n<option value=\"\">\r\n\u307e\u3060\u6c7a\u3081\u3066\u3044\u306a\u3044\r\n<\/option>\r\n\r\n<option value=\"\u3067\u304d\u308b\u3060\u3051\u8cbb\u7528\u3092\u6291\u3048\u305f\u3044\">\r\n\u3067\u304d\u308b\u3060\u3051\u8cbb\u7528\u3092\u6291\u3048\u305f\u3044\r\n<\/option>\r\n\r\n<option value=\"20\u4e07\u5186\u4ee5\u5185\">\r\n20\u4e07\u5186\u4ee5\u5185\r\n<\/option>\r\n\r\n<option value=\"30\u4e07\u5186\u4ee5\u5185\">\r\n30\u4e07\u5186\u4ee5\u5185\r\n<\/option>\r\n\r\n<option value=\"50\u4e07\u5186\u4ee5\u5185\">\r\n50\u4e07\u5186\u4ee5\u5185\r\n<\/option>\r\n\r\n<option value=\"70\u4e07\u5186\u4ee5\u5185\">\r\n70\u4e07\u5186\u4ee5\u5185\r\n<\/option>\r\n\r\n<option value=\"100\u4e07\u5186\u4ee5\u5185\">\r\n100\u4e07\u5186\u4ee5\u5185\r\n<\/option>\r\n\r\n<option value=\"\u8cbb\u7528\u3088\u308a\u5185\u5bb9\u3092\u91cd\u8996\">\r\n\u8cbb\u7528\u3088\u308a\u5185\u5bb9\u3092\u91cd\u8996\r\n<\/option>\r\n\r\n<\/select>\r\n\r\n<\/div>\r\n\r\n<\/div>\r\n\r\n\r\n<div class=\"uspc-field\">\r\n\r\n<label class=\"uspc-label\">\r\n\u846c\u5100\u5f8c\u306e\u304a\u9aa8\u306b\u3064\u3044\u3066\r\n<\/label>\r\n\r\n<select name=\"ashes_plan\">\r\n\r\n<option value=\"\">\r\n\u307e\u3060\u6c7a\u3081\u3066\u3044\u306a\u3044\r\n<\/option>\r\n\r\n<option value=\"\u304a\u5893\u3078\u7d0d\u9aa8\u4e88\u5b9a\">\r\n\u304a\u5893\u3078\u7d0d\u9aa8\u4e88\u5b9a\r\n<\/option>\r\n\r\n<option value=\"\u6c38\u4ee3\u4f9b\u990a\u3092\u691c\u8a0e\">\r\n\u6c38\u4ee3\u4f9b\u990a\u3092\u691c\u8a0e\r\n<\/option>\r\n\r\n<option value=\"\u6563\u9aa8\u3092\u691c\u8a0e\">\r\n\u6563\u9aa8\u3092\u691c\u8a0e\r\n<\/option>\r\n\r\n<option value=\"\u6d77\u6d0b\u6563\u9aa8\u3092\u691c\u8a0e\">\r\n\u6d77\u6d0b\u6563\u9aa8\u3092\u691c\u8a0e\r\n<\/option>\r\n\r\n<option value=\"\u7c89\u9aa8\u3092\u691c\u8a0e\">\r\n\u7c89\u9aa8\u3092\u691c\u8a0e\r\n<\/option>\r\n\r\n<option value=\"\u76f8\u8ac7\u3057\u305f\u3044\">\r\n\u76f8\u8ac7\u3057\u305f\u3044\r\n<\/option>\r\n\r\n<\/select>\r\n\r\n<\/div>\r\n\r\n<\/div>\r\n\r\n\r\n<!-- ====================================\r\n 5. \u81ea\u7531\u76f8\u8ac7\r\n===================================== -->\r\n\r\n<div class=\"uspc-section\">\r\n\r\n<h2>\r\n<span class=\"uspc-section-number\">\r\n5\r\n<\/span>\r\n\u76f8\u8ac7\u3057\u305f\u3044\u3053\u3068\r\n<\/h2>\r\n\r\n\r\n<div class=\"uspc-field\">\r\n\r\n<label class=\"uspc-label\">\r\n\u3054\u8cea\u554f\u30fb\u3054\u5e0c\u671b\r\n<\/label>\r\n\r\n<textarea\r\nname=\"questions\"\r\nplaceholder=\"\u4f8b\uff1a\r\n\u30fb\u706b\u846c\u5f0f\u3068\u4e00\u65e5\u846c\u306e\u8cbb\u7528\u3092\u6bd4\u8f03\u3057\u305f\u3044\r\n\u30fb\u60a0\u4e45\u306e\u4e18\u3067\u846c\u5100\u3092\u884c\u3044\u305f\u3044\r\n\u30fb\u4e8b\u524d\u306b\u7dcf\u984d\u3092\u77e5\u3063\u3066\u304a\u304d\u305f\u3044\r\n\u30fb\u304a\u5893\u304c\u306a\u3044\u306e\u3067\u846c\u5100\u5f8c\u306e\u4f9b\u990a\u306b\u3064\u3044\u3066\u76f8\u8ac7\u3057\u305f\u3044\r\n\u306a\u3069\u3001\u81ea\u7531\u306b\u3054\u5165\u529b\u304f\u3060\u3055\u3044\u3002\"\r\n><\/textarea>\r\n\r\n<\/div>\r\n\r\n<\/div>\r\n\r\n\r\n<!-- ====================================\r\n \u6700\u7d42\u78ba\u8a8d\r\n===================================== -->\r\n\r\n<div class=\"uspc-final\">\r\n\r\n<strong>\r\n\u9001\u4fe1\u524d\u306b\u3054\u78ba\u8a8d\u304f\u3060\u3055\u3044\r\n<\/strong>\r\n\r\n<br><br>\r\n\r\n\u3053\u306e\u30d5\u30a9\u30fc\u30e0\u306f\u3001\r\n\u5b87\u90fd\u5bae\u5e02\u6c11\u846c\u796d\u3078\u306e\u7121\u6599\u4e8b\u524d\u76f8\u8ac7\u30d5\u30a9\u30fc\u30e0\u3067\u3059\u3002\r\n\r\n<br>\r\n\r\n\u9001\u4fe1\u3057\u305f\u3060\u3051\u3067\u846c\u5100\u306e\u7533\u8fbc\u307f\u3084\u5951\u7d04\u304c\r\n\u78ba\u5b9a\u3059\u308b\u3082\u306e\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002\r\n\r\n<br><br>\r\n\r\n\u9001\u4fe1\u5f8c\u306b\r\n<strong>\u76f8\u8ac7\u756a\u53f7<\/strong>\r\n\u3092\u767a\u884c\u3057\u3001\r\n\u9001\u4fe1\u3057\u305f\u76f8\u8ac7\u5185\u5bb9\u3092\u753b\u50cf\u4fdd\u5b58\u3067\u304d\u307e\u3059\u3002\r\n\r\n<\/div>\r\n\r\n\r\n<label class=\"uspc-check\">\r\n\r\n<input\r\ntype=\"checkbox\"\r\nname=\"confirm\"\r\nvalue=\"\u78ba\u8a8d\u6e08\u307f\"\r\nrequired\r\n>\r\n\r\n\u5165\u529b\u5185\u5bb9\u306b\u9593\u9055\u3044\u304c\u306a\u3044\u3053\u3068\u3092\u78ba\u8a8d\u3057\u307e\u3057\u305f\u3002\r\n\r\n<span class=\"uspc-required\">\r\n\u5fc5\u9808\r\n<\/span>\r\n\r\n<\/label>\r\n\r\n\r\n<label class=\"uspc-check\">\r\n\r\n<input\r\ntype=\"checkbox\"\r\nname=\"privacy\"\r\nvalue=\"\u540c\u610f\u3059\u308b\"\r\nrequired\r\n>\r\n\r\n\u5165\u529b\u3057\u305f\u60c5\u5831\u3092\u4e8b\u524d\u76f8\u8ac7\u30fb\u9023\u7d61\u306e\u305f\u3081\u306b\r\n\u4f7f\u7528\u3059\u308b\u3053\u3068\u306b\u540c\u610f\u3057\u307e\u3059\u3002\r\n\r\n<span class=\"uspc-required\">\r\n\u5fc5\u9808\r\n<\/span>\r\n\r\n<\/label>\r\n\r\n\r\n<div class=\"uspc-hp\">\r\n\r\n<input\r\ntype=\"text\"\r\nname=\"website\"\r\ntabindex=\"-1\"\r\nautocomplete=\"off\"\r\n>\r\n\r\n<\/div>\r\n\r\n\r\n<button\r\ntype=\"submit\"\r\nclass=\"uspc-submit\"\r\n>\r\n\u3053\u306e\u5185\u5bb9\u3067\u7121\u6599\u4e8b\u524d\u76f8\u8ac7\u3092\u9001\u4fe1\u3059\u308b\r\n<\/button>\r\n\r\n\r\n<p class=\"uspc-help\"\r\nstyle=\"\r\ntext-align:center;\r\nmargin-top:12px;\r\n\">\r\n\r\n\u9001\u4fe1\u5f8c\u306b\u76f8\u8ac7\u756a\u53f7\u304c\u8868\u793a\u3055\u308c\u307e\u3059\u3002<br>\r\n\u76f8\u8ac7\u5185\u5bb9\u306f\u5b87\u90fd\u5bae\u5e02\u6c11\u846c\u796d\u3078\u30e1\u30fc\u30eb\u9001\u4fe1\u3055\u308c\u3001\r\n\u540c\u3058\u5185\u5bb9\u3092\u753b\u50cf\u3068\u3057\u3066\u4fdd\u5b58\u3067\u304d\u307e\u3059\u3002\r\n\r\n<\/p>\r\n\r\n\r\n<\/form>\r\n\r\n\r\n<!-- ====================================\r\n \u6761\u4ef6\u4ed8\u304d\u30e1\u30fc\u30eb\u5fc5\u9808\r\n===================================== -->\r\n\r\n<script>\r\n\r\n(function(){\r\n\r\nconst radios =\r\ndocument.querySelectorAll(\r\n'input[name=\"consult_method\"]'\r\n);\r\n\r\nconst email =\r\ndocument.getElementById(\r\n'uspc-email'\r\n);\r\n\r\nif(\r\n!radios.length ||\r\n!email\r\n){\r\nreturn;\r\n}\r\n\r\n\r\nfunction updateEmail(){\r\n\r\nlet selected = '';\r\n\r\n\r\nradios.forEach(function(radio){\r\n\r\nif(radio.checked){\r\nselected = radio.value;\r\n}\r\n\r\n});\r\n\r\n\r\nif(\r\nselected === '\u30e1\u30fc\u30eb\u76f8\u8ac7' ||\r\nselected === '\u30aa\u30f3\u30e9\u30a4\u30f3\u76f8\u8ac7'\r\n){\r\n\r\nemail.required = true;\r\n\r\n}else{\r\n\r\nemail.required = false;\r\n\r\n}\r\n\r\n}\r\n\r\n\r\nradios.forEach(function(radio){\r\n\r\nradio.addEventListener(\r\n'change',\r\nupdateEmail\r\n);\r\n\r\n});\r\n\r\n\r\nupdateEmail();\r\n\r\n})();\r\n\r\n<\/script>\r\n\r\n\r\n\r\n\r\n<\/section>\r\n\r\n<\/div>\r\n\r\n\r\n\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center 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