{"id":3391,"date":"2026-09-28T13:16:52","date_gmt":"2026-09-28T04:16:52","guid":{"rendered":"https:\/\/junpukai.or.jp\/health\/?page_id=3391"},"modified":"2026-10-01T17:06:33","modified_gmt":"2026-10-01T08:06:33","slug":"other-form","status":"publish","type":"page","link":"https:\/\/junpukai.or.jp\/health\/other-form\/","title":{"rendered":"\u305d\u306e\u4ed6 \u304a\u554f\u3044\u5408\u308f\u305b\u306f\u3053\u3061\u3089"},"content":{"rendered":"<div class=\"inner mb-65\">\r\n  <div class=\"contact-category-view\">\r\n    <div class=\"contact-category contact active\">\r\n      <h2>\u304a\u554f\u3044\u5408\u308f\u305b\u30d5\u30a9\u30fc\u30e0<span class=\"en-ttl\">Contact form<\/span><\/h2>\r\n      <div class=\"mb-40\">\r\n        <div class=\"form-txt\">\r\n          <ul class=\"no-mt\">\r\n            <li>\r\n              <p>\u5f8c\u65e5\u3001\u6df3\u98a8\u4f1a\u306e\u55b6\u696d\u62c5\u5f53\u8005\u3088\u308a\u3054\u9023\u7d61\u3055\u305b\u3066\u3044\u305f\u3060\u304d\u307e\u3059\u3002<\/p>\r\n            <\/li>\r\n            <li>\u9001\u4fe1\u524d\u306b\u30c9\u30e1\u30a4\u30f3\u6307\u5b9a\u53d7\u4fe1\u7b49\u306e\u8a2d\u5b9a\u3092\u78ba\u8a8d\u3057\u3066\u304f\u3060\u3055\u3044\u3002<br>\u30c9\u30e1\u30a4\u30f3\u6307\u5b9a\u53d7\u4fe1\u3092\u3057\u3066\u3044\u308b\u5834\u5408\u3001@junpukai.or.jp \u306e\u8ffd\u52a0\u3092\u304a\u9858\u3044\u3057\u307e\u3059\u3002<br>\u8ff7\u60d1\u30e1\u30fc\u30eb\u5bfe\u7b56\u7b49\u3067\u30a4\u30f3\u30bf\u30fc\u30cd\u30c3\u30c8\u30e1\u30fc\u30eb\u306e\u62d2\u5426\u8a2d\u5b9a\u3092\u884c\u3063\u3066\u3044\u308b\u3068\u3001\u53d7\u4fe1\u3067\u304d\u307e\u305b\u3093\u3002<\/li>\r\n          <\/ul>\r\n        <\/div>\r\n      <\/div>\r\n      \n<div class=\"wpcf7 no-js\" id=\"wpcf7-f1665-o1\" lang=\"ja\" dir=\"ltr\" data-wpcf7-id=\"1665\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/health\/wp-json\/wp\/v2\/pages\/3391#wpcf7-f1665-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"\u30b3\u30f3\u30bf\u30af\u30c8\u30d5\u30a9\u30fc\u30e0\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"1665\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.4\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"ja\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f1665-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7cf_hidden_group_fields\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_hidden_groups\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_visible_groups\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_repeaters\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_steps\" value=\"{}\" \/><input type=\"hidden\" name=\"_wpcf7cf_options\" value=\"{&quot;form_id&quot;:1665,&quot;conditions&quot;:[],&quot;settings&quot;:{&quot;animation&quot;:&quot;yes&quot;,&quot;animation_intime&quot;:200,&quot;animation_outtime&quot;:200,&quot;conditions_ui&quot;:&quot;normal&quot;,&quot;notice_dismissed&quot;:false}}\" \/><input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/fieldset>\n<table class=\"table-01\">\n\t<tr>\n\t\t<th class=\"need top\" scope=\"row\">\n\t\t\t<p>\u4e8b\u696d\u6240\u540d\n\t\t\t<\/p>\n\t\t<\/th>\n\t\t<td>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"office\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"office\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/td>\n\t<\/tr>\n\t<tr>\n\t\t<th class=\"need top\" scope=\"row\">\n\t\t\t<p>\u6240\u5728\u5730\n\t\t\t<\/p>\n\t\t<\/th>\n\t\t<td>\n\t\t\t<p>\u3012<span class=\"wpcf7-form-control-wrap\" data-name=\"zip03\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required zip-input\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"zip03\" \/><\/span><span class=\"hyphen\">-<\/span><span class=\"wpcf7-form-control-wrap\" data-name=\"zip04\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required zip-input02\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"zip04\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"address\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"address\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/td>\n\t<\/tr>\n\t<tr>\n\t\t<th class=\"need top\" scope=\"row\">\n\t\t\t<p>\u3054\u62c5\u5f53\u8005\u540d\n\t\t\t<\/p>\n\t\t<\/th>\n\t\t<td>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"userName\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-name\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/td>\n\t<\/tr>\n\t<tr>\n\t\t<th class=\"need top\" scope=\"row\">\n\t\t\t<p>\u3054\u62c5\u5f53\u8005\u30e1\u30fc\u30eb\u30a2\u30c9\u30ec\u30b9\n\t\t\t<\/p>\n\t\t<\/th>\n\t\t<td>\n\t\t\t<p><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 input-long\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"your-email\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/td>\n\t<\/tr>\n\t<tr>\n\t\t<th class=\"need top\" scope=\"row\">\n\t\t\t<p>\u304a\u96fb\u8a71\u756a\u53f7\n\t\t\t<\/p>\n\t\t<\/th>\n\t\t<td>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"type-01\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"type-01\" value=\"\u4f1a\u793e\" \/><span class=\"wpcf7-list-item-label\">\u4f1a\u793e<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"type-01\" value=\"\u643a\u5e2f\" \/><span class=\"wpcf7-list-item-label\">\u643a\u5e2f<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"type-01\" value=\"\u305d\u306e\u4ed6\" \/><span class=\"wpcf7-list-item-label\">\u305d\u306e\u4ed6<\/span><\/label><\/span><\/span><\/span><span class=\"wpcf7-form-control-wrap\" data-name=\"tel\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel only-number\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"tel\" \/><\/span><span class=\"sub-txt\">\u203b\u30cf\u30a4\u30d5\u30f3\u4e0d\u8981\u3001\u534a\u89d2\u6570\u5b57\u3067\u5165\u529b\u3057\u3066\u304f\u3060\u3055\u3044\u3002<\/span>\n\t\t\t<\/p>\n\t\t<\/td>\n\t<\/tr>\n\t<tr>\n\t\t<th class=\"need start\" scope=\"row\">\n\t\t\t<p>\u304a\u554f\u3044\u5408\u308f\u305b\u306e\u5185\u5bb9\n\t\t\t<\/p>\n\t\t<\/th>\n\t\t<td>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-message\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"your-message\"><\/textarea><\/span>\n\t\t\t<\/p>\n\t\t<\/td>\n\t<\/tr>\n<\/table>\n<div class=\"txt-center\">\n\t<p class=\"confirm-txt confirm-contact\">\n\t<\/p>\n\t<p><br \/>\n<input class=\"wpcf7-form-control wpcf7-submit has-spinner btn_send\" type=\"submit\" value=\"\u30d7\u30e9\u30a4\u30d0\u30b7\u30fc\u30dd\u30ea\u30b7\u30fc\u306b\u540c\u610f\u3057\u3066\u9001\u4fe1\" \/>\n\t<\/p>\n\t<p><a href=\"https:\/\/junpukai.or.jp\/health\/privacy\/\">\u30d7\u30e9\u30a4\u30d0\u30b7\u30fc\u30dd\u30ea\u30b7\u30fc\u306f\u3053\u3061\u3089<\/a>\n\t<\/p>\n<\/div><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\r\n    <\/div>\r\n  <\/div>\r\n<\/div>","protected":false},"excerpt":{"rendered":"\u304a\u554f\u3044\u5408\u308f\u305b\u30d5\u30a9\u30fc\u30e0Contact form \u5f8c\u65e5\u3001\u6df3\u98a8\u4f1a\u306e\u55b6\u696d\u62c5\u5f53\u8005\u3088\u308a\u3054\u9023\u7d61\u3055\u305b\u3066\u3044\u305f\u3060\u304d\u307e\u3059\u3002 \u9001\u4fe1\u524d\u306b\u30c9\u30e1\u30a4\u30f3\u6307\u5b9a\u53d7\u4fe1\u7b49\u306e\u8a2d\u5b9a\u3092\u78ba\u8a8d\u3057\u3066\u304f\u3060\u3055\u3044\u3002\u30c9\u30e1\u30a4\u30f3\u6307\u5b9a\u53d7\u4fe1\u3092\u3057\u3066\u3044\u308b\u5834\u5408\u3001@junpukai.or.jp \u306e [&hellip;]","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-3391","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/junpukai.or.jp\/health\/wp-json\/wp\/v2\/pages\/3391","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/junpukai.or.jp\/health\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/junpukai.or.jp\/health\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/junpukai.or.jp\/health\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/junpukai.or.jp\/health\/wp-json\/wp\/v2\/comments?post=3391"}],"version-history":[{"count":6,"href":"https:\/\/junpukai.or.jp\/health\/wp-json\/wp\/v2\/pages\/3391\/revisions"}],"predecessor-version":[{"id":3405,"href":"https:\/\/junpukai.or.jp\/health\/wp-json\/wp\/v2\/pages\/3391\/revisions\/3405"}],"wp:attachment":[{"href":"https:\/\/junpukai.or.jp\/health\/wp-json\/wp\/v2\/media?parent=3391"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}