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["参加用紙（切り取って応募しよう）"]
[null,"STEP１",null,null,"まずは目標をたてよう！"]
[null,"例）2日に1回は体を動かす　毎日血圧を測る　体重を減らす等\nわたしの チャレンジ宣言！："]
[]
[null,"STEP2",null,null,"歩数を記入しよう！",null,null,null,null,null,null,null,"スポーツ・筋トレや体操などの\n運動も歩数に換算して記入しよう。"]
[null,"8月",null,null,null,null,null,"9月",null,null,null,null,null,null,null,null,null,null,"10月"]
[null,21,"月",null,null,"歩",null,1,"金",null,null,"歩",17,"日",null,null,"歩",null,1,"日",null,null,"歩",17,"火",null,null,"歩"]
[null,22,"火",null,null,"歩",null,2,"土",null,null,"歩",18,"月",null,null,"歩",null,2,"月",null,null,"歩",18,"水",null,null,"歩"]
[null,23,"水",null,null,"歩",null,3,"日",null,null,"歩",19,"火",null,null,"歩",null,3,"火",null,null,"歩",19,"木",null,null,"歩"]
[null,24,"木",null,null,"歩",null,4,"月",null,null,"歩",20,"水",null,null,"歩",null,4,"水",null,null,"歩",20,"金",null,null,"歩"]
[null,25,"金",null,null,"歩",null,5,"火",null,null,"歩",21,"木",null,null,"歩",null,5,"木",null,null,"歩"]
[null,26,"土",null,null,"歩",null,6,"水",null,null,"歩",22,"金",null,null,"歩",null,6,"金",null,null,"歩"]
[null,27,"日",null,null,"歩",null,7,"木",null,null,"歩",23,"土",null,null,"歩",null,7,"土",null,null,"歩"]
[null,28,"月",null,null,"歩",null,8,"金",null,null,"歩",24,"日",null,null,"歩",null,8,"日",null,null,"歩"]
[null,29,"火",null,null,"歩",null,9,"土",null,null,"歩",25,"月",null,null,"歩",null,9,"月",null,null,"歩"]
[null,30,"水",null,null,"歩",null,10,"日",null,null,"歩",26,"火",null,null,"歩",null,10,"火",null,null,"歩"]
[null,31,"木",null,null,"歩",null,11,"月",null,null,"歩",27,"水",null,null,"歩",null,11,"水",null,null,"歩"]
[null,null,null,null,null,null,null,12,"火",null,null,"歩",28,"木",null,null,"歩",null,12,"木",null,null,"歩"]
[null,null,null,null,null,null,null,13,"水",null,null,"歩",29,"金",null,null,"歩",null,13,"金",null,null,"歩"]
[null,null,null,null,null,null,null,14,"木",null,null,"歩",30,"土",null,null,"歩",null,14,"土",null,null,"歩"]
[null,null,null,null,null,null,null,15,"金",null,null,"歩",null,null,null,null,null,null,15,"日",null,null,"歩"]
[null,"8月計",null,{"$f":"SUM(D7:E17)","v":0},null,"歩",null,16,"土",null,null,"歩","9月計",null,{"$f":"SUM(J7:K22)+SUM(O7:P20)","v":0},null,"歩",null,16,"月",null,null,"歩","10月計",null,{"$f":"SUM(U7:V22)+SUM(Z7:AA10)","v":0},null,"歩"]
[]
[null,"①歩数合計",null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"D22+O22+Z22","v":0},null,null,null,null,null,null,"ポイント",null,null,"（歩相当）"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
["　"]
[]
[]
[]
[]
[]
[]
[null,"②あなたのおすすめウオーキングコース",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"①+②の合計"]
[null,"出発地点",null,null,null,"（","  ",null,null,null,null,"）"]
[null,"ゴール地点",null,null,null,"（",null,null,null,null,null,"）",null,null,null,null,null,null,"①",{"$f":"O24","v":0},null,null,null,null,"ポイント"]
[null,"見どころ・おすすめポイント",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"②",5000,null,null,null,null,"ポイント"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"T44+T45","v":5000}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"計",null,null,null,null,null,null,"ポイント"]
[null,"※「②あなたのおすすめウオーキングコース」は記載がなくても応募可能です"]

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[]
[]
[]
[]
[null,"1年に1回受診（令和4年11月1日以降の受診）",null,null,null,null,null,null,null,null,"2年に1回受診（令和3年11月1日以降の受診）"]
[null,"特定健康診査",null,null,"大腸がん検診",null,null,"肺がん検診",null,null,"胃がん検診",null,null,"子宮頸がん検診",null,"乳がん検診"]
[null,"●受診日",null,null,"●受診日",null,null,"●受診日",null,null,"●受診日",null,null,"●受診日",null,"●受診日"]
[null,"　　　　年　　月　　日",null,null,"　　　　年　　月　　日",null,null,"　　　　年　　月　　日",null,null,"　　　　年　　月　　日",null,null,"　　　　年　　月　　日",null,"　　　　年　　月　　日"]
[null,"●受診機関",null,null,"●受診機関",null,null,"●受診機関",null,null,"●受診機関",null,null,"●受診機関",null,"●受診機関"]
[null,"　　　　　　　　　　　",null,null,"　　　　　　　　　　　",null,null,"　　　　　　　　　　　",null,null,"　　　　　　　　　　　",null,null,"　　　　　　　　　　　",null,"　　　　　　　　　　　"]
[]
[null,"その他の健診（令和4年11月1日以降の受診）"]
[null,"定期健康診査",null,null,"その他の健診・検診"]
[null,"●受診日",null,null,"●受診日",null,null,"●受診日"]
[null,"　　　　年　　月　　日",null,null,"　　　　年　　月　　日",null,null,"　　　　年　　月　　日"]
[null,"●受診機関",null,null,"●受診機関",null,null,"●受診機関"]
[null,"　　　　　　　　　　　",null,null,"　　　　　　　　　　　",null,null,"　　　　　　　　　　　"]
[null,"健診・検診を受けていないかたは下記のいずれかにチェック"]
[null,"　　医療機関で定期的に経過観察しているため受けていない",null,null,null,null,null,null,null,null,"　これから受ける予定",null,null,null,"受ける予定はない"]
[]
[]
[]
[null,null,null,"開始前",null,null,null,null,null,null,"終了後"]
[null,"測定日/場所",null,"測定日：　　月　　日/測定場所：",null,null,null,null,null,null,"測定日：　　月　　日/測定場所："]
[null,"体重",null,"Kg",null,null,null,null,null,null,"Kg"]
[null,"血圧",null,"　　　　　　            /              　 ｍｍHg",null,null,null,null,null,null,"　　　　　　            /             　  ｍｍHg"]
[null,"体脂肪率",null,"                                          %",null,null,null,null,null,null,"                                          %"]
[]
[]
[]
[]
[null,"　血圧が下がった",null,null,null,"体重または体脂肪率が減少した",null,null,null,null,"4ページ目の目標を達成できた"]
[null,"　健診・検診データが改善した"]
[null," （検査項目：　　　　数値：　　　　）⇒（検査項目：　　　　数値：　　　　）"]
[null,"　1ヶ月以上の禁煙に成功した　　　1ヶ月以上適正飲酒を心がけた・飲酒量を減らした"]
[null,"　その他（　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　）"]
[]
[]
[]
[null,"ふりがな",null,null,null,null,null,null,null,null,"　　　　　　　　    　　　アンケート\nＱ．あおもりウオークトライアルについてご回答下さい。\n①あおもりウオークトライアルを何で知りましたか。\n1.元気プラザ　2.市役所本庁舎　3.駅前庁舎\n4.柳川庁舎　　5.浪岡庁舎　　　6.市民センター\n7..家族・友人・知人の紹介　　  8.広報あおもり\n9.職場　         10.その他（　　　　　　　                         ）\n②生活の中で歩いたり運動したりすることが増えましたか。\n1.増えた　2.減った　3.現状維持\n③今後もウオーキングや運動を生活の中で続けますか。\n1.はい　2.いいえ　3.どちらとも言えない　　　　　　\n④日々の記録や応募方法について、どのように感じますか。\n1.このままがよい　2.アプリなど電子ツールが良い\n3.その他（                                                 )　\n⑤感想や要望があればお知らせください。"]
[null,"お名前"]
[null,"ご住所（賞品お届け先）〒"]
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[null,"連絡先（電話番号またはメールアドレス）"]
[]
[null,"所属（学校名・会社名など）"]
[]
[]
[null,"年齢（令和5年10月20日現在）"]
[null,"歳"]
[null,"ご希望の賞品番号　お楽しみ賞品一覧から選んでください"]