<div id="root" style="opacity: 1;"><main data-qa="renderer" class="stkv-t-font--helvetica-neue--mac-" style="height: 100%; position: relative;"><div class="base-styles__BaseStyle-sc-1oava9b-0 hjXNvE" style="height: 100%;"><div class="background__Background-esq3f2-0 hmtAlZ"></div><div aria-hidden="false" id="stkv-form-root" class="Form__Root-sc-18c4ntz-0 eJzWIP"><div aria-hidden="true" data-qa-stickyheader-visible="false" class="StickyHeaderContainer__Wrapper-sc-1tjdqrs-0 bLrXNf"><div class="helper-header__HelperHeaderWrapper-gf2ih3-0 gdJJIE"><div class="layout-container__Root-fb7y4k-0 iyZjmN"><div class="helper-header__Sections-gf2ih3-1 jnVTEK"><div class="helper-header__HeadersSection-gf2ih3-2 cGzRSN"><div class="animate__AnimateStyled-sc-1ua827t-0 LYjxR" hidden=""><div class="spacer__Spacer-sc-11bdvt0-0 ikMtGz"><div class="question-header__HeaderWrapper-z8zey9-2 jofLaS"><div class="question-header__CounterPosition-z8zey9-1 drwqUh"><div class="question-header__CounterContent-z8zey9-0 bxbREK"><span data-qa="question-header-counter" class="text__TextWrapper-sc-1t2ribu-0 dWyAtB"><span aria-hidden="true"></span></span></div></div><div data-qa="helper-header-group-title" class="text__TextWrapper-sc-1t2ribu-0 eUpaCl"><div>&nbsp;</div></div></div></div></div><div class="animate__AnimateStyled-sc-1ua827t-0 LYjxR" hidden=""><div class="question-header__HeaderWrapper-z8zey9-2 jofLaS"><div class="question-header__CounterPosition-z8zey9-1 drwqUh"><div class="question-header__CounterContent-z8zey9-0 bxbREK"><span data-qa="question-header-counter" class="text__TextWrapper-sc-1t2ribu-0 dWyAtB"><span aria-hidden="true"></span></span></div></div><div data-qa="helper-header-block-title" class="text__TextWrapper-sc-1t2ribu-0 eUpaCl"><div>&nbsp;</div></div></div></div></div><div class="animate__AnimateStyled-sc-1ua827t-0 LYjxR" hidden=""></div></div></div></div></div><div class="BlockList__Root-ny54fa-0 leFCVs"><div class="MouseWheelTrigger__Root-sc-1nbmmxo-0 iYunMX" style="height: 100%;"><div style="height: 100%;"><div class="blocks__Root-sc-1biwhcv-0 bNHsiZ"><div class="BlockList__Wrapper-ny54fa-1 gVVKnN"><section class="block-section__LayoutWrapper-vw1wyv-0 qendZ"><div data-qa="blocktype-multipleChoice deep-purple-blocktype-multipleChoice" data-qa-block="true" data-qa-blockref="5b944b41-617b-44dd-bfa7-93d57303428c" id="block-5b944b41-617b-44dd-bfa7-93d57303428c" data-qa-focused="true" class="block-section__Section-vw1wyv-1 dALCgW"><div data-qa="block-scroller" class="block-scroller__Root-sc-23jz1-0 gzwfKN"><div class="block-scroller__Positioner-sc-23jz1-1 bmYwzA"><div class="block-structure__Root-sc-1esu8nk-2"><div class="layout-container__Root-fb7y4k-0 iyZjmN"><div class="spacer__Spacer-sc-11bdvt0-0 fvACMB"><fieldset class="block-structure__Fieldset-sc-1esu8nk-3 bMlxys"><legend class="a11y-visually-hidden__A11yVisuallyHidden-sc-19v2sdi-0 cByvFr">質問 1 家族構成を教えてください </legend><div><div class="question-header__HeaderWrapper-z8zey9-2 jofLaS"><div class="question-header__CounterPosition-z8zey9-1 drwSTT"><div id="header-counter-5b944b41-617b-44dd-bfa7-93d57303428c" class="question-header__CounterContent-z8zey9-0 bxbREK"><span data-qa="question-header-counter" class="text__TextWrapper-sc-1t2ribu-0 hyTffG"><span aria-hidden="true">1</span></span><div class="spacer__Spacer-sc-11bdvt0-0 eNSHeB"><span aria-hidden="true" class="icon__Boundary-sc-2r3yc0-0 gidZEG"><svg height="8" width="7"><path d="M5 3.5v1.001H-.002v-1z"></path><path d="M4.998 4L2.495 1.477 3.2.782 6.416 4 3.199 7.252l-.704-.709z"></path></svg></span></div></div></div><div class="text__TextWrapper-sc-1t2ribu-0 kqxEvJ"><span data-qa="block-title deep-purple-block-title" aria-hidden="true" class="text__TextWrapper-sc-1t2ribu-0 fphPka">家族構成を教えてください</span></div></div></div><div class="spacer__Spacer-sc-11bdvt0-0 bOHLBS"><div><div style="position: relative;"><ul data-qa="choice-list" class="choices-layout__ChoicesLayoutWrapper-qpux4o-0 bHDXcY" role="listbox" aria-multiselectable="false"><li aria-disabled="false" aria-selected="false" class="base-choice__Root-sc-5koeqf-0 eszUEo checkbox-choice__ChoiceRoot-m4g23g-0 cBqVYk" data-force-hovered="false" data-qa="choice" data-qa-index="0" data-qa-selected="false" data-selectable="true" tabindex="0" role="option" style="margin-bottom: 8px; margin-right: 0px; width: 100%;"><div class="key-helper__Root-p7s0zv-0 cGqEea"><div aria-hidden="true" class="key-helper__KeyHelperWrapper-p7s0zv-1 cfVzBo"><div class="key-helper__HintWrapper-p7s0zv-5 SksBF"><div class="key-helper__Hint-p7s0zv-3 lCVmo"><span class="key-helper__Letter-p7s0zv-2 ggcbVo">A</span></div></div></div></div><div class="checkbox-choice__ChoiceContent-m4g23g-1 cySiBW"><div class="text__TextWrapper-sc-1t2ribu-0 cIbwEz">1人暮らし</div></div><div class="checkbox-choice__CheckboxContent-m4g23g-2 fuEQbI"><span data-qa="icon-check-svg" class="icon__Boundary-sc-2r3yc0-0 gidZEG"><svg height="13" width="16"><path d="M14.293.293l1.414 1.414L5 12.414.293 7.707l1.414-1.414L5 9.586z"></path></svg></span></div></li><li aria-disabled="false" aria-selected="false" class="base-choice__Root-sc-5koeqf-0 eszUEo checkbox-choice__ChoiceRoot-m4g23g-0 cBqVYk" data-force-hovered="false" data-qa="choice" data-qa-index="1" data-qa-selected="false" data-selectable="true" tabindex="-1" role="option" style="margin-bottom: 8px; margin-right: 0px; width: 100%;"><div class="key-helper__Root-p7s0zv-0 cGqEea"><div aria-hidden="true" class="key-helper__KeyHelperWrapper-p7s0zv-1 cfVzBo"><div class="key-helper__HintWrapper-p7s0zv-5 SksBF"><div class="key-helper__Hint-p7s0zv-3 lCVmo"><span class="key-helper__Letter-p7s0zv-2 ggcbVo">B</span></div></div></div></div><div class="checkbox-choice__ChoiceContent-m4g23g-1 cySiBW"><div class="text__TextWrapper-sc-1t2ribu-0 cIbwEz">2人暮らし(お子様なし)</div></div><div class="checkbox-choice__CheckboxContent-m4g23g-2 fuEQbI"><span data-qa="icon-check-svg" class="icon__Boundary-sc-2r3yc0-0 gidZEG"><svg height="13" width="16"><path d="M14.293.293l1.414 1.414L5 12.414.293 7.707l1.414-1.414L5 9.586z"></path></svg></span></div></li><li aria-disabled="false" aria-selected="false" class="base-choice__Root-sc-5koeqf-0 eszUEo checkbox-choice__ChoiceRoot-m4g23g-0 cBqVYk" data-force-hovered="false" data-qa="choice" data-qa-index="2" data-qa-selected="false" data-selectable="true" tabindex="-1" role="option" style="margin-bottom: 8px; margin-right: 0px; width: 100%;"><div class="key-helper__Root-p7s0zv-0 cGqEea"><div aria-hidden="true" class="key-helper__KeyHelperWrapper-p7s0zv-1 cfVzBo"><div class="key-helper__HintWrapper-p7s0zv-5 SksBF"><div class="key-helper__Hint-p7s0zv-3 lCVmo"><span class="key-helper__Letter-p7s0zv-2 ggcbVo">C</span></div></div></div></div><div class="checkbox-choice__ChoiceContent-m4g23g-1 cySiBW"><div class="text__TextWrapper-sc-1t2ribu-0 cIbwEz">小学生以下の年齢のお子様あり</div></div><div class="checkbox-choice__CheckboxContent-m4g23g-2 fuEQbI"><span data-qa="icon-check-svg" class="icon__Boundary-sc-2r3yc0-0 gidZEG"><svg height="13" width="16"><path d="M14.293.293l1.414 1.414L5 12.414.293 7.707l1.414-1.414L5 9.586z"></path></svg></span></div></li><li aria-disabled="false" aria-selected="false" class="base-choice__Root-sc-5koeqf-0 eszUEo checkbox-choice__ChoiceRoot-m4g23g-0 cBqVYk" data-force-hovered="false" data-qa="choice" data-qa-index="3" data-qa-selected="false" data-selectable="true" tabindex="-1" role="option" style="margin-bottom: 8px; margin-right: 0px; width: 100%;"><div class="key-helper__Root-p7s0zv-0 cGqEea"><div aria-hidden="true" class="key-helper__KeyHelperWrapper-p7s0zv-1 cfVzBo"><div class="key-helper__HintWrapper-p7s0zv-5 SksBF"><div class="key-helper__Hint-p7s0zv-3 lCVmo"><span class="key-helper__Letter-p7s0zv-2 ggcbVo">D</span></div></div></div></div><div class="checkbox-choice__ChoiceContent-m4g23g-1 cySiBW"><div class="text__TextWrapper-sc-1t2ribu-0 cIbwEz">中学生以上の年齢のお子様あり</div></div><div class="checkbox-choice__CheckboxContent-m4g23g-2 fuEQbI"><span data-qa="icon-check-svg" class="icon__Boundary-sc-2r3yc0-0 gidZEG"><svg height="13" width="16"><path d="M14.293.293l1.414 1.414L5 12.414.293 7.707l1.414-1.414L5 9.586z"></path></svg></span></div></li></ul><div class="erd_scroll_detection_container erd_scroll_detection_container_animation_active" style="visibility: hidden; display: inline; width: 0px; height: 0px; z-index: -1; overflow: hidden; margin: 0px; padding: 0px;"><div dir="ltr" class="erd_scroll_detection_container" style="position: absolute; flex: 0 0 auto; overflow: hidden; z-index: -1; visibility: hidden; width: 100%; height: 100%; left: 0px; top: 0px;"><div class="erd_scroll_detection_container" style="position: absolute; flex: 0 0 auto; overflow: hidden; z-index: -1; visibility: hidden; left: -1px; top: -1px; right: 0px; bottom: 0px;"><div style="position: absolute; flex: 0 0 auto; overflow: scroll; z-index: -1; visibility: hidden; width: 100%; height: 100%;"><div style="position: absolute; left: 0px; top: 0px; width: 306px; height: 227px;"></div></div><div style="position: absolute; flex: 0 0 auto; overflow: scroll; z-index: -1; visibility: hidden; width: 100%; height: 100%;"><div style="position: absolute; width: 200%; height: 200%;"></div></div></div></div></div></div><div class="spacer__Spacer-sc-11bdvt0-0 eCsNqo"><div class="block-footer__Root-gb8zj2-0 grQDdo"><div data-qa-button-visible="false"><div class="block-footer__SubmitButtonFooter-gb8zj2-1 fChsDw"><div class="animate__AnimateStyled-sc-1ua827t-0 LYjxR" hidden=""><div class="distribute__Distribute-sc-11h4bn4-0 gwLasT"><div class="submit__Root-sc-1ra8r4w-0 dKDZSQ"><div class="submit__SubmitWrapper-sc-1ra8r4w-2 unGuM"><button data-qa="submit-button deep-purple-submit-button" disabled="" tabindex="-1" class="button__ButtonWrapper-sc-1g3rldj-0 XjRyB"><span class="button__FlexWrapper-sc-1g3rldj-1 efFLzC"><span class="button__ButtonTextWrapper-sc-1g3rldj-4 htSzRL"><span class="text__TextWrapper-sc-1t2ribu-0 cIbwEz">送信</span></span></span></button></div></div></div><div class="spacer__Spacer-sc-11bdvt0-0 eCsNqo"></div></div></div><div class="animate__AnimateStyled-sc-1ua827t-0 LYjxR" hidden=""><div class="submit__Root-sc-1ra8r4w-0 iWIjau"><div class="submit__SubmitWrapper-sc-1ra8r4w-2 iSwKtp"><button data-qa="ok-button deep-purple-ok-button" disabled="" tabindex="-1" class="button__ButtonWrapper-sc-1g3rldj-0 kWywet"><span class="button__FlexWrapper-sc-1g3rldj-1 kNLhfh"><span class="button__ButtonTextWrapper-sc-1g3rldj-4 htSzRL"><span class="text__TextWrapper-sc-1t2ribu-0 cIbwEz">OK</span></span><span class="spacer__Spacer-sc-11bdvt0-0 ekjlhv"><span class="button__IconWrapper-sc-1g3rldj-5 bYJZK"><span class="icon__Boundary-sc-2r3yc0-0 hThVfy"><svg height="13" width="16"><path d="M14.293.293l1.414 1.414L5 12.414.293 7.707l1.414-1.414L5 9.586z"></path></svg></span></span></span></span></button></div></div></div></div></div></div></div></div></fieldset></div></div></div></div></div></div></section></div><div class="BlockList__Wrapper-ny54fa-1 gSuiwo"><section class="block-section__LayoutWrapper-vw1wyv-0 qendZ"><div data-qa="blocktype-multipleChoice deep-purple-blocktype-multipleChoice" data-qa-block="true" data-qa-blockref="77182549-bd52-45bf-9a95-0a6f450039b5" id="block-77182549-bd52-45bf-9a95-0a6f450039b5" class="block-section__Section-vw1wyv-1 VZmAr"><div data-qa="block-scroller" class="block-scroller__Root-sc-23jz1-0 gzwfKN"><div class="block-scroller__Positioner-sc-23jz1-1 bmYwzA"><div class="block-structure__Root-sc-1esu8nk-2"><div class="layout-container__Root-fb7y4k-0 iyZjmN"><div class="spacer__Spacer-sc-11bdvt0-0 fvACMB"><fieldset class="block-structure__Fieldset-sc-1esu8nk-3 bMlxys"><legend class="a11y-visually-hidden__A11yVisuallyHidden-sc-19v2sdi-0 cByvFr">質問 2 体調に関してお悩みはありますか? </legend><div><div class="question-header__HeaderWrapper-z8zey9-2 jofLaS"><div class="question-header__CounterPosition-z8zey9-1 drwSTT"><div id="header-counter-77182549-bd52-45bf-9a95-0a6f450039b5" class="question-header__CounterContent-z8zey9-0 bxbREK"><span data-qa="question-header-counter" class="text__TextWrapper-sc-1t2ribu-0 hyTffG"><span aria-hidden="true">2</span></span><div class="spacer__Spacer-sc-11bdvt0-0 eNSHeB"><span aria-hidden="true" class="icon__Boundary-sc-2r3yc0-0 gidZEG"><svg height="8" width="7"><path d="M5 3.5v1.001H-.002v-1z"></path><path d="M4.998 4L2.495 1.477 3.2.782 6.416 4 3.199 7.252l-.704-.709z"></path></svg></span></div></div></div><div class="text__TextWrapper-sc-1t2ribu-0 kqxEvJ"><span data-qa="block-title deep-purple-block-title" aria-hidden="true" class="text__TextWrapper-sc-1t2ribu-0 fphPka">体調に関してお悩みはありますか?</span></div></div></div><div class="spacer__Spacer-sc-11bdvt0-0 bOHLBS"><div><div style="position: relative;"><ul data-qa="choice-list" class="choices-layout__ChoicesLayoutWrapper-qpux4o-0 bHDXcY" role="listbox" aria-multiselectable="false"><li aria-disabled="false" aria-selected="false" class="base-choice__Root-sc-5koeqf-0 eszUEo checkbox-choice__ChoiceRoot-m4g23g-0 cBqVYk" data-force-hovered="false" data-qa="choice" data-qa-index="0" data-qa-selected="false" data-selectable="true" tabindex="0" role="option" style="margin-bottom: 8px; margin-right: 0px; width: 100%;"><div class="key-helper__Root-p7s0zv-0 cGqEea"><div aria-hidden="true" class="key-helper__KeyHelperWrapper-p7s0zv-1 cfVzBo"><div class="key-helper__HintWrapper-p7s0zv-5 SksBF"><div class="key-helper__Hint-p7s0zv-3 lCVmo"><span class="key-helper__Letter-p7s0zv-2 ggcbVo">A</span></div></div></div></div><div class="checkbox-choice__ChoiceContent-m4g23g-1 cySiBW"><div class="text__TextWrapper-sc-1t2ribu-0 cIbwEz">寝付けない、目覚めが悪い</div></div><div class="checkbox-choice__CheckboxContent-m4g23g-2 fuEQbI"><span data-qa="icon-check-svg" class="icon__Boundary-sc-2r3yc0-0 gidZEG"><svg height="13" width="16"><path d="M14.293.293l1.414 1.414L5 12.414.293 7.707l1.414-1.414L5 9.586z"></path></svg></span></div></li><li aria-disabled="false" aria-selected="false" class="base-choice__Root-sc-5koeqf-0 eszUEo checkbox-choice__ChoiceRoot-m4g23g-0 cBqVYk" data-force-hovered="false" data-qa="choice" data-qa-index="1" data-qa-selected="false" data-selectable="true" tabindex="-1" role="option" style="margin-bottom: 8px; margin-right: 0px; width: 100%;"><div class="key-helper__Root-p7s0zv-0 cGqEea"><div aria-hidden="true" class="key-helper__KeyHelperWrapper-p7s0zv-1 cfVzBo"><div class="key-helper__HintWrapper-p7s0zv-5 SksBF"><div class="key-helper__Hint-p7s0zv-3 lCVmo"><span class="key-helper__Letter-p7s0zv-2 ggcbVo">B</span></div></div></div></div><div class="checkbox-choice__ChoiceContent-m4g23g-1 cySiBW"><div class="text__TextWrapper-sc-1t2ribu-0 cIbwEz">便秘</div></div><div class="checkbox-choice__CheckboxContent-m4g23g-2 fuEQbI"><span data-qa="icon-check-svg" class="icon__Boundary-sc-2r3yc0-0 gidZEG"><svg height="13" width="16"><path d="M14.293.293l1.414 1.414L5 12.414.293 7.707l1.414-1.414L5 9.586z"></path></svg></span></div></li><li aria-disabled="false" aria-selected="false" class="base-choice__Root-sc-5koeqf-0 eszUEo checkbox-choice__ChoiceRoot-m4g23g-0 cBqVYk" data-force-hovered="false" data-qa="choice" data-qa-index="2" data-qa-selected="false" data-selectable="true" tabindex="-1" role="option" style="margin-bottom: 8px; margin-right: 0px; width: 100%;"><div class="key-helper__Root-p7s0zv-0 cGqEea"><div aria-hidden="true" class="key-helper__KeyHelperWrapper-p7s0zv-1 cfVzBo"><div class="key-helper__HintWrapper-p7s0zv-5 SksBF"><div class="key-helper__Hint-p7s0zv-3 lCVmo"><span class="key-helper__Letter-p7s0zv-2 ggcbVo">C</span></div></div></div></div><div class="checkbox-choice__ChoiceContent-m4g23g-1 cySiBW"><div class="text__TextWrapper-sc-1t2ribu-0 cIbwEz">胃もたれ</div></div><div class="checkbox-choice__CheckboxContent-m4g23g-2 fuEQbI"><span data-qa="icon-check-svg" class="icon__Boundary-sc-2r3yc0-0 gidZEG"><svg height="13" width="16"><path d="M14.293.293l1.414 1.414L5 12.414.293 7.707l1.414-1.414L5 9.586z"></path></svg></span></div></li><li aria-disabled="false" aria-selected="false" class="base-choice__Root-sc-5koeqf-0 eszUEo checkbox-choice__ChoiceRoot-m4g23g-0 cBqVYk" data-force-hovered="false" data-qa="choice" data-qa-index="3" data-qa-selected="false" data-selectable="true" tabindex="-1" role="option" style="margin-bottom: 8px; margin-right: 0px; width: 100%;"><div class="key-helper__Root-p7s0zv-0 cGqEea"><div aria-hidden="true" class="key-helper__KeyHelperWrapper-p7s0zv-1 cfVzBo"><div class="key-helper__HintWrapper-p7s0zv-5 SksBF"><div class="key-helper__Hint-p7s0zv-3 lCVmo"><span class="key-helper__Letter-p7s0zv-2 ggcbVo">D</span></div></div></div></div><div class="checkbox-choice__ChoiceContent-m4g23g-1 cySiBW"><div class="text__TextWrapper-sc-1t2ribu-0 cIbwEz">食欲不振</div></div><div class="checkbox-choice__CheckboxContent-m4g23g-2 fuEQbI"><span data-qa="icon-check-svg" class="icon__Boundary-sc-2r3yc0-0 gidZEG"><svg height="13" width="16"><path d="M14.293.293l1.414 1.414L5 12.414.293 7.707l1.414-1.414L5 9.586z"></path></svg></span></div></li></ul><div class="erd_scroll_detection_container erd_scroll_detection_container_animation_active" style="visibility: hidden; display: inline; width: 0px; height: 0px; z-index: -1; overflow: hidden; margin: 0px; padding: 0px;"><div dir="ltr" class="erd_scroll_detection_container" style="position: absolute; flex: 0 0 auto; overflow: hidden; z-index: -1; visibility: hidden; width: 100%; height: 100%; left: 0px; top: 0px;"><div class="erd_scroll_detection_container" style="position: absolute; flex: 0 0 auto; overflow: hidden; z-index: -1; visibility: hidden; left: -1px; top: -1px; right: 0px; bottom: 0px;"><div style="position: absolute; flex: 0 0 auto; overflow: 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