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["（様式１　表面）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,1,null,{"$f":"YEAR(VLOOKUP($DS$1,差し込み印刷用※触らない!$A:$U,6,FALSE))&\"\"","v":"1941"}]
[null,"大阪市長　あて"]
["介護予防教室事業　参加申込書 兼 同意書"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"手順①\n事業者名を入力してください。（同意書下部に反映されます）\n"]
[null,"必ず本書をよく読み、事業者の説明を聞いたうえで必要事項をご記入下さい。"]
[null,"ふりがな",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"VLOOKUP($DS$1,差し込み印刷用※触らない!$A:$U,5,FALSE)&\"\"","v":"ｵｵｻｶ ﾀﾛｳ"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"生年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"TEXT(DU1&\"/1/1\",\"ggge\")","v":"昭和16"},null,null,null,null,null,null,null,null,null,"年",null,null,{"$f":"MONTH(VLOOKUP($DS$1,差し込み印刷用※触らない!$A:$U,6,FALSE))&\"\"","v":"2"},null,null,null,null,null,"月",null,null,{"$f":"DAY(VLOOKUP($DS$1,差し込み印刷用※触らない!$A:$U,6,FALSE))&\"\"","v":"3"},null,null,null,null,null,"日 生"]
[null,"氏名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"VLOOKUP($DS$1,差し込み印刷用※触らない!$A:$U,10,FALSE)&\"\"","v":"大阪　太郎"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"電話",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"VLOOKUP($DS$1,差し込み印刷用※触らない!$A:$U,12,FALSE)&\"\"","v":"06-1234-5678"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ルンルン"]
[null,"住所",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"VLOOKUP($DS$1,差し込み印刷用※触らない!$A:$U,21,FALSE)&\"\"","v":"北"},null,null,null,null,null,null,null,null,null,null,null,null,"区",null,null,null,null,null,null,{"$f":"VLOOKUP($DS$1,差し込み印刷用※触らない!$A:$Z,22,FALSE)&\"\"","v":"中之島1-3-20"}]
[null,"介護保険被保険者番号",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"MID(VLOOKUP($DS$1,差し込み印刷用※触らない!$A:$Y,23,FALSE),1,1)&\"\"","v":"0"},null,null,null,{"$f":"MID(VLOOKUP($DS$1,差し込み印刷用※触らない!$A:$Y,23,FALSE),2,1)&\"\"","v":"0"},null,null,null,{"$f":"MID(VLOOKUP($DS$1,差し込み印刷用※触らない!$A:$Y,23,FALSE),3,1)&\"\"","v":"0"},null,null,null,{"$f":"MID(VLOOKUP($DS$1,差し込み印刷用※触らない!$A:$Y,23,FALSE),4,1)&\"\"","v":"0"},null,null,null,{"$f":"MID(VLOOKUP($DS$1,差し込み印刷用※触らない!$A:$Y,23,FALSE),5,1)&\"\"","v":"1"},null,null,null,{"$f":"MID(VLOOKUP($DS$1,差し込み印刷用※触らない!$A:$Y,23,FALSE),6,1)&\"\"","v":"2"},null,null,null,{"$f":"MID(VLOOKUP($DS$1,差し込み印刷用※触らない!$A:$Y,23,FALSE),7,1)&\"\"","v":"3"},null,null,null,{"$f":"MID(VLOOKUP($DS$1,差し込み印刷用※触らない!$A:$Y,23,FALSE),8,1)&\"\"","v":"4"},null,null,null,{"$f":"MID(VLOOKUP($DS$1,差し込み印刷用※触らない!$A:$Y,23,FALSE),9,1)&\"\"","v":"5"},null,null,null,{"$f":"MID(VLOOKUP($DS$1,差し込み印刷用※触らない!$A:$Y,23,FALSE),10,1)&\"\"","v":"6"},null,null,null,"要介護認定",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"事業対象者\n要支援・要介護",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（",null,{"$f":"VLOOKUP($DS$1,差し込み印刷用※触らない!$A:$U,11,FALSE)&\"\"","v":"要支援１"},null,null,null,null,null,null,null,"）",null,"・　無",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"手順②\n右端のシート「参加登録者名簿貼り付け台紙」\nに参加登録者名簿のリストをコピーし、\nリストのうち、印刷したい人の\nNO（左端A列）を左の□内に\n入力します。\n（例）NO１～５、NO３～７　など\n"]
[null,"緊急連絡先",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"氏名",null,null,null,null,null,null,null,null,null,null,null,{"$f":"VLOOKUP($DS$1,差し込み印刷用※触らない!$A:$U,13,FALSE)&\"\"","v":"大阪　ふさこ"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"続柄　（",null,null,null,null,null,null,null,null,null,{"$f":"VLOOKUP($DS$1,差し込み印刷用※触らない!$A:$U,14,FALSE)&\"\"","v":"長女"},null,null,null,null,null,null,null,null,null,null,null,null,"）",null,"　電話",null,null,null,null,null,{"$f":"VLOOKUP($DS$1,差し込み印刷用※触らない!$A:$U,15,FALSE)&\"\"","v":"06-9876-5432"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"NO",1,"～",1]
[null,"かかりつけ医",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"医療機関名",null,null,null,null,null,null,null,null,null,null,null,{"$f":"VLOOKUP($DS$1,差し込み印刷用※触らない!$A:$U,16,FALSE)&\"\"","v":"山田医院"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"先生",null,null,null,null,null,null,null,null,null,null,null,{"$f":"VLOOKUP($DS$1,差し込み印刷用※触らない!$A:$U,17,FALSE)&\"\"","v":"山田先生"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"電話",null,null,null,null,null,{"$f":"VLOOKUP($DS$1,差し込み印刷用※触らない!$A:$U,18,FALSE)&\"\"","v":"06-5555-5555"}]
[null,"配慮してほしいこと",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"指に力が入りにくいので細かい作業は手伝ってほしい、人工股関節なので太ももを上げる動作はできない　等"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"VLOOKUP($DS$1,差し込み印刷用※触らない!$A:$U,19,FALSE)&\"\"","v":"聞こえにくいことがある"}]
[]
[null,null,null,null,null,null,null,null,"１　参加目的",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"手順③\n②の入力後、左のボタンをA➡B➡Cの順に\nクリックしてください。\n"]
[null,null,null,null,null,null,null,null,null,"　介護保険法第4条に基づき、年齢を重ねても健康で自立した自分らしい生活を送るため、本教室に参加します。"]
[]
[null,null,null,null,null,null,null,null,"2　留意事項"]
[null,null,null,null,null,null,null,null,null,"　1か所に登録、年間を通してできる限り毎月参加し、他の参加者と交流します。"]
[]
[null,null,null,null,null,null,null,null,"３　健康管理"]
[null,null,null,null,null,null,null,null,"　　","　本教室に安全に参加するために、体調を整え、従事者の注意を十分に聞き、次の注意事項を遵守します。"]
[null,null,null,null,null,null,null,null,null,"（１）本教室に参加することをかかりつけ医に伝え、注意するべき事項等を事前に確認します。"]
[null,null,null,null,null,null,null,null,null,"（２）睡眠不足、体調不良時は無理をしません。"]
[null,null,null,null,null,null,null,null,null,"（３）体調が悪いときはすぐに従事者に報告します。"]
[]
[null,null,null,null,null,null,null,null,"４　自分らしく生きるために"]
[null,null,null,null,null,null,null,null,null,"　住み慣れた地域で、自分らしく生きるために、介護予防活動を行うよう努めます。"]
[null,null,null,null,null,null,null,null,null,"（１）本教室へ参加するだけでなく、自身の健康状態に合わせて教室の準備・片付け、受付、他の参加者への声かけ等"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"　自分のできることを見つけ、実行します。"]
[null,null,null,null,null,null,null,null,null,"（２）本教室に限らず、様々な介護予防活動に参加し、外出の機会を増やします。"]
[]
[]
[null,null,null,null,null,"　私は、事業者から説明のあった、事業内容、留意事項、参加に伴う危険性等について承諾し、私の責任についても理解したうえで、介護予防教室への参加を申し込み、上記内容について同意します。\n　また、私の個人情報やアンケートの回答などが本事業の評価に使われることや、個人を特定できないデータとして、大阪市が統計的に利用することについても同意します。"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,null,null,null,null,null,"月",null,null,null,null,null,null,null,"日"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"氏　名"]
[]
[]
["★",null,null,null,null,"この教室で学びたいことや、生活に取り入れていること、あなたの好きなことや得意なこと　等"]
[null,null,null,null,null,"について、ご記入ください。"]
[]
[]
[]
[]
[null,"事業者名",null,null,null,null,null,null,null,null,null,null,null,{"$f":"DS7&\"\"","v":"ルンルン"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"地域",null,null,null,null,null,null,null,null,null,null,null,{"$f":"VLOOKUP($DS$1,差し込み印刷用※触らない!$A:$U,4,FALSE)&\"\"","v":"中之島①"}]
["（様式１　裏面）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,1]
["氏名",null,null,null,null,null,null,null,null,null,{"$f":"VLOOKUP($DS$1,差し込み印刷用※触らない!$A:$U,10,FALSE)&\"\"","v":"大阪　太郎"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"事業者",null,null,null,null,null,null,null,null,null,{"$f":"N46","v":"ルンルン"}]
[]
["介護予防教室　アンケート"]
[]
["（１）",null,null,null,null,null,"ここ1か月の間に定期的に参加している活動全てに○をつけてください。"]
["食事サービス　　　ふれあい喫茶　　　百歳体操　　　ラジオ体操　　　スポーツジム"]
["習い事や趣味の集まり　　　　ボランティア　　　　介護予防ポイント　　　　デイサービス"]
["その他（　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　）"]
[]
["（２）",null,null,null,null,null,"現在のあなたの状況について、あてはまるものに○をつけてください。"]
[1,null,null,null,"あなたの現在の健康状態は\nいかがですか",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"よい",null,null,null,null,null,null,null,null,null,null,null,"まあよい",null,null,null,null,null,null,null,null,null,null,null,"ふつう",null,null,null,null,null,null,null,null,null,null,null,"あまり\nよくない",null,null,null,null,null,null,null,null,null,null,null,"よくない"]
[2,null,null,null,"毎日の生活に満足していますか",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"満足",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"やや満足",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"やや不満",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"不満"]
[3,null,null,null,"身長と体重をご記入ください\n（だいたいで構いません）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"身長",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"cm",null,null,null,null,null,"体重",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"kg"]
[4,null,null,null,"週に1回以上は外出していますか",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"はい",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"いいえ"]
[5,null,null,null,"バスや電車を使って一人で外出できますか",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"はい",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"いいえ"]
[6,null,null,null,"日用品の買い物ができますか",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"はい",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"いいえ"]
[7,null,null,null,"銀行預金・郵便貯金の出し入れが自分でできますか",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"はい",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"いいえ"]
[8,null,null,null,"階段を手すりや壁をつたわらずに昇っていますか",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"はい",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"いいえ"]
[9,null,null,null,"椅子に座った状態から何もつかまらずに\n立ち上がっていますか",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"はい",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"いいえ"]
[10,null,null,null,"15分位続けて歩いていますか",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"はい",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"いいえ"]
[11,null,null,null,"以前に比べて歩く速度が遅くなってきたと思いますか",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"はい",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"いいえ"]
[12,null,null,null,"この1年間に転んだことがありますか",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"はい",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"いいえ"]
[13,null,null,null,"転倒に対する不安は大きいですか",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"はい",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"いいえ"]
[14,null,null,null,"昨年と比べて外出の回数が減っていますか",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"はい",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"いいえ"]
[15,null,null,null,"半年前に比べて固いものが食べにくくなりましたか\n　（さきいか、たくあんなど）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"はい",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"いいえ"]
[16,null,null,null,"お茶や汁物等でむせることがありますか",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"はい",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"いいえ"]
[17,null,null,null,"6カ月間で2～3kg以上の体重減少がありましたか",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"はい",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"いいえ"]
[18,null,null,null,"周りの人から「いつも同じことを聞く」などの\n物忘れがあると言われていますか",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"はい",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"いいえ"]
[19,null,null,null,"今日が何月何日かわからない時がありますか",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"はい",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"いいえ"]
["*いただいた個人情報とアンケート結果は、みなさまの支援のために活用させていただくほか、要介護度・サービス利用状況等と併せて本事業の評価に使用したり、"]
["　個人を特定できないデータとして統計学的に集計し、公衆衛生の向上に資する研究等に活用させていただくことがあります。"]

{"sheet":"参加登録者名簿貼り付け台紙","index":1,"n_rows":6000,"n_cols":24,"rows_kept":2250,"cut":true,"hidden":false,"merged":[],"bounds":{"rows_first":1000,"rows_last":250,"rows_between":1000,"halvings":1}}
["No","登録月","終了月","登録地域","カナ氏名","生年月日","住　　所","介護保険\n被保険者番号","備　　考","氏名","要介護度","電話番号","緊急連絡先","続柄","電話","かかりつけ医療機関","先生","電話","配慮してほしいこと",null,"区","区以下の住所",null,"印刷行"]
["介護予防教室　参加登録者名簿（案）"]
[null,"2",{"$f":"B3+1","v":3},{"$f":"C3+1","v":4},{"$f":"D3+1","v":5},{"$f":"E3+1","v":6},{"$f":"F3+1","v":7},{"$f":"G3+1","v":8},{"$f":"H3+1","v":9},{"$f":"I3+1","v":10},{"$f":"J3+1","v":11},{"$f":"K3+1","v":12},{"$f":"L3+1","v":13},{"$f":"M3+1","v":14},{"$f":"N3+1","v":15},{"$f":"O3+1","v":16},{"$f":"P3+1","v":17},{"$f":"Q3+1","v":18},{"$f":"R3+1","v":19},{"$f":"S3+1","v":20},{"$f":"T3+1","v":21},{"$f":"U3+1","v":22},{"$f":"V3+1","v":23},24]
[null,"初回参加予定月\n\n休止の場合は備考欄に記載、この欄は変更しない","最終参加があった月（未参加のまま終了の場合は、終了の意思を確認した日の前月）","1地域で2つ以上の地域で実施する場合は、△△①、△△②のように付番する","半角ｶﾅ　姓名の間は半角ｽﾍﾟｰｽ","ｓ○○.○.○","丁目・番地は\n「-（半角ハイフン）」","10桁のうち、前「0」は省略\n\n※教室参加資格（大阪市介護保険第1号被保険者であること）の確認のため、確認必須","○通称名と介護保険証の氏名が異なる場合や代筆が必要な場合、地域を異動した場合は必ず記載\n○一旦休止後、再度参加の場合は登録月を変更せず「2019.5月休止、2019.10月参加開始」のように備考欄に入力　",null,null,null,null,null,null,null,null,null,null,{"$f":"FIND(\"区\",G4)","v":{"$error":"#VALUE!"}},{"$f":"LEFT(G4,T4-1)","v":{"$error":"#VALUE!"}},{"$f":"MID(G4,T4+1,200)","v":{"$error":"#VALUE!"}},null,{"$f":"IF(同意書とアンケート!DT$10<=参加登録者名簿貼り付け台紙!A4,IF(参加登録者名簿貼り付け台紙!A4<=同意書とアンケート!DV$10,1,0),0)","v":0}]
["No","登録月","終了月","登録地域","カナ氏名","生年月日","住　　所","介護保険被保険者番号","備　　考","氏名","要介護度","電話番号","緊急連絡先","続柄","電話","かかりつけ医療機関","先生","電話","配慮してほしいこと",null,"区","区以下の住所",null,"印刷行"]
[null,"↓参加登録者名簿からコピーして貼り付け↓",null,null,null,null,null,null,null,"必要に応じて入力（同意書に差し込み印刷できます）",null,null,null,null,null,null,null,null,null,"計算用（※触らない※）"]
[1,4,null,"中之島①","ｵｵｻｶ ﾀﾛｳ","1941-02-03","北区中之島1-3-20",123456,null,"大阪　太郎","要支援１","06-1234-5678","大阪　ふさこ","長女","06-9876-5432","山田医院","山田先生","06-5555-5555","聞こえにくいことがある",{"$f":"FIND(\"区\",G7)","v":2},{"$f":"LEFT(G7,T7-1)","v":"北"},{"$f":"MID(G7,T7+1,200)","v":"中之島1-3-20"},{"$f":"TEXT(H7,\"0000000000\")","v":"0000123456"},{"$f":"IF(同意書とアンケート!DT$10<=参加登録者名簿貼り付け台紙!A7,IF(参加登録者名簿貼り付け台紙!A7<=同意書とアンケート!DV$10,1,0),0)","v":1}]
[2,4,null,"中之島①","ｱﾍﾞ ｱｲｺ","1946-03-04","北区中之島1-3-21",123456,null,"安部　愛子",null,null,null,null,null,null,null,null,null,{"$f":"FIND(\"区\",G8)","v":2},{"$f":"LEFT(G8,T8-1)","v":"北"},{"$f":"MID(G8,T8+1,200)","v":"中之島1-3-21"},{"$f":"TEXT(H8,\"0000000000\")","v":"0000123456"},{"$f":"IF(同意書とアンケート!DT$10<=参加登録者名簿貼り付け台紙!A8,IF(参加登録者名簿貼り付け台紙!A8<=同意書とアンケート!DV$10,1,0),0)","v":0}]
[3,4,null,"中之島②","ｲﾄｳ ｲｸｴ","1940-12-18","北区中之島1-3-22",123456,null,"伊東　郁恵","要支援２",null,"伊東　晴彦","息子","06-1234-5678",null,null,null,null,2,"北","中之島1-3-22","0000123456",{"$f":"IF(同意書とアンケート!DT$10<=参加登録者名簿貼り付け台紙!A9,IF(参加登録者名簿貼り付け台紙!A9<=同意書とアンケート!DV$10,1,0),0)","v":0}]
[4,5,null,"中之島②","ｳｻﾐ ｳｷﾖ","1945-08-23","北区中之島1-3-23",123456,null,"宇佐美　浮代",null,null,null,null,null,null,null,null,null,2,"北","中之島1-3-23","0000123456",{"$f":"IF(同意書とアンケート!DT$10<=参加登録者名簿貼り付け台紙!A10,IF(参加登録者名簿貼り付け台紙!A10<=同意書とアンケート!DV$10,1,0),0)","v":0}]
[5,6,null,"中之島②","ｶｲ ﾄｵﾙ","1940-10-30","北区中之島1-3-24",497958,null,"甲斐　亨","要介護２","06-6789-5432",null,null,null,null,null,null,null,2,"北","中之島1-3-24","0000497958",{"$f":"IF(同意書とアンケート!DT$10<=参加登録者名簿貼り付け台紙!A11,IF(参加登録者名簿貼り付け台紙!A11<=同意書とアンケート!DV$10,1,0),0)","v":0}]
[6,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$error":"#VALUE!"},{"$error":"#VALUE!"},{"$error":"#VALUE!"},"0000000000",{"$f":"IF(同意書とアンケート!DT$10<=参加登録者名簿貼り付け台紙!A12,IF(参加登録者名簿貼り付け台紙!A12<=同意書とアンケート!DV$10,1,0),0)","v":0}]
[7,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$error":"#VALUE!"},{"$error":"#VALUE!"},{"$error":"#VALUE!"},"0000000000",{"$f":"IF(同意書とアンケート!DT$10<=参加登録者名簿貼り付け台紙!A13,IF(参加登録者名簿貼り付け台紙!A13<=同意書とアンケート!DV$10,1,0),0)","v":0}]
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