Investigation sheet and questionnaire

专利内容由知识产权出版社提供专利名称：Investigation sheet and questionnaire发明人：植澤 晴信,小鷹 常晃申请号：JP2018003882申请日：20181005公开号：JP3219380U公开日：20181220专利附图：摘要：Problem to be solved: to provide an investigation sheet and an investigationsheet collection set capable of improving the efficiency of the recovery work while savingthe confidentiality of the answer content and saving the trouble required by theoperator. The sheet body 10 of the investigation sheet 1 contains information on the

investigation of the forbidden portion 20 including the first information descriptioncolumn 22 containing the upper side 11 and the information for specifying therespondent and visually readable first information 21 and a questionnaire item A recoveryportion 30 including a filling column 31, and a perforation formed between the forkedportion 20 and the recovery portion 30 so that the forked portion 20 can be separatedfrom the recovery portion second information 32, which is the information to bestranded in the first information 21 for identifying the answerer, is not visually readable inthe recovery portion 30. Diagram申请人：株式会社ヘルスウエイブ地址：京都府京都市中京区烏丸通六角下ル七観音町６３８番地国籍：JP代理人：長谷川 芳樹,黒木 義樹,安田 亮輔