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Gaze measurement survey at Sanda
Thank you for your interest !
This is the application form for gaze measurement survey @ Sanda.
Please read the application form carefully and fill it to apply!
Details on the website:
https://gaijin-research.net/archives/822/
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Email
*
Your email
Please check all that you can attend. / 参加できる日時すべてにチェックしてください。
①9：30～13：00
②13:30～17：00
March 7(Mon)
March 8(Tue)
March 9(Wed)
March 10(Thu)
March 11 (Fri)
March 14 (Mon)
March 15 (Tue)
March 16 (Wed)
March 17 (Thu)
March 18 (Fri)
March 22 (Tue)
March 23 (Wed)
March 24 (Thu)
March 25 (Fri)
March 28 (Mon)
March 29 (Tue)
March 30 (Wed)
March 31 (Thu)
①9：30～13：00
②13:30～17：00
March 7(Mon)
March 8(Tue)
March 9(Wed)
March 10(Thu)
March 11 (Fri)
March 14 (Mon)
March 15 (Tue)
March 16 (Wed)
March 17 (Thu)
March 18 (Fri)
March 22 (Tue)
March 23 (Wed)
March 24 (Thu)
March 25 (Fri)
March 28 (Mon)
March 29 (Tue)
March 30 (Wed)
March 31 (Thu)
Name / 名前
*
Your answer
Phone number / 電話番号
*
Your answer
Sex / 性別
*
Male / 男性
Female / 女性
Age / 年齢
*
Your answer
Where do you live? (Prefecture) / 居住地 (県)
*
Osaka-fu / 大阪府
Shiga-ken / 滋賀県
Kyoto-fu / 京都府
Hyogo-ken / 兵庫県
Wakayama-ken / 和歌山県
Other:
Where do you live? (City / Town)/ 居住地 (市、町) * No need numbers
*
Your answer
Do you and any of your family members living with you work in any of the following industries? Please select all. / あなたとあなたの同居のご家族で、以下の業種に従事されている方はいらっしゃいますか。当てはまるものすべてを選択ください。
*
Manufacturing (food and beverage) / 製造業（食料・飲料）
Manufacturing (pharmaceuticals, cosmetics, chemicals, daily necessities) / 製造業（医薬品・化粧品・化学・日用品）
Manufacturing (audio-visual, consumer electronics, electric machinery and equipment) / 製造業（AV・家電・電気機械器具）
Manufacturing industry (automotive industry) / 製造業（自動車関連業）
Manufacturing (Other) / 製造業（その他）
Wholesale and retail trade (food and beverage) / 卸売・小売業（食料・飲料）
Wholesale and retail trade (pharmaceuticals, cosmetics, daily necessities) / 卸売・小売業（医薬品・化粧品・日用品）
Wholesale and retail trade (audio-visual, consumer electronics, electric machinery and equipment)卸売・小売業（AV・家電・電気機械器具）
Wholesale and retail trade (automobile-related business) /卸売・小売業（自動車関連業）
Wholesale and retail trade (department stores, supermarkets, convenience stores) / 卸売・小売業（百貨店・スーパー・コンビニエンスストア）
Wholesale and retail trade (other) / 卸売・小売業（その他）
Transportation / 交通・運輸業
Communication and information processing services / 通信・情報処理サービス業
hotel business / ホテル業
restaurant / 飲食店
real estate business / 不動産業
Financial industry / 金融業
Electricity, gas and water / 電気・ガス・水道
Publishing and Printing / 出版・印刷業
Mass Communication Industry / マスコミ関連業
Research, advertising and marketing / 調査業・広告代理業・マーケティング業
None of the above applies. / 上記の業種に従事しているものは、ひとりもいない
Required
Nationality / 国籍
Your answer
Race / 人種
アフリカン African
アラビアン Arabian
アジアン Asian
コーカソイド Caucasian
ヒスパニック Hispanic
インディアン Indian
Other:
Clear selection
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