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Edit form (sample demo)

Rearrange the sample form into your your own form and start formrun.

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医療機器修理・交換受付フォーム

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    メールアドレス
    Required
    利用者の氏名
    Required
    利用者の住所
    Required
    利用者の電話番号
    Required
    利用者の生年月日
    Required
    利用者の性別
    Required
    介護サービスの種類
    Required
    Select
    利用開始予定日
    Required
    利用希望時間帯
    Optional
    特記事項
    Optional
    費用の申請の可否
    Required
    必要書類の有無（医療証、介護保険証等）
    Optional
    書類のアップロード
    Optional
    File size is 100 MB or less.
    This form is created with formrun .
    start free

    選択されていません

    Are you sure?

    This field is a common email address field, so if you delete it and save the form, the auto response email will be turned off.
    Please cancel the deletion or add a new email address field after the deletion.

    If you prefer to use a single line text field or hidden text for email address input, please specify the common email address field again after saving the form and turn on the auto response email.
    FAQ：About the common email address field

    Do you want to go to the settings page?

    To register a product, you must go to the settings page.
    To go, click the "Go to the settings page" button in the lower right corner.
    When the button is pressed, the form currently being edited will be saved.

    EFO (Entry Form Optimization) is a paid optional feature

    The EFO function is a function that supports the form respondent's input and prevents withdrawal. An additional fee is required to use this service.

    * After confirming the EFO function and signing a contract, you can use the optional function by saving the form you are editing and updating the page.

    Do you want to change the layout?

    If you select "Step" in the form layout, the following input assist settings will be unavailable:

    • Collapse fields
    • Pagination

    Do you want to change the layout?

    If you change the layout from "Old Step" to another layout and save the form, "Old Step" will be unavailable.

    Click here for details

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