Section 1 of 4
佐久平駅送迎パックリクエスト予約フォーム
氏名
氏名
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
メールアドレス
メールアドレス
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
Multiple choice grid
Checkbox grid
Date
Time
Number
Text
Length
Regular expression
Contains
Doesn't contain
Email
URL
Answer key
(0 points)
Loading...
お電話番号（ハイフンなし）
お電話番号（ハイフンなし）
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
Multiple choice grid
Checkbox grid
Date
Time
Number
Text
Length
Regular expression
Greater than
Greater than or equal to
Less than
Less than or equal to
Equal to
Not equal to
Between
Not between
Is number
Whole number
Answer key
(0 points)
Loading...
Section 2 of 4
ご希望の日程をお選びください。
人数（お子様含む）
人数（お子様含む）
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
Multiple choice grid
Checkbox grid
Date
Time
Number
Text
Length
Regular expression
Greater than
Greater than or equal to
Less than
Less than or equal to
Equal to
Not equal to
Between
Not between
Is number
Whole number
Answer key
(0 points)
Loading...
泊数
泊数
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
Multiple choice grid
Checkbox grid
Date
Time
1泊2日
2泊3日
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
チェックイン
チェックイン
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
チェックアウト
チェックアウト
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
Section 3 of 4
ご希望の宿泊施設、往復のバスの時間をお選びください。
宿泊施設
宿泊施設
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
Multiple choice grid
Checkbox grid
Date
Time
1.
オテル・ド・ミロワール
2.
ホテル コロシアム・イン・蓼科
3.
リゾートペンション る・ぐらん
4.
Cafe & INN Ave-new
5.
BLUEBELL COTTAGE
6.
指定なし(空いている宿を希望)
7.
Add option
…
Answer key
(0 points)
Loading...
往路
往路
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
Multiple choice grid
Checkbox grid
Date
Time
1.
佐久平駅10:50発
2.
佐久平駅16:00発
3.
Add option
…
Answer key
(0 points)
Loading...
往路降車場所
往路降車場所
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
Multiple choice grid
Checkbox grid
Date
Time
オテル・ド・ミロワール、ホテル コロシアム・イン・蓼科、リゾートペンション る・ぐらん、BLUEBELL COTTAGEをご希望の方は、「白樺高原ホテル」、Cafe & INN Ave-newをご希望の方は「池の平ホテル」でお降りください。
1.
池の平ホテル
2.
白樺高原ホテル
3.
Add option
…
Answer key
(0 points)
Loading...
復路
復路
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
Multiple choice grid
Checkbox grid
Date
Time
オテル・ド・ミロワール、ホテル コロシアム・イン・蓼科、リゾートペンション る・ぐらんをご希望の方は、「白樺高原ホテル」、ペンションROCK、Cafe & INN Ave-newをご希望の方は「池の平ホテル」でお乗りください。
1.
池の平ホテル9:20発
2.
池の平ホテル14:30発
3.
白樺高原ホテル9:30発
4.
白樺高原ホテル14:40発
5.
Add option
…
Answer key
(0 points)
Loading...
Section 4 of 4
宿泊される方全員の生年月日をご記入ください。
※年齢による宿泊料金やリフト券料金の区分がございますため、ご記入をお願いしております。
1人目
1人目
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
2人目
2人目
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
3人目
3人目
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
4人目
4人目
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
5人目
5人目
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
6人目
6人目
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
7人目
7人目
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
8人目
8人目
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
9人目
9人目
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
10人目
10人目
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
10名以上になる場合は、こちらにご記載ください。
10名以上になる場合は、こちらにご記載ください。
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
Multiple choice grid
Checkbox grid
Date
Time
例）
11人目：1995年1月1日
12人目：1985年2月2日
Answer key
(0 points)
Loading...
その他ご要望がありましたご記入ください。
その他ご要望がありましたご記入ください。
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
Link to Sheets
Summary
Question
Individual
Insights
Total points distribution
Loading...
Settings
Responses
Manage how responses are collected and protected
Presentation
Manage how the form and responses are presented
Defaults
Form defaults
Settings applied to this form and new forms
Question defaults
Settings applied to all new questions