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<form method="post">
  <div class="body_ER_modal"> </div>
  <div class="modal-footer"> <button type="button" class="btn btn-danger" data-dismiss="modal">Close</button> <button type="submit" class="sub-add-expert add-expert float-right txt-clr8 bg-clr1 hvr-bg-clr2">REGISTER</button> </div>
</form>

<form id="interview-form" class="interview-form">
  <div class="interview-form-steps">
    <div class="step-1">
      <div class="form-group group-question mb-4"><label>1. 現在、【乳房生検マーカーおよび放射線治療用金属マーカーの動向やトレンド】について業界調査を行なっております。こちらについてのご経験やポジションについてご教示お願い致します。なお、いただいた回答によりインタビュー実施が検討されるため可能な範囲で詳細なご回答お願い致します。 <span class="required">*</span></label>
        <div class="pt-1"><textarea placeholder="Please input your answer here"></textarea></div> <!----> <!---->
      </div>
      <div class="form-group group-question mb-4"><label>2. 日本国内における乳房生検マーカーおよび放射線治療用金属マーカーの動向やトレンドについて議論することは可能でしょか <span class="required">*</span></label>
        <div class="pt-1"><textarea placeholder="Please input your answer here"></textarea></div> <!----> <!---->
      </div>
      <div class="form-group group-question mb-4"><label>3. 各メーカー・ブランドの強み/弱みについて議論をさせて頂くことは可能でしょうか <span class="required">*</span></label>
        <div class="pt-1"><textarea placeholder="Please input your answer here"></textarea></div> <!----> <!---->
      </div>
      <div class="form-group group-question mb-4"><label>4. 上記製品における診療報酬制度について議論をさせて頂くことは可能でしょうか <span class="required">*</span></label>
        <div class="pt-1"><textarea placeholder="Please input your answer here"></textarea></div> <!----> <!---->
      </div>
      <div class="form-group group-question mb-4"><label>5. 11月 19日（火）～11月29日（金）の間で1時間のインタビューにご参加可能な日程をご教示お願い致します。　 <span class="required">*</span></label>
        <div class="pt-1"><textarea placeholder="Please input your answer here"></textarea></div> <!----> <!---->
      </div>
    </div>
    <div class="form-person step-2">
      <div>
        <h2 class="general-infor mt-2">General information</h2>
      </div>
      <div class="form-group mb-4"><label for="firstname">First Name <span class="required">*</span></label> <input type="text" id="firstname" placeholder="Ex: Thanh Tung" class="form-control"> <!----></div>
      <div class="form-group mb-4"><label for="lastname">Last Name <span class="required">*</span></label> <input type="text" id="lastname" placeholder="Ex: Le Nguyen" class="form-control"> <!----></div>
      <div class="form-group mb-4"><label for="phonenumber">Phone number <span class="required">*</span></label>
        <div class="vue-tel-input">
          <div aria-label="Country Code Selector" aria-haspopup="listbox" role="button" tabindex="0" class="vti__dropdown"><span class="vti__selection"><span class="vti__flag sg"></span><!----><span class="vti__dropdown-arrow">▼</span></span><!---->
          </div><input placeholder="Ex: 0912 345 597" class="vti__input form-control">
        </div> <!---->
      </div>
      <div class="form-group mb-4"><label for="youremail">Email Address <span class="required">*</span></label> <input type="email" id="youremail" placeholder="Ex: tung.le@arches-global.com" class="form-control"> <!----></div>
      <div class="form-group mb-4"><label for="location">Country <span class="required">*</span></label> <select id="country" class="form-control">
          <option value="">Please select your country</option>
          <option value="1">EMEA</option>
          <option value="2">Americas</option>
          <option value="3">APAC</option>
          <option value="4">Afghanistan</option>
          <option value="5">Albania</option>
          <option value="6">Algeria</option>
          <option value="7">American Samoa</option>
          <option value="8">Andorra</option>
          <option value="9">Angola</option>
          <option value="10">Anguilla</option>
          <option value="11">Antigua and Barbuda</option>
          <option value="12">Argentina</option>
          <option value="13">Armenia</option>
          <option value="14">Aruba</option>
          <option value="15">Australia</option>
          <option value="16">Austria</option>
          <option value="17">Azerbaijan</option>
          <option value="18">Bahamas</option>
          <option value="19">Bahrain</option>
          <option value="20">Bangladesh</option>
          <option value="21">Barbados</option>
          <option value="22">Belarus</option>
          <option value="23">Belgium</option>
          <option value="24">Belize</option>
          <option value="25">Benin</option>
          <option value="26">Bermuda</option>
          <option value="27">Bhutan</option>
          <option value="28">Bolivia</option>
          <option value="29">Bosnia and Herzegovina</option>
          <option value="30">Botswana</option>
          <option value="31">Bouvet Island</option>
          <option value="32">Brazil</option>
          <option value="33">Brunei Darussalam</option>
          <option value="34">Bulgaria</option>
          <option value="35">Burkina Faso</option>
          <option value="36">Burundi</option>
          <option value="37">Caicos Islands</option>
          <option value="38">Cambodia</option>
          <option value="39">Cameroon</option>
          <option value="40">Canada</option>
          <option value="41">Cape Verde</option>
          <option value="42">Cayman Islands</option>
          <option value="43">Chad</option>
          <option value="44">Chile</option>
          <option value="45">China</option>
          <option value="46">Christmas Island</option>
          <option value="47">Cocos (Keeling) Islands</option>
          <option value="48">Colombia</option>
          <option value="49">Comoros</option>
          <option value="50">Congo</option>
          <option value="51">Cook Islands</option>
          <option value="52">Costa Rica</option>
          <option value="53">Cote d'Ivoire</option>
          <option value="54">Croatia</option>
          <option value="55">Cuba</option>
          <option value="56">Cyprus</option>
          <option value="57">Czech Republic</option>
          <option value="58">Denmark</option>
          <option value="59">Djibouti</option>
          <option value="60">Dominica</option>
          <option value="61">Dominican Republic</option>
          <option value="62">Ecuador</option>
          <option value="63">Egypt</option>
          <option value="64">El Salvador</option>
          <option value="65">European Union</option>
          <option value="66">Equatorial Guinea</option>
          <option value="67">Eritrea</option>
          <option value="68">Estonia</option>
          <option value="69">Ethiopia</option>
          <option value="70">Falkland Islands</option>
          <option value="71">Faroe Islands</option>
          <option value="72">Fiji</option>
          <option value="73">Finland</option>
          <option value="74">France</option>
          <option value="75">French Guiana</option>
          <option value="76">French Polynesia</option>
          <option value="77">Gabon</option>
          <option value="78">Gambia</option>
          <option value="79">Georgia</option>
          <option value="80">Germany</option>
          <option value="81">Ghana</option>
          <option value="82">Gibraltar</option>
          <option value="83">Greece</option>
          <option value="84">Greenland</option>
          <option value="85">Grenada</option>
          <option value="86">Guadeloupe</option>
          <option value="87">Guam</option>
          <option value="88">Guatemala</option>
          <option value="89">Guernsey</option>
          <option value="90">Guinea</option>
          <option value="91">Guinea-Bissau</option>
          <option value="92">Guyana</option>
          <option value="93">Haiti</option>
          <option value="94">Honduras</option>
          <option value="95">Hong Kong SAR</option>
          <option value="96">Hungary</option>
          <option value="97">Iceland</option>
          <option value="98">India</option>
          <option value="99">Indonesia</option>
          <option value="100">Iran</option>
          <option value="101">Iraq</option>
          <option value="102">Ireland</option>
          <option value="103">Isle of Man</option>
          <option value="104">Israel</option>
          <option value="105">Italy</option>
          <option value="106">Jamaica</option>
          <option value="107">Japan</option>
          <option value="108">Jersey</option>
          <option value="109">Jordan</option>
          <option value="110">Kazakhstan</option>
          <option value="111">Kenya</option>
          <option value="112">Kiribati</option>
          <option value="113">Korea</option>
          <option value="114">Kuwait</option>
          <option value="115">Kyrgyzstan</option>
          <option value="116">Lao</option>
          <option value="117">Latvia</option>
          <option value="118">Lebanon</option>
          <option value="119">Lesotho</option>
          <option value="120">Liberia</option>
          <option value="121">Libyan Arab Jamahiriya</option>
          <option value="122">Liechtenstein</option>
          <option value="123">Lithuania</option>
          <option value="124">Luxembourg</option>
          <option value="125">Macao SAR</option>
          <option value="126">Macedonia</option>
          <option value="127">Madagascar</option>
          <option value="128">Malawi</option>
          <option value="129">Malaysia</option>
          <option value="130">Maldives</option>
          <option value="131">Mali</option>
          <option value="132">Malta</option>
          <option value="133">Marshall Islands</option>
          <option value="134">Martinique</option>
          <option value="135">Mauritania</option>
          <option value="136">Mauritius</option>
          <option value="137">Mayotte</option>
          <option value="138">Mexico</option>
          <option value="139">Micronesia</option>
          <option value="140">Moldova</option>
          <option value="141">Monaco</option>
          <option value="142">Mongolia</option>
          <option value="143">Montenegro</option>
          <option value="144">Montserrat</option>
          <option value="145">Morocco</option>
          <option value="146">Mozambique</option>
          <option value="147">Myanmar</option>
          <option value="148">Namibia</option>
          <option value="149">Nauru</option>
          <option value="150">Nepal</option>
          <option value="151">Netherlands</option>
          <option value="152">Nevis</option>
          <option value="153">New Caledonia</option>
          <option value="154">New Zealand</option>
          <option value="155">Nicaragua</option>
          <option value="156">Niger</option>
          <option value="157">Nigeria</option>
          <option value="158">Niue</option>
          <option value="159">Norfolk Island</option>
          <option value="160">North Mariana Islands</option>
          <option value="161">Norway</option>
          <option value="162">Oman</option>
          <option value="163">Pakistan</option>
          <option value="164">Palau</option>
          <option value="165">Palestinian Territory</option>
          <option value="166">Panama</option>
          <option value="167">Papua New Guinea</option>
          <option value="168">Paraguay</option>
          <option value="169">Peru</option>
          <option value="170">Philippines</option>
          <option value="171">Pitcairn</option>
          <option value="172">Poland</option>
          <option value="173">Portugal</option>
          <option value="174">Puerto Rico</option>
          <option value="175">Qatar</option>
          <option value="176">Reunion</option>
          <option value="177">Romania</option>
          <option value="178">Russian Federation</option>
          <option value="179">Rwanda</option>
          <option value="180">Saint Barthelemy</option>
          <option value="181">Saint Kitts</option>
          <option value="182">Saint Lucia</option>
          <option value="183">Saint Pierre</option>
          <option value="184">Saint Vincent</option>
          <option value="185">Samoa</option>
          <option value="186">San Marino</option>
          <option value="187">Sao Tome</option>
          <option value="188">Saudi Arabia</option>
          <option value="189">Senegal</option>
          <option value="190">Serbia</option>
          <option value="191">Seychelles</option>
          <option value="192">Sierra Leone</option>
          <option value="193">Singapore</option>
          <option value="194">Slovakia</option>
          <option value="195">Slovenia</option>
          <option value="196">Solomon Islands</option>
          <option value="197">Somalia</option>
          <option value="198">South Africa</option>
          <option value="199">South Georgia</option>
          <option value="200">Spain</option>
          <option value="201">Sri Lanka</option>
          <option value="202">Sudan</option>
          <option value="203">Suriname</option>
          <option value="204">Svalbard</option>
          <option value="205">Swaziland</option>
          <option value="206">Sweden</option>
          <option value="207">Switzerland</option>
          <option value="208">Syrian Arab Republic</option>
          <option value="209">Taiwan</option>
          <option value="210">Tajikistan</option>
          <option value="211">Tanzania</option>
          <option value="212">Thailand</option>
          <option value="213">Timor-Leste</option>
          <option value="214">Togo</option>
          <option value="215">Tokelau</option>
          <option value="216">Tonga</option>
          <option value="217">Trinidad and Tobago</option>
          <option value="218">Tunisia</option>
          <option value="219">Turkey</option>
          <option value="220">Turkmenistan</option>
          <option value="221">Tuvalu</option>
          <option value="222">Uganda</option>
          <option value="223">Ukraine</option>
          <option value="224">United Arab Emirates</option>
          <option value="225">United Kingdom</option>
          <option value="226">United States</option>
          <option value="227">Uruguay</option>
          <option value="228">Uzbekistan</option>
          <option value="229">Vanuatu</option>
          <option value="230">Vatican City State</option>
          <option value="231">Venezuela</option>
          <option value="232">Vietnam</option>
          <option value="233">Virgin Islands</option>
          <option value="234">Wallis</option>
          <option value="235">Yemen</option>
          <option value="236">Zambia</option>
          <option value="237">Zimbabwe</option>
        </select> <!----></div>
      <div class="mb-4 private-policies">
        <h3>Private policies</h3>
        <ul>
          <li>The contents of this survey will not be disclosed to the outside without permission or used for any other purpose.</li>
          <li>Regarding interviews, there is no need to answer about confidential information or information that will lead to disadvantages about yourself or the company or organization you belong to.</li>
          <li>If you would like to request an interview, we would appreciate it if you could contact us again to adjust the schedule based on the results of the questionnaire.</li>
        </ul>
      </div>
      <div class="mb-4 consent-actions">
        <div><input type="checkbox" id="21" required="required" value="21"> <label for="21">*please confirm that you accept our <a href="https://arches-global.exlink.com/en_documents.php" target="_blank">general terms and conditions </a></label>
          <!----></div>
      </div> <!---->
    </div>
  </div>
  <div class="form-group d-flex justify-content-between">
    <div class="step-info d-flex flex-column align-items-center justify-content-between">
      <div class="step-title pt-1">Step 1 of 2</div>
      <div class="step d-flex flex-row"><span class="d-flex orange"></span> <span class="d-flex"></span></div>
    </div>
    <div class="d-flex"><button type="button" class="btn btn-yellow btn-next"><span>Next</span></button> <!----> <!----></div>
  </div>
</form>

Text Content

EN
JA

×
Close REGISTER


PRE-INTERVIEW SURVEY

Thank you for considering participating with Arches.

We offer a service called "Expert Interview" where people who are active on the
front lines of the industry can talk about industry knowledge in online
interviews with compensation.

Before requesting an interview, we ask that you complete a preliminary
questionnaire to prevent mismatches. It will be a questionnaire of about 2 to 3
minutes. We know you are very busy, but we would appreciate your cooperation.

※日本語をご希望の方は右上より言語を変更いただけます

The interview is set up as follows.
 * Interview method: Online (Zoom, etc.)
 * Interview time: about 60 minutes (possibility of extension)

Compensation will be paid by bank transfer at the end of the following month at
the amount presented by the person in charge.

In the unlikely event that the interview does not go well due to scheduling
conflicts, etc., we will introduce more suitable projects based on the answers
here, so please also check.


PRE-INTERVIEW SURVEY

1.
現在、【乳房生検マーカーおよび放射線治療用金属マーカーの動向やトレンド】について業界調査を行なっております。こちらについてのご経験やポジションについてご教示お願い致します。なお、いただいた回答によりインタビュー実施が検討されるため可能な範囲で詳細なご回答お願い致します。
*

2. 日本国内における乳房生検マーカーおよび放射線治療用金属マーカーの動向やトレンドについて議論することは可能でしょか *

3. 各メーカー・ブランドの強み/弱みについて議論をさせて頂くことは可能でしょうか *

4. 上記製品における診療報酬制度について議論をさせて頂くことは可能でしょうか *

5. 11月 19日（火）～11月29日（金）の間で1時間のインタビューにご参加可能な日程をご教示お願い致します。　 *



GENERAL INFORMATION

First Name *
Last Name *
Phone number *
▼
Email Address *
Country * Please select your country
EMEAAmericasAPACAfghanistanAlbaniaAlgeriaAmerican
SamoaAndorraAngolaAnguillaAntigua and
BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia
and HerzegovinaBotswanaBouvet IslandBrazilBrunei DarussalamBulgariaBurkina
FasoBurundiCaicos IslandsCambodiaCameroonCanadaCape VerdeCayman
IslandsChadChileChinaChristmas IslandCocos (Keeling)
IslandsColombiaComorosCongoCook IslandsCosta RicaCote
d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican
RepublicEcuadorEgyptEl SalvadorEuropean UnionEquatorial
GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench
GuianaFrench
PolynesiaGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHondurasHong
Kong SARHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of
ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKoreaKuwaitKyrgyzstanLaoLatviaLebanonLesothoLiberiaLibyan
Arab JamahiriyaLiechtensteinLithuaniaLuxembourgMacao
SARMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall
IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNevisNew
CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Mariana
IslandsNorwayOmanPakistanPalauPalestinian TerritoryPanamaPapua New
GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto
RicoQatarReunionRomaniaRussian FederationRwandaSaint BarthelemySaint KittsSaint
LuciaSaint PierreSaint VincentSamoaSan MarinoSao TomeSaudi
ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon
IslandsSomaliaSouth AfricaSouth GeorgiaSpainSri
LankaSudanSurinameSvalbardSwazilandSwedenSwitzerlandSyrian Arab
RepublicTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and
TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited
KingdomUnited StatesUruguayUzbekistanVanuatuVatican City
StateVenezuelaVietnamVirgin IslandsWallisYemenZambiaZimbabwe


PRIVATE POLICIES

 * The contents of this survey will not be disclosed to the outside without
   permission or used for any other purpose.
 * Regarding interviews, there is no need to answer about confidential
   information or information that will lead to disadvantages about yourself or
   the company or organization you belong to.
 * If you would like to request an interview, we would appreciate it if you
   could contact us again to adjust the schedule based on the results of the
   questionnaire.

*please confirm that you accept our general terms and conditions
Step 1 of 2

Next
Phone:
+81 50 6862 9779

E-mail:
support@arches-global.com
Address:
Arches Corporation
Nishida Bld5F, 2-14-6, Shibuya, Shibuya-Ku, Tokyo, Japan, 150-0002

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