sekiyakuhin.cho-toku.jp Open in urlscan Pro
27.112.104.10  Public Scan

URL: https://sekiyakuhin.cho-toku.jp/
Submission: On November 30 via api from US — Scanned from US

Form analysis 5 forms found in the DOM

POST /coupons/freeword_result

<form action="/coupons/freeword_result" method="post" class="top-freeword">
  <div class="input-wrapper">
    <input type="text" name="data[Search][keyword]" placeholder="施設・店舗名を入力">
    <button type="submit" class="custom-bg">
      <svg xmlns="http://www.w3.org/2000/svg" width="12" height="12" viewBox="0 0 21.481 21.482">
        <path
          d="M161.571,92.685a1.1,1.1,0,0,1-.787-.324l-4.175-4.186-.167.127a9.409,9.409,0,0,1-5.73,1.927,9.513,9.513,0,0,1,0-19.026h0a9.524,9.524,0,0,1,9.513,9.513,9.421,9.421,0,0,1-1.927,5.73l-.126.167,4.186,4.186a1.1,1.1,0,0,1-.787,1.886ZM150.713,73.413a7.283,7.283,0,1,0,5.17,2.133A7.259,7.259,0,0,0,150.713,73.413Z"
          transform="translate(-141.2 -71.203)" fill="#a7a7a7"></path>
      </svg>
    </button>
  </div>
  <div class="checkboxes">
    <!--
      <div class="checkbox-square item ">
        <input type="checkbox" name="data[Search][coupon]" id="top-freeword-0" />
        <label for="top-freeword-0">
          <svg xmlns="http://www.w3.org/2000/svg" width="24" height="24" viewBox="0 0 24 24" class="icon-check">
            <g transform="translate(-61.084 -1047.958)">
              <rect width="24" height="24" rx="4" transform="translate(61.084 1047.958)" fill="#fff"></rect>
              <path d="M4,1A3,3,0,0,0,1,4V20a3,3,0,0,0,3,3H20a3,3,0,0,0,3-3V4a3,3,0,0,0-3-3H4M4,0H20a4,4,0,0,1,4,4V20a4,4,0,0,1-4,4H4a4,4,0,0,1-4-4V4A4,4,0,0,1,4,0Z" transform="translate(61.084 1047.958)" fill="#d0d0d0"></path>
              <path d="M9.341.341,3.995,5.7,2.007,3.714A1.177,1.177,0,1,0,.342,5.378L3.17,8.205a1.156,1.156,0,0,0,.839.339,1.246,1.246,0,0,0,.839-.339L11.035,2.02a1.182,1.182,0,0,0,0-1.664A1.2,1.2,0,0,0,9.341.341" transform="translate(67.459 1055.927)" fill="#d0d0d0"></path>
            </g>
          </svg>クーポンを探す
        </label>
      </div>
      -->
  </div>
</form>

POST /coupons/full_search

<form action="/coupons/full_search" method="post" class="app-section top-categories js-top-form">
  <div class="top-heading">ジャンルから探す</div>
  <div class="categories is-partial js-top-categories" id="category">
    <div class="category">
      <input type="checkbox" id="top-category-1" name="data[Coupon][category][]" value="1">
      <label for="top-category-1">
        <span class="icon"><img src="/img/sekiyakuhin/1.png" alt=""></span> その他 <span class="check">
          <svg xmlns="http://www.w3.org/2000/svg" width="7" height="5" viewBox="0 0 14.636 10.55">
            <path d="M13.592,0a1,1,0,0,0-.69.306c-2.491,2.5-5.157,5.356-7.645,7.88L1.706,5.262A1,1,0,1,0,.436,6.807L4.7,10.32a1,1,0,0,0,1.349-.063c2.7-2.7,5.624-5.869,8.28-8.531h0A1,1,0,0,0,13.592,0Z" transform="translate(0 0)" fill="#d6d6d6"></path>
          </svg>
        </span>
      </label>
    </div>
    <div class="category">
      <input type="checkbox" id="top-category-3" name="data[Coupon][category][]" value="3">
      <label for="top-category-3">
        <span class="icon"><img src="/img/sekiyakuhin/3.png" alt=""></span> 温浴 <span class="check">
          <svg xmlns="http://www.w3.org/2000/svg" width="7" height="5" viewBox="0 0 14.636 10.55">
            <path d="M13.592,0a1,1,0,0,0-.69.306c-2.491,2.5-5.157,5.356-7.645,7.88L1.706,5.262A1,1,0,1,0,.436,6.807L4.7,10.32a1,1,0,0,0,1.349-.063c2.7-2.7,5.624-5.869,8.28-8.531h0A1,1,0,0,0,13.592,0Z" transform="translate(0 0)" fill="#d6d6d6"></path>
          </svg>
        </span>
      </label>
    </div>
    <div class="category">
      <input type="checkbox" id="top-category-4" name="data[Coupon][category][]" value="4">
      <label for="top-category-4">
        <span class="icon"><img src="/img/sekiyakuhin/4.png" alt=""></span> グルメ <span class="check">
          <svg xmlns="http://www.w3.org/2000/svg" width="7" height="5" viewBox="0 0 14.636 10.55">
            <path d="M13.592,0a1,1,0,0,0-.69.306c-2.491,2.5-5.157,5.356-7.645,7.88L1.706,5.262A1,1,0,1,0,.436,6.807L4.7,10.32a1,1,0,0,0,1.349-.063c2.7-2.7,5.624-5.869,8.28-8.531h0A1,1,0,0,0,13.592,0Z" transform="translate(0 0)" fill="#d6d6d6"></path>
          </svg>
        </span>
      </label>
    </div>
    <div class="category">
      <input type="checkbox" id="top-category-5" name="data[Coupon][category][]" value="5">
      <label for="top-category-5">
        <span class="icon"><img src="/img/sekiyakuhin/5.png" alt=""></span> レジャー <span class="check">
          <svg xmlns="http://www.w3.org/2000/svg" width="7" height="5" viewBox="0 0 14.636 10.55">
            <path d="M13.592,0a1,1,0,0,0-.69.306c-2.491,2.5-5.157,5.356-7.645,7.88L1.706,5.262A1,1,0,1,0,.436,6.807L4.7,10.32a1,1,0,0,0,1.349-.063c2.7-2.7,5.624-5.869,8.28-8.531h0A1,1,0,0,0,13.592,0Z" transform="translate(0 0)" fill="#d6d6d6"></path>
          </svg>
        </span>
      </label>
    </div>
  </div>
  <a class="more js-top-categories-more">
    <svg xmlns="http://www.w3.org/2000/svg" width="22" height="21.991" viewBox="0 0 22 21.991">
      <g transform="translate(-107 -1222)">
        <path 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transform="translate(107 1222)" fill="#242424"></path>
        <text transform="translate(118 1238)" fill="#242424" font-size="13" font-family="NotoSansJP-Bold, Noto Sans JP" font-weight="700" letter-spacing="0.04em">
          <tspan x="-3.829" y="0">+</tspan>
        </text>
      </g>
    </svg>さらにジャンルを追加する
  </a>
  <div class="top-submit">
    <button type="submit" class="button-1 custom-bg" disabled="">検索する</button>
  </div>
</form>

POST /coupons/full_search

<form action="/coupons/full_search" method="post" class="app-section js-top-form">
  <div class="top-heading">地域から探す</div>
  <div class="input-cities top-cities" id="original_area">
    <div class="input-city">
      <div class="checkbox ">
        <input type="checkbox" id="top-cities-city-埼玉県" name="data[Coupon][original_area][]" value="537">
        <label for="top-cities-city-埼玉県">
          <svg xmlns="http://www.w3.org/2000/svg" width="27" height="27" viewBox="0 0 27 27" class="icon-check">
            <g transform="translate(-389 -418)">
              <circle cx="13.5" cy="13.5" r="13.5" transform="translate(389 418)" fill="#fff"></circle>
              <path d="M13.5,1A12.5,12.5,0,0,0,4.661,22.339,12.5,12.5,0,1,0,22.339,4.661,12.418,12.418,0,0,0,13.5,1m0-1A13.5,13.5,0,1,1,0,13.5,13.5,13.5,0,0,1,13.5,0Z" transform="translate(389 418)" fill="#d6d6d6"></path>
              <path d="M13.592,0a1,1,0,0,0-.69.306c-2.491,2.5-5.157,5.356-7.645,7.88L1.706,5.262A1,1,0,1,0,.436,6.807L4.7,10.32a1,1,0,0,0,1.349-.063c2.7-2.7,5.624-5.869,8.28-8.531h0A1,1,0,0,0,13.592,0Z" transform="translate(395.264 425.725)"
                fill="#d6d6d6"></path>
            </g>
          </svg> 埼玉県 </label>
      </div>
    </div>
    <div class="input-city">
      <div class="checkbox ">
        <input type="checkbox" id="top-cities-city-東部地域" name="data[Coupon][original_area][]" value="539">
        <label for="top-cities-city-東部地域">
          <svg xmlns="http://www.w3.org/2000/svg" width="27" height="27" viewBox="0 0 27 27" class="icon-check">
            <g transform="translate(-389 -418)">
              <circle cx="13.5" cy="13.5" r="13.5" transform="translate(389 418)" fill="#fff"></circle>
              <path d="M13.5,1A12.5,12.5,0,0,0,4.661,22.339,12.5,12.5,0,1,0,22.339,4.661,12.418,12.418,0,0,0,13.5,1m0-1A13.5,13.5,0,1,1,0,13.5,13.5,13.5,0,0,1,13.5,0Z" transform="translate(389 418)" fill="#d6d6d6"></path>
              <path d="M13.592,0a1,1,0,0,0-.69.306c-2.491,2.5-5.157,5.356-7.645,7.88L1.706,5.262A1,1,0,1,0,.436,6.807L4.7,10.32a1,1,0,0,0,1.349-.063c2.7-2.7,5.624-5.869,8.28-8.531h0A1,1,0,0,0,13.592,0Z" transform="translate(395.264 425.725)"
                fill="#d6d6d6"></path>
            </g>
          </svg> 東部地域 </label>
      </div>
    </div>
    <div class="input-city">
      <div class="checkbox ">
        <input type="checkbox" id="top-cities-city-中央地域" name="data[Coupon][original_area][]" value="540">
        <label for="top-cities-city-中央地域">
          <svg xmlns="http://www.w3.org/2000/svg" width="27" height="27" viewBox="0 0 27 27" class="icon-check">
            <g transform="translate(-389 -418)">
              <circle cx="13.5" cy="13.5" r="13.5" transform="translate(389 418)" fill="#fff"></circle>
              <path d="M13.5,1A12.5,12.5,0,0,0,4.661,22.339,12.5,12.5,0,1,0,22.339,4.661,12.418,12.418,0,0,0,13.5,1m0-1A13.5,13.5,0,1,1,0,13.5,13.5,13.5,0,0,1,13.5,0Z" transform="translate(389 418)" fill="#d6d6d6"></path>
              <path d="M13.592,0a1,1,0,0,0-.69.306c-2.491,2.5-5.157,5.356-7.645,7.88L1.706,5.262A1,1,0,1,0,.436,6.807L4.7,10.32a1,1,0,0,0,1.349-.063c2.7-2.7,5.624-5.869,8.28-8.531h0A1,1,0,0,0,13.592,0Z" transform="translate(395.264 425.725)"
                fill="#d6d6d6"></path>
            </g>
          </svg> 中央地域 </label>
      </div>
    </div>
    <div class="input-city">
      <div class="checkbox ">
        <input type="checkbox" id="top-cities-city-西部地域" name="data[Coupon][original_area][]" value="541">
        <label for="top-cities-city-西部地域">
          <svg xmlns="http://www.w3.org/2000/svg" width="27" height="27" viewBox="0 0 27 27" class="icon-check">
            <g transform="translate(-389 -418)">
              <circle cx="13.5" cy="13.5" r="13.5" transform="translate(389 418)" fill="#fff"></circle>
              <path d="M13.5,1A12.5,12.5,0,0,0,4.661,22.339,12.5,12.5,0,1,0,22.339,4.661,12.418,12.418,0,0,0,13.5,1m0-1A13.5,13.5,0,1,1,0,13.5,13.5,13.5,0,0,1,13.5,0Z" transform="translate(389 418)" fill="#d6d6d6"></path>
              <path d="M13.592,0a1,1,0,0,0-.69.306c-2.491,2.5-5.157,5.356-7.645,7.88L1.706,5.262A1,1,0,1,0,.436,6.807L4.7,10.32a1,1,0,0,0,1.349-.063c2.7-2.7,5.624-5.869,8.28-8.531h0A1,1,0,0,0,13.592,0Z" transform="translate(395.264 425.725)"
                fill="#d6d6d6"></path>
            </g>
          </svg> 西部地域 </label>
      </div>
    </div>
    <div class="input-city">
      <div class="checkbox ">
        <input type="checkbox" id="top-cities-city-北部地域" name="data[Coupon][original_area][]" value="542">
        <label for="top-cities-city-北部地域">
          <svg xmlns="http://www.w3.org/2000/svg" width="27" height="27" viewBox="0 0 27 27" class="icon-check">
            <g transform="translate(-389 -418)">
              <circle cx="13.5" cy="13.5" r="13.5" transform="translate(389 418)" fill="#fff"></circle>
              <path d="M13.5,1A12.5,12.5,0,0,0,4.661,22.339,12.5,12.5,0,1,0,22.339,4.661,12.418,12.418,0,0,0,13.5,1m0-1A13.5,13.5,0,1,1,0,13.5,13.5,13.5,0,0,1,13.5,0Z" transform="translate(389 418)" fill="#d6d6d6"></path>
              <path d="M13.592,0a1,1,0,0,0-.69.306c-2.491,2.5-5.157,5.356-7.645,7.88L1.706,5.262A1,1,0,1,0,.436,6.807L4.7,10.32a1,1,0,0,0,1.349-.063c2.7-2.7,5.624-5.869,8.28-8.531h0A1,1,0,0,0,13.592,0Z" transform="translate(395.264 425.725)"
                fill="#d6d6d6"></path>
            </g>
          </svg> 北部地域 </label>
      </div>
    </div>
    <div class="input-city">
      <div class="checkbox ">
        <input type="checkbox" id="top-cities-city-秩父地域" name="data[Coupon][original_area][]" value="543">
        <label for="top-cities-city-秩父地域">
          <svg xmlns="http://www.w3.org/2000/svg" width="27" height="27" viewBox="0 0 27 27" class="icon-check">
            <g transform="translate(-389 -418)">
              <circle cx="13.5" cy="13.5" r="13.5" transform="translate(389 418)" fill="#fff"></circle>
              <path d="M13.5,1A12.5,12.5,0,0,0,4.661,22.339,12.5,12.5,0,1,0,22.339,4.661,12.418,12.418,0,0,0,13.5,1m0-1A13.5,13.5,0,1,1,0,13.5,13.5,13.5,0,0,1,13.5,0Z" transform="translate(389 418)" fill="#d6d6d6"></path>
              <path d="M13.592,0a1,1,0,0,0-.69.306c-2.491,2.5-5.157,5.356-7.645,7.88L1.706,5.262A1,1,0,1,0,.436,6.807L4.7,10.32a1,1,0,0,0,1.349-.063c2.7-2.7,5.624-5.869,8.28-8.531h0A1,1,0,0,0,13.592,0Z" transform="translate(395.264 425.725)"
                fill="#d6d6d6"></path>
            </g>
          </svg> 秩父地域 </label>
      </div>
    </div>
  </div>
  <div class="top-submit">
    <button type="submit" class="button-1 custom-bg" disabled="">検索する</button>
  </div>
</form>

POST

<form action="" method="post">
  <div class="badge"><b>NEW!</b></div>
  <div class="header">
    <div class="heading">あなたのことを教えてください</div>
    <div class="description">ログイン後、興味のあるカテゴリ登録を行うと、<br>あなたが興味のあるサービスが表示されます</div>
  </div>
  <div class="body active js-personalize-question">
    <div class="heading">あなたの住んでるところは?</div>
    <select name="residence">
      <option value="">都道府県を選択してください</option>
      <option value="北海道">北海道</option>
      <option value="青森県">青森</option>
      <option value="岩手県">岩手</option>
      <option value="宮城県">宮城</option>
      <option value="秋田県">秋田</option>
      <option value="山形県">山形</option>
      <option value="福島県">福島</option>
      <option value="東京都">東京</option>
      <option value="神奈川県">神奈川</option>
      <option value="千葉県">千葉</option>
      <option value="埼玉県">埼玉</option>
      <option value="茨城県">茨城</option>
      <option value="栃木県">栃木</option>
      <option value="群馬県">群馬</option>
      <option value="新潟県">新潟</option>
      <option value="富山県">富山</option>
      <option value="石川県">石川</option>
      <option value="福井県">福井</option>
      <option value="山梨県">山梨</option>
      <option value="長野県">長野</option>
      <option value="岐阜県">岐阜</option>
      <option value="静岡県">静岡</option>
      <option value="愛知県">愛知</option>
      <option value="三重県">三重</option>
      <option value="滋賀県">滋賀</option>
      <option value="京都府">京都</option>
      <option value="大阪府">大阪</option>
      <option value="兵庫県">兵庫</option>
      <option value="奈良県">奈良</option>
      <option value="和歌山県">和歌山</option>
      <option value="鳥取県">鳥取</option>
      <option value="島根県">島根</option>
      <option value="岡山県">岡山</option>
      <option value="広島県">広島</option>
      <option value="山口県">山口</option>
      <option value="徳島県">徳島</option>
      <option value="香川県">香川</option>
      <option value="愛媛県">愛媛</option>
      <option value="高知県">高知</option>
      <option value="福岡県">福岡</option>
      <option value="佐賀県">佐賀</option>
      <option value="長崎県">長崎</option>
      <option value="熊本県">熊本</option>
      <option value="大分県">大分</option>
      <option value="宮崎県">宮崎</option>
      <option value="鹿児島県">鹿児島</option>
      <option value="沖縄県">沖縄</option>
    </select>
  </div>
  <div class="body js-personalize-question">
    <div class="heading">あなたの好きな地域は?</div>
    <div class="checked-field js-checked-field"></div>
    <div class="input-cities personalize-cities" id="original_area">
      <div class="input-city">
        <div class="checkbox ">
          <input type="checkbox" id="personalize-cities-city-埼玉県" name="data[Coupon][original_area][]" value="537">
          <label for="personalize-cities-city-埼玉県">
            <svg xmlns="http://www.w3.org/2000/svg" width="27" height="27" viewBox="0 0 27 27" class="icon-check">
              <g transform="translate(-389 -418)">
                <circle cx="13.5" cy="13.5" r="13.5" transform="translate(389 418)" fill="#fff"></circle>
                <path d="M13.5,1A12.5,12.5,0,0,0,4.661,22.339,12.5,12.5,0,1,0,22.339,4.661,12.418,12.418,0,0,0,13.5,1m0-1A13.5,13.5,0,1,1,0,13.5,13.5,13.5,0,0,1,13.5,0Z" transform="translate(389 418)" fill="#d6d6d6"></path>
                <path d="M13.592,0a1,1,0,0,0-.69.306c-2.491,2.5-5.157,5.356-7.645,7.88L1.706,5.262A1,1,0,1,0,.436,6.807L4.7,10.32a1,1,0,0,0,1.349-.063c2.7-2.7,5.624-5.869,8.28-8.531h0A1,1,0,0,0,13.592,0Z" transform="translate(395.264 425.725)"
                  fill="#d6d6d6"></path>
              </g>
            </svg> 埼玉県 </label>
        </div>
      </div>
      <div class="input-city">
        <div class="checkbox ">
          <input type="checkbox" id="personalize-cities-city-東部地域" name="data[Coupon][original_area][]" value="539">
          <label for="personalize-cities-city-東部地域">
            <svg xmlns="http://www.w3.org/2000/svg" width="27" height="27" viewBox="0 0 27 27" class="icon-check">
              <g transform="translate(-389 -418)">
                <circle cx="13.5" cy="13.5" r="13.5" transform="translate(389 418)" fill="#fff"></circle>
                <path d="M13.5,1A12.5,12.5,0,0,0,4.661,22.339,12.5,12.5,0,1,0,22.339,4.661,12.418,12.418,0,0,0,13.5,1m0-1A13.5,13.5,0,1,1,0,13.5,13.5,13.5,0,0,1,13.5,0Z" transform="translate(389 418)" fill="#d6d6d6"></path>
                <path d="M13.592,0a1,1,0,0,0-.69.306c-2.491,2.5-5.157,5.356-7.645,7.88L1.706,5.262A1,1,0,1,0,.436,6.807L4.7,10.32a1,1,0,0,0,1.349-.063c2.7-2.7,5.624-5.869,8.28-8.531h0A1,1,0,0,0,13.592,0Z" transform="translate(395.264 425.725)"
                  fill="#d6d6d6"></path>
              </g>
            </svg> 東部地域 </label>
        </div>
      </div>
      <div class="input-city">
        <div class="checkbox ">
          <input type="checkbox" id="personalize-cities-city-中央地域" name="data[Coupon][original_area][]" value="540">
          <label for="personalize-cities-city-中央地域">
            <svg xmlns="http://www.w3.org/2000/svg" width="27" height="27" viewBox="0 0 27 27" class="icon-check">
              <g transform="translate(-389 -418)">
                <circle cx="13.5" cy="13.5" r="13.5" transform="translate(389 418)" fill="#fff"></circle>
                <path d="M13.5,1A12.5,12.5,0,0,0,4.661,22.339,12.5,12.5,0,1,0,22.339,4.661,12.418,12.418,0,0,0,13.5,1m0-1A13.5,13.5,0,1,1,0,13.5,13.5,13.5,0,0,1,13.5,0Z" transform="translate(389 418)" fill="#d6d6d6"></path>
                <path d="M13.592,0a1,1,0,0,0-.69.306c-2.491,2.5-5.157,5.356-7.645,7.88L1.706,5.262A1,1,0,1,0,.436,6.807L4.7,10.32a1,1,0,0,0,1.349-.063c2.7-2.7,5.624-5.869,8.28-8.531h0A1,1,0,0,0,13.592,0Z" transform="translate(395.264 425.725)"
                  fill="#d6d6d6"></path>
              </g>
            </svg> 中央地域 </label>
        </div>
      </div>
      <div class="input-city">
        <div class="checkbox ">
          <input type="checkbox" id="personalize-cities-city-西部地域" name="data[Coupon][original_area][]" value="541">
          <label for="personalize-cities-city-西部地域">
            <svg xmlns="http://www.w3.org/2000/svg" width="27" height="27" viewBox="0 0 27 27" class="icon-check">
              <g transform="translate(-389 -418)">
                <circle cx="13.5" cy="13.5" r="13.5" transform="translate(389 418)" fill="#fff"></circle>
                <path d="M13.5,1A12.5,12.5,0,0,0,4.661,22.339,12.5,12.5,0,1,0,22.339,4.661,12.418,12.418,0,0,0,13.5,1m0-1A13.5,13.5,0,1,1,0,13.5,13.5,13.5,0,0,1,13.5,0Z" transform="translate(389 418)" fill="#d6d6d6"></path>
                <path d="M13.592,0a1,1,0,0,0-.69.306c-2.491,2.5-5.157,5.356-7.645,7.88L1.706,5.262A1,1,0,1,0,.436,6.807L4.7,10.32a1,1,0,0,0,1.349-.063c2.7-2.7,5.624-5.869,8.28-8.531h0A1,1,0,0,0,13.592,0Z" transform="translate(395.264 425.725)"
                  fill="#d6d6d6"></path>
              </g>
            </svg> 西部地域 </label>
        </div>
      </div>
      <div class="input-city">
        <div class="checkbox ">
          <input type="checkbox" id="personalize-cities-city-北部地域" name="data[Coupon][original_area][]" value="542">
          <label for="personalize-cities-city-北部地域">
            <svg xmlns="http://www.w3.org/2000/svg" width="27" height="27" viewBox="0 0 27 27" class="icon-check">
              <g transform="translate(-389 -418)">
                <circle cx="13.5" cy="13.5" r="13.5" transform="translate(389 418)" fill="#fff"></circle>
                <path d="M13.5,1A12.5,12.5,0,0,0,4.661,22.339,12.5,12.5,0,1,0,22.339,4.661,12.418,12.418,0,0,0,13.5,1m0-1A13.5,13.5,0,1,1,0,13.5,13.5,13.5,0,0,1,13.5,0Z" transform="translate(389 418)" fill="#d6d6d6"></path>
                <path d="M13.592,0a1,1,0,0,0-.69.306c-2.491,2.5-5.157,5.356-7.645,7.88L1.706,5.262A1,1,0,1,0,.436,6.807L4.7,10.32a1,1,0,0,0,1.349-.063c2.7-2.7,5.624-5.869,8.28-8.531h0A1,1,0,0,0,13.592,0Z" transform="translate(395.264 425.725)"
                  fill="#d6d6d6"></path>
              </g>
            </svg> 北部地域 </label>
        </div>
      </div>
      <div class="input-city">
        <div class="checkbox ">
          <input type="checkbox" id="personalize-cities-city-秩父地域" name="data[Coupon][original_area][]" value="543">
          <label for="personalize-cities-city-秩父地域">
            <svg xmlns="http://www.w3.org/2000/svg" width="27" height="27" viewBox="0 0 27 27" class="icon-check">
              <g transform="translate(-389 -418)">
                <circle cx="13.5" cy="13.5" r="13.5" transform="translate(389 418)" fill="#fff"></circle>
                <path d="M13.5,1A12.5,12.5,0,0,0,4.661,22.339,12.5,12.5,0,1,0,22.339,4.661,12.418,12.418,0,0,0,13.5,1m0-1A13.5,13.5,0,1,1,0,13.5,13.5,13.5,0,0,1,13.5,0Z" transform="translate(389 418)" fill="#d6d6d6"></path>
                <path d="M13.592,0a1,1,0,0,0-.69.306c-2.491,2.5-5.157,5.356-7.645,7.88L1.706,5.262A1,1,0,1,0,.436,6.807L4.7,10.32a1,1,0,0,0,1.349-.063c2.7-2.7,5.624-5.869,8.28-8.531h0A1,1,0,0,0,13.592,0Z" transform="translate(395.264 425.725)"
                  fill="#d6d6d6"></path>
              </g>
            </svg> 秩父地域 </label>
        </div>
      </div>
    </div>
  </div>
  <div class="body js-personalize-question">
    <div class="heading">あなたの好きなジャンルは?</div>
    <div class="input-categories ">
      <div class="input-category">
        <div class="checkbox ">
          <input type="checkbox" id="personalize-category-1" name="data[Coupon][category][]" value="1">
          <label for="personalize-category-1">
            <svg xmlns="http://www.w3.org/2000/svg" width="27" height="27" viewBox="0 0 27 27" class="icon-check">
              <g transform="translate(-389 -418)">
                <circle cx="13.5" cy="13.5" r="13.5" transform="translate(389 418)" fill="#fff"></circle>
                <path d="M13.5,1A12.5,12.5,0,0,0,4.661,22.339,12.5,12.5,0,1,0,22.339,4.661,12.418,12.418,0,0,0,13.5,1m0-1A13.5,13.5,0,1,1,0,13.5,13.5,13.5,0,0,1,13.5,0Z" transform="translate(389 418)" fill="#d6d6d6"></path>
                <path d="M13.592,0a1,1,0,0,0-.69.306c-2.491,2.5-5.157,5.356-7.645,7.88L1.706,5.262A1,1,0,1,0,.436,6.807L4.7,10.32a1,1,0,0,0,1.349-.063c2.7-2.7,5.624-5.869,8.28-8.531h0A1,1,0,0,0,13.592,0Z" transform="translate(395.264 425.725)"
                  fill="#d6d6d6"></path>
              </g>
            </svg>
            <span class="icon"><img src="/img/sekiyakuhin/1.png" alt=""></span> その他 </label>
        </div>
      </div>
      <div class="input-category">
        <div class="checkbox ">
          <input type="checkbox" id="personalize-category-3" name="data[Coupon][category][]" value="3">
          <label for="personalize-category-3">
            <svg xmlns="http://www.w3.org/2000/svg" width="27" height="27" viewBox="0 0 27 27" class="icon-check">
              <g transform="translate(-389 -418)">
                <circle cx="13.5" cy="13.5" r="13.5" transform="translate(389 418)" fill="#fff"></circle>
                <path d="M13.5,1A12.5,12.5,0,0,0,4.661,22.339,12.5,12.5,0,1,0,22.339,4.661,12.418,12.418,0,0,0,13.5,1m0-1A13.5,13.5,0,1,1,0,13.5,13.5,13.5,0,0,1,13.5,0Z" transform="translate(389 418)" fill="#d6d6d6"></path>
                <path d="M13.592,0a1,1,0,0,0-.69.306c-2.491,2.5-5.157,5.356-7.645,7.88L1.706,5.262A1,1,0,1,0,.436,6.807L4.7,10.32a1,1,0,0,0,1.349-.063c2.7-2.7,5.624-5.869,8.28-8.531h0A1,1,0,0,0,13.592,0Z" transform="translate(395.264 425.725)"
                  fill="#d6d6d6"></path>
              </g>
            </svg>
            <span class="icon"><img src="/img/sekiyakuhin/3.png" alt=""></span> 温浴 </label>
        </div>
      </div>
      <div class="input-category">
        <div class="checkbox ">
          <input type="checkbox" id="personalize-category-4" name="data[Coupon][category][]" value="4">
          <label for="personalize-category-4">
            <svg xmlns="http://www.w3.org/2000/svg" width="27" height="27" viewBox="0 0 27 27" class="icon-check">
              <g transform="translate(-389 -418)">
                <circle cx="13.5" cy="13.5" r="13.5" transform="translate(389 418)" fill="#fff"></circle>
                <path d="M13.5,1A12.5,12.5,0,0,0,4.661,22.339,12.5,12.5,0,1,0,22.339,4.661,12.418,12.418,0,0,0,13.5,1m0-1A13.5,13.5,0,1,1,0,13.5,13.5,13.5,0,0,1,13.5,0Z" transform="translate(389 418)" fill="#d6d6d6"></path>
                <path d="M13.592,0a1,1,0,0,0-.69.306c-2.491,2.5-5.157,5.356-7.645,7.88L1.706,5.262A1,1,0,1,0,.436,6.807L4.7,10.32a1,1,0,0,0,1.349-.063c2.7-2.7,5.624-5.869,8.28-8.531h0A1,1,0,0,0,13.592,0Z" transform="translate(395.264 425.725)"
                  fill="#d6d6d6"></path>
              </g>
            </svg>
            <span class="icon"><img src="/img/sekiyakuhin/4.png" alt=""></span> グルメ </label>
        </div>
      </div>
      <div class="input-category">
        <div class="checkbox ">
          <input type="checkbox" id="personalize-category-5" name="data[Coupon][category][]" value="5">
          <label for="personalize-category-5">
            <svg xmlns="http://www.w3.org/2000/svg" width="27" height="27" viewBox="0 0 27 27" class="icon-check">
              <g transform="translate(-389 -418)">
                <circle cx="13.5" cy="13.5" r="13.5" transform="translate(389 418)" fill="#fff"></circle>
                <path d="M13.5,1A12.5,12.5,0,0,0,4.661,22.339,12.5,12.5,0,1,0,22.339,4.661,12.418,12.418,0,0,0,13.5,1m0-1A13.5,13.5,0,1,1,0,13.5,13.5,13.5,0,0,1,13.5,0Z" transform="translate(389 418)" fill="#d6d6d6"></path>
                <path d="M13.592,0a1,1,0,0,0-.69.306c-2.491,2.5-5.157,5.356-7.645,7.88L1.706,5.262A1,1,0,1,0,.436,6.807L4.7,10.32a1,1,0,0,0,1.349-.063c2.7-2.7,5.624-5.869,8.28-8.531h0A1,1,0,0,0,13.592,0Z" transform="translate(395.264 425.725)"
                  fill="#d6d6d6"></path>
              </g>
            </svg>
            <span class="icon"><img src="/img/sekiyakuhin/5.png" alt=""></span> レジャー </label>
        </div>
      </div>
    </div>
  </div>
  <div class="body js-personalize-question">
    <div class="heading">あなたの家族構成は?</div>
    <div class="input-family-wrapper personalize-family">
      <div class="input-family">
        <label for="">大人</label>
        <input type="number" name="family[adult]" min="0" placeholder="人数">
      </div>
      <div class="input-family">
        <label for="">幼児</label>
        <input type="number" name="family[infant]" min="0" placeholder="人数">
      </div>
      <div class="input-family">
        <label for="">小学生</label>
        <input type="number" name="family[elementary]" min="0" placeholder="人数">
      </div>
      <div class="input-family">
        <label for="">中高生</label>
        <input type="number" name="family[highschool]" min="0" placeholder="人数">
      </div>
      <div class="input-family">
        <label for="">シニア</label>
        <input type="number" name="family[senior]" min="0" placeholder="人数">
      </div>
    </div>
  </div>
  <div class="footer">
    <a class="text-underline js-dialog-close"><b>今は設定しない</b></a>
    <button class="button-1 js-personalize-next">次へ進む</button>
    <button class="button-1 js-dialog-close1">設定する</button>
  </div>
</form>

POST

<form action="" method="post" class="contents">
  <div class="close js-dialog-close"></div>
  <div class="menu active js-search-menu" data-action="/coupons/freeword_result">
    <div class="header">
      <div class="heading">自由に探す</div>
      <div class="sub">柔軟に検索</div>
    </div>
    <div class="body">
      <input type="text" placeholder="施設・店舗名を入力" name="data[Search][keyword]">
    </div>
  </div>
  <div class="menu js-search-menu" data-action="/coupons/full_search">
    <div class="header">
      <div class="heading">ジャンルから探す</div>
      <div class="sub">ジャンルを追加</div>
    </div>
    <div class="body">
      <div class="input-categories ">
        <div class="input-category">
          <div class="checkbox ">
            <input type="checkbox" id="header-category-1" name="data[Coupon][category][]" value="1">
            <label for="header-category-1">
              <svg xmlns="http://www.w3.org/2000/svg" width="27" height="27" viewBox="0 0 27 27" class="icon-check">
                <g transform="translate(-389 -418)">
                  <circle cx="13.5" cy="13.5" r="13.5" transform="translate(389 418)" fill="#fff"></circle>
                  <path d="M13.5,1A12.5,12.5,0,0,0,4.661,22.339,12.5,12.5,0,1,0,22.339,4.661,12.418,12.418,0,0,0,13.5,1m0-1A13.5,13.5,0,1,1,0,13.5,13.5,13.5,0,0,1,13.5,0Z" transform="translate(389 418)" fill="#d6d6d6"></path>
                  <path d="M13.592,0a1,1,0,0,0-.69.306c-2.491,2.5-5.157,5.356-7.645,7.88L1.706,5.262A1,1,0,1,0,.436,6.807L4.7,10.32a1,1,0,0,0,1.349-.063c2.7-2.7,5.624-5.869,8.28-8.531h0A1,1,0,0,0,13.592,0Z" transform="translate(395.264 425.725)"
                    fill="#d6d6d6"></path>
                </g>
              </svg>
              <span class="icon"><img src="/img/sekiyakuhin/1.png" alt=""></span> その他 </label>
          </div>
        </div>
        <div class="input-category">
          <div class="checkbox ">
            <input type="checkbox" id="header-category-3" name="data[Coupon][category][]" value="3">
            <label for="header-category-3">
              <svg xmlns="http://www.w3.org/2000/svg" width="27" height="27" viewBox="0 0 27 27" class="icon-check">
                <g transform="translate(-389 -418)">
                  <circle cx="13.5" cy="13.5" r="13.5" transform="translate(389 418)" fill="#fff"></circle>
                  <path d="M13.5,1A12.5,12.5,0,0,0,4.661,22.339,12.5,12.5,0,1,0,22.339,4.661,12.418,12.418,0,0,0,13.5,1m0-1A13.5,13.5,0,1,1,0,13.5,13.5,13.5,0,0,1,13.5,0Z" transform="translate(389 418)" fill="#d6d6d6"></path>
                  <path d="M13.592,0a1,1,0,0,0-.69.306c-2.491,2.5-5.157,5.356-7.645,7.88L1.706,5.262A1,1,0,1,0,.436,6.807L4.7,10.32a1,1,0,0,0,1.349-.063c2.7-2.7,5.624-5.869,8.28-8.531h0A1,1,0,0,0,13.592,0Z" transform="translate(395.264 425.725)"
                    fill="#d6d6d6"></path>
                </g>
              </svg>
              <span class="icon"><img src="/img/sekiyakuhin/3.png" alt=""></span> 温浴 </label>
          </div>
        </div>
        <div class="input-category">
          <div class="checkbox ">
            <input type="checkbox" id="header-category-4" name="data[Coupon][category][]" value="4">
            <label for="header-category-4">
              <svg xmlns="http://www.w3.org/2000/svg" width="27" height="27" viewBox="0 0 27 27" class="icon-check">
                <g transform="translate(-389 -418)">
                  <circle cx="13.5" cy="13.5" r="13.5" transform="translate(389 418)" fill="#fff"></circle>
                  <path d="M13.5,1A12.5,12.5,0,0,0,4.661,22.339,12.5,12.5,0,1,0,22.339,4.661,12.418,12.418,0,0,0,13.5,1m0-1A13.5,13.5,0,1,1,0,13.5,13.5,13.5,0,0,1,13.5,0Z" transform="translate(389 418)" fill="#d6d6d6"></path>
                  <path d="M13.592,0a1,1,0,0,0-.69.306c-2.491,2.5-5.157,5.356-7.645,7.88L1.706,5.262A1,1,0,1,0,.436,6.807L4.7,10.32a1,1,0,0,0,1.349-.063c2.7-2.7,5.624-5.869,8.28-8.531h0A1,1,0,0,0,13.592,0Z" transform="translate(395.264 425.725)"
                    fill="#d6d6d6"></path>
                </g>
              </svg>
              <span class="icon"><img src="/img/sekiyakuhin/4.png" alt=""></span> グルメ </label>
          </div>
        </div>
        <div class="input-category">
          <div class="checkbox ">
            <input type="checkbox" id="header-category-5" name="data[Coupon][category][]" value="5">
            <label for="header-category-5">
              <svg xmlns="http://www.w3.org/2000/svg" width="27" height="27" viewBox="0 0 27 27" class="icon-check">
                <g transform="translate(-389 -418)">
                  <circle cx="13.5" cy="13.5" r="13.5" transform="translate(389 418)" fill="#fff"></circle>
                  <path d="M13.5,1A12.5,12.5,0,0,0,4.661,22.339,12.5,12.5,0,1,0,22.339,4.661,12.418,12.418,0,0,0,13.5,1m0-1A13.5,13.5,0,1,1,0,13.5,13.5,13.5,0,0,1,13.5,0Z" transform="translate(389 418)" fill="#d6d6d6"></path>
                  <path d="M13.592,0a1,1,0,0,0-.69.306c-2.491,2.5-5.157,5.356-7.645,7.88L1.706,5.262A1,1,0,1,0,.436,6.807L4.7,10.32a1,1,0,0,0,1.349-.063c2.7-2.7,5.624-5.869,8.28-8.531h0A1,1,0,0,0,13.592,0Z" transform="translate(395.264 425.725)"
                    fill="#d6d6d6"></path>
                </g>
              </svg>
              <span class="icon"><img src="/img/sekiyakuhin/5.png" alt=""></span> レジャー </label>
          </div>
        </div>
      </div>
    </div>
  </div>
  <div class="menu js-search-menu" data-action="/coupons/full_search">
    <div class="header">
      <div class="heading">地域から探す</div>
      <div class="sub">場所を追加</div>
    </div>
    <div class="body">
      <div class="input-cities header-cities" id="original_area">
        <div class="input-city">
          <div class="checkbox ">
            <input type="checkbox" id="header-cities-city-埼玉県" name="data[Coupon][original_area][]" value="537">
            <label for="header-cities-city-埼玉県">
              <svg xmlns="http://www.w3.org/2000/svg" width="27" height="27" viewBox="0 0 27 27" class="icon-check">
                <g transform="translate(-389 -418)">
                  <circle cx="13.5" cy="13.5" r="13.5" transform="translate(389 418)" fill="#fff"></circle>
                  <path d="M13.5,1A12.5,12.5,0,0,0,4.661,22.339,12.5,12.5,0,1,0,22.339,4.661,12.418,12.418,0,0,0,13.5,1m0-1A13.5,13.5,0,1,1,0,13.5,13.5,13.5,0,0,1,13.5,0Z" transform="translate(389 418)" fill="#d6d6d6"></path>
                  <path d="M13.592,0a1,1,0,0,0-.69.306c-2.491,2.5-5.157,5.356-7.645,7.88L1.706,5.262A1,1,0,1,0,.436,6.807L4.7,10.32a1,1,0,0,0,1.349-.063c2.7-2.7,5.624-5.869,8.28-8.531h0A1,1,0,0,0,13.592,0Z" transform="translate(395.264 425.725)"
                    fill="#d6d6d6"></path>
                </g>
              </svg> 埼玉県 </label>
          </div>
        </div>
        <div class="input-city">
          <div class="checkbox ">
            <input type="checkbox" id="header-cities-city-東部地域" name="data[Coupon][original_area][]" value="539">
            <label for="header-cities-city-東部地域">
              <svg xmlns="http://www.w3.org/2000/svg" width="27" height="27" viewBox="0 0 27 27" class="icon-check">
                <g transform="translate(-389 -418)">
                  <circle cx="13.5" cy="13.5" r="13.5" transform="translate(389 418)" fill="#fff"></circle>
                  <path d="M13.5,1A12.5,12.5,0,0,0,4.661,22.339,12.5,12.5,0,1,0,22.339,4.661,12.418,12.418,0,0,0,13.5,1m0-1A13.5,13.5,0,1,1,0,13.5,13.5,13.5,0,0,1,13.5,0Z" transform="translate(389 418)" fill="#d6d6d6"></path>
                  <path d="M13.592,0a1,1,0,0,0-.69.306c-2.491,2.5-5.157,5.356-7.645,7.88L1.706,5.262A1,1,0,1,0,.436,6.807L4.7,10.32a1,1,0,0,0,1.349-.063c2.7-2.7,5.624-5.869,8.28-8.531h0A1,1,0,0,0,13.592,0Z" transform="translate(395.264 425.725)"
                    fill="#d6d6d6"></path>
                </g>
              </svg> 東部地域 </label>
          </div>
        </div>
        <div class="input-city">
          <div class="checkbox ">
            <input type="checkbox" id="header-cities-city-中央地域" name="data[Coupon][original_area][]" value="540">
            <label for="header-cities-city-中央地域">
              <svg xmlns="http://www.w3.org/2000/svg" width="27" height="27" viewBox="0 0 27 27" class="icon-check">
                <g transform="translate(-389 -418)">
                  <circle cx="13.5" cy="13.5" r="13.5" transform="translate(389 418)" fill="#fff"></circle>
                  <path d="M13.5,1A12.5,12.5,0,0,0,4.661,22.339,12.5,12.5,0,1,0,22.339,4.661,12.418,12.418,0,0,0,13.5,1m0-1A13.5,13.5,0,1,1,0,13.5,13.5,13.5,0,0,1,13.5,0Z" transform="translate(389 418)" fill="#d6d6d6"></path>
                  <path d="M13.592,0a1,1,0,0,0-.69.306c-2.491,2.5-5.157,5.356-7.645,7.88L1.706,5.262A1,1,0,1,0,.436,6.807L4.7,10.32a1,1,0,0,0,1.349-.063c2.7-2.7,5.624-5.869,8.28-8.531h0A1,1,0,0,0,13.592,0Z" transform="translate(395.264 425.725)"
                    fill="#d6d6d6"></path>
                </g>
              </svg> 中央地域 </label>
          </div>
        </div>
        <div class="input-city">
          <div class="checkbox ">
            <input type="checkbox" id="header-cities-city-西部地域" name="data[Coupon][original_area][]" value="541">
            <label for="header-cities-city-西部地域">
              <svg xmlns="http://www.w3.org/2000/svg" width="27" height="27" viewBox="0 0 27 27" class="icon-check">
                <g transform="translate(-389 -418)">
                  <circle cx="13.5" cy="13.5" r="13.5" transform="translate(389 418)" fill="#fff"></circle>
                  <path d="M13.5,1A12.5,12.5,0,0,0,4.661,22.339,12.5,12.5,0,1,0,22.339,4.661,12.418,12.418,0,0,0,13.5,1m0-1A13.5,13.5,0,1,1,0,13.5,13.5,13.5,0,0,1,13.5,0Z" transform="translate(389 418)" fill="#d6d6d6"></path>
                  <path d="M13.592,0a1,1,0,0,0-.69.306c-2.491,2.5-5.157,5.356-7.645,7.88L1.706,5.262A1,1,0,1,0,.436,6.807L4.7,10.32a1,1,0,0,0,1.349-.063c2.7-2.7,5.624-5.869,8.28-8.531h0A1,1,0,0,0,13.592,0Z" transform="translate(395.264 425.725)"
                    fill="#d6d6d6"></path>
                </g>
              </svg> 西部地域 </label>
          </div>
        </div>
        <div class="input-city">
          <div class="checkbox ">
            <input type="checkbox" id="header-cities-city-北部地域" name="data[Coupon][original_area][]" value="542">
            <label for="header-cities-city-北部地域">
              <svg xmlns="http://www.w3.org/2000/svg" width="27" height="27" viewBox="0 0 27 27" class="icon-check">
                <g transform="translate(-389 -418)">
                  <circle cx="13.5" cy="13.5" r="13.5" transform="translate(389 418)" fill="#fff"></circle>
                  <path d="M13.5,1A12.5,12.5,0,0,0,4.661,22.339,12.5,12.5,0,1,0,22.339,4.661,12.418,12.418,0,0,0,13.5,1m0-1A13.5,13.5,0,1,1,0,13.5,13.5,13.5,0,0,1,13.5,0Z" transform="translate(389 418)" fill="#d6d6d6"></path>
                  <path d="M13.592,0a1,1,0,0,0-.69.306c-2.491,2.5-5.157,5.356-7.645,7.88L1.706,5.262A1,1,0,1,0,.436,6.807L4.7,10.32a1,1,0,0,0,1.349-.063c2.7-2.7,5.624-5.869,8.28-8.531h0A1,1,0,0,0,13.592,0Z" transform="translate(395.264 425.725)"
                    fill="#d6d6d6"></path>
                </g>
              </svg> 北部地域 </label>
          </div>
        </div>
        <div class="input-city">
          <div class="checkbox ">
            <input type="checkbox" id="header-cities-city-秩父地域" name="data[Coupon][original_area][]" value="543">
            <label for="header-cities-city-秩父地域">
              <svg xmlns="http://www.w3.org/2000/svg" width="27" height="27" viewBox="0 0 27 27" class="icon-check">
                <g transform="translate(-389 -418)">
                  <circle cx="13.5" cy="13.5" r="13.5" transform="translate(389 418)" fill="#fff"></circle>
                  <path d="M13.5,1A12.5,12.5,0,0,0,4.661,22.339,12.5,12.5,0,1,0,22.339,4.661,12.418,12.418,0,0,0,13.5,1m0-1A13.5,13.5,0,1,1,0,13.5,13.5,13.5,0,0,1,13.5,0Z" transform="translate(389 418)" fill="#d6d6d6"></path>
                  <path d="M13.592,0a1,1,0,0,0-.69.306c-2.491,2.5-5.157,5.356-7.645,7.88L1.706,5.262A1,1,0,1,0,.436,6.807L4.7,10.32a1,1,0,0,0,1.349-.063c2.7-2.7,5.624-5.869,8.28-8.531h0A1,1,0,0,0,13.592,0Z" transform="translate(395.264 425.725)"
                    fill="#d6d6d6"></path>
                </g>
              </svg> 秩父地域 </label>
          </div>
        </div>
      </div>
    </div>
  </div>
  <div class="buttons">
    <button type="button" class="text-underline js-form-clear"><b>すべてクリア</b></button>
    <button type="submit" class="button-1 custom-bg">検索する</button>
  </div>
</form>

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地域から探す
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