YNU_JEUS/app_home/himed/webapps/mis/surveyweb/xrw/SPRXS00106_설문조사입력(근골격계질환).xrw

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								<answertext2colnm/>
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								<issuenm>5.</issuenm>
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								<answertext1colnm/>
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								<issuenm>6.</issuenm>
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								<answertext3colnm/>
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								<answertext1colnm/>
								<answertext2colnm/>
								<answertext3colnm/>
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								<issuecd>233</issuecd>
								<issuenm>3.</issuenm>
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								<answertext1colnm/>
								<answertext2colnm/>
								<answertext3colnm/>
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								<issuenm>4.</issuenm>
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								<answertext1colnm/>
								<answertext2colnm/>
								<answertext3colnm/>
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								<issuenm>5.</issuenm>
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								<answertext1colnm/>
								<answertext2colnm/>
								<answertext3colnm/>
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								<issuenm>6.</issuenm>
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								<answertext2colnm/>
								<answertext3colnm/>
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								<answertext1colnm/>
								<answertext2colnm/>
								<answertext3colnm/>
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								<issuecd>242</issuecd>
								<issuenm>2.</issuenm>
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								<answertext1colnm/>
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								<answertext3colnm/>
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								<issuecd>243</issuecd>
								<issuenm>3.</issuenm>
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								<answertext3colnm/>
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								<issuecd>244</issuecd>
								<issuenm>4.</issuenm>
								<answercolnm>c44</answercolnm>
								<answertext1colnm/>
								<answertext2colnm/>
								<answertext3colnm/>
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							<forminfo>
								<issuecd>245</issuecd>
								<issuenm>5.</issuenm>
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								<answertext1colnm/>
								<answertext2colnm/>
								<answertext3colnm/>
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								<issuecd>246</issuecd>
								<issuenm>6.</issuenm>
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								<answertext1colnm>c46_edt1</answertext1colnm>
								<answertext2colnm/>
								<answertext3colnm/>
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								<issuenm>2.</issuenm>
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								<answertext1colnm/>
								<answertext2colnm/>
								<answertext3colnm/>
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								<issuecd>253</issuecd>
								<issuenm>3.</issuenm>
								<answercolnm>c53</answercolnm>
								<answertext1colnm/>
								<answertext2colnm/>
								<answertext3colnm/>
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							<forminfo>
								<issuecd>254</issuecd>
								<issuenm>4.</issuenm>
								<answercolnm>c54</answercolnm>
								<answertext1colnm/>
								<answertext2colnm/>
								<answertext3colnm/>
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							<forminfo>
								<issuecd>255</issuecd>
								<issuenm>5.</issuenm>
								<answercolnm>c55</answercolnm>
								<answertext1colnm/>
								<answertext2colnm/>
								<answertext3colnm/>
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							<forminfo>
								<issuecd>256</issuecd>
								<issuenm>6.</issuenm>
								<answercolnm>c56</answercolnm>
								<answertext1colnm>c56_edt1</answertext1colnm>
								<answertext2colnm/>
								<answertext3colnm/>
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							<forminfo>
								<issuecd>261</issuecd>
								<issuenm>1.</issuenm>
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								<answertext1colnm/>
								<answertext2colnm/>
								<answertext3colnm/>
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							<forminfo>
								<issuecd>262</issuecd>
								<issuenm>2.</issuenm>
								<answercolnm>c62</answercolnm>
								<answertext1colnm/>
								<answertext2colnm/>
								<answertext3colnm/>
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							<forminfo>
								<issuecd>263</issuecd>
								<issuenm>3.</issuenm>
								<answercolnm>c63</answercolnm>
								<answertext1colnm/>
								<answertext2colnm/>
								<answertext3colnm/>
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							<forminfo>
								<issuecd>264</issuecd>
								<issuenm>4.</issuenm>
								<answercolnm>c64</answercolnm>
								<answertext1colnm/>
								<answertext2colnm/>
								<answertext3colnm/>
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							<forminfo>
								<issuecd>265</issuecd>
								<issuenm>5.</issuenm>
								<answercolnm>c65</answercolnm>
								<answertext1colnm/>
								<answertext2colnm/>
								<answertext3colnm/>
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							<forminfo>
								<issuecd>266</issuecd>
								<issuenm>6.</issuenm>
								<answercolnm>c66</answercolnm>
								<answertext1colnm>c66_edt1</answertext1colnm>
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							<surveyid>muscleskeleton</surveyid>
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						var answertext3colnm = model.getValue("/root/main/surveyform/forminfo[issuecd = '" + issuecd + "']/answertext3colnm");
						
						if(answercolnm != "")      model.setValue("/root/main/ansinfo/" + answercolnm,      answer);
						if(answertext1colnm != "") model.setValue("/root/main/ansinfo/" + answertext1colnm, answertext1);
						if(answertext2colnm != "") model.setValue("/root/main/ansinfo/" + answertext2colnm, answertext2);
						if(answertext3colnm != "") model.setValue("/root/main/ansinfo/" + answertext3colnm, answertext3);
					}
				} else {
					model.setValue("/root/main/ansinfo/a1_edt1", getUserName());
				}
				
				model.refresh();
				
				radio13.dispatch("xforms-value-changed");
				model.setFocus("caption3");
			}
			
			function fSave(histstat)
			{
				// 임시 저장일 때는 체크 안함
				if(histstat == "Y") {
					// 항목별 값 입력 확인
					var emptyAnswer     = "";
					
					// 17번 항목까지만 입력 여부 확인
					var count = getNodesetCount("/root/main/surveyform/forminfo");
					for(var i = 1; i <= 21; i++) {
						// 모든 컬럼에 값이 없을 경우
						var answercolnm = model.getValue("/root/main/surveyform/forminfo[" + i + "]/answercolnm");
						if(answercolnm == "") {
							answercolnm = model.getValue("/root/main/surveyform/forminfo[" + i + "]/answertext1colnm");
							
							if(answercolnm == "") {
								answercolnm = model.getValue("/root/main/surveyform/forminfo[" + i + "]/answertext2colnm");
								
								if(answercolnm == "")
									answercolnm = model.getValue("/root/main/surveyform/forminfo[" + i + "]/answertext3colnm");
							}
						}
						
						var value = model.getValue("/root/main/ansinfo/" + answercolnm);
						if(value == "") {
							var issuenm = model.getValue("/root/main/surveyform/forminfo[" + i + "]/issuenm");
							emptyAnswer = emptyAnswer + issuenm + " ";
						}
					}
					
					// 17번 항목 답변이 예(2)인 경우 입력 여부 확인
					var value = model.getValue("/root/main/ansinfo/a17");
					if(value == "2") {
						var value1 = model.getValue("/root/main/ansinfo/b1");
						var value2 = model.getValue("/root/main/ansinfo/b2");
						var value3 = model.getValue("/root/main/ansinfo/b3");
						var value4 = model.getValue("/root/main/ansinfo/b4");
						var value5 = model.getValue("/root/main/ansinfo/b5");
						var value6 = model.getValue("/root/main/ansinfo/b6");
						
						if(value1 == "" && value2 == "" && value3 == "" && value4 == "" && value5 == "" && value6 == "") {
							emptyAnswer = emptyAnswer + "\n17번 항목을 '예'로 한 경우 통증 부위에 대한 답변이 필요합니다";
						} else {
							var gubunName = ["목", "어깨", "팔/팔꿈치", "손/손목/손가락", "허리", "다리/발"];
							var nullItems = "";
							var oldgubun  = "1";
							for(var i = 28; i <= count; i++) {
								var answercolnm = model.getValue("/root/main/surveyform/forminfo[" + i + "]/answercolnm");
								
								var gubun = answercolnm.substr(1, 1);
								if(model.getValue("/root/main/ansinfo/b" + gubun) == "1") {
									var value = model.getValue("/root/main/ansinfo/" + answercolnm);
									if(value == "") {
										var issuenm = model.getValue("/root/main/surveyform/forminfo[" + i + "]/issuenm");
										nullItems = nullItems + issuenm + " ";
									}

									if(answercolnm.substr(2, 1) == "6") {
										if(value == "6") {
											var answertext1colnm = model.getValue("/root/main/surveyform/forminfo[" + i + "]/answertext1colnm");
											var value = model.getValue("/root/main/ansinfo/" + answertext1colnm);
											if(value == "") {
												nullItems = nullItems + value + ".기타" + " ";
											}
										}

										if(nullItems != "") {
											var gubunNameText = "[" + gubunName[parseInt(gubun) - 1] + "] ";

											emptyAnswer = emptyAnswer + gubunNameText + nullItems + "\n";

											nullItems = "";
										}
										
										oldgubun = gubun;
									}
								}
							}	
						}
					}
					
					if(emptyAnswer != "") {
						messageBox("선택하지 않은 항목이 있으니 확인하여 주십시오\n" + 
						           "반드시 모두 입력하시고 답변완료를 눌러주시기 바랍니다\n" +
								   "- 미답항목 : " + emptyAnswer, "E");
						return;
					}
				}
				
				var userid      = getUserId();
				var surveyid    = model.getValue("/root/send/surveyinfo/surveyid");
				var anonymousyn = model.getValue("/root/send/surveyinfo/anonymousyn");
				var count       = getNodesetCount("/root/main/surveyform/forminfo");
				
				for(var i = 1; i <= count; i++) {
					model.makeValue("/root/send/ansinfo[" + i + "]/userid",      userid);
					model.makeValue("/root/send/ansinfo[" + i + "]/surveyid",    surveyid);
					model.makeValue("/root/send/ansinfo[" + i + "]/anonymousyn", anonymousyn);
					model.makeValue("/root/send/ansinfo[" + i + "]/histstat",    histstat);
					model.makeValue("/root/send/ansinfo[" + i + "]/issuecd",     model.getValue("/root/main/surveyform/forminfo[" + i + "]/issuecd"));
					model.makeValue("/root/send/ansinfo[" + i + "]/issuenm",     model.getValue("/root/main/surveyform/forminfo[" + i + "]/issuenm"));
					model.makeValue("/root/send/ansinfo[" + i + "]/answer",      model.getValue("/root/main/ansinfo/" + model.getValue("/root/main/surveyform/forminfo[" + i + "]/answercolnm")));
					model.makeValue("/root/send/ansinfo[" + i + "]/answertext1", model.getValue("/root/main/ansinfo/" + model.getValue("/root/main/surveyform/forminfo[" + i + "]/answertext1colnm")));
					model.makeValue("/root/send/ansinfo[" + i + "]/answertext2", model.getValue("/root/main/ansinfo/" + model.getValue("/root/main/surveyform/forminfo[" + i + "]/answertext2colnm")));
					model.makeValue("/root/send/ansinfo[" + i + "]/answertext3", model.getValue("/root/main/ansinfo/" + model.getValue("/root/main/surveyform/forminfo[" + i + "]/answertext3colnm")));
				}				
				
				if(submit("TXRXS00101",false)) {				
					if(histstat == "Y") {
						if(model.getValue("/root/main/resultinfo/resultyn") == "Y")
							window.close();
					} else {
						messageBox("임시 저장하였습니다", "I");
					}
				}
			}
		
		]]>
	</script>
	<xhtml:body pagewidth="1200" pageheight="880">
		<group id="group1" style="left:0px; top:0px; width:1180px; height:825px; ">
			<table id="table1" cellspacing="-1" style="left:110px; top:80px; width:989px; height:255px; ">
				<tr>
					<td style="width:987px; height:252px; font-size:14pt; line-spacing:8; padding:20; border-right-style:solid; border-bottom-style:solid; ">
						<![CDATA[안녕하십니까? 이 설문조사는 직원 여러분의 근무와 관련된 근골격계질환의 증상과 징후를 평가하기 위한 조사로 고용노동부의 측정도구를 이용하여 작성하였습니다. 설문 문항은 총 17문항(증상 없는 경우) ~ 47문항(증상 있는 경우)으로 약 7 ~ 8분이 소요될 것으로 예상이 됩니다.
이 자료는 직원 개인별 신체자각증상호소에 대한 평가 구분에 따라 재활의학과 진료로 1차 연계되오니 

                                                                    2019년 9월
                                           문의 : 근로복지과 직원건강관리실 ( ☎ 원내 6116 )]]>
					</td>
				</tr>
			</table>
			<caption id="caption33" style="left:50px; top:6px; width:1105px; height:49px; font-family:HY헤드라인M; font-size:24pt; font-weight:bold; color:#2d629c; text-align:center; ">전 직원 근골격계질환 증상 설문조사</caption>
			<line id="line1" style="x1:110px; y1:55px; x2:1100px; y2:55px; border-width:2px; "/>
			<caption id="caption31" style="left:110px; top:2490px; width:1000px; height:105px; font-size:16pt; font-weight:bold; text-align:center; vertical-align:middle; line-spacing:5; ">* 본 설문조사에 귀중한 시간을 할애하여 주셔서 감사합니다</caption>
			<caption id="caption1" style="left:105px; top:920px; width:1005px; height:40px; font-size:11pt; font-weight:bold; ">12. 규칙적인(한번에 30분 이상, 1주일에 적어도 2-3회 이상) 여가 및 취미활동을 하고 계시는 곳에 표시(∨)하여 주십시오.</caption>
			<line id="line3" style="x1:110px; y1:58px; x2:1100px; y2:58px; border-width:4px; "/>
			<caption id="caption3" style="left:105px; top:350px; width:1005px; height:40px; font-size:15pt; font-weight:bold; ">1. 일반적 사항</caption>
			<caption id="caption11" style="left:105px; top:380px; width:1005px; height:40px; font-size:13pt; font-weight:bold; ">다음 사항은 귀하의 일반적 사항에 관란 질문입니다.</caption>
			<caption id="caption7" style="left:135px; top:215px; width:690px; height:35px; font-size:14pt; font-weight:bold; ">과대 또는 과소가 아닌, 있는 그대로의 증상으로 답변 부탁드립니다.</caption>
			<table id="table2" cellspacing="-1" style="left:110px; top:420px; width:989px; height:510px; ">
				<tr>
					<td style="width:259px; height:40px; font-size:11pt; vertical-align:middle; padding-left:4; ">1. 성명</td>
					<td style="width:727px; height:40px; font-size:11pt; vertical-align:middle; padding-left:8; ">
						<input id="input1" ref="/root/main/ansinfo/a1_edt1" imemode="hangul" style="left:8px; top:11px; width:120px; height:19px; font-size:11pt; "/>
					</td>
				</tr>
				<tr>
					<td style="width:259px; height:40px; font-size:11pt; vertical-align:middle; padding-left:4; ">2. 연령</td>
					<td style="width:727px; height:40px; font-size:11pt; vertical-align:middle; padding-left:8; ">
						<![CDATA[만               세]]>
						<input id="input2" ref="/root/main/ansinfo/a2_edt1" style="left:33px; top:11px; width:55px; height:19px; font-size:11pt; text-align:right; "/>
					</td>
				</tr>
				<tr>
					<td style="width:259px; height:40px; font-size:11pt; vertical-align:middle; padding-left:4; ">3. 성별</td>
					<td style="width:727px; height:40px; font-size:11pt; vertical-align:middle; padding-left:8; ">
						<select1 id="radio4" ref="/root/main/ansinfo/a3" appearance="full" cellspacing="30" cols="2" rows="1" overflow="visible" style="left:8px; top:11px; width:180px; height:20px; font-size:11pt; border-style:none; ">
							<choices>
								<item>
									<label>① 남</label>
									<value>1</value>
								</item>
								<item>
									<label>② 여</label>
									<value>2</value>
								</item>
							</choices>
						</select1>
					</td>
				</tr>
				<tr>
					<td style="width:259px; height:40px; font-size:11pt; vertical-align:middle; padding-left:4; ">4. 현 직장경력</td>
					<td style="width:727px; height:40px; font-size:11pt; vertical-align:middle; padding-left:8; ">
						<![CDATA[           년              개월째 근무 중]]>
						<input id="input3" ref="/root/main/ansinfo/a4_edt1" style="left:8px; top:11px; width:50px; height:19px; font-size:11pt; text-align:right; "/>
						<input id="input4" ref="/root/main/ansinfo/a4_edt2" style="left:95px; top:11px; width:50px; height:19px; font-size:11pt; text-align:right; "/>
					</td>
				</tr>
				<tr>
					<td style="width:259px; height:72px; font-size:11pt; vertical-align:middle; padding-left:4; ">5. 직종</td>
					<td style="width:727px; height:72px; font-size:11pt; vertical-align:middle; padding-left:8; ">
						<select1 id="radio5" ref="/root/main/ansinfo/a5" appearance="full" cols="3" rows="2" vcellspacing="2" overflow="visible" style="left:8px; top:5px; width:692px; height:65px; font-size:11pt; border-style:none; ">
							<choices>
								<item>
									<label>① 의사직</label>
									<value>1</value>
								</item>
								<item>
									<label>② 간호직</label>
									<value>2</value>
								</item>
								<item>
									<label>③ 약무직</label>
									<value>3</value>
								</item>
								<item>
									<label>④ 의료기술직</label>
									<value>4</value>
								</item>
								<item>
									<label>⑤ 행정, 전산, 의공, 시설기술, 영양, 의무기록 등</label>
									<value>5</value>
								</item>
								<item>
									<label>⑥ 간호조무, 원무직</label>
									<value>6</value>
								</item>
								<item>
									<label>⑦ 기타(                         )</label>
									<value>7</value>
								</item>
							</choices>
						</select1>
						<input id="input14" ref="/root/main/ansinfo/a5_edt1" imemode="hangul" style="left:82px; top:49px; width:122px; height:19px; "/>
					</td>
				</tr>
				<tr>
					<td style="width:259px; height:40px; font-size:11pt; vertical-align:middle; padding-left:4; ">6. 결혼여부</td>
					<td style="width:727px; height:40px; font-size:11pt; vertical-align:middle; padding-left:8; ">
						<select1 id="radio2" ref="/root/main/ansinfo/a6" appearance="full" cellspacing="30" cols="2" overflow="visible" style="left:8px; top:11px; width:185px; height:20px; font-size:11pt; border-style:none; ">
							<choices>
								<item>
									<label>① 기혼</label>
									<value>1</value>
								</item>
								<item>
									<label>② 미혼</label>
									<value>2</value>
								</item>
							</choices>
						</select1>
					</td>
				</tr>
				<tr>
					<td style="width:259px; height:40px; font-size:11pt; vertical-align:middle; padding-left:4; ">7. 현재하고 있는 작업 내용</td>
					<td style="width:727px; height:40px; font-size:11pt; vertical-align:middle; padding-left:8; ">
						<input id="input5" ref="/root/main/ansinfo/a7_edt1" imemode="hangul" style="left:8px; top:10px; width:707px; height:19px; font-size:11pt; "/>
					</td>
				</tr>
				<tr>
					<td style="width:259px; height:40px; font-size:11pt; vertical-align:middle; padding-left:4; ">8. 현재하고 있는 작업 기간</td>
					<td style="width:727px; height:40px; font-size:11pt; vertical-align:middle; padding-left:8; ">
						<![CDATA[           년              개월째 하고 있음]]>
						<input id="input6" ref="/root/main/ansinfo/a8_edt1" style="left:8px; top:10px; width:50px; height:19px; font-size:11pt; text-align:right; "/>
						<input id="input7" ref="/root/main/ansinfo/a8_edt2" style="left:95px; top:10px; width:50px; height:19px; font-size:11pt; text-align:right; "/>
					</td>
				</tr>
				<tr>
					<td style="width:259px; height:40px; font-size:11pt; vertical-align:middle; padding-left:4; ">9. 1일 근무시간</td>
					<td style="width:727px; height:40px; font-size:11pt; vertical-align:middle; padding-left:8; ">
						<![CDATA[           시간 근무중 휴식시간(식사시간 제외)              분씩            회 휴식]]>
						<input id="input8" ref="/root/main/ansinfo/a9_edt1" style="left:8px; top:10px; width:50px; height:19px; font-size:11pt; text-align:right; "/>
						<input id="input9" ref="/root/main/ansinfo/a9_edt2" style="left:325px; top:10px; width:50px; height:19px; font-size:11pt; text-align:right; "/>
						<input id="input10" ref="/root/main/ansinfo/a9_edt3" style="left:424px; top:10px; width:50px; height:19px; font-size:11pt; vertical-align:right; "/>
					</td>
				</tr>
				<tr>
					<td style="width:259px; height:40px; font-size:11pt; vertical-align:middle; padding-left:4; ">10. 현 작업하기 전에 했던 작업 내용</td>
					<td style="width:727px; height:40px; font-size:11pt; vertical-align:middle; padding-left:8; ">
						<input id="input11" ref="/root/main/ansinfo/a10_edt1" imemode="hangul" style="left:8px; top:10px; width:707px; height:19px; font-size:11pt; "/>
					</td>
				</tr>
				<tr>
					<td style="width:259px; height:40px; font-size:11pt; vertical-align:middle; padding-left:4; ">11. 현 작업하기 전에 했던 작업 기간</td>
					<td style="width:727px; height:40px; font-size:11pt; vertical-align:middle; padding-left:8; ">
						<![CDATA[           년                개월 동안 했음]]>
						<input id="input12" ref="/root/main/ansinfo/a11_edt1" style="left:8px; top:10px; width:50px; height:19px; font-size:11pt; text-align:right; "/>
						<input id="input13" ref="/root/main/ansinfo/a11_edt2" style="left:95px; top:10px; width:60px; height:19px; font-size:11pt; text-align:right; "/>
					</td>
				</tr>
			</table>
			<select1 id="radio3" ref="/root/main/ansinfo/a12" appearance="full" cellspacing="30" cols="3" rows="2" vcellspacing="2" overflow="visible" style="left:130px; top:965px; width:855px; height:60px; font-size:11pt; border-style:none; ">
				<choices>
					<item>
						<label>① 게임 등 컴퓨터 관련 활동</label>
						<value>1</value>
					</item>
					<item>
						<label>② 피아노, 트럼펫 등 악기연주</label>
						<value>2</value>
					</item>
					<item>
						<label>③ 뜨개질, 붓글씨 등</label>
						<value>3</value>
					</item>
					<item>
						<label>④ 테니스, 축구, 농구, 골프 등 스포츠 활동</label>
						<value>4</value>
					</item>
					<item>
						<label>⑤ 해당사항 없음</label>
						<value>5</value>
					</item>
				</choices>
			</select1>
			<caption id="caption2" style="left:105px; top:1030px; width:1005px; height:40px; font-size:11pt; font-weight:bold; ">13. 귀하의 하루 평균 가사노동시간(밥하기, 빨래하기, 청소하기, 2살 미만의 아이 돌보기 등)은 얼마나 됩니까?</caption>
			<select1 id="radio1" ref="/root/main/ansinfo/a13" appearance="full" cellspacing="30" cols="5" rows="1" overflow="visible" style="left:130px; top:1070px; width:855px; height:30px; font-size:11pt; border-style:none; ">
				<choices>
					<item>
						<label>① 거의 하지 않는다</label>
						<value>1</value>
					</item>
					<item>
						<label>② 1시간 미만</label>
						<value>2</value>
					</item>
					<item>
						<label>③ 1~2시간 미만</label>
						<value>3</value>
					</item>
					<item>
						<label>④ 2~3시간 미만</label>
						<value>4</value>
					</item>
					<item>
						<label>⑤ 3시간 이상</label>
						<value>5</value>
					</item>
				</choices>
			</select1>
			<caption id="caption5" style="left:105px; top:1105px; width:1005px; height:40px; font-size:11pt; font-weight:bold; ">14. 귀하는 의사로부터 다음과 같은 질병에 대해 진단을 받은 적이 있습니까?</caption>
			<table id="table4" cellspacing="-1" style="left:130px; top:1145px; width:741px; height:141px; ">
				<tr>
					<td style="width:183px; height:27px; font-size:11pt; vertical-align:middle; padding-left:4; ">1) 류마티스 관절염</td>
					<td style="width:555px; height:27px; ">
						<select1 id="radio6" ref="/root/main/ansinfo/a14_1" appearance="full" cellspacing="30" cols="3" rows="1" overflow="visible" style="left:8px; top:5px; width:402px; height:20px; border-style:none; ">
							<choices>
								<item>
									<label>① 해당사항 없음</label>
									<value>1</value>
								</item>
								<item>
									<label>② 완치</label>
									<value>2</value>
								</item>
								<item>
									<label>③ 치료나 관찰 중</label>
									<value>3</value>
								</item>
							</choices>
						</select1>
					</td>
				</tr>
				<tr>
					<td style="width:183px; height:27px; font-size:11pt; vertical-align:middle; padding-left:4; ">2) 당뇨병</td>
					<td style="width:555px; height:27px; ">
						<select1 id="radio7" ref="/root/main/ansinfo/a14_2" appearance="full" cellspacing="30" cols="3" rows="1" overflow="visible" style="left:8px; top:5px; width:402px; height:20px; border-style:none; ">
							<choices>
								<item>
									<label>① 해당사항 없음</label>
									<value>1</value>
								</item>
								<item>
									<label>② 완치</label>
									<value>2</value>
								</item>
								<item>
									<label>③ 치료나 관찰 중</label>
									<value>3</value>
								</item>
							</choices>
						</select1>
					</td>
				</tr>
				<tr>
					<td style="width:183px; height:27px; font-size:11pt; vertical-align:middle; padding-left:4; ">3) 루프스병</td>
					<td style="width:555px; height:27px; ">
						<select1 id="radio8" ref="/root/main/ansinfo/a14_3" appearance="full" cellspacing="30" cols="3" rows="1" overflow="visible" style="left:8px; top:5px; width:402px; height:20px; border-style:none; ">
							<choices>
								<item>
									<label>① 해당사항 없음</label>
									<value>1</value>
								</item>
								<item>
									<label>② 완치</label>
									<value>2</value>
								</item>
								<item>
									<label>③ 치료나 관찰 중</label>
									<value>3</value>
								</item>
							</choices>
						</select1>
					</td>
				</tr>
				<tr>
					<td style="width:183px; height:27px; font-size:11pt; vertical-align:middle; padding-left:4; ">4) 통풍</td>
					<td style="width:555px; height:27px; ">
						<select1 id="radio9" ref="/root/main/ansinfo/a14_4" appearance="full" cellspacing="30" cols="3" rows="1" overflow="visible" style="left:8px; top:5px; width:402px; height:20px; border-style:none; ">
							<choices>
								<item>
									<label>① 해당사항 없음</label>
									<value>1</value>
								</item>
								<item>
									<label>② 완치</label>
									<value>2</value>
								</item>
								<item>
									<label>③ 치료나 관찰 중</label>
									<value>3</value>
								</item>
							</choices>
						</select1>
					</td>
				</tr>
				<tr>
					<td style="width:183px; height:27px; font-size:11pt; vertical-align:middle; padding-left:4; ">5) 알코올중독</td>
					<td style="width:555px; height:27px; ">
						<select1 id="radio10" ref="/root/main/ansinfo/a14_5" appearance="full" cellspacing="30" cols="3" rows="1" overflow="visible" style="left:8px; top:5px; width:402px; height:20px; border-style:none; ">
							<choices>
								<item>
									<label>① 해당사항 없음</label>
									<value>1</value>
								</item>
								<item>
									<label>② 완치</label>
									<value>2</value>
								</item>
								<item>
									<label>③ 치료나 관찰 중</label>
									<value>3</value>
								</item>
							</choices>
						</select1>
					</td>
				</tr>
			</table>
			<caption id="caption4" style="left:105px; top:1300px; width:1005px; height:40px; font-size:11pt; font-weight:bold; line-spacing:2; ">
				<![CDATA[15. 과거에 운동 중 혹은 사고(교통사고, 넘어짐, 추락 등)로 인해 손/손가락/손목, 팔/팔꿈치, 어깨, 목,
     허리, 다리/발 부위를 다친 적인 있습니까?]]>
			</caption>
			<select id="checkbox7" ref="/root/main/ansinfo/a15" overflow="visible" appearance="full" cellspacing="30" cols="7" rows="1" style="left:130px; top:1345px; width:850px; height:35px; font-size:11pt; border-style:none; ">
				<choices>
					<item>
						<label>① 손/손가락/손목</label>
						<value>1</value>
					</item>
					<item>
						<label>② 팔/팔꿈치</label>
						<value>2</value>
					</item>
					<item>
						<label>③ 어깨</label>
						<value>3</value>
					</item>
					<item>
						<label>④ 목</label>
						<value>4</value>
					</item>
					<item>
						<label>⑤ 허리</label>
						<value>5</value>
					</item>
					<item>
						<label>⑥ 다리/발</label>
						<value>6</value>
					</item>
					<item>
						<label>⑦ 해당사항 없음</label>
						<value>7</value>
					</item>
				</choices>
			</select>
			<select1 id="radio12" ref="/root/main/ansinfo/a16" appearance="full" cellspacing="30" cols="7" rows="1" overflow="visible" style="left:130px; top:1425px; width:855px; height:30px; font-size:11pt; border-style:none; ">
				<choices>
					<item>
						<label>① 전혀 힘들지 않음</label>
						<value>1</value>
					</item>
					<item>
						<label>② 견딜만 함</label>
						<value>2</value>
					</item>
					<item>
						<label>③ 약간 힘듦</label>
						<value>3</value>
					</item>
					<item>
						<label>④ 힘듦</label>
						<value>4</value>
					</item>
					<item>
						<label>⑤ 매우 힘듦</label>
						<value>5</value>
					</item>
				</choices>
			</select1>
			<caption id="caption6" style="left:105px; top:1385px; width:1005px; height:40px; font-size:11pt; font-weight:bold; ">16. 현재 하시는 일의 육체적 부담 정도는 어느 정도라고 생각 합니까?</caption>
			<select1 id="radio13" ref="/root/main/ansinfo/a17" appearance="full" cols="1" rows="2" vcellspacing="2" overflow="visible" style="left:130px; top:1505px; width:855px; height:45px; font-size:11pt; border-style:none; ">
				<choices>
					<item>
						<label>① 아니오</label>
						<value>1</value>
					</item>
					<item>
						<label>② 예</label>
						<value>2</value>
					</item>
				</choices>
				<script type="javascript" ev:event="xforms-value-changed">
					<![CDATA[
						if(radio13.value == 1) {
							group2.disabled = true;
							table3.attribute("background-color") = "#c0c0c0";
							
							checkbox1.value = "";
							checkbox1.dispatch("xforms-value-changed");
							checkbox2.value = "";
							checkbox2.dispatch("xforms-value-changed");
							checkbox3.value = "";
							checkbox3.dispatch("xforms-value-changed");
							checkbox4.value = "";
							checkbox4.dispatch("xforms-value-changed");
							checkbox5.value = "";
							checkbox5.dispatch("xforms-value-changed");
							checkbox6.value = "";
							checkbox6.dispatch("xforms-value-changed");
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							group2.disabled = false;
							table3.attribute("background-color") = "transparent";
							
							checkbox8.dispatch("xforms-value-changed");
							checkbox9.dispatch("xforms-value-changed");
							checkbox10.dispatch("xforms-value-changed");
							checkbox11.dispatch("xforms-value-changed");
							checkbox12.dispatch("xforms-value-changed");
							checkbox13.dispatch("xforms-value-changed");
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				</script>
			</select1>
			<caption id="caption8" style="left:105px; top:1460px; width:1005px; height:40px; font-size:11pt; font-weight:bold; line-spacing:2; ">
				<![CDATA[17. 지난 1년 동안 손/손가락/손목, 팔/팔꿈치, 어깨, 목, 허리, 다리/발 중 어느 한 부위에서라도 귀하의 작업과 관련하여
     통증이나 불편함(통증, 쑤시는 느낌, 뻣뻣함, 화끈거리는 느낌, 무감각 혹은 찌릿찌릿함 등)을 느끼신 적이 있습니까?]]>
			</caption>
			<caption id="caption9" style="left:225px; top:1505px; width:450px; height:20px; font-size:11pt; font-weight:bold; ">
				<![CDATA[(-> 수고하셨습니다. 설문을 마치셨습니다.)]]>
			</caption>
			<caption id="caption10" style="left:225px; top:1525px; width:518px; height:20px; font-size:11pt; font-weight:bold; ">
				<![CDATA[(-> 아래 표의 통증이 있는 부위만 세로줄로 모두 체크(v)해 주십시오)]]>
			</caption>
			<caption id="caption12" style="left:333px; top:1525px; width:178px; height:20px; font-size:11pt; font-weight:bold; color:#ff0000; ">통증이 있는 부위만</caption>
			<caption id="caption13" style="left:549px; top:1525px; width:58px; height:20px; font-size:11pt; font-weight:bold; color:#ff0000; ">모두</caption>
			<table id="table5" cellspacing="-1" style="left:200px; top:1595px; width:727px; height:174px; border-left-color:transparent; ">
				<tr>
					<td colspan="2" style="width:724px; height:47px; font-size:22pt; font-weight:bold; text-align:center; vertical-align:middle; background-color:#dfeaf5; border-left-style:hidden; border-top-style:solid; border-right-style:hidden; ">[보기] 통증정도 기준</td>
				</tr>
				<tr>
					<td style="width:150px; height:124px; font-size:12pt; font-weight:bold; vertical-align:middle; line-spacing:10; padding-left:4; border-right-color:transparent; border-right-width:0px; border-left-style:hidden; border-right-style:hidden; border-bottom-style:solid; ">
						<![CDATA[약한 통증 :
중간 통증 :
심한 통증 :
매우 심한 통증 :]]>
					</td>
					<td style="width:574px; height:124px; font-size:12pt; vertical-align:middle; line-spacing:10; border-left-color:transparent; border-left-width:0px; border-left-style:hidden; border-right-style:hidden; border-bottom-style:solid; ">
						<![CDATA[약간 불편한 정도이나 작업에 열중할 때는 못 느낀다
작업 중 통증이 있으나 귀가 후 휴식을 취하면 괜찮다
작업 중 통증이 비교적 심하고 귀가 후에도 통증이 계속된다
통증 때문에 작업은 물론 일상생활을 하기가 어렵다]]>
					</td>
				</tr>
			</table>
			<group id="group2" style="left:20px; top:1800px; width:1135px; height:690px; ">
				<table id="table3" cellspacing="-1" style="left:0px; top:0px; width:1135px; height:677px; ">
					<tr>
						<td style="width:160px; height:89px; font-size:14pt; font-weight:bold; text-align:center; vertical-align:middle; background-color:#dfeaf5; ">통증 부위</td>
						<td style="width:160px; height:89px; font-size:14pt; font-weight:bold; text-align:center; vertical-align:middle; line-spacing:4; background-color:#f9edf5; ">
							<![CDATA[목
(       )]]>
							<select id="checkbox1" ref="/root/main/ansinfo/b1" overflow="visible" appearance="full" style="left:71px; top:47px; width:20px; height:20px; border-style:none; ">
								<choices>
									<item>
										<label/>
										<value>1</value>
									</item>
								</choices>
								<script type="javascript" ev:event="xforms-value-changed">
									<![CDATA[
										if(checkbox1.value != 1) {
											model.setValue("/root/main/ansinfo/c12",      "");
											model.setValue("/root/main/ansinfo/c13",      "");
											model.setValue("/root/main/ansinfo/c14",      "");
											model.setValue("/root/main/ansinfo/c15",      "");
											model.setValue("/root/main/ansinfo/c16",      "");
											model.setValue("/root/main/ansinfo/c16_edt1", "");
											model.refresh();
										}
									]]>
								</script>
							</select>
						</td>
						<td style="width:160px; height:89px; font-size:14pt; font-weight:bold; text-align:center; vertical-align:middle; line-spacing:4; background-color:#e7f4f6; ">
							<![CDATA[어깨
(       )]]>
							<select id="checkbox2" ref="/root/main/ansinfo/b2" overflow="visible" appearance="full" style="left:71px; top:47px; width:20px; height:20px; border-style:none; ">
								<choices>
									<item>
										<label/>
										<value>1</value>
									</item>
								</choices>
								<script type="javascript" ev:event="xforms-value-changed">
									<![CDATA[
										if(checkbox2.value != 1) {
											model.setValue("/root/main/ansinfo/c21",      "");
											model.setValue("/root/main/ansinfo/c22",      "");
											model.setValue("/root/main/ansinfo/c23",      "");
											model.setValue("/root/main/ansinfo/c24",      "");
											model.setValue("/root/main/ansinfo/c25",      "");
											model.setValue("/root/main/ansinfo/c26",      "");
											model.setValue("/root/main/ansinfo/c26_edt1", "");
											model.refresh();
										}
									]]>
								</script>
							</select>
						</td>
						<td style="width:160px; height:89px; font-size:14pt; font-weight:bold; text-align:center; vertical-align:middle; line-spacing:4; background-color:#eff6e7; ">
							<![CDATA[팔/팔꿈치
(       )]]>
							<select id="checkbox3" ref="/root/main/ansinfo/b3" overflow="visible" appearance="full" style="left:71px; top:47px; width:20px; height:20px; border-style:none; ">
								<choices>
									<item>
										<label/>
										<value>1</value>
									</item>
								</choices>
								<script type="javascript" ev:event="xforms-value-changed">
									<![CDATA[
										if(checkbox3.value != 1) {
											model.setValue("/root/main/ansinfo/c31",      "");
											model.setValue("/root/main/ansinfo/c32",      "");
											model.setValue("/root/main/ansinfo/c33",      "");
											model.setValue("/root/main/ansinfo/c34",      "");
											model.setValue("/root/main/ansinfo/c35",      "");
											model.setValue("/root/main/ansinfo/c36",      "");
											model.setValue("/root/main/ansinfo/c36_edt1", "");
											model.refresh();
										}
									]]>
								</script>
							</select>
						</td>
						<td style="width:160px; height:89px; font-size:14pt; font-weight:bold; text-align:center; vertical-align:middle; line-spacing:4; background-color:#fcf5e7; ">
							<![CDATA[손/손목/손가락
(       )]]>
							<select id="checkbox4" ref="/root/main/ansinfo/b4" overflow="visible" appearance="full" style="left:71px; top:47px; width:20px; height:20px; border-style:none; ">
								<choices>
									<item>
										<label/>
										<value>1</value>
									</item>
								</choices>
								<script type="javascript" ev:event="xforms-value-changed">
									<![CDATA[
										if(checkbox4.value != 1) {
											model.setValue("/root/main/ansinfo/c41",      "");
											model.setValue("/root/main/ansinfo/c42",      "");
											model.setValue("/root/main/ansinfo/c43",      "");
											model.setValue("/root/main/ansinfo/c44",      "");
											model.setValue("/root/main/ansinfo/c45",      "");
											model.setValue("/root/main/ansinfo/c46",      "");
											model.setValue("/root/main/ansinfo/c46_edt1", "");
											model.refresh();
										}
									]]>
								</script>
							</select>
						</td>
						<td style="width:160px; height:89px; font-size:14pt; font-weight:bold; text-align:center; vertical-align:middle; line-spacing:4; background-color:#f9eded; ">
							<![CDATA[허리
(       )]]>
							<select id="checkbox5" ref="/root/main/ansinfo/b5" overflow="visible" appearance="full" style="left:71px; top:47px; width:20px; height:20px; border-style:none; ">
								<choices>
									<item>
										<label/>
										<value>1</value>
									</item>
								</choices>
								<script type="javascript" ev:event="xforms-value-changed">
									<![CDATA[
										if(checkbox5.value != 1) {
											model.setValue("/root/main/ansinfo/c52",      "");
											model.setValue("/root/main/ansinfo/c53",      "");
											model.setValue("/root/main/ansinfo/c54",      "");
											model.setValue("/root/main/ansinfo/c55",      "");
											model.setValue("/root/main/ansinfo/c56",      "");
											model.setValue("/root/main/ansinfo/c56_edt1", "");
											model.refresh();
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									]]>
								</script>
							</select>
						</td>
						<td style="width:160px; height:89px; font-size:14pt; font-weight:bold; text-align:center; vertical-align:middle; line-spacing:4; background-color:#fbfaf7; ">
							<![CDATA[다리/발
(       )]]>
							<select id="checkbox6" ref="/root/main/ansinfo/b6" overflow="visible" appearance="full" style="left:71px; top:47px; width:20px; height:20px; border-style:none; ">
								<choices>
									<item>
										<label/>
										<value>1</value>
									</item>
								</choices>
								<script type="javascript" ev:event="xforms-value-changed">
									<![CDATA[
										if(checkbox6.value != 1) {
											model.setValue("/root/main/ansinfo/c61",      "");
											model.setValue("/root/main/ansinfo/c62",      "");
											model.setValue("/root/main/ansinfo/c63",      "");
											model.setValue("/root/main/ansinfo/c64",      "");
											model.setValue("/root/main/ansinfo/c65",      "");
											model.setValue("/root/main/ansinfo/c66",      "");
											model.setValue("/root/main/ansinfo/c66_edt1", "");
											model.refresh();
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									]]>
								</script>
							</select>
						</td>
					</tr>
					<tr>
						<td style="width:160px; height:73px; font-size:11pt; vertical-align:middle; line-spacing:2; padding-left:2; background-color:#DFEAF5; ">
							<![CDATA[1. 통증의 구체적 부위는?]]>
							<caption id="caption14" style="left:68px; top:17px; width:90px; height:20px; font-size:11pt; font-weight:bold; text-decoration:underline; background-color:#dfeaf5; ">구체적 부위</caption>
						</td>
						<td style="width:160px; height:73px; background-color:#f9edf5; ">
							<line id="line5" style="x1:0px; y1:72px; x2:158px; y2:0px; "/>
						</td>
						<td style="width:160px; height:73px; background-color:#e7f4f6; ">
							<select1 id="radio14" ref="/root/main/ansinfo/c21" appearance="full" vcellspacing="2" overflow="visible" style="left:5px; top:5px; width:125px; height:60px; font-size:11pt; border-style:none; ">
								<choices>
									<item>
										<label>① 오른쪽</label>
										<value>1</value>
									</item>
									<item>
										<label>② 왼쪽</label>
										<value>2</value>
									</item>
									<item>
										<label>③ 양쪽 모두</label>
										<value>3</value>
									</item>
								</choices>
								<script type="javascript" ev:event="xforms-value-changed">
									<![CDATA[
										checkbox2.value = 1;
									]]>
								</script>
							</select1>
						</td>
						<td style="width:160px; height:73px; background-color:#eff6e7; ">
							<select1 id="radio20" ref="/root/main/ansinfo/c31" appearance="full" vcellspacing="2" overflow="visible" style="left:5px; top:5px; width:125px; height:60px; font-size:11pt; border-style:none; ">
								<choices>
									<item>
										<label>① 오른쪽</label>
										<value>1</value>
									</item>
									<item>
										<label>② 왼쪽</label>
										<value>2</value>
									</item>
									<item>
										<label>③ 양쪽 모두</label>
										<value>3</value>
									</item>
								</choices>
								<script type="javascript" ev:event="xforms-value-changed">
									<![CDATA[
										checkbox3.value = 1;
									]]>
								</script>
							</select1>
						</td>
						<td style="width:160px; height:73px; background-color:#fcf5e7; ">
							<select1 id="radio31" ref="/root/main/ansinfo/c41" appearance="full" vcellspacing="2" overflow="visible" style="left:5px; top:5px; width:125px; height:60px; font-size:11pt; border-style:none; ">
								<choices>
									<item>
										<label>① 오른쪽</label>
										<value>1</value>
									</item>
									<item>
										<label>② 왼쪽</label>
										<value>2</value>
									</item>
									<item>
										<label>③ 양쪽 모두</label>
										<value>3</value>
									</item>
								</choices>
								<script type="javascript" ev:event="xforms-value-changed">
									<![CDATA[
										checkbox4.value = 1;
									]]>
								</script>
							</select1>
						</td>
						<td style="width:160px; height:73px; background-color:#f9eded; ">
							<line id="line4" style="x1:0px; y1:72px; x2:158px; y2:0px; "/>
						</td>
						<td style="width:160px; height:73px; background-color:#fbfaf7; ">
							<select1 id="radio42" ref="/root/main/ansinfo/c61" appearance="full" vcellspacing="2" overflow="visible" style="left:5px; top:5px; width:125px; height:60px; font-size:11pt; border-style:none; ">
								<choices>
									<item>
										<label>① 오른쪽</label>
										<value>1</value>
									</item>
									<item>
										<label>② 왼쪽</label>
										<value>2</value>
									</item>
									<item>
										<label>③ 양쪽 모두</label>
										<value>3</value>
									</item>
								</choices>
								<script type="javascript" ev:event="xforms-value-changed">
									<![CDATA[
										checkbox6.value = 1;
									]]>
								</script>
							</select1>
						</td>
					</tr>
					<tr>
						<td style="width:160px; height:113px; font-size:11pt; vertical-align:middle; line-spacing:2; padding-left:2; background-color:#DFEAF5; ">
							<![CDATA[2. 한번 아프기 시작하면 통증 기간은 얼마 동안 지속 됩니까?]]>
							<caption id="caption15" style="left:20px; top:46px; width:146px; height:20px; font-size:11pt; font-weight:bold; text-decoration:underline; background-color:#dfeaf5; ">통증 기간은 얼마동</caption>
							<caption id="caption16" style="left:2px; top:65px; width:56px; height:20px; font-size:11pt; font-weight:bold; text-decoration:underline; background-color:#dfeaf5; ">안 지속</caption>
						</td>
						<td style="width:160px; height:113px; background-color:#f9edf5; ">
							<select1 id="radio26" ref="/root/main/ansinfo/c12" appearance="full" vcellspacing="2" overflow="visible" style="left:5px; top:5px; width:125px; height:100px; font-size:11pt; border-style:none; ">
								<choices>
									<item>
										<label>① 1일 미만</label>
										<value>1</value>
									</item>
									<item>
										<label>② 1일~1주일 미만</label>
										<value>2</value>
									</item>
									<item>
										<label>③ 1주일~1달 미만</label>
										<value>3</value>
									</item>
									<item>
										<label>④ 1달~6개월 미만</label>
										<value>4</value>
									</item>
									<item>
										<label>⑤ 6개월 이상</label>
										<value>5</value>
									</item>
								</choices>
								<script type="javascript" ev:event="xforms-value-changed">
									<![CDATA[
										checkbox1.value = 1;
									]]>
								</script>
							</select1>
						</td>
						<td style="width:160px; height:113px; background-color:#e7f4f6; ">
							<select1 id="radio15" ref="/root/main/ansinfo/c22" appearance="full" vcellspacing="2" overflow="visible" style="left:5px; top:5px; width:125px; height:100px; font-size:11pt; border-style:none; ">
								<choices>
									<item>
										<label>① 1일 미만</label>
										<value>1</value>
									</item>
									<item>
										<label>② 1일~1주일 미만</label>
										<value>2</value>
									</item>
									<item>
										<label>③ 1주일~1달 미만</label>
										<value>3</value>
									</item>
									<item>
										<label>④ 1달~6개월 미만</label>
										<value>4</value>
									</item>
									<item>
										<label>⑤ 6개월 이상</label>
										<value>5</value>
									</item>
								</choices>
								<script type="javascript" ev:event="xforms-value-changed">
									<![CDATA[
										checkbox2.value = 1;
									]]>
								</script>
							</select1>
						</td>
						<td style="width:160px; height:113px; background-color:#eff6e7; ">
							<select1 id="radio21" ref="/root/main/ansinfo/c32" appearance="full" vcellspacing="2" overflow="visible" style="left:5px; top:5px; width:125px; height:100px; font-size:11pt; border-style:none; ">
								<choices>
									<item>
										<label>① 1일 미만</label>
										<value>1</value>
									</item>
									<item>
										<label>② 1일~1주일 미만</label>
										<value>2</value>
									</item>
									<item>
										<label>③ 1주일~1달 미만</label>
										<value>3</value>
									</item>
									<item>
										<label>④ 1달~6개월 미만</label>
										<value>4</value>
									</item>
									<item>
										<label>⑤ 6개월 이상</label>
										<value>5</value>
									</item>
								</choices>
								<script type="javascript" ev:event="xforms-value-changed">
									<![CDATA[
										checkbox3.value = 1;
									]]>
								</script>
							</select1>
						</td>
						<td style="width:160px; height:113px; background-color:#fcf5e7; ">
							<select1 id="radio32" ref="/root/main/ansinfo/c42" appearance="full" vcellspacing="2" overflow="visible" style="left:5px; top:5px; width:125px; height:100px; font-size:11pt; border-style:none; ">
								<choices>
									<item>
										<label>① 1일 미만</label>
										<value>1</value>
									</item>
									<item>
										<label>② 1일~1주일 미만</label>
										<value>2</value>
									</item>
									<item>
										<label>③ 1주일~1달 미만</label>
										<value>3</value>
									</item>
									<item>
										<label>④ 1달~6개월 미만</label>
										<value>4</value>
									</item>
									<item>
										<label>⑤ 6개월 이상</label>
										<value>5</value>
									</item>
								</choices>
								<script type="javascript" ev:event="xforms-value-changed">
									<![CDATA[
										checkbox4.value = 1;
									]]>
								</script>
							</select1>
						</td>
						<td style="width:160px; height:113px; background-color:#f9eded; ">
							<select1 id="radio37" ref="/root/main/ansinfo/c52" appearance="full" vcellspacing="2" overflow="visible" style="left:5px; top:5px; width:125px; height:100px; font-size:11pt; border-style:none; ">
								<choices>
									<item>
										<label>① 1일 미만</label>
										<value>1</value>
									</item>
									<item>
										<label>② 1일~1주일 미만</label>
										<value>2</value>
									</item>
									<item>
										<label>③ 1주일~1달 미만</label>
										<value>3</value>
									</item>
									<item>
										<label>④ 1달~6개월 미만</label>
										<value>4</value>
									</item>
									<item>
										<label>⑤ 6개월 이상</label>
										<value>5</value>
									</item>
								</choices>
								<script type="javascript" ev:event="xforms-value-changed">
									<![CDATA[
										checkbox5.value = 1;
									]]>
								</script>
							</select1>
						</td>
						<td style="width:160px; height:113px; background-color:#fbfaf7; ">
							<select1 id="radio43" ref="/root/main/ansinfo/c62" appearance="full" vcellspacing="2" overflow="visible" style="left:5px; top:5px; width:125px; height:100px; font-size:11pt; border-style:none; ">
								<choices>
									<item>
										<label>① 1일 미만</label>
										<value>1</value>
									</item>
									<item>
										<label>② 1일~1주일 미만</label>
										<value>2</value>
									</item>
									<item>
										<label>③ 1주일~1달 미만</label>
										<value>3</value>
									</item>
									<item>
										<label>④ 1달~6개월 미만</label>
										<value>4</value>
									</item>
									<item>
										<label>⑤ 6개월 이상</label>
										<value>5</value>
									</item>
								</choices>
								<script type="javascript" ev:event="xforms-value-changed">
									<![CDATA[
										checkbox6.value = 1;
									]]>
								</script>
							</select1>
						</td>
					</tr>
					<tr>
						<td style="width:160px; height:91px; font-size:11pt; vertical-align:middle; line-spacing:2; padding-left:2; background-color:#DFEAF5; ">
							<![CDATA[3. 그때의 아픈 정도는 어느 정도 입니까 ?]]>
							<caption id="caption17" style="left:18px; top:26px; width:142px; height:20px; font-size:11pt; font-weight:bold; text-decoration:underline; background-color:#dfeaf5; ">그때의 아픈 정도는</caption>
							<caption id="caption18" style="left:0px; top:45px; width:75px; height:20px; font-size:11pt; font-weight:bold; text-decoration:underline; background-color:#dfeaf5; ">어느 정도</caption>
						</td>
						<td style="width:160px; height:91px; background-color:#f9edf5; ">
							<select1 id="radio27" ref="/root/main/ansinfo/c13" appearance="full" vcellspacing="2" overflow="visible" style="left:5px; top:5px; width:125px; height:75px; font-size:11pt; border-style:none; ">
								<choices>
									<item>
										<label>① 약한 통증</label>
										<value>1</value>
									</item>
									<item>
										<label>② 중간 통증</label>
										<value>2</value>
									</item>
									<item>
										<label>③ 심한 통증</label>
										<value>3</value>
									</item>
									<item>
										<label>④ 매우 심한 통증</label>
										<value>4</value>
									</item>
								</choices>
								<script type="javascript" ev:event="xforms-value-changed">
									<![CDATA[
										checkbox1.value = 1;
									]]>
								</script>
							</select1>
						</td>
						<td style="width:160px; height:91px; background-color:#e7f4f6; ">
							<select1 id="radio16" ref="/root/main/ansinfo/c23" appearance="full" vcellspacing="2" overflow="visible" style="left:5px; top:5px; width:125px; height:75px; font-size:11pt; border-style:none; ">
								<choices>
									<item>
										<label>① 약한 통증</label>
										<value>1</value>
									</item>
									<item>
										<label>② 중간 통증</label>
										<value>2</value>
									</item>
									<item>
										<label>③ 심한 통증</label>
										<value>3</value>
									</item>
									<item>
										<label>④ 매우 심한 통증</label>
										<value>4</value>
									</item>
								</choices>
								<script type="javascript" ev:event="xforms-value-changed">
									<![CDATA[
										checkbox2.value = 1;
									]]>
								</script>
							</select1>
						</td>
						<td style="width:160px; height:91px; background-color:#eff6e7; ">
							<select1 id="radio22" ref="/root/main/ansinfo/c33" appearance="full" vcellspacing="2" overflow="visible" style="left:5px; top:5px; width:125px; height:75px; font-size:11pt; border-style:none; ">
								<choices>
									<item>
										<label>① 약한 통증</label>
										<value>1</value>
									</item>
									<item>
										<label>② 중간 통증</label>
										<value>2</value>
									</item>
									<item>
										<label>③ 심한 통증</label>
										<value>3</value>
									</item>
									<item>
										<label>④ 매우 심한 통증</label>
										<value>4</value>
									</item>
								</choices>
								<script type="javascript" ev:event="xforms-value-changed">
									<![CDATA[
										checkbox3.value = 1;
									]]>
								</script>
							</select1>
						</td>
						<td style="width:160px; height:91px; background-color:#fcf5e7; ">
							<select1 id="radio33" ref="/root/main/ansinfo/c43" appearance="full" vcellspacing="2" overflow="visible" style="left:5px; top:5px; width:125px; height:75px; font-size:11pt; border-style:none; ">
								<choices>
									<item>
										<label>① 약한 통증</label>
										<value>1</value>
									</item>
									<item>
										<label>② 중간 통증</label>
										<value>2</value>
									</item>
									<item>
										<label>③ 심한 통증</label>
										<value>3</value>
									</item>
									<item>
										<label>④ 매우 심한 통증</label>
										<value>4</value>
									</item>
								</choices>
								<script type="javascript" ev:event="xforms-value-changed">
									<![CDATA[
										checkbox4.value = 1;
									]]>
								</script>
							</select1>
						</td>
						<td style="width:160px; height:91px; background-color:#f9eded; ">
							<select1 id="radio38" ref="/root/main/ansinfo/c53" appearance="full" vcellspacing="2" overflow="visible" style="left:5px; top:5px; width:125px; height:75px; font-size:11pt; border-style:none; ">
								<choices>
									<item>
										<label>① 약한 통증</label>
										<value>1</value>
									</item>
									<item>
										<label>② 중간 통증</label>
										<value>2</value>
									</item>
									<item>
										<label>③ 심한 통증</label>
										<value>3</value>
									</item>
									<item>
										<label>④ 매우 심한 통증</label>
										<value>4</value>
									</item>
								</choices>
								<script type="javascript" ev:event="xforms-value-changed">
									<![CDATA[
										checkbox5.value = 1;
									]]>
								</script>
							</select1>
						</td>
						<td style="width:160px; height:91px; background-color:#fbfaf7; ">
							<select1 id="radio44" ref="/root/main/ansinfo/c63" appearance="full" vcellspacing="2" overflow="visible" style="left:5px; top:5px; width:125px; height:75px; font-size:11pt; border-style:none; ">
								<choices>
									<item>
										<label>① 약한 통증</label>
										<value>1</value>
									</item>
									<item>
										<label>② 중간 통증</label>
										<value>2</value>
									</item>
									<item>
										<label>③ 심한 통증</label>
										<value>3</value>
									</item>
									<item>
										<label>④ 매우 심한 통증</label>
										<value>4</value>
									</item>
								</choices>
								<script type="javascript" ev:event="xforms-value-changed">
									<![CDATA[
										checkbox6.value = 1;
									]]>
								</script>
							</select1>
						</td>
					</tr>
					<tr>
						<td style="width:160px; height:113px; font-size:11pt; vertical-align:middle; line-spacing:2; padding-left:2; background-color:#DFEAF5; ">
							<![CDATA[4. 지난 1년 동안 이러한 증상을 얼마나 자주 경험하셨습니까 ?]]>
							<caption id="caption19" style="left:70px; top:47px; width:90px; height:20px; font-size:11pt; font-weight:bold; text-decoration:underline; background-color:#dfeaf5; ">얼마나 자주 경험</caption>
							<caption id="caption20" style="left:1px; top:65px; width:34px; height:20px; font-size:11pt; font-weight:bold; text-decoration:underline; background-color:#dfeaf5; ">경험</caption>
						</td>
						<td style="width:160px; height:113px; background-color:#f9edf5; ">
							<select1 id="radio28" ref="/root/main/ansinfo/c14" appearance="full" vcellspacing="2" overflow="visible" style="left:5px; top:5px; width:125px; height:100px; font-size:11pt; border-style:none; ">
								<choices>
									<item>
										<label>① 6개월에 1번</label>
										<value>1</value>
									</item>
									<item>
										<label>② 2~3달에 1번</label>
										<value>2</value>
									</item>
									<item>
										<label>③ 1달에 1번</label>
										<value>3</value>
									</item>
									<item>
										<label>④ 1주일에 1번</label>
										<value>4</value>
									</item>
									<item>
										<label>⑤ 매일</label>
										<value>5</value>
									</item>
								</choices>
								<script type="javascript" ev:event="xforms-value-changed">
									<![CDATA[
										checkbox1.value = 1;
									]]>
								</script>
							</select1>
						</td>
						<td style="width:160px; height:113px; background-color:#e7f4f6; ">
							<select1 id="radio17" ref="/root/main/ansinfo/c24" appearance="full" vcellspacing="2" overflow="visible" style="left:5px; top:5px; width:125px; height:100px; font-size:11pt; border-style:none; ">
								<choices>
									<item>
										<label>① 6개월에 1번</label>
										<value>1</value>
									</item>
									<item>
										<label>② 2~3달에 1번</label>
										<value>2</value>
									</item>
									<item>
										<label>③ 1달에 1번</label>
										<value>3</value>
									</item>
									<item>
										<label>④ 1주일에 1번</label>
										<value>4</value>
									</item>
									<item>
										<label>⑤ 매일</label>
										<value>5</value>
									</item>
								</choices>
								<script type="javascript" ev:event="xforms-value-changed">
									<![CDATA[
										checkbox2.value = 1;
									]]>
								</script>
							</select1>
						</td>
						<td style="width:160px; height:113px; background-color:#eff6e7; ">
							<select1 id="radio23" ref="/root/main/ansinfo/c34" appearance="full" vcellspacing="2" overflow="visible" style="left:5px; top:5px; width:125px; height:100px; font-size:11pt; border-style:none; ">
								<choices>
									<item>
										<label>① 6개월에 1번</label>
										<value>1</value>
									</item>
									<item>
										<label>② 2~3달에 1번</label>
										<value>2</value>
									</item>
									<item>
										<label>③ 1달에 1번</label>
										<value>3</value>
									</item>
									<item>
										<label>④ 1주일에 1번</label>
										<value>4</value>
									</item>
									<item>
										<label>⑤ 매일</label>
										<value>5</value>
									</item>
								</choices>
								<script type="javascript" ev:event="xforms-value-changed">
									<![CDATA[
										checkbox3.value = 1;
									]]>
								</script>
							</select1>
						</td>
						<td style="width:160px; height:113px; background-color:#fcf5e7; ">
							<select1 id="radio34" ref="/root/main/ansinfo/c44" appearance="full" vcellspacing="2" overflow="visible" style="left:5px; top:5px; width:125px; height:100px; font-size:11pt; border-style:none; ">
								<choices>
									<item>
										<label>① 6개월에 1번</label>
										<value>1</value>
									</item>
									<item>
										<label>② 2~3달에 1번</label>
										<value>2</value>
									</item>
									<item>
										<label>③ 1달에 1번</label>
										<value>3</value>
									</item>
									<item>
										<label>④ 1주일에 1번</label>
										<value>4</value>
									</item>
									<item>
										<label>⑤ 매일</label>
										<value>5</value>
									</item>
								</choices>
								<script type="javascript" ev:event="xforms-value-changed">
									<![CDATA[
										checkbox4.value = 1;
									]]>
								</script>
							</select1>
						</td>
						<td style="width:160px; height:113px; background-color:#f9eded; ">
							<select1 id="radio39" ref="/root/main/ansinfo/c54" appearance="full" vcellspacing="2" overflow="visible" style="left:5px; top:5px; width:125px; height:100px; font-size:11pt; border-style:none; ">
								<choices>
									<item>
										<label>① 6개월에 1번</label>
										<value>1</value>
									</item>
									<item>
										<label>② 2~3달에 1번</label>
										<value>2</value>
									</item>
									<item>
										<label>③ 1달에 1번</label>
										<value>3</value>
									</item>
									<item>
										<label>④ 1주일에 1번</label>
										<value>4</value>
									</item>
									<item>
										<label>⑤ 매일</label>
										<value>5</value>
									</item>
								</choices>
								<script type="javascript" ev:event="xforms-value-changed">
									<![CDATA[
										checkbox5.value = 1;
									]]>
								</script>
							</select1>
						</td>
						<td style="width:160px; height:113px; background-color:#fbfaf7; ">
							<select1 id="radio45" ref="/root/main/ansinfo/c64" appearance="full" vcellspacing="2" overflow="visible" style="left:5px; top:5px; width:125px; height:100px; font-size:11pt; border-style:none; ">
								<choices>
									<item>
										<label>① 6개월에 1번</label>
										<value>1</value>
									</item>
									<item>
										<label>② 2~3달에 1번</label>
										<value>2</value>
									</item>
									<item>
										<label>③ 1달에 1번</label>
										<value>3</value>
									</item>
									<item>
										<label>④ 1주일에 1번</label>
										<value>4</value>
									</item>
									<item>
										<label>⑤ 매일</label>
										<value>5</value>
									</item>
								</choices>
								<script type="javascript" ev:event="xforms-value-changed">
									<![CDATA[
										checkbox6.value = 1;
									]]>
								</script>
							</select1>
						</td>
					</tr>
					<tr>
						<td style="width:160px; height:55px; font-size:11pt; vertical-align:middle; line-spacing:2; padding-left:2; background-color:#DFEAF5; ">
							<![CDATA[5. 지난 1주일 동안에도 이러한 증상이 있었습니까 ?]]>
							<caption id="caption21" style="left:20px; top:0px; width:140px; height:20px; font-size:11pt; font-weight:bold; text-decoration:underline; background-color:#dfeaf5; ">지난 1주일 동안에</caption>
							<caption id="caption23" style="left:2px; top:18px; width:20px; height:20px; font-size:11pt; font-weight:bold; text-decoration:underline; background-color:#dfeaf5; ">도</caption>
						</td>
						<td style="width:160px; height:55px; background-color:#f9edf5; ">
							<select1 id="radio29" ref="/root/main/ansinfo/c15" appearance="full" vcellspacing="2" overflow="visible" style="left:5px; top:7px; width:125px; height:40px; font-size:11pt; border-style:none; ">
								<choices>
									<item>
										<label>① 아니오</label>
										<value>1</value>
									</item>
									<item>
										<label>② 예</label>
										<value>2</value>
									</item>
								</choices>
								<script type="javascript" ev:event="xforms-value-changed">
									<![CDATA[
										checkbox1.value = 1;
									]]>
								</script>
							</select1>
						</td>
						<td style="width:160px; height:55px; background-color:#e7f4f6; ">
							<select1 id="radio18" ref="/root/main/ansinfo/c25" appearance="full" vcellspacing="2" overflow="visible" style="left:5px; top:7px; width:125px; height:40px; font-size:11pt; border-style:none; ">
								<choices>
									<item>
										<label>① 아니오</label>
										<value>1</value>
									</item>
									<item>
										<label>② 예</label>
										<value>2</value>
									</item>
								</choices>
								<script type="javascript" ev:event="xforms-value-changed">
									<![CDATA[
										checkbox2.value = 1;
									]]>
								</script>
							</select1>
						</td>
						<td style="width:160px; height:55px; background-color:#eff6e7; ">
							<select1 id="radio24" ref="/root/main/ansinfo/c35" appearance="full" vcellspacing="2" overflow="visible" style="left:5px; top:7px; width:125px; height:40px; font-size:11pt; border-style:none; ">
								<choices>
									<item>
										<label>① 아니오</label>
										<value>1</value>
									</item>
									<item>
										<label>② 예</label>
										<value>2</value>
									</item>
								</choices>
								<script type="javascript" ev:event="xforms-value-changed">
									<![CDATA[
										checkbox3.value = 1;
									]]>
								</script>
							</select1>
						</td>
						<td style="width:160px; height:55px; background-color:#fcf5e7; ">
							<select1 id="radio35" ref="/root/main/ansinfo/c45" appearance="full" vcellspacing="2" overflow="visible" style="left:5px; top:7px; width:125px; height:40px; font-size:11pt; border-style:none; ">
								<choices>
									<item>
										<label>① 아니오</label>
										<value>1</value>
									</item>
									<item>
										<label>② 예</label>
										<value>2</value>
									</item>
								</choices>
								<script type="javascript" ev:event="xforms-value-changed">
									<![CDATA[
										checkbox4.value = 1;
									]]>
								</script>
							</select1>
						</td>
						<td style="width:160px; height:55px; background-color:#f9eded; ">
							<select1 id="radio40" ref="/root/main/ansinfo/c55" appearance="full" vcellspacing="2" overflow="visible" style="left:5px; top:7px; width:125px; height:40px; font-size:11pt; border-style:none; ">
								<choices>
									<item>
										<label>① 아니오</label>
										<value>1</value>
									</item>
									<item>
										<label>② 예</label>
										<value>2</value>
									</item>
								</choices>
								<script type="javascript" ev:event="xforms-value-changed">
									<![CDATA[
										checkbox5.value = 1;
									]]>
								</script>
							</select1>
						</td>
						<td style="width:160px; height:55px; background-color:#fbfaf7; ">
							<select1 id="radio46" ref="/root/main/ansinfo/c65" appearance="full" vcellspacing="2" overflow="visible" style="left:5px; top:7px; width:125px; height:40px; font-size:11pt; border-style:none; ">
								<choices>
									<item>
										<label>① 아니오</label>
										<value>1</value>
									</item>
									<item>
										<label>② 예</label>
										<value>2</value>
									</item>
								</choices>
								<script type="javascript" ev:event="xforms-value-changed">
									<![CDATA[
										checkbox6.value = 1;
									]]>
								</script>
							</select1>
						</td>
					</tr>
					<tr>
						<td style="width:160px; height:135px; font-size:11pt; vertical-align:middle; line-spacing:2; padding-left:2; background-color:#DFEAF5; ">
							<![CDATA[6. 지난 1년 동안 이러한 통증으로 인해 어떤 떤 일이 있었습니까 ?]]>
							<caption id="caption24" style="left:120px; top:38px; width:45px; height:20px; font-size:11pt; font-weight:bold; text-decoration:underline; background-color:#dfeaf5; ">이러</caption>
							<caption id="caption25" style="left:1px; top:57px; width:165px; height:20px; font-size:11pt; font-weight:bold; text-decoration:underline; background-color:#dfeaf5; ">한 통증으로 인해 어</caption>
							<caption id="caption26" style="left:1px; top:76px; width:59px; height:20px; font-size:11pt; font-weight:bold; text-decoration:underline; background-color:#dfeaf5; ">떤 일이</caption>
						</td>
						<td style="width:160px; height:135px; background-color:#f9edf5; ">
							<select id="checkbox8" ref="/root/main/ansinfo/c16" overflow="visible" appearance="full" vcellspacing="2" style="left:5px; top:6px; width:150px; height:109px; font-size:11pt; border-style:none; ">
								<choices>
									<item>
										<label>① 병원, 한의원 치료</label>
										<value>1</value>
									</item>
									<item>
										<label>② 약국치료</label>
										<value>2</value>
									</item>
									<item>
										<label>③ 병가, 산재</label>
										<value>3</value>
									</item>
									<item>
										<label>④ 작업 전환</label>
										<value>4</value>
									</item>
									<item>
										<label>⑤ 해당사항 없음</label>
										<value>5</value>
									</item>
									<item>
										<label>⑥ 기타(              )</label>
										<value>6</value>
									</item>
								</choices>
								<script type="javascript" ev:event="xforms-value-changed">
									<![CDATA[
										if(checkbox8.value != "") {
											checkbox1.value = 1;
											
											if(checkbox8.value.indexOf("6") >= 0) {
												input17.disabled = false;
												model.setFocus("input17");
											} else {
												input17.value = "";
												input17.disabled = true;
											}
										}
									]]>
								</script>
							</select>
							<input id="input17" ref="/root/main/ansinfo/c16_edt1" disabled="true" style="left:78px; top:112px; width:70px; height:19px; "/>
						</td>
						<td style="width:160px; height:135px; background-color:#e7f4f6; ">
							<select id="checkbox9" ref="/root/main/ansinfo/c26" overflow="visible" appearance="full" vcellspacing="2" style="left:5px; top:6px; width:150px; height:109px; font-size:11pt; border-style:none; ">
								<choices>
									<item>
										<label>① 병원, 한의원 치료</label>
										<value>1</value>
									</item>
									<item>
										<label>② 약국치료</label>
										<value>2</value>
									</item>
									<item>
										<label>③ 병가, 산재</label>
										<value>3</value>
									</item>
									<item>
										<label>④ 작업 전환</label>
										<value>4</value>
									</item>
									<item>
										<label>⑤ 해당사항 없음</label>
										<value>5</value>
									</item>
									<item>
										<label>⑥ 기타(              )</label>
										<value>6</value>
									</item>
								</choices>
								<script type="javascript" ev:event="xforms-value-changed">
									<![CDATA[
										if(checkbox9.value != "") {
											checkbox2.value = 1;
											
											if(checkbox9.value.indexOf("6") >= 0) {
												input15.disabled = false;
												model.setFocus("input15");
											} else {
												input15.value = "";
												input15.disabled = true;
											}
										}
									]]>
								</script>
							</select>
							<input id="input15" ref="/root/main/ansinfo/c26_edt1" disabled="true" style="left:78px; top:112px; width:70px; height:19px; "/>
						</td>
						<td style="width:160px; height:135px; background-color:#eff6e7; ">
							<select id="checkbox10" ref="/root/main/ansinfo/c36" overflow="visible" appearance="full" vcellspacing="2" style="left:5px; top:6px; width:150px; height:109px; font-size:11pt; border-style:none; ">
								<choices>
									<item>
										<label>① 병원, 한의원 치료</label>
										<value>1</value>
									</item>
									<item>
										<label>② 약국치료</label>
										<value>2</value>
									</item>
									<item>
										<label>③ 병가, 산재</label>
										<value>3</value>
									</item>
									<item>
										<label>④ 작업 전환</label>
										<value>4</value>
									</item>
									<item>
										<label>⑤ 해당사항 없음</label>
										<value>5</value>
									</item>
									<item>
										<label>⑥ 기타(              )</label>
										<value>6</value>
									</item>
								</choices>
								<script type="javascript" ev:event="xforms-value-changed">
									<![CDATA[
										if(checkbox10.value != "") {
											checkbox2.value = 1;
											
											if(checkbox10.value.indexOf("6") >= 0) {
												input16.disabled = false;
												model.setFocus("input16");
											} else {
												input16.value = "";
												input16.disabled = true;
											}
										}
									]]>
								</script>
							</select>
							<input id="input16" ref="/root/main/ansinfo/c36_edt1" disabled="true" style="left:78px; top:112px; width:70px; height:19px; "/>
						</td>
						<td style="width:160px; height:135px; background-color:#fcf5e7; ">
							<select id="checkbox11" ref="/root/main/ansinfo/c46" overflow="visible" appearance="full" vcellspacing="2" style="left:5px; top:6px; width:150px; height:109px; font-size:11pt; border-style:none; ">
								<choices>
									<item>
										<label>① 병원, 한의원 치료</label>
										<value>1</value>
									</item>
									<item>
										<label>② 약국치료</label>
										<value>2</value>
									</item>
									<item>
										<label>③ 병가, 산재</label>
										<value>3</value>
									</item>
									<item>
										<label>④ 작업 전환</label>
										<value>4</value>
									</item>
									<item>
										<label>⑤ 해당사항 없음</label>
										<value>5</value>
									</item>
									<item>
										<label>⑥ 기타(              )</label>
										<value>6</value>
									</item>
								</choices>
								<script type="javascript" ev:event="xforms-value-changed">
									<![CDATA[
										if(checkbox11.value != "") {
											checkbox2.value = 1;
											
											if(checkbox11.value.indexOf("6") >= 0) {
												input18.disabled = false;
												model.setFocus("input18");
											} else {
												input18.value = "";
												input18.disabled = true;
											}
										}
									]]>
								</script>
							</select>
							<input id="input18" ref="/root/main/ansinfo/c46_edt1" disabled="true" style="left:78px; top:112px; width:70px; height:19px; "/>
						</td>
						<td style="width:160px; height:135px; background-color:#f9eded; ">
							<select id="checkbox12" ref="/root/main/ansinfo/c56" overflow="visible" appearance="full" vcellspacing="2" style="left:5px; top:6px; width:150px; height:109px; font-size:11pt; border-style:none; ">
								<choices>
									<item>
										<label>① 병원, 한의원 치료</label>
										<value>1</value>
									</item>
									<item>
										<label>② 약국치료</label>
										<value>2</value>
									</item>
									<item>
										<label>③ 병가, 산재</label>
										<value>3</value>
									</item>
									<item>
										<label>④ 작업 전환</label>
										<value>4</value>
									</item>
									<item>
										<label>⑤ 해당사항 없음</label>
										<value>5</value>
									</item>
									<item>
										<label>⑥ 기타(              )</label>
										<value>6</value>
									</item>
								</choices>
								<script type="javascript" ev:event="xforms-value-changed">
									<![CDATA[
										if(checkbox12.value != "") {
											checkbox2.value = 1;
											
											if(checkbox12.value.indexOf("6") >= 0) {
												input19.disabled = false;
												model.setFocus("input19");
											} else {
												input19.value = "";
												input19.disabled = true;
											}
										}
									]]>
								</script>
							</select>
							<input id="input19" ref="/root/main/ansinfo/c56_edt1" disabled="true" style="left:78px; top:112px; width:70px; height:19px; "/>
						</td>
						<td style="width:160px; height:135px; background-color:#fbfaf7; ">
							<select id="checkbox13" ref="/root/main/ansinfo/c66" overflow="visible" appearance="full" vcellspacing="2" style="left:5px; top:6px; width:150px; height:109px; font-size:11pt; border-style:none; ">
								<choices>
									<item>
										<label>① 병원, 한의원 치료</label>
										<value>1</value>
									</item>
									<item>
										<label>② 약국치료</label>
										<value>2</value>
									</item>
									<item>
										<label>③ 병가, 산재</label>
										<value>3</value>
									</item>
									<item>
										<label>④ 작업 전환</label>
										<value>4</value>
									</item>
									<item>
										<label>⑤ 해당사항 없음</label>
										<value>5</value>
									</item>
									<item>
										<label>⑥ 기타(              )</label>
										<value>6</value>
									</item>
								</choices>
								<script type="javascript" ev:event="xforms-value-changed">
									<![CDATA[
										if(checkbox13.value != "") {
											checkbox2.value = 1;
											
											if(checkbox13.value.indexOf("6") >= 0) {
												input20.disabled = false;
												model.setFocus("input20");
											} else {
												input20.value = "";
												input20.disabled = true;
											}
										}
									]]>
								</script>
							</select>
							<input id="input20" ref="/root/main/ansinfo/c66_edt1" disabled="true" style="left:78px; top:112px; width:70px; height:19px; "/>
						</td>
					</tr>
				</table>
			</group>
		</group>
		<line id="line2" style="x1:110px; y1:837px; x2:1100px; y2:837px; border-width:2px; "/>
		<button id="button1" class="btn4_letter5" style="left:510px; top:848px; width:92px; height:22px; font-size:14; ">
			<caption>답변완료</caption>
			<script type="javascript" ev:event="DOMActivate">
				<![CDATA[
						fSave("Y");
						
						model.refresh();
					]]>
			</script>
		</button>
		<button id="button2" class="btn4_letter5" style="left:615px; top:848px; width:92px; height:22px; font-size:14; ">
			<caption>임시저장</caption>
			<script type="javascript" ev:event="DOMActivate">
				<![CDATA[
						fSave("N");
						
						model.refresh();
					]]>
			</script>
		</button>
		<caption id="caption22" style="left:720px; top:849px; width:326px; height:20px; color:#0000ff; ">※ 임시저장은 다음 로그인 시 다시 설문조사 팝업이 뜹니다</caption>
	</xhtml:body>
</xhtml:html>