<div>
	<h3>皮脂チェッカー</h3>
	<input type="hidden" value="" name="qdata[s_checker]">
	<table width="100%" border="0" bgcolor="#ca5c89" cellspacing="1" cellpadding="2" class="mb20">
		<tbody>
			<tr bgcolor="#FFFFFF">
				<td bgcolor="#FFFFFF">
					<div align="center">
						<img width="74" height="62" src="../common/images/check/ut1.gif"><br>
						<input type="radio" value="1" name="qdata[s_checker]" {if $arrAnsForm.s_checker == 1}checked{/if}>EX.1
					</div>
				</td>
				<td bgcolor="#FFFFFF">
					<div align="center">
						<img width="74" height="62" src="../common/images/check/ut2.gif"><br>
						<input type="radio" value="2" name="qdata[s_checker]" {if $arrAnsForm.s_checker == 2}checked{/if}>EX.2
					</div>
				</td>
				<td bgcolor="#FFFFFF">
					<div align="center">
						<img width="74" height="62" src="../common/images/check/ut3.gif"><br>
						<input type="radio" value="3" name="qdata[s_checker]" {if $arrAnsForm.s_checker == 3}checked{/if}>EX.3
					</div>
				</td>
				<td bgcolor="#FFFFFF">
					<div align="center">
						<img width="74" height="62" src="../common/images/check/ut4.gif"><br>
						<input type="radio" value="4" name="qdata[s_checker]" {if $arrAnsForm.s_checker == 4}checked{/if}>EX.4
					</div>
				</td>
				<td bgcolor="#FFFFFF">
					<div align="center">
						<img width="74" height="62" src="../common/images/check/ut5.gif"><br>
						<input type="radio" value="5" name="qdata[s_checker]" {if $arrAnsForm.s_checker == 5}checked{/if}>EX.5
					</div>
				</td>
			</tr>
		</tbody>
	</table>
</div>