JPS58147779U - inspection paper - Google Patents

inspection paper

Info

Publication number
JPS58147779U
JPS58147779U JP4568082U JP4568082U JPS58147779U JP S58147779 U JPS58147779 U JP S58147779U JP 4568082 U JP4568082 U JP 4568082U JP 4568082 U JP4568082 U JP 4568082U JP S58147779 U JPS58147779 U JP S58147779U
Authority
JP
Japan
Prior art keywords
column
question
answers
answer
photocopied
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
JP4568082U
Other languages
Japanese (ja)
Other versions
JPH023562Y2 (en
Inventor
義博 小関
Original Assignee
トツパン・ム−ア株式会社
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by トツパン・ム−ア株式会社 filed Critical トツパン・ム−ア株式会社
Priority to JP4568082U priority Critical patent/JPS58147779U/en
Publication of JPS58147779U publication Critical patent/JPS58147779U/en
Application granted granted Critical
Publication of JPH023562Y2 publication Critical patent/JPH023562Y2/ja
Granted legal-status Critical Current

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Abstract

(57)【要約】本公報は電子出願前の出願データであるた
め要約のデータは記録されません。(57) [Summary] This bulletin contains application data before electronic filing, so abstract data is not recorded.

Description

【図面の簡単な説明】[Brief explanation of the drawing]

第１図イは質問用紙の表面斜視図。第１図口は質問用紙
の裏面斜視図。第２図は解説用紙の表面斜視図。第３図
は本考案の検査用紙を示す一部切欠状態の斜視図。第４
図は本考案の使用状態を示す説明図。 １・・・・・・検査用紙、２・・・・・・実施者表示記
入欄、３・・・・・・質問項目、４ａ、　　４ｂ・・・
・・・解答記入欄、５ａ。 ５ｂ・・・・・・複写解答記入欄、６ａ、　　（３ｂ、
　　５ｃ、　　５ｄ・・・　□・・・区画、７・・・・
・・解答集計欄、９・・・・・・質問用紙、１０ａ・・
・・・・解説、説明文、１０ｂ・・・・・・判定記入欄
、１２・・・・・・解説用紙、１３・・・・・・接着剤
、１４・・・・・・切り取りミシン目。Figure 1A is a perspective view of the front surface of the question paper. Figure 1 is a perspective view of the back of the question paper. Figure 2 is a perspective view of the surface of the explanation sheet. FIG. 3 is a partially cutaway perspective view showing the test paper of the present invention. Fourth
The figure is an explanatory diagram showing the state of use of the present invention. 1...Test form, 2...Executor display field, 3...Question items, 4a, 4b...
...Answer entry column, 5a. 5b... Copy answer entry column, 6a, (3b,
5c, 5d... □...Division, 7...
...Answer tally column, 9...Question sheet, 10a...
...Explanation, explanatory text, 10b... Judgment entry column, 12... Explanation sheet, 13... Adhesive, 14... Cut-out perforation .

Claims (1)

【実用新案登録請求の範囲】[Scope of utility model registration request] 表面側に質問項目と該質問項目に対する解答記入欄およ
び氏名、性別、生年月日、実施日等の実施者表示記入欄
を設け、裏面側に上記解答記入欄の特定箇所のみが複写
により記入される複写解答記入欄を設け、該複写解答記
入欄を検査項目毎に区分する区画を設けると共に検査項
目毎の解答集計欄を設けてなる質問用紙の下位に、表面
側に解答集計に対する検査結果の解説文および判定記入
欄を設けた解説用紙を重ね合わせ少くとも一端部側を綴
じ合せてなる検査用紙。On the front side, there are question items, an answer column for the question items, and a column for displaying information such as name, gender, date of birth, and implementation date. At the bottom of the question sheet, the test results for the answer summation are displayed on the front side of the question sheet, which has a column for entering the photocopied answers, a section for dividing the column for filling out the photocopied answers for each test item, and a column for tallying the answers for each test item. An inspection sheet made by overlapping explanatory sheets with explanatory text and judgment entry fields and binding them together at least on one end.
JP4568082U 1982-03-31 1982-03-31 inspection paper Granted JPS58147779U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
JP4568082U JPS58147779U (en) 1982-03-31 1982-03-31 inspection paper

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
JP4568082U JPS58147779U (en) 1982-03-31 1982-03-31 inspection paper

Publications (2)

Publication Number Publication Date
JPS58147779U true JPS58147779U (en) 1983-10-04
JPH023562Y2 JPH023562Y2 (en) 1990-01-26

Family

ID=30056690

Family Applications (1)

Application Number Title Priority Date Filing Date
JP4568082U Granted JPS58147779U (en) 1982-03-31 1982-03-31 inspection paper

Country Status (1)

Country Link
JP (1) JPS58147779U (en)

Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPS5362439U (en) * 1976-10-26 1978-05-26

Patent Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPS5362439U (en) * 1976-10-26 1978-05-26

Also Published As

Publication number Publication date
JPH023562Y2 (en) 1990-01-26

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