document.write('<div id="out_table">');
document.write('<form action="//ashita-sanuki.jp/survey_result.php" method="post"><input type="hidden" name="csrf" value="aa78b8e10b7b0a9815f3ab706c81807a06ad875c" />');
document.write('<div id="survey_title">');
document.write('朝食は何を食べてますか？');
document.write('</div>');
document.write('<div id="survey_time">2008/09/29～2008/10/17</div>');
document.write('<div id="survey_brief">皆さんにお聞きします。<br />朝食は何を主に食べていますか？ <br />一言コメントには朝食について何か書いて下さい。</div>');
document.write('<table class="survey_vote">');
document.write('<tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="0">和食（ご飯、味噌汁など）</label></td></tr><tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="1">洋食（パン、ハムなど）</label></td></tr><tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="2">その他</label></td></tr><tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="3">朝食は食べない</label></td></tr>');
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document.write('');
document.write('<div id="vote_button">');
document.write('<p class="bt"></p>');
document.write('<p class="more"><a href="//ashita-sanuki.jp/survey_result.php?id=17&page=2">投票結果を見る</a></p>');
document.write('</div>');
document.write('<input type="hidden" name="id" value="17">');
document.write('</form>');
document.write('</div>');