document.write('<div id="out_table">');
document.write('<form action="//ashita-sanuki.jp/survey_result.php" method="post"><input type="hidden" name="csrf" value="0cfa7c7037dba862d8c120b65be8861d454318a0" />');
document.write('<div id="survey_title">');
document.write('この秋、紅葉狩りに行きますか？');
document.write('</div>');
document.write('<div id="survey_time">2008/10/28～2008/11/20</div>');
document.write('<div id="survey_brief">あなたはこの秋、紅葉狩り（紅葉見物）に行かれますか？<br />行きましたか？<br />一言コメントには行く場所など書いて下さいね。<br /></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">泊りがけの予定で行く</label></td></tr><tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="1">遠くまで日帰りの予定で行く</label></td></tr><tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="2">近隣の場所に行く</label></td></tr><tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="3">行きたいけれど予定はない</label></td></tr><tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="4">行かない</label></td></tr>');
document.write('</table>');
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=18">投票結果を見る</a></p>');
document.write('</div>');
document.write('<input type="hidden" name="id" value="18">');
document.write('</form>');
document.write('</div>');