document.write('<div id="out_table">');
document.write('<form action="//ashita-sanuki.jp/survey_result.php" method="post"><input type="hidden" name="csrf" value="cdf0124da36bfa743ad1f332cb156c03a0b524d2" />');
document.write('<div id="survey_title">');
document.write('あなたが好きな、もしくは食べたい「鍋」は？');
document.write('</div>');
document.write('<div id="survey_time">2008/11/12～2008/11/30</div>');
document.write('<div id="survey_brief">これからの季節のごちそうといえば、鍋料理♪･･･ということで、<b>あなたが好きな鍋は？もしくは食べたい鍋は？</b>「その他」の方は“一言コメント”に何鍋か入れて下さいね。</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">水炊き</label></td></tr><tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="1">すきやき</label></td></tr><tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="2">寄せ鍋</label></td></tr><tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="3">キムチ鍋</label></td></tr><tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="4">しゃぶしゃぶ</label></td></tr><tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="5">その他</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=19">投票結果を見る</a></p>');
document.write('</div>');
document.write('<input type="hidden" name="id" value="19">');
document.write('</form>');
document.write('</div>');