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('アクセス頻度調査');
document.write('</div>');
document.write('<div id="survey_time">2008/11/30～2008/12/07</div>');
document.write('<div id="survey_brief"><b>あしたさぬき.JPも１周年！</b><br />どのぐらいの頻度で当サイトのトップページへアクセスしていますか？</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">1日1回以上</label></td></tr><tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="1">2～3日に1回程度</label></td></tr><tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="2">1週間に1回程度</label></td></tr><tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="3">それ以下</label></td></tr>');
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document.write('<p class="bt"></p>');
document.write('<p class="more"><a href="//ashita-sanuki.jp/survey_result.php?id=20">投票結果を見る</a></p>');
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document.write('<input type="hidden" name="id" value="20">');
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