document.write('<div id="out_table">');
document.write('<form action="//ashita-sanuki.jp/survey_result.php" method="post"><input type="hidden" name="csrf" value="2f1dd09f70f2acade5da43710be81680c7a62112" />');
document.write('<div id="survey_title">');
document.write('年末年始はどこで過ごしますか？');
document.write('</div>');
document.write('<div id="survey_time">2008/12/24～2009/01/04</div>');
document.write('<div id="survey_brief">年末年始は主にどこで過ごしますか？<br />コメントには、この年末年始どんなことをして過ごされる予定かを入力して下さい。</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">自宅</label></td></tr><tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="1">実家</label></td></tr><tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="2">親戚の家</label></td></tr><tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="3">友人・知人の家</label></td></tr><tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="4">国内の旅行先</label></td></tr><tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="5">海外の旅行先</label></td></tr><tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="6">その他</label></td></tr><tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="7">決まっていない</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=23">投票結果を見る</a></p>');
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document.write('<input type="hidden" name="id" value="23">');
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document.write('</div>');