document.write('<div id="out_table">');
document.write('<form action="//www.kyo2.jp/survey_result.php" method="post"><input type="hidden" name="csrf" value="073d817d632e26fb681eebebf3d085af46410665" />');
document.write('<div id="survey_title">');
document.write('「京つう」の利用時間は？');
document.write('</div>');
document.write('<div id="survey_time">2007/05/23～2007/06/05</div>');
document.write('<div id="survey_brief">「京つう」を１週間合計で何時間位、ご利用いただいてますか？</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">20時間以上</label></td></tr><tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="1">１５～２０時間</label></td></tr><tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="2">１０～１５時間</label></td></tr><tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="3">５～１０時間</label></td></tr><tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="4">３～５時間</label></td></tr><tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="5">１～３時間</label></td></tr><tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="6">３０～６０分</label></td></tr><tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="7">１０～３０分</label></td></tr><tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="8">１０分以下</label></td></tr>');
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document.write('');
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document.write('<p class="bt"></p>');
document.write('<p class="more"><a href="//www.kyo2.jp/survey_result.php?id=12">投票結果を見る</a></p>');
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document.write('<input type="hidden" name="id" value="12">');
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