document.write('<div id="out_table">');
document.write('<form action="//blog.tenkomori.tv/survey_result.php" method="post"><input type="hidden" name="csrf" value="5fba44f54beea84c7c89d1fe85b95ad6f4323674" />');
document.write('<div id="survey_title">');
document.write('秋に行きたいところ');
document.write('</div>');
document.write('<div id="survey_time">2012/09/10～2012/10/01</div>');
document.write('<div id="survey_brief">まだまだ残暑が続きますが、暦の上ではもう秋（・∀・）<br />秋といえば気候的にも活動しやすく、色んな過ごし方があると思います。<br /><br />皆さんは、秋だからこそ行きたい場所はありますか？<br /><br />ポチっと一票、お願いします！m9（・∀・）</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">山</label></td></tr><tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="1">海</label></td></tr><tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="2">美術館</label></td></tr><tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="3">博物館</label></td></tr><tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="4">図書館</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="//blog.tenkomori.tv/survey_result.php?id=83">投票結果を見る</a></p>');
document.write('</div>');
document.write('<input type="hidden" name="id" value="83">');
document.write('</form>');
document.write('</div>');