document.write('<div id="out_table">');
document.write('<form action="http://gokumi.com/survey_result.php" method="post">');
document.write('<div id="survey_title">');
document.write('今日の朝食（９月６日）');
document.write('</div>');
document.write('<div id="survey_time">2008/09/06～2008/09/06</div>');
document.write('<div id="survey_brief">みんな朝食は食べているのかな？今日は朝食、食べましたか？</div>');
document.write('<table class="survey_vote">');
document.write('<tr class="survey_vote"><td class="survey_vote"><input type="radio" name="survey_detail_no" value="5141" id="0"></td><td class="survey_vote"><label for="0">ごはんを食べました。 </label></td></tr><tr class="survey_vote"><td class="survey_vote"><input type="radio" name="survey_detail_no" value="5142" id="1"></td><td class="survey_vote"><label for="1">パンを食べました。</label></td></tr><tr class="survey_vote"><td class="survey_vote"><input type="radio" name="survey_detail_no" value="5143" id="2"></td><td class="survey_vote"><label for="2">その他</label></td></tr><tr class="survey_vote"><td class="survey_vote"><input type="radio" name="survey_detail_no" value="5144" id="3"></td><td class="survey_vote"><label for="3">食べていません。 </label></td></tr>');
document.write('</table>');
document.write('<div style="border-width:1px 0px 1px 0px;border-style:dotted;border-color:#ccc;padding:5px;margin-bottom:10px">一言コメント<br><input type="text" name="survey_detail_comment"></div>');
document.write('<div id="vote_button">');
document.write('<p class="bt"><input type="submit" name="survey_vote" value="投票する" class="button"></p>');
document.write('<p class="more"><a href="http://gokumi.com/survey_result.php?id=258">投票結果を見る</a></p>');
document.write('</div>');
document.write('<input type="hidden" name="id" value="258">');
document.write('</form>');
document.write('</div>');