document.write('<div id="out_table">');
document.write('<form action="//amamin.jp/survey_result.php" method="post"><input type="hidden" name="csrf" value="e09e3262e41364cd22deecee8da92f1b83de337c" />');
document.write('<div id="survey_title">');
document.write('あなたの血液型教えてください♪');
document.write('</div>');
document.write('<div id="survey_time">2012/09/21～2012/10/10</div>');
document.write('<div id="survey_brief">しーまブログ見ている方の血液型は？<br />やはりA型が一番多いのかな・・・(^^)</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">A型</label></td></tr><tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="1">B型</label></td></tr><tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="2">O型</label></td></tr><tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="3">AB型</label></td></tr><tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="4">その他</label></td></tr>');
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document.write('<p class="bt"></p>');
document.write('<p class="more"><a href="//amamin.jp/survey_result.php?id=33&page=3">投票結果を見る</a></p>');
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document.write('<input type="hidden" name="id" value="33">');
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