document.write('<div id="out_table">');
document.write('<form action="//amamin.jp/survey_result.php" method="post"><input type="hidden" name="csrf" value="04c4e8af64656611576ed75741e9625f523ddf8f" />');
document.write('<div id="survey_title">');
document.write('あなたの起床時間は？');
document.write('</div>');
document.write('<div id="survey_time">2013/09/18～2013/10/01</div>');
document.write('<div id="survey_brief">あなたの起床時間を教えて下さい。<br />宜しくお願いします(*´∀｀*)</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">4時台</label></td></tr><tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="1">５時台</label></td></tr><tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="2">６時台</label></td></tr><tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="3">７時台</label></td></tr><tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="4">８時台</label></td></tr><tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="5">９時台</label></td></tr><tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="6">１０時台</label></td></tr><tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="7">１１時台</label></td></tr><tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="8">１２時台</label></td></tr><tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="9">その他</label></td></tr>');
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document.write('<div id="vote_button">');
document.write('<p class="bt"></p>');
document.write('<p class="more"><a href="//amamin.jp/survey_result.php?id=37&page=3">投票結果を見る</a></p>');
document.write('</div>');
document.write('<input type="hidden" name="id" value="37">');
document.write('</form>');
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