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document.write('<form action="//amamin.jp/survey_result.php" method="post"><input type="hidden" name="csrf" value="ce3075bb17bfbd096ae2c80d3e15cbaad470fb13" />');
document.write('<div id="survey_title">');
document.write('あなたのお仕事は？');
document.write('</div>');
document.write('<div id="survey_time">2014/09/25～2014/10/08</div>');
document.write('<div id="survey_brief">職業についてお聞きします。</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">学生</label></td></tr><tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="1">主婦・主夫</label></td></tr><tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="2">会社員（正社員/契約社員）</label></td></tr><tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="3">派遣</label></td></tr><tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="4">パート・アルバイト</label></td></tr><tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="5">自営業</label></td></tr><tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="6">専門職（医師・弁護士等）</label></td></tr><tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="7">公務員</label></td></tr><tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="8">その他</label></td></tr>');
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document.write('<p class="more"><a href="//amamin.jp/survey_result.php?id=56&page=3">投票結果を見る</a></p>');
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document.write('<input type="hidden" name="id" value="56">');
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