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document.write('<div id="survey_title">');
document.write('大切な人へのプレゼント');
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document.write('<div id="survey_time">2014/11/28～2014/12/11</div>');
document.write('<div id="survey_brief">彼・彼女、または旦那様や奥様へのクリスマスプレゼントをあげる予定がありますか？予算はどのくらい？<br /><a href="http://gourmet.amamin.jp/e478131.html#/gift"target="_blank">★参考：クリスマスギフト</a></div>');
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document.write('<tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="0">3000円未満</label></td></tr><tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="1">3000円以上5000円未満</label></td></tr><tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="2">5000円以上10000円未満</label></td></tr><tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="3">10000円以上30000円未満</label></td></tr><tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="4">3万円以上</label></td></tr><tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="5">あげる予定がない</label></td></tr>');
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