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document.write('<form action="//amamin.jp/survey_result.php" method="post"><input type="hidden" name="csrf" value="09bc88bb8eb13e566e1458ac9f524b19a4ae4dd3" />');
document.write('<div id="survey_title">');
document.write('SNS参加率調査！');
document.write('</div>');
document.write('<div id="survey_time">2014/12/12～2014/12/25</div>');
document.write('<div id="survey_brief">SNS（ソーシャルネットワーキングサービス）は何を使っていますか？一番よく使っているものをお答えください（＾ω＾）</div>');
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document.write('<tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="0">Facebook（フェイスブック）</label></td></tr><tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="1">Twitter（ツイッター）</label></td></tr><tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="2">LINE（ライン）</label></td></tr><tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="3">Mixi（ミクシー）</label></td></tr><tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="4">Instagram（インスタグラム）</label></td></tr><tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="5">Pinterest（ピンタレスト）</label></td></tr><tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="6">その他（教えてください）</label></td></tr><tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="7">何もしていない</label></td></tr>');
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document.write('<p class="more"><a href="//amamin.jp/survey_result.php?id=59&page=3">投票結果を見る</a></p>');
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