document.write('<div id="out_table">');
document.write('<form action="//amamin.jp/survey_result.php" method="post"><input type="hidden" name="csrf" value="a0ef534f1418f7aed9f5925dac08b580e2f308ec" />');
document.write('<div id="survey_title">');
document.write('しーまを見るのは何時ぐらい？');
document.write('</div>');
document.write('<div id="survey_time">2015/02/21～2015/03/06</div>');
document.write('<div id="survey_brief">しーまブログにアクセスするのはいつも何時ごろですか？一番多い時間帯を教えてくださいね。</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">午前6時～8時台</label></td></tr><tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="1">午前9時～午後12時台</label></td></tr><tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="2">午後1時～4時台</label></td></tr><tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="3">午後5時～8時台</label></td></tr><tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="4">午後9時～午前0時台</label></td></tr><tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="5">午前1時～5時台</label></td></tr>');
document.write('</table>');
document.write('');
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=66">投票結果を見る</a></p>');
document.write('</div>');
document.write('<input type="hidden" name="id" value="66">');
document.write('</form>');
document.write('</div>');