document.write('<div id="out_table">');
document.write('<form action="http://www.niiblo.jp/survey_result.php" method="post"><input type="hidden" name="csrf" value="99976103736782864b003429204c19980e80f52f" />');
document.write('<div id="survey_title">');
document.write('新規コンテンツについて');
document.write('</div>');
document.write('<div id="survey_time">2011/11/17～2011/12/15</div>');
document.write('<div id="survey_brief">Logportにこんな新潟コンテンツがあったらな、と思うジャンルはありますか？今後のコンテンツ企画の参考にさせて頂きますので投票よろしくお願いします！</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">観光情報</label></td></tr><tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="1">名産品・特産品情報</label></td></tr><tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="2">アウトドア</label></td></tr><tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="3">グルメ情報</label></td></tr><tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="4">レジャー情報</label></td></tr><tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="5">同人</label></td></tr><tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="6">趣味・習い事・教室情報</label></td></tr><tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="7">その他（新企画大募集！）</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="http://www.niiblo.jp/survey_result.php?id=6">投票結果を見る</a></p>');
document.write('</div>');
document.write('<input type="hidden" name="id" value="6">');
document.write('</form>');
document.write('</div>');