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document.write('<div id="survey_title">');
document.write('花粉症ですか？');
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document.write('<div id="survey_time">2009/03/17～2009/03/30</div>');
document.write('<div id="survey_brief">単刀直入ですが、みなさんは花粉症ですか？<br />※その対策をコメントでお寄せ下さい。</div>');
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document.write('<tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="0">重い花粉症</label></td></tr><tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="1">人並みの花粉症</label></td></tr><tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="2">軽い花粉症</label></td></tr><tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="3">花粉症かも？</label></td></tr><tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="4">そんなことはない</label></td></tr><tr class="survey_vote"><td class="survey_vote"></td><td class="survey_vote"><label for="5">その他</label></td></tr>');
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