document.write("<style type='text/css'>.enquete_preview_12603{ border-width:1px; border-style:solid; width:180px; border-color:#FFEEAA; color:#444444; font-size:12px; font-family:gothic; text-align:left; padding:5px; background:#FAFAFA; } .enquete_preview_12603 a{ color:#DD0000; }</style>");


document.write("<div class='enquete_preview_12603'><div class='alignDiv'><div class='bodyDiv'><form  name='formulaire' action='http://ymnnmy.enq1.shinobi.jp/vote/10673/' method='post'><div class='titleDiv'>来場者層アンケート</div><div class='questionDiv'>来場者層を調査するため、よかったら年齢・性別（年代）をお答え下さい。自己申告で結構です。</div><div class='answerDiv'>");

document.write("<div class='answerSubDiv'><input type='radio' name='vote' value='63944'>～10代・男</div>");
document.write("<div class='answerSubDiv'><input type='radio' name='vote' value='63945'>～10代・女</div>");
document.write("<div class='answerSubDiv'><input type='radio' name='vote' value='63946'>20代・男</div>");
document.write("<div class='answerSubDiv'><input type='radio' name='vote' value='63947'>20代・女</div>");
document.write("<div class='answerSubDiv'><input type='radio' name='vote' value='63948'>30代・男</div>");
document.write("<div class='answerSubDiv'><input type='radio' name='vote' value='63949'>30代・女</div>");
document.write("<div class='answerSubDiv'><input type='radio' name='vote' value='63950'>40代・男</div>");
document.write("<div class='answerSubDiv'><input type='radio' name='vote' value='63951'>40代・女</div>");
document.write("<div class='answerSubDiv'><input type='radio' name='vote' value='63952'>50代・男</div>");
document.write("<div class='answerSubDiv'><input type='radio' name='vote' value='63953'>50代・女</div>");
document.write("<div class='answerSubDiv'><input type='radio' name='vote' value='63954'>60代～・男</div>");
document.write("<div class='answerSubDiv'><input type='radio' name='vote' value='63955'>60代～・女</div>");
document.write("<div class='answerSubDiv'><input type='radio' name='vote' value='63956'>年齢不詳</div>");
document.write("<div class='answerSubDiv'><input type='radio' name='vote' value='63957'>永遠の16歳</div>");
document.write("<div class='answerSubDiv'><input type='radio' name='vote' value='63958'>中国四千年</div>");
document.write("<div class='answerSubDiv'><input type='radio' name='vote' value='65644'>ちゃぶ代</div>");

document.write("<div class='submitDiv'><input class='submitButtonDiv' id='submitButtonDiv' type='submit' value='投票する' /></div>");
document.write("<div class='resultDiv'>");
	document.write("<a href='http://ymnnmy.enq1.shinobi.jp/enquete_p/10673/'>結果</a>");	document.write("</div>");
document.write("</form></div></div></div></div>");