document.write('');
document.write('<table vorder="0"><tr><form method="post" action="http://106537.vote.onetwomax.de/"><td>');
document.write('<table cellspacing="2" style="border: 1px solid Black">');
document.write('  <tr>');
document.write('    <td nowrap><font face="Arial" size="2"><b>Warum bist du auf diese Seite gekommen?</b></font></td>');
document.write('  </tr>');
document.write('  <tr>');
document.write('    <td nowrap><font face="Arial" size="2">');
document.write('      <input type="radio" name="vote" value="0">');
document.write('      Ich habe danach gesucht<br>');
document.write('      <input type="radio" name="vote" value="1">');
document.write('      Jemand im Bekanntenkreis ist betroffen<br>');
document.write('      <input type="radio" name="vote" value="2">');
document.write('      Ich möchte mich informieren<br>');
document.write('      <input type="radio" name="vote" value="3">');
document.write('      Durch Zufall<br>');
document.write('      <input type="radio" name="vote" value="4">');
document.write('      Ich wollte garnicht hierhinkommen<br>');
document.write('      <input type="radio" name="vote" value="5">');
document.write('      Bin selber Betroffen');
document.write('      </font>');
document.write('    </td>');
document.write('  </tr>');
document.write('  <tr>');
document.write('    <td><font face="Arial" size="2">');
document.write('      <input type="submit" name="submit" value="Abstimmen">');
document.write('      <a href="http://106537.vote.onetwomax.de/?view=result">Ergebnis</a></font>');
document.write('    </td>');
document.write('  </tr>');
document.write('  <tr>');
document.write('    <td><font face="Arial" size="2"><font size="-2">Bisher abgegebene Stimmen: 27<br>');
document.write('      Abstimmung läuft seit: 08.10.2006<br>');
document.write('      </font></font></td>');
document.write('  </tr>');
document.write('</table>');
document.write('</td></form></tr></table>');
document.write('');