document.write('<form name="poll" method="POST" onSubmit="PollResult(document.poll.lngPollId.value,document.poll.optVoteId.value);return false;" action="#" STYLE="margin: 0px; padding: 0px;"><p align="left"><font size="2">&#3381;&#3392;&#3359;&#3405; &#3381;&#3390;&#3353;&#3405;&#3353;&#3390;&#3368;&#3405;&#8205; &#3384;&#3374;&#3375;&#3374;&#3390;&#3375;&#3403;?</font><br><input type="hidden" name="lngPollId" Value="3"><input type="hidden" name="optVoteId" Value="0"><input type="radio" name="optVote" Value="1" onclick="document.poll.optVoteId.value=1"><font size="2">&#3334;&#3375;&#3391; </font><br><input type="radio" name="optVote" Value="2" onclick="document.poll.optVoteId.value=2"><font size="2">&#3335;&#3378;&#3405;&#3378;</font><br><input type="radio" name="optVote" Value="3" onclick="document.poll.optVoteId.value=3"><font size="2">&#3333;&#3377;&#3391;&#3375;&#3391;&#3378;&#3405;&#3378; </font><br><input type="submit" value="Submit"  align="center" name="B3"></p></form>');