document.write('<table border="1" width="100%" cellpadding="2" bgcolor="#EAEAFF" bordercolor="blue" align=center>');
document.write('<tr><td colspan=4 height=28>调查:看看你有几种？</td></tr>');
document.write('<tr><form method="POST" action="/diaocha.php?work=vote&id=6804" target=_blank>');
document.write('<td height="28" align="center">选　项</td>');
document.write('<td width=120 align=center>票 数（共118票）</td><td width=60 align=center>百分比</td></tr>');
document.write('<tr><td> <input type="checkbox" value="1" name="id1"  style="background-color:#EAEAFF">1.近视</td><td><img src="/image/poll1.gif" width="29.66" height=10> 35 </td><td align="center">29.66 %</td></tr>');
document.write('<tr><td> <input type="checkbox" value="2" name="id2"  style="background-color:#EAEAFF">2.脚气</td><td><img src="/image/poll2.gif" width="14.41" height=10> 17 </td><td align="center">14.41 %</td></tr>');
document.write('<tr><td> <input type="checkbox" value="3" name="id3"  style="background-color:#EAEAFF">3.痔疮</td><td><img src="/image/poll3.gif" width="18.64" height=10> 22 </td><td align="center">18.64 %</td></tr>');
document.write('<tr><td> <input type="checkbox" value="4" name="id4"  style="background-color:#EAEAFF">4.龋齿</td><td><img src="/image/poll4.gif" width="18.64" height=10> 22 </td><td align="center">18.64 %</td></tr>');
document.write('<tr><td> <input type="checkbox" value="5" name="id5"  style="background-color:#EAEAFF">5.鼻炎</td><td><img src="/image/poll5.gif" width="18.64" height=10> 22 </td><td align="center">18.64 %</td></tr>');
document.write('<input type=hidden name=maxrec value=5>');document.write('<input type=hidden name=board value=6804>');document.write('<tr><td colspan="3"><div align="center"><center>');document.write('<input type="submit" value="投票" name="vote"  style="background-color:#EAEAFF"><input type="button" value="查看" onclick="window.open(\'diaocha.php?id=6804\')" style="background-color:#EAEAFF"></center></div></td></tr></table></form>');