document.write('<form action="php-poll-vote.php" method="post" style="margin:0px; padding:0px">');
document.write(' <input type="hidden" name="ac" value="vote" />');
document.write(' <input type="hidden" name="id" value="30" />');
document.write('  <table width="200px" border="0" cellspacing="0" cellpadding="2" bgcolor="#663300">');
document.write('    <tr>');
document.write('      <td colspan="2" align="Center" bgcolor="#666666" style="font-family:Arial; font-size:12px; color:#FFFFFF"><strong>As a Veteran, do you feel Barack Obama will look out for Veterans interests?</strong></td>');
document.write('      </tr>');
  document.write('    <tr>');
document.write('      <td width="15px"><input name="answer" type="radio" value="1"></td>');
document.write('      <td width="100%" align="Left" style="font-family:Arial; font-size:10px; color:#FFFFFF"><strong>Yes, Definitely</strong></td>');
document.write('    </tr>');
  document.write('    <tr>');
document.write('      <td width="15px"><input name="answer" type="radio" value="2"></td>');
document.write('      <td width="100%" align="Left" style="font-family:Arial; font-size:10px; color:#FFFFFF"><strong>No, he can\'t relate to Veterans issues</strong></td>');
document.write('    </tr>');
  document.write('    <tr>');
document.write('      <td width="15px"><input name="answer" type="radio" value="3"></td>');
document.write('      <td width="100%" align="Left" style="font-family:Arial; font-size:10px; color:#FFFFFF"><strong>Not as well as John Mcain would</strong></td>');
document.write('    </tr>');
  document.write('    <tr>');
document.write('      <td colspan="2" align="center" bgcolor="#666666"><input type="submit" name="Submit4" value="Vote"></td>');
document.write('      </tr>');
document.write('  </table>');
document.write('</form>');