javastr=""

javastr=javastr+"<table width=100% border=0 bgcolor=fff1d7 cellpadding=2 cellspacing=2 align=center>"
javastr=javastr+"<form name=myform target=_blank style=\"margin:'margin-top' 'margin-right' 'margin-bottom' 'margin-left'\" action=inquiry.asp?action=inquirysave&inquiryid=6 method=post><tr><td align=center>"
javastr=javastr+"<font color=red>你是从哪里知道郑州第三人民医院网站的？</font><br></td></tr>"
	 
javastr=javastr+"<tr><td><div align=left><input type=radio name=answer value=0>从书刊报纸上！</div>"
javastr=javastr+"</td></tr>"
	 
javastr=javastr+"<tr><td><div align=left><input type=radio name=answer value=1>从百度和goole网站上！</div>"
javastr=javastr+"</td></tr>"
	 
javastr=javastr+"<tr><td><div align=left><input type=radio name=answer value=2>听朋友说的</div>"
javastr=javastr+"</td></tr>"
	 
javastr=javastr+"<tr><td><div align=left><input type=radio name=answer value=3>无意中点击进入的</div>"
javastr=javastr+"</td></tr>"
	 
javastr=javastr+"<tr><td><div align=left><input type=radio name=answer value=4>通过其它途径</div>"
javastr=javastr+"</td></tr>"

javastr=javastr+"<tr><td><div align=center><input type=image src=image/voteSubmit.gif name=Submit>"
javastr=javastr+"&nbsp;<a href=inquiry.asp?inquiryid=6 target=_blank><img src=image/voteView.gif border=0 ></a>" 
javastr=javastr+"</div></td></tr></form></table>"
document.write (javastr)