document.write('<table border="1" cellpadding="0" cellspacing="0" style="border-collapse: collapse" bordercolor="#000000" width="200"  bgcolor="#FFFFFF">');
document.write('  <tr>');
document.write('    <td>');
document.write('    <table border="0" cellpadding="3" cellspacing="0" width="100%">');
document.write('    <form method="POST" action="asppollx5/process.asp" >');
document.write('        <tr><td width="100%" height="40" bgcolor="#8000FF" colspan="2"><p class="questionx">Relationship Status?</td></tr>');
document.write('      <tr><td width="1%" height="30"><input type="radio" name="vote" value=2></td><td width="99%" height="30"><p class="responsex">Not Dating and Content</td></tr>');document.write('      <tr><td width="1%" height="30"><input type="radio" name="vote" value=4></td><td width="99%" height="30"><p class="responsex">Not Dating and finished with the opposite or same sex!</td></tr>');document.write('      <tr><td width="1%" height="30"><input type="radio" name="vote" value=6></td><td width="99%" height="30"><p class="responsex">Dating (under 3 months)</td></tr>');document.write('      <tr><td width="1%" height="30"><input type="radio" name="vote" value=8></td><td width="99%" height="30"><p class="responsex">Dating (under 6 months)</td></tr>');document.write('      <tr><td width="1%" height="30"><input type="radio" name="vote" value=10></td><td width="99%" height="30"><p class="responsex">Dating (under 1 year)</td></tr>');document.write('      <tr><td width="1%" height="30"><input type="radio" name="vote" value=12></td><td width="99%" height="30"><p class="responsex">Dating (under 3 years)</td></tr>');document.write('      <tr><td width="1%" height="30"><input type="radio" name="vote" value=14></td><td width="99%" height="30"><p class="responsex">Dating ( greater than 3 years)</td></tr>');document.write('      <tr><td width="1%" height="30"><input type="radio" name="vote" value=16></td><td width="99%" height="30"><p class="responsex">Engaged</td></tr>');document.write('      <tr><td width="1%" height="30"><input type="radio" name="vote" value=18></td><td width="99%" height="30"><p class="responsex">Newleywed</td></tr>');document.write('      <tr><td width="1%" height="30"><input type="radio" name="vote" value=20></td><td width="99%" height="30"><p class="responsex">Married (less than 3 years)</td></tr>');document.write('      <tr><td width="1%" height="30"><input type="radio" name="vote" value=22></td><td width="99%" height="30"><p class="responsex">Married (less than 7 years)</td></tr>');document.write('      <tr><td width="1%" height="30"><input type="radio" name="vote" value=24></td><td width="99%" height="30"><p class="responsex">Married (seven year itch)</td></tr>');document.write('      <tr><td width="1%" height="30"><input type="radio" name="vote" value=26></td><td width="99%" height="30"><p class="responsex">Married (less than 10 years)</td></tr>');document.write('      <tr><td width="1%" height="30"><input type="radio" name="vote" value=28></td><td width="99%" height="30"><p class="responsex">Married (less than 20 years)</td></tr>');document.write('      <tr><td width="1%" height="30"><input type="radio" name="vote" value=30></td><td width="99%" height="30"><p class="responsex">Married (greater than 20 years)</td></tr>');document.write('      <tr><td width="1%" height="30"><input type="radio" name="vote" value=32></td><td width="99%" height="30"><p class="responsex">Married (too high to count)</td></tr>');document.write('      <tr><td width="1%" height="30"><input type="radio" name="vote" value=34></td><td width="99%" height="30"><p class="responsex">Divorced (1-time)</td></tr>');document.write('      <tr><td width="1%" height="30"><input type="radio" name="vote" value=36></td><td width="99%" height="30"><p class="responsex">Divorced (2-times)</td></tr>');document.write('      <tr><td width="1%" height="30"><input type="radio" name="vote" value=38></td><td width="99%" height="30"><p class="responsex">Divorced (more than 2 times)</td></tr>');
document.write('        <tr><td width="100%" height="30" colspan="2"><p class="votebuttonx" ><input type="hidden" name="return" value="1"><input type="submit" value="Vote" name="B1">&nbsp;<br><a target="_blank" href="asppollx5/results.asp">Results</a></td></tr>');
document.write('    </form>');
document.write('    </table>');
document.write('    </td>');
document.write('  </tr>');
document.write('</table>');