document.write('\	\	\	\	\	\<FORM\ ACTION\=\"http\:\/\/www\.bizland\.com\/StorePollResults\.mpl\"\ METHOD\=\"POST\"\ \>\	\	\	\	\	\	\<TABLE\ \ BGCOLOR\=\"\#ffffff\"\ CELLSPACING\=0\ CELLPADDING\=0\ border\=1\ bordercolor\=\"\#336699\"\ \>\	\	\	\	\	\	\<TR\>\<TD\>\	\	\	\	\	\	\<TABLE\ \ BGCOLOR\=\"\#ffffff\"\ CELLSPACING\=0\ CELLPADDING\=1\>\	\	\	\	\	\	\	\<TR\ BGCOLOR\=\"\#336699\"\>\	\	\	\	\	\	\	\	\<TD\ COLSPAN\=2\ ALIGN\=\"CENTER\"\>\	\	\	\	\	\	\	\	\<A\ HREF\=\"http\:\/\/www\.bizland\.com\/\"\>\<IMG\ SRC\=\"http\:\/\/images\.bizland\.com\/goldbiz\.gif\"\ BORDER\=\"0\"\>\<\/A\>\	\	\	\	\	\	\	\	\<FONT\ FACE\=\"Verdana\"\ SIZE\=2\>\<B\>Poll\ Taker\ \<\/font\>\<\/B\>\	\	\	\	\	\	\	\	\<\/TD\>\	\	\	\	\	\	\	\<\/TR\>\	\	\	\	\	\	\	\<TR\>\	\	\	\	\	\	\	\	\<TD\>\<FONT\ FACE\=\"Verdana\"\ SIZE\=1\>\<b\>How\ high\ is\ your\ TSH\?\<\/b\>\ \<\/Font\>\<\/TR\>\	\	\	\	\	\	\	\	\<TR\>\<TD\>\	\	\	\	\	\	\	\	\	\	\	\<input\ type\=\"radio\"\ name\=\"radio1\"\ value\=\"less\ than\ 5\.5\"\>\<font\ face\=\"Verdana\"\ size\=1\>less\ than\ 5\.5\ \<\/font\>\<br\>\	\	\	\	\	\	\	\	\	\	\	\	\	\<input\ type\=\"radio\"\ name\=\"radio1\"\ value\=\"5\.5\ to\ 7\.5\"\>\<font\ face\=\"Verdana\"\ size\=1\>5\.5\ to\ 7\.5\ \<\/font\>\<br\>\	\	\	\	\	\	\	\	\	\	\	\	\	\<input\ type\=\"radio\"\ name\=\"radio1\"\ value\=\"7\.5\ to\ 9\.5\"\>\<font\ face\=\"Verdana\"\ size\=1\>7\.5\ to\ 9\.5\ \<\/font\>\<br\>\	\	\	\	\	\	\	\	\	\	\	\	\	\<input\ type\=\"radio\"\ name\=\"radio1\"\ value\=\"9\.5\ to\ 11\.5\"\>\<font\ face\=\"Verdana\"\ size\=1\>9\.5\ to\ 11\.5\ \<\/font\>\<br\>\	\	\	\	\	\	\	\	\	\	\	\	\	\<input\ type\=\"radio\"\ name\=\"radio1\"\ value\=\"above\ 11\.5\"\>\<font\ face\=\"Verdana\"\ size\=1\>above\ 11\.5\ \<\/font\>\<br\>\	\	\	\	\	\	\	\	\	\	\	\	\<\/TD\>\	\	\	\	\	\	\<\/TR\>\	\	\	\	\	\	\<TD\ BGCOLOR\=\"ffffff\"\ ALIGN\=\"CENTER\"\ COLSPAN\=2\>\	\	\	\	\	\	\<INPUT\ TYPE\=\"submit\"\ NAME\=\"MCPoll\"\ VALUE\=\"Submit\"\ \>\	\	\	\	\	\	\<\/TD\>\	\	\	\	\	\	\<\/TR\>\	\	\	\	\	\	\<INPUT\ TYPE\=\"hidden\"\ NAME\=\"pollname\"\ VALUE\=\"tshlevels\"\>\	\	\	\	\	\	\<INPUT\ TYPE\=\"hidden\"\ NAME\=\"username\"\ VALUE\=\"thyroid\"\>\	\	\	\	\	\	\<INPUT\ TYPE\=\"hidden\"\ NAME\=\"nOptions\"\ VALUE\=\"5\"\>\	\	\	\	\	\	\<INPUT\ TYPE\=\"hidden\"\ NAME\=\"YNView\"\ VALUE\=\"Yes\"\>\	\	\	\	\	\	\<\/TABLE\>\	\	\	\	\	\	\<\/TDgt\;\<\/TR\>\<\/TABLE\>\	\	\	\	\	\	\<\/FORM\>\	\	\	\	\	\	\	\	\	\	\	\	');