document.write('<table><tr><td width=120><form method=post target=_blank action=http://www.animalsites.com/pollresults.asp?pollid=170><table>')
	    
			document.write('<tr><td><B><font face=arial>Self-Vaccines</font></B></td></tr>')
			document.write('<tr><td><font face=verdana,arial size=-2><B>Do you administer your pets' annual vaccines yourself?<b></font></td></tr>')
			
			
				
document.write('<tr><td>')
				
					document.write('<input type=radio value=646 name=pollanswer>')
				
				document.write('<font face=verdana,arial size=-2>Yes')
				
				document.write('</font><BR>')
				
			
				
document.write('<tr><td>')
				
					document.write('<input type=radio value=647 name=pollanswer>')
				
				document.write('<font face=verdana,arial size=-2>No')
				
				document.write('</font><BR>')
				
			
				
document.write('<tr><td>')
				
					document.write('<input type=radio value=648 name=pollanswer>')
				
				document.write('<font face=verdana,arial size=-2>I have no pets')
				
				document.write('</font><BR>')
				
			document.write('</td></tr>')
			
			
			document.write('<tr><td align=center><input type=submit value=Vote name=vote>')
			document.write('</td></tr>')
			
			document.write('<tr><td align=center><font size=-3>Powered by <a target=_blank href="http://www.animalsites.com">AnimalSites.com</a></font></td></tr>')
		
		document.write('</table></form></td></tr></table>')