document.write('	<form method="PUT" action="http://survey.bitterpill.org/cgi-bin/survey.cgi">	<input type="hidden" name="survey" value="999277944-20195">	<input type="hidden" name="title" value="">	<input type="hidden" name="css" value="">	<input type="hidden" name="logo" value="">	<input type="hidden" name="redir" value="http://www.alttext.com/index.jsp?monthShown=08&yearShown=2001#31">	<input type="hidden" name="action" value="update">	<table width=150><tr valign=top><td><input class="radiobutton" type="radio" name="answer" value="1"></td><td><span class="bs_formtext">Tax refund? There\'s a tax refund?</span></td></tr><tr valign=top><td><input class="radiobutton" type="radio" name="answer" value="2"></td><td><span class="bs_formtext">Alt Text t-shirts of course.</span></td></tr><tr valign=top><td><input class="radiobutton" type="radio" name="answer" value="3"></td><td><span class="bs_formtext">I am going to invest it wisely.</span></td></tr><tr valign=top><td><input class="radiobutton" type="radio" name="answer" value="4"></td><td><span class="bs_formtext">Liquor, sex, and drugs!</span></td></tr><tr valign=top><td><input class="radiobutton" type="radio" name="answer" value="5"></td><td><span class="bs_formtext">Some techno gadget I don\'t really need.</span></td></tr>	<tr><td colspan=2 align=center>	<input type="submit" value="answer survey" class="bs_submit">	</td></tr></table>	</form>');document.close();