function openmvlife1() 
{ 
  winpop=window.open('about:blank','winpop','scrollbars=no,width=550,height=450'); 
  winpop.focus(); 
  return(true); 
} 

document.write('<table><tr>'); 
document.write('<form name=pollform onSubmit="openmvlife1()" action=http://server.mvlife.nl/poll/poll_do.php method=POST target=winpop>'); 
document.write('<td>'); 
document.write('  <span class="class_vraag_mvlife1">Uitgaan?</span> <br>'); 
document.write('  <input type=hidden name=pi value=1>'); 
document.write('  <input type=hidden name=id value=334>'); 
document.write('  <select name=antw class="class_antwoorden_mvlife1">'); 
document.write('    <option value=0>Elke dag</option>'); 
document.write('    <option value=1>Paar keer per week</option>'); 
document.write('    <option value=2>Een keer per week</option>'); 
document.write('    <option value=3>Paar keer per maand</option>'); 
document.write('    <option value=4>Een keer per maand</option>'); 
document.write('    <option value=5>Paar keer per jaar</option>'); 
document.write('    <option value=6>Een keer per jaar</option>'); 
document.write('    <option value=7>Vrijwel nooit</option>'); 
document.write('    <option value=8>Nooit</option>'); 
document.write('    <option value=9>Mannen die willen spieken</option>'); 
document.write('  </select>'); 
document.write('  <input type=submit value=Stem! name=submit class="class_button_mvlife1">'); 
document.write('</td>'); 
document.write('</form>'); 
document.write('</tr></table>');