document.write('<!--1182840575--><form method=post action=http://poll.pollhost.com/vote.cgi>');
document.write('<table border=0 width=150 bgcolor=#EEEEEE cellspacing=0 cellpadding=2>');
document.write('<tr><td colspan=2><font face="Arial" size=-1 color="#000000"><b>Yaş aralığınız nedir?</b></td></tr>');
document.write('<tr><td width=5><input type=radio name=answer value=1></td><td><font face="Arial" size=-1 color="#000000">10 - 19</td></tr>');
document.write('<tr><td width=5><input type=radio name=answer value=2></td><td><font face="Arial" size=-1 color="#000000">20 - 24</td></tr>');
document.write('<tr><td width=5><input type=radio name=answer value=3></td><td><font face="Arial" size=-1 color="#000000">25 - 29</td></tr>');
document.write('<tr><td width=5><input type=radio name=answer value=4></td><td><font face="Arial" size=-1 color="#000000">30 - 34</td></tr>');
document.write('<tr><td width=5><input type=radio name=answer value=5></td><td><font face="Arial" size=-1 color="#000000">35 - 39</td></tr>');
document.write('<tr><td width=5><input type=radio name=answer value=6></td><td><font face="Arial" size=-1 color="#000000">40 - 44</td></tr>');
document.write('<tr><td width=5><input type=radio name=answer value=7></td><td><font face="Arial" size=-1 color="#000000">45 - 49</td></tr>');
document.write('<tr><td width=5><input type=radio name=answer value=8></td><td><font face="Arial" size=-1 color="#000000">50 - 54</td></tr>');
document.write('<tr><td width=5><input type=radio name=answer value=9></td><td><font face="Arial" size=-1 color="#000000">55 - 59</td></tr>');
document.write('<tr><td width=5><input type=radio name=answer value=10></td><td><font face="Arial" size=-1 color="#000000">60 ve üzeri</td></tr>');
document.write('<tr><td colspan=2>');
document.write('<input type=hidden name=username value="cisday">');
document.write('<input type=hidden name=poll value="1182840434">');
document.write('<input type=hidden name=background value="EEEEEE">');
document.write('<input type=hidden name=font_color value="000000">');
document.write('<input type=hidden name=font_face value="Arial">');
document.write('<input type=hidden name=bars value="Assorted">');
document.write('<center><input type=submit value=Vote>');
document.write('&nbsp;&nbsp;<input type=submit name=view value=View>');
document.write('</center>');
document.write('</td></tr>');
document.write('<tr><td bgcolor=#FFFFFF colspan=2 align=right><font face="Arial" size=-2 color="#000000"><a href=http://www.pollhost.com/><font color=#000099>Free polls from Pollhost.com</font></a></td></tr>');
document.write('</table></form>');