document.write ("<div class=\"featuresBody\">");
	// Poll question
	document.write ("The greatest problem in our marriage is:");
document.write ("<br><img src=\"/graphics/invisible.gif\" width=\"20\" height=\"5\"><br>");
	// Choice 1
	document.write ("<input name=\"radiobutton\" type=\"radio\" value=\"Not_talking_through_conflict\">Not talking through conflict");
document.write ("<br><img src=\"/graphics/invisible.gif\" width=\"20\" height=\"5\"><br>");
	//Choice 2
	document.write ("<input name=\"radiobutton\" type=\"radio\" value=\"Letting_the_romance_fizzle\">Letting the romance fizzle");
document.write ("<br><img src=\"/graphics/invisible.gif\" width=\"20\" height=\"5\"><br>");
	//Choice 3
	document.write ("<input name=\"radiobutton\" type=\"radio\" value=\"Fighting_dirty\">Fighting dirty");
document.write ("<br><img src=\"/graphics/invisible.gif\" width=\"20\" height=\"5\"><br>");
	//Choice 4
	document.write ("<input name=\"radiobutton\" type=\"radio\" value=\"Disagreements_about_money\">Disagreements about money");
document.write ("<br><img src=\"/graphics/invisible.gif\" width=\"20\" height=\"5\"><br>");
	//Choice 5
	document.write ("<input name=\"radiobutton\" type=\"radio\" value=\"Shutting_down_sexually\">Shutting down sexually");
document.write ("<br><img src=\"/graphics/invisible.gif\" width=\"20\" height=\"5\"><br>");
	//Choice 6
	document.write ("<input name=\"radiobutton\" type=\"radio\" value=\"Disciplining_the_kids\">Disciplining the kids");
document.write ("</div><p align=\"center\" class=\"featuresBody\"><input name=\"imageField\" type=\"image\" src=\"/graphics/choosebutton.gif\" alt=\"Choose\" width=\"63\" height=\"27\" border=\"0\"></p>");