document.write('<form name=survey method=post action=http://www.rotary5340.org/surveys/save.cgi onSubmit="return doSubmit(this);"><input type=hidden name=id value=12><p class=surveytext align=center><br>Have you ever heard Past RI President <b>Cliff Dochterman</b> speak?</p><p class=surveytext align=center><input type=radio name=answer value="Yes">&nbsp;Yes&nbsp;&nbsp;&nbsp;<input type=radio name=answer value="No">&nbsp;No&nbsp;&nbsp;&nbsp;&nbsp;<input type=submit value=Vote class=surveybutton>&nbsp;&nbsp;&nbsp;&nbsp;<input type=button class=surveybutton value="View Results" onClick=document.location.href=\'http://www.rotary5340.org/surveys/save.cgi?id=12&answer=view\';></p></form>')