document.writeln('<div style=\"width:500px;border:1px solid black;background:#ffff99;\" id=\"le_formulaire\"><div style=\"font-size:1.2em;width:100%;height:50px;text-align:center;margin:10px;color:;font-style:normal;font-weight:normal;\" id=\"titre_formulaire\"> LE SITE INTERNET DU CINEMA IMPERIAL</div><form method=\"post\" action=\"http://www.magic-questionnaire.com/retour_form.php?id_formulaire=1806\" accept-charset=\"UTF-8\"><input type=\"hidden\" name=\"ieutf8\" value=\"&#153;\" /><div style=\"width:450px;margin:auto;color:;font-style:normal;font-weight:normal;\" class=\"texte_libre\">Depuis le 1er juillet 2002, Le Cin&eacute;ma Imp&eacute;rial s&#039;est dot&eacute; d&#039;un site internet autog&eacute;r&eacute; a l adresse http://www.cinema-luneville.com. Nous vous saurions gr&eacute; de nous donner votre sentiment et vos suggestions a son propos...</div><div style=\"width:450px;margin:auto;color:#000099;font-style:italic;font-weight:bold;\" class=\"question\">Vous connaissiez cette adresse ?<br /><input type=\"radio\" name=\"repradio_16841\" value=\"121752\"/> <span style=\"margin-top:5px!important;margin-left:10px!important;color:#990000;font-style:normal;font-weight:normal;\" class=\"reponse_choix\" >  Oui</span><br /><input type=\"radio\" name=\"repradio_16841\" value=\"121753\"/> <span style=\"margin-top:5px!important;margin-left:10px!important;color:#990000;font-style:normal;font-weight:normal;\" class=\"reponse_choix\" >  Non</span></div><br /><div style=\"width:450px;margin:auto;color:#000099;font-style:italic;font-weight:bold;\" class=\"question\">Vous avez d&eacute;ja visit&eacute; le site ?<br /><input type=\"radio\" name=\"repradio_16842\" value=\"121754\"/> <span style=\"margin-top:5px!important;margin-left:10px!important;color:#990000;font-style:normal;font-weight:normal;\" class=\"reponse_choix\" >  Non, pas encore</span><br /><input type=\"radio\" name=\"repradio_16842\" value=\"121755\"/> <span style=\"margin-top:5px!important;margin-left:10px!important;color:#990000;font-style:normal;font-weight:normal;\" class=\"reponse_choix\" >  Je viens de le faire pour la premiere fois</span><br /><input type=\"radio\" name=\"repradio_16842\" value=\"121756\"/> <span style=\"margin-top:5px!important;margin-left:10px!important;color:#990000;font-style:normal;font-weight:normal;\" class=\"reponse_choix\" >  Rarement</span><br /><input type=\"radio\" name=\"repradio_16842\" value=\"121757\"/> <span style=\"margin-top:5px!important;margin-left:10px!important;color:#990000;font-style:normal;font-weight:normal;\" class=\"reponse_choix\" >  Occasionnellement</span><br /><input type=\"radio\" name=\"repradio_16842\" value=\"121758\"/> <span style=\"margin-top:5px!important;margin-left:10px!important;color:#990000;font-style:normal;font-weight:normal;\" class=\"reponse_choix\" >  Souvent</span><br /><input type=\"radio\" name=\"repradio_16842\" value=\"121759\"/> <span style=\"margin-top:5px!important;margin-left:10px!important;color:#990000;font-style:normal;font-weight:normal;\" class=\"reponse_choix\" >  J&#039;en ferais m&ecirc;me bien ma page d&#039;accueil !</span></div><br /><div style=\"width:450px;margin:auto;color:#000099;font-style:italic;font-weight:bold;\" class=\"question\">Que cherchez vous en priorit&eacute; ?<br /><input type=\"radio\" name=\"repradio_16849\" value=\"121785\"/> <span style=\"margin-top:5px!important;margin-left:10px!important;color:#990000;font-style:normal;font-weight:normal;\" class=\"reponse_choix\" >  La Programmation de la semaine ( titres )</span><br /><input type=\"radio\" name=\"repradio_16849\" value=\"121786\"/> <span style=\"margin-top:5px!important;margin-left:10px!important;color:#990000;font-style:normal;font-weight:normal;\" class=\"reponse_choix\" >  Les horaires de la semaine</span><br /><input type=\"radio\" name=\"repradio_16849\" value=\"121787\"/> <span style=\"margin-top:5px!important;margin-left:10px!important;color:#990000;font-style:normal;font-weight:normal;\" class=\"reponse_choix\" >  Ce que vous allez passer prochainement </span><br /><input type=\"radio\" name=\"repradio_16849\" value=\"121788\"/> <span style=\"margin-top:5px!important;margin-left:10px!important;color:#990000;font-style:normal;font-weight:normal;\" class=\"reponse_choix\" >  L&#039; achat en ligne de places de cin&eacute;ma, d affiches ou de carnets d abonnement...</span></div><br /><div style=\"width:450px;margin:auto;color:#000099;font-style:italic;font-weight:bold;\" class=\"question\">La page d&#039;accueil sur laquelle vous arrivez lors de votre visite vous semble...<br /><input type=\"radio\" name=\"repradio_16850\" value=\"121789\"/> <span style=\"margin-top:5px!important;margin-left:10px!important;color:#990000;font-style:normal;font-weight:normal;\" class=\"reponse_choix\" >  Pratique ( barre de menu lat&eacute;rale )</span><br /><input type=\"radio\" name=\"repradio_16850\" value=\"121790\"/> <span style=\"margin-top:5px!important;margin-left:10px!important;color:#990000;font-style:normal;font-weight:normal;\" class=\"reponse_choix\" >  Compl&egrave;te ( rubriques et sous rubriques )</span><br /><input type=\"radio\" name=\"repradio_16850\" value=\"121791\"/> <span style=\"margin-top:5px!important;margin-left:10px!important;color:#990000;font-style:normal;font-weight:normal;\" class=\"reponse_choix\" >  Pratique mais incompl&egrave;te</span><br /><input type=\"radio\" name=\"repradio_16850\" value=\"121792\"/> <span style=\"margin-top:5px!important;margin-left:10px!important;color:#990000;font-style:normal;font-weight:normal;\" class=\"reponse_choix\" >  Compl&egrave;te mais peu pratique</span><br /><input type=\"radio\" name=\"repradio_16850\" value=\"121793\"/> <span style=\"margin-top:5px!important;margin-left:10px!important;color:#990000;font-style:normal;font-weight:normal;\" class=\"reponse_choix\" >  Parfaite, merci !</span></div><br /><div style=\"width:450px;margin:auto;color:#000099;font-style:italic;font-weight:bold;\" class=\"question\">Paypal comme moyen d&#039;achat possible pour vos produits, ca vous semble<br /><input type=\"radio\" name=\"repradio_16851\" value=\"121794\"/> <span style=\"margin-top:5px!important;margin-left:10px!important;color:#990000;font-style:normal;font-weight:normal;\" class=\"reponse_choix\" >  Tr&egrave;s bien !</span><br /><input type=\"radio\" name=\"repradio_16851\" value=\"121795\"/> <span style=\"margin-top:5px!important;margin-left:10px!important;color:#990000;font-style:normal;font-weight:normal;\" class=\"reponse_choix\" >  Ca ou autre chose, c&#039;est pareil !</span><br /><input type=\"radio\" name=\"repradio_16851\" value=\"121796\"/> <span style=\"margin-top:5px!important;margin-left:10px!important;color:#990000;font-style:normal;font-weight:normal;\" class=\"reponse_choix\" >  Je n&#039;ai pas envie de payer en ligne, je veux pouvoir choisir un autre mode de paiement !</span></div><br /><div style=\"width:450px;margin:auto;color:#000099;font-style:italic;font-weight:bold;\" class=\"question\">Une rubrique inutile, selon vous ?<br /><textarea  cols=\"47\" rows=\"5\"  name=\"replibre_16861\"></textarea></div><br /><div style=\"width:450px;margin:auto;color:#000099;font-style:italic;font-weight:bold;\" class=\"question\">Une rubrique manquante, selon vous ?<br /><textarea  cols=\"47\" rows=\"5\"  name=\"replibre_16862\"></textarea></div><br /><div style=\"width:450px;margin:auto;color:;font-style:normal;font-weight:normal;\" class=\"texte_libre\">Merci de votre collaboration ! Nous avons &agrave; coeur de r&eacute;pondre au mieux a votre demande !</div><br /><input type=\"submit\" value=\"Envoyer\" /></form></div>');