document.writeln('<div style=\"width:500px;border:1px solid black;background:#33cc33;\" id=\"le_formulaire\"><div style=\"font-size:1.2em;width:100%;height:50px;text-align:center;margin:10px;color:#ff0000;font-style:normal;font-weight:normal;\" id=\"titre_formulaire\"> LE DEROULEMENT DES SEANCES</div><form method=\"post\" action=\"http://www.magic-questionnaire.com/retour_form.php?id_formulaire=1816\" accept-charset=\"UTF-8\"><input type=\"hidden\" name=\"ieutf8\" value=\"&#153;\" /><div style=\"width:450px;margin:auto;color:#000033;font-style:italic;font-weight:bold;\" class=\"texte_libre\">Nous attachons toujours une grande importance &agrave; la qualit&eacute; de vos s&eacute;ances de cinema. Le questionnaire qui suit a pour objectif de mettre en lumi&egrave;re les points forts et les points faibles de nos prestations. R&eacute;pondez y sinc&egrave;rement, sous le couvert de l anonymat ou en nous laissant vos coordonn&eacute;es si vous le souhaitez, et soyez certains que vos encouragements / remarques / critiques seront suivis d&#039;effet ! D avance Merci pour votre participation ...</div><div style=\"width:450px;margin:auto;color:#000033;font-style:italic;font-weight:bold;\" class=\"texte_libre\">En arrivant ...</div><div style=\"width:450px;margin:auto;color:#6600cc;font-style:italic;font-weight:bold;\" class=\"question\">Le Hall / les distributeurs / l&#039;affichage<br /><input type=\"radio\" name=\"repradio_16892\" value=\"121872\"/> <span style=\"margin-top:5px!important;margin-left:10px!important;color:;font-style:italic;font-weight:bold;\" class=\"reponse_choix\" >  Catastrophique</span><br /><input type=\"radio\" name=\"repradio_16892\" value=\"121873\"/> <span style=\"margin-top:5px!important;margin-left:10px!important;color:;font-style:italic;font-weight:bold;\" class=\"reponse_choix\" >  Mouais ! Peut mieux Faire !</span><br /><input type=\"radio\" name=\"repradio_16892\" value=\"121874\"/> <span style=\"margin-top:5px!important;margin-left:10px!important;color:;font-style:italic;font-weight:bold;\" class=\"reponse_choix\" >  Globalement bien</span><br /><input type=\"radio\" name=\"repradio_16892\" value=\"121875\"/> <span style=\"margin-top:5px!important;margin-left:10px!important;color:;font-style:italic;font-weight:bold;\" class=\"reponse_choix\" >  Pas de probl&ecirc;me !</span></div><br /><div style=\"width:450px;margin:auto;color:#6600cc;font-style:italic;font-weight:bold;\" class=\"question\">Le passage a la caisse<br /><input type=\"radio\" name=\"repradio_16893\" value=\"121876\"/> <span style=\"margin-top:5px!important;margin-left:10px!important;color:;font-style:italic;font-weight:bold;\" class=\"reponse_choix\" >  Tr&egrave;s bien</span><br /><input type=\"radio\" name=\"repradio_16893\" value=\"121877\"/> <span style=\"margin-top:5px!important;margin-left:10px!important;color:;font-style:italic;font-weight:bold;\" class=\"reponse_choix\" >  Moyen</span><br /><input type=\"radio\" name=\"repradio_16893\" value=\"121878\"/> <span style=\"margin-top:5px!important;margin-left:10px!important;color:;font-style:italic;font-weight:bold;\" class=\"reponse_choix\" >  Limite scandaleux !</span></div><br /><div style=\"width:450px;margin:auto;color:#6600cc;font-style:italic;font-weight:bold;\" class=\"question\">Le 2E hall / les directionnels / l&#039;acc&egrave;s aux salles<br /><input type=\"radio\" name=\"repradio_16896\" value=\"121885\"/> <span style=\"margin-top:5px!important;margin-left:10px!important;color:;font-style:italic;font-weight:bold;\" class=\"reponse_choix\" >  Clair, Pr&eacute;cis, Chaleureux, agr&eacute;able</span><br /><input type=\"radio\" name=\"repradio_16896\" value=\"121886\"/> <span style=\"margin-top:5px!important;margin-left:10px!important;color:;font-style:italic;font-weight:bold;\" class=\"reponse_choix\" >  Un peu fade, manque de vie...</span><br /><input type=\"radio\" name=\"repradio_16896\" value=\"121887\"/> <span style=\"margin-top:5px!important;margin-left:10px!important;color:;font-style:italic;font-weight:bold;\" class=\"reponse_choix\" >  A revoir compl&egrave;tement !</span></div><br /><div style=\"width:450px;margin:auto;color:#6600cc;font-style:italic;font-weight:bold;\" class=\"question\">Le d&eacute;but des s&eacute;ances - la ponctualit&eacute;<br /><input type=\"radio\" name=\"repradio_16897\" value=\"121888\"/> <span style=\"margin-top:5px!important;margin-left:10px!important;color:;font-style:italic;font-weight:bold;\" class=\"reponse_choix\" >  Tr&egrave;s bien</span><br /><input type=\"radio\" name=\"repradio_16897\" value=\"121889\"/> <span style=\"margin-top:5px!important;margin-left:10px!important;color:;font-style:italic;font-weight:bold;\" class=\"reponse_choix\" >  Globalement &ccedil;a va</span><br /><input type=\"radio\" name=\"repradio_16897\" value=\"121890\"/> <span style=\"margin-top:5px!important;margin-left:10px!important;color:;font-style:italic;font-weight:bold;\" class=\"reponse_choix\" >  Plus qu&#039;al&eacute;atoire ! Un peu d&#039;efforts svp !</span></div><br /><div style=\"width:450px;margin:auto;color:#6600cc;font-style:italic;font-weight:bold;\" class=\"question\">Les premi&egrave;res parties ...<br /><input type=\"radio\" name=\"repradio_16898\" value=\"121891\"/> <span style=\"margin-top:5px!important;margin-left:10px!important;color:;font-style:italic;font-weight:bold;\" class=\"reponse_choix\" >  Tr&egrave;s bien</span><br /><input type=\"radio\" name=\"repradio_16898\" value=\"121892\"/> <span style=\"margin-top:5px!important;margin-left:10px!important;color:;font-style:italic;font-weight:bold;\" class=\"reponse_choix\" >  Bof, &ccedil;a ou peigner la girafe ...</span><br /><input type=\"radio\" name=\"repradio_16898\" value=\"121893\"/> <span style=\"margin-top:5px!important;margin-left:10px!important;color:;font-style:italic;font-weight:bold;\" class=\"reponse_choix\" >  D&eacute;marrez sur le film, on gagnera du temps !</span></div><br /><div style=\"width:450px;margin:auto;color:#6600cc;font-style:italic;font-weight:bold;\" class=\"question\">La projection...le son et l image...<br /><input type=\"radio\" name=\"repradio_16899\" value=\"121894\"/> <span style=\"margin-top:5px!important;margin-left:10px!important;color:;font-style:italic;font-weight:bold;\" class=\"reponse_choix\" >  Vous appelez &ccedil;a une projection ?</span><br /><input type=\"radio\" name=\"repradio_16899\" value=\"121895\"/> <span style=\"margin-top:5px!important;margin-left:10px!important;color:;font-style:italic;font-weight:bold;\" class=\"reponse_choix\" >  Image ok, son trop fort ou pas assez fort</span><br /><input type=\"radio\" name=\"repradio_16899\" value=\"121896\"/> <span style=\"margin-top:5px!important;margin-left:10px!important;color:;font-style:italic;font-weight:bold;\" class=\"reponse_choix\" >  Son Ok, des efforts a faire pour l&#039;image...</span><br /><input type=\"radio\" name=\"repradio_16899\" value=\"121897\"/> <span style=\"margin-top:5px!important;margin-left:10px!important;color:;font-style:italic;font-weight:bold;\" class=\"reponse_choix\" >  Bonne projection !</span><br /><input type=\"radio\" name=\"repradio_16899\" value=\"121898\"/> <span style=\"margin-top:5px!important;margin-left:10px!important;color:;font-style:italic;font-weight:bold;\" class=\"reponse_choix\" >  Vous &ecirc;tes en Num&eacute;rique, c&#039;est &ccedil;a ?</span></div><br /><div style=\"width:450px;margin:auto;color:#6600cc;font-style:italic;font-weight:bold;\" class=\"question\">La salle 1...<br /><input type=\"radio\" name=\"repradio_16900\" value=\"121899\"/> <span style=\"margin-top:5px!important;margin-left:10px!important;color:;font-style:italic;font-weight:bold;\" class=\"reponse_choix\" >  Confort et Projection &agrave; revoir</span><br /><input type=\"radio\" name=\"repradio_16900\" value=\"121900\"/> <span style=\"margin-top:5px!important;margin-left:10px!important;color:;font-style:italic;font-weight:bold;\" class=\"reponse_choix\" >  Confort &agrave; revoir</span><br /><input type=\"radio\" name=\"repradio_16900\" value=\"121901\"/> <span style=\"margin-top:5px!important;margin-left:10px!important;color:;font-style:italic;font-weight:bold;\" class=\"reponse_choix\" >  Projection &agrave; revoir</span><br /><input type=\"radio\" name=\"repradio_16900\" value=\"121902\"/> <span style=\"margin-top:5px!important;margin-left:10px!important;color:;font-style:italic;font-weight:bold;\" class=\"reponse_choix\" >  Ne changez rien !</span></div><br /><div style=\"width:450px;margin:auto;color:#6600cc;font-style:italic;font-weight:bold;\" class=\"question\">La salle 2<br /><input type=\"radio\" name=\"repradio_16901\" value=\"121903\"/> <span style=\"margin-top:5px!important;margin-left:10px!important;color:;font-style:italic;font-weight:bold;\" class=\"reponse_choix\" >  Confort et Projection &agrave; revoir</span><br /><input type=\"radio\" name=\"repradio_16901\" value=\"121904\"/> <span style=\"margin-top:5px!important;margin-left:10px!important;color:;font-style:italic;font-weight:bold;\" class=\"reponse_choix\" >  Confort &agrave; revoir</span><br /><input type=\"radio\" name=\"repradio_16901\" value=\"121905\"/> <span style=\"margin-top:5px!important;margin-left:10px!important;color:;font-style:italic;font-weight:bold;\" class=\"reponse_choix\" >  Projection &agrave; revoir</span><br /><input type=\"radio\" name=\"repradio_16901\" value=\"121906\"/> <span style=\"margin-top:5px!important;margin-left:10px!important;color:;font-style:italic;font-weight:bold;\" class=\"reponse_choix\" >  Ne changez rien !</span></div><br /><div style=\"width:450px;margin:auto;color:#6600cc;font-style:italic;font-weight:bold;\" class=\"question\">La salle 3<br /><input type=\"radio\" name=\"repradio_16902\" value=\"121907\"/> <span style=\"margin-top:5px!important;margin-left:10px!important;color:;font-style:italic;font-weight:bold;\" class=\"reponse_choix\" >  Confort et projection &agrave; revoir</span><br /><input type=\"radio\" name=\"repradio_16902\" value=\"121908\"/> <span style=\"margin-top:5px!important;margin-left:10px!important;color:;font-style:italic;font-weight:bold;\" class=\"reponse_choix\" >  Confort &agrave; revoir</span><br /><input type=\"radio\" name=\"repradio_16902\" value=\"121909\"/> <span style=\"margin-top:5px!important;margin-left:10px!important;color:;font-style:italic;font-weight:bold;\" class=\"reponse_choix\" >  Projection &agrave; revoir</span><br /><input type=\"radio\" name=\"repradio_16902\" value=\"121910\"/> <span style=\"margin-top:5px!important;margin-left:10px!important;color:;font-style:italic;font-weight:bold;\" class=\"reponse_choix\" >  Ne changez rien !</span></div><br /><div style=\"width:450px;margin:auto;color:#6600cc;font-style:italic;font-weight:bold;\" class=\"question\">Le sentiment global en sortant de votre s&eacute;ance de cin&eacute;ma...<br /><input type=\"radio\" name=\"repradio_16903\" value=\"121911\"/> <span style=\"margin-top:5px!important;margin-left:10px!important;color:;font-style:italic;font-weight:bold;\" class=\"reponse_choix\" >  Vous faites ce que ous pouvez et c&#039;est bien ou pas mal, continuez !</span><br /><input type=\"radio\" name=\"repradio_16903\" value=\"121912\"/> <span style=\"margin-top:5px!important;margin-left:10px!important;color:;font-style:italic;font-weight:bold;\" class=\"reponse_choix\" >  Vous faites des efforts, d&#039;autres terrains &agrave; explorer !</span><br /><input type=\"radio\" name=\"repradio_16903\" value=\"121913\"/> <span style=\"margin-top:5px!important;margin-left:10px!important;color:;font-style:italic;font-weight:bold;\" class=\"reponse_choix\" >  Un conseil : Arr&eacute;tez les frais ! Tout est Pourri l&agrave; dedans, surtout vous !</span></div><br /><div style=\"width:450px;margin:auto;color:#6600cc;font-style:italic;font-weight:bold;\" class=\"question\">PRECISIONS / COMMENTAIRE / SUGGESTIONS<br /><textarea  cols=\"47\" rows=\"5\"  name=\"replibre_16905\"></textarea></div><br /><div style=\"width:450px;margin:auto;color:#6600cc;font-style:italic;font-weight:bold;\" class=\"question\">Vos coordonn&eacute;es ( facultatif mais si vous les laissez, qu&#039;elles soient justes !)<br /><textarea  cols=\"47\" rows=\"5\"  name=\"replibre_16906\"></textarea></div><br /><br /><input type=\"submit\" value=\"Envoyer\" /></form></div>');