document.write('<div class="fbz_survey"><h2>Você Teme Perder o Seu Emprego Nos Próximos 12 meses ?</h2>\r\n<table cellspacing="0" cellpadding="2" border=0><tr><td>\r\n<form id="Survey" name="Survey" method="POST" action="http://www.feedblitz.com/f/f.fbz?Vote=680&Save=1">\r\n<table cellspacing="0" cellpadding="4" border=0>\r\n<script language="javascript">\r\n\r\nvar aRequiredFields = new Array();\r\n\r\n\r\nfunction setDelActionAndSubmit(sID) {\r\nvar obj=document.getElementById(\'Survey\');\r\ndocument.getElementById(\'DELETE_FIELDVALUEID\').value = sID;\r\nobj.target="_top";\r\nif (!self.validateCustomFields || validateCustomFields()) { obj.submit();}}\r\n\r\nfunction isBlank(val){\r\nif(val==null || val.length==0){return true;}\r\nfor(var i=0;i<val.length;i++) {\r\n	if ((val.charAt(i)!=\' \')&&(val.charAt(i)!="\\t")&&(val.charAt(i)!="\\n")&&(val.charAt(i)!="\\r")){return false;}\r\n	}\r\nreturn true;\r\n}\r\n\r\nfunction GetButtonSelectValue(id)\r\n{\r\n	var sel = document.getElementsByName(id);\r\n	var v=\'\';\r\n	var n=0;\r\n	var l=sel.length;\r\n	for (var i=0;i<l;i++)\r\n	{\r\n		if (sel && sel[i] && sel[i].checked)\r\n		{\r\n			if(n) v=v+\'","\';\r\n			v += sel[i].value;\r\n			n++;\r\n		}\r\n	}\r\n	return v;\r\n}\r\n\r\n\r\nfunction validateCustomFields() {\r\n  var fbzCount;for (fbzCount=0;fbzCount<aRequiredFields.length;fbzCount++) {\r\n    var obj = document.getElementById(aRequiredFields[fbzCount]);\r\n    var v;\r\n    if(obj.type==\'select-one\') { v=obj.options[obj.selectedIndex].value;} \r\n    else if(obj.type==\'radio\' || obj.type==\'checkbox\') { v=GetButtonSelectValue(aRequiredFields[fbzCount]);} \r\n	 else v = obj.value;\n    if (isBlank(v) || v==\'--unspecified--\') {if(aRequiredFields.length>1) {alert(\'You must provide a value for every required field\');} else {alert(\'Please provide the required information\');} obj.select();obj.focus();return false;}\r\n  }\r\nreturn true;\r\n}\r\n\r\n</script>\r\n<tr><td></td><td><b></b></td></tr>\r\n<script language="javascript">\r\naRequiredFields.push(\'CFC__8736_NEW\');\r\n</script>\r\n\r\n<tr><td></td><td><input title="Você Teme Perder o Seu Emprego Nos Próximos 12 meses ?" type="radio" id="CFC__8736_NEW" name="CFC__8736_NEW" value="1. Tenho muito medo.">1. Tenho muito medo.<br><input title="Você Teme Perder o Seu Emprego Nos Próximos 12 meses ?" type="radio" id="CFC__8736_NEW" name="CFC__8736_NEW" value="2. Tenho,mas é pequeno.">2. Tenho,mas é pequeno.<br><input title="Você Teme Perder o Seu Emprego Nos Próximos 12 meses ?" type="radio" id="CFC__8736_NEW" name="CFC__8736_NEW" value="3. Estou Totalmente seguro no meu emprego.">3. Estou Totalmente seguro no meu emprego.&nbsp;&nbsp;<td></td></tr>\r\n\r\n<tr><td></td><td colspan="1"><br><input type="button" onClick="if (!self.validateCustomFields || validateCustomFields()){document.Survey.submit();}" value="Vote Now &gt;&gt;"></td></tr>\r\n<tr><td></td><td colspan="1">Polls and surveys by <a href="http://www.feedblitz.com">FeedBlitz</a></td></tr>\r\n<tr><td></td><td colspan="1"><a href="http://www.feedblitz.com/f/f.fbz?PollResults=680">View Results</a></td></tr>\r\n</table>\r\n</form>\r\n</td></tr>\r\n</table></div>\r\n');