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	document.write('<form name=xlaapmform69_50 method=post target=xlaapmxe action=http:\/\/www.marc2.org\/absolutepm\/xlaabsolute2.asp?p=69 style=margin:0;><table width=100% cellspacing=1 cellpadding=1><tr align=left><td colspan=2 valign=top><font  style=\"font-family:Lucida Sans Unicode, Lucida Grande, sans-serif;font-size:9;color:#0077BF;\"><b>What can we do as a region to improve our social cohesion?<\/b><\/font><\/td><\/tr><tr><td colspan=2><input type=\'hidden\' name=\'answer1\' value=\'833\'><textarea name=\'tanswer1\' style=\'width:98%\' rows=\'4\' cols=20><\/textarea><\/td><\/tr><tr><td>&nbsp;<\/td><td>&nbsp;<\/td><\/tr><tr><td align=center colspan=2><input type=button onclick=\"javascript:xlaapmsubmit69_50()\" name=Submit value=\'Submit\' style=\"font-family:Lucida Sans Unicode, Lucida Grande, sans-serif;font-size:9;color:#0077BF;\"\'><input type=hidden name=totalquestions value=1><\/td><\/tr><\/table><input type=hidden name=dopoll value=69><input type=hidden name=z value=\'50\'><\/form>');