var webo_sondage_repondu=0;
	function sondage_go()
	{
		sond_webo_fen = null;
		var webo_sond_query="http://sondage.weborama.fr/fcgi-bin/webo_sondage_v2.fcgi?ID_SONDAGE=40167&TYPE=TOT&MODE=1";
		for(var i=1;i<document.form_webo_sondage.elements.length;i++)
		{
			if(document.form_webo_sondage.elements[i-1].type=='radio')
			{
				if (document.form_webo_sondage.elements[i-1].checked)
				{
					webo_sond_query += '&' + document.form_webo_sondage.elements[i-1].name + '=' + document.form_webo_sondage.elements[i-1].value;
				}
			}
			else
			{
				var webo_index = document.form_webo_sondage.elements[(i-1)].selectedIndex;
				webo_sond_query += '&' +  document.form_webo_sondage.elements[(i-1)].name  + '=' + document.form_webo_sondage.elements[i-1].options[webo_index].value;
			}
		}
		sond_webo_fen = window.open(webo_sond_query,'cible_webo_sondage','width=500,height=350,resizable=yes,scrollbars=yes,status=yes');
	}
	document.writeln('<table cellpadding=0 cellspacing=0 border=0><FORM NAME="form_webo_sondage"><TR><TD>');
	
document.writeln('<table cellpadding=1 cellspacing=0 border=0 bgcolor=#000000><TR><TD>');
document.writeln('<table cellpadding=0 cellspacing=0 border=0 width=400>');
document.writeln('<tr><td bgcolor=#00C000 align=center>&nbsp;<FONT FACE="Verdana" SIZE=2 COLOR="#FFFFFF"><B>Qui &ecirc;tes-vous ?</B> </FONT></td></tr></TABLE></TD></TR></TABLE>');
document.writeln('<table cellpadding=1 cellspacing=0 border=0 bgcolor=#000000><TR><TD>');
document.writeln('<table cellpadding=4 cellspacing=0 border=0 width=400>');
document.writeln('<tr><td bgcolor=#FFFFFF align=CENTER><SELECT NAME=R1><OPTION VALUE="0">');
document.writeln('<OPTION VALUE="A">Un m&eacute;decin expert');
document.writeln('<OPTION VALUE="B">Un particulier ');
document.writeln('<OPTION VALUE="C">Un Juriste');
document.writeln('<OPTION VALUE="D">Un m&eacute;decin traitant');
document.writeln('<OPTION VALUE="E">Un soignant');
document.writeln('<OPTION VALUE="F">Autre r&eacute;ponse');
document.writeln('</SELECT></TD></TR>');
document.writeln('</TABLE></TD></TR></TABLE>');document.writeln('<table cellpadding=1 cellspacing=0 border=0 bgcolor=#000000><TR><TD>');
document.writeln('<table cellpadding=0 cellspacing=0 border=0 width=400>');
document.writeln('<tr><td bgcolor=#00C000 align=center>&nbsp;<FONT FACE="Verdana" SIZE=2 COLOR="#FFFFFF"><B>M&eacute;decin, Vous int&eacute;ressez vous ?</B> </FONT></td></tr></TABLE></TD></TR></TABLE>');
document.writeln('<table cellpadding=1 cellspacing=0 border=0 bgcolor=#000000><TR><TD>');
document.writeln('<table cellpadding=4 cellspacing=0 border=0 width=400>');
document.writeln('<tr><td bgcolor=#FFFFFF align=CENTER><SELECT NAME=R2><OPTION VALUE="0">');
document.writeln('<OPTION VALUE="A">&agrave; l\'expertise d\'assurance');
document.writeln('<OPTION VALUE="B">&agrave; l\'expertise s&eacute;curit&eacute; sociale');
document.writeln('<OPTION VALUE="C">&agrave; l\'expertise des accidents m&eacute;dicaux');
document.writeln('<OPTION VALUE="D">&agrave; l\'expertise administrative');
document.writeln('<OPTION VALUE="E">&agrave; l\'expertise Badinter ');
document.writeln('<OPTION VALUE="F">&agrave; toutes les modalit&eacute;s d\'expertise');
document.writeln('<OPTION VALUE="G">&agrave; d\'autres modalit&eacute;s d\'expertise');
document.writeln('</SELECT></TD></TR>');
document.writeln('</TABLE></TD></TR></TABLE>');document.writeln('<table cellpadding=1 cellspacing=0 border=0 bgcolor=#000000><TR><TD>');
document.writeln('<table cellpadding=0 cellspacing=0 border=0 width=400>');
document.writeln('<tr><td bgcolor=#00C000 align=center>&nbsp;<FONT FACE="Verdana" SIZE=2 COLOR="#FFFFFF"><B>M&eacute;decin, vous r&eacute;alisez</B> </FONT></td></tr></TABLE></TD></TR></TABLE>');
document.writeln('<table cellpadding=1 cellspacing=0 border=0 bgcolor=#000000><TR><TD>');
document.writeln('<table cellpadding=4 cellspacing=0 border=0 width=400>');
document.writeln('<tr><td bgcolor=#FFFFFF align=CENTER><SELECT NAME=R3><OPTION VALUE="0">');
document.writeln('<OPTION VALUE="A">Des expertises judiciaires');
document.writeln('<OPTION VALUE="B">Des expertises s&eacute;curit&eacute; sociale');
document.writeln('<OPTION VALUE="C">Des expertises pour les assurances');
document.writeln('<OPTION VALUE="D">Des assistances &agrave; expertise');
document.writeln('<OPTION VALUE="E">Toutes les r&eacute;ponses pr&eacute;c&eacute;dentes');
document.writeln('</SELECT></TD></TR>');
document.writeln('</TABLE></TD></TR></TABLE>');document.writeln('<table cellpadding=1 cellspacing=0 border=0 bgcolor=#000000><TR><TD>');
document.writeln('<table cellpadding=0 cellspacing=0 border=0 width=400>');
document.writeln('<tr><td bgcolor=#00C000 align=center>&nbsp;<FONT FACE="Verdana" SIZE=2 COLOR="#FFFFFF"><B>Particulier ayant pass&eacute; une expertise vous &ecirc;tes ?</B> </FONT></td></tr></TABLE></TD></TR></TABLE>');
document.writeln('<table cellpadding=1 cellspacing=0 border=0 bgcolor=#000000><TR><TD>');
document.writeln('<table cellpadding=4 cellspacing=0 border=0 width=400>');
document.writeln('<tr><td bgcolor=#FFFFFF align=CENTER><SELECT NAME=R4><OPTION VALUE="0">');
document.writeln('<OPTION VALUE="A">M&eacute;content ');
document.writeln('<OPTION VALUE="B">Peu satisfait ');
document.writeln('<OPTION VALUE="C">satisfait');
document.writeln('<OPTION VALUE="D">Tr&egrave;s satisfait');
document.writeln('<OPTION VALUE="E">Sans avis');
document.writeln('</SELECT></TD></TR>');
document.writeln('</TABLE></TD></TR></TABLE>');document.writeln('<table cellpadding=1 cellspacing=0 border=0 bgcolor=#000000><TR><TD>');
document.writeln('<table cellpadding=0 cellspacing=0 border=0 width=400>');
document.writeln('<tr><td bgcolor=#00C000 align=center>&nbsp;<FONT FACE="Verdana" SIZE=2 COLOR="#FFFFFF"><B>Particulier, vous &ecirc;tes :</B> </FONT></td></tr></TABLE></TD></TR></TABLE>');
document.writeln('<table cellpadding=1 cellspacing=0 border=0 bgcolor=#000000><TR><TD>');
document.writeln('<table cellpadding=4 cellspacing=0 border=0 width=400>');
document.writeln('<tr><td bgcolor=#FFFFFF align=CENTER><SELECT NAME=R5><OPTION VALUE="0">');
document.writeln('<OPTION VALUE="A">Convoqu&eacute; &agrave; expertise');
document.writeln('<OPTION VALUE="B">En attente de rapport ');
document.writeln('<OPTION VALUE="C">En attente de proposition d\'indemnisation');
document.writeln('<OPTION VALUE="D">En attente d\'indemnisation');
document.writeln('<OPTION VALUE="E">Autre r&eacute;ponse');
document.writeln('</SELECT></TD></TR>');
document.writeln('</TABLE></TD></TR></TABLE>');document.writeln('<table cellpadding=1 cellspacing=0 border=0 bgcolor=#000000><TR><TD>');
document.writeln('<table cellpadding=0 cellspacing=0 border=0 width=400>');
document.writeln('<tr><td bgcolor=#00C000 align=center>&nbsp;<FONT FACE="Verdana" SIZE=2 COLOR="#FFFFFF"><B>Particulier, vous &ecirc;tes all&eacute; :</B> </FONT></td></tr></TABLE></TD></TR></TABLE>');
document.writeln('<table cellpadding=1 cellspacing=0 border=0 bgcolor=#000000><TR><TD>');
document.writeln('<table cellpadding=4 cellspacing=0 border=0 width=400>');
document.writeln('<tr><td bgcolor=#FFFFFF align=CENTER><SELECT NAME=R6><OPTION VALUE="0">');
document.writeln('<OPTION VALUE="A">Seul &agrave; l\'expertise');
document.writeln('<OPTION VALUE="B">Accompagn&eacute; de votre avocat');
document.writeln('<OPTION VALUE="C">Accompagn&eacute; de votre m&eacute;decin conseil');
document.writeln('<OPTION VALUE="D">Accompagn&eacute; des deux ');
document.writeln('<OPTION VALUE="E">Autre r&eacute;ponse');
document.writeln('</SELECT></TD></TR>');
document.writeln('</TABLE></TD></TR></TABLE>');document.writeln('<table cellpadding=1 cellspacing=0 border=0 bgcolor=#000000><TR><TD>');
document.writeln('<table cellpadding=3 cellspacing=0 border=0 width=400>');
document.writeln('<tr><td bgcolor=#00C000 valign=middle align=center><input type=button value="Résultats" onClick="sondage_go()"></td></tr></TABLE></TD></TR></TABLE>');	document.writeln('<table cellpadding=1 cellspacing=0 border=0 bgcolor="#000000"><TR><TD>');
	document.writeln('<table cellpadding=0 cellspacing=0 border=0 bgcolor="#000000" width=400>');
	document.writeln('<tr><td bgcolor="#FFFFFF" align=center>');
	document.writeln('<B><A HREF="#" onClick="window.open(\'http://sondage.weborama.fr/fcgi-bin/webo_sondage_v2.fcgi?ID_SONDAGE=40167&TYPE=TOT&MODE=0\',\'cible_webo_sondage\',\'width=500,height=350,resizable=yes,scrollbars=yes,status=yes\');return false"><FONT FACE="Verdana" SIZE=1 COLOR="#000000">Détails et Archives</FONT></A></B></td></tr></table></td></tr></table></td></tr></FORM></table>');