function wspFN_1258849066_19165_153( _htmlCode){ document.write( _htmlCode);} var wspVAR_1258849066_19165_152 = '';wspVAR_1258849066_19165_152 += '
poll
  Do you shop at our store (101 East Main Street)?  
  yes, I am a regular customer  
  yes, less than twice a month  
  no, never have been there yet  
 

 
'; wspFN_1258849066_19165_153 ( wspVAR_1258849066_19165_152 );