document.writeln('<iframe src=\"about:blank\" name=\"hidform42\" style=\"width:0px;height:0px;display:none\"></iframe>')
document.writeln('<script src=\"/ks_inc/common.js\"></script>')
document.writeln('<script src=\"/ks_inc/form_ck.js\"></script>')
document.writeln('<form name=\"myform42\" action=\"/plus/form/form.asp\" onSubmit=\"return(form_c(42));\"  target=\"hidform42\" ')
document.writeln('method=\"post\"> ')
document.writeln('<table width=\"100%\" border=\"0\" cellspacing=\"2\" cellpadding=\"1\">')
document.writeln('<input type=\"hidden\" value=\"Save\" name=\"action\"/>')
document.writeln('<input type=\"hidden\" value=\"42\" name=\"id\"/>')
document.writeln('<input type=\"hidden\" value=\"0\" name=\"m\"/>')
document.writeln('<input type=\"hidden\" value=\"0\" name=\"d\"/>')
document.writeln('<input type=\"hidden\" value=\"{$ToUserName}\" id=\"tousername\" name=\"tousername\"/>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td align=\"right\" class=\"lefttdbg\" width=\"90px\">您的姓名</td>')
document.writeln('  <td><input type=\"text\" maxlength=\"255\" class=\"upfile\" style=\"width:100px\" id=\"KS_xingming\" name=\"KS_xingming\" ')
document.writeln('value=\"\"><span class=\"formstrck42\" id=\"您的姓名|%|KS_xingming|%|1\" style=\"display:none\"></span><font ')
document.writeln('color=\"red\"> * </font>  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td align=\"right\" class=\"lefttdbg\">性别：</td>')
document.writeln('  <td><input type=\"radio\" id=\"KS_xingbie\" name=\"KS_xingbie\" value=\"男\">男<input type=\"radio\" id=\"KS_xingbie\" ')
document.writeln('name=\"KS_xingbie\" value=\"女\">女<span class=\"formstrck42\" id=\"性别|%|KS_xingbie|%|6\" style=\"display:none\">')
document.writeln('</span><font color=\"red\"> * </font>  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td align=\"right\" class=\"lefttdbg\">年龄：</td>')
document.writeln('  <td><input type=\"text\" maxlength=\"255\" class=\"upfile\" style=\"width:100px\" id=\"KS_nianling\" name=\"KS_nianling\" ')
document.writeln('value=\"\"><span class=\"formstrck42\" id=\"年龄|%|KS_nianling|%|1\" style=\"display:none\"></span><font color=\"red\"> * ')
document.writeln('</font>  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td align=\"right\" class=\"lefttdbg\">手机号：</td>')
document.writeln('  <td><input type=\"text\" maxlength=\"255\" class=\"upfile\" style=\"width:100px\" id=\"KS_shouji\" name=\"KS_shouji\" ')
document.writeln('value=\"\"><span class=\"formstrck42\" id=\"手机号码|%|KS_shouji|%|1\" style=\"display:none\"></span><font color=\"red\"> ')
document.writeln('* </font>  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td align=\"right\" class=\"lefttdbg\">微信号：</td>')
document.writeln('  <td><input type=\"text\" maxlength=\"255\" class=\"upfile\" style=\"width:100px\" id=\"KS_weixin\" name=\"KS_weixin\" ')
document.writeln('value=\"\"><span class=\"formstrck42\" id=\"微信号码|%|KS_weixin|%|1\" style=\"display:none\"></span><font ')
document.writeln('color=\"red\"> * </font> <span style=\"margin-top:5px\">若无微信请填 “0”</span>  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td align=\"right\" class=\"lefttdbg\">常驻省市</td>')
document.writeln('  <td><input type=\"text\" maxlength=\"255\" class=\"upfile\" style=\"width:100px\" id=\"KS_juzhudi\" name=\"KS_juzhudi\" ')
document.writeln('value=\"\"><span class=\"formstrck42\" id=\"常驻省市|%|KS_juzhudi|%|1\" style=\"display:none\"></span><font ')
document.writeln('color=\"red\"> * </font> <span style=\"margin-top:5px\">填省份和城市名称即可</span>  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td align=\"right\" class=\"lefttdbg\">交流方式</td>')
document.writeln('  <td><input type=\"checkbox\" id=\"KS_jiaoliu\" name=\"KS_jiaoliu\" value=\"口语\">口语<input type=\"checkbox\" ')
document.writeln('id=\"KS_jiaoliu\" name=\"KS_jiaoliu\" value=\"手语\">手语<input type=\"checkbox\" id=\"KS_jiaoliu\" name=\"KS_jiaoliu\" ')
document.writeln('value=\"笔谈\">笔谈<input type=\"checkbox\" id=\"KS_jiaoliu\" name=\"KS_jiaoliu\" value=\"唇读\">唇读<span ')
document.writeln('class=\"formstrck42\" id=\"交流方式|%|KS_jiaoliu|%|7\" style=\"display:none\"></span><font color=\"red\"> * </font> <span ')
document.writeln('style=\"margin-top:5px\">您如何与人交流？可多选</span>  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td align=\"right\" class=\"lefttdbg\">佩戴产品</td>')
document.writeln('  <td><input type=\"checkbox\" id=\"KS_peidaichanping\" name=\"KS_peidaichanping\" value=\"助听器\">助听器<input ')
document.writeln('type=\"checkbox\" id=\"KS_peidaichanping\" name=\"KS_peidaichanping\" value=\"人工耳蜗\">人工耳蜗<input ')
document.writeln('type=\"checkbox\" id=\"KS_peidaichanping\" name=\"KS_peidaichanping\" value=\"都没戴\">都没戴 <span style=\"margin-')
document.writeln('top:5px\">您佩戴哪种助听产品？可多选</span>  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td align=\"right\" class=\"lefttdbg\">聚会城市</td>')
document.writeln('  <td><input type=\"text\" maxlength=\"255\" class=\"upfile\" style=\"width:100px\" id=\"KS_juhuichengshi\" ')
document.writeln('name=\"KS_juhuichengshi\" value=\"\"> <span style=\"margin-top:5px\">您想参加那个城市的聚会？</span>  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td align=\"right\" class=\"lefttdbg\">单身交友</td>')
document.writeln('  <td><input type=\"text\" maxlength=\"255\" class=\"upfile\" style=\"width:1px\" id=\"KS_dansheng\" name=\"KS_dansheng\" ')
document.writeln('value=\"\"> <span style=\"margin-top:5px\">若您想参加单身聚会，请必填下列选项</span>  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td align=\"right\" class=\"lefttdbg\">婚姻状况</td>')
document.writeln('  <td><input type=\"radio\" id=\"KS_hunyingzhuangkuang\" name=\"KS_hunyingzhuangkuang\" value=\"已婚\">已婚<input ')
document.writeln('type=\"radio\" id=\"KS_hunyingzhuangkuang\" name=\"KS_hunyingzhuangkuang\" value=\"未婚\">未婚<input type=\"radio\" ')
document.writeln('id=\"KS_hunyingzhuangkuang\" name=\"KS_hunyingzhuangkuang\" value=\"离异\">离异<input type=\"radio\" ')
document.writeln('id=\"KS_hunyingzhuangkuang\" name=\"KS_hunyingzhuangkuang\" value=\"离异带有孩子\">离异带有孩子  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td align=\"right\" class=\"lefttdbg\">身高：</td>')
document.writeln('  <td><input type=\"text\" maxlength=\"255\" class=\"upfile\" style=\"width:100px\" id=\"KS_shengao\" name=\"KS_shengao\" ')
document.writeln('value=\"\"> <span style=\"margin-top:5px\">/米</span>  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td align=\"right\" class=\"lefttdbg\">体重：</td>')
document.writeln('  <td><input type=\"text\" maxlength=\"255\" class=\"upfile\" style=\"width:100px\" id=\"KS_tizhong\" name=\"KS_tizhong\" ')
document.writeln('value=\"\"> <span style=\"margin-top:5px\">/公斤</span>  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td align=\"right\" class=\"lefttdbg\">学历：</td>')
document.writeln('  <td><input type=\"radio\" id=\"KS_xueli\" name=\"KS_xueli\" value=\"中学\">中学<input type=\"radio\" id=\"KS_xueli\" ')
document.writeln('name=\"KS_xueli\" value=\"中专\">中专<input type=\"radio\" id=\"KS_xueli\" name=\"KS_xueli\" value=\"大专\">大专<input ')
document.writeln('type=\"radio\" id=\"KS_xueli\" name=\"KS_xueli\" value=\"本科\">本科<input type=\"radio\" id=\"KS_xueli\" name=\"KS_xueli\" ')
document.writeln('value=\"硕士\">硕士<input type=\"radio\" id=\"KS_xueli\" name=\"KS_xueli\" value=\"博士\">博士  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td align=\"right\" class=\"lefttdbg\">工作：</td>')
document.writeln('  <td><input type=\"text\" maxlength=\"255\" class=\"upfile\" style=\"width:100px\" id=\"KS_gongzuo\" name=\"KS_gongzuo\" ')
document.writeln('value=\"\"> <span style=\"margin-top:5px\">如工人,个体户,文员等</span>  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td align=\"right\" class=\"lefttdbg\">月收入：</td>')
document.writeln('  <td><input type=\"radio\" id=\"KS_yushouru\" name=\"KS_yushouru\" value=\"1千-3千\">1千-3千<input type=\"radio\" ')
document.writeln('id=\"KS_yushouru\" name=\"KS_yushouru\" value=\"3千-5千\">3千-5千<input type=\"radio\" id=\"KS_yushouru\" ')
document.writeln('name=\"KS_yushouru\" value=\"5千-7千\">5千-7千<input type=\"radio\" id=\"KS_yushouru\" name=\"KS_yushouru\" ')
document.writeln('value=\"7千-1万\">7千-1万<input type=\"radio\" id=\"KS_yushouru\" name=\"KS_yushouru\" value=\"1万-1.5万\">1万-1.5万')
document.writeln('<input type=\"radio\" id=\"KS_yushouru\" name=\"KS_yushouru\" value=\"1.5万-2万\">1.5万-2万<input type=\"radio\" ')
document.writeln('id=\"KS_yushouru\" name=\"KS_yushouru\" value=\"2万以上\">2万以上  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td align=\"right\" class=\"lefttdbg\">住房状况</td>')
document.writeln('  <td><input type=\"text\" maxlength=\"255\" class=\"upfile\" style=\"width:100px\" id=\"KS_zhufang\" name=\"KS_zhufang\" ')
document.writeln('value=\"\"> <span style=\"margin-top:5px\">如租房,住亲戚家,自有住房等</span>  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td align=\"right\" class=\"lefttdbg\">您的性格</td>')
document.writeln('  <td><input type=\"text\" maxlength=\"255\" class=\"upfile\" style=\"width:250px\" id=\"KS_xingge\" name=\"KS_xingge\" ')
document.writeln('value=\"\">  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td align=\"right\" class=\"lefttdbg\">择偶要求</td>')
document.writeln('  <td><textarea style=\"width:250px;height:150px\" rows=\"5\" id=\"KS_eouyaoqiu\" name=\"KS_eouyaoqiu\"></textarea>  ')
document.writeln('</td>')
document.writeln('</tr>')
document.writeln('<tr><td colspan=\"2\" class=\"subtdbg\" align=\"center\"><input type=\"submit\" value=\"确认提交\" name=\"submit1\"></td>')
document.writeln('</tr>')
document.writeln('</table>')
document.writeln('</form>')
document.writeln('')