if(window.jQuery)(function($){
		$.create_survey_options({ "surveyopt": [  { "option" : "Friend/Family Referral", "option_value" : "50"},{ "option" : "Internet Search", "option_value" : "52"},{ "option" : "Newspaper Ad", "option_value" : "53"},{ "option" : "Yellow Pages", "option_value" : "4"}, {"option" : "Other", "option_value" : "55"} ]},0);})(jQuery);