So what do you know about me?

1. What is my favorite song of all time?

Yellow-Coldplay Schism-Tool Lunchbox-Manson Anything Bob Marley

2. What do I usually order at Starbucks?

Hot Chocolate A cookie Java Chip Frap. Regular Coffee

3. Where am I on weekends?

Muncie Anderson Indy Shelbyville

4. My favorite flavor of gum?

Spearmint Cinnamon Wintergreen Mango

5. When is my birthday?

November 16 July 16 October 15 August 17

6. What is my favorite animal?

Horse Koala Penguin Snake

7. Who am I in love with?

Gerard Way Bobby Needham John Wayne Gacy Stuart Townsend

8. What am I going to college for?

Acting Graphic Design Interior Design Biology

9. Where was I born?

Anderson Carmel Indy Shelbyville

10. What is my favorite color?

Red Green Blue My favorite color is not a color its a neutral.

Your name

E-mail address

HTML Code

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  <div style="width: 100%;">    
  <h1 style="color: #376e93;">So what do you know about me? </h1>
         
    <br />        
      <div style="padding: 5px 0;">1.
      <strong>What is my favorite song of all time?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[8412]" value="A" /> Yellow-Coldplay</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[8412]" value="B" /> Schism-Tool</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[8412]" value="C" /> Lunchbox-Manson</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[8412]" value="D" /> Anything Bob Marley</label>
      <br />        
      <div style="padding: 5px 0;">2.
      <strong>What do I usually order at Starbucks?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[8413]" value="A" /> Hot Chocolate</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[8413]" value="B" /> A cookie</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[8413]" value="C" /> Java Chip Frap.</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[8413]" value="D" /> Regular Coffee</label>
      <br />        
      <div style="padding: 5px 0;">3.
      <strong>Where am I on weekends?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[8414]" value="A" /> Muncie</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[8414]" value="B" /> Anderson</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[8414]" value="C" /> Indy</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[8414]" value="D" /> Shelbyville</label>
      <br />        
      <div style="padding: 5px 0;">4.
      <strong>My favorite flavor of gum?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[8415]" value="A" /> Spearmint</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[8415]" value="B" /> Cinnamon</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[8415]" value="C" /> Wintergreen</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[8415]" value="D" /> Mango</label>
      <br />        
      <div style="padding: 5px 0;">5.
      <strong>When is my birthday?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[8416]" value="A" /> November 16</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[8416]" value="B" /> July 16</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[8416]" value="C" /> October 15</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[8416]" value="D" /> August 17</label>
      <br />        
      <div style="padding: 5px 0;">6.
      <strong>What is my favorite animal?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[8417]" value="A" /> Horse</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[8417]" value="B" /> Koala</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[8417]" value="C" /> Penguin</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[8417]" value="D" /> Snake</label>
      <br />        
      <div style="padding: 5px 0;">7.
      <strong>Who am I in love with?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[8418]" value="A" /> Gerard Way</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[8418]" value="B" /> Bobby Needham</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[8418]" value="C" /> John Wayne Gacy</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[8418]" value="D" /> Stuart Townsend</label>
      <br />        
      <div style="padding: 5px 0;">8.
      <strong>What am I going to college for?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[8419]" value="A" /> Acting</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[8419]" value="B" /> Graphic Design</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[8419]" value="C" /> Interior Design</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[8419]" value="D" /> Biology</label>
      <br />        
      <div style="padding: 5px 0;">9.
      <strong>Where was I born?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[8420]" value="A" /> Anderson</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[8420]" value="B" /> Carmel</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[8420]" value="C" /> Indy</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[8420]" value="D" /> Shelbyville</label>
      <br />        
      <div style="padding: 5px 0;">10.
      <strong>What is my favorite color?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[8421]" value="A" /> Red</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[8421]" value="B" /> Green</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[8421]" value="C" /> Blue</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[8421]" value="D" /> My favorite color is not a color its a neutral.</label>
      <br />     
      <div><label for="userName">Your name</label>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
      <input type="text" name="userName" id="userName" value="" style="width: 300px;" />     
    </div><br />
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      <label for="userEmail">E-mail address</label>
      <input type="text" name="userEmail" id="userEmail" value="" style="width: 300px;" />     
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    	<input type="submit" name="submit" value="Ready" /> <span style="margin-left: 200px;">powered by: <a href="http://www.flufo.com" target="_blank">flufo.com</a></span>
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