Do you have OJD?

1. Do you know all of the Jonas Brothers last names?

Yes No I know 2 of them I know 1 of them

2. Do you make a wish at 7:05 every day?

Whats so special about 7:05 Yes am and pm Sometimes Most of the time

3. If you see the Jonas Brothers on .T.V. you...

Watch Watch part of it Watch most of it Tape and Watch 24/7

4. What is Nick Jonas' fav candy that he ate on the set of Camp Rock?

sweeTARTS hershey kisses

Your name

E-mail address

HTML Code

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  <div style="width: 100%;">    
  <h1 style="color: #376e93;">Do you have OJD? </h1>
      <img src="https://www.flufo.com/i/q/1071030646.jpg" alt="" border="0" align="right" />   
    <br />        
      <div style="padding: 5px 0;">1.
      <strong>Do you know all of the Jonas Brothers last names?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[9082]" value="A" /> Yes</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[9082]" value="B" /> No</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[9082]" value="C" /> I know 2 of them</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[9082]" value="D" /> I know 1 of them</label>
      <br />        
      <div style="padding: 5px 0;">2.
      <strong>Do you make a wish at 7:05 every day?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[9083]" value="A" /> Whats so special about 7:05</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[9083]" value="B" /> Yes am and pm</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[9083]" value="C" /> Sometimes</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[9083]" value="D" /> Most of the time</label>
      <br />        
      <div style="padding: 5px 0;">3.
      <strong>If you see the Jonas Brothers on .T.V. you...</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[9084]" value="A" /> Watch</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[9084]" value="B" /> Watch part of it</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[9084]" value="C" /> Watch most of it</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[9084]" value="D" /> Tape and Watch 24/7</label>
      <br />        
      <div style="padding: 5px 0;">4.
      <strong>What is Nick Jonas&#039; fav candy that he ate on the set of Camp Rock?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[9085]" value="A" /> sweeTARTS</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[9085]" value="B" /> hershey kisses</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 />
    <div>
      <label for="userEmail">E-mail address</label>
      <input type="text" name="userEmail" id="userEmail" value="" style="width: 300px;" />     
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