How Well Do You Know Me?

1. What is my middlename?

Mahealani Lelani Lanikela Megan

2. What is my favorite ice cream?

bubble gum chocolate twisted tornado cookies and cream

3. What is My moms name?

Connie Bonnie Charley Marley

4. Am i getting my haircut tonight?

Yes! Maybe No! gjfkhkl

Your name

E-mail address

HTML Code

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  <div style="width: 100%;">    
  <h1 style="color: #376e93;">How Well Do You Know Me? </h1>
         
    <br />        
      <div style="padding: 5px 0;">1.
      <strong>What is my middlename?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[9198]" value="A" /> Mahealani</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[9198]" value="B" /> Lelani</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[9198]" value="C" /> Lanikela</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[9198]" value="D" /> Megan</label>
      <br />        
      <div style="padding: 5px 0;">2.
      <strong>What is my favorite ice cream?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[9199]" value="A" /> bubble gum</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[9199]" value="B" /> chocolate</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[9199]" value="C" /> twisted tornado</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[9199]" value="D" /> cookies and cream</label>
      <br />        
      <div style="padding: 5px 0;">3.
      <strong>What is My moms name?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[9200]" value="A" /> Connie</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[9200]" value="B" /> Bonnie</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[9200]" value="C" /> Charley</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[9200]" value="D" /> Marley</label>
      <br />        
      <div style="padding: 5px 0;">4.
      <strong>Am i getting my haircut tonight?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[9201]" value="A" /> Yes!</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[9201]" value="B" /> Maybe</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[9201]" value="C" /> No!</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[9201]" value="D" /> gjfkhkl</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;" />     
    </div><br />
    	<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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