U SHOULD KNOW ME

1. whats my favorite color

purple pink green blue

2. Whats my middles name

ann ranee mae clara

3. whens my birthday

feburary 9 august 19 july 18 november 5

4. what color are my eyes

brown hazel blue green

Your name

E-mail address

HTML Code

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  <div style="width: 100%;">    
  <h1 style="color: #376e93;">U SHOULD KNOW ME </h1>
      <img src="https://www.flufo.com/i/q/935010885.jpg" alt="" border="0" align="right" />   
    <br />        
      <div style="padding: 5px 0;">1.
      <strong>whats my favorite color</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[741]" value="A" /> purple</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[741]" value="B" /> pink</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[741]" value="C" /> green</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[741]" value="D" /> blue</label>
      <br />        
      <div style="padding: 5px 0;">2.
      <strong>Whats my middles name</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[742]" value="A" /> ann</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[742]" value="B" /> ranee</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[742]" value="C" /> mae</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[742]" value="D" /> clara</label>
      <br />        
      <div style="padding: 5px 0;">3.
      <strong>whens my birthday</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[743]" value="A" /> feburary 9</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[743]" value="B" /> august 19</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[743]" value="C" /> july 18</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[743]" value="D" /> november 5</label>
      <br />        
      <div style="padding: 5px 0;">4.
      <strong>what color are my eyes</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[744]" value="A" /> brown</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[744]" value="B" /> hazel</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[744]" value="C" /> blue</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[744]" value="D" /> green</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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