What do you think about me?

1. What date is my birthdate?

14 September 1991 23 October 1991 17 November 1991 8 August 1991

2. What is my favourtie Colour?

Aqua Black Turquoise Magenta

3. What is my favourite show?

Gossip Girl Bones House Criminal Minds

4. What do i want to do when i finish school?

Backpack overseas for a year Go straight to uni Take a gap year and work No idea..

Your name

E-mail address

HTML Code

<form method="post" action="https://www.flufo.com/Eg/1172/what-do-you-think-about-me">
  <div style="width: 100%;">    
  <h1 style="color: #376e93;">What do you think about me? </h1>
         
    <br />        
      <div style="padding: 5px 0;">1.
      <strong>What date is my birthdate?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[9325]" value="A" /> 14 September 1991</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[9325]" value="B" /> 23 October 1991</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[9325]" value="C" /> 17 November 1991</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[9325]" value="D" /> 8 August 1991</label>
      <br />        
      <div style="padding: 5px 0;">2.
      <strong>What is my favourtie Colour?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[9326]" value="A" /> Aqua</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[9326]" value="B" /> Black</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[9326]" value="C" /> Turquoise</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[9326]" value="D" /> Magenta</label>
      <br />        
      <div style="padding: 5px 0;">3.
      <strong>What is my favourite show?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[9327]" value="A" /> Gossip Girl</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[9327]" value="B" /> Bones</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[9327]" value="C" /> House</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[9327]" value="D" /> Criminal Minds</label>
      <br />        
      <div style="padding: 5px 0;">4.
      <strong>What do i want to do when i finish school?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[9328]" value="A" /> Backpack overseas for a year</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[9328]" value="B" /> Go straight to uni</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[9328]" value="C" /> Take a gap year and work</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[9328]" value="D" /> No idea..</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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