What do you think about me?

1. What country have I not visited?

Norway Dominican Republic Iceland Mexico

2. What was my very First car?

Chevy Monte Carlo LS Pontiac T-1000 Buick Super Ford Mustang Convertible

3. What was one of my most unique jobs?

A Manager for a Bowling Alley A College Professor Working on top of Mt. Washington Designing a new type of power source

4. What is my online gamer name?

Hop_A_Long_Cassady =0C=Professor *_Butch_* COKEMAN_1998

5. What is my opinion about Pepsi?

Taste better then Coke Almost as good as a warm Sam Adams beer Not in my house Taste like Moxie

Your name

E-mail address

HTML Code

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  <div style="width: 100%;">    
  <h1 style="color: #376e93;">What do you think about me? </h1>
      <img src="https://www.flufo.com/i/q/1015166439.jpg" alt="" border="0" align="right" />   
    <br />        
      <div style="padding: 5px 0;">1.
      <strong>What country have I not visited?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[10762]" value="A" /> Norway</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[10762]" value="B" /> Dominican Republic</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[10762]" value="C" /> Iceland</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[10762]" value="D" /> Mexico</label>
      <br />        
      <div style="padding: 5px 0;">2.
      <strong>What was my very First car?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[10763]" value="A" /> Chevy Monte Carlo LS</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[10763]" value="B" /> Pontiac T-1000</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[10763]" value="C" /> Buick Super</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[10763]" value="D" /> Ford Mustang Convertible</label>
      <br />        
      <div style="padding: 5px 0;">3.
      <strong>What was one of my most unique jobs?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[10764]" value="A" /> A Manager for a Bowling Alley</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[10764]" value="B" /> A College Professor</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[10764]" value="C" /> Working on top of Mt. Washington</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[10764]" value="D" /> Designing a new type of power source</label>
      <br />        
      <div style="padding: 5px 0;">4.
      <strong>What is my online gamer name?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[10765]" value="A" /> Hop_A_Long_Cassady</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[10765]" value="B" /> =0C=Professor</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[10765]" value="C" /> *_Butch_*</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[10765]" value="D" /> COKEMAN_1998</label>
      <br />        
      <div style="padding: 5px 0;">5.
      <strong>What is my opinion about Pepsi?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[10766]" value="A" /> Taste better then Coke</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[10766]" value="B" /> Almost as good as a warm Sam Adams beer</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[10766]" value="C" /> Not in my house</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[10766]" value="D" /> Taste like Moxie</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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    	<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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