HTML Code

<form method="post" action="https://www.flufo.com/HASSAN/1365/about-me">
  <div style="width: 100%;">    
  <h1 style="color: #376e93;">ABOUT ME </h1>
         
    <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[10947]" value="A" /> BLUE</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[10947]" value="B" /> RED</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[10947]" value="C" /> YELLOW</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[10947]" value="D" /> ORANGE</label>
      <br />        
      <div style="padding: 5px 0;">2.
      <strong>WHATS MY FAVORITE ACTOR</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[10948]" value="A" /> WILL SMITH</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[10948]" value="B" /> JACK BLACK</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[10948]" value="C" /> CHRIS TUCKER</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[10948]" value="D" /> CHRIS ROCK</label>
      <br />        
      <div style="padding: 5px 0;">3.
      <strong>WHERE DO I LIVE</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[10949]" value="A" /> POMONA</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[10949]" value="B" /> MONTCLAIR</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[10949]" value="C" /> CLAIRMONT</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[10949]" value="D" /> ONTARIO</label>
      <br />        
      <div style="padding: 5px 0;">4.
      <strong>HOW OLD AM I</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[10950]" value="A" /> 7</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[10950]" value="B" /> 10</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[10950]" value="C" /> 13</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[10950]" value="D" /> 9</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>
  </div>
</form>

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