How well do you know me?

1. What's my faviorte color?

Green Black Grey Orange

2. Who's my faviorte band?

ICP ColdPlay Staind 10 Years

3. What's my middle name?

Lacie Nichole Renee Cloe

4. Where was I born?

Alexandria,VA New York, NY Baltimore, MD Nowhere, TN

Your name

E-mail address

HTML Code

<form method="post" action="https://www.flufo.com/Natasha/1383/how-well-do-you-know-me">
  <div style="width: 100%;">    
  <h1 style="color: #376e93;">How well do you know me? </h1>
         
    <br />        
      <div style="padding: 5px 0;">1.
      <strong>What&#039;s my faviorte color?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[11045]" value="A" /> Green</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[11045]" value="B" /> Black</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[11045]" value="C" /> Grey</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[11045]" value="D" /> Orange</label>
      <br />        
      <div style="padding: 5px 0;">2.
      <strong>Who&#039;s my faviorte band?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[11046]" value="A" /> ICP</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[11046]" value="B" /> ColdPlay</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[11046]" value="C" /> Staind</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[11046]" value="D" /> 10 Years</label>
      <br />        
      <div style="padding: 5px 0;">3.
      <strong>What&#039;s my middle name?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[11047]" value="A" /> Lacie</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[11047]" value="B" /> Nichole</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[11047]" value="C" /> Renee</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[11047]" value="D" /> Cloe</label>
      <br />        
      <div style="padding: 5px 0;">4.
      <strong>Where was I born?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[11048]" value="A" /> Alexandria,VA</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[11048]" value="B" /> New York, NY</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[11048]" value="C" /> Baltimore, MD</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[11048]" value="D" /> Nowhere, TN</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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