How Well Do You Know Me?

1. What is my favorite old television show?

Bewitched The Monsters I Love Lucy I Dream of Jeannie

2. What would I rather drink?

Smirnoff Bud Light Kistone Coors

3. Who am I texting?

mom Kendra Zach Britt

4. What is my favorit soda drink?

Root Beer Mountain Dew Cherry Pepsi Coca Cola

Your name

E-mail address

HTML Code

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  <div style="width: 100%;">    
  <h1 style="color: #376e93;">How Well Do You Know Me? </h1>
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    <br />        
      <div style="padding: 5px 0;">1.
      <strong>What is my favorite old television show?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[899]" value="A" /> Bewitched</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[899]" value="B" /> The Monsters</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[899]" value="C" /> I Love Lucy</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[899]" value="D" /> I Dream of Jeannie</label>
      <br />        
      <div style="padding: 5px 0;">2.
      <strong>What would I rather drink?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[900]" value="A" /> Smirnoff</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[900]" value="B" /> Bud Light</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[900]" value="C" /> Kistone</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[900]" value="D" /> Coors</label>
      <br />        
      <div style="padding: 5px 0;">3.
      <strong>Who am I texting?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[901]" value="A" /> mom</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[901]" value="B" /> Kendra</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[901]" value="C" /> Zach</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[901]" value="D" /> Britt</label>
      <br />        
      <div style="padding: 5px 0;">4.
      <strong>What is my favorit soda drink?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[902]" value="A" /> Root Beer</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[902]" value="B" /> Mountain Dew</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[902]" value="C" /> Cherry Pepsi</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[902]" value="D" /> Coca Cola</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;" />     
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    <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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