How well do you know me 1

1. Do I have long nails?

yes no I'm stopping I'm not sure

2. Do I have a step mom or a step dad?

yes I have a step mom yes I have a step dad no I don't have step parents I'm not sure

3. Whats my middle name

Jean Lynn Marie Stella

4. How many siblings do I have?

1 3 6

Your name

E-mail address

HTML Code

<form method="post" action="https://www.flufo.com/Miranda/1434/how-well-do-you-know-me-1">
  <div style="width: 100%;">    
  <h1 style="color: #376e93;">How well do you know me 1 </h1>
         
    <br />        
      <div style="padding: 5px 0;">1.
      <strong>Do I have long nails?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[11395]" value="A" /> yes</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[11395]" value="B" /> no</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[11395]" value="C" /> I&#039;m stopping</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[11395]" value="D" /> I&#039;m not sure</label>
      <br />        
      <div style="padding: 5px 0;">2.
      <strong>Do I have a step mom or a step dad?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[11396]" value="A" /> yes I have a step mom</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[11396]" value="B" /> yes I have a step dad</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[11396]" value="C" /> no I don&#039;t have step parents</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[11396]" value="D" /> I&#039;m not sure</label>
      <br />        
      <div style="padding: 5px 0;">3.
      <strong>Whats my middle name</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[11397]" value="A" /> Jean</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[11397]" value="B" /> Lynn</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[11397]" value="C" /> Marie</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[11397]" value="D" /> Stella</label>
      <br />        
      <div style="padding: 5px 0;">4.
      <strong>How many siblings do I have?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[11398]" value="A" /> 1</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[11398]" value="B" /> 3</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[11398]" value="D" /> 6</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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