HOW WELL DO YOU KNOW ME?

1. what state do i live in

TEXAS WASHINGTON MAIN CALIFORNIA

2. WHAT DO I EAT ALL THE TIME?

ICE CREAM PIZZA COOKIES DOG FOOD

3. HOW OLD AM I?

19 17 18 25

4. WHAT DO I LIVE IN?

APPARTMENT HOUSE

5. DO I HAVE ANY SISTERS?

YES NO

6. HOW OLD ARE THEY?

3 & 8 4 & 8 4 & 7 4 & 6

Your name

E-mail address

HTML Code

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  <h1 style="color: #376e93;">HOW WELL DO YOU KNOW ME? </h1>
      <img src="https://www.flufo.com/i/q/831917110.jpg" alt="" border="0" align="right" />   
    <br />        
      <div style="padding: 5px 0;">1.
      <strong>what state do i live in</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[974]" value="A" /> TEXAS</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[974]" value="B" /> WASHINGTON</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[974]" value="C" /> MAIN</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[974]" value="D" /> CALIFORNIA</label>
      <br />        
      <div style="padding: 5px 0;">2.
      <strong>WHAT DO I EAT ALL THE TIME?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[975]" value="A" /> ICE CREAM</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[975]" value="B" /> PIZZA</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[975]" value="C" /> COOKIES</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[975]" value="D" /> DOG FOOD</label>
      <br />        
      <div style="padding: 5px 0;">3.
      <strong>HOW OLD AM I?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[976]" value="A" /> 19</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[976]" value="B" /> 17</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[976]" value="C" /> 18</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[976]" value="D" /> 25</label>
      <br />        
      <div style="padding: 5px 0;">4.
      <strong>WHAT DO I LIVE IN?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[977]" value="A" /> APPARTMENT</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[977]" value="B" /> HOUSE</label>
      <br />        
      <div style="padding: 5px 0;">5.
      <strong>DO I HAVE ANY SISTERS?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[978]" value="A" /> YES</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[978]" value="B" /> NO</label>
      <br />        
      <div style="padding: 5px 0;">6.
      <strong>HOW OLD ARE THEY?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[979]" value="A" /> 3 &amp; 8</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[979]" value="B" /> 4 &amp; 8</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[979]" value="C" /> 4 &amp; 7</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[979]" value="D" /> 4 &amp; 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;" />     
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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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