How Good Do You Know Me?

1. How old am I?

14 12 13 15

2. What School Do I Go To?

York Chester Holbrook South West Grier

3. What Is My Favorite Sport?

Soccer Basketball Softball Track

4. Where do I live?

Gastonia,N.C Spencer Mountain,Ranlo N.c Charlotte Stanley

Your name

E-mail address

HTML Code

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  <div style="width: 100%;">    
  <h1 style="color: #376e93;">How Good Do You Know Me? </h1>
         
    <br />        
      <div style="padding: 5px 0;">1.
      <strong>How old am I?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1056]" value="A" /> 14</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1056]" value="B" /> 12</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1056]" value="C" /> 13</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1056]" value="D" /> 15</label>
      <br />        
      <div style="padding: 5px 0;">2.
      <strong>What School Do I Go To?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1057]" value="A" /> York Chester</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1057]" value="B" /> Holbrook</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1057]" value="C" /> South West</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1057]" value="D" /> Grier</label>
      <br />        
      <div style="padding: 5px 0;">3.
      <strong>What Is My Favorite Sport?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1058]" value="A" /> Soccer</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1058]" value="B" /> Basketball</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1058]" value="C" /> Softball</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1058]" value="D" /> Track</label>
      <br />        
      <div style="padding: 5px 0;">4.
      <strong>Where do I live?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1059]" value="A" /> Gastonia,N.C</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1059]" value="B" /> Spencer Mountain,Ranlo N.c</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1059]" value="C" /> Charlotte</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1059]" value="D" /> Stanley</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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