Do you know me well?

1. When I grow up, I want to be a...

Chef! Pop Star! Modle! Vet!

2. My favorite breed of dogs is...

Poodle! Miniature Schnauzer! Yorkie poo! EVERY ONE!!!

3. Hilary Duff needs a place to stay!

My house, my bed. I'll sleep on the floor. There is a hotel close to here.... Not my house! I can't think of that now! Hilary Duff is here!

4. I was born in...

Wisconsin! Illinois! Ohio! Florida!!!

Your name

E-mail address

HTML Code

<form method="post" action="https://www.flufo.com/Hannah/1674/do-you-know-me-well">
  <div style="width: 100%;">    
  <h1 style="color: #376e93;">Do you know me well? </h1>
         
    <br />        
      <div style="padding: 5px 0;">1.
      <strong>When I grow up, I want to be a...</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[13242]" value="A" /> Chef!</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[13242]" value="B" /> Pop Star!</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[13242]" value="C" /> Modle!</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[13242]" value="D" /> Vet!</label>
      <br />        
      <div style="padding: 5px 0;">2.
      <strong>My favorite breed of dogs is...</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[13243]" value="A" /> Poodle!</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[13243]" value="B" /> Miniature Schnauzer!</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[13243]" value="C" /> Yorkie poo!</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[13243]" value="D" /> EVERY ONE!!!</label>
      <br />        
      <div style="padding: 5px 0;">3.
      <strong>Hilary Duff needs a place to stay!</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[13244]" value="A" /> My house, my bed. I&#039;ll sleep on the floor.</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[13244]" value="B" /> There is a hotel close to here....</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[13244]" value="C" /> Not my house!</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[13244]" value="D" /> I can&#039;t think of that now! Hilary Duff is here!</label>
      <br />        
      <div style="padding: 5px 0;">4.
      <strong>I was born in...</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[13245]" value="A" /> Wisconsin!</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[13245]" value="B" /> Illinois!</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[13245]" value="C" /> Ohio!</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[13245]" value="D" /> Florida!!!</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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