HTML Code

<form method="post" action="https://www.flufo.com/zana/1682/kiss-me">
  <div style="width: 100%;">    
  <h1 style="color: #376e93;">kiss me </h1>
         
    <br />        
      <div style="padding: 5px 0;">1.
      <strong>asxas</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[13300]" value="A" /> sa</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[13300]" value="B" /> sd</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[13300]" value="C" /> sd</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[13300]" value="D" /> fs</label>
      <br />        
      <div style="padding: 5px 0;">2.
      <strong>sfd</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[13301]" value="A" /> fdsg</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[13301]" value="B" /> gsd</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[13301]" value="C" /> gds</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[13301]" value="D" /> gd</label>
      <br />        
      <div style="padding: 5px 0;">3.
      <strong>gdgdgg</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[13302]" value="A" /> dagd</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[13302]" value="B" /> gdg</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[13302]" value="C" /> gdg</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[13302]" value="D" /> gdsa</label>
      <br />        
      <div style="padding: 5px 0;">4.
      <strong>dshgjhgjhgjh</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[13303]" value="A" /> jhgj</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[13303]" value="B" /> hjhj</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[13303]" value="C" /> kghkg</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[13303]" value="D" /> khgk</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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