How Well Do You Know Me?

1. What is my full name?

Jazzy Bell Jasmine Anne Bell Jasmine Marie Bell Jasmine Lynne Bell

2. When is my Birthday?

September 23 August 22 Febuary 17 September 22

3. How many sisters do i have?

5 2 3 4

4. What is my favorite band?

Jonas Brothers Fall Out Boy We The Kings All of the above

5. Who is my favorite Jonas Brother?

Nick Joe Kevin I dont have a favorite

6. What is my favorite color?

Blue Pink Purple Black

7. What is my favorite movie?

Mighty Joe Young High School Musical 3 Camp Rock Other

8. What are my sisters names?

Julianne,Mary,Alexis Raquel,Jessie,Ruby Raquel,Julia,Ruby Angela,Nichole,Vanessa

Your name

E-mail address

HTML Code

<form method="post" action="https://www.flufo.com/Jasmine/1715/how-well-do-you-know-me">
  <div style="width: 100%;">    
  <h1 style="color: #376e93;">How Well Do You Know Me? </h1>
         
    <br />        
      <div style="padding: 5px 0;">1.
      <strong>What is my full name?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[13608]" value="A" /> Jazzy Bell</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[13608]" value="B" /> Jasmine Anne Bell</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[13608]" value="C" /> Jasmine Marie Bell</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[13608]" value="D" /> Jasmine Lynne Bell</label>
      <br />        
      <div style="padding: 5px 0;">2.
      <strong>When is my Birthday?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[13609]" value="A" /> September 23</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[13609]" value="B" /> August 22</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[13609]" value="C" /> Febuary 17</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[13609]" value="D" /> September 22</label>
      <br />        
      <div style="padding: 5px 0;">3.
      <strong>How many sisters do i have?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[13610]" value="A" /> 5</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[13610]" value="B" /> 2</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[13610]" value="C" /> 3</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[13610]" value="D" /> 4</label>
      <br />        
      <div style="padding: 5px 0;">4.
      <strong>What is my favorite band?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[13611]" value="A" /> Jonas Brothers</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[13611]" value="B" /> Fall Out Boy</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[13611]" value="C" /> We The Kings</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[13611]" value="D" /> All of the above</label>
      <br />        
      <div style="padding: 5px 0;">5.
      <strong>Who is my favorite Jonas Brother?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[13612]" value="A" /> Nick</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[13612]" value="B" /> Joe</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[13612]" value="C" /> Kevin</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[13612]" value="D" /> I dont have a favorite</label>
      <br />        
      <div style="padding: 5px 0;">6.
      <strong>What is my favorite color?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[13613]" value="A" /> Blue</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[13613]" value="B" /> Pink</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[13613]" value="C" /> Purple</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[13613]" value="D" /> Black</label>
      <br />        
      <div style="padding: 5px 0;">7.
      <strong>What is my favorite movie?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[13614]" value="A" /> Mighty Joe Young</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[13614]" value="B" /> High School Musical 3</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[13614]" value="C" /> Camp Rock</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[13614]" value="D" /> Other</label>
      <br />        
      <div style="padding: 5px 0;">8.
      <strong>What are my sisters names?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[13615]" value="A" /> Julianne,Mary,Alexis</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[13615]" value="B" /> Raquel,Jessie,Ruby</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[13615]" value="C" /> Raquel,Julia,Ruby</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[13615]" value="D" /> Angela,Nichole,Vanessa</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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