how well u kno me

1. what day is my birthday

oct 13 november 13 january 9 none of the above

2. the sport im best at

soccer tennis skimboarding surfing

3. how i refer to myself

jesus amazing crappy rocky balboa

4. how many bones i've broken

1 2 3 4

5. how many goals i scored in the high school soccer season as a freshmen

15 7 3

6. favorite band

young jeezy rascal flatts tim mcgraw dave mattews band

7. favorite movie

beerfest dodgeball talladega knights anchorman

Your name

E-mail address

HTML Code

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  <div style="width: 100%;">    
  <h1 style="color: #376e93;">how well u kno me </h1>
      <img src="https://www.flufo.com/i/q/448430695.jpg" alt="" border="0" align="right" />   
    <br />        
      <div style="padding: 5px 0;">1.
      <strong>what day is my birthday</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1204]" value="A" /> oct 13</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1204]" value="B" /> november 13</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1204]" value="C" /> january 9</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1204]" value="D" /> none of the above</label>
      <br />        
      <div style="padding: 5px 0;">2.
      <strong>the sport im best at</strong>  
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                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1205]" value="A" /> soccer</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1205]" value="B" /> tennis</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1205]" value="C" /> skimboarding</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1205]" value="D" /> surfing</label>
      <br />        
      <div style="padding: 5px 0;">3.
      <strong>how i refer to myself</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1206]" value="A" /> jesus</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1206]" value="B" /> amazing</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1206]" value="C" /> crappy</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1206]" value="D" /> rocky balboa</label>
      <br />        
      <div style="padding: 5px 0;">4.
      <strong>how many bones i&#039;ve broken</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1207]" value="A" /> 1</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1207]" value="B" /> 2</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1207]" value="C" /> 3</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1207]" value="D" /> 4</label>
      <br />        
      <div style="padding: 5px 0;">5.
      <strong>how many goals i scored in the high school soccer season as a freshmen</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1208]" value="A" /> 15</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1208]" value="B" /> 7</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1208]" value="C" /> 3</label>
      <br />        
      <div style="padding: 5px 0;">6.
      <strong>favorite band</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1209]" value="A" /> young jeezy</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1209]" value="B" /> rascal flatts</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1209]" value="C" /> tim mcgraw</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1209]" value="D" /> dave mattews band</label>
      <br />        
      <div style="padding: 5px 0;">7.
      <strong>favorite movie</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1210]" value="A" /> beerfest</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1210]" value="B" /> dodgeball</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1210]" value="C" /> talladega knights</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1210]" value="D" /> anchorman</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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