How well do you know ME?

1. I was born in:

Poland Bavaria Austria Germany

2. During WWI I was wounded where?

in the arm, during the first Austrian offensive in France. in the leg, during the battle for Ypres. in the leg, during the battle of the Somme in the arm, during the TET offensive

3. I was voted:

Into office by the german people. Least likely to succeed in High School. Time Magazine's Man of the Year, 1938 Oberfuerer der reichstaag, 1930

4. My darkest secret is:

I'm secretly into guys. I'm actually part jewish. My mustache hides a hare-lip scar. I was a drug abusing poet before I became leader of the German people.

Your name

E-mail address

HTML Code

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  <div style="width: 100%;">    
  <h1 style="color: #376e93;">How well do you know ME? </h1>
         
    <br />        
      <div style="padding: 5px 0;">1.
      <strong>I was born in:</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[14502]" value="A" /> Poland</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[14502]" value="B" /> Bavaria</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[14502]" value="C" /> Austria</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[14502]" value="D" /> Germany</label>
      <br />        
      <div style="padding: 5px 0;">2.
      <strong>During WWI I was wounded where?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[14503]" value="A" /> in the arm, during the first Austrian offensive in France.</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[14503]" value="B" /> in the leg, during the battle for Ypres.</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[14503]" value="C" /> in the leg, during the battle of the Somme</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[14503]" value="D" /> in the arm, during the TET offensive</label>
      <br />        
      <div style="padding: 5px 0;">3.
      <strong>I was voted:</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[14504]" value="A" /> Into office by the german people.</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[14504]" value="B" /> Least likely to succeed in High School.</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[14504]" value="C" /> Time Magazine&#039;s Man of the Year, 1938</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[14504]" value="D" /> Oberfuerer der reichstaag, 1930</label>
      <br />        
      <div style="padding: 5px 0;">4.
      <strong>My darkest secret is:</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[14505]" value="A" /> I&#039;m secretly into guys.</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[14505]" value="B" /> I&#039;m actually part jewish.</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[14505]" value="C" /> My mustache hides a hare-lip scar.</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[14505]" value="D" /> I was a drug abusing poet before I became leader of the German people.</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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