All About Me

1. What is my favorite food?

Pizza Steak Soup Grilled Chicken

2. What is my all time favorite song?

Love Bites by Def Leopard Bad Medicine by Bon Jovi Fancy by Reba Out of the Blue by Debbie Gibson

3. What is my favorite brand of clothes?

Express United Colors of Benetton Gap Arden B

4. Biggest Pet Peeve Is?

People who do not brush their teeth People who act like they know everything People who constantly click their tongue Smoking

5. Favorite type of music?

Country Rock European Dance Pop

6. My favorite soda is?

Coke Pepsi Dt. Dr. Pepper Dt. Pepsi

7. Favorite Tv Show

Ugly Betty What Not To Wear Bones October Road

8. Favorite Movie?

Just Like Heaven Sweet Home Alabama Walk the Line Along Came Polly

9. Favorite outfits

Jeans & Sweater Skirt, sweater, & knee high boots dress slacks & blouse

Your name

E-mail address

HTML Code

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  <div style="width: 100%;">    
  <h1 style="color: #376e93;">All About Me </h1>
         
    <br />        
      <div style="padding: 5px 0;">1.
      <strong>What is my favorite food?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[15216]" value="A" /> Pizza</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[15216]" value="B" /> Steak</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[15216]" value="C" /> Soup</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[15216]" value="D" /> Grilled Chicken</label>
      <br />        
      <div style="padding: 5px 0;">2.
      <strong>What is my all time favorite song?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[15217]" value="A" /> Love Bites by Def Leopard</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[15217]" value="B" /> Bad Medicine by Bon Jovi</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[15217]" value="C" /> Fancy by Reba</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[15217]" value="D" /> Out of the Blue by Debbie Gibson</label>
      <br />        
      <div style="padding: 5px 0;">3.
      <strong>What is my favorite brand of clothes?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[15218]" value="A" /> Express</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[15218]" value="B" /> United Colors of Benetton</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[15218]" value="C" /> Gap</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[15218]" value="D" /> Arden B</label>
      <br />        
      <div style="padding: 5px 0;">4.
      <strong>Biggest Pet Peeve Is?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[15219]" value="A" /> People who do not brush their teeth</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[15219]" value="B" /> People who act like they know everything</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[15219]" value="C" /> People who constantly click their tongue</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[15219]" value="D" /> Smoking</label>
      <br />        
      <div style="padding: 5px 0;">5.
      <strong>Favorite type of music?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[15220]" value="A" /> Country</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[15220]" value="B" /> Rock</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[15220]" value="C" /> European Dance</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[15220]" value="D" /> Pop</label>
      <br />        
      <div style="padding: 5px 0;">6.
      <strong>My favorite soda is?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[15221]" value="A" /> Coke</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[15221]" value="B" /> Pepsi</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[15221]" value="C" /> Dt. Dr. Pepper</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[15221]" value="D" /> Dt. Pepsi</label>
      <br />        
      <div style="padding: 5px 0;">7.
      <strong>Favorite Tv Show</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[15222]" value="A" /> Ugly Betty</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[15222]" value="B" /> What Not To Wear</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[15222]" value="C" /> Bones</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[15222]" value="D" /> October Road</label>
      <br />        
      <div style="padding: 5px 0;">8.
      <strong>Favorite Movie?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[15223]" value="A" /> Just Like Heaven</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[15223]" value="B" /> Sweet Home Alabama</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[15223]" value="C" /> Walk the Line</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[15223]" value="D" /> Along Came Polly</label>
      <br />        
      <div style="padding: 5px 0;">9.
      <strong>Favorite outfits</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[15224]" value="A" /> Jeans &amp; Sweater</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[15224]" value="B" /> Skirt, sweater, &amp; knee high boots</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[15224]" value="C" /> dress</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[15224]" value="D" /> slacks &amp; blouse</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>
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