lets see if you know me...........

1. whats my middle name?

marie carey sue no middle name

2. how old am i?

13 14 15 16

3. how tall am i?

5'2 5'3 5'4 5'9

4. who is my favorite singer?

hannah montana beyonce usher the cheetah girls

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HTML Code

<form method="post" action="https://www.flufo.com/mimi johnson/197/lets-see-if-you-know-me">
  <div style="width: 100%;">    
  <h1 style="color: #376e93;">lets see if you know me........... </h1>
      <img src="https://www.flufo.com/i/q/861939415.jpg" alt="" border="0" align="right" />   
    <br />        
      <div style="padding: 5px 0;">1.
      <strong>whats my middle name?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1305]" value="A" /> marie</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1305]" value="B" /> carey</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1305]" value="C" /> sue</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1305]" value="D" /> no middle name</label>
      <br />        
      <div style="padding: 5px 0;">2.
      <strong>how old am i?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1306]" value="A" /> 13</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1306]" value="B" /> 14</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1306]" value="C" /> 15</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1306]" value="D" /> 16</label>
      <br />        
      <div style="padding: 5px 0;">3.
      <strong>how tall am i?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1307]" value="A" /> 5&#039;2</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1307]" value="B" /> 5&#039;3</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1307]" value="C" /> 5&#039;4</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1307]" value="D" /> 5&#039;9</label>
      <br />        
      <div style="padding: 5px 0;">4.
      <strong>who is my favorite singer?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1308]" value="A" /> hannah montana</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1308]" value="B" /> beyonce</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1308]" value="C" /> usher</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1308]" value="D" /> the cheetah girls</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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