How well do you know me?

1. How tall am I?

4 feet 8 5 feet 5 feet 2 4 feet 10

2. What's my favorite genre of music?

Pop Alternative rock Country Classical

3. My birthday is on...

October 28th October 16th October 10th October 18th

4. My favorite Breaking Benjamin song is...

I Will Not Bow Skin Diary of Jane Until the End

5. People mostly describe me as...

weird clumsy random smart

6. I love...

my sister chocolate my dad's car music

7. My favorite Bullet for My Valentine song?

Hit the Floor All These Things I Hate Waking the Demon Hearts Burst into Flames

8. I was born in the year...

1996 1997 1995 1994

9. On my spare time I...

watch TV bother my sister do homework write stories

10. The thing I look for in a guy the MOST is...

eyes smile hands hair

Your name

E-mail address

HTML Code

<form method="post" action="https://www.flufo.com/Yuzuki/2218/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>How tall am I?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17421]" value="A" /> 4 feet 8</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17421]" value="B" /> 5 feet</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17421]" value="C" /> 5 feet 2</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17421]" value="D" /> 4 feet 10</label>
      <br />        
      <div style="padding: 5px 0;">2.
      <strong>What&#039;s my favorite genre of music?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17422]" value="A" /> Pop</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17422]" value="B" /> Alternative rock</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17422]" value="C" /> Country</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17422]" value="D" /> Classical</label>
      <br />        
      <div style="padding: 5px 0;">3.
      <strong>My birthday is on...</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17423]" value="A" /> October 28th</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17423]" value="B" /> October 16th</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17423]" value="C" /> October 10th</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17423]" value="D" /> October 18th</label>
      <br />        
      <div style="padding: 5px 0;">4.
      <strong>My favorite Breaking Benjamin song is...</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17424]" value="A" /> I Will Not Bow</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17424]" value="B" /> Skin</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17424]" value="C" /> Diary of Jane</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17424]" value="D" /> Until the End</label>
      <br />        
      <div style="padding: 5px 0;">5.
      <strong>People mostly describe me as...</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17425]" value="A" /> weird</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17425]" value="B" /> clumsy</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17425]" value="C" /> random</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17425]" value="D" /> smart</label>
      <br />        
      <div style="padding: 5px 0;">6.
      <strong>I love...</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17426]" value="A" /> my sister</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17426]" value="B" /> chocolate</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17426]" value="C" /> my dad&#039;s car</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17426]" value="D" /> music</label>
      <br />        
      <div style="padding: 5px 0;">7.
      <strong>My favorite Bullet for My Valentine song?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17427]" value="A" /> Hit the Floor</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17427]" value="B" /> All These Things I Hate</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17427]" value="C" /> Waking the Demon</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17427]" value="D" /> Hearts Burst into Flames</label>
      <br />        
      <div style="padding: 5px 0;">8.
      <strong>I was born in the year...</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17428]" value="A" /> 1996</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17428]" value="B" /> 1997</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17428]" value="C" /> 1995</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17428]" value="D" /> 1994</label>
      <br />        
      <div style="padding: 5px 0;">9.
      <strong>On my spare time I...</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17429]" value="A" /> watch TV</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17429]" value="B" /> bother my sister</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17429]" value="C" /> do homework</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17429]" value="D" /> write stories</label>
      <br />        
      <div style="padding: 5px 0;">10.
      <strong>The thing I look for in a guy the MOST is...</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17430]" value="A" /> eyes</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17430]" value="B" /> smile</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17430]" value="C" /> hands</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17430]" value="D" /> hair</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>
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