How well do you know me?

1. What is my favorite color?

Pink Black Purple Red

2. What type of music do i listen to the most?

Rap Rock Hip Hop Soft Rock

3. When is my birthday?

July 4,1996 April 5,1996 June 4,1996 January 10,1996

4. What is my favorite soda?

Pepsi Coke Sprite Root Beer

5. Do i wear glasses?

Yes Always Not At All Maybe Sometimes

6. Am I....

Annoying and Loud Boring and Shy Stupid and Weird Mean and Rude

7. Where was i born?

Japan China India Thailand

8. How old will i be in June?

13 14 15 Older

9. How many sister and/or brother do i have?

1 2 3 500

10. What's my favorite number?

2 4 7 A number

Your name

E-mail address

HTML Code

<form method="post" action="https://www.flufo.com/Gift/2274/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>What is my favorite color?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17796]" value="A" /> Pink</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17796]" value="B" /> Black</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17796]" value="C" /> Purple</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17796]" value="D" /> Red</label>
      <br />        
      <div style="padding: 5px 0;">2.
      <strong>What type of music do i listen to the most?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17797]" value="A" /> Rap</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17797]" value="B" /> Rock</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17797]" value="C" /> Hip Hop</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17797]" value="D" /> Soft Rock</label>
      <br />        
      <div style="padding: 5px 0;">3.
      <strong>When is my birthday?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17798]" value="A" /> July 4,1996</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17798]" value="B" /> April 5,1996</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17798]" value="C" /> June 4,1996</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17798]" value="D" /> January 10,1996</label>
      <br />        
      <div style="padding: 5px 0;">4.
      <strong>What is my favorite soda?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17799]" value="A" /> Pepsi</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17799]" value="B" /> Coke</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17799]" value="C" /> Sprite</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17799]" value="D" /> Root Beer</label>
      <br />        
      <div style="padding: 5px 0;">5.
      <strong>Do i wear glasses?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17800]" value="A" /> Yes Always</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17800]" value="B" /> Not At All</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17800]" value="C" /> Maybe</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17800]" value="D" /> Sometimes</label>
      <br />        
      <div style="padding: 5px 0;">6.
      <strong>Am I....</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17801]" value="A" /> Annoying and Loud</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17801]" value="B" /> Boring and Shy</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17801]" value="C" /> Stupid and Weird</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17801]" value="D" /> Mean and Rude</label>
      <br />        
      <div style="padding: 5px 0;">7.
      <strong>Where was i born?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17802]" value="A" /> Japan</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17802]" value="B" /> China</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17802]" value="C" /> India</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17802]" value="D" /> Thailand</label>
      <br />        
      <div style="padding: 5px 0;">8.
      <strong>How old will i be in June?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17803]" value="A" /> 13</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17803]" value="B" /> 14</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17803]" value="C" /> 15</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17803]" value="D" /> Older</label>
      <br />        
      <div style="padding: 5px 0;">9.
      <strong>How many sister and/or brother do i have?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17804]" value="A" /> 1</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17804]" value="B" /> 2</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17804]" value="C" /> 3</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17804]" value="D" /> 500</label>
      <br />        
      <div style="padding: 5px 0;">10.
      <strong>What&#039;s my favorite number?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17805]" value="A" /> 2</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17805]" value="B" /> 4</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17805]" value="C" /> 7</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17805]" value="D" /> A number</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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