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Who Knows Me Best?
1.
When is My Birthday?
July 7, 1982
August 7, 1981
May 15, 1982
July 17, 1982
2.
How Many Siblings Do I Have?
1
2
3
5
3.
What Is My Middle Name?
Mary
Lois
Heather
Alexandra
4.
What Is My Son's Name?
Dakota
Daniel
Justin
Tyler
5.
Where Was I Born
Elizabeth, NJ
Toms River, NJ
Barnegat, NJ
Staten Island, NY
Your name
E-mail address
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flufo.com
HTML Code
<form method="post" action="https://www.flufo.com/Rena/229/who-knows-me-best"> <div style="width: 100%;"> <h1 style="color: #376e93;">Who Knows Me Best? </h1> <br /> <div style="padding: 5px 0;">1. <strong>When is My Birthday?</strong> </div> <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1519]" value="A" /> July 7, 1982</label> <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1519]" value="B" /> August 7, 1981</label> <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1519]" value="C" /> May 15, 1982</label> <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1519]" value="D" /> July 17, 1982</label> <br /> <div style="padding: 5px 0;">2. <strong>How Many Siblings Do I Have?</strong> </div> <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1520]" value="A" /> 1</label> <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1520]" value="B" /> 2</label> <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1520]" value="C" /> 3</label> <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1520]" value="D" /> 5</label> <br /> <div style="padding: 5px 0;">3. <strong>What Is My Middle Name?</strong> </div> <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1521]" value="A" /> Mary</label> <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1521]" value="B" /> Lois</label> <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1521]" value="C" /> Heather</label> <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1521]" value="D" /> Alexandra</label> <br /> <div style="padding: 5px 0;">4. <strong>What Is My Son's Name?</strong> </div> <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1522]" value="A" /> Dakota</label> <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1522]" value="B" /> Daniel</label> <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1522]" value="C" /> Justin</label> <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1522]" value="D" /> Tyler</label> <br /> <div style="padding: 5px 0;">5. <strong>Where Was I Born</strong> </div> <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1523]" value="A" /> Elizabeth, NJ</label> <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1523]" value="B" /> Toms River, NJ</label> <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1523]" value="C" /> Barnegat, NJ</label> <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1523]" value="D" /> Staten Island, NY</label> <br /> <div><label for="userName">Your name</label> <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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