What do you think about me?

1. Am I silly?

Yes No Maybe So Im not sure

2. Do you think I'm pretty?

Yes, I think you totally are! No, I don't Partly ABSOLUTELY!!

3. I think I'm funny, do you?

Yes No Maybe I guess so

4. Am I pretty?

TOTALLY MOST DEFINITELY ABSOLUTELY ALL OF THE ABOVE

Your name

E-mail address

HTML Code

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  <div style="width: 100%;">    
  <h1 style="color: #376e93;">What do you think about me? </h1>
         
    <br />        
      <div style="padding: 5px 0;">1.
      <strong>Am I silly?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[18057]" value="A" /> Yes</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[18057]" value="B" /> No</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[18057]" value="C" /> Maybe So</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[18057]" value="D" /> Im not sure</label>
      <br />        
      <div style="padding: 5px 0;">2.
      <strong>Do you think I&#039;m pretty?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[18058]" value="A" /> Yes, I think you totally are!</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[18058]" value="B" /> No, I don&#039;t</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[18058]" value="C" /> Partly</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[18058]" value="D" /> ABSOLUTELY!!</label>
      <br />        
      <div style="padding: 5px 0;">3.
      <strong>I think I&#039;m funny, do you?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[18059]" value="A" /> Yes</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[18059]" value="B" /> No</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[18059]" value="C" /> Maybe</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[18059]" value="D" /> I guess so</label>
      <br />        
      <div style="padding: 5px 0;">4.
      <strong>Am I pretty?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[18060]" value="A" /> TOTALLY</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[18060]" value="B" /> MOST DEFINITELY</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[18060]" value="C" /> ABSOLUTELY</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[18060]" value="D" /> ALL OF THE ABOVE</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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