my family

1. what is my moms name

janet kathy jenny none of the above

2. what is my dads name

tuc carl cj seth

3. what is my last name

smith coates

4. how many brother do i have

1 2 3

5. how many sisters do i have

1 2 3

Your name

E-mail address

HTML Code

<form method="post" action="https://www.flufo.com/cj/24/my-family">
  <div style="width: 100%;">    
  <h1 style="color: #376e93;">my family </h1>
         
    <br />        
      <div style="padding: 5px 0;">1.
      <strong>what is my moms name</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[111]" value="A" /> janet</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[111]" value="B" /> kathy</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[111]" value="C" /> jenny</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[111]" value="D" /> none of the above</label>
      <br />        
      <div style="padding: 5px 0;">2.
      <strong>what is my dads name</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[112]" value="A" /> tuc</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[112]" value="B" /> carl</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[112]" value="C" /> cj</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[112]" value="D" /> seth</label>
      <br />        
      <div style="padding: 5px 0;">3.
      <strong>what is my last name</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[113]" value="A" /> smith</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[113]" value="B" /> coates</label>
      <br />        
      <div style="padding: 5px 0;">4.
      <strong>how many brother do i have</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[114]" value="A" /> 1</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[114]" value="B" /> 2</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[114]" value="C" /> 3</label>
      <br />        
      <div style="padding: 5px 0;">5.
      <strong>how many sisters do i have</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[115]" value="A" /> 1</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[115]" value="B" /> 2</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[115]" value="C" /> 3</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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