How well do you know me?

1. What's my favorite color?

Maroon Green Blue Yellow

2. What's my favorite animal?

Giraffe Mouse Horse Turtle

3. What's my favorite USA state?

New York California Florida South Carolina

4. What's my favorite tv show?

iCarly Victorious Good Luck Charlie None of the above

Your name

E-mail address

HTML Code

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  <div style="width: 100%;">    
  <h1 style="color: #376e93;">How well do you know me? </h1>
         
    <br />        
      <div style="padding: 5px 0;">1.
      <strong>What&#039;s my favorite color?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[20455]" value="A" /> Maroon</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[20455]" value="B" /> Green</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[20455]" value="C" /> Blue</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[20455]" value="D" /> Yellow</label>
      <br />        
      <div style="padding: 5px 0;">2.
      <strong>What&#039;s my favorite animal?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[20456]" value="A" /> Giraffe</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[20456]" value="B" /> Mouse</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[20456]" value="C" /> Horse</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[20456]" value="D" /> Turtle</label>
      <br />        
      <div style="padding: 5px 0;">3.
      <strong>What&#039;s my favorite USA state?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[20457]" value="A" /> New York</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[20457]" value="B" /> California</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[20457]" value="C" /> Florida</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[20457]" value="D" /> South Carolina</label>
      <br />        
      <div style="padding: 5px 0;">4.
      <strong>What&#039;s my favorite tv show?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[20458]" value="A" /> iCarly</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[20458]" value="B" /> Victorious</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[20458]" value="C" /> Good Luck Charlie</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[20458]" value="D" /> None 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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