Do you know me?

1. Whats my fav. color?

Black Blue Purple White

2. What is my sons name?

Seth Joseph Logan Wezley

3. What is my fav. band

Rob Zombie Korn NIN Coal Chamber

4. Where am I from?

IN OH NH MN

5. Whats my mans name

Josh Tony Tim Fred

Your name

E-mail address

HTML Code

<form method="post" action="https://www.flufo.com/Cassie/266/do-you-know-me">
  <div style="width: 100%;">    
  <h1 style="color: #376e93;">Do you know me? </h1>
      <img src="https://www.flufo.com/i/q/1009291801.gif" alt="" border="0" align="right" />   
    <br />        
      <div style="padding: 5px 0;">1.
      <strong>Whats my fav. color?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1781]" value="A" /> Black</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1781]" value="B" /> Blue</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1781]" value="C" /> Purple</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1781]" value="D" /> White</label>
      <br />        
      <div style="padding: 5px 0;">2.
      <strong>What is my sons name?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1782]" value="A" /> Seth</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1782]" value="B" /> Joseph</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1782]" value="C" /> Logan</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1782]" value="D" /> Wezley</label>
      <br />        
      <div style="padding: 5px 0;">3.
      <strong>What is my fav. band</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1783]" value="A" /> Rob Zombie</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1783]" value="B" /> Korn</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1783]" value="C" /> NIN</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1783]" value="D" /> Coal Chamber</label>
      <br />        
      <div style="padding: 5px 0;">4.
      <strong>Where am I from?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1784]" value="A" /> IN</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1784]" value="B" /> OH</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1784]" value="C" /> NH</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1784]" value="D" /> MN</label>
      <br />        
      <div style="padding: 5px 0;">5.
      <strong>Whats my mans name</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1785]" value="A" /> Josh</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1785]" value="B" /> Tony</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1785]" value="C" /> Tim</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1785]" value="D" /> Fred</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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