Are you a sweetheart?

1. Are you popular at school?

No i'm a TOTAL DORK! No just normal. Maybe a little. YES I AM SO COOL!

2. Are you sassy?

No Yes Honestly a little Yes I am so SASSY

3. Do you think your ugly?

No Yes A little but not bad I want to tear off my face

4. How much Do you party?

Not at all Yes all the time Minor but sometimes Now and than

Your name

E-mail address

HTML Code

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  <div style="width: 100%;">    
  <h1 style="color: #376e93;">Are you a sweetheart? </h1>
      <img src="https://www.flufo.com/i/q/69383896396.jpg" alt="" border="0" align="right" />   
    <br />        
      <div style="padding: 5px 0;">1.
      <strong>Are you popular at school?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[22042]" value="A" /> No i&#039;m a TOTAL DORK!</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[22042]" value="B" /> No just normal.</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[22042]" value="C" /> Maybe a little.</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[22042]" value="D" /> YES I AM SO COOL!</label>
      <br />        
      <div style="padding: 5px 0;">2.
      <strong>Are you sassy?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[22043]" value="A" /> No</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[22043]" value="B" /> Yes</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[22043]" value="C" /> Honestly a little</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[22043]" value="D" /> Yes I am so SASSY</label>
      <br />        
      <div style="padding: 5px 0;">3.
      <strong>Do you think your ugly?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[22044]" value="A" /> No</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[22044]" value="B" /> Yes</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[22044]" value="C" /> A little but not bad</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[22044]" value="D" /> I want to tear off my face</label>
      <br />        
      <div style="padding: 5px 0;">4.
      <strong>How much Do you party?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[22045]" value="A" /> Not at all</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[22045]" value="B" /> Yes all the time</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[22045]" value="C" /> Minor but sometimes</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[22045]" value="D" /> Now and than</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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