ARE YOU DRUNK

1. WHAT KIND OF BEER DO YOU LIKE

COORS MIL LIGHT CORONA BUD LITE

2. WHAT DID YOU HAVE TONITE

COORS MIL LIGHT BUD LITE MOONSHINE

3. WAT KIND OF ALCHOHOL DO U LIKE

VODKA BEER WHINE WISKY

4. HOW MUCH DO DRINK DAILY

1 2-5 6-10 11-10000000000000+

Your name

E-mail address

HTML Code

<form method="post" action="https://www.flufo.com/MARK  RUMSEY/279/are-you-drunk">
  <div style="width: 100%;">    
  <h1 style="color: #376e93;">ARE YOU DRUNK </h1>
         
    <br />        
      <div style="padding: 5px 0;">1.
      <strong>WHAT KIND OF BEER DO YOU LIKE</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1872]" value="A" /> COORS</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1872]" value="B" /> MIL LIGHT</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1872]" value="C" /> CORONA</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1872]" value="D" /> BUD LITE</label>
      <br />        
      <div style="padding: 5px 0;">2.
      <strong>WHAT DID YOU HAVE TONITE</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1873]" value="A" /> COORS</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1873]" value="B" /> MIL LIGHT</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1873]" value="C" /> BUD LITE</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1873]" value="D" /> MOONSHINE</label>
      <br />        
      <div style="padding: 5px 0;">3.
      <strong>WAT KIND OF ALCHOHOL DO U LIKE</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1874]" value="A" /> VODKA</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1874]" value="B" /> BEER</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1874]" value="C" /> WHINE</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1874]" value="D" /> WISKY</label>
      <br />        
      <div style="padding: 5px 0;">4.
      <strong>HOW MUCH DO DRINK DAILY</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1875]" value="A" /> 1</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1875]" value="B" /> 2-5</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1875]" value="C" /> 6-10</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1875]" value="D" /> 11-10000000000000+</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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