Do you know me?

1. What day in August is my birthday?

21st 12th 23rd 7th

2. What is my favorite bird?

American Eagle Flamingo Puffin Penguin

3. What date did me and my husband get married?

October 12th November 4th September 3rd October 18th

4. What am I going to school for next year?

Nurse Admistrative Office Assistant (Medical) Medical Assisting Radiology

5. What is my hamster's name?

Punkin Cheerio Boo Fluffy

6. What color are my eyes?

Green Brown Light Blue Blue

7. What is my favorite mythological creature?

Unicorn Dragon Fairy Centaur

8. What is my favorite color?

Blue Green Orange Red

9. How old am I?

20 21 22 23

10. My favorite wild cat is a ... ?

Panther Tiger Lion Cougar

11. I use to be a tomboy when I was a child.

True. False.

12. I use to be quiet and calm.

True. False.

13. I am a quiet person.

True. False.

14. My best friend is Gillie.

True. False.

15. My favorite "Disney" movie?

Dumbo The Little Mermaid The Aristocats Bambi

16. My #1 Favorite Book?

She's Come Undone by Wally Lamb Mr. Maybe by Jane Green Harry Potter and The Sorcerer's Stone by J.K. Rowling The Dive From Clausen's Pier by Ann Packer

17. My husband and I have a horse named what?

Bubba Gordo Brego Snowfire

18. My #1 favorite movie?

Life as a House Orange County Serendipity Eternal Sunshine of the Spotless Mind

19. If I ever have a baby girl someday, what do I want to name her?

Anna Alexis Bridget Gloria

20. Who is my favorite male actor?

Jack Black Nicholas Cage Owen Wilson Kurt Russell

Your name

E-mail address

HTML Code

<form method="post" action="https://www.flufo.com/Ro/312/do-you-know-me">
  <div style="width: 100%;">    
  <h1 style="color: #376e93;">Do you know me? </h1>
         
    <br />        
      <div style="padding: 5px 0;">1.
      <strong>What day in August is my birthday?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2156]" value="A" /> 21st</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2156]" value="B" /> 12th</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2156]" value="C" /> 23rd</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2156]" value="D" /> 7th</label>
      <br />        
      <div style="padding: 5px 0;">2.
      <strong>What is my favorite  bird?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2157]" value="A" /> American Eagle</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2157]" value="B" /> Flamingo</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2157]" value="C" /> Puffin</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2157]" value="D" /> Penguin</label>
      <br />        
      <div style="padding: 5px 0;">3.
      <strong>What date did me and my husband get married?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2158]" value="A" /> October 12th</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2158]" value="B" /> November 4th</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2158]" value="C" /> September 3rd</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2158]" value="D" /> October 18th</label>
      <br />        
      <div style="padding: 5px 0;">4.
      <strong>What am I going to school for next year?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2159]" value="A" /> Nurse</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2159]" value="B" /> Admistrative Office Assistant (Medical)</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2159]" value="C" /> Medical Assisting</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2159]" value="D" /> Radiology</label>
      <br />        
      <div style="padding: 5px 0;">5.
      <strong>What is my hamster&#039;s name?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2160]" value="A" /> Punkin</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2160]" value="B" /> Cheerio</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2160]" value="C" /> Boo</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2160]" value="D" /> Fluffy</label>
      <br />        
      <div style="padding: 5px 0;">6.
      <strong>What color are my eyes?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2161]" value="A" /> Green</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2161]" value="B" /> Brown</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2161]" value="C" /> Light Blue</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2161]" value="D" /> Blue</label>
      <br />        
      <div style="padding: 5px 0;">7.
      <strong>What is my favorite mythological creature?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2162]" value="A" /> Unicorn</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2162]" value="B" /> Dragon</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2162]" value="C" /> Fairy</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2162]" value="D" /> Centaur</label>
      <br />        
      <div style="padding: 5px 0;">8.
      <strong>What is my favorite color?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2163]" value="A" /> Blue</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2163]" value="B" /> Green</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2163]" value="C" /> Orange</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2163]" value="D" /> Red</label>
      <br />        
      <div style="padding: 5px 0;">9.
      <strong>How old am I?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2164]" value="A" /> 20</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2164]" value="B" /> 21</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2164]" value="C" /> 22</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2164]" value="D" /> 23</label>
      <br />        
      <div style="padding: 5px 0;">10.
      <strong>My favorite wild cat is a ... ?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2165]" value="A" /> Panther</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2165]" value="B" /> Tiger</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2165]" value="C" /> Lion</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2165]" value="D" /> Cougar</label>
      <br />        
      <div style="padding: 5px 0;">11.
      <strong>I use to be a tomboy when I was a child.</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2166]" value="A" /> True.</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2166]" value="B" /> False.</label>
      <br />        
      <div style="padding: 5px 0;">12.
      <strong>I use to be quiet and calm.</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2167]" value="A" /> True.</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2167]" value="B" /> False.</label>
      <br />        
      <div style="padding: 5px 0;">13.
      <strong>I am a quiet person.</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2168]" value="A" /> True.</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2168]" value="B" /> False.</label>
      <br />        
      <div style="padding: 5px 0;">14.
      <strong>My best friend is Gillie.</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2169]" value="A" /> True.</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2169]" value="B" /> False.</label>
      <br />        
      <div style="padding: 5px 0;">15.
      <strong>My favorite &quot;Disney&quot; movie?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2170]" value="A" /> Dumbo</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2170]" value="B" /> The Little Mermaid</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2170]" value="C" /> The Aristocats</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2170]" value="D" /> Bambi</label>
      <br />        
      <div style="padding: 5px 0;">16.
      <strong>My #1 Favorite Book?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2171]" value="A" /> She&#039;s Come Undone by Wally Lamb</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2171]" value="B" /> Mr. Maybe by Jane Green</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2171]" value="C" /> Harry Potter and The Sorcerer&#039;s Stone by J.K. Rowling</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2171]" value="D" /> The Dive From Clausen&#039;s Pier by Ann Packer</label>
      <br />        
      <div style="padding: 5px 0;">17.
      <strong>My husband and I have a horse named what?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2172]" value="A" /> Bubba</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2172]" value="B" /> Gordo</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2172]" value="C" /> Brego</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2172]" value="D" /> Snowfire</label>
      <br />        
      <div style="padding: 5px 0;">18.
      <strong>My #1 favorite movie?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2173]" value="A" /> Life as a House</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2173]" value="B" /> Orange County</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2173]" value="C" /> Serendipity</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2173]" value="D" /> Eternal Sunshine of the Spotless Mind</label>
      <br />        
      <div style="padding: 5px 0;">19.
      <strong>If I ever have a baby girl someday, what do I want to name her?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2174]" value="A" /> Anna</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2174]" value="B" /> Alexis</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2174]" value="C" /> Bridget</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2174]" value="D" /> Gloria</label>
      <br />        
      <div style="padding: 5px 0;">20.
      <strong>Who is my favorite male actor?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2175]" value="A" /> Jack Black</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2175]" value="B" /> Nicholas Cage</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2175]" value="C" /> Owen Wilson</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2175]" value="D" /> Kurt Russell</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 />
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      <label for="userEmail">E-mail address</label>
      <input type="text" name="userEmail" id="userEmail" value="" style="width: 300px;" />     
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