Do you know me?

1. What is my favorite color?

Blue Pink Black All of the above

2. What's my favorite song?

Hey there Delila-Plain WHite T's Glamorous-Fergie Great Escape-Boys Like Girls THe Barney theme song (I know you're smarter than that)

3. What's my birthday?

June 19 October 1 January 18 November 23

4. What do I want to be when I grow up?

Check out girl at Walmart Fashion Designer A scientist Teacher

5. What color are my eyes?

Blue Pink Blue-green and Hazel Balck

Your name

E-mail address

HTML Code

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  <div style="width: 100%;">    
  <h1 style="color: #376e93;">Do you know me? </h1>
         
    <br />        
      <div style="padding: 5px 0;">1.
      <strong>What is my favorite color?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2280]" value="A" /> Blue</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2280]" value="B" /> Pink</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2280]" value="C" /> Black</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2280]" value="D" /> All of the above</label>
      <br />        
      <div style="padding: 5px 0;">2.
      <strong>What&#039;s my favorite song?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2281]" value="A" /> Hey there Delila-Plain WHite T&#039;s</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2281]" value="B" /> Glamorous-Fergie</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2281]" value="C" /> Great Escape-Boys Like Girls</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2281]" value="D" /> THe Barney theme song (I know you&#039;re smarter than that)</label>
      <br />        
      <div style="padding: 5px 0;">3.
      <strong>What&#039;s my birthday?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2282]" value="A" /> June 19</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2282]" value="B" /> October 1</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2282]" value="C" /> January 18</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2282]" value="D" /> November 23</label>
      <br />        
      <div style="padding: 5px 0;">4.
      <strong>What do I want to be when I grow up?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2283]" value="A" /> Check out girl at Walmart</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2283]" value="B" /> Fashion Designer</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2283]" value="C" /> A scientist</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2283]" value="D" /> Teacher</label>
      <br />        
      <div style="padding: 5px 0;">5.
      <strong>What color are my eyes?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2284]" value="A" /> Blue</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2284]" value="B" /> Pink</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2284]" value="C" /> Blue-green and Hazel</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2284]" value="D" /> Balck</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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