How Well Do You Know Me?

1. How many brothers do I have?

1 5 3 2

2. How long have I been in Arizona?

All my life Since I was 2 years old Since I was 4 years old 5 years

3. What is my job?

Picking up loosers that live off the taxpayers Working with children Working on Van Buren Don't have to work because I'm rich

4. What can I not live without?

My family & friends My truck My phone Sex

5. What do I love to do in my spare time?

Walk around a mall Take long drives Watch tv Talk on the phone

Your name

E-mail address

HTML Code

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  <div style="width: 100%;">    
  <h1 style="color: #376e93;">How Well Do You Know Me? </h1>
         
    <br />        
      <div style="padding: 5px 0;">1.
      <strong>How many brothers do I have?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2322]" value="A" /> 1</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2322]" value="B" /> 5</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2322]" value="C" /> 3</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2322]" value="D" /> 2</label>
      <br />        
      <div style="padding: 5px 0;">2.
      <strong>How long have I been in Arizona?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2323]" value="A" /> All my life</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2323]" value="B" /> Since I was 2 years old</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2323]" value="C" /> Since I was 4 years old</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2323]" value="D" /> 5 years</label>
      <br />        
      <div style="padding: 5px 0;">3.
      <strong>What is my job?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2324]" value="A" /> Picking up loosers that live off the taxpayers</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2324]" value="B" /> Working with children</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2324]" value="C" /> Working on Van Buren</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2324]" value="D" /> Don&#039;t have to work because I&#039;m rich</label>
      <br />        
      <div style="padding: 5px 0;">4.
      <strong>What can I not live without?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2325]" value="A" /> My family &amp; friends</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2325]" value="B" /> My truck</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2325]" value="C" /> My phone</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2325]" value="D" /> Sex</label>
      <br />        
      <div style="padding: 5px 0;">5.
      <strong>What do I love to do in my spare time?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2326]" value="A" /> Walk around a mall</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2326]" value="B" /> Take long drives</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2326]" value="C" /> Watch tv</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2326]" value="D" /> Talk on the phone</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>
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