Who know's me best?

1. What is my fav color?

pink red green purple

2. How many Kid's do I have?

4 2 1 3

3. When is my birthday?

05/12/1984 05/17/1984 04/12/1984 04/17/1984

4. How long have I been married?

5yr 6yr 7yr 2yr

5. whatis my fav candy?

snikers reese cup's butter finger m&m

6. what is my middle name?

Nicole Rene Sue Dawn

7. How many sibling's do I have counting in-law's?

2 3 1 4

8. What is my fav drink?

dr pepper coke root beer diet coke

Your name

E-mail address

HTML Code

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  <div style="width: 100%;">    
  <h1 style="color: #376e93;">Who know&#039;s me best? </h1>
         
    <br />        
      <div style="padding: 5px 0;">1.
      <strong>What is my fav color?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3058]" value="A" /> pink</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3058]" value="B" /> red</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3058]" value="C" /> green</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3058]" value="D" /> purple</label>
      <br />        
      <div style="padding: 5px 0;">2.
      <strong>How many Kid&#039;s do I have?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3059]" value="A" /> 4</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3059]" value="B" /> 2</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3059]" value="C" /> 1</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3059]" value="D" /> 3</label>
      <br />        
      <div style="padding: 5px 0;">3.
      <strong>When is my birthday?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3060]" value="A" /> 05/12/1984</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3060]" value="B" /> 05/17/1984</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3060]" value="C" /> 04/12/1984</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3060]" value="D" /> 04/17/1984</label>
      <br />        
      <div style="padding: 5px 0;">4.
      <strong>How long have I been married?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3061]" value="A" /> 5yr</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3061]" value="B" /> 6yr</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3061]" value="C" /> 7yr</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3061]" value="D" /> 2yr</label>
      <br />        
      <div style="padding: 5px 0;">5.
      <strong>whatis my fav candy?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3062]" value="A" /> snikers</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3062]" value="B" /> reese cup&#039;s</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3062]" value="C" /> butter finger</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3062]" value="D" /> m&amp;m</label>
      <br />        
      <div style="padding: 5px 0;">6.
      <strong>what is my middle name?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3063]" value="A" /> Nicole</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3063]" value="B" /> Rene</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3063]" value="C" /> Sue</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3063]" value="D" /> Dawn</label>
      <br />        
      <div style="padding: 5px 0;">7.
      <strong>How many sibling&#039;s do I have counting in-law&#039;s?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3064]" value="A" /> 2</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3064]" value="B" /> 3</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3064]" value="C" /> 1</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3064]" value="D" /> 4</label>
      <br />        
      <div style="padding: 5px 0;">8.
      <strong>What is my fav drink?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3065]" value="A" /> dr pepper</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3065]" value="B" /> coke</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3065]" value="C" /> root beer</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3065]" value="D" /> diet coke</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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