So... How good do you know me ?

1. Who is my best friend

Wilber Johnny Brain Scott

2. Where do I work

Whirlpool Heinz Owens Corning Atlas Industries

3. What bar do I like to have a few at

Stone Street Tavern Last Call Bud's Copper Penny

4. My daugther's name

Lisa Ashley Sue Amy

5. My first true girlfriend

Sandy Ellie Kathy Jill

Your name

E-mail address

HTML Code

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  <div style="width: 100%;">    
  <h1 style="color: #376e93;">So... How good do you know me ? </h1>
         
    <br />        
      <div style="padding: 5px 0;">1.
      <strong>Who is my best friend</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3154]" value="A" /> Wilber</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3154]" value="B" /> Johnny</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3154]" value="C" /> Brain</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3154]" value="D" /> Scott</label>
      <br />        
      <div style="padding: 5px 0;">2.
      <strong>Where do I work</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3155]" value="A" /> Whirlpool</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3155]" value="B" /> Heinz</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3155]" value="C" /> Owens Corning</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3155]" value="D" /> Atlas Industries</label>
      <br />        
      <div style="padding: 5px 0;">3.
      <strong>What bar do I like to have a few at</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3156]" value="A" /> Stone Street Tavern</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3156]" value="B" /> Last Call</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3156]" value="C" /> Bud&#039;s</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3156]" value="D" /> Copper Penny</label>
      <br />        
      <div style="padding: 5px 0;">4.
      <strong>My daugther&#039;s name</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3157]" value="A" /> Lisa</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3157]" value="B" /> Ashley</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3157]" value="C" /> Sue</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3157]" value="D" /> Amy</label>
      <br />        
      <div style="padding: 5px 0;">5.
      <strong>My first true girlfriend</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3158]" value="A" /> Sandy</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3158]" value="B" /> Ellie</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3158]" value="C" /> Kathy</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3158]" value="D" /> Jill</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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