What do you think about me?

1. what is my cellphone number??

09165578243 09277316180 09177456783 09156006304

2. what is the age of my grandma on 2010???

71 69 70 68

3. what is my favorite vegetables??

upo kangkong kalabasa ampalaya

4. what is my favorite food??

macaroni salad buko salad fruit sald none of the above

Your name

E-mail address

HTML Code

<form method="post" action="https://www.flufo.com/alfred reyes/495/what-do-you-think-about-me">
  <div style="width: 100%;">    
  <h1 style="color: #376e93;">What do you think about me? </h1>
         
    <br />        
      <div style="padding: 5px 0;">1.
      <strong>what is my cellphone number??</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3606]" value="A" /> 09165578243</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3606]" value="B" /> 09277316180</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3606]" value="C" /> 09177456783</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3606]" value="D" /> 09156006304</label>
      <br />        
      <div style="padding: 5px 0;">2.
      <strong>what is the age of my grandma on 2010???</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3607]" value="A" /> 71</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3607]" value="B" /> 69</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3607]" value="C" /> 70</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3607]" value="D" /> 68</label>
      <br />        
      <div style="padding: 5px 0;">3.
      <strong>what is my favorite vegetables??</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3608]" value="A" /> upo</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3608]" value="B" /> kangkong</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3608]" value="C" /> kalabasa</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3608]" value="D" /> ampalaya</label>
      <br />        
      <div style="padding: 5px 0;">4.
      <strong>what is my favorite food??</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3609]" value="A" /> macaroni salad</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3609]" value="B" /> buko salad</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3609]" value="C" /> fruit sald</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3609]" value="D" /> none of the above</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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