How much do you know about me?

1. Whats my favorite color?

Pink Blue Green Black

2. When is my birthday

Feb. 23rd 1985 March 17th, 1985 June 7th, 1985 August 3rd, 1985

3. Have I lived in Bartlesville all my life?

Yes - Bville and only Bville No - Bville and Blackwell No - Bville and Nowata No - Blackwell, Nowata and Bartlesville

4. What is my favorite movie?

troy Gladiator 300 Drop Dead Fred

Your name

E-mail address

HTML Code

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  <div style="width: 100%;">    
  <h1 style="color: #376e93;">How much do you know about me? </h1>
      <img src="https://www.flufo.com/i/q/1068132449.gif" alt="" border="0" align="right" />   
    <br />        
      <div style="padding: 5px 0;">1.
      <strong>Whats my favorite color?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[303]" value="A" /> Pink</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[303]" value="B" /> Blue</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[303]" value="C" /> Green</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[303]" value="D" /> Black</label>
      <br />        
      <div style="padding: 5px 0;">2.
      <strong>When is my birthday</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[304]" value="A" /> Feb. 23rd 1985</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[304]" value="B" /> March 17th, 1985</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[304]" value="C" /> June 7th, 1985</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[304]" value="D" /> August 3rd, 1985</label>
      <br />        
      <div style="padding: 5px 0;">3.
      <strong>Have I lived in Bartlesville all my life?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[305]" value="A" /> Yes - Bville and only Bville</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[305]" value="B" /> No - Bville and Blackwell</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[305]" value="C" /> No - Bville and Nowata</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[305]" value="D" /> No - Blackwell, Nowata and Bartlesville</label>
      <br />        
      <div style="padding: 5px 0;">4.
      <strong>What is my favorite movie?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[306]" value="A" /> troy</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[306]" value="B" /> Gladiator</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[306]" value="C" /> 300</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[306]" value="D" /> Drop Dead Fred</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;" />     
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    	<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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</form>

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