How well do you know me?

1. What are the names of my dogs?

Bandit and Phoebe Sunshine and Buddy Phoebe and Bud Chewy and Juniper

2. What do i drive?

Jeep Cherokee Jeep Wrangler Geo Tracker Grand Am

3. How many brothers do I have?

3 1 2

4. What's the name of the little girl I took care of?

Sammy Corie Carley Michelle

5. What is my beer of choice?

Bud Light Miller Light Corona Natty

6. What is my favorite mixed drink?

Screwdriver Jack and Coke Beam and Coke Captain and Coke

7. Where do I work?

Chrysler/Behr Kodak Scor Victoria Secret

8. What is my first rule of friendship?

Call me all the time. Don't fuck with my man! Don't lie to me. Don't tell me I look fine.

9. What is my middle name?

Marie Renee Lynn Michelle

10. When is my birthday? (And U better get this right!)

April 3rd March 1st April 5th June 12th

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>
      <img src="https://www.flufo.com/i/q/1120004777.jpg" alt="" border="0" align="right" />   
    <br />        
      <div style="padding: 5px 0;">1.
      <strong>What are the names of my dogs?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3867]" value="A" /> Bandit and Phoebe</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3867]" value="B" /> Sunshine and Buddy</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3867]" value="C" /> Phoebe and Bud</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3867]" value="D" /> Chewy and Juniper</label>
      <br />        
      <div style="padding: 5px 0;">2.
      <strong>What do i drive?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3868]" value="A" /> Jeep Cherokee</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3868]" value="B" /> Jeep Wrangler</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3868]" value="C" /> Geo Tracker</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3868]" value="D" /> Grand Am</label>
      <br />        
      <div style="padding: 5px 0;">3.
      <strong>How many brothers do I have?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3869]" value="A" /> 3</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3869]" value="B" /> 1</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3869]" value="C" /> 2</label>
      <br />        
      <div style="padding: 5px 0;">4.
      <strong>What&#039;s the name of the little girl I took care of?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3870]" value="A" /> Sammy</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3870]" value="B" /> Corie</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3870]" value="C" /> Carley</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3870]" value="D" /> Michelle</label>
      <br />        
      <div style="padding: 5px 0;">5.
      <strong>What is my beer of choice?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3871]" value="A" /> Bud Light</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3871]" value="B" /> Miller Light</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3871]" value="C" /> Corona</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3871]" value="D" /> Natty</label>
      <br />        
      <div style="padding: 5px 0;">6.
      <strong>What is my favorite mixed drink?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3872]" value="A" /> Screwdriver</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3872]" value="B" /> Jack and Coke</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3872]" value="C" /> Beam and Coke</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3872]" value="D" /> Captain and Coke</label>
      <br />        
      <div style="padding: 5px 0;">7.
      <strong>Where do I work?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3873]" value="A" /> Chrysler/Behr</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3873]" value="B" /> Kodak</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3873]" value="C" /> Scor</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3873]" value="D" /> Victoria Secret</label>
      <br />        
      <div style="padding: 5px 0;">8.
      <strong>What is my first rule of friendship?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3874]" value="A" /> Call me all the time.</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3874]" value="B" /> Don&#039;t fuck with my man!</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3874]" value="C" /> Don&#039;t lie to me.</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3874]" value="D" /> Don&#039;t tell me I look fine.</label>
      <br />        
      <div style="padding: 5px 0;">9.
      <strong>What is my middle name?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3875]" value="A" /> Marie</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3875]" value="B" /> Renee</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3875]" value="C" /> Lynn</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3875]" value="D" /> Michelle</label>
      <br />        
      <div style="padding: 5px 0;">10.
      <strong>When is my birthday? (And U better get this right!)</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3876]" value="A" /> April 3rd</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3876]" value="B" /> March 1st</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3876]" value="C" /> April 5th</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3876]" value="D" /> June 12th</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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