Do You Know Me?

1. What is my middle name?

Marie Lorene Ann Jean

2. What is my favorite J-rock band?

Alice Nine Vidoll Girugamesh Kagrra

3. What color are my eyes?

Blue Brown Hazel Green

4. What is my favorite subject in School?

English Chemistry Math History

5. What is my Favorite color? (this is easy...)

Green Blue Orange Purple

6. What is my favorite anime? (out of the following)

Inuyasha Princess, Princess Naruto Bleach

7. When is my Birthday?

December 5th October 28th September 28th March 17th

8. Where does my Best Friend live?

South Carolina North Carolina Alabama Illinois

9. Where do I wish I could go right now?

Louisiana Japan Illinois Ireland

10. Finally, Am I a dog or cat person?

Cat Dog um...neither? who cares..

Your name

E-mail address

HTML Code

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  <div style="width: 100%;">    
  <h1 style="color: #376e93;">Do You Know Me? </h1>
      <img src="https://www.flufo.com/i/q/857751257.jpg" alt="" border="0" align="right" />   
    <br />        
      <div style="padding: 5px 0;">1.
      <strong>What is my middle name?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3891]" value="A" /> Marie</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3891]" value="B" /> Lorene</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3891]" value="C" /> Ann</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3891]" value="D" /> Jean</label>
      <br />        
      <div style="padding: 5px 0;">2.
      <strong>What is my favorite J-rock band?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3892]" value="A" /> Alice Nine</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3892]" value="B" /> Vidoll</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3892]" value="C" /> Girugamesh</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3892]" value="D" /> Kagrra</label>
      <br />        
      <div style="padding: 5px 0;">3.
      <strong>What color are my eyes?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3893]" value="A" /> Blue</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3893]" value="B" /> Brown</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3893]" value="C" /> Hazel</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3893]" value="D" /> Green</label>
      <br />        
      <div style="padding: 5px 0;">4.
      <strong>What is my favorite subject in School?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3894]" value="A" /> English</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3894]" value="B" /> Chemistry</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3894]" value="C" /> Math</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3894]" value="D" /> History</label>
      <br />        
      <div style="padding: 5px 0;">5.
      <strong>What is my Favorite color? (this is easy...)</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3895]" value="A" /> Green</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3895]" value="B" /> Blue</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3895]" value="C" /> Orange</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3895]" value="D" /> Purple</label>
      <br />        
      <div style="padding: 5px 0;">6.
      <strong>What is my favorite anime? (out of the following)</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3896]" value="A" /> Inuyasha</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3896]" value="B" /> Princess, Princess</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3896]" value="C" /> Naruto</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3896]" value="D" /> Bleach</label>
      <br />        
      <div style="padding: 5px 0;">7.
      <strong>When is my Birthday?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3897]" value="A" /> December 5th</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3897]" value="B" /> October 28th</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3897]" value="C" /> September 28th</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3897]" value="D" /> March 17th</label>
      <br />        
      <div style="padding: 5px 0;">8.
      <strong>Where does my Best Friend live?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3898]" value="A" /> South Carolina</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3898]" value="B" /> North Carolina</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3898]" value="C" /> Alabama</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3898]" value="D" /> Illinois</label>
      <br />        
      <div style="padding: 5px 0;">9.
      <strong>Where do I wish I could go right now?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3899]" value="A" /> Louisiana</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3899]" value="B" /> Japan</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3899]" value="C" /> Illinois</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3899]" value="D" /> Ireland</label>
      <br />        
      <div style="padding: 5px 0;">10.
      <strong>Finally, Am I a dog or cat person?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3900]" value="A" /> Cat</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3900]" value="B" /> Dog</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3900]" value="C" /> um...neither?</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[3900]" value="D" /> who cares..</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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