Are you a true friend?

1. What is my cats name?

Fluffy Snow Ball Amber Teddy

2. When is my b day

June 12 April 14 October 9 May 7

3. What is my fav. color

Blue Green Purple Yellow

4. Who do i like

Dillon Heater Jackson Grubb Connor Carlson Chris Brown

Your name

E-mail address

HTML Code

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  <div style="width: 100%;">    
  <h1 style="color: #376e93;">Are you a true friend? </h1>
      <img src="https://www.flufo.com/i/q/505946710.gif" alt="" border="0" align="right" />   
    <br />        
      <div style="padding: 5px 0;">1.
      <strong>What is my cats name?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[4467]" value="A" /> Fluffy</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[4467]" value="B" /> Snow Ball</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[4467]" value="C" /> Amber</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[4467]" value="D" /> Teddy</label>
      <br />        
      <div style="padding: 5px 0;">2.
      <strong>When is my b day</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[4468]" value="A" /> June 12</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[4468]" value="B" /> April 14</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[4468]" value="C" /> October 9</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[4468]" value="D" /> May 7</label>
      <br />        
      <div style="padding: 5px 0;">3.
      <strong>What is my fav. color</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[4469]" value="A" /> Blue</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[4469]" value="B" /> Green</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[4469]" value="C" /> Purple</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[4469]" value="D" /> Yellow</label>
      <br />        
      <div style="padding: 5px 0;">4.
      <strong>Who do i like</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[4470]" value="A" /> Dillon Heater</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[4470]" value="B" /> Jackson Grubb</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[4470]" value="C" /> Connor Carlson</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[4470]" value="D" /> Chris Brown</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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