how well do you know me

1. what's RifErZ last name?

miller jones shoman bellier

2. how old is riferz?

17 18 19 20

3. what rifa's favorite colors?

blue/white/yellow black/white purple/green/pink black/white/red

4. Whats does riferz wants to do?

go back to school get a car get a job all of the above

Your name

E-mail address

HTML Code

<form method="post" action="https://www.flufo.com/rifa/663/how-well-do-you-know-me">
  <div style="width: 100%;">    
  <h1 style="color: #376e93;">how well do you know me </h1>
         
    <br />        
      <div style="padding: 5px 0;">1.
      <strong>what&#039;s RifErZ last name?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5180]" value="A" /> miller</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5180]" value="B" /> jones</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5180]" value="C" /> shoman</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5180]" value="D" /> bellier</label>
      <br />        
      <div style="padding: 5px 0;">2.
      <strong>how old is riferz?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5181]" value="A" /> 17</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5181]" value="B" /> 18</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5181]" value="C" /> 19</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5181]" value="D" /> 20</label>
      <br />        
      <div style="padding: 5px 0;">3.
      <strong>what rifa&#039;s favorite colors?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5182]" value="A" /> blue/white/yellow</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5182]" value="B" /> black/white</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5182]" value="C" /> purple/green/pink</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5182]" value="D" /> black/white/red</label>
      <br />        
      <div style="padding: 5px 0;">4.
      <strong>Whats does riferz wants to do?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5183]" value="A" /> go back to school</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5183]" value="B" /> get a car</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5183]" value="C" /> get a job</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5183]" value="D" /> all 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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