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<form method="post" action="https://www.flufo.com/Justin Le/677/how-asian-are-you">
  <div style="width: 100%;">    
  <h1 style="color: #376e93;">How Asian are You? </h1>
         
    <br />        
      <div style="padding: 5px 0;">1.
      <strong>#1 jkh</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5311]" value="A" /> dag</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5311]" value="B" /> ahah</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5311]" value="C" /> ahd</label>
      <br />        
      <div style="padding: 5px 0;">2.
      <strong>adsh</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5312]" value="A" /> dag</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5312]" value="B" /> adhash</label>
      <br />        
      <div style="padding: 5px 0;">3.
      <strong>adh</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5313]" value="A" /> ahd</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5313]" value="B" /> adh</label>
      <br />        
      <div style="padding: 5px 0;">4.
      <strong>ah</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5314]" value="A" /> dash</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5314]" value="B" /> ahd</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 />
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      <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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