Do you really know me?

1. Where was I born?

Athens, Georgia Commerce, Georgia Gainsville, Georgia None of the above

2. How did me and Josh meet?

My brother He introduced himself I introduced myself His sister

3. When is my birthday?

March 2 April 22 April 2 March 22

4. When did me and Josh get married?

January 5, 2007 January 2, 2007 January 4, 2007 None of the above

5. When did me and Josh first get together?

May 25, 2006 May 20, 2006 May 30, 2006 May 28, 2006

6. What is my middle name?

Shiane Nicole Amber Lynn

7. Who is my favorite football team?

Georgia Bulldogs Flordia Gators Dallas cowboys None of the above

8. Whats my favorite drink?

Coke vanila coke Pepsi Dr. Pepper

9. Who is Jasmin?

My friend My dog My sister My cat

10. Where is Josh from?

North Carolina South Carolina Georgia New York

Your name

E-mail address

HTML Code

<form method="post" action="https://www.flufo.com/Amber/724/do-you-really-know-me">
  <div style="width: 100%;">    
  <h1 style="color: #376e93;">Do you really know me? </h1>
         
    <br />        
      <div style="padding: 5px 0;">1.
      <strong>Where was I born?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5722]" value="A" /> Athens, Georgia</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5722]" value="B" /> Commerce, Georgia</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5722]" value="C" /> Gainsville, Georgia</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5722]" value="D" /> None of the above</label>
      <br />        
      <div style="padding: 5px 0;">2.
      <strong>How did me and Josh meet?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5723]" value="A" /> My brother</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5723]" value="B" /> He introduced himself</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5723]" value="C" /> I introduced myself</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5723]" value="D" /> His sister</label>
      <br />        
      <div style="padding: 5px 0;">3.
      <strong>When is my birthday?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5724]" value="A" /> March 2</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5724]" value="B" /> April 22</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5724]" value="C" /> April 2</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5724]" value="D" /> March 22</label>
      <br />        
      <div style="padding: 5px 0;">4.
      <strong>When did me and Josh get married?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5725]" value="A" /> January 5, 2007</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5725]" value="B" /> January 2, 2007</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5725]" value="C" /> January 4, 2007</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5725]" value="D" /> None of the above</label>
      <br />        
      <div style="padding: 5px 0;">5.
      <strong>When did me and Josh first get together?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5726]" value="A" /> May 25, 2006</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5726]" value="B" /> May 20, 2006</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5726]" value="C" /> May 30, 2006</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5726]" value="D" /> May 28, 2006</label>
      <br />        
      <div style="padding: 5px 0;">6.
      <strong>What is my middle name?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5727]" value="A" /> Shiane</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5727]" value="B" /> Nicole</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5727]" value="C" /> Amber</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5727]" value="D" /> Lynn</label>
      <br />        
      <div style="padding: 5px 0;">7.
      <strong>Who is my favorite football team?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5728]" value="A" /> Georgia Bulldogs</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5728]" value="B" /> Flordia Gators</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5728]" value="C" /> Dallas cowboys</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5728]" value="D" /> None of the above</label>
      <br />        
      <div style="padding: 5px 0;">8.
      <strong>Whats my favorite drink?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5729]" value="A" /> Coke</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5729]" value="B" /> vanila coke</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5729]" value="C" /> Pepsi</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5729]" value="D" /> Dr. Pepper</label>
      <br />        
      <div style="padding: 5px 0;">9.
      <strong>Who is Jasmin?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5730]" value="A" /> My friend</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5730]" value="B" /> My dog</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5730]" value="C" /> My sister</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5730]" value="D" /> My cat</label>
      <br />        
      <div style="padding: 5px 0;">10.
      <strong>Where is Josh from?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5731]" value="A" /> North Carolina</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5731]" value="B" /> South Carolina</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5731]" value="C" /> Georgia</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5731]" value="D" /> New York</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>
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