do you really know me?

1. what is my middle name?

amber lynn marie

2. how tall am i?

4' 10'' 4' 8'' 4' 9''

3. who gave me the nickname "the dog"

kenny jake stephen

4. am i afraid of the dark?

yes no

5. do i have any siblings?

yes no

6. who are my best friends?

brenna and jake brenna, jake, kenny, stephen, and krystal krystal and stephen

7. when is my birthday?

2/18/94 3/12/94 10/22/94

8. what is my favorite word to say?

wow beast

9. what do i take with me anywhere i go?

cell phone cell phone and ipod ipod

10. are my parents still together?

no yes

Your name

E-mail address

HTML Code

<form method="post" action="https://www.flufo.com/ashley/754/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>what is my middle name?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5949]" value="A" /> amber</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5949]" value="B" /> lynn</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5949]" value="C" /> marie</label>
      <br />        
      <div style="padding: 5px 0;">2.
      <strong>how tall am i?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5950]" value="A" /> 4&#039; 10&#039;&#039;</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5950]" value="B" /> 4&#039; 8&#039;&#039;</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5950]" value="C" /> 4&#039; 9&#039;&#039;</label>
      <br />        
      <div style="padding: 5px 0;">3.
      <strong>who gave me the nickname &quot;the dog&quot;</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5951]" value="A" /> kenny</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5951]" value="B" /> jake</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5951]" value="C" /> stephen</label>
      <br />        
      <div style="padding: 5px 0;">4.
      <strong>am i afraid of the dark?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5952]" value="A" /> yes</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5952]" value="B" /> no</label>
      <br />        
      <div style="padding: 5px 0;">5.
      <strong>do i have any siblings?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5953]" value="A" /> yes</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5953]" value="B" /> no</label>
      <br />        
      <div style="padding: 5px 0;">6.
      <strong>who are my best friends?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5954]" value="A" /> brenna and jake</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5954]" value="B" /> brenna, jake, kenny, stephen, and krystal</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5954]" value="C" /> krystal and stephen</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[5955]" value="A" /> 2/18/94</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5955]" value="B" /> 3/12/94</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5955]" value="C" /> 10/22/94</label>
      <br />        
      <div style="padding: 5px 0;">8.
      <strong>what is my favorite word to say?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5956]" value="A" /> wow</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5956]" value="B" /> beast</label>
      <br />        
      <div style="padding: 5px 0;">9.
      <strong>what do i take with me anywhere i go?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5957]" value="A" /> cell phone</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5957]" value="B" /> cell phone and ipod</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5957]" value="C" /> ipod</label>
      <br />        
      <div style="padding: 5px 0;">10.
      <strong>are my parents still together?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5958]" value="A" /> no</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[5958]" value="B" /> yes</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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