fWedShiiP

1. whats my fav cOlur?!?

green black blue white

2. whats my fav band???

jObrOs hanni montani aly and aj chemical romance

3. if i was an animal what would i be?

bird whale butterfli cat

4. where do i live in the philippines

cavite manila luzon cebuu

Your name

E-mail address

HTML Code

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  <div style="width: 100%;">    
  <h1 style="color: #376e93;">fWedShiiP </h1>
         
    <br />        
      <div style="padding: 5px 0;">1.
      <strong>whats my fav cOlur?!?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6181]" value="A" /> green</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6181]" value="B" /> black</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6181]" value="C" /> blue</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6181]" value="D" /> white</label>
      <br />        
      <div style="padding: 5px 0;">2.
      <strong>whats my fav band???</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6182]" value="A" /> jObrOs</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6182]" value="B" /> hanni montani</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6182]" value="C" /> aly and aj</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6182]" value="D" /> chemical romance</label>
      <br />        
      <div style="padding: 5px 0;">3.
      <strong>if i was an animal what would i be?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6183]" value="A" /> bird</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6183]" value="B" /> whale</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6183]" value="C" /> butterfli</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6183]" value="D" /> cat</label>
      <br />        
      <div style="padding: 5px 0;">4.
      <strong>where do i live in the philippines</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6184]" value="A" /> cavite</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6184]" value="B" /> manila</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6184]" value="C" /> luzon</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6184]" value="D" /> cebuu</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>
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</form>

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