About Me

1. What is my two favorite colors?

blue & pink pink & lime green lime green &purple purple & pink

2. When is my birthday?

August 13 August 8 August 3 December 29

3. What do i want to be?

Doctor marine biologist vet nurse

4. What is my middle name?

ashley leigh taylor none of the above

5. What sport do i play?

soccer lacrosse softball basketball

6. Which one is true?

im an aunt i have 4 brothers i have 2 dogs i have 3 cats

Your name

E-mail address

HTML Code

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  <div style="width: 100%;">    
  <h1 style="color: #376e93;">About Me </h1>
         
    <br />        
      <div style="padding: 5px 0;">1.
      <strong>What is my two favorite colors?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6319]" value="A" /> blue &amp; pink</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6319]" value="B" /> pink &amp; lime green</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6319]" value="C" /> lime green &amp;purple</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6319]" value="D" /> purple &amp; pink</label>
      <br />        
      <div style="padding: 5px 0;">2.
      <strong>When is my birthday?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6320]" value="A" /> August 13</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6320]" value="B" /> August 8</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6320]" value="C" /> August 3</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6320]" value="D" /> December 29</label>
      <br />        
      <div style="padding: 5px 0;">3.
      <strong>What do i want to be?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6321]" value="A" /> Doctor</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6321]" value="B" /> marine biologist</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6321]" value="C" /> vet</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6321]" value="D" /> nurse</label>
      <br />        
      <div style="padding: 5px 0;">4.
      <strong>What is my middle name?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6322]" value="A" /> ashley</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6322]" value="B" /> leigh</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6322]" value="C" /> taylor</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6322]" value="D" /> none of the above</label>
      <br />        
      <div style="padding: 5px 0;">5.
      <strong>What sport do i play?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6323]" value="A" /> soccer</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6323]" value="B" /> lacrosse</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6323]" value="C" /> softball</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6323]" value="D" /> basketball</label>
      <br />        
      <div style="padding: 5px 0;">6.
      <strong>Which one is true?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6324]" value="A" /> im an aunt</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6324]" value="B" /> i have 4 brothers</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6324]" value="C" /> i have 2 dogs</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[6324]" value="D" /> i have 3 cats</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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