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How well do you know me?!?
1.
What was my first car?
chevy cavalier
mustang
chevy jeep
firebird
2.
What is my middle name?
Lynn
Michelle
Ann
Marie
3.
Where did i grow up?
Maryland & PA
OH & NY
NJ & PA
Nj & NY
4.
What color are my eyes?
hazel
brown
blue
green
5.
# of nieces
1
2
3
4
6.
favorite beverage
sprite
tea
coke
coffee
7.
My two best friends?
Heather & mel
Chris & jen
Tara & Mel
jake & tracy
8.
astrology sign
aries
cancer
pisces
scorpio
Your name
E-mail address
powered by:
flufo.com
HTML Code
<form method="post" action="https://www.flufo.com/nicholanc/85/how-well-do-you-know-me"> <div style="width: 100%;"> <h1 style="color: #376e93;">How well do you know me?!? </h1> <br /> <div style="padding: 5px 0;">1. <strong>What was my first car?</strong> </div> <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[511]" value="A" /> chevy cavalier</label> <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[511]" value="B" /> mustang</label> <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[511]" value="C" /> chevy jeep</label> <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[511]" value="D" /> firebird</label> <br /> <div style="padding: 5px 0;">2. <strong>What is my middle name?</strong> </div> <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[512]" value="A" /> Lynn</label> <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[512]" value="B" /> Michelle</label> <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[512]" value="C" /> Ann</label> <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[512]" value="D" /> Marie</label> <br /> <div style="padding: 5px 0;">3. <strong>Where did i grow up?</strong> </div> <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[513]" value="A" /> Maryland & PA</label> <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[513]" value="B" /> OH & NY</label> <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[513]" value="C" /> NJ & PA</label> <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[513]" value="D" /> Nj & NY</label> <br /> <div style="padding: 5px 0;">4. <strong>What color are my eyes?</strong> </div> <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[514]" value="A" /> hazel</label> <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[514]" value="B" /> brown</label> <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[514]" value="C" /> blue</label> <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[514]" value="D" /> green</label> <br /> <div style="padding: 5px 0;">5. <strong># of nieces</strong> </div> <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[515]" value="A" /> 1</label> <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[515]" value="B" /> 2</label> <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[515]" value="C" /> 3</label> <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[515]" value="D" /> 4</label> <br /> <div style="padding: 5px 0;">6. <strong>favorite beverage</strong> </div> <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[516]" value="A" /> sprite</label> <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[516]" value="B" /> tea</label> <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[516]" value="C" /> coke</label> <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[516]" value="D" /> coffee</label> <br /> <div style="padding: 5px 0;">7. <strong>My two best friends?</strong> </div> <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[517]" value="A" /> Heather & mel</label> <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[517]" value="B" /> Chris & jen</label> <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[517]" value="C" /> Tara & Mel</label> <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[517]" value="D" /> jake & tracy</label> <br /> <div style="padding: 5px 0;">8. <strong>astrology sign</strong> </div> <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[518]" value="A" /> aries</label> <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[518]" value="B" /> cancer</label> <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[518]" value="C" /> pisces</label> <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[518]" value="D" /> scorpio</label> <br /> <div><label for="userName">Your name</label> <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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