What do you know about me?

1. What city was I born in?

Albany, NY Ft Myers, FL Orlando, FL Naples, FL

2. What is my favorite food?

Alligator Crab Legs Chicken Parm Turkey

3. What is my biggest dream in life?

To get rich and buy an island To get married and have children To become a published writer To be a supermodel

4. What is my favorite singer/band of all time?

The Ramones Elvis Massive Attack Tori Amos

5. Why did I move to NY?

I wanted to find my cousins I was sick of being a nobody I love the snow I wanted to pursue my Broadway career

Your name

E-mail address

HTML Code

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  <div style="width: 100%;">    
  <h1 style="color: #376e93;">What do you know about me? </h1>
         
    <br />        
      <div style="padding: 5px 0;">1.
      <strong>What city was I born in?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7128]" value="A" /> Albany, NY</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7128]" value="B" /> Ft Myers, FL</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7128]" value="C" /> Orlando, FL</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7128]" value="D" /> Naples, FL</label>
      <br />        
      <div style="padding: 5px 0;">2.
      <strong>What is my favorite food?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7129]" value="A" /> Alligator</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7129]" value="B" /> Crab Legs</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7129]" value="C" /> Chicken Parm</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7129]" value="D" /> Turkey</label>
      <br />        
      <div style="padding: 5px 0;">3.
      <strong>What is my biggest dream in life?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7130]" value="A" /> To get rich and buy an island</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7130]" value="B" /> To get married and have children</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7130]" value="C" /> To become a published writer</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7130]" value="D" /> To be a supermodel</label>
      <br />        
      <div style="padding: 5px 0;">4.
      <strong>What is my favorite singer/band of all time?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7131]" value="A" /> The Ramones</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7131]" value="B" /> Elvis</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7131]" value="C" /> Massive Attack</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7131]" value="D" /> Tori Amos</label>
      <br />        
      <div style="padding: 5px 0;">5.
      <strong>Why did I move to NY?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7132]" value="A" /> I wanted to find my cousins</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7132]" value="B" /> I was sick of being a nobody</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7132]" value="C" /> I love the snow</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7132]" value="D" /> I wanted to pursue my Broadway career</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;" />     
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      <label for="userEmail">E-mail address</label>
      <input type="text" name="userEmail" id="userEmail" value="" style="width: 300px;" />     
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    	<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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