lexi rox

1. whos my crushes name?

jaramia josiah B patchrick michael

2. how old am i?

10 21 8 9

3. whos my best bud?

sammi gracie naseem sabrina

4. whats my favorite tv show?

sponge bob wizards of waverly place south park family guid

Your name

E-mail address

HTML Code

<form method="post" action="https://www.flufo.com/Lexi/893/lexi-rox">
  <div style="width: 100%;">    
  <h1 style="color: #376e93;">lexi rox </h1>
         
    <br />        
      <div style="padding: 5px 0;">1.
      <strong>whos my crushes name?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7148]" value="A" /> jaramia</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7148]" value="B" /> josiah B</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7148]" value="C" /> patchrick</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7148]" value="D" /> michael</label>
      <br />        
      <div style="padding: 5px 0;">2.
      <strong>how old am i?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7149]" value="A" /> 10</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7149]" value="B" /> 21</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7149]" value="C" /> 8</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7149]" value="D" /> 9</label>
      <br />        
      <div style="padding: 5px 0;">3.
      <strong>whos my best bud?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7150]" value="A" /> sammi</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7150]" value="B" /> gracie</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7150]" value="C" /> naseem</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7150]" value="D" /> sabrina</label>
      <br />        
      <div style="padding: 5px 0;">4.
      <strong>whats my favorite tv show?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7151]" value="A" /> sponge bob</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7151]" value="B" /> wizards of waverly place</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7151]" value="C" /> south park</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7151]" value="D" /> family guid</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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