How well do you know me?

1. Where was I born?

Massachussetts Portugal New York Florida

2. What is my favorite car?

H2 Hummer Dodge Ram RAV 4 Escalade

3. Where do I work?

Massbank Lowell General Wendy's Market Basket

4. How many children do I have?

1 2 3 4

5. Which high school did I attend?

Gteater Lowell Tech. Lowell High Dracut High Tyngsboro High

6. What food don't I like?

Sushi Pizza Chinese Hamburger

7. What state would I like to visit?

New York Florida California Maine

8. What month is my birthday on?

May November Febuary August

9. My favorite alcoholic beverage?

Budweiser Vodka Pearl Harbor Martini

10. Which is one of my fears?

Heights Spiders Dieing Being alone

Your name

E-mail address

HTML Code

<form method="post" action="https://www.flufo.com/Helena/932/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>Where was I born?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7401]" value="A" /> Massachussetts</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7401]" value="B" /> Portugal</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7401]" value="C" /> New York</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7401]" value="D" /> Florida</label>
      <br />        
      <div style="padding: 5px 0;">2.
      <strong>What is my favorite car?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7402]" value="A" /> H2 Hummer</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7402]" value="B" /> Dodge Ram</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7402]" value="C" /> RAV 4</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7402]" value="D" /> Escalade</label>
      <br />        
      <div style="padding: 5px 0;">3.
      <strong>Where do I work?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7403]" value="A" /> Massbank</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7403]" value="B" /> Lowell General</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7403]" value="C" /> Wendy&#039;s</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7403]" value="D" /> Market Basket</label>
      <br />        
      <div style="padding: 5px 0;">4.
      <strong>How many children do I have?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7404]" value="A" /> 1</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7404]" value="B" /> 2</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7404]" value="C" /> 3</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7404]" value="D" /> 4</label>
      <br />        
      <div style="padding: 5px 0;">5.
      <strong>Which high school did I attend?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7405]" value="A" /> Gteater Lowell Tech.</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7405]" value="B" /> Lowell High</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7405]" value="C" /> Dracut High</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7405]" value="D" /> Tyngsboro High</label>
      <br />        
      <div style="padding: 5px 0;">6.
      <strong>What food don&#039;t I like?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7406]" value="A" /> Sushi</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7406]" value="B" /> Pizza</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7406]" value="C" /> Chinese</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7406]" value="D" /> Hamburger</label>
      <br />        
      <div style="padding: 5px 0;">7.
      <strong>What state would I like to visit?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7407]" value="A" /> New York</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7407]" value="B" /> Florida</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7407]" value="C" /> California</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7407]" value="D" /> Maine</label>
      <br />        
      <div style="padding: 5px 0;">8.
      <strong>What month is my birthday on?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7408]" value="A" /> May</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7408]" value="B" /> November</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7408]" value="C" /> Febuary</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7408]" value="D" /> August</label>
      <br />        
      <div style="padding: 5px 0;">9.
      <strong>My favorite alcoholic beverage?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7409]" value="A" /> Budweiser</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7409]" value="B" /> Vodka</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7409]" value="C" /> Pearl Harbor</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7409]" value="D" /> Martini</label>
      <br />        
      <div style="padding: 5px 0;">10.
      <strong>Which is one of my fears?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7410]" value="A" /> Heights</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7410]" value="B" /> Spiders</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7410]" value="C" /> Dieing</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7410]" value="D" /> Being alone</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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