How Well Do You Know Me Right Now?

1. What is my favorite color?

blue purple pink green

2. What kind of car do I drive?

cavalier mustang focus camaro

3. How many kids do I have?

1 2 3 4

4. Where was I born?

Helena Great Falls Butte none of the above

5. How many siblings do I have?

2 3 4 5

6. What is my middle name?

Lynn Anne Marie Valerie

7. Where do I work?

restaurant casino department store office building

8. When is my birthday?

may 22 may 29 june 1 june 16

9. I am...

single. in a relationship. engaged. married.

10. Which am I most likely to listen to?

ICP Kenny G Jessica Simpson Green Day

Your name

E-mail address

HTML Code

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  <div style="width: 100%;">    
  <h1 style="color: #376e93;">How Well Do You Know Me Right Now? </h1>
         
    <br />        
      <div style="padding: 5px 0;">1.
      <strong>What is my favorite color?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7642]" value="A" /> blue</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7642]" value="B" /> purple</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7642]" value="C" /> pink</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7642]" value="D" /> green</label>
      <br />        
      <div style="padding: 5px 0;">2.
      <strong>What kind of car do I drive?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7643]" value="A" /> cavalier</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7643]" value="B" /> mustang</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7643]" value="C" /> focus</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7643]" value="D" /> camaro</label>
      <br />        
      <div style="padding: 5px 0;">3.
      <strong>How many kids do I have?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7644]" value="A" /> 1</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7644]" value="B" /> 2</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7644]" value="C" /> 3</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7644]" value="D" /> 4</label>
      <br />        
      <div style="padding: 5px 0;">4.
      <strong>Where was I born?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7645]" value="A" /> Helena</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7645]" value="B" /> Great Falls</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7645]" value="C" /> Butte</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7645]" value="D" /> none of the above</label>
      <br />        
      <div style="padding: 5px 0;">5.
      <strong>How many siblings do I have?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7646]" value="A" /> 2</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7646]" value="B" /> 3</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7646]" value="C" /> 4</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7646]" value="D" /> 5</label>
      <br />        
      <div style="padding: 5px 0;">6.
      <strong>What is my middle name?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7647]" value="A" /> Lynn</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7647]" value="B" /> Anne</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7647]" value="C" /> Marie</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7647]" value="D" /> Valerie</label>
      <br />        
      <div style="padding: 5px 0;">7.
      <strong>Where do I work?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7648]" value="A" /> restaurant</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7648]" value="B" /> casino</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7648]" value="C" /> department store</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7648]" value="D" /> office building</label>
      <br />        
      <div style="padding: 5px 0;">8.
      <strong>When is my birthday?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7649]" value="A" /> may 22</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7649]" value="B" /> may 29</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7649]" value="C" /> june 1</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7649]" value="D" /> june 16</label>
      <br />        
      <div style="padding: 5px 0;">9.
      <strong>I am...</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7650]" value="A" /> single.</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7650]" value="B" /> in a relationship.</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7650]" value="C" /> engaged.</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7650]" value="D" /> married.</label>
      <br />        
      <div style="padding: 5px 0;">10.
      <strong>Which am I most likely to listen to?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7651]" value="A" /> ICP</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7651]" value="B" /> Kenny G</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7651]" value="C" /> Jessica Simpson</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7651]" value="D" /> Green Day</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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