What do you know about me?

1. what are my favorite colors?

red white blue green blue pink blue black red white black grey

2. what is my favorite thing to do?

swim run walk watch tv

3. what is my favorite food?

chinese cheeseburgers indian tacos and ribs mexican

4. where was my favorite place to live?

klamath likely alturas chiloquin

5. when i lived in chiloquin, what did i do all summer?

swim talk on the phone just chill walk around

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 are my favorite colors?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7735]" value="A" /> red white blue</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7735]" value="B" /> green blue pink</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7735]" value="C" /> blue black red</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7735]" value="D" /> white black grey</label>
      <br />        
      <div style="padding: 5px 0;">2.
      <strong>what is my favorite thing to do?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7736]" value="A" /> swim</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7736]" value="B" /> run</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7736]" value="C" /> walk</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7736]" value="D" /> watch tv</label>
      <br />        
      <div style="padding: 5px 0;">3.
      <strong>what is my favorite food?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7737]" value="A" /> chinese</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7737]" value="B" /> cheeseburgers</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7737]" value="C" /> indian tacos and ribs</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7737]" value="D" /> mexican</label>
      <br />        
      <div style="padding: 5px 0;">4.
      <strong>where was my favorite place to live?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7738]" value="A" /> klamath</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7738]" value="B" /> likely</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7738]" value="C" /> alturas</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7738]" value="D" /> chiloquin</label>
      <br />        
      <div style="padding: 5px 0;">5.
      <strong>when i lived in chiloquin, what did i do all summer?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7739]" value="A" /> swim</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7739]" value="B" /> talk on the phone</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7739]" value="C" /> just chill</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[7739]" value="D" /> walk around</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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