How well do you know me?

1. What is my middle name?

Rose Louise Nicole Faye

2. What is my favorite color?

Pink Blue Orange Baby Blue

3. How many sisters do I have?

1(one) 2(two) 3(three) 4(four)

4. What is my neices name?

Keely Kayleigh Jaelyn Kellyn

5. What is my fav show?

Greys anatomy Anericas Next top model Hannah Montana Runs House

6. When is my nephew due?

Dec. 25 2007 Aug. 31 2007 Dec. 17 2007 Jan 21 2007

7. What grade am i in?

9 (Freshmen) 10 (Sophomore) 11 (Junior)

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E-mail address

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<form method="post" action="https://www.flufo.com/Jera/99/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>What is my middle name?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[612]" value="A" /> Rose</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[612]" value="B" /> Louise</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[612]" value="C" /> Nicole</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[612]" value="D" /> Faye</label>
      <br />        
      <div style="padding: 5px 0;">2.
      <strong>What is my favorite color?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[613]" value="A" /> Pink</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[613]" value="B" /> Blue</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[613]" value="C" /> Orange</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[613]" value="D" /> Baby Blue</label>
      <br />        
      <div style="padding: 5px 0;">3.
      <strong>How many sisters do I have?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[614]" value="A" /> 1(one)</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[614]" value="B" /> 2(two)</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[614]" value="C" /> 3(three)</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[614]" value="D" /> 4(four)</label>
      <br />        
      <div style="padding: 5px 0;">4.
      <strong>What is my neices name?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[615]" value="A" /> Keely</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[615]" value="B" /> Kayleigh</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[615]" value="C" /> Jaelyn</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[615]" value="D" /> Kellyn</label>
      <br />        
      <div style="padding: 5px 0;">5.
      <strong>What is my fav show?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[616]" value="A" /> Greys anatomy</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[616]" value="B" /> Anericas Next top model</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[616]" value="C" /> Hannah Montana</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[616]" value="D" /> Runs House</label>
      <br />        
      <div style="padding: 5px 0;">6.
      <strong>When is my nephew due?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[617]" value="A" /> Dec. 25 2007</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[617]" value="B" /> Aug. 31 2007</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[617]" value="C" /> Dec. 17 2007</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[617]" value="D" /> Jan 21 2007</label>
      <br />        
      <div style="padding: 5px 0;">7.
      <strong>What grade am i in?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[618]" value="A" /> 9 (Freshmen)</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[618]" value="B" /> 10 (Sophomore)</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[618]" value="C" /> 11 (Junior)</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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