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<div align="center" style="font-family: Tahoma, Verdana, Arial, Helvetica, sans-serif; font-size: 10pt;"><form action="http://quizzes.blogquiz.net/fun-quizzes/LiveJournal-Memes/Who-do-you-ship-livejournal-meme-quiz_aWQ9NzIwMQ.html" method="post" name="quiz7201"><table border="1" cellspacing="0" cellpadding="0"><tr><td><table style="font-family: Tahoma, Verdana, Arial, Helvetica, sans-serif; font-size: 10pt;" border="0" cellspacing="0" cellpadding="3"><tr bgcolor="#003366"><td colspan="2" align="center" valign="middle"><div align="center" style="color: #FFFFFF; font-weight: bold;"><a href="http://quizzes.blogquiz.net/fun-quizzes/LiveJournal-Memes/Who-do-you-ship-livejournal-meme-quiz_aWQ9NzIwMQ.html" style="color: #FFFFFF; text-decoration: none;">Who do you ship?</a></div></td></tr><tr bgcolor="#6699CC"><td align="left" valign="middle" style="color: #FFFFFF;">LiveJournal Username</td><td align="left" valign="middle"><input type="textbox" name="ljusername" value="" size="20" maxlength="64"></td></tr><tr bgcolor="#6699CC"><td align="left" valign="middle" style="color: #FFFFFF;">Age</td><td align="left" valign="middle"><select name="input:0"><option value="0" selected>17 and younger</option><option value="1" >18-30</option><option value="2" >31-50</option><option value="3" >51 and older</option></select></td></tr><tr bgcolor="#6699CC"><td align="left" valign="middle" style="color: #FFFFFF;">Sex</td><td align="left" valign="middle"><select name="input:1"><option value="0" selected>Female</option><option value="1" >Male</option><option value="2" >Where?!?!</option><option value="3" >Yes, please.</option></select></td></tr><tr bgcolor="#6699CC"><td align="left" valign="middle" style="color: #FFFFFF;">Favorite Character</td><td align="left" valign="middle"><select name="input:2"><option value="0" selected>House</option><option value="1" >Wilson</option><option value="2" >Cameron</option><option value="3" >Chase</option><option value="4" >Cuddy</option><option value="5" >Foreman</option><option value="6" >Stacy</option></select></td></tr><tr bgcolor="#6699CC"><td align="left" valign="middle" style="color: #FFFFFF;">Least Favorite Character</td><td align="left" valign="middle"><select name="input:3"><option value="0" selected>House</option><option value="1" >Wilson</option><option value="2" >Cameron</option><option value="3" >Cuddy</option><option value="4" >Chase</option><option value="5" >Foreman</option><option value="6" >Stacy</option></select></td></tr><tr bgcolor="#6699CC"><td align="left" valign="middle" style="color: #FFFFFF;">Drug of Choice</td><td align="left" valign="middle"><select name="input:4"><option value="0" selected>Vicodin</option><option value="1" >Haderol</option><option value="2" >Ativan</option><option value="3" >Cymbalta</option><option value="4" >Claritan</option><option value="5" >Oxycodine</option><option value="6" >House</option></select></td></tr><tr bgcolor="#6699CC"><td align="left" valign="middle" style="color: #FFFFFF;">Have you ever been hospitalized?</td><td align="left" valign="middle"><select name="input:5"><option value="0" selected>Yes</option><option value="1" >No</option><option value="2" >Maybe</option></select></td></tr><tr bgcolor="#6699CC"><td align="left" valign="middle" style="color: #FFFFFF;">How many languages can you speak?</td><td align="left" valign="middle"><select name="input:6"><option value="0" selected>just my mother tongue</option><option value="1" >2-4</option><option value="2" >5 or more</option><option value="3" >i can't even speak my mother tongue fluently!</option></select></td></tr><tr bgcolor="#6699CC"><td align="left" valign="middle" style="color: #FFFFFF;">How often do you watch House?</td><td align="left" valign="middle"><select name="input:7"><option value="0" selected>I'm...uh...addicted.</option><option value="1" >Regularly.</option><option value="2" >Sometimes.</option><option value="3" >Occasionally.</option><option value="4" >Never.</option><option value="5" >What? It's a TV show?</option></select></td></tr><tr bgcolor="#003366" height="5"><td colspan="2"></td></tr><tr bgcolor="#003366"><td colspan="2" align="center" valign="middle"><div align="center"><input type="submit" name="submit" value="Fill in your answers and click here!" style="font-size: 9pt;"></div></td></tr><tr bgcolor="#003366"><td colspan="2" align="center" valign="middle"><div style="color: #FFFFFF;" align="center">This <a href="http://www.blogquiz.net/" style="color: #FFFFFF;">Fun Quiz</a> created by <a href="http://www.blogquiz.net/users/illegal_autopsy" style="color: #FFFFFF;">Kyla</a> at <strong>BlogQuiz.Net</strong><img src="http://70.84.102.91/x/blogquiz.net-blog/29" border="0" width="1" height="1"></div></td></tr></table></td></tr></table><a href="http://weightlosstips.tv/weight-loss-tips/">Weight Loss Tips</a> at WeightLossTips.TV</form><br></div>
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