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Survey about acne, food, driving, flowers, doctors and comics.

Begin Survey

1. Will you visit a casino this week? Yes No

2. Do you read the comics? Yes No

3. Have you ever eaten fried green tomatoes? Yes No

4. Do you subscribe to your local newspaper? Yes No

5. Have you ever traveled by airplane? Yes No

6. Do you plan on visiting the public library this week? Yes No

7. Can you drive a stick shift? Yes No

8. Will you buy plants or flowers from a florist this week? Yes No

9. Do you have cable or satellite television? Yes No

10. Do you own a motorcycle? Yes No

11. Do you have any piercings? Yes No

12. Do you like peanut butter and jelly sandwiches? Yes No

13. Do you have a land-line phone in your home? Yes No

14. Do you own at least one pair of blue jeans? Yes No

15. Do you have a sit-down family dinner every night? Yes No

16. Do you enjoy documentary films? Yes No

17. Do you use chewing tobacco? Yes No

18. Have you ever spent more than $100 on a pair of shoes? Yes No

19. Will you visit a doctor this week? Yes No

20. Would you like a free video or CD-ROM with more information on owning or renting an RV? Yes No

Your Firstname:

Your Emailaddress:

Yes, I would like to join the Daily Life Survey!

Fun and Interesting facts: - Jimi Hendrix, Janis Joplin, and Jim Morrison were all 27 years old when they died. - Chocolate does not cause acne. - One in 500 humans has one blue eye and one brown eye. - The tallest freestanding sculpture in the world is Chief Crazy Horse in South Dakota, USA.

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