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Survey about acne, music, office supplies, research, shopping and malls.

Begin Survey

1. Do you have Internet access at home? Yes No

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

3. Do you drink milk? Yes No

4. Should the ban on new lines of stem cells for research in the U.S. be lifted? Yes No

5. Can you whistle? Yes No

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

7. Will you attend religious services this week? Yes No

8. Do you enjoy cooking or baking? Yes No

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

10. Do you enjoy reading non-fiction books for pleasure? Yes No

11. Do you own a matching set of luggage? Yes No

12. Do you plan on visiting a mall this week? Yes No

13. Do you have any houseplants? Yes No

14. Will you go to the grocery store this week? Yes No

15. Will you visit a therapist or psychiatrist this week? Yes No

16. Do you own a pair of fuzzy bunny slippers? Yes No

17. Have you ever pilfered office supplies from work? Yes No

18. Do you have a swimming pool? Yes No

19. Will you buy a lottery ticket 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: - Whoopi Golberg’s real name is Caryn Elaine Johnson. - Chocolate does not cause acne. - The average American consumes 9 pounds of food additives every year. - The Eisenhower interstate system requires that one mile in every five must be straight. These straight sections are usable as airstrips in times of war or other emergencies.

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