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Survey about airplanes, health, malls, white house, trips and rose family.

Begin Survey

1. Do you use online banking? Yes No

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

3. Will you buy an espresso drink (cappuccino, latte etc.) from a coffee house this week? Yes No

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

5. Will you go to a bar or night club this week? Yes No

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

7. Do you own or use a digital camera? Yes No

8. Have you ever been arrested? Yes No

9. Do you wear glasses/contacts? Yes No

10. Do you plan on visiting a comedy club this month? Yes No

11. Have you ever been tested for HIV? Yes No

12. Have you ever spent a day at a spa? Yes No

13. Have you ever cut your own hair? Yes No

14. Have you ever been the target of identity theft? Yes No

15. Do you plan on taking a trip by airplane this week? Yes No

16. Do you shower at least once daily? Yes No

17. 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: - Theodore Roosevelt was blind in his left eye. - Strawberries are a member of the rose family. - 25% of your bones are located in your feet. - It takes 570 gallons of white paint to cover the outside of the White House.

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