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Survey about alcoholic beverages, restaurants, napoleon, take-out, psychiatrists and delivery food.

Begin Survey

1. Will you consume any alcoholic beverages this weekend? Yes No

2. Will you attend a college sporting event this month? Yes No

3. Do you read your horoscope every day? Yes No

4. Do you wear glasses/contacts? Yes No

5. Do you enjoy hot bubble baths? Yes No

6. Would you consider yourself to be in good overall health? Yes No

7. Do you use chewing tobacco? Yes No

8. Do you splash in mud puddles? Yes No

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

10. Will you order take-out or delivery food from a restaurant this week? Yes No

11. Do you like chocolate? Yes No

12. Are you left-handed? Yes No

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

14. 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: - Napoleon constructed his battle plans in a sandbox. - Lima beans contain cyanide. - The average American consumes 9 pounds of food additives every year. - The first roller-skating rink, Belgravia Skating Rink, was opened to the public in Great Britain on August 2, 1875.

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