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Survey about bars, coonskin caps, dandelion root, daniel boone, fast food and videos.

Begin Survey

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

2. Are your immunizations up-to-date? Yes No

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

4. Do you work outside of the home? Yes No

5. Do you own a gun? Yes No

6. Do you ever dye your hair? Yes No

7. Do you wear sandals/flip-flops in the summer? Yes No

8. Will you use a coupon for any of your purchases this week? Yes No

9. Have you eaten fast food this week? Yes No

10. Do you drink milk? Yes No

11. Will you rent a DVD or video this weekend? Yes No

12. Do you run the vacuum (or sweep) your floors every day? Yes No

13. Do you have road rage? 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: - Daniel Boone hated coonskin caps. - Dandelion root can be roasted and ground as a coffee substitute. - During their lifetime, the average human will grow 590 miles of hair. - The Golden Gate Bridge was first opened in 1937.

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