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Survey about blue jeans, louisiana, teeth, grocery stores, karma and vcr.

Begin Survey

1. Do you enjoy independent films? Yes No

2. Do you always drive within the posted speed limit? Yes No

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

4. Do you have any phobias? Yes No

5. Do you brush your teeth each morning? Yes No

6. Do you have any piercings? Yes No

7. Do you like chocolate? Yes No

8. Do you own a dictionary and/or thesaurus? Yes No

9. Do you use online banking? Yes No

10. Do you own a gun? Yes No

11. Do you believe in karma? Yes No

12. Are you a veteran? Yes No

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

14. Do you follow a low-carb diet? Yes No

15. Do you sing in the shower? Yes No

16. Have you ever had a professional massage? Yes No

17. Do you have a VCR? Yes No

18. Did you vote in the last Presidential election? Yes No

19. Do you have any siblings? Yes No

20. Will you see a play this month? Yes No

21. 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: - Leonardo da Vinci could write with one hand and draw with the other at the same time. - Lima beans contain cyanide. - By the age of 60, most people have lost 50% of their taste buds. - The State of Louisiana was named after the French King Louis XIV.

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