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Survey about books, santa claus, allergy, sleep, charge cards and video games.

Begin Survey

1. Do you listen to the radio in the car? Yes No

2. Do you enjoy playing video games? Yes No

3. Do you own a motorcycle? Yes No

4. Will you visit a beauty salon this week? Yes No

5. Do you believe in Santa Claus? Yes No

6. Do you have any food allergies? Yes No

7. Do you use charge cards? Yes No

8. Do you enjoy independent films? Yes No

9. Do you take any prescribed daily medications? Yes No

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

11. Do you splash in mud puddles? Yes No

12. Do you own a Bible, Koran, or other religious book? Yes No

13. Do you get between 7 to 10 hours of sleep each night? Yes No

14. Do you have or use a cellular phone? Yes No

15. Have you ever traveled by airplane? Yes No

16. Will you ride on a bus this week? 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: - Jimmy Hoffa's middle name is Riddle. - A cup of coffee has 12 times the amount of caffeine as a cup of cocoa. - Women blink nearly twice as much as men. - The first lighthouse in England was built in 1619 at the Lizard, Cornwall.

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