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Survey about busses, pizza, non-fiction, reading, daniel boone and psychiatrists.

Begin Survey

1. Have you ever been arrested? Yes No

2. Do you keep an umbrella in your car? Yes No

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

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

5. Do enjoy reading or writing poetry? Yes No

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

7. Do you have any piercings? Yes No

8. Do you have children? Yes No

9. Will you ride on a bus this week? Yes No

10. Do you believe in love at first sight? Yes No

11. Can you roller-skate, roller-blade, and/or ice-skate? Yes No

12. Do you ever download movies from the Internet? Yes No

13. Do you like chocolate? Yes No

14. Do you own or drive an SUV or large truck? Yes No

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

16. Are you married? Yes No

17. Do you enjoy reading non-fiction books for pleasure? Yes No

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

19. Do you think you are intelligent? Yes No

20. Will you visit a therapist or psychiatrist this week? 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: - Daniel Boone hated coonskin caps. - 50% of pizzas sold in the U.S. have pepperoni on them. - Between 25% to 33% of people sneeze when they are exposed to light. - In Washington D.C., no building may be built taller than the Washington Monument.

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