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Survey about cacoa, night, florists, phobias, cocunuts and plants.

Begin Survey

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

2. Do you have any tattoos? Yes No

3. Do you have any phobias? Yes No

4. Do you plan to visit the zoo this year? Yes No

5. Do you use chewing tobacco? Yes No

6. Do you speak any foreign languages? Yes No

7. Do you have any pets? Yes No

8. Will you buy plants or flowers from a florist this week? Yes No

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

10. Will you visit a casino this week? Yes No

11. Will you go to a concert this week? Yes No

12. Will you travel outside of the U.S. this year? Yes No

13. Do you know your cholesterol level? Yes No

14. Do you play any musical instruments? Yes No

15. Do you sleep with a pillow at night? Yes No

16. Do you brush your teeth after lunch? Yes No

17. Do you have road rage? Yes No

18. 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: - Henry Ford, father of the assembly line, also invented the charcoal briquette. - A cup of coffee has 12 times the amount of caffeine as a cup of cocoa. - The liquid inside young coconuts can be used as a substitute for blood plasma. - On February 22, 1985, the one billionth vehicle passed over the Golden Gate Bridge.

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