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Survey about cappuccino, chain smoker, peanut butter, drugs, charity and eyes.

Begin Survey

1. Do you have any phobias? Yes No

2. Have you ever broken any bones? Yes No

3. Do you think you are physically attractive? Yes No

4. Do you own a matching set of luggage? Yes No

5. Do you own your home? Yes No

6. Have you ever been in a tornado, earthquake, or other natural disaster? Yes No

7. Should government employees be randomly tested for illicit drug use? Yes No

8. Do you have any houseplants? Yes No

9. Will you buy an espresso drink (cappuccino, latte etc.) from a coffee house this week? Yes No

10. Are any of your grandparents still alive? Yes No

11. Do you enjoy hot bubble baths? Yes No

12. Do you play any organized team sports? Yes No

13. Do you plan on visiting a mall this week? Yes No

14. Do you contribute money to any charitable organizations? Yes No

15. Do you read the comics? Yes No

16. 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: - Jackie Kennedy Onassis was secretly a chain smoker. - The average child will eat 1,500 peanut butter and jelly sandwiches by the he/she graduates from high school. - One in 500 humans has one blue eye and one brown eye. - The Pentagon has twice as many bathrooms as is necessary. When it was built in the 1940s, the state of Virginia still had segregation laws requiring separate toilet facilities for blacks and whites.

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