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Survey about cappuccino, latte, work, multi-vitamin, toes and hunting.

Begin Survey

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

2. Do you plan to visit any U.S. National Parks this year? Yes No

3. Do you have any pets? Yes No

4. Do you take a daily multi-vitamin? Yes No

5. Do you work outside of the home? Yes No

6. Do you always wear your safety belt when in a car? Yes No

7. Do you enjoy television police/crime dramas? Yes No

8. Have you ever responded to a personals ad? Yes No

9. Do you ever dye your hair? Yes No

10. Do you enjoy hunting or fishing? Yes No

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

12. Do you enjoy ethnic foods? Yes No

13. Would you consider yourself to be in good overall health? Yes No

14. Have you ever been in a car accident? Yes No

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

16. Are you a registered voter? 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: - Albert Einstein never wore any socks. - Dandelion root can be roasted and ground as a coffee substitute. - 15% of Americans secretly bite their toes. - Built in 1967, the world’s only flying saucer launching pad is in St. Paul, Alberta, Canada.

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