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Survey about cappuccino, phobia, rats, family tree, peanut butter and broken bones.

Begin Survey

1. Do you enjoy science fiction/fantasy movies? Yes No

2. Should the ban on new lines of stem cells for research in the U.S. be lifted? Yes No

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

4. Have you ever broken any bones? Yes No

5. Do you ever download music from the Internet? Yes No

6. Will you go to the grocery store this week? Yes No

7. Have you ever traced your family tree? Yes No

8. Do you eat lunch every day? Yes No

9. Will you order take-out or delivery food from a restaurant this week? Yes No

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

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

12. Are you satisfied in your current employment? Yes No

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

14. 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: - Of the six men who made up the Three Stooges, three of them were real brothers (Moe, Curly and Shemp.) - It takes approximately 850 peanuts to make an 18 oz jar of peanut butter. - More people have a phobia of frogs than rats. - The Statue of Liberty is one hundred fifty one feet and one inch tall. Her index finger is eight feet long, her fingernails are thirteen inches long, and her nose is four and a half feet long.

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