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Survey about cars, food additives, food, perfume, gators and parents.

Begin Survey

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

2. Have you ever gotten a traffic ticket? Yes No

3. Do you wear cologne or perfume every day? Yes No

4. Do you have any food allergies? Yes No

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

6. Do you own your own business or work for yourself? Yes No

7. Are your parents still married? Yes No

8. Do you think you are intelligent? Yes No

9. Do you shower at least once daily? Yes No

10. Do you read your horoscope every day? Yes No

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

12. Do you own a Bible, Koran, or other religious book? Yes No

13. Do enjoy reading or writing poetry? Yes No

14. Have you ever been in love? Yes No

15. Have you ever won the lottery? 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. - Gatorade was named for the University of Florida (Gators where it was first developed. - The average American consumes 9 pounds of food additives every year. - The Sears Tower in Chicago has its own zip code.

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