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Survey about cars, religion, teeth, lunch, koran and work.

Begin Survey

1. Do you brush your teeth each morning? Yes No

2. Have you ever been the target of identity theft? Yes No

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

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

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

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

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

8. Did you drink coffee this morning? Yes No

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

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

11. Have you ever eaten fried green tomatoes? Yes No

12. Do you ever dye your hair? Yes No

13. Do you take a bagged lunch to work every day? Yes No

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

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

16. Do you belong to any professional organizations? Yes No

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

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

19. Do you wear mittens? Yes No

20. Do you enjoy reading non-fiction books for pleasure? Yes No

21. 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: - Houdini was the first man to fly a plane solo in Australia. - It takes approximately 850 peanuts to make an 18 oz jar of peanut butter. - Hailed as a wonder drug in the late nineteenth century, cocaine was outlawed in the United States in 1914. - The names of the two stone lions in front of the New York Public Library are Patience and Fortitude, named by then-mayor Fiorello LaGuardia.

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