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Survey about casinos, circus, winter, documentary films, cooking and pierce brosnan.

Begin Survey

1. Do you run the vacuum (or sweep) your floors every day? Yes No

2. Do you get a flu shot every winter? Yes No

3. Have you ever been tested for HIV? Yes No

4. Do you own a console video game system (Xbox, Playstation 2, GameCube, etc.)? Yes No

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

6. Do you own your home? Yes No

7. Do you use mouthwash? Yes No

8. Do you drink diet soda? Yes No

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

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

11. Do you have or use a PDA (Personal Digital Assistant)? Yes No

12. Do you enjoy card games? Yes No

13. Will you visit a casino this week? Yes No

14. Have you graduated from (or finished) college? Yes No

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

16. Do you have any tattoos? Yes No

17. Do you enjoy watching cooking shows? Yes No

18. Do you enjoy documentary films? Yes No

19. Can you roller-skate, roller-blade, and/or ice-skate? Yes No

20. 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: - Pierce Brosnan once worked in the circus as a fire eater. - Non-dairy creamer is flammable. - Both carrots and ketchup were once considered to have medicinal value. - On February 22, 1985, the one billionth vehicle passed over the Golden Gate Bridge.

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