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Survey about cellular phones, florists, chewing tobacco, circus, 100 years and medications.

Begin Survey

1. Do you use chewing tobacco? Yes No

2. Do you take any prescribed daily medications? Yes No

3. Do you wear glasses/contacts? Yes No

4. Do you have or use a cellular phone? Yes No

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

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

7. Do you enjoy hot bubble baths? Yes No

8. Do you have children? Yes No

9. Will you visit a beauty salon this week? Yes No

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

11. Have you made your will? Yes No

12. Do you think professional athletes should be regularly screened for illicit drug use? Yes No

13. 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. - The average American eats approximately 20 pounds of pasta each year. - 80% of people over 100 years old are women. - Space Needle in Seattle, built for the 1962 Worlds Fair, is home to the Nations first Monorail, which is still in operation.

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