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Survey about charcoal briquette, cacoa, pda, internet access, lunch and coffeine.

Begin Survey

1. Do you eat lunch every day? Yes No

2. Will you use a coupon for any of your purchases this week? Yes No

3. Do enjoy reading or writing poetry? Yes No

4. Do you have any food allergies? Yes No

5. Do you have any tattoos? Yes No

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

7. Are you involved in volunteerism? Yes No

8. Do you believe there is life on other planets? Yes No

9. Do you have or use an MP3 player? Yes No

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

11. Will you attend a college sporting event this month? Yes No

12. Do you have Internet access at home? Yes No

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

14. Do you own a dictionary and/or thesaurus? Yes No

15. Will you go to a bar or night club this week? Yes No

16. Do you believe in destiny or fate? Yes No

17. Do you drink enough water (6 8-ounce glasses) every day? Yes No

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

19. Do you have cable or satellite television? Yes No

20. Do you have road rage? 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: - Henry Ford, father of the assembly line, also invented the charcoal briquette. - A cup of coffee has 12 times the amount of caffeine as a cup of cocoa. - Right-handed people live, on average, nine years longer than left-handed people. - There are 10 towns/cities named Hollywood in the United States.

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