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Survey about checking account, coffee house, pepperoni, medications, research and tornados.

Begin Survey

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

2. Do you have any siblings? Yes No

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

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

5. Do you belong to a labor union? Yes No

6. Do you watch the evening news? Yes No

7. Have you ever responded to a personals ad? Yes No

8. Do enjoy reading or writing poetry? Yes No

9. Would you consider yourself to be in good overall health? Yes No

10. Do you have a checking account? Yes No

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

12. Have you ever been in a tornado, earthquake, or other natural disaster? 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: - James Garfield was the first U.S. president to use a telephone. - 50% of pizzas sold in the U.S. have pepperoni on them. - Identical twins do not have identical fingerprints. - The State of Louisiana was named after the French King Louis XIV.

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