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Survey about chocolate, ketchup, motorcycles, retirement, hair and religion.

Begin Survey

1. Do you have a DVD player? Yes No

2. Have you ever cut your own hair? Yes No

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

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

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

6. Do you own a motorcycle? Yes No

7. Do you attend regular religious services? Yes No

8. Do you like chocolate? Yes No

9. Do you have a retirement investment account (401k, IRA, etc.)? Yes No

10. Do you enjoy playing video games? Yes No

11. Do you have any houseplants? Yes No

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

13. Will you be taking any road trips this week (over 50 miles)? Yes No

14. Will you go see a new-release movie at a theater this week? Yes No

15. Do you enjoy classical music? Yes No

16. Can you drive a stick shift? Yes No

17. Do you enjoy independent films? Yes No

18. Do enjoy reading or writing poetry? Yes No

19. Do you take a daily multi-vitamin? 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: - Jimmy Hoffa's middle name is Riddle. - Approximately 3 billion pizzas are sold in the U.S. each year. - Both carrots and ketchup were once considered to have medicinal value. - The first roller-skating rink, Belgravia Skating Rink, was opened to the public in Great Britain on August 2, 1875.

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