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Survey about cigarettes, glasses, coupons, smoking, selling and contact lenses.

Begin Survey

1. Have you ever purchased or sold anything on eBay? Yes No

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

3. Do you enjoy classical music? Yes No

4. Do you smoke cigarettes? Yes No

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

6. Do you wear glasses/contacts? Yes No

7. Have you ever pilfered office supplies from work? Yes No

8. Do you have a land-line phone in your home? Yes No

9. Do you shower at least once daily? Yes No

10. Do you enjoy roller coasters? Yes No

11. Do you take a daily multi-vitamin? Yes No

12. Do you sleep with a pillow at night? Yes No

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

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

15. 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. - Lemons contain more sugar than strawberries. - One quarter of the human brain is used to control the eyes. - Built around 2800 B.C., England’s Stonehenge was designed to align exactly with the sun’s rays on June 21.

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