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Survey about cigarettes, north america, rhode island, americans, virginia woolf and books.

Begin Survey

1. Do you use charge cards? Yes No

2. Have you made your will? Yes No

3. Will you see a play this month? Yes No

4. Do you own or use a digital camera? Yes No

5. Do you own a gun? Yes No

6. Do you smoke cigarettes? Yes No

7. Do you plan on visiting a mall this week? Yes No

8. Do you have health insurance? Yes No

9. Do you contribute money to any charitable organizations? Yes No

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

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

12. Do you play any organized team sports? Yes No

13. Will you rent a DVD or video this weekend? Yes No

14. Do you think you are physically attractive? Yes No

15. Do you use mouthwash? Yes No

16. 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: - Virgina Woolf wrote all her books while standing. - Honey is the only food that will not spoil. - Half of all Americans over the age of 55 have no teeth. - Built in 1763, Touro Synagogue in Newport, Rhode Island, is the oldest surviving synagogue in North America.

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