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Survey about classical music, television, coffeine, airplanes, jail and miracles.

Begin Survey

1. Do you plan on visiting a comedy club this month? Yes No

2. Do you brush your teeth each morning? Yes No

3. Do you like chocolate? Yes No

4. Do you enjoy watching cooking shows? Yes No

5. Do you enjoy independent films? Yes No

6. Do you plan on visiting the public library this week? Yes No

7. Do you always drive within the posted speed limit? Yes No

8. Can you roller-skate, roller-blade, and/or ice-skate? Yes No

9. Do you believe in miracles? Yes No

10. Do you have or use a cellular phone? Yes No

11. Do you have health insurance? Yes No

12. Have you ever traveled by airplane? Yes No

13. Do you enjoy classical music? Yes No

14. Have you ever been arrested? Yes No

15. Do you wear cologne or perfume every day? 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: - Whoopi Golberg’s real name is Caryn Elaine Johnson. - A cup of coffee has 12 times the amount of caffeine as a cup of cocoa. - A sneeze travels at 100 miles per hour. - The Golden Gate Bridge was first opened in 1937.

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