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Survey about coca-cola, cookies, koran, tattoos, teeth and authors.

Begin Survey

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

2. Do you believe in miracles? Yes No

3. Do you think you are intelligent? Yes No

4. Do you own a Bible, Koran, or other religious book? Yes No

5. Have you ever broken any bones? Yes No

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

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

8. Do you ever download music from the Internet? Yes No

9. Are you involved in volunteerism? Yes No

10. Do you enjoy Girl Scout cookies? Yes No

11. Will you take any train or subway rides this week? Yes No

12. Do you have any tattoos? Yes No

13. Do you use a dishwasher to do your dishes? Yes No

14. Do you believe in karma? Yes No

15. Do you have or use a cellular phone? 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: - Isaac Asimov is the only author to have a book in every Dewey-decimal category. - Coca-Cola was the first soft drink to be consumed in outer space. - Half of all Americans over the age of 55 have no teeth. - The first lighthouse in England was built in 1619 at the Lizard, Cornwall.

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