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Survey about cocaine, lotteries, poetry, subways, jail and luck.

Begin Survey

1. Will you visit a doctor this week? Yes No

2. Will you plant a vegetable and/or flower garden this year? Yes No

3. Do enjoy reading or writing poetry? Yes No

4. Do you keep an umbrella in your car? Yes No

5. Have you ever won the lottery? Yes No

6. Are you a veteran? Yes No

7. Do you play any musical instruments? Yes No

8. Do you have health insurance? Yes No

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

10. Do you follow a low-carb diet? Yes No

11. Do you believe in miracles? Yes No

12. Do you believe in love at first sight? Yes No

13. Have you ever been arrested? Yes No

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

15. Do you enjoy playing video games? Yes No

16. Are your parents still married? Yes No

17. Do you know your cholesterol level? Yes No

18. 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: - Leonardo da Vinci was dyslexic. - Approximately 3 billion pizzas are sold in the U.S. each year. - Hailed as a wonder drug in the late nineteenth century, cocaine was outlawed in the United States in 1914. - The Statue of Liberty is one hundred fifty one feet and one inch tall. Her index finger is eight feet long, her fingernails are thirteen inches long, and her nose is four and a half feet long.

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