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Survey about cocaine, religious services, television, buckingham palace, life and satellite.

Begin Survey

1. Do you believe there is life on other planets? Yes No

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

3. Do you wear sandals/flip-flops in the summer? Yes No

4. Do you brush your teeth before bed each night? Yes No

5. Will you attend religious services this week? Yes No

6. Do you have an annual check-up or exam with your family doctor? Yes No

7. Have you ever been in a car accident? Yes No

8. Have you ever been the target of identity theft? Yes No

9. Do you have cable or satellite television? Yes No

10. Do you enjoy ethnic foods? Yes No

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

12. Do you enjoy reality television? Yes No

13. Do you know how to fly an airplane? Yes No

14. Do you plan to visit any U.S. National Parks this year? Yes No

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

16. Have you ever been arrested? Yes No

17. 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. - After the 'Popeye' comic strip was launched in 1931, spinach consumption went up by thirty-three percent in the United States. - Hailed as a wonder drug in the late nineteenth century, cocaine was outlawed in the United States in 1914. - Buckingham Palace has over six hundred rooms.

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