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Survey about cockroaches, inventions, delivery food, roller coasters, restaurants and leonardo da vinci.

Begin Survey

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

2. Will you order take-out or delivery food from a restaurant this week? Yes No

3. Will you be visiting any theme parks this year? Yes No

4. Do you own a dictionary and/or thesaurus? Yes No

5. Will you travel outside of the U.S. this year? Yes No

6. Do you read your horoscope every day? Yes No

7. Do you own a console video game system (Xbox, Playstation 2, GameCube, etc.)? Yes No

8. Are your immunizations up-to-date? Yes No

9. Do enjoy reading or writing poetry? Yes No

10. Do you enjoy roller coasters? Yes No

11. Do you believe in karma? Yes No

12. Do you own your own business or work for yourself? Yes No

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

14. 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 invented scissors. - Chocolate does not cause acne. - More children are allergic to cockroaches than cats - Hawaii has the only royal palace in the United States – Iolani.

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