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Survey about coffee, children, swimming pools, cacoa, health and restaurants.

Begin Survey

1. Do you have a swimming pool? Yes No

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

3. Have you ever responded to a personals ad? Yes No

4. Have you ever spent a day at a spa? Yes No

5. Do you have children? Yes No

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

7. Are any of your grandparents still alive? Yes No

8. Have you ever spent more than $100 on a pair of shoes? Yes No

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

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

11. Would you consider yourself to be in good overall health? Yes No

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

13. Do you believe in miracles? 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: - Frank Sinatra never wore or owned a pair of blue jeans. - A cup of coffee has 12 times the amount of caffeine as a cup of cocoa. - The human brain stops growing at the age of 18. - The are six fictional characters that have stars on Hollywood's 'Walk of Fame'.

Related Content: SURVEY ON SWIMMING POOLS fun coffee surveys surveys swimming

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