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Survey about coffee, cities, reality television, pda, theaters and glasses.

Begin Survey

1. Will you use a coupon for any of your purchases this week? Yes No

2. Have you ever gotten a traffic ticket? Yes No

3. Do you believe in miracles? Yes No

4. Do you have health insurance? Yes No

5. Have you ever gone sky-diving or bungee-jumping? Yes No

6. Do you plan on visiting the public library this week? Yes No

7. Do you wear glasses/contacts? Yes No

8. Did you drink coffee this morning? Yes No

9. Do you have any camping trips planned for this summer? Yes No

10. Do you have a sit-down family dinner every night? Yes No

11. Do you enjoy reality television? Yes No

12. Do you wear mittens? Yes No

13. Will you go see a new-release movie at a theater this week? Yes No

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

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

16. Do you enjoy gambling? Yes No

17. Do you have or use a PDA (Personal Digital Assistant)? Yes No

18. Would you consider yourself an avid sports fan? Yes No

19. 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: - Jimmy Carter is the first U.S. President to have been born in a hospital. - In 2003, the U.S. Government spent about $2,000,000 on potato research. - In the average lifetime a person will breathe in about 44 pounds of dust. - There are 10 towns/cities named Hollywood in the United States.

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