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Survey about coffee, haircut, spicy food, high school, driving and cigarettes.

Begin Survey

1. Do you have road rage? Yes No

2. Are you satisfied in your current employment? Yes No

3. Do you brush your teeth each morning? Yes No

4. Do you wear glasses/contacts? Yes No

5. Do you have any food allergies? Yes No

6. Have you ever cut your own hair? Yes No

7. Can you whistle? Yes No

8. Do you drink milk? Yes No

9. Have you ever had a professional massage? Yes No

10. Did you vote in the last Presidential election? Yes No

11. Can you drive a stick shift? Yes No

12. Do you enjoy spicy foods? Yes No

13. Do you smoke cigarettes? Yes No

14. Do you know your cholesterol level? Yes No

15. Do you have or use an MP3 player? Yes No

16. Will you rent a DVD or video this weekend? Yes No

17. Did you graduate from high school? Yes No

18. Have you ever traveled by airplane? 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: - 20252 is Smokey the Bear's own zip code. - A cup of coffee has 12 times the amount of caffeine as a cup of cocoa. - By the age of 60, most people have lost 50% of their taste buds. - Built in 1763, Touro Synagogue in Newport, Rhode Island, is the oldest surviving synagogue in North America.

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