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Survey about coffee house, cappuccino, vitamins, concerts, driving and high school.

Begin Survey

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

2. Do you take any prescribed daily medications? Yes No

3. Do you have any tattoos? Yes No

4. Have you ever taken dance lessons? Yes No

5. Will you go to a concert this week? Yes No

6. Do you wear a watch every day? Yes No

7. Do you enjoy reality television? Yes No

8. Will you buy an espresso drink (cappuccino, latte etc.) from a coffee house this week? Yes No

9. Can you drive a stick shift? Yes No

10. Do you sing in the shower? Yes No

11. Are you involved in volunteerism? Yes No

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

13. Do you get a flu shot every winter? Yes No

14. Did you graduate from high school? Yes No

15. Have you ever borrowed money from a relative? Yes No

16. Do you smoke cigarettes? Yes No

17. Do you believe in karma? Yes No

18. Do you plan on taking a trip by airplane this week? Yes No

19. Do you enjoy spicy foods? Yes No

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

21. 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: - Ralph Lauren's original name is Ralph Lifshitz. - The average French citizen eats 500 snails per year. - Betty Rubble made her debut as a Flintstones Vitamin in 1996. - In Washington D.C., no building may be built taller than the Washington Monument.

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