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Survey about coffee house, dictionary, beverages, piercings, thesaurus and teeth.

Begin Survey

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

2. Do you have any piercings? Yes No

3. Have you ever been less than honest on your income tax return? Yes No

4. Will you visit a doctor this week? Yes No

5. Will you see a play this month? Yes No

6. Are you married? Yes No

7. Do you use online banking? Yes No

8. Will you go to the grocery store this week? Yes No

9. Do you have any siblings? Yes No

10. Do you belong to a labor union? Yes No

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

12. Will you consume any alcoholic beverages this weekend? Yes No

13. 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: - Deborah Winger did the voice of E.T. - The Massachusetts state beverage is Cranberry Juice. - Half of all Americans over the age of 55 have no teeth. - The tallest building west of the Mississippi River is the Stratosphere Hotel and Casino in Las Vegas, Nevada.

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