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Survey about coffee, intelligent, tattoos, ebay, louisiana and mickey mouse.

Begin Survey

1. Do you have any tattoos? Yes No

2. Have you ever purchased or sold anything on eBay? Yes No

3. Have you ever been the target of identity theft? Yes No

4. Do you know your cholesterol level? Yes No

5. Do you have any pets? Yes No

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

7. Do you contribute money to any charitable organizations? Yes No

8. Do you shower at least once daily? Yes No

9. Do you use charge cards? Yes No

10. Have you ever been arrested? Yes No

11. Do you think you are intelligent? Yes No

12. Do you wear mittens? Yes No

13. Do you own a pair of fuzzy bunny slippers? Yes No

14. Do you fly an American flag at home? Yes No

15. Do you have a VCR? Yes No

16. 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: - Walt Disney named Mickey Mouse after Mickey Rooney, whose mother he dated for some time. - A cup of coffee has 12 times the amount of caffeine as a cup of cocoa. - Only 1 person in 2 billion will live to be 116. - The State of Louisiana was named after the French King Louis XIV.

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