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Survey about coffee, mud puddles, intelligent, virginia, clothes and pentagon.

Begin Survey

1. Do you have Internet access at home? Yes No

2. Do you plan on visiting a mall this week? Yes No

3. Do you read your horoscope every day? Yes No

4. Do you enjoy hunting or fishing? Yes No

5. Will you balance your checkbook this week? Yes No

6. Have you ever eaten rattlesnake meat? Yes No

7. Have you ever been in love? Yes No

8. Can you drive a stick shift? Yes No

9. Do you take a daily multi-vitamin? Yes No

10. Do you think you are intelligent? Yes No

11. Do you own at least one pair of blue jeans? Yes No

12. Are you currently attending college or taking adult enrichment classes? Yes No

13. Do you give your children a daily multi-vitamin? Yes No

14. Do you brush your teeth before bed each night? Yes No

15. Do you splash in mud puddles? Yes No

16. Do you work outside of the home? Yes No

17. Will you visit a casino this week? Yes No

18. Will you be staying at a hotel this week? Yes No

19. Do you own a Bible, Koran, or other religious book? Yes No

20. Do you know your cholesterol level? 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: - Mel Blanc, the voice of Bugs Bunny, was allergic to carrots. - A cup of coffee has 12 times the amount of caffeine as a cup of cocoa. - A blink lasts approximately 0.3 seconds. - The Pentagon has twice as many bathrooms as is necessary. When it was built in the 1940s, the state of Virginia still had segregation laws requiring separate toilet facilities for blacks and whites.

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