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Survey about coffeine, relatives, coffee, intelligent, watches and christmas.

Begin Survey

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

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

3. Have you ever been tested for HIV? Yes No

4. Do you believe in destiny or fate? Yes No

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

6. Do you have any piercings? Yes No

7. Have you ever broken any bones? Yes No

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

9. Do you own your own business or work for yourself? Yes No

10. Do you believe in love at first sight? Yes No

11. Will you visit a hardware or home improvement store this week? Yes No

12. Do you subscribe to your local newspaper? Yes No

13. Do you believe in Santa Claus? Yes No

14. Do you have a valid passport? Yes No

15. Will you attend religious services this week? Yes No

16. Do you think you are intelligent? Yes No

17. Do you ever download music from the Internet? Yes No

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

19. Would you like a free video or CD-ROM with more information on owning or renting an RV? Yes No

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Yes, I would like to join the Daily Life Survey!

Fun and Interesting facts: - Theodore Roosevelt was blind in his left eye. - A cup of coffee has 12 times the amount of caffeine as a cup of cocoa. - The liquid inside young coconuts can be used as a substitute for blood plasma. - Lake Michigan is the largest lake in the United States.

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