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Survey about community services, vcr, cappuccino, coffee house, download and david copperfield.

Begin Survey

1. Have you ever gone sky-diving or bungee-jumping? Yes No

2. Do you plan on performing any community service this week? Yes No

3. Will you visit a therapist or psychiatrist this week? Yes No

4. Can you drive a stick shift? Yes No

5. Have you ever had a professional massage? Yes No

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

7. Do you know how to fly an airplane? Yes No

8. Do you use chewing tobacco? Yes No

9. Are you left-handed? Yes No

10. Do you drink enough water (6 8-ounce glasses) every day? Yes No

11. Do you have a VCR? Yes No

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

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

14. Do you plan to visit the zoo this year? Yes No

15. Do you read the comics? 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: - More people have seen David Copperfield perform live than any other performer in the world. - The U.S. Government spent $277,000 on pickle research in 1993. - The human brain stops growing at the age of 18. - The Great Wall stretches for about 4,500 miles across North China.

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