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Survey about console, russia, australia, cleaning, religion and vcr.

Begin Survey

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

2. Do you use chewing tobacco? Yes No

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

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

5. Do you have a VCR? Yes No

6. Do you have any tattoos? Yes No

7. Do you have a valid passport? Yes No

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

9. Do you enjoy board games? Yes No

10. Do you use mouthwash? Yes No

11. Do you own a console video game system (Xbox, Playstation 2, GameCube, etc.)? Yes No

12. Are your parents still married? Yes No

13. Do you have an annual check-up or exam with your family doctor? Yes No

14. Have you ever been rock or mountain climbing? Yes No

15. Do you run the vacuum (or sweep) your floors every day? 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: - Houdini was the first man to fly a plane solo in Australia. - Approximately 3 billion pizzas are sold in the U.S. each year. - Coconuts kill more people in the world than sharks do. Approximately 150 people are killed each year by coconuts. - The world's largest art gallery is the Winter Palace and Hermitage in St. Petersburg, Russia.

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