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Survey about contact lenses, delivery food, disasters, fruit, science fiction and movies.

Begin Survey

1. Have you ever been in a tornado, earthquake, or other natural disaster? Yes No

2. Do you have any camping trips planned for this summer? Yes No

3. Do you use chewing tobacco? Yes No

4. Are you a veteran? Yes No

5. Do you belong to any professional organizations? Yes No

6. Have you ever won the lottery? Yes No

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

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

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

10. Have you ever responded to a personals ad? Yes No

11. Do you ever use a tanning bed? Yes No

12. Do you sing in the shower? Yes No

13. Do you own your home? Yes No

14. Are you married? Yes No

15. Do you wear glasses/contacts? Yes No

16. Will you order take-out or delivery food from a restaurant this week? Yes No

17. Do you enjoy documentary films? Yes No

18. Do you enjoy science fiction/fantasy movies? Yes No

19. Will you buy plants or flowers from a florist this week? Yes No

20. Will you buy an espresso drink (cappuccino, latte etc.) from a coffee house this week? 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: - Mr. Rogers was an ordained minister. - Blueberries have more antioxidants than any other fruit or vegetables. - Identical twins do not have identical fingerprints. - The Step Pyramid is the first known monumental structure made of stone anywhere in the world. The Step Pyramid Complex of Djoser was built during the Third Dynasty (2800 B.C.) in Saqqara, Egypt.

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