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Survey about contact lenses, playstation 2, religion, koran, breakfast and public library.

Begin Survey

1. Do you own a gun? Yes No

2. Do you eat breakfast every morning? Yes No

3. Do you use chewing tobacco? Yes No

4. Do you wear glasses/contacts? Yes No

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

6. Do you use charge cards? Yes No

7. Do your children attend public schools? Yes No

8. Are you married? Yes No

9. Do you plan on visiting the public library this week? Yes No

10. Do you keep an umbrella in your car? Yes No

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

12. Do you have any phobias? Yes No

13. Do you drink milk? Yes No

14. Do you have children? Yes No

15. Do you own a Bible, Koran, or other religious book? 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: - Betsy Ross was born with a fully formed set of teeth. - Lemons contain more sugar than strawberries. - By the age of 60, most people have lost 50% of their taste buds. - It takes 570 gallons of white paint to cover the outside of the White House.

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