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Survey about contact lenses, seed, spa, 1875, safety belt and bunny.

Begin Survey

1. Do you have cable or satellite television? Yes No

2. Will you rent a DVD or video this weekend? Yes No

3. Would you consider yourself to be in good overall health? Yes No

4. Do you sing in the shower? Yes No

5. Do you have a valid passport? Yes No

6. Did you drink coffee this morning? Yes No

7. Do you wear glasses/contacts? Yes No

8. Have you ever spent a day at a spa? Yes No

9. Do you always wear your safety belt when in a car? Yes No

10. Do you enjoy card games? Yes No

11. Should government employees be randomly tested for illicit drug use? Yes No

12. Do you enjoy ethnic foods? Yes No

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

14. Do you contribute money to any charitable organizations? Yes No

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

16. Will you consume any alcoholic beverages this weekend? Yes No

17. 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: - Oil tycoon John D. Rockefeller was the world's first billionaire. - The coconut is the largest seed in the world. - During a typical human life span, the human heart will beat approximately 2.5 billion times. - The first roller-skating rink, Belgravia Skating Rink, was opened to the public in Great Britain on August 2, 1875.

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