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Survey about coupons, medications, napoleon, luck, movies and beats.

Begin Survey

1. Do you plan on visiting a mall this week? Yes No

2. Do you smoke cigarettes? Yes No

3. Do you eat breakfast every morning? Yes No

4. Do you suffer from seasonal allergies? Yes No

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

6. Do you take any prescribed daily medications? Yes No

7. Are you married? Yes No

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

9. Do you enjoy card games? Yes No

10. Do you get a flu shot every winter? Yes No

11. Will you go see a new-release movie at a theater this week? Yes No

12. Will you use a coupon for any of your purchases this week? Yes No

13. Have you ever won the lottery? Yes No

14. 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: - Napoleon constructed his battle plans in a sandbox. - Nutmeg is extremely poisonous if injected intravenously. - During a typical human life span, the human heart will beat approximately 2.5 billion times. - Manhattan Island of New York City was purchased for $24 from the Algonquian Indians in 1624.

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