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Survey about dvd players, spa, veterans, yawn, videos and checking account.

Begin Survey

1. Do you brush your teeth after lunch? Yes No

2. Have you ever pilfered office supplies from work? Yes No

3. Are you a veteran? Yes No

4. Do you have a checking account? Yes No

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

6. Do you fly an American flag at home? Yes No

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

8. Do you have a DVD player? Yes No

9. Do you smoke cigarettes? Yes No

10. Have you ever been in a car accident? Yes No

11. Do you read your horoscope every day? Yes No

12. Have you ever placed a personals ad? Yes No

13. Do you play any musical instruments? Yes No

14. Have you ever been tested for HIV? Yes No

15. Have you ever broken any bones? Yes No

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

17. Do you practice yoga? Yes No

18. Do you plan on taking a trip by airplane this week? Yes No

19. Do you have health insurance? Yes No

20. Do you believe in karma? 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: - Albert Einstein was offered the presidency of Israel in 1952 (he declined). - A cup of coffee has 12 times the amount of caffeine as a cup of cocoa. - A yawn usually lasts for approximately six seconds. - The names of the two stone lions in front of the New York Public Library are Patience and Fortitude, named by then-mayor Fiorello LaGuardia.

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