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Survey about egypt, playstation 2, bible, leonardo da vinci, headache pain and piercings.

Begin Survey

1. Do you eat breakfast every morning? Yes No

2. Do you own a Bible, Koran, or other religious book? Yes No

3. Do you have any piercings? Yes No

4. Do you smoke cigarettes? Yes No

5. Do you believe there is life on other planets? Yes No

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

7. Do you like peanut butter and jelly sandwiches? Yes No

8. Will you visit a hardware or home improvement store this week? Yes No

9. Do you have a valid passport? Yes No

10. Do you sleep with a pillow at night? Yes No

11. Have you ever broken any bones? Yes No

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

13. Do you own a gun? Yes No

14. Do you know CPR? Yes No

15. Do you use chewing tobacco? Yes No

16. Do you believe in Santa Claus? 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: - Leonardo da Vinci was dyslexic. - Headache pain can be reduced by eating 20 tart cherries. - In the year 1900,aspirin was the first drug was offered as a water-soluble tablet. - The first lighthouse recorded in history and the tallest ever built, at 450 feet, is the Pharos of Alexandria in Egypt.

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