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Survey about espresso, latte, stores, religion, human body and passports.

Begin Survey

1. Have you ever been rock or mountain climbing? Yes No

2. Do you play any organized team sports? Yes No

3. Do you have a valid passport? Yes No

4. Will you buy an espresso drink (cappuccino, latte etc.) from a coffee house this week? Yes No

5. Do you enjoy playing video games? Yes No

6. Do you own a motorcycle? Yes No

7. Will you send anyone a printed holiday, birthday, or anniversary card this week? Yes No

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

9. Do you suffer from seasonal allergies? Yes No

10. Do you believe in karma? Yes No

11. Will you order take-out or delivery food from a restaurant this week? Yes No

12. Do you brush your teeth each morning? Yes No

13. Do you own a Bible, Koran, or other religious book? 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: - Walt Disney, the creator of Mickey Mouse, was afraid of mice. - Americans spend more on fast food every year than they do on higher education, personal computers and software, or new cars. - Every year about 98% of atoms in the human body are replaced. - The State of Louisiana was named after the French King Louis XIV.

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