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Survey about espresso, smoking, dinner, casinos, coffee house and latte.

Begin Survey

1. Do you enjoy reality television? Yes No

2. Have you ever won the lottery? Yes No

3. Do you enjoy documentary films? Yes No

4. Do you have a sit-down family dinner every night? Yes No

5. Do you think you are physically attractive? Yes No

6. Will you visit a casino this week? Yes No

7. Do you own your home? Yes No

8. Do you smoke cigarettes? Yes No

9. Do you wear sunscreen every day? Yes No

10. Are you a veteran? Yes No

11. Have you made your will? Yes No

12. Do you work outside of the home? Yes No

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

14. Will you travel outside of the U.S. this year? Yes No

15. Do you have a DVD player? Yes No

16. Will you buy an espresso drink (cappuccino, latte etc.) from a coffee house this week? 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: - Blueberry Jelly Bellies were created especially for Ronald Reagan. - It takes approximately 850 peanuts to make an 18 oz jar of peanut butter. - Between 25% to 33% of people sneeze when they are exposed to light. - The tallest building west of the Mississippi River is the Stratosphere Hotel and Casino in Las Vegas, Nevada.

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