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Survey about ethnic foods, food additives, singing, delivery food, shower and fantasy.

Begin Survey

1. Do you use chewing tobacco? Yes No

2. Are you left-handed? Yes No

3. Do you run the vacuum (or sweep) your floors every day? Yes No

4. Do you have any piercings? Yes No

5. Would you consider yourself to be in good overall health? Yes No

6. Will you go to the grocery store this week? Yes No

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

8. Do you read the comics? Yes No

9. Do you have a valid passport? Yes No

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

11. Do you have any food allergies? Yes No

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

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

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

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

16. Do you enjoy ethnic foods? Yes No

17. Do you enjoy science fiction/fantasy movies? Yes No

18. Do you sing in the shower? Yes No

19. Have you ever been the target of identity theft? Yes No

20. 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: - Daniel Boone hated coonskin caps. - Almonds are a member of the peach family. - The average American consumes 9 pounds of food additives every year. - Air conditioners completely recycle the air throughout the Empire State Building about every 10 minutes.

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