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Survey about family, pepperoni, lighthouse, road trips, pizza and romance.

Begin Survey

1. Do you use charge cards? Yes No

2. Will you buy plants or flowers from a florist this week? Yes No

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

4. Do you have an annual check-up or exam with your family doctor? Yes No

5. Will you be taking any road trips this week (over 50 miles)? Yes No

6. Do you plan on visiting the public library this week? Yes No

7. Do you plan on visiting a mall this week? Yes No

8. Do you have a land-line phone in your home? Yes No

9. Have you graduated from (or finished) college? Yes No

10. Have you ever been in a tornado, earthquake, or other natural disaster? Yes No

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

12. Do you have children? Yes No

13. Do you belong to any professional organizations? Yes No

14. Do you own your home? Yes No

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

16. 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: - More people have seen David Copperfield perform live than any other performer in the world. - 50% of pizzas sold in the U.S. have pepperoni on them. - The liquid inside young coconuts can be used as a substitute for blood plasma. - The first lighthouse in England was built in 1619 at the Lizard, Cornwall.

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