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Survey about fans, tablets, soft drinks, coca-cola, cable and vegetarian diet.

Begin Survey

1. Do you have any food allergies? Yes No

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

3. Are you a registered voter? Yes No

4. Do you always wear your safety belt when in a car? Yes No

5. Do you use chewing tobacco? Yes No

6. Do you follow a vegetarian diet? Yes No

7. Would you consider yourself an avid sports fan? Yes No

8. Do you like chocolate? Yes No

9. Have you ever spent more than $100 on a pair of shoes? Yes No

10. Do you plan on performing any community service this week? Yes No

11. Are you satisfied in your current employment? Yes No

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

13. Do you have cable or satellite television? 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: - Of the six men who made up the Three Stooges, three of them were real brothers (Moe, Curly and Shemp.) - Coca-Cola was the first soft drink to be consumed in outer space. - In the year 1900,aspirin was the first drug was offered as a water-soluble tablet. - The names of the two stone lions in front of the New York Public Library are Patience and Fortitude, named by then-mayor Fiorello LaGuardia.

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