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Survey about food, independent films, tattoos, casinos, flowers and babies.

Begin Survey

1. Do you have any food allergies? Yes No

2. Have you ever been arrested? Yes No

3. Do you ever use a tanning bed? Yes No

4. Do you have any siblings? Yes No

5. Will you plant a vegetable and/or flower garden this year? Yes No

6. Do you have any tattoos? Yes No

7. Have you ever been tested for HIV? Yes No

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

9. Do you enjoy cat-naps? Yes No

10. Do you believe in destiny or fate? Yes No

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

12. Do you enjoy independent films? Yes No

13. Do you wear sandals/flip-flops in the summer? Yes No

14. Do you own a dictionary and/or thesaurus? Yes No

15. Do you ever download music from the Internet? Yes No

16. Do you fly an American flag at home? 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. - Ears of corn always have an even number of rows of kernels. - Babies are born without knee caps. - Niagara Falls is constantly moving backwards. The rim is worn down about two and a half feet each year because of the millions of gallons of water that rush over it every minute.

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