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Survey about glasses, cacoa, louisiana, labor unions, contact lenses and guns.

Begin Survey

1. Do you have any phobias? Yes No

2. Do you own a gun? Yes No

3. Do you belong to a labor union? Yes No

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

5. Do you own a motorcycle? Yes No

6. Do you wear glasses/contacts? Yes No

7. Do you have or use a cellular phone? Yes No

8. Do you follow a low-carb diet? Yes No

9. Will you buy a lottery ticket this week? Yes No

10. Do you drink enough water (6 8-ounce glasses) every day? Yes No

11. Do you suffer from seasonal allergies? Yes No

12. Do you watch Saturday morning cartoons? Yes No

13. Did you drink coffee this morning? Yes No

14. Do you splash in mud puddles? Yes No

15. Will you use a coupon for any of your purchases this week? Yes No

16. Can you drive a stick shift? Yes No

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

18. Do you have Internet access at home? Yes No

19. Do you own a pair of fuzzy bunny slippers? Yes No

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

21. 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: - Jimmy Hoffa's middle name is Riddle. - A cup of coffee has 12 times the amount of caffeine as a cup of cocoa. - The aorta, the largest artery in the body, is almost the diameter of a garden hose. - The State of Louisiana was named after the French King Louis XIV.

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