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Survey about glasses, contact lenses, toes, console, xbox and yoga.

Begin Survey

1. Do you keep an umbrella in your car? Yes No

2. Do enjoy reading or writing poetry? Yes No

3. Do you ever dye your hair? Yes No

4. Do you use chewing tobacco? Yes No

5. Do you practice yoga? Yes No

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

7. Are you a registered voter? Yes No

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

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

10. Do you own a console video game system (Xbox, Playstation 2, GameCube, etc.)? Yes No

11. Do you wear glasses/contacts? Yes No

12. Do you think you are intelligent? Yes No

13. 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: - Pierce Brosnan once worked in the circus as a fire eater. - The Massachusetts state beverage is Cranberry Juice. - 15% of Americans secretly bite their toes. - The tallest building west of the Mississippi River is the Stratosphere Hotel and Casino in Las Vegas, Nevada.

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