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Survey about hair, beauty salons, playstation 2, gamecube, poetry and coca-cola.

Begin Survey

1. Do you take any prescribed daily medications? Yes No

2. Do you own a motorcycle? Yes No

3. Do you wear a watch every day? Yes No

4. Will you rent a DVD or video this weekend? Yes No

5. Have you ever cut your own hair? Yes No

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

7. Will you engage in rigorous physical activity at least three times this week? Yes No

8. Do you have road rage? Yes No

9. Should government employees be randomly tested for illicit drug use? Yes No

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

11. Do you plan to visit the zoo this year? Yes No

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

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

14. Have you ever spent a day at a spa? Yes No

15. Do enjoy reading or writing poetry? Yes No

16. Will you visit a beauty salon this week? Yes No

17. Have you ever been less than honest on your income tax return? Yes No

18. 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. - Coca-Cola was the first soft drink to be consumed in outer space. - After the age of 35, about 1 in 27 women will give birth to twins. After 50, the chances of having twins is 1 in 9. - The White House kitchen, with its five full-time chefs, is able to serve as many as 140 dinner guests, and hors d’oeuvres to more than 1,000 people.

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