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Survey about hair, jimi hendrix, piercings, cows, janis joplin and sharks.

Begin Survey

1. Do you use charge cards? Yes No

2. Do you smoke cigarettes? Yes No

3. Do you ever dye your hair? Yes No

4. Are you a veteran? Yes No

5. Do you get between 7 to 10 hours of sleep each night? Yes No

6. Did you graduate from high school? Yes No

7. Do you wear mittens? Yes No

8. Have you ever placed a personals ad? Yes No

9. Do you read your horoscope every day? Yes No

10. Do you enjoy independent films? Yes No

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

12. Do you own a first aid kit? Yes No

13. Will you balance your checkbook this week? Yes No

14. Do you have a valid passport? Yes No

15. Do you know CPR? Yes No

16. Should the ban on new lines of stem cells for research in the U.S. be lifted? Yes No

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

18. Do you have any piercings? Yes No

19. Do you have children? Yes No

20. Do you enjoy science fiction/fantasy movies? 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: - Jimi Hendrix, Janis Joplin, and Jim Morrison were all 27 years old when they died. - In 2003, the U.S. Government spent about $2,000,000 on potato research. - You are more likely to get attacked by a cow than a shark. - Built in 1967, the world’s only flying saucer launching pad is in St. Paul, Alberta, Canada.

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