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Survey about health, kopi luwak, michael douglas, coupons, casinos and michale keaton.

Begin Survey

1. Do you get a flu shot every winter? Yes No

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

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

4. Do you have any phobias? Yes No

5. Did you vote in the last Presidential election? Yes No

6. Have you ever been arrested? Yes No

7. Do you own a matching set of luggage? Yes No

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

9. Do you splash in mud puddles? Yes No

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

11. Have you ever eaten fried green tomatoes? Yes No

12. Will you be visiting any theme parks this year? Yes No

13. Do you follow a vegetarian diet? Yes No

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

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

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

17. Are any of your grandparents still alive? Yes No

18. Do you have any siblings? Yes No

19. Do you enjoy Girl Scout cookies? Yes No

20. 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: - Michale Keaton's original name is Michael Douglas. - The world's rarest coffee, called Kopi Luwak, costs $300 a pound. - Your heart rate can rise as much as 30% during a yawn. - On a clear day, you can see five states from atop the Empire State Building in New York City: New York, New Jersey, Connecticut, Massachusetts, and Pennsylvania.

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