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Survey about hollywood, rose family, heart rate, cities, love and roller coasters.

Begin Survey

1. Are you married? Yes No

2. Have you ever pilfered office supplies from work? Yes No

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

4. Do you follow a vegetarian diet? Yes No

5. Do you speak any foreign languages? Yes No

6. Do you believe in love at first sight? Yes No

7. Have you ever been in love? Yes No

8. Do you have any piercings? Yes No

9. Do you enjoy roller coasters? Yes No

10. Do you enjoy classical music? Yes No

11. Do you plan on taking a trip by airplane this week? Yes No

12. Do you plan on visiting a comedy club this month? 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: - Lyndon B. Johnson was the first president of the United States to wear contact lenses. - Apples are a member of the rose family. - Your heart rate can rise as much as 30% during a yawn. - There are 10 towns/cities named Hollywood in the United States.

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