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Survey about hollywood, vcr, virginia woolf, identity theft, blue jeans and massage.

Begin Survey

1. Do you own at least one pair of blue jeans? Yes No

2. Have you ever been arrested? Yes No

3. Are you currently attending college or taking adult enrichment classes? Yes No

4. Do you listen to the radio in the car? Yes No

5. Do you enjoy roller coasters? Yes No

6. Have you ever been the target of identity theft? Yes No

7. Do you have any camping trips planned for this summer? Yes No

8. Do you have an annual check-up or exam with your family doctor? Yes No

9. Have you ever traveled by airplane? Yes No

10. Do you have a VCR? Yes No

11. Do you have any food allergies? Yes No

12. Do you smoke cigarettes? Yes No

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

14. Will you ride on a bus this week? Yes No

15. Do you drink diet soda? Yes No

16. Do you like chocolate? Yes No

17. Do you have any tattoos? Yes No

18. Do you eat breakfast every morning? Yes No

19. 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: - Virgina Woolf wrote all her books while standing. - Ears of corn always have an even number of rows of kernels. - Between 25% to 33% of people sneeze when they are exposed to light. - There are 10 towns/cities named Hollywood in the United States.

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