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Survey about honesty, life, pepperoni, mud puddles, circus and dance lessons.

Begin Survey

1. Do you attend regular religious services? Yes No

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

3. Do you believe there is life on other planets? Yes No

4. Do you fly an American flag at home? Yes No

5. Have you eaten fast food this week? Yes No

6. Do you run the vacuum (or sweep) your floors every day? Yes No

7. Do you plan on visiting a comedy club this month? Yes No

8. Do you use charge cards? Yes No

9. Do you splash in mud puddles? Yes No

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

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

12. Have you ever taken dance lessons? Yes No

13. Are you involved in volunteerism? Yes No

14. Do you have a DVD player? Yes No

15. Do you have a savings account? Yes No

16. Do you think you are physically attractive? Yes No

17. 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: - Pierce Brosnan once worked in the circus as a fire eater. - 50% of pizzas sold in the U.S. have pepperoni on them. - In the year 1900,aspirin was the first drug was offered as a water-soluble tablet. - Hawaii has the only royal palace in the United States – Iolani.

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