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Survey about independent films, pets, flip-flops, flowers, income tax and coconuts.

Begin Survey

1. Have you ever participated in a focus group? Yes No

2. Do you know how to fly an airplane? Yes No

3. Do you like chocolate? Yes No

4. Do you wear sandals/flip-flops in the summer? Yes No

5. Will you visit a therapist or psychiatrist this week? Yes No

6. Do you smoke cigarettes? Yes No

7. Do you have any pets? Yes No

8. Do you use mouthwash? Yes No

9. Do you enjoy independent films? Yes No

10. Do you have a swimming pool? Yes No

11. Do you own your own business or work for yourself? Yes No

12. Do you enjoy board games? Yes No

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

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

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

16. Do you brush your teeth before bed each night? Yes No

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

18. Will you buy plants or flowers from a florist this week? Yes No

19. Have you ever responded to a personals ad? 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: - Flamenco dancer Jose Greco took out an insurance policy through Lloyd's of London against his pants splitting during a performance. - The coconut is the largest seed in the world. - During a typical human life span, the human heart will beat approximately 2.5 billion times. - The State of Louisiana was named after the French King Louis XIV.

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