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Survey about janis joplin, coffee, life, alcoholic beverages, jimi hendrix and videos.

Begin Survey

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

2. Are your immunizations up-to-date? Yes No

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

4. Do you wear cologne or perfume every day? Yes No

5. Do you have Internet access at home? Yes No

6. Do you plan on performing any community service this week? Yes No

7. Do you follow a low-carb diet? Yes No

8. Have you ever taken dance lessons? Yes No

9. Do you enjoy reality television? Yes No

10. Will you be staying at a hotel this week? Yes No

11. Will you rent a DVD or video this weekend? Yes No

12. Have you ever been rock or mountain climbing? Yes No

13. Do you own or use a digital camera? Yes No

14. Will you consume any alcoholic beverages this weekend? Yes No

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

16. Do you know how to fly an airplane? 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: - Jimi Hendrix, Janis Joplin, and Jim Morrison were all 27 years old when they died. - A cup of coffee has 12 times the amount of caffeine as a cup of cocoa. - During a typical human life span, the human heart will beat approximately 2.5 billion times. - Air conditioners completely recycle the air throughout the Empire State Building about every 10 minutes.

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