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Survey about karma, trips, coffee, relatives, tablets and coffeine.

Begin Survey

1. Do you play any musical instruments? Yes No

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

3. Do you enjoy documentary films? Yes No

4. Have you ever borrowed money from a relative? Yes No

5. Do you have or use a cellular phone? Yes No

6. Do you enjoy gambling? Yes No

7. Do you ever download music from the Internet? Yes No

8. Can you whistle? Yes No

9. Will you buy a lottery ticket this week? Yes No

10. Do you believe in karma? Yes No

11. Have you made your will? Yes No

12. Do you enjoy roller coasters? Yes No

13. Do you enjoy television police/crime dramas? Yes No

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

15. Are you married? Yes No

16. 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. - A cup of coffee has 12 times the amount of caffeine as a cup of cocoa. - In the year 1900,aspirin was the first drug was offered as a water-soluble tablet. - The first lighthouse to use electricity was the Statue of Liberty in 1886.

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