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Survey about lotteries, summer, luck, coffee substitute, circus and eyes.

Begin Survey

1. Are you married? Yes No

2. Will you visit a doctor this week? Yes No

3. Do you ever use a tanning bed? Yes No

4. Do you belong to a labor union? Yes No

5. Do you brush your teeth after lunch? Yes No

6. Do you enjoy gambling? Yes No

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

8. Do you use chewing tobacco? Yes No

9. Have you ever spent a day at a spa? Yes No

10. Do you play any musical instruments? Yes No

11. Do you enjoy documentary films? Yes No

12. Do you like chocolate? Yes No

13. Do you take a bagged lunch to work every day? Yes No

14. Can you whistle? Yes No

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

16. Have you ever won the lottery? 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. - Dandelion root can be roasted and ground as a coffee substitute. - One in 500 humans has one blue eye and one brown eye. - Ho-Ho-Kus, a small town in New Jersey, is the only town in the United States of America that has two dashes in its name.

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