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Survey about love, poetry, writing, overall health, bible and cappuccino.

Begin Survey

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

2. Will you see a play this month? Yes No

3. Do you use online banking? Yes No

4. Do you shower at least once daily? Yes No

5. Do you have any tattoos? Yes No

6. Will you take any train or subway rides this week? Yes No

7. Can you drive a stick shift? Yes No

8. Would you consider yourself to be in good overall health? Yes No

9. Do enjoy reading or writing poetry? Yes No

10. Do you have a valid passport? Yes No

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

12. Will you buy an espresso drink (cappuccino, latte etc.) from a coffee house this week? Yes No

13. Do you believe in love at first sight? Yes No

14. Will you visit a beauty salon this week? Yes No

15. Do you use chewing tobacco? Yes No

16. Do you drink diet soda? Yes No

17. Do you have a DVD player? Yes No

18. Have you ever eaten fried green tomatoes? Yes No

19. Do you own a Bible, Koran, or other religious book? Yes No

20. Did you vote in the last Presidential election? Yes No

21. 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 fortune cookie was invented in 1916 by George Jung, a Los Angeles noodlemaker. - Every year about 98% of atoms in the human body are replaced. - The Statue of Liberty is one hundred fifty one feet and one inch tall. Her index finger is eight feet long, her fingernails are thirteen inches long, and her nose is four and a half feet long.

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