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Survey about love, soft drinks, coca-cola, religion, broken bones and religious services.

Begin Survey

1. Do you use mouthwash? Yes No

2. Do you have any houseplants? Yes No

3. Do you own your home? Yes No

4. Will you go to the grocery store this week? Yes No

5. Can you drive a stick shift? Yes No

6. Have you ever been in love? Yes No

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

8. Have you ever broken any bones? Yes No

9. Have you ever gotten a traffic ticket? Yes No

10. Do you have or use an MP3 player? Yes No

11. Will you attend religious services this week? Yes No

12. Have you ever cut your own hair? Yes No

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

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

15. 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: - Virgina Woolf wrote all her books while standing. - Coca-Cola was the first soft drink to be consumed in outer space. - Your heart rate can rise as much as 30% during a yawn. - In Washington D.C., no building may be built taller than the Washington Monument.

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