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Survey about low-carb diet, bed, glasses, americans, mountain climbing and watches.

Begin Survey

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

2. Do you feel Americans file too many frivolous lawsuits? Yes No

3. Have you ever been tested for HIV? Yes No

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

5. Do you have any phobias? Yes No

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

7. Do you speak any foreign languages? Yes No

8. Should government employees be randomly tested for illicit drug use? Yes No

9. Do you have a land-line phone in your home? Yes No

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

11. Do you own a motorcycle? Yes No

12. Do you enjoy independent films? Yes No

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

14. Have you ever pilfered office supplies from work? Yes No

15. Do you use mouthwash? Yes No

16. Would you consider yourself an avid sports fan? Yes No

17. Do you wear a watch every day? Yes No

18. Do you enjoy watching cooking shows? Yes No

19. Do you wear glasses/contacts? Yes No

20. 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: - Frank Sinatra never wore or owned a pair of blue jeans. - The world's rarest coffee, called Kopi Luwak, costs $300 a pound. - One quarter of the human brain is used to control the eyes. - The Pentagon has twice as many bathrooms as is necessary. When it was built in the 1940s, the state of Virginia still had segregation laws requiring separate toilet facilities for blacks and whites.

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