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Survey about michael douglas, teeth, office supplies, coffee house, employees and americans.

Begin Survey

1. Do you know CPR? Yes No

2. Do you enjoy board games? Yes No

3. Do you own a motorcycle? Yes No

4. Do you enjoy cat-naps? Yes No

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

6. Do you wear cologne or perfume every day? Yes No

7. Do you enjoy independent films? Yes No

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

9. Do you have road rage? Yes No

10. Do you have any houseplants? Yes No

11. Have you ever eaten rattlesnake meat? Yes No

12. Will you order take-out or delivery food from a restaurant this week? Yes No

13. Do you drink enough water (6 8-ounce glasses) every day? Yes No

14. Have you ever pilfered office supplies from work? 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: - Michale Keaton's original name is Michael Douglas. - Lima beans contain cyanide. - Half of all Americans over the age of 55 have no teeth. - Air conditioners completely recycle the air throughout the Empire State Building about every 10 minutes.

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