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Survey about morning, personal ads, poetry, alcoholic beverages, hair and cyanide.

Begin Survey

1. Do you use online banking? Yes No

2. Do you enjoy classical music? Yes No

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

4. Do you enjoy board games? Yes No

5. Will you consume any alcoholic beverages this weekend? Yes No

6. Do enjoy reading or writing poetry? Yes No

7. Do you own your own business or work for yourself? Yes No

8. Do you brush your teeth each morning? Yes No

9. Do you ever dye your hair? Yes No

10. Do you always wear your safety belt when in a car? Yes No

11. Have you ever placed a personals ad? Yes No

12. Do you get a flu shot every winter? Yes No

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

14. Do you have Internet access at home? Yes No

15. Have you ever been the target of identity theft? Yes No

16. 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: - Sonny and Cher originally called themselves Cleo and Caesar. - Lima beans contain cyanide. - The human brain stops growing at the age of 18. - On February 22, 1985, the one billionth vehicle passed over the Golden Gate Bridge.

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