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Survey about movies, independent films, low-carb diet, frank sinatra, newspapers and research.

Begin Survey

1. Are you currently attending college or taking adult enrichment classes? Yes No

2. Do you have any food allergies? Yes No

3. Do you enjoy Girl Scout cookies? Yes No

4. Do you enjoy independent films? Yes No

5. Do you have any tattoos? Yes No

6. Have you ever taken dance lessons? Yes No

7. Do you subscribe to your local newspaper? Yes No

8. Do you ever download movies from the Internet? Yes No

9. Do you believe in Santa Claus? Yes No

10. Should the ban on new lines of stem cells for research in the U.S. be lifted? Yes No

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

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

13. Do you enjoy television police/crime dramas? Yes No

14. Did you drink coffee this morning? Yes No

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

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

17. 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. - Headache pain can be reduced by eating 20 tart cherries. - 15% of Americans secretly bite their toes. - The first roller-skating rink, Belgravia Skating Rink, was opened to the public in Great Britain on August 2, 1875.

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