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Survey about movies, piercings, trips, stores, glasses and driving.

Begin Survey

1. Do you wear glasses/contacts? Yes No

2. Do you know how to fly an airplane? Yes No

3. Do you have any siblings? Yes No

4. Have you ever been arrested? Yes No

5. Will you visit a hardware or home improvement store this week? Yes No

6. Do you enjoy spicy foods? Yes No

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

8. Do you have any pets? Yes No

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

10. Do you own your home? Yes No

11. Have you ever been in a car accident? Yes No

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

13. Do you enjoy reality television? Yes No

14. Can you drive a stick shift? Yes No

15. Will you go see a new-release movie at a theater this week? Yes No

16. Do you have any piercings? 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: - Houdini was the first man to fly a plane solo in Australia. - People in the United Kingdom consume more cans of baked beans than the rest of the world combined. - One quarter of the human brain is used to control the eyes. - The State of Louisiana was named after the French King Louis XIV.

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