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Survey about music, usa, hardware, wills, movies and musical instruments.

Begin Survey

1. Do enjoy reading or writing poetry? Yes No

2. Do you have any food allergies? Yes No

3. Do you enjoy science fiction/fantasy movies? Yes No

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

5. Are your immunizations up-to-date? Yes No

6. Do you enjoy cooking or baking? Yes No

7. Have you ever spent a day at a spa? Yes No

8. Do you speak any foreign languages? Yes No

9. Will you go to the grocery store this week? Yes No

10. Do you play any musical instruments? Yes No

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

12. Do you give your children a daily multi-vitamin? Yes No

13. Can you whistle? Yes No

14. Do you have any piercings? Yes No

15. Do you have or use an MP3 player? Yes No

16. Do you have cable or satellite television? Yes No

17. Have you made your will? Yes No

18. Do you have children? Yes No

19. Do you have a savings account? Yes No

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

21. 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: - Jimi Hendrix, Janis Joplin, and Jim Morrison were all 27 years old when they died. - The candy bar 'Baby Ruth' was named after the daughter of U.S. President Grover Cleveland in 1921. - Your heart rate can rise as much as 30% during a yawn. - The tallest freestanding sculpture in the world is Chief Crazy Horse in South Dakota, USA.

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