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Survey about night, chocolate, laugh, cologne, australia and bubble baths.

Begin Survey

1. Do you have a DVD player? Yes No

2. Do you like chocolate? Yes No

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

4. Have you ever broken any bones? Yes No

5. Do you fly an American flag at home? Yes No

6. Do you belong to a credit union? Yes No

7. Do you enjoy hot bubble baths? Yes No

8. Do you have or use a cellular phone? Yes No

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

10. Do you have or use a PDA (Personal Digital Assistant)? Yes No

11. Do you brush your teeth before bed each night? Yes No

12. Are any of your grandparents still alive? Yes No

13. Will you take any train or subway rides this week? Yes No

14. Do you own a motorcycle? Yes No

15. Do you sleep with a pillow at night? Yes No

16. Do your children attend public schools? Yes No

17. Have you ever pilfered office supplies from work? Yes No

18. 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. - Peanuts are one of the ingredients in dynamite. - Children laugh about 400 times a day, while adults laugh on average only 15 times a day. - Ho-Ho-Kus, a small town in New Jersey, is the only town in the United States of America that has two dashes in its name.

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