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Survey about night clubs, presidents, vegetarian diet, love, tombstone and united states.

Begin Survey

1. Do you ever dye your hair? Yes No

2. Will you go to a concert this week? Yes No

3. Do you own a pair of fuzzy bunny slippers? Yes No

4. Do you enjoy board games? Yes No

5. Do you own a boat, camper, or other recreational vehicle? Yes No

6. Do you attend regular religious services? Yes No

7. Do you use mouthwash? Yes No

8. Do you have any siblings? Yes No

9. Will you use a coupon for any of your purchases this week? Yes No

10. Have you ever had a professional massage? Yes No

11. Have you ever been arrested? Yes No

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

13. Will you go to a bar or night club this week? Yes No

14. Will you be taking any road trips this week (over 50 miles)? Yes No

15. Will you visit a beauty salon this week? Yes No

16. Have you ever been less than honest on your income tax return? Yes No

17. Have you ever been in love? Yes No

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

19. Do you listen to talk radio? Yes No

20. Do you follow a vegetarian diet? 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: - Andrew Jackson’s tombstone does not mention that he served as the president of the United States. - The average American eats approximately 20 pounds of pasta each year. - Blue eyes are the most sensitive to light (hence they can see better in the dark); brown the least sensitive. - The world’s first gas station was opened by the Gulf Refining Company on December 1, 1913, in Pittsburgh, Pennsylvania.

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