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Survey about non-fiction, poisonous, digital camera, piercings, newspapers and morning.

Begin Survey

1. Do you use chewing tobacco? Yes No

2. Do you have any piercings? Yes No

3. Do you have Internet access at home? Yes No

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

5. Do you enjoy reading non-fiction books for pleasure? Yes No

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

7. Did you drink coffee this morning? Yes No

8. Do you plan on visiting the public library this week? Yes No

9. Do you enjoy hot bubble baths? Yes No

10. Do you plan on visiting a comedy club this month? Yes No

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

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

13. Have you ever broken any bones? Yes No

14. Will you visit a casino this week? Yes No

15. Do you ever download music from the Internet? Yes No

16. Are you a veteran? Yes No

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

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

19. Do you own your own business or work for yourself? Yes No

20. Do you own or use a digital camera? 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: - Walt Disney, the creator of Mickey Mouse, was afraid of mice. - Nutmeg is extremely poisonous if injected intravenously. - A sneeze travels at 100 miles per hour. - The Golden Gate Bridge was first opened in 1937.

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