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Survey about organizations, broken bones, parents, gamecube, florists and personal ads.

Begin Survey

1. Have you ever responded to a personals ad? Yes No

2. Do you have a valid passport? Yes No

3. Have you ever been tested for HIV? Yes No

4. Do you watch Saturday morning cartoons? Yes No

5. Do you have any piercings? Yes No

6. Are your parents still married? Yes No

7. Do you enjoy documentary films? Yes No

8. Are you a veteran? Yes No

9. Have you ever broken any bones? Yes No

10. Will you buy plants or flowers from a florist this week? Yes No

11. Do you have a land-line phone in your home? Yes No

12. Have you made your will? Yes No

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

14. Do you own a console video game system (Xbox, Playstation 2, GameCube, etc.)? Yes No

15. Do you belong to any professional organizations? Yes No

16. Do you take a bagged lunch to work every day? 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: - Alfred Hitchcock didn't have a belly button. - Lemons contain more sugar than strawberries. - Neanderthal man had a brain capacity 100cc larger than modern man. - Built in 1967, the world’s only flying saucer launching pad is in St. Paul, Alberta, Canada.

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