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Survey about piercings, born, santa claus, christmas, pets and movies.

Begin Survey

1. Do you have a VCR? Yes No

2. Do you have a checking account? Yes No

3. Do you wear sandals/flip-flops in the summer? Yes No

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

5. Have you graduated from (or finished) college? Yes No

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

7. Do you believe in Santa Claus? Yes No

8. Do you have any pets? Yes No

9. Do you get a flu shot every winter? Yes No

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

11. Do you enjoy cooking or baking? Yes No

12. Do you own a gun? Yes No

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

14. Do you have any piercings? Yes No

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

16. Will you see a play this month? Yes No

17. Did you graduate from high school? Yes No

18. Do you smoke cigarettes? Yes No

19. Have you ever participated in a focus group? Yes No

20. 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: - Jimmy Carter is the first U.S. President to have been born in a hospital. - The world's rarest coffee, called Kopi Luwak, costs $300 a pound. - 15% of Americans secretly bite their toes. - There are 365 steps on the front of the U.S. Capitol Building - one for every day of the year.

Related Content: Piercings Movies survey with piercings surveys for free movies

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