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Survey about piercings, jimi hendrix, umbrella, hands, pda and traffic tickets.

Begin Survey

1. Do you have any piercings? Yes No

2. Do you use online banking? Yes No

3. Do you ever dye your hair? Yes No

4. Do you have an annual check-up or exam with your family doctor? Yes No

5. Do you read your horoscope every day? Yes No

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

7. Do you enjoy reality television? Yes No

8. Will you attend a professional sporting event this month? Yes No

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

10. Have you ever been the target of identity theft? Yes No

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

12. Do you know how to fly an airplane? Yes No

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

14. Are you left-handed? Yes No

15. Do you keep an umbrella in your car? Yes No

16. Have you ever gotten a traffic ticket? Yes No

17. Should government employees be randomly tested for illicit drug use? Yes No

18. Do you enjoy documentary films? Yes No

19. Are you a registered voter? Yes No

20. Can you roller-skate, roller-blade, and/or ice-skate? 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: - Jimi Hendrix, Janis Joplin, and Jim Morrison were all 27 years old when they died. - Non-dairy creamer is flammable. - The tongue is the strongest muscle in the human body. - The first roller-skating rink, Belgravia Skating Rink, was opened to the public in Great Britain on August 2, 1875.

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