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Survey about piercings, music, morning, sears tower, police and frank sinatra.

Begin Survey

1. Do you like chocolate? Yes No

2. Do you eat breakfast every morning? Yes No

3. Will you balance your checkbook this week? Yes No

4. Do you think professional athletes should be regularly screened for illicit drug use? Yes No

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

6. Will you engage in rigorous physical activity at least three times this week? Yes No

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

8. Do you believe in destiny or fate? Yes No

9. Do you take any prescribed daily medications? Yes No

10. Do you have any piercings? Yes No

11. Do you have a savings account? Yes No

12. Can you whistle? Yes No

13. Do you own a first aid kit? Yes No

14. Do you shower at least once daily? Yes No

15. Will you visit a therapist or psychiatrist this week? Yes No

16. Do you enjoy television police/crime dramas? 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: - Frank Sinatra never wore or owned a pair of blue jeans. - A cup of coffee has 12 times the amount of caffeine as a cup of cocoa. - Half of all Americans over the age of 55 have no teeth. - The Sears Tower in Chicago has its own zip code.

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