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Survey about piercings, soft drinks, washington monument, sleep, carrots and money.

Begin Survey

1. Do you sleep with a pillow at night? Yes No

2. Will you go to the grocery store this week? Yes No

3. Have you ever been arrested? Yes No

4. Will you buy a lottery ticket this week? Yes No

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

6. Have you ever borrowed money from a relative? Yes No

7. Do you have any piercings? Yes No

8. Will you be staying at a hotel this week? Yes No

9. Do you have or use an MP3 player? Yes No

10. Do you have a sit-down family dinner every night? Yes No

11. Do you enjoy ethnic foods? Yes No

12. Do you drink diet soda? Yes No

13. 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. - Dandelion root can be roasted and ground as a coffee substitute. - Both carrots and ketchup were once considered to have medicinal value. - In Washington D.C., no building may be built taller than the Washington Monument.

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