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Survey about poetry, hollywood, hands, cities, writing and comics.

Begin Survey

1. Do you own at least one pair of blue jeans? Yes No

2. Do you read the comics? Yes No

3. Do you always wear your safety belt when in a car? Yes No

4. Do enjoy reading or writing poetry? Yes No

5. Are you left-handed? Yes No

6. Will you take any train or subway rides this week? Yes No

7. Do you sing in the shower? Yes No

8. Do you have any tattoos? Yes No

9. Have you ever had a professional massage? Yes No

10. Do you know CPR? Yes No

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

12. Do you own or drive an SUV or large truck? Yes No

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

14. Do you have a swimming pool? Yes No

15. Do you have any phobias? Yes No

16. Do you ever use a tanning bed? 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: - Theodore Roosevelt was blind in his left eye. - The fortune cookie was invented in 1916 by George Jung, a Los Angeles noodlemaker. - Club Direct, a travel insurance company in Britain, provides insurance plans for protection from falling coconuts. - There are 10 towns/cities named Hollywood in the United States.

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