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Survey about public library, religion, flu, rattlesnake, hair and fast food.

Begin Survey

1. Do you have cable or satellite television? Yes No

2. Do you have a land-line phone in your home? Yes No

3. Will you buy plants or flowers from a florist this week? Yes No

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

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

6. Do you listen to the radio in the car? Yes No

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

8. Do you ever dye your hair? Yes No

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

10. Do you plan on visiting the public library this week? Yes No

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

12. Have you ever been less than honest on your resume? Yes No

13. Have you eaten fast food this week? Yes No

14. Have you ever traveled by airplane? Yes No

15. Do you wear cologne or perfume every day? Yes No

16. Do you attend regular religious services? Yes No

17. Do you think you are physically attractive? Yes No

18. Have you ever eaten rattlesnake meat? Yes No

19. 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: - Of the six men who made up the Three Stooges, three of them were real brothers (Moe, Curly and Shemp.) - It takes approximately 850 peanuts to make an 18 oz jar of peanut butter. - A blink lasts approximately 0.3 seconds. - The world’s first gas station was opened by the Gulf Refining Company on December 1, 1913, in Pittsburgh, Pennsylvania.

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