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Survey about religion, florists, shower, night, theaters and lightening.

Begin Survey

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

2. Do you sing in the shower? Yes No

3. Do you own a Bible, Koran, or other religious book? Yes No

4. Do you enjoy playing video games? Yes No

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

6. Will you ride on a bus this week? Yes No

7. Do you enjoy roller coasters? Yes No

8. Will you visit a beauty salon this week? Yes No

9. Will you go see a new-release movie at a theater this week? Yes No

10. Did you drink coffee this morning? Yes No

11. Do you plan to visit the zoo this year? Yes No

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

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

14. Do you have any pets? Yes No

15. Are you left-handed? Yes No

16. Do you wear mittens? Yes No

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

18. Are you currently attending college or taking adult enrichment classes? Yes No

19. Have you ever been in love? Yes No

20. Do you have a savings account? 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: - Albert Einstein never wore any socks. - The candy bar 'Baby Ruth' was named after the daughter of U.S. President Grover Cleveland in 1921. - Men are 6 times more likely to be struck by lightning than women. - Hawaii's Mount Waialeale is the wettest place in the world - it rains throughout the year and about 460 inches per annum.

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