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Survey about romance, coffee, cars, pennsylvania, election and personal ads.

Begin Survey

1. Do you use mouthwash? Yes No

2. Do you own a matching set of luggage? Yes No

3. Are you a registered voter? Yes No

4. Did you vote in the last Presidential election? Yes No

5. Do you plan on performing any community service this week? Yes No

6. Have you ever gotten a traffic ticket? Yes No

7. Do you have any piercings? Yes No

8. Do you enjoy hot bubble baths? Yes No

9. Are you left-handed? Yes No

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

11. Do you ever dye your hair? Yes No

12. Have you ever placed a personals ad? 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: - Whoopi Golberg’s real name is Caryn Elaine Johnson. - The world's rarest coffee, called Kopi Luwak, costs $300 a pound. - More children are allergic to cockroaches than cats - On a clear day, you can see five states from atop the Empire State Building in New York City: New York, New Jersey, Connecticut, Massachusetts, and Pennsylvania.

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