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Survey about rose family, tattoos, jail, contact lenses, independent films and santa claus.

Begin Survey

1. Do you enjoy independent films? Yes No

2. Have you ever been arrested? Yes No

3. Do you play any musical instruments? Yes No

4. Do you enjoy reality television? Yes No

5. Do you use online banking? Yes No

6. Are you left-handed? Yes No

7. Do you wear glasses/contacts? Yes No

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

9. Do you enjoy documentary films? Yes No

10. Have you ever placed a personals ad? Yes No

11. Do you smoke cigarettes? Yes No

12. Do you have any tattoos? Yes No

13. Do you believe in Santa Claus? Yes No

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

15. 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: - John F. Kennedy is the only U.S president to win a Pulitzer Prize. - Apples are a member of the rose family. - Babies are born without knee caps. - Built in 1763, Touro Synagogue in Newport, Rhode Island, is the oldest surviving synagogue in North America.

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