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Survey about safety belt, chocolate, minister, bible, hair and koran.

Begin Survey

1. Do you enjoy documentary films? Yes No

2. Do you think you are intelligent? Yes No

3. Do you ever dye your hair? Yes No

4. Do you believe in miracles? Yes No

5. Do you like chocolate? Yes No

6. Do you suffer from seasonal allergies? Yes No

7. Do you use a dishwasher to do your dishes? Yes No

8. Do you have any piercings? Yes No

9. Do you enjoy television police/crime dramas? Yes No

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

11. Do you have an annual check-up or exam with your family doctor? Yes No

12. Will you consume any alcoholic beverages this weekend? Yes No

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

14. Do you have a swimming pool? Yes No

15. Do you drink milk? Yes No

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

17. Do you have a savings account? Yes No

18. Do you fly an American flag at home? Yes No

19. Do you enjoy watching cooking shows? Yes No

20. 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: - Mr. Rogers was an ordained minister. - Honey is the only food that will not spoil. - Your thumb is the same length as your nose. - Air conditioners completely recycle the air throughout the Empire State Building about every 10 minutes.

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