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Survey about satellite, glasses, americans, chocolate, bunny and subways.

Begin Survey

1. Do you use mouthwash? Yes No

2. Are you a registered voter? Yes No

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

4. Will you take any train or subway rides this week? Yes No

5. Do you eat lunch every day? Yes No

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

7. Do you enjoy playing video games? Yes No

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

9. Do you believe in love at first sight? Yes No

10. Have you ever been tested for HIV? Yes No

11. Do you feel Americans file too many frivolous lawsuits? Yes No

12. Can you drive a stick shift? Yes No

13. Will you engage in rigorous physical activity at least three times this week? Yes No

14. Do you own a pair of fuzzy bunny slippers? Yes No

15. Do you know your cholesterol level? Yes No

16. Do you own at least one pair of blue jeans? Yes No

17. Do you wear glasses/contacts? Yes No

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

19. Will you use a coupon for any of your purchases this week? 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: - Leonardo da Vinci could write with one hand and draw with the other at the same time. - Chocolate does not cause acne. - Only 25% of Americans eat three meals a day. - The are six fictional characters that have stars on Hollywood's 'Walk of Fame'.

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