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Survey about schools, laugh, fire eater, circus, video games and coupons.

Begin Survey

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

2. Do you have any tattoos? Yes No

3. Will you use a coupon for any of your purchases this week? Yes No

4. Do you enjoy playing video games? Yes No

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

6. Do you use charge cards? Yes No

7. Have you ever broken any bones? Yes No

8. Do your children attend public schools? Yes No

9. Have you eaten fast food this week? Yes No

10. Are you satisfied in your current employment? Yes No

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

12. Do you wear mittens? Yes No

13. Do you ever download movies from the Internet? Yes No

14. Do you own a motorcycle? Yes No

15. Do you enjoy spicy foods? Yes No

16. Do you have a valid passport? Yes No

17. Have you ever been in a tornado, earthquake, or other natural disaster? Yes No

18. Have you ever been rock or mountain climbing? Yes No

19. 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: - Pierce Brosnan once worked in the circus as a fire eater. - Americans eat more than 22 pounds of tomatoes every year. - Children laugh about 400 times a day, while adults laugh on average only 15 times a day. - The first roller-skating rink, Belgravia Skating Rink, was opened to the public in Great Britain on August 2, 1875.

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