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Survey about science fiction, movies, cappuccino, carrots, health and airplanes.

Begin Survey

1. Do you get a flu shot every winter? Yes No

2. Do you use mouthwash? Yes No

3. Do you brush your teeth after lunch? Yes No

4. Have you ever traced your family tree? Yes No

5. Do you plan on taking a trip by airplane this week? Yes No

6. Do you read the comics? Yes No

7. Do you know CPR? Yes No

8. Will you buy an espresso drink (cappuccino, latte etc.) from a coffee house this week? Yes No

9. Will you go see a new-release movie at a theater this week? Yes No

10. Do you enjoy science fiction/fantasy movies? Yes No

11. Will you go to a bar or night club this week? Yes No

12. Do you enjoy card games? Yes No

13. Do you have a land-line phone in your home? Yes No

14. Have you ever responded to a personals ad? Yes No

15. Will you buy a lottery ticket this week? Yes No

16. Do you read your horoscope every day? Yes No

17. Do you enjoy spicy foods? Yes No

18. 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: - More people have seen David Copperfield perform live than any other performer in the world. - Non-dairy creamer is flammable. - Both carrots and ketchup were once considered to have medicinal value. - There are 10 towns/cities named Hollywood in the United States.

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