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Survey about shopping, american flag, pentagon, radio, slippers and chewing tobacco.

Begin Survey

1. Do you plan on visiting the public library this week? Yes No

2. Do you brush your teeth before bed each night? Yes No

3. Do you suffer from seasonal allergies? Yes No

4. Do you sleep with a pillow at night? Yes No

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

6. Do you have any piercings? Yes No

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

8. Do you use chewing tobacco? Yes No

9. Do you drink milk? Yes No

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

11. Will you go to the grocery store this week? Yes No

12. Do you ever download music from the Internet? Yes No

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

14. Do you wear a watch every day? Yes No

15. Have you ever traveled by airplane? Yes No

16. Do you have any siblings? Yes No

17. Do you contribute money to any charitable organizations? Yes No

18. Do you listen to the radio in the car? 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: - Jackie Kennedy Onassis was secretly a chain smoker. - Onions have no flavor, only a smell. - One quarter of the human brain is used to control the eyes. - The Pentagon has twice as many bathrooms as is necessary. When it was built in the 1940s, the state of Virginia still had segregation laws requiring separate toilet facilities for blacks and whites.

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