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Survey about shopping, pillow, golden gate bridge, diet soda, coffeine and evening news.

Begin Survey

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

2. Do you follow a low-carb diet? Yes No

3. Do you ever use a tanning bed? Yes No

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

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

6. Do you have or use a cellular phone? Yes No

7. Are your immunizations up-to-date? Yes No

8. Do you attend regular religious services? Yes No

9. Do you watch the evening news? Yes No

10. Do you have any food allergies? Yes No

11. Do you enjoy hot bubble baths? Yes No

12. Do you enjoy reading non-fiction books for pleasure? Yes No

13. Do you subscribe to your local newspaper? Yes No

14. Do you own a boat, camper, or other recreational vehicle? Yes No

15. Do you drink diet soda? Yes No

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

17. Do you think professional athletes should be regularly screened for illicit drug use? 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: - Theodore Roosevelt was blind in his left eye. - A cup of coffee has 12 times the amount of caffeine as a cup of cocoa. - More children are allergic to cockroaches than cats - The Golden Gate Bridge was first opened in 1937.

Related Content: GOLDEN GATE BRIDGE MYSPACE LAYOUTS GOLDEN GATE myspace layouts myspace layouts golden gate bridge

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