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Survey about soft drinks, busses, allergy, food, attractive and safety belt.

Begin Survey

1. Will you see a play this month? Yes No

2. Will you be staying at a hotel this week? Yes No

3. Will you ride on a bus this week? Yes No

4. Do you believe in Santa Claus? Yes No

5. Do you have a VCR? Yes No

6. Do you have any food allergies? Yes No

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

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

9. Are any of your grandparents still alive? Yes No

10. Do you own or drive an SUV or large truck? Yes No

11. Do you drink diet soda? Yes No

12. Do you think you are physically attractive? Yes No

13. Have you ever broken any bones? Yes No

14. 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. - A ripe cranberry will bounce. - Betty Rubble made her debut as a Flintstones Vitamin in 1996. - There are 365 steps on the front of the U.S. Capitol Building - one for every day of the year.

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