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Survey about spa, chocolate, human brain, tomatoes, plants and coupons.

Take a fun daily life survey about spa, chocolate, human brain, tomatoes, plants and coupons. Get a chance to win prizes, earn rewards and money. Find out interesting facts about yourself and others.

Begin Survey
1. Will you use a coupon for any of your purchases this week?
Yes No
2. Do you like chocolate?
Yes No
3. Will you buy plants or flowers from a florist this week?
Yes No
4. Do you have any phobias?
Yes No
5. Will you consume any alcoholic beverages this weekend?
Yes No
6. Have you ever participated in a focus group?
Yes No
7. Do you ever download music from the Internet?
Yes No
8. Will you order take-out or delivery food from a restaurant this week?
Yes No
9. Are you satisfied in your current employment?
Yes No
10. Will you ride on a bus this week?
Yes No
11. Have you ever spent a day at a spa?
Yes No
12. Will you engage in rigorous physical activity at least three times this week?
Yes No
13. Will you visit a beauty salon this week?
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:

- Houdini was the first man to fly a plane solo in Australia.
- Americans eat more than 22 pounds of tomatoes every year.
- The storage capacity of human brain exceeds 4 terrabytes.
- The world’s first gas station was opened by the Gulf Refining Company on December 1, 1913, in Pittsburgh, Pennsylvania.

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