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Survey about speed needle, cacoa, coffeine, travel, multi-vitamin and piercings.

Begin Survey

1. Do you enjoy hunting or fishing? Yes No

2. Do you plan on visiting a comedy club this month? Yes No

3. Do you get between 7 to 10 hours of sleep each night? Yes No

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

5. Did you graduate from high school? Yes No

6. Do you plan on performing any community service this week? Yes No

7. Do you use a dishwasher to do your dishes? Yes No

8. Do you take a daily multi-vitamin? Yes No

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

10. Have you ever gotten a traffic ticket? Yes No

11. Do you have any phobias? Yes No

12. Have you ever participated in a focus group? Yes No

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

14. Do you plan to visit the zoo this year? Yes No

15. Have you ever been the target of identity theft? Yes No

16. Will you travel outside of the U.S. this year? Yes No

17. Do you have any tattoos? Yes No

18. Do you have any piercings? Yes No

19. Will you take any train or subway rides this week? Yes No

20. 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: - George Washington never had a set of wooden teeth, nor did he ever chop down a cherry tree. - A cup of coffee has 12 times the amount of caffeine as a cup of cocoa. - Between 25% to 33% of people sneeze when they are exposed to light. - Space Needle in Seattle, built for the 1962 Worlds Fair, is home to the Nations first Monorail, which is still in operation.

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