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Survey about take-out, shoes, police, playstation 2, women and vacuum.

Begin Survey

1. Do you have any food allergies? Yes No

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

3. Do you own a console video game system (Xbox, Playstation 2, GameCube, etc.)? Yes No

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

5. Do you wear cologne or perfume every day? Yes No

6. Do you enjoy card games? Yes No

7. Do you drink diet soda? Yes No

8. Will you attend religious services this week? Yes No

9. Do you attend regular religious services? Yes No

10. Do you enjoy television police/crime dramas? Yes No

11. Have you ever spent more than $100 on a pair of shoes? Yes No

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

13. Will you order take-out or delivery food from a restaurant this week? Yes No

14. Have you ever been in love? Yes No

15. Do you run the vacuum (or sweep) your floors every day? Yes No

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

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

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

19. Do you plan on visiting a mall this week? Yes No

20. Do you plan on taking a trip by airplane this week? Yes No

21. 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: - Albert Einstein never wore any socks. - Lemons contain more sugar than strawberries. - Men are 6 times more likely to be struck by lightning than women. - The first lighthouse recorded in history and the tallest ever built, at 450 feet, is the Pharos of Alexandria in Egypt.

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