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Survey about teeth, gamecube, research, stem cells, ronald reagan and pizza.

Begin Survey

1. Do you like chocolate? Yes No

2. Do you have a savings account? Yes No

3. Do you believe in Santa Claus? Yes No

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

5. Do you have children? Yes No

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

7. Should the ban on new lines of stem cells for research in the U.S. be lifted? Yes No

8. Will you visit a casino this week? Yes No

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

10. Are you a veteran? Yes No

11. Do you have any piercings? Yes No

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

13. Have you ever purchased or sold anything on eBay? Yes No

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

15. Would you consider yourself an avid sports fan? Yes No

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

17. Do you have any phobias? Yes No

18. Have you ever placed a personals ad? Yes No

19. 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: - Blueberry Jelly Bellies were created especially for Ronald Reagan. - 50% of pizzas sold in the U.S. have pepperoni on them. - Half of all Americans over the age of 55 have no teeth. - 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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