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Survey about theater, airplanes, family, multi-vitamin, languages and furnitures.

Begin Survey

1. Will you go to a bar or night club this week? Yes No

2. Do you have an annual check-up or exam with your family doctor? Yes No

3. Have you ever had a professional massage? Yes No

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

5. Will you rent a DVD or video this weekend? Yes No

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

7. Do you keep an umbrella in your car? Yes No

8. Do you have road rage? Yes No

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

10. Do you smoke cigarettes? Yes No

11. Do you speak any foreign languages? Yes No

12. Do you sleep with a pillow at night? Yes No

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

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

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

16. Will you visit a hardware or home improvement store this week? Yes No

17. 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: - Al Capone's business card said he was a used furniture dealer. - Ears of corn always have an even number of rows of kernels. - The average person falls asleep in seven minutes. - Hawaii's Mount Waialeale is the wettest place in the world - it rains throughout the year and about 460 inches per annum.

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