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Survey about tornados, passports, allergy, poisonous, food and phones.

Begin Survey

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

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

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

4. Have you ever pilfered office supplies from work? Yes No

5. Can you roller-skate, roller-blade, and/or ice-skate? Yes No

6. Do you have any food allergies? Yes No

7. Will you go to the grocery store this week? Yes No

8. Do you have a valid passport? Yes No

9. Do you have cable or satellite television? Yes No

10. Have you ever been in a tornado, earthquake, or other natural disaster? Yes No

11. Will you send anyone a printed holiday, birthday, or anniversary card this week? Yes No

12. Have you ever taken dance lessons? Yes No

13. Will you use a coupon for any of your purchases this week? Yes No

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

15. Do you have a land-line phone in your home? Yes No

16. Do you believe there is life on other planets? Yes No

17. Do you have a DVD player? Yes No

18. Do you own or use a digital camera? Yes No

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

20. Do you attend regular religious services? 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: - Whoopi Golberg’s real name is Caryn Elaine Johnson. - Tomatoes were thought to be poisonous at one time. - Hailed as a wonder drug in the late nineteenth century, cocaine was outlawed in the United States in 1914. - On April 12, 1965, the first Major League baseball game ever was played indoors at the Houston Astrodome.

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