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Survey about trips, cleaning, night, coffeine, pillow and swimming pools.

Begin Survey

1. Do you believe in love at first sight? Yes No

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

3. Are you involved in volunteerism? Yes No

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

5. Do you have children? Yes No

6. Do you enjoy Girl Scout cookies? Yes No

7. Do you have a swimming pool? Yes No

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

9. Do you like chocolate? Yes No

10. Are any of your grandparents still alive? Yes No

11. Will you be staying at a hotel this week? Yes No

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

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

14. Do you have a checking account? Yes No

15. Do you get a flu shot every winter? Yes No

16. Do you own a boat, camper, or other recreational vehicle? Yes No

17. Will you ride on a bus this week? Yes No

18. Do you have any pets? 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: - 20252 is Smokey the Bear's own zip code. - A cup of coffee has 12 times the amount of caffeine as a cup of cocoa. - Coconuts kill more people in the world than sharks do. Approximately 150 people are killed each year by coconuts. - Manhattan Island of New York City was purchased for $24 from the Algonquian Indians in 1624.

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