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Survey about trips, haircut, koran, hair, satellite and flu.

Begin Survey

1. Do you ever dye your hair? Yes No

2. Do you own your own business or work for yourself? Yes No

3. Do you own a Bible, Koran, or other religious book? Yes No

4. Do you play any musical instruments? Yes No

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

6. Do you wear glasses/contacts? Yes No

7. Do you think you are intelligent? Yes No

8. Will you engage in rigorous physical activity at least three times this week? Yes No

9. Have you ever eaten rattlesnake meat? Yes No

10. Have you ever cut your own hair? Yes No

11. Can you drive a stick shift? Yes No

12. Do you have any camping trips planned for this summer? Yes No

13. Have you ever been in a car accident? Yes No

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

15. Do you enjoy independent films? Yes No

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

17. Do you attend regular religious services? Yes No

18. 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. - After the 'Popeye' comic strip was launched in 1931, spinach consumption went up by thirty-three percent in the United States. - Identical twins do not have identical fingerprints. - It takes 570 gallons of white paint to cover the outside of the White House.

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