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Survey about trips, travel, cappuccino, teeth, morning and psychiatrists.

Begin Survey

1. Do you own a gun? Yes No

2. Have you ever eaten rattlesnake meat? Yes No

3. Do you give your children a daily multi-vitamin? Yes No

4. Do you brush your teeth each morning? Yes No

5. Will you buy an espresso drink (cappuccino, latte etc.) from a coffee house this week? Yes No

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

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

8. Do you have health insurance? Yes No

9. Will you visit a therapist or psychiatrist this week? Yes No

10. Will you travel outside of the U.S. this year? Yes No

11. Do you have a retirement investment account (401k, IRA, etc.)? Yes No

12. Are you satisfied in your current employment? Yes No

13. Do you think you are physically attractive? Yes No

14. 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: - Pierce Brosnan once worked in the circus as a fire eater. - Dandelion root can be roasted and ground as a coffee substitute. - One quarter of the human brain is used to control the eyes. - Central Park (in New York City) has 125 drinking fountains.

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