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Survey about alcoholic beverages, coffee, ralph lauren, women, siblings and rattlesnake.

Begin Survey

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

2. Do your children attend public schools? Yes No

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

4. Have you ever borrowed money from a relative? Yes No

5. Did you drink coffee this morning? Yes No

6. Will you attend a college sporting event this month? Yes No

7. Do you get between 7 to 10 hours of sleep each night? Yes No

8. Have you ever been arrested? Yes No

9. Do you enjoy watching cooking shows? Yes No

10. Do you know your cholesterol level? Yes No

11. Do you plan on performing any community service this week? Yes No

12. Have you ever been the target of identity theft? Yes No

13. Do you have any siblings? Yes No

14. Do you enjoy gambling? Yes No

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

16. Will you consume any alcoholic beverages this weekend? Yes No

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

18. Do you enjoy spicy foods? Yes No

19. Have you ever eaten rattlesnake meat? Yes No

20. Do you read the comics? 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: - Ralph Lauren's original name is Ralph Lifshitz. - Headache pain can be reduced by eating 20 tart cherries. - Men are 6 times more likely to be struck by lightning than women. - The Hollywood sign was first erected in 1923. It was first erected as 'Hollywoodland.'

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