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Survey about alcoholic beverages, dinner, wills, broken bones, intelligent and north america.

Begin Survey

1. Have you made your will? Yes No

2. Do you enjoy reality television? Yes No

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

4. Will you be taking any road trips this week (over 50 miles)? Yes No

5. Did you graduate from high school? Yes No

6. Do you enjoy playing video games? Yes No

7. Do you have a sit-down family dinner every night? Yes No

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

9. Have you ever broken any bones? Yes No

10. Do you know how to fly an airplane? Yes No

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

12. Do you think you are intelligent? Yes No

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

14. Do you work outside of the home? Yes No

15. Do you ever use a tanning bed? Yes No

16. 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: - Deborah Winger did the voice of E.T. - Gatorade was named for the University of Florida (Gators where it was first developed. - The United States produces more tobacco than it does wheat. - Built in 1763, Touro Synagogue in Newport, Rhode Island, is the oldest surviving synagogue in North America.

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