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Survey about alcoholic beverages, statue of liberty, sports, ice cream, hair and luggage.

Begin Survey

1. Do you take any prescribed daily medications? Yes No

2. Are you a veteran? Yes No

3. Do you own a matching set of luggage? Yes No

4. Do you smoke cigarettes? Yes No

5. Have you ever been in love? Yes No

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

7. Have you ever placed a personals ad? Yes No

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

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

10. Will you attend a professional sporting event this month? Yes No

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

12. Will you visit a doctor this week? Yes No

13. Do you ever dye your hair? Yes No

14. Do you own a dictionary and/or thesaurus? Yes No

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

16. Do you wear a watch every day? Yes No

17. Should government employees be randomly tested for illicit drug use? 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: - 20252 is Smokey the Bear's own zip code. - Seaweed is used to thicken ice cream. - A blink lasts approximately 0.3 seconds. - The first lighthouse to use electricity was the Statue of Liberty in 1886.

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