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Survey about allergy, health, winter, music, download and hardware.

Begin Survey

1. Do you think you are intelligent? Yes No

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

3. Do you have any food allergies? Yes No

4. Do you ever download music from the Internet? Yes No

5. Will you visit a hardware or home improvement store this week? Yes No

6. Do you brush your teeth before bed each night? Yes No

7. Do you use charge cards? Yes No

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

9. Have you made your will? Yes No

10. Do you take a bagged lunch to work every day? Yes No

11. Can you drive a stick shift? Yes No

12. Do you believe in Santa Claus? Yes No

13. Have you ever responded to a personals ad? Yes No

14. Do you enjoy Girl Scout cookies? Yes No

15. Do you watch the evening news? Yes No

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

17. Do you get a flu shot every winter? 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. - Americans eat an average of 18 pounds of fresh apples each year. - A yawn usually lasts for approximately six seconds. - The Library of Congress, located in Washington D.C., is the largest library in the world.

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