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Survey about birthdays, arizona, income tax, vegetables, homes and spicy food.

Begin Survey

1. Do you have a savings account? Yes No

2. Will you plant a vegetable and/or flower garden this year? Yes No

3. Are your immunizations up-to-date? Yes No

4. Are you involved in volunteerism? Yes No

5. Do you think you are intelligent? Yes No

6. Do you plan on visiting the public library this week? Yes No

7. Should government employees be randomly tested for illicit drug use? Yes No

8. Have you ever gone sky-diving or bungee-jumping? Yes No

9. Do you believe in miracles? Yes No

10. Do you own your home? Yes No

11. Will you send anyone a printed holiday, birthday, or anniversary card this week? Yes No

12. Have you ever been less than honest on your income tax return? Yes No

13. Do you have road rage? Yes No

14. Do you attend regular religious services? Yes No

15. Do you have or use an MP3 player? Yes No

16. Do you enjoy spicy foods? Yes No

17. 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: - Albert Einstein never wore any socks. - The Massachusetts state beverage is Cranberry Juice. - A sneeze travels at 100 miles per hour. - The only place in the US where four states intersect at a single point is called Four Corners. The four states are Utah, New Mexico, Colorado, and Arizona.

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