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Survey about blue jeans, dance lessons, lifshitz, teeth, shopping and meditation.

Begin Survey

1. Will you go to the grocery store this week? Yes No

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

3. Do you play any musical instruments? Yes No

4. Do you ever dye your hair? Yes No

5. Do you own at least one pair of blue jeans? Yes No

6. Do you brush your teeth after lunch? Yes No

7. Do you have a valid passport? Yes No

8. Do you plan to visit any U.S. National Parks this year? Yes No

9. Do you own a console video game system (Xbox, Playstation 2, GameCube, etc.)? Yes No

10. Have you ever taken dance lessons? Yes No

11. Do you practice yoga? Yes No

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

13. 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. - The average American drinks 25 gallons of milk per year. - More children are allergic to cockroaches than cats - On April 12, 1965, the first Major League baseball game ever was played indoors at the Houston Astrodome.

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