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Survey about born, board games, dance lessons, television, overall health and videos.

Begin Survey

1. Do you have cable or satellite television? Yes No

2. Have you ever traced your family tree? Yes No

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

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

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

6. Do you brush your teeth each morning? Yes No

7. Will you rent a DVD or video this weekend? Yes No

8. Will you visit a casino this week? Yes No

9. Can you whistle? Yes No

10. Do you plan on visiting a comedy club this month? Yes No

11. Do you enjoy board games? Yes No

12. Do you follow a vegetarian diet? Yes No

13. Have you ever taken dance lessons? Yes No

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

15. Do you eat breakfast every morning? Yes No

16. Would you consider yourself to be in good overall health? 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: - Jimmy Carter is the first U.S. President to have been born in a hospital. - Americans eat more than 22 pounds of tomatoes every year. - The liquid inside young coconuts can be used as a substitute for blood plasma. - The State of Louisiana was named after the French King Louis XIV.

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