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Survey about brown, law, american flag, pillow, siblings and sports.

Begin Survey

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

2. Do you always drive within the posted speed limit? Yes No

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

4. Do you drink diet soda? Yes No

5. Do you have an annual check-up or exam with your family doctor? Yes No

6. Do you have road rage? Yes No

7. Will you visit a therapist or psychiatrist this week? Yes No

8. Do you use online banking? Yes No

9. Do you have any siblings? Yes No

10. Do you own your own business or work for yourself? Yes No

11. Do you contribute money to any charitable organizations? Yes No

12. Will you travel outside of the U.S. this year? Yes No

13. Do you sleep with a pillow at night? Yes No

14. Do you fly an American flag at home? Yes No

15. Would you consider yourself an avid sports fan? Yes No

16. 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: - Henry Ford, father of the assembly line, also invented the charcoal briquette. - Americans eat more than 22 pounds of tomatoes every year. - One in 500 humans has one blue eye and one brown eye. - On a clear day, you can see five states from atop the Empire State Building in New York City: New York, New Jersey, Connecticut, Massachusetts, and Pennsylvania.

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