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Survey about cacoa, woman, gambling, lotteries, children and satellite.

Begin Survey

1. Do you always wear your safety belt when in a car? Yes No

2. Do you give your children a daily multi-vitamin? Yes No

3. Do you enjoy reality television? Yes No

4. Do you get between 7 to 10 hours of sleep each night? Yes No

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

6. Do you get a flu shot every winter? Yes No

7. Have you ever won the lottery? Yes No

8. Do you follow a vegetarian diet? Yes No

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

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

11. Will you balance your checkbook this week? Yes No

12. Do you have any tattoos? Yes No

13. Do you own a motorcycle? Yes No

14. Do you have children? Yes No

15. Do you enjoy cooking or baking? Yes No

16. Do you have any houseplants? Yes No

17. Do you play any organized team sports? Yes No

18. Do you wear mittens? Yes No

19. Do you own a dictionary and/or thesaurus? Yes No

20. Do you enjoy gambling? Yes No

21. 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: - Leonardo da Vinci invented scissors. - A cup of coffee has 12 times the amount of caffeine as a cup of cocoa. - 80% of people over 100 years old are women. - On April 12, 1965, the first Major League baseball game ever was played indoors at the Houston Astrodome.

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