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Survey about cars, therapists, take-out, umbrella, charity and teeth.

Begin Survey

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

2. Do you have children? Yes No

3. Do you follow a low-carb diet? Yes No

4. Do you have any camping trips planned for this summer? Yes No

5. Will you visit a hardware or home improvement store this week? Yes No

6. Do you enjoy classical music? Yes No

7. Will you order take-out or delivery food from a restaurant this week? Yes No

8. Will you engage in rigorous physical activity at least three times this week? Yes No

9. Do you wear glasses/contacts? Yes No

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

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

12. Do enjoy reading or writing poetry? Yes No

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

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

15. Can you whistle? Yes No

16. Do you run the vacuum (or sweep) your floors every day? Yes No

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

18. Do you keep an umbrella in your car? Yes No

19. 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: - Wilma Flintstone's maiden name was Wilma Slaghoopal. - Onions have no flavor, only a smell. - Children laugh about 400 times a day, while adults laugh on average only 15 times a day. - The Sears Tower in Chicago has its own zip code.

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