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Survey about cat-naps, overall health, hair, cartoons, work and sleep.

Begin Survey

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

2. Would you consider yourself to be in good overall health? Yes No

3. Do you enjoy classical music? Yes No

4. Do you work outside of the home? Yes No

5. Do you eat lunch every day? Yes No

6. Do you watch Saturday morning cartoons? Yes No

7. Will you visit a beauty salon this week? Yes No

8. Are your immunizations up-to-date? Yes No

9. Are you currently attending college or taking adult enrichment classes? Yes No

10. Have you ever been rock or mountain climbing? Yes No

11. Will you attend religious services this week? Yes No

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

13. Do you use mouthwash? Yes No

14. Do you enjoy cat-naps? Yes No

15. Do you enjoy independent films? Yes No

16. Have you ever cut your own hair? Yes No

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

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

19. Have you ever been in a tornado, earthquake, or other natural disaster? Yes No

20. Will you consume any alcoholic beverages this weekend? 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: - Blueberry Jelly Bellies were created especially for Ronald Reagan. - The average American drinks 25 gallons of milk per year. - A blink lasts approximately 0.3 seconds. - The Statue of Liberty is one hundred fifty one feet and one inch tall. Her index finger is eight feet long, her fingernails are thirteen inches long, and her nose is four and a half feet long.

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