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Survey about chain smoker, beverages, take-out, cranberry juice, flip-flops and restaurants.

Begin Survey

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

2. Do you have any pets? Yes No

3. Do you have any siblings? Yes No

4. Do you take a daily multi-vitamin? Yes No

5. Do you wear sandals/flip-flops in the summer? Yes No

6. Will you see a play this month? Yes No

7. Do you think you are intelligent? Yes No

8. Do you enjoy documentary films? Yes No

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

10. Did you vote in the last Presidential election? Yes No

11. Have you ever pilfered office supplies from work? Yes No

12. Will you use a coupon for any of your purchases this week? Yes No

13. Have you ever been in a car accident? Yes No

14. 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: - Jackie Kennedy Onassis was secretly a chain smoker. - The Massachusetts state beverage is Cranberry Juice. - Both carrots and ketchup were once considered to have medicinal value. - The White House kitchen, with its five full-time chefs, is able to serve as many as 140 dinner guests, and hors d’oeuvres to more than 1,000 people.

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