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Survey about charlie chaplin, tattoos, money, checking account, seasonal allergies and breakfast.

Begin Survey

1. Do you listen to talk radio? Yes No

2. Do you enjoy board games? Yes No

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

4. Do you have a swimming pool? Yes No

5. Have you ever spent a day at a spa? Yes No

6. Do you brush your teeth before bed each night? Yes No

7. Do you believe in Santa Claus? Yes No

8. Do you believe there is life on other planets? Yes No

9. Do you have a checking account? Yes No

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

11. Do you plan to visit any U.S. National Parks this year? Yes No

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

13. Do you eat breakfast every morning? Yes No

14. Do you have any tattoos? Yes No

15. Are you satisfied in your current employment? Yes No

16. Do you suffer from seasonal allergies? Yes No

17. Are your parents still married? Yes No

18. Do you enjoy hunting or fishing? Yes No

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

20. 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: - Charlie Chaplin once won third prize in a Charlie Chaplin look alike contest. - In 2003, the U.S. Government spent about $2,000,000 on potato research. - 25% of your bones are located in your feet. - Lake Michigan is the largest lake in the United States.

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