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Survey about children, haircut, jackie kennedy, egypt, christmas and medications.

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 believe in Santa Claus? Yes No

4. Can you whistle? Yes No

5. Do you have a valid passport? Yes No

6. Do you enjoy classical music? Yes No

7. Will you go to a bar or night club this week? Yes No

8. Do you drink diet soda? Yes No

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

10. Do you splash in mud puddles? Yes No

11. Have you ever been tested for HIV? Yes No

12. Do you take any prescribed daily medications? Yes No

13. 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. - Dandelion root can be roasted and ground as a coffee substitute. - More children are allergic to cockroaches than cats - The Step Pyramid is the first known monumental structure made of stone anywhere in the world. The Step Pyramid Complex of Djoser was built during the Third Dynasty (2800 B.C.) in Saqqara, Egypt.

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