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Survey about chocolate, athletes, safety belt, human body, savings account and therapists.

Begin Survey

1. Do you like chocolate? Yes No

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

3. Do you always wear your safety belt when in a car? Yes No

4. Do you brush your teeth after lunch? Yes No

5. Do you have a savings account? Yes No

6. Do you enjoy card games? Yes No

7. Do you read your horoscope every day? Yes No

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

9. Do you enjoy independent films? Yes No

10. Do you have any siblings? Yes No

11. Are you a registered voter? Yes No

12. Do you plan on visiting a comedy club this month? Yes No

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

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

15. Will you plant a vegetable and/or flower garden this year? Yes No

16. Do you think professional athletes should be regularly screened for illicit drug use? Yes No

17. Have you ever been less than honest on your resume? Yes No

18. Do enjoy reading or writing poetry? Yes No

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

20. Do you wear a watch every day? 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: - Houdini was the first man to fly a plane solo in Australia. - Back in 1953, it took 27 hours to make one Marshmallow Peep. Now it takes only six minutes. - Every year about 98% of atoms in the human body are replaced. - The first lighthouse to use electricity was the Statue of Liberty in 1886.

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