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Survey about chocolate, et, rattlesnake, family, multi-vitamin and dinner.

Begin Survey

1. Have you ever been less than honest on your income tax return? Yes No

2. Do you have or use a PDA (Personal Digital Assistant)? Yes No

3. Have you ever eaten rattlesnake meat? Yes No

4. Have you ever spent more than $100 on a pair of shoes? Yes No

5. Do you own a gun? Yes No

6. Are any of your grandparents still alive? Yes No

7. Do you plan on performing any community service this week? Yes No

8. Do you drink diet soda? Yes No

9. Will you go see a new-release movie at a theater this week? Yes No

10. Will you visit a doctor this week? Yes No

11. Do you have a sit-down family dinner every night? Yes No

12. Do you fly an American flag at home? Yes No

13. Do you like chocolate? Yes No

14. Will you take any train or subway rides this week? Yes No

15. Do you believe in Santa Claus? Yes No

16. Do you give your children a daily multi-vitamin? Yes No

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

18. 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: - Deborah Winger did the voice of E.T. - Honey is the only food that will not spoil. - In the year 1900,aspirin was the first drug was offered as a water-soluble tablet. - In Washington D.C., no building may be built taller than the Washington Monument.

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