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Survey about cigarettes, thesaurus, sugar, dictionary, chocolate and seasonal allergies.

Begin Survey

1. Do you smoke cigarettes? Yes No

2. Will you buy a lottery ticket this week? Yes No

3. Have you ever been rock or mountain climbing? Yes No

4. Do you know your cholesterol level? Yes No

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

6. Do you suffer from seasonal allergies? Yes No

7. Do you own your home? Yes No

8. Do you like chocolate? Yes No

9. Do enjoy reading or writing poetry? Yes No

10. Do you watch the evening news? Yes No

11. Do you enjoy television police/crime dramas? Yes No

12. Have you ever taken dance lessons? Yes No

13. Do you believe in miracles? Yes No

14. Do you own a dictionary and/or thesaurus? Yes No

15. Have you ever broken any bones? Yes No

16. Have you ever purchased or sold anything on eBay? Yes No

17. 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: - Betsy Ross was born with a fully formed set of teeth. - Lemons contain more sugar than strawberries. - Your thumb is the same length as your nose. - There are 365 steps on the front of the U.S. Capitol Building - one for every day of the year.

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