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Survey about cities, florists, growing, plants, relatives and hollywood.

Begin Survey

1. Do you ever dye your hair? Yes No

2. Are you a registered voter? Yes No

3. Do you splash in mud puddles? Yes No

4. Do you take a bagged lunch to work every day? Yes No

5. Do you plan to visit the zoo this year? Yes No

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

7. Do you have any food allergies? Yes No

8. Do you believe in miracles? Yes No

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

10. Do you watch the evening news? Yes No

11. Do you brush your teeth each morning? Yes No

12. Do you like peanut butter and jelly sandwiches? Yes No

13. Will you buy plants or flowers from a florist this week? Yes No

14. Do you attend regular religious services? Yes No

15. Will you attend religious services this week? Yes No

16. Do you use online banking? Yes No

17. Will you be visiting any theme parks this year? Yes No

18. Have you ever borrowed money from a relative? Yes No

19. 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: - Ralph Lauren's original name is Ralph Lifshitz. - The average American drinks 25 gallons of milk per year. - The human brain stops growing at the age of 18. - There are 10 towns/cities named Hollywood in the United States.

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