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Survey about classical music, physical activity, mountain climbing, pasta, children and office supplies.

Begin Survey

1. Do you have children? Yes No

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

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

4. Do you suffer from seasonal allergies? Yes No

5. Do you have any tattoos? Yes No

6. Do you have any piercings? Yes No

7. Have you ever pilfered office supplies from work? Yes No

8. Do you believe in karma? Yes No

9. Will you engage in rigorous physical activity at least three times this week? Yes No

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

11. Do you enjoy classical music? Yes No

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

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

14. Do you play any organized team sports? Yes No

15. Do you contribute money to any charitable organizations? Yes No

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

17. Do you know your cholesterol level? Yes No

18. Do you listen to talk radio? Yes No

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

20. 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: - Charlie Chaplin once won third prize in a Charlie Chaplin look alike contest. - The average American eats approximately 20 pounds of pasta each year. - Neanderthal man had a brain capacity 100cc larger than modern man. - The White House kitchen, with its five full-time chefs, is able to serve as many as 140 dinner guests, and hors d’oeuvres to more than 1,000 people.

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