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Survey about clothes, body, blue jeans, classical music, zoo and water.

Begin Survey

1. Do you drink enough water (6 8-ounce glasses) every day? Yes No

2. Have you ever gotten a traffic ticket? Yes No

3. Do you own at least one pair of blue jeans? Yes No

4. Will you be staying at a hotel this week? Yes No

5. Do you enjoy classical music? Yes No

6. Do you have health insurance? Yes No

7. Do you ever dye your hair? Yes No

8. Do you enjoy playing video games? Yes No

9. Do you wear cologne or perfume every day? Yes No

10. Do you own your own business or work for yourself? Yes No

11. Do you brush your teeth before bed each night? Yes No

12. Do you belong to a labor union? Yes No

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

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

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

16. Will you balance your checkbook this week? Yes No

17. Do you have any piercings? Yes No

18. Do you listen to talk radio? 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: - Jimmy Hoffa's middle name is Riddle. - Strawberries are a member of the rose family. - The aorta, the largest artery in the body, is almost the diameter of a garden hose. - Manhattan Island of New York City was purchased for $24 from the Algonquian Indians in 1624.

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