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Survey about console, income tax, pillow, playstation 2, road trips and swimming pools.

Begin Survey

1. Do you suffer from seasonal allergies? Yes No

2. Do you have any tattoos? Yes No

3. Will you be taking any road trips this week (over 50 miles)? Yes No

4. Do you play any musical instruments? Yes No

5. Do you own a console video game system (Xbox, Playstation 2, GameCube, etc.)? Yes No

6. Do you have a swimming pool? Yes No

7. Do you have health insurance? Yes No

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

9. Will you attend a professional sporting event this month? Yes No

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

11. Do you sleep with a pillow at night? Yes No

12. Should government employees be randomly tested for illicit drug use? Yes No

13. 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: - Walt Disney, the creator of Mickey Mouse, was afraid of mice. - The Massachusetts state beverage is Cranberry Juice. - One in 500 humans has one blue eye and one brown eye. - Manhattan Island of New York City was purchased for $24 from the Algonquian Indians in 1624.

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