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Survey about contact lenses, selling, retirement, honesty, birthdays and digital camera.

Begin Survey

1. Do you take any prescribed daily medications? Yes No

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

3. Do you plan on visiting a mall this week? Yes No

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

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

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

7. Do you know CPR? Yes No

8. Do you enjoy gambling? Yes No

9. Do you wear glasses/contacts? Yes No

10. Do you have a retirement investment account (401k, IRA, etc.)? Yes No

11. Do you own or use a digital camera? Yes No

12. Do you speak any foreign languages? Yes No

13. Do you enjoy watching cooking shows? Yes No

14. Do you have a valid passport? Yes No

15. Will you see a play this month? Yes No

16. Will you send anyone a printed holiday, birthday, or anniversary card this week? Yes No

17. Do you wear mittens? Yes No

18. Can you roller-skate, roller-blade, and/or ice-skate? Yes No

19. Do you enjoy board games? Yes No

20. Would you consider yourself to be in good overall health? Yes No

21. 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: - Robert E. Lee, of the Confederate Army, remains the only person to have graduated from the West Point military academy without a single demerit. - The onion is named after a Latin word meaning large pearl. - One quarter of the human brain is used to control the eyes. - The State of Nevada's name comes from the Spanish meaning 'snow-capped'.

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