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Survey about cookies, cocunuts, night, income tax, ketchup and milk.

Begin Survey

1. Have you ever traveled by airplane? Yes No

2. Do you drink milk? Yes No

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

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

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

6. Are you currently attending college or taking adult enrichment classes? Yes No

7. Are any of your grandparents still alive? Yes No

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

9. Do you own a matching set of luggage? Yes No

10. Do you think you are intelligent? Yes No

11. Have you made your will? Yes No

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

13. Do you enjoy Girl Scout cookies? Yes No

14. Will you go to a concert this week? Yes No

15. 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: - George Washington never had a set of wooden teeth, nor did he ever chop down a cherry tree. - The '57' on the bottle of Heinz ketchup stands for the number of pickle varieties they once offered. - The liquid inside young coconuts can be used as a substitute for blood plasma. - The Golden Gate Bridge was first opened in 1937.

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