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Survey about dance lessons, siblings, four corners, vcr, income tax and pickles.

Begin Survey

1. Do you sing in the shower? Yes No

2. Will you visit a therapist or psychiatrist this week? Yes No

3. Will you travel outside of the U.S. this year? Yes No

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

5. Do you have cable or satellite television? Yes No

6. Have you ever traveled by airplane? Yes No

7. Do you own a motorcycle? Yes No

8. Will you visit a hardware or home improvement store this week? Yes No

9. Do you have an annual check-up or exam with your family doctor? Yes No

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

11. Do you have any siblings? Yes No

12. Do you eat lunch every day? Yes No

13. Are you satisfied in your current employment? Yes No

14. Do you have a VCR? Yes No

15. Do you drink milk? Yes No

16. Do you use mouthwash? Yes No

17. Have you ever taken dance lessons? Yes No

18. Do you enjoy hot bubble baths? Yes No

19. Do you have a valid passport? Yes No

20. Have you ever been less than honest on your income tax return? 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: - The characters Bert and Ernie on Sesame Street were named after Bert the cop and Ernie the taxi driver in Frank Capra's 'It's A Wonderful Life' - The '57' on the bottle of Heinz ketchup stands for the number of pickle varieties they once offered. - It takes 17 muscles to smile, 43 to frown. - The only place in the US where four states intersect at a single point is called Four Corners. The four states are Utah, New Mexico, Colorado, and Arizona.

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