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Survey about dandelion root, psychiatrists, vcr, college, therapists and janis joplin.

Begin Survey

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

2. Will you go to a bar or night club this week? Yes No

3. Do you have Internet access at home? Yes No

4. Can you drive a stick shift? Yes No

5. Will you use a coupon for any of your purchases this week? Yes No

6. Do you ever dye your hair? Yes No

7. Do you enjoy ethnic foods? Yes No

8. Do you know your cholesterol level? Yes No

9. Do you give your children a daily multi-vitamin? Yes No

10. Have you graduated from (or finished) college? Yes No

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

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

13. Have you ever been less than honest on your resume? Yes No

14. Do you have a VCR? Yes No

15. Do you enjoy cat-naps? Yes No

16. Do your children attend public schools? Yes No

17. Do you drink milk? Yes No

18. Can you whistle? Yes No

19. Do you enjoy reality television? Yes No

20. Will you visit a therapist or psychiatrist this week? 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: - Jimi Hendrix, Janis Joplin, and Jim Morrison were all 27 years old when they died. - Dandelion root can be roasted and ground as a coffee substitute. - One in 500 humans has one blue eye and one brown eye. - New York's Central Park is nearly twice the size of the entire country of Monaco.

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