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Survey about delivery food, spa, massage, smell, eyes and restaurants.

Begin Survey

1. Do you have any phobias? Yes No

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

3. Do you enjoy reading non-fiction books for pleasure? Yes No

4. Do you drink milk? Yes No

5. Do you drink enough water (6 8-ounce glasses) every day? Yes No

6. Have you ever had a professional massage? Yes No

7. Will you go to the grocery store this week? Yes No

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

9. Do you plan on visiting the public library this week? Yes No

10. Will you buy plants or flowers from a florist this week? Yes No

11. Do you eat breakfast every morning? Yes No

12. Do you drink diet soda? Yes No

13. Have you ever spent a day at a spa? Yes No

14. Do you have or use a cellular phone? Yes No

15. Will you visit a beauty salon this week? Yes No

16. Will you order take-out or delivery food from a restaurant this week? Yes No

17. 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: - Houdini was the first man to fly a plane solo in Australia. - Onions have no flavor, only a smell. - One in 500 humans has one blue eye and one brown eye. - The are six fictional characters that have stars on Hollywood's 'Walk of Fame'.

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