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Survey about doctor, concerts, men, socks, albert einstain and shopping.

Begin Survey

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

2. Do you have any food allergies? Yes No

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

4. Have you ever been in love? Yes No

5. Do you run the vacuum (or sweep) your floors every day? Yes No

6. Do you belong to a credit union? Yes No

7. Are you involved in volunteerism? Yes No

8. Will you visit a doctor this week? Yes No

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

10. Have you ever cut your own hair? Yes No

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

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

13. Are you a veteran? Yes No

14. Do you believe in miracles? Yes No

15. Do you listen to talk radio? Yes No

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

17. Have you ever gotten a traffic ticket? Yes No

18. 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: - Albert Einstein never wore any socks. - A hardboiled egg will spin. An uncooked or softboiled egg will not. - Men are 6 times more likely to be struck by lightning than women. - On a clear day, you can see five states from atop the Empire State Building in New York City: New York, New Jersey, Connecticut, Massachusetts, and Pennsylvania.

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