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Survey about employment, reality television, chicago, cars, water and houseplants.

Begin Survey

1. Do you drink milk? Yes No

2. Have you ever been in a car accident? Yes No

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

4. Do you have any houseplants? Yes No

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

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

7. Do you plan on visiting a comedy club this month? Yes No

8. Do you wear glasses/contacts? Yes No

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

10. Do you believe in miracles? Yes No

11. Do you enjoy reality television? Yes No

12. Do you keep an umbrella in your car? Yes No

13. Do you have road rage? Yes No

14. Do you have any tattoos? Yes No

15. Have you ever traced your family tree? Yes No

16. Do you drink enough water (6 8-ounce glasses) every day? 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: - George Washington never had a set of wooden teeth, nor did he ever chop down a cherry tree. - Dandelion root can be roasted and ground as a coffee substitute. - One quarter of the human brain is used to control the eyes. - The Sears Tower in Chicago has its own zip code.

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