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Survey about first aid, allergy, take-out, radio, pillow and meat.

Begin Survey

1. Do you contribute money to any charitable organizations? Yes No

2. Have you ever placed a personals ad? Yes No

3. Do you sleep with a pillow at night? Yes No

4. Do you belong to any professional organizations? Yes No

5. Do you have a retirement investment account (401k, IRA, etc.)? Yes No

6. Have you ever won the lottery? Yes No

7. Do you drink diet soda? Yes No

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

9. Have you ever eaten rattlesnake meat? Yes No

10. Do you enjoy cooking or baking? Yes No

11. Do you own a first aid kit? Yes No

12. Do you listen to talk radio? Yes No

13. Do you enjoy board games? Yes No

14. Do you watch Saturday morning cartoons? Yes No

15. Do you play any musical instruments? Yes No

16. Will you buy a lottery ticket this week? Yes No

17. Do you ever download music from the Internet? Yes No

18. Did you graduate from high school? Yes No

19. Do you enjoy playing video games? Yes No

20. Do you believe in love at first sight? 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: - Theodore Roosevelt was blind in his left eye. - Onions have no flavor, only a smell. - More children are allergic to cockroaches than cats - The State of Nevada's name comes from the Spanish meaning 'snow-capped'.

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