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Survey about food, doctors, musical instruments, vegetables, three stoges and teeth.

Begin Survey

1. Do you have any food allergies? Yes No

2. Do you enjoy television police/crime dramas? Yes No

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

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

5. Will you plant a vegetable and/or flower garden this year? Yes No

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

7. Do you plan to visit any U.S. National Parks this year? Yes No

8. Do you plan to visit the zoo this year? Yes No

9. Do you use online banking? Yes No

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

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

12. Do you play any musical instruments? Yes No

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

14. Do you own at least one pair of blue jeans? Yes No

15. Have you ever borrowed money from a relative? Yes No

16. Have you ever eaten rattlesnake meat? Yes No

17. Do you have a sit-down family dinner every night? 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: - Of the six men who made up the Three Stooges, three of them were real brothers (Moe, Curly and Shemp.) - Approximately 3 billion pizzas are sold in the U.S. each year. - Women blink nearly twice as much as men. - The White House kitchen, with its five full-time chefs, is able to serve as many as 140 dinner guests, and hors d’oeuvres to more than 1,000 people.

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