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Survey about food, gamecube, health, retirement, overall health and community services.

Begin Survey

1. Are your parents still married? Yes No

2. Do you plan on performing any community service this week? Yes No

3. Do you eat breakfast every morning? Yes No

4. Do you like chocolate? Yes No

5. Would you consider yourself to be in good overall health? Yes No

6. Do you own a console video game system (Xbox, Playstation 2, GameCube, etc.)? Yes No

7. Do you believe in destiny or fate? Yes No

8. Can you drive a stick shift? Yes No

9. Did you graduate from high school? Yes No

10. Do you take a daily multi-vitamin? Yes No

11. Do you brush your teeth after lunch? Yes No

12. Do you have any houseplants? Yes No

13. Do you enjoy gambling? Yes No

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

15. Do you have any food allergies? Yes No

16. 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: - Betsy Ross was born with a fully formed set of teeth. - A hardboiled egg will spin. An uncooked or softboiled egg will not. - Neanderthal man had a brain capacity 100cc larger than modern man. - In Washington D.C., no building may be built taller than the Washington Monument.

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