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Survey about fortune cookies, morning, miracles, medications, hawaii and clothes.

Begin Survey

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

2. Do you have any phobias? Yes No

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

4. Do you play any musical instruments? Yes No

5. Do you drink diet soda? Yes No

6. Have you ever broken any bones? Yes No

7. Do you take any prescribed daily medications? Yes No

8. Do you take a bagged lunch to work every day? Yes No

9. Did you vote in the last Presidential election? Yes No

10. Did you drink coffee this morning? Yes No

11. Do you follow a low-carb diet? Yes No

12. Will you see a play this month? Yes No

13. Do you follow a vegetarian diet? Yes No

14. Do you believe in miracles? Yes No

15. Do you own or drive an SUV or large truck? Yes No

16. Do you know your cholesterol level? 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: - Deborah Winger did the voice of E.T. - The fortune cookie was invented in 1916 by George Jung, a Los Angeles noodlemaker. - A yawn usually lasts for approximately six seconds. - Hawaii's Mount Waialeale is the wettest place in the world - it rains throughout the year and about 460 inches per annum.

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