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Survey about glasses, chocolate, cars, health, albert einstain and marriage.

Begin Survey

1. Are you married? Yes No

2. Do you enjoy ethnic foods? Yes No

3. Do you have any pets? Yes No

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

5. Do you believe in miracles? Yes No

6. Do you subscribe to your local newspaper? Yes No

7. Do you have road rage? Yes No

8. Do you wear glasses/contacts? Yes No

9. Are your immunizations up-to-date? Yes No

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

11. Do you attend regular religious services? Yes No

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

13. Do you have children? Yes No

14. Will you be taking any road trips this week (over 50 miles)? Yes No

15. Do you watch Saturday morning cartoons? 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: - Albert Einstein never wore any socks. - Chocolate does not cause acne. - More children are allergic to cockroaches than cats - There are 365 steps on the front of the U.S. Capitol Building - one for every day of the year.

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