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Survey about hair, disasters, meditation, jelly, therapists and carrots.

Begin Survey

1. Will you visit a therapist or psychiatrist this week? Yes No

2. Do you always drive within the posted speed limit? Yes No

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

4. Do you use charge cards? Yes No

5. Will you be visiting any theme parks this year? Yes No

6. Do you enjoy hunting or fishing? Yes No

7. Have you ever been in a tornado, earthquake, or other natural disaster? Yes No

8. Have you ever cut your own hair? Yes No

9. Do you get between 7 to 10 hours of sleep each night? Yes No

10. Have you ever been less than honest on your income tax return? Yes No

11. Do you have health insurance? Yes No

12. Do you suffer from seasonal allergies? Yes No

13. Do you practice yoga? Yes No

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

15. Will you attend religious services this week? Yes No

16. Do you belong to a credit union? 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: - George Washington never had a set of wooden teeth, nor did he ever chop down a cherry tree. - The average child will eat 1,500 peanut butter and jelly sandwiches by the he/she graduates from high school. - Both carrots and ketchup were once considered to have medicinal value. - In Washington D.C., no building may be built taller than the Washington Monument.

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