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Survey about hardware, cooking, airplanes, marriage, hotels and overall health.

Begin Survey

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

2. Do you eat breakfast every morning? Yes No

3. Do you work outside of the home? Yes No

4. Do you enjoy roller coasters? Yes No

5. Have you ever traveled by airplane? Yes No

6. Do you know how to fly an airplane? Yes No

7. Do you enjoy watching cooking shows? Yes No

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

9. Will you visit a hardware or home improvement store this week? Yes No

10. Did you drink coffee this morning? Yes No

11. Are you involved in volunteerism? Yes No

12. Do you believe in karma? Yes No

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

14. Will you be staying at a hotel this week? Yes No

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

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

17. Do you watch the evening news? Yes No

18. Are you married? Yes No

19. Do you belong to any professional organizations? Yes No

20. Do you shower at least once daily? Yes No

21. 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: - James Garfield was the first U.S. president to use a telephone. - 50% of pizzas sold in the U.S. have pepperoni on them. - The United States has the highest minimum drinking age in the world. - Ho-Ho-Kus, a small town in New Jersey, is the only town in the United States of America that has two dashes in its name.

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