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Survey about hawaii, glasses, travel, shower, honesty and stores.

Begin Survey

1. Will you balance your checkbook this week? Yes No

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

3. Do you wear glasses/contacts? Yes No

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

5. Do you use chewing tobacco? Yes No

6. Have you made your will? Yes No

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

8. Will you use a coupon for any of your purchases this week? Yes No

9. Will you visit a beauty salon this week? Yes No

10. Do you drink enough water (6 8-ounce glasses) every day? Yes No

11. Do you give your children a daily multi-vitamin? Yes No

12. Will you travel outside of the U.S. this year? Yes No

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

14. Do you ever download movies from the Internet? Yes No

15. Do you own a pair of fuzzy bunny slippers? Yes No

16. Have you ever pilfered office supplies from work? Yes No

17. Do you have any camping trips planned for this summer? Yes No

18. 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: - 20252 is Smokey the Bear's own zip code. - Apples are a member of the rose family. - The liquid inside young coconuts can be used as a substitute for blood plasma. - Hawaii has the only royal palace in the United States – Iolani.

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