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Survey about health, blue jeans, romance, hotels, teeth and water.

Begin Survey

1. Will you plant a vegetable and/or flower garden this year? Yes No

2. Do you enjoy gambling? Yes No

3. Do you enjoy reading non-fiction books for pleasure? Yes No

4. Are you satisfied in your current employment? Yes No

5. Do you plan to visit the zoo this year? Yes No

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

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

8. Do you read your horoscope every day? Yes No

9. Have you ever been less than honest on your resume? Yes No

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

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

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

13. Do you watch the evening news? Yes No

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

15. Have you ever placed a personals ad? Yes No

16. Will you order take-out or delivery food from a restaurant this week? Yes No

17. Do you have health insurance? 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: - Frank Sinatra never wore or owned a pair of blue jeans. - A cup of coffee has 12 times the amount of caffeine as a cup of cocoa. - Betty Rubble made her debut as a Flintstones Vitamin in 1996. - Space Needle in Seattle, built for the 1962 Worlds Fair, is home to the Nations first Monorail, which is still in operation.

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