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Survey about health, control, baby ruth, income tax, diet soda and human brain.

Begin Survey

1. Do you drink diet soda? Yes No

2. Have you ever participated in a focus group? Yes No

3. Do you own your own business or work for yourself? Yes No

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

5. Do you have a DVD player? Yes No

6. Will you send anyone a printed holiday, birthday, or anniversary card this week? Yes No

7. Have you ever responded to a personals ad? Yes No

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

9. Have you ever been tested for HIV? Yes No

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

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

12. Do you take any prescribed daily medications? Yes No

13. Do you plan on visiting the public library this week? Yes No

14. 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. - The candy bar 'Baby Ruth' was named after the daughter of U.S. President Grover Cleveland in 1921. - One quarter of the human brain is used to control the eyes. - The are six fictional characters that have stars on Hollywood's 'Walk of Fame'.

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