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Survey about honesty, family, restaurants, dinner, diet soda and delivery food.

Begin Survey

1. Are your immunizations up-to-date? Yes No

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

3. Do you own at least one pair of blue jeans? Yes No

4. Do you contribute money to any charitable organizations? Yes No

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

6. Do you watch Saturday morning cartoons? Yes No

7. Will you engage in rigorous physical activity at least three times this week? Yes No

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

9. Have you ever spent more than $100 on a pair of shoes? Yes No

10. Are you involved in volunteerism? Yes No

11. Can you roller-skate, roller-blade, and/or ice-skate? Yes No

12. Do you fly an American flag at home? Yes No

13. Do you have a sit-down family dinner every night? Yes No

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

15. Did you vote in the last Presidential election? Yes No

16. Do you drink diet soda? Yes No

17. Do you enjoy Girl Scout cookies? Yes No

18. Do you have any pets? Yes No

19. 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: - Albert Einstein was offered the presidency of Israel in 1952 (he declined). - The onion is named after a Latin word meaning large pearl. - More children are allergic to cockroaches than cats - The Eisenhower interstate system requires that one mile in every five must be straight. These straight sections are usable as airstrips in times of war or other emergencies.

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