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Survey about honey, pillow, great britain, night, 1875 and lottery tickets.

Begin Survey

1. Do you have an annual check-up or exam with your family doctor? Yes No

2. Will you be taking any road trips this week (over 50 miles)? Yes No

3. Do you wear sunscreen every day? Yes No

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

5. Will you be visiting any theme parks this year? Yes No

6. Do you sleep with a pillow at night? Yes No

7. Do you have any food allergies? Yes No

8. Do you plan on visiting a mall this week? Yes No

9. Have you ever cut your own hair? Yes No

10. Do you drink diet soda? Yes No

11. Do you believe in Santa Claus? Yes No

12. Do you plan on performing any community service this week? Yes No

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

14. Do you take a bagged lunch to work every day? Yes No

15. Will you buy a lottery ticket this week? Yes No

16. Do you suffer from seasonal allergies? Yes No

17. 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: - Michale Keaton's original name is Michael Douglas. - Honey is the only food that will not spoil. - A yawn usually lasts for approximately six seconds. - The first roller-skating rink, Belgravia Skating Rink, was opened to the public in Great Britain on August 2, 1875.

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