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Survey about identity theft, pillow, blue jeans, baking, pepperoni and homes.

Begin Survey

1. Do you think you are intelligent? Yes No

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

3. Do you follow a vegetarian diet? Yes No

4. Do you enjoy cooking or baking? Yes No

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

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

7. Do you smoke cigarettes? Yes No

8. Do you play any musical instruments? Yes No

9. Have you made your will? Yes No

10. Can you whistle? Yes No

11. Have you ever been the target of identity theft? Yes No

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

13. Have you ever been in a car accident? Yes No

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

15. Have you ever been rock or mountain climbing? Yes No

16. Do you have an annual check-up or exam with your family doctor? 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: - Theodore Roosevelt was blind in his left eye. - 50% of pizzas sold in the U.S. have pepperoni on them. - Between 25% to 33% of people sneeze when they are exposed to light. - It takes 570 gallons of white paint to cover the outside of the White House.

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