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Survey about income tax, alcoholic beverages, human body, piercings, pillow and rattlesnake.

Begin Survey

1. Do you wear sandals/flip-flops in the summer? Yes No

2. Have you ever gone sky-diving or bungee-jumping? Yes No

3. Will you attend a college sporting event this month? Yes No

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

5. Do you give your children a daily multi-vitamin? Yes No

6. Would you consider yourself an avid sports fan? Yes No

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

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

9. Do you follow a low-carb diet? Yes No

10. Do you have any piercings? Yes No

11. Do you have a retirement investment account (401k, IRA, etc.)? Yes No

12. Will you consume any alcoholic beverages this weekend? Yes No

13. Do you like chocolate? Yes No

14. Have you ever eaten rattlesnake meat? Yes No

15. Do you watch Saturday morning cartoons? Yes No

16. Do you have any food allergies? Yes No

17. Will you visit a hardware or home improvement store this week? 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: - Deborah Winger did the voice of E.T. - Almonds are a member of the peach family. - Every year about 98% of atoms in the human body are replaced. - The Pentagon has twice as many bathrooms as is necessary. When it was built in the 1940s, the state of Virginia still had segregation laws requiring separate toilet facilities for blacks and whites.

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