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Survey about income tax, chewing tobacco, religion, rose family, dyslexic and bed.

Begin Survey

1. Do you use chewing tobacco? Yes No

2. Do you have a land-line phone in your home? Yes No

3. Do you ever use a tanning bed? Yes No

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

5. Do you have a DVD player? Yes No

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

7. Do you attend regular religious services? Yes No

8. Do you use a dishwasher to do your dishes? Yes No

9. Have you ever traced your family tree? Yes No

10. Are you involved in volunteerism? Yes No

11. Do you enjoy documentary films? Yes No

12. Will you visit a doctor this week? Yes No

13. Have you ever purchased or sold anything on eBay? 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: - Leonardo da Vinci was dyslexic. - Apples are a member of the rose family. - The average person falls asleep in seven minutes. - The are six fictional characters that have stars on Hollywood's 'Walk of Fame'.

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