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Survey about income tax, cookies, aspirin, music, breakfast and musical instruments.

Begin Survey

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

2. Are your parents still married? Yes No

3. Do you listen to talk radio? Yes No

4. Do you eat breakfast every morning? Yes No

5. Do you suffer from seasonal allergies? Yes No

6. Have you ever gotten a traffic ticket? Yes No

7. Do you have any phobias? Yes No

8. Will you go see a new-release movie at a theater this week? Yes No

9. Do you know your cholesterol level? Yes No

10. Have you ever placed a personals ad? Yes No

11. Do you ever download music from the Internet? Yes No

12. Do you work outside of the home? Yes No

13. Do you play any musical instruments? Yes No

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

15. Do you get between 7 to 10 hours of sleep each night? Yes No

16. Will you use a coupon for any of your purchases this week? Yes No

17. Do you enjoy Girl Scout cookies? Yes No

18. Do you enjoy reading non-fiction books for pleasure? Yes No

19. Do you eat lunch every day? Yes No

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

21. 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: - Walt Disney, the creator of Mickey Mouse, was afraid of mice. - Americans eat more than 22 pounds of tomatoes every year. - In the year 1900,aspirin was the first drug was offered as a water-soluble tablet. - On April 12, 1965, the first Major League baseball game ever was played indoors at the Houston Astrodome.

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