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Survey about income tax, night, reading, mickey mouse, sandwiches and checkbooks.

Begin Survey

1. Will you balance your checkbook this week? Yes No

2. Do you brush your teeth before bed each night? Yes No

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

4. Do you sing in the shower? Yes No

5. Do you believe there is life on other planets? Yes No

6. Have you ever taken dance lessons? Yes No

7. Do you have any piercings? Yes No

8. Do you keep an umbrella in your car? Yes No

9. Do you like peanut butter and jelly sandwiches? Yes No

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

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

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

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

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

15. Have you ever been arrested? Yes No

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

17. Have you ever been less than honest on your income tax return? 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: - Mickey Mouse was the first non-human to win an Academy Award (Oscar). - 40% of McDonald's profits come from the sale of Happy Meals - The aorta, the largest artery in the body, is almost the diameter of a garden hose. - New York's Central Park is nearly twice the size of the entire country of Monaco.

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