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Survey about income tax, savings account, contact lenses, honesty, blue jeans and falling coconuts.

Begin Survey

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

2. Do you splash in mud puddles? Yes No

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

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

5. Will you ride on a bus this week? Yes No

6. Do you have any phobias? Yes No

7. Have you ever had a professional massage? Yes No

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

9. Do you listen to talk radio? Yes No

10. Have you ever traveled by airplane? Yes No

11. Do you have a savings account? Yes No

12. Do you enjoy playing video games? Yes No

13. Do you have any pets? Yes No

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

15. Have you ever responded to a personals ad? Yes No

16. Will you visit a doctor this week? 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: - Lyndon B. Johnson was the first president of the United States to wear contact lenses. - People in the United Kingdom consume more cans of baked beans than the rest of the world combined. - Club Direct, a travel insurance company in Britain, provides insurance plans for protection from falling coconuts. - In Washington D.C., no building may be built taller than the Washington Monument.

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