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Survey about internet access, work, income tax, pepperoni, bungee-jumping and personal ads.

Begin Survey

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

2. Do you use mouthwash? Yes No

3. Do you wear glasses/contacts? Yes No

4. Have you eaten fast food this week? Yes No

5. Have you ever won the lottery? Yes No

6. Will you go to a concert this week? Yes No

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

8. Have you ever borrowed money from a relative? Yes No

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

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

11. Do you take a bagged lunch to work every day? Yes No

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

13. Do you think you are physically attractive? Yes No

14. Do you use chewing tobacco? Yes No

15. Do you enjoy documentary films? Yes No

16. Do you have Internet access at home? Yes No

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

18. Do you take any prescribed daily medications? Yes No

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

20. 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: - Frank Sinatra never wore or owned a pair of blue jeans. - 50% of pizzas sold in the U.S. have pepperoni on them. - Children laugh about 400 times a day, while adults laugh on average only 15 times a day. - The Golden Gate Bridge was first opened in 1937.

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