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Survey about isreal, poisonous, pentagon, doctor, retirement and health.

Begin Survey

1. Do you enjoy spicy foods? Yes No

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

3. Do you use mouthwash? Yes No

4. Do you wear cologne or perfume every day? Yes No

5. Do you have road rage? Yes No

6. Do you ever dye your hair? Yes No

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

8. Do you listen to the radio in the car? Yes No

9. Do you have children? Yes No

10. Have you ever been less than honest on your resume? Yes No

11. Do you get a flu shot every winter? Yes No

12. Do you enjoy documentary films? Yes No

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

14. Do you read the comics? Yes No

15. Have you ever spent more than $100 on a pair of shoes? Yes No

16. Do you have a VCR? Yes No

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

18. Do you have a valid passport? Yes No

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

20. Do you enjoy ethnic foods? 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: - Albert Einstein was offered the presidency of Israel in 1952 (he declined). - Tomatoes were thought to be poisonous at one time. - During a typical human life span, the human heart will beat approximately 2.5 billion times. - The Pentagon has twice as many bathrooms as is necessary. When it was built in the 1940s, the state of Virginia still had segregation laws requiring separate toilet facilities for blacks and whites.

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