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Survey about languages, lotteries, brown, eyes, religious services and foreigners.

Begin Survey

1. Do you suffer from seasonal allergies? Yes No

2. Have you ever won the lottery? Yes No

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

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

5. Will you go to a bar or night club this week? Yes No

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

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

8. Have you ever cut your own hair? Yes No

9. Will you engage in rigorous physical activity at least three times this week? Yes No

10. Can you whistle? Yes No

11. Will you buy a lottery ticket this week? Yes No

12. Do you drink enough water (6 8-ounce glasses) every day? Yes No

13. Will you attend religious services this week? Yes No

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

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

16. Will you go to the grocery store this week? Yes No

17. Have you ever been tested for HIV? Yes No

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

19. Do you speak any foreign languages? 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: - James Garfield was the first U.S. president to use a telephone. - The fortune cookie was invented in 1916 by George Jung, a Los Angeles noodlemaker. - One in 500 humans has one blue eye and one brown eye. - There are 10 towns/cities named Hollywood in the United States.

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