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Survey about love, dinner, health insurance, cars, florists and cities.

Begin Survey

1. Have you ever gotten a traffic ticket? Yes No

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

3. Can you whistle? Yes No

4. Do you enjoy spicy foods? Yes No

5. Do you own or drive an SUV or large truck? Yes No

6. Do your children attend public schools? Yes No

7. Will you visit a therapist or psychiatrist this week? Yes No

8. Do you have a sit-down family dinner every night? Yes No

9. Will you buy plants or flowers from a florist this week? Yes No

10. Have you graduated from (or finished) college? Yes No

11. Have you ever been in love? Yes No

12. Do you have health insurance? Yes No

13. 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. - Honey is the only food that will not spoil. - Identical twins do not have identical fingerprints. - There are 10 towns/cities named Hollywood in the United States.

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