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Survey about love, night, family, lake michigan, pets and et.

Begin Survey

1. Do you play any musical instruments? Yes No

2. Do you own a pair of fuzzy bunny slippers? Yes No

3. Will you order take-out or delivery food from a restaurant this week? Yes No

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

5. Do you think you are intelligent? Yes No

6. Do you have children? Yes No

7. Do you suffer from seasonal allergies? Yes No

8. Do you brush your teeth before bed each night? Yes No

9. Do you practice yoga? Yes No

10. Do you enjoy spicy foods? Yes No

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

12. Do you have any pets? Yes No

13. Have you ever been in love? Yes No

14. Do you enjoy watching cooking shows? Yes No

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

16. 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: - Deborah Winger did the voice of E.T. - The fortune cookie was invented in 1916 by George Jung, a Los Angeles noodlemaker. - 15% of Americans secretly bite their toes. - Lake Michigan is the largest lake in the United States.

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