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Survey about massage, reading, charge cards, poetry, documentary films and homes.

Begin Survey

1. Have you ever pilfered office supplies from work? Yes No

2. Do you own your home? Yes No

3. Have you ever broken any bones? Yes No

4. Have you ever traveled by airplane? Yes No

5. Have you ever had a professional massage? Yes No

6. Do enjoy reading or writing poetry? Yes No

7. Will you ride on a bus this week? Yes No

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

9. Are you married? Yes No

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

11. Do you enjoy science fiction/fantasy movies? Yes No

12. Are any of your grandparents still alive? Yes No

13. Do you have any houseplants? Yes No

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

15. Can you drive a stick shift? Yes No

16. Do you use charge cards? Yes No

17. Do you enjoy documentary films? Yes No

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

19. 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: - Ralph Lauren's original name is Ralph Lifshitz. - The world's rarest coffee, called Kopi Luwak, costs $300 a pound. - Each year, more than 2,500 left-handed people are killed by using products made for right-handed people. - In Washington D.C., no building may be built taller than the Washington Monument.

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