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Survey about milk, speed, money, sandwiches, income tax and health.

Begin Survey

1. Will you consume any alcoholic beverages this weekend? Yes No

2. Will you travel outside of the U.S. this year? Yes No

3. Do you plan on visiting the public library this week? Yes No

4. Have you ever traced your family tree? Yes No

5. Do you believe in miracles? Yes No

6. Have you ever broken any bones? Yes No

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

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

9. Do you wear glasses/contacts? Yes No

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

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

12. Have you ever purchased or sold anything on eBay? Yes No

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

14. Are you married? Yes No

15. Do you drink milk? Yes No

16. Have you ever eaten fried green tomatoes? Yes No

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

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

19. Have you ever participated in a focus group? 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: - Jimi Hendrix, Janis Joplin, and Jim Morrison were all 27 years old when they died. - The average child will eat 1,500 peanut butter and jelly sandwiches by the he/she graduates from high school. - A sneeze travels at 100 miles per hour. - Sculptor Gutzon Borglum began drilling into the 6,200-foot Mount Rushmore in 1927. The sculpting of Mount Rushmore took 14 years and cost a $1 million.

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