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Survey about money, family, cities, dvd players, religious services and satellite.

Begin Survey

1. Do you ever download music from the Internet? Yes No

2. Are you married? Yes No

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

4. Have you ever spent a day at a spa? Yes No

5. Do you know how to fly an airplane? Yes No

6. Can you whistle? Yes No

7. Do you take any prescribed daily medications? Yes No

8. Are you satisfied in your current employment? Yes No

9. Do you use mouthwash? Yes No

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

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

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

13. Do you belong to any professional organizations? Yes No

14. Do you drink milk? Yes No

15. Do you have a DVD player? Yes No

16. Have you ever spent more than $100 on a pair of shoes? Yes No

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

18. Do you have cable or satellite television? 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: - Jimi Hendrix, Janis Joplin, and Jim Morrison were all 27 years old when they died. - Lima beans contain cyanide. - 25% of your bones are located in your feet. - There are 10 towns/cities named Hollywood in the United States.

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