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Survey about new jersey, chain smoker, vegetarian diet, mittens, therapists and alcoholic beverages.

Begin Survey

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

2. Do you believe in Santa Claus? Yes No

3. Will you plant a vegetable and/or flower garden this year? Yes No

4. Do you follow a vegetarian diet? Yes No

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

6. Do you enjoy independent films? Yes No

7. Do you wear mittens? Yes No

8. Will you send anyone a printed holiday, birthday, or anniversary card this week? Yes No

9. Do you enjoy Girl Scout cookies? Yes No

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

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

12. Do you own a dictionary and/or thesaurus? Yes No

13. Do you have or use an MP3 player? Yes No

14. Do you use a dishwasher to do your dishes? Yes No

15. Are you married? Yes No

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

17. Would you consider yourself to be in good overall health? Yes No

18. Have you ever purchased or sold anything on eBay? 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: - Jackie Kennedy Onassis was secretly a chain smoker. - The candy bar 'Baby Ruth' was named after the daughter of U.S. President Grover Cleveland in 1921. - 25% of your bones are located in your feet. - Ho-Ho-Kus, a small town in New Jersey, is the only town in the United States of America that has two dashes in its name.

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