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Survey about overall health, health, health insurance, cookies, dishwashers and classical music.

Begin Survey

1. Will you be staying at a hotel this week? Yes No

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

3. Do you ever use a tanning bed? Yes No

4. Do you have any pets? Yes No

5. Do you enjoy Girl Scout cookies? Yes No

6. Do you have cable or satellite television? Yes No

7. Do you have a checking account? Yes No

8. Do you have health insurance? Yes No

9. Do enjoy reading or writing poetry? Yes No

10. Do you enjoy classical music? Yes No

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

12. Do you have any phobias? Yes No

13. 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: - Henry Ford, father of the assembly line, also invented the charcoal briquette. - The average American eats approximately 60 hot dogs per year. - Your thumb is the same length as your nose. - The Eisenhower interstate system requires that one mile in every five must be straight. These straight sections are usable as airstrips in times of war or other emergencies.

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