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Survey about perfume, tomatoes, wills, reality television, gamecube and overall health.

Begin Survey

1. Have you made your will? Yes No

2. Do you have a checking account? Yes No

3. Do you wear mittens? Yes No

4. Will you visit a doctor this week? Yes No

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

6. Will you take any train or subway rides this week? Yes No

7. Have you ever been the target of identity theft? Yes No

8. Do you have a swimming pool? Yes No

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

10. Do you enjoy reality television? Yes No

11. Do you wear glasses/contacts? Yes No

12. Have you ever taken dance lessons? Yes No

13. Do you have children? Yes No

14. Do you contribute money to any charitable organizations? Yes No

15. Do you play any organized team sports? Yes No

16. Will you visit a beauty salon this week? Yes No

17. Do you own a console video game system (Xbox, Playstation 2, GameCube, etc.)? Yes No

18. Do you have or use a cellular phone? Yes No

19. Do you wear cologne or perfume every day? 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: - Robert E. Lee, of the Confederate Army, remains the only person to have graduated from the West Point military academy without a single demerit. - Americans eat more than 22 pounds of tomatoes every year. - One quarter of the human brain is used to control the eyes. - The tallest building west of the Mississippi River is the Stratosphere Hotel and Casino in Las Vegas, Nevada.

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