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Survey about poisonous, television, control, milk, cookies and family.

Begin Survey

1. Do you have a checking account? Yes No

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

3. Are you a registered voter? Yes No

4. Are you left-handed? Yes No

5. Do you plan to visit the zoo this year? Yes No

6. Do you have a sit-down family dinner every night? Yes No

7. Can you whistle? Yes No

8. Do you drink milk? Yes No

9. Do you believe in miracles? Yes No

10. Do you enjoy Girl Scout cookies? Yes No

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

12. Do you get between 7 to 10 hours of sleep each night? 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: - Jimmy Hoffa's middle name is Riddle. - Tomatoes were thought to be poisonous at one time. - One quarter of the human brain is used to control the eyes. - The State of Nevada's name comes from the Spanish meaning 'snow-capped'.

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