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Survey about potato research, napoleon, children, health, family and haircut.

Begin Survey

1. Do you ever dye your hair? Yes No

2. Do you own a boat, camper, or other recreational vehicle? Yes No

3. Are your immunizations up-to-date? Yes No

4. Do you have a checking account? Yes No

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

6. Have you ever placed a personals ad? Yes No

7. Are any of your grandparents still alive? Yes No

8. Do you have any piercings? Yes No

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

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

11. Have you ever been arrested? Yes No

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

13. Do you give your children a daily multi-vitamin? Yes No

14. Do you splash in mud puddles? Yes No

15. Do you own your home? Yes No

16. Have you ever taken dance lessons? Yes No

17. 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: - Napoleon constructed his battle plans in a sandbox. - In 2003, the U.S. Government spent about $2,000,000 on potato research. - Most dreams last only 5 to 20 minutes. - On a clear day, you can see five states from atop the Empire State Building in New York City: New York, New Jersey, Connecticut, Massachusetts, and Pennsylvania.

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