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Survey about reality television, pillow, shopping, dinner, sleep and movies.

Begin Survey

1. Do you plan to visit any U.S. National Parks this year? Yes No

2. Do you follow a low-carb diet? Yes No

3. Do you enjoy Girl Scout cookies? Yes No

4. Have you ever responded to a personals ad? Yes No

5. Will you go to the grocery store this week? Yes No

6. Do you plan on visiting a comedy club this month? Yes No

7. Do you like chocolate? Yes No

8. Have you ever gotten a traffic ticket? Yes No

9. Are your parents still married? Yes No

10. Do you brush your teeth after lunch? Yes No

11. Do you enjoy reality television? Yes No

12. Do you enjoy board games? Yes No

13. Have you ever traveled by airplane? Yes No

14. Do you eat lunch every day? Yes No

15. Do you sleep with a pillow at night? Yes No

16. Are you married? Yes No

17. Will you go see a new-release movie at a theater this week? Yes No

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

19. Do you plan on performing any community service this week? 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: - Jackie Kennedy Onassis was secretly a chain smoker. - Nutmeg is extremely poisonous if injected intravenously. - Identical twins do not have identical fingerprints. - The first lighthouse to use electricity was the Statue of Liberty in 1886.

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