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Survey about retirement, bubble baths, contact lenses, health, jackie kennedy and winter.

Begin Survey

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

2. Do you enjoy hot bubble baths? Yes No

3. Do you own your home? Yes No

4. Do you have a retirement investment account (401k, IRA, etc.)? Yes No

5. Do you get a flu shot every winter? Yes No

6. Have you ever traced your family tree? Yes No

7. Have you ever been arrested? Yes No

8. Do you take any prescribed daily medications? Yes No

9. Do you wear glasses/contacts? Yes No

10. Do you enjoy card games? Yes No

11. Will you attend a professional sporting event this month? Yes No

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

13. Are you involved in volunteerism? Yes No

14. Do you subscribe to your local newspaper? Yes No

15. Do you belong to any professional organizations? Yes No

16. 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. - At one time, pumpkins were recommended for removing freckles. - The tongue is the strongest muscle in the human body. - The world’s first gas station was opened by the Gulf Refining Company on December 1, 1913, in Pittsburgh, Pennsylvania.

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