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Survey about romance, personal ads, coupons, flowers, night clubs and floors.

Begin Survey

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

2. Will you buy plants or flowers from a florist this week? Yes No

3. Do you listen to talk radio? Yes No

4. Will you go to a bar or night club this week? Yes No

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

6. Do you have any pets? Yes No

7. Will you order take-out or delivery food from a restaurant this week? Yes No

8. Will you visit a casino this week? Yes No

9. Will you use a coupon for any of your purchases this week? Yes No

10. Do you enjoy Girl Scout cookies? Yes No

11. Do you use charge cards? Yes No

12. Do you shower at least once daily? Yes No

13. Do you run the vacuum (or sweep) your floors every day? Yes No

14. Do you have health insurance? Yes No

15. 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: - Mr. Rogers was an ordained minister. - The average American drinks 25 gallons of milk per year. - Children laugh about 400 times a day, while adults laugh on average only 15 times a day. - There are 10 towns/cities named Hollywood in the United States.

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