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Survey about santa claus, pumpkins, latte, psychiatrists, morning and teeth.

Begin Survey

1. Will you buy an espresso drink (cappuccino, latte etc.) from a coffee house this week? Yes No

2. Do you believe in Santa Claus? Yes No

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

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

5. Have you ever been less than honest on your resume? Yes No

6. Are you a veteran? Yes No

7. Do you have any houseplants? Yes No

8. Do you enjoy roller coasters? Yes No

9. Do you brush your teeth each morning? Yes No

10. Do you drink enough water (6 8-ounce glasses) every day? Yes No

11. Do you work outside of the home? Yes No

12. Do you belong to a labor union? Yes No

13. Have you ever had a professional massage? Yes No

14. Have you ever won the lottery? Yes No

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

16. Do you take any prescribed daily medications? 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: - Basketball great Wilt Chamberlain never fouled out of a game. - At one time, pumpkins were recommended for removing freckles. - Each year, more than 2,500 left-handed people are killed by using products made for right-handed people. - It takes 570 gallons of white paint to cover the outside of the White House.

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