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Survey about shower, dvd players, ralph lauren, health, large truck and poetry.

Begin Survey

1. Do you take a daily multi-vitamin? Yes No

2. Do you have a checking account? Yes No

3. Do you like peanut butter and jelly sandwiches? Yes No

4. Have you ever broken any bones? Yes No

5. Have you ever been tested for HIV? Yes No

6. Are your parents still married? Yes No

7. Do you enjoy card games? Yes No

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

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

10. Do enjoy reading or writing poetry? Yes No

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

12. Do you have or use a PDA (Personal Digital Assistant)? Yes No

13. Do you own your home? Yes No

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

15. Do you have a DVD player? Yes No

16. Did you drink coffee this morning? Yes No

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

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

19. Do you own or drive an SUV or large truck? 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: - Ralph Lauren's original name is Ralph Lifshitz. - A ripe cranberry will bounce. - Every year about 98% of atoms in the human body are replaced. - Space Needle in Seattle, built for the 1962 Worlds Fair, is home to the Nations first Monorail, which is still in operation.

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