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Survey about singing, health, lifshitz, fantasy, summer and life.

Begin Survey

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

2. Do you plan on visiting the public library this week? Yes No

3. Are you left-handed? Yes No

4. Do you have any camping trips planned for this summer? Yes No

5. Do you give your children a daily multi-vitamin? Yes No

6. Do you plan on performing any community service this week? Yes No

7. Do you enjoy science fiction/fantasy movies? Yes No

8. Have you ever participated in a focus group? Yes No

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

10. Do you have any phobias? Yes No

11. Do you wear mittens? Yes No

12. Do you believe there is life on other planets? Yes No

13. Do you sing in the shower? Yes No

14. Do you belong to any professional organizations? 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: - Ralph Lauren's original name is Ralph Lifshitz. - Tootsie Rolls were the first wrapped penny candy in America. - One quarter of the human brain is used to control the eyes. - The world’s first gas station was opened by the Gulf Refining Company on December 1, 1913, in Pittsburgh, Pennsylvania.

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