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Survey about sleep, allergy, eiffel tower, cookies, selling and reality television.

Begin Survey

1. Do you sleep with a pillow at night? Yes No

2. Have you made your will? Yes No

3. Are you involved in volunteerism? Yes No

4. Do you have a land-line phone in your home? Yes No

5. Have you eaten fast food this week? Yes No

6. Do you have any siblings? Yes No

7. Are you married? Yes No

8. Do you contribute money to any charitable organizations? Yes No

9. Do you enjoy reality television? Yes No

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

11. Have you ever purchased or sold anything on eBay? Yes No

12. Do you enjoy Girl Scout cookies? Yes No

13. Do you wear glasses/contacts? Yes No

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

15. Do enjoy reading or writing poetry? Yes No

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

17. Will you plant a vegetable and/or flower garden this year? Yes No

18. 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: - Sonny and Cher originally called themselves Cleo and Caesar. - Lima beans contain cyanide. - More children are allergic to cockroaches than cats - The height of the 984-foot-tall Eiffel Tower varies, depending on the temperature, by as much as 6 inches.

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