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Survey about sleep, cooking, coffeine, cacoa, massage and clothes.

Begin Survey

1. Do you wear cologne or perfume every day? Yes No

2. Do you own at least one pair of blue jeans? Yes No

3. Do you believe in karma? Yes No

4. Do you have an annual check-up or exam with your family doctor? Yes No

5. Do you own a motorcycle? Yes No

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

7. Have you ever been less than honest on your income tax return? Yes No

8. Do you use chewing tobacco? Yes No

9. Have you ever spent a day at a spa? Yes No

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

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

12. Do you follow a vegetarian diet? Yes No

13. Did you vote in the last Presidential election? Yes No

14. Did you graduate from high school? Yes No

15. Do you wear sunscreen every day? Yes No

16. Do you plan to visit the zoo this year? Yes No

17. Do you enjoy cooking or baking? 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: - Of the six men who made up the Three Stooges, three of them were real brothers (Moe, Curly and Shemp.) - A cup of coffee has 12 times the amount of caffeine as a cup of cocoa. - The average person falls asleep in seven minutes. - Hawaii's Mount Waialeale is the wettest place in the world - it rains throughout the year and about 460 inches per annum.

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