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Survey about sleep, hospital, plants, eiffel tower, seasonal allergies and night.

Begin Survey

1. Do you suffer from seasonal allergies? Yes No

2. Will you buy plants or flowers from a florist this week? Yes No

3. Do you enjoy card games? Yes No

4. Will you balance your checkbook this week? Yes No

5. Do you like chocolate? Yes No

6. Have you ever been in love? Yes No

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

8. Have you made your will? Yes No

9. Do you get between 7 to 10 hours of sleep each night? Yes No

10. Do you own a motorcycle? Yes No

11. Are you satisfied in your current employment? Yes No

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

13. Are you married? Yes No

14. Do you brush your teeth after lunch? Yes No

15. Do you run the vacuum (or sweep) your floors every day? Yes No

16. Will you go to a bar or night club this week? Yes No

17. Are your immunizations up-to-date? 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: - Jimmy Carter is the first U.S. President to have been born in a hospital. - Nutmeg is extremely poisonous if injected intravenously. - Neanderthal man had a brain capacity 100cc larger than modern man. - Because heat expands the metal, the Eiffel Tower always leans away from the sun.

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