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Survey about sleep, multi-vitamin, shopping, children, car accidents and travel.

Begin Survey

1. Do you wear glasses/contacts? Yes No

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

3. Do you own a matching set of luggage? Yes No

4. Will you go to the grocery store this week? Yes No

5. Have you ever been in a car accident? Yes No

6. Do you own a motorcycle? Yes No

7. Have you ever traced your family tree? Yes No

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

9. Do you think you are intelligent? Yes No

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

11. Have you ever been less than honest on your resume? Yes No

12. Do you own a first aid kit? Yes No

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

14. 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. - The average French citizen eats 500 snails per year. - Your heart rate can rise as much as 30% during a yawn. - Air conditioners completely recycle the air throughout the Empire State Building about every 10 minutes.

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