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Survey about slippers, contact lenses, siblings, concerts, james garfield and christmas.

Begin Survey

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

2. Have you ever gone sky-diving or bungee-jumping? Yes No

3. Do you take any prescribed daily medications? Yes No

4. Will you go to a concert this week? Yes No

5. Do you take a daily multi-vitamin? Yes No

6. Will you be taking any road trips this week (over 50 miles)? Yes No

7. Do you have any siblings? Yes No

8. Do you enjoy cooking or baking? Yes No

9. Do you own a pair of fuzzy bunny slippers? Yes No

10. Do you plan to visit any U.S. National Parks this year? Yes No

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

12. Have you ever eaten fried green tomatoes? Yes No

13. Do you use chewing tobacco? Yes No

14. Do you ever use a tanning bed? Yes No

15. Do you wear glasses/contacts? Yes No

16. Will you visit a therapist or psychiatrist this week? Yes No

17. Do you believe in Santa Claus? 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: - James Garfield was the first U.S. president to use a telephone. - Peanuts are one of the ingredients in dynamite. - A yawn usually lasts for approximately six seconds. - Air conditioners completely recycle the air throughout the Empire State Building about every 10 minutes.

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