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Survey about smoking, garden, lightening, health, deborah winger and coupons.

Begin Survey

1. Do you enjoy classical music? Yes No

2. Did you graduate from high school? Yes No

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

4. Do you wear mittens? Yes No

5. Will you use a coupon for any of your purchases this week? Yes No

6. Do you plan on visiting the public library this week? Yes No

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

8. Do you play any musical instruments? Yes No

9. Do you always drive within the posted speed limit? Yes No

10. Do you enjoy Girl Scout cookies? Yes No

11. Do you smoke cigarettes? Yes No

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

13. Do you have any tattoos? Yes No

14. Do you have road rage? Yes No

15. 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: - Deborah Winger did the voice of E.T. - Seaweed is used to thicken ice cream. - Men are 6 times more likely to be struck by lightning than women. - Hawaii has the only royal palace in the United States – Iolani.

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