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Survey about spa, retirement, sky-diving, ralph lauren, dance lessons and traffic tickets.

Begin Survey

1. Have you ever gotten a traffic ticket? Yes No

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

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

4. Do you use mouthwash? Yes No

5. Can you drive a stick shift? Yes No

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

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

8. Do you ever dye your hair? Yes No

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

10. Have you ever taken dance lessons? Yes No

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

12. Do you have a savings account? Yes No

13. Have you ever been rock or mountain climbing? Yes No

14. Have you ever eaten rattlesnake meat? Yes No

15. Can you roller-skate, roller-blade, and/or ice-skate? Yes No

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

17. Do you own a motorcycle? Yes No

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

19. 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: - Ralph Lauren's original name is Ralph Lifshitz. - Honey is the only food that will not spoil. - English sailors were referred to as "limeys" because sailors added lime juice to their diet to combat scurvy. - Because heat expands the metal, the Eiffel Tower always leans away from the sun.

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