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Survey about take-out, grocery stores, religion, low-carb diet, cooking and restaurants.

Begin Survey

1. Do you drink milk? Yes No

2. Do you wear sandals/flip-flops in the summer? Yes No

3. Do you suffer from seasonal allergies? Yes No

4. Do you attend regular religious services? Yes No

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

6. Will you order take-out or delivery food from a restaurant this week? Yes No

7. Do you eat breakfast every morning? Yes No

8. Do you enjoy reading non-fiction books for pleasure? Yes No

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

10. Do you enjoy science fiction/fantasy movies? Yes No

11. Do you enjoy cooking or baking? Yes No

12. Do you plan on performing any community service this week? Yes No

13. Did you graduate from high school? Yes No

14. Do you follow a low-carb diet? Yes No

15. Do you read the comics? Yes No

16. 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: - Charlie Chaplin once won third prize in a Charlie Chaplin look alike contest. - The average child will eat 1,500 peanut butter and jelly sandwiches by the he/she graduates from high school. - Both carrots and ketchup were once considered to have medicinal value. - New York's Central Park is nearly twice the size of the entire country of Monaco.

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