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Survey about television, pets, pepperoni, medications, milk and concerts.

Begin Survey

1. Do you drink milk? Yes No

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

3. Do you keep an umbrella in your car? Yes No

4. Do you wear mittens? Yes No

5. Do you drink enough water (6 8-ounce glasses) every day? Yes No

6. Do you have cable or satellite television? Yes No

7. Do you read your horoscope every day? Yes No

8. Do you have any pets? Yes No

9. Do you enjoy watching cooking shows? Yes No

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

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

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

13. Do you enjoy hot bubble baths? 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: - Daniel Boone hated coonskin caps. - 50% of pizzas sold in the U.S. have pepperoni on them. - Half of all Americans over the age of 55 have no teeth. - On a clear day, you can see five states from atop the Empire State Building in New York City: New York, New Jersey, Connecticut, Massachusetts, and Pennsylvania.

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