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Survey about therapists, coupons, homes, allergy, income tax and restaurants.

Begin Survey

1. Do you have a DVD player? Yes No

2. Do you own your home? Yes No

3. Have you ever cut your own hair? Yes No

4. Do you have any food allergies? Yes No

5. Do you wear glasses/contacts? Yes No

6. Have you ever been less than honest on your income tax return? Yes No

7. Do you fly an American flag at home? Yes No

8. Have you ever had a professional massage? Yes No

9. Have you ever traveled by airplane? Yes No

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

11. Have you graduated from (or finished) college? Yes No

12. Do your children attend public schools? Yes No

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

14. Have you ever been tested for HIV? Yes No

15. Do you play any musical instruments? Yes No

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

17. Will you visit a beauty salon this week? Yes No

18. Will you use a coupon for any of your purchases this week? 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: - George Washington never had a set of wooden teeth, nor did he ever chop down a cherry tree. - Americans spend more on fast food every year than they do on higher education, personal computers and software, or new cars. - Between 25% to 33% of people sneeze when they are exposed to light. - The Library of Congress, located in Washington D.C., is the largest library in the world.

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