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Survey about tongue, empire state building, coffee, muscles, business and health insurance.

Begin Survey

1. Do you have any food allergies? Yes No

2. Have you ever responded to a personals ad? Yes No

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

4. Do you have health insurance? Yes No

5. Do you believe in miracles? Yes No

6. Do you suffer from seasonal allergies? Yes No

7. Do you enjoy ethnic foods? Yes No

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

9. Do you think you are physically attractive? Yes No

10. Do you plan on taking a trip by airplane this week? Yes No

11. Did you drink coffee this morning? Yes No

12. Are you satisfied in your current employment? Yes No

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

14. Do you own your own business or work for yourself? Yes No

15. Do you enjoy hot bubble baths? Yes No

16. Do you own at least one pair of blue jeans? Yes No

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

18. 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: - Theodore Roosevelt was blind in his left eye. - The average child will eat 1,500 peanut butter and jelly sandwiches by the he/she graduates from high school. - The tongue is the strongest muscle in the human body. - Air conditioners completely recycle the air throughout the Empire State Building about every 10 minutes.

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