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Survey about travel, attractive, work, family, chocolate and milk.

Begin Survey

1. Will you visit a hardware or home improvement store this week? Yes No

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

3. Can you whistle? Yes No

4. Do you drink diet soda? Yes No

5. Do you brush your teeth before bed each night? Yes No

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

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

8. Will you be staying at a hotel this week? Yes No

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

10. Do you splash in mud puddles? Yes No

11. Do you work outside of the home? Yes No

12. Do you know your cholesterol level? Yes No

13. Have you ever participated in a focus group? Yes No

14. Will you attend religious services this week? Yes No

15. Do you get between 7 to 10 hours of sleep each night? Yes No

16. Do you like chocolate? Yes No

17. Do you contribute money to any charitable organizations? 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: - More people have seen David Copperfield perform live than any other performer in the world. - The average American drinks 25 gallons of milk per year. - The aorta, the largest artery in the body, is almost the diameter of a garden hose. - The Statue of Liberty is one hundred fifty one feet and one inch tall. Her index finger is eight feet long, her fingernails are thirteen inches long, and her nose is four and a half feet long.

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