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Survey about trips, flowers, potato research, veterans, plants and milk.

Begin Survey

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

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

3. Do you wear a watch every day? Yes No

4. Do you wear sunscreen every day? Yes No

5. Are you a veteran? Yes No

6. Do you own or use a digital camera? Yes No

7. Do you enjoy card games? Yes No

8. Will you buy a lottery ticket this week? Yes No

9. Do enjoy reading or writing poetry? Yes No

10. Will you buy plants or flowers from a florist this week? Yes No

11. Do you own a motorcycle? Yes No

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

13. Do you have any camping trips planned for this summer? Yes No

14. Do you drink milk? Yes No

15. 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: - Alfred Hitchcock didn't have a belly button. - In 2003, the U.S. Government spent about $2,000,000 on potato research. - Half of all Americans over the age of 55 have no teeth. - The State of Louisiana was named after the French King Louis XIV.

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