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Survey about vegetarian diet, charcoal briquette, download, cologne, life and washington.

Begin Survey

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

2. Do you listen to the radio in the car? Yes No

3. Do you have road rage? Yes No

4. Do you get a flu shot every winter? Yes No

5. Do you know CPR? Yes No

6. Do you have a swimming pool? Yes No

7. Do you like peanut butter and jelly sandwiches? Yes No

8. Do you follow a vegetarian diet? Yes No

9. Will you visit a doctor this week? Yes No

10. Do you think you are intelligent? Yes No

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

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

13. Do you follow a low-carb diet? Yes No

14. Are you a veteran? Yes No

15. Do you own a first aid kit? Yes No

16. Do you wear cologne or perfume every day? Yes No

17. Do you ever dye your hair? Yes No

18. Do you ever download movies from the Internet? Yes No

19. Have you ever been arrested? Yes No

20. 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: - Henry Ford, father of the assembly line, also invented the charcoal briquette. - The average American eats approximately 20 pounds of pasta each year. - Only 1 person in 2 billion will live to be 116. - The Library of Congress, located in Washington D.C., is the largest library in the world.

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