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Survey about wheat, diet soda, jimi hendrix, chief crazy horse, slippers and television.

Begin Survey

1. Have you ever broken any bones? Yes No

2. Are any of your grandparents still alive? Yes No

3. Are you currently attending college or taking adult enrichment classes? Yes No

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

5. Do you enjoy playing video games? Yes No

6. Do you drink diet soda? Yes No

7. Do you own a pair of fuzzy bunny slippers? Yes No

8. Do you have cable or satellite television? Yes No

9. Do you have any pets? Yes No

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

11. Do you ever use a tanning bed? Yes No

12. Have you ever pilfered office supplies from work? Yes No

13. 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: - Jimi Hendrix, Janis Joplin, and Jim Morrison were all 27 years old when they died. - Gatorade was named for the University of Florida (Gators where it was first developed. - The United States produces more tobacco than it does wheat. - The tallest freestanding sculpture in the world is Chief Crazy Horse in South Dakota, USA.

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