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Survey about wheat, marriage, trips, wills, doctor and summer.

Begin Survey

1. Will you go to a concert this week? Yes No

2. Have you made your will? Yes No

3. Are you married? Yes No

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

5. Do you smoke cigarettes? Yes No

6. Do you enjoy classical music? Yes No

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

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

9. Do you like chocolate? Yes No

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

11. Do you plan to visit the zoo this year? Yes No

12. Have you ever been in love? Yes No

13. Do you enjoy independent films? Yes No

14. 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: - Jimmy Carter is the first U.S. President to have been born in a hospital. - The average American eats approximately 60 hot dogs per year. - The United States produces more tobacco than it does wheat. - Built in 1967, the world’s only flying saucer launching pad is in St. Paul, Alberta, Canada.

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