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Survey about winter, wills, tobacco, allergy, veterans and sandwiches.

Begin Survey

1. Do you have a land-line phone in your home? Yes No

2. Do you have any food allergies? Yes No

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

4. Are you a veteran? Yes No

5. Do you belong to any professional organizations? Yes No

6. Do you enjoy ethnic foods? Yes No

7. Would you consider yourself to be in good overall health? Yes No

8. Do you read your horoscope every day? Yes No

9. Have you made your will? Yes No

10. Do you enjoy television police/crime dramas? Yes No

11. Do you plan on visiting the public library this week? Yes No

12. Do you have a valid passport? Yes No

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

14. Do you brush your teeth after lunch? Yes No

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

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

17. 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: - Flamenco dancer Jose Greco took out an insurance policy through Lloyd's of London against his pants splitting during a performance. - Headache pain can be reduced by eating 20 tart cherries. - The United States produces more tobacco than it does wheat. - It takes 570 gallons of white paint to cover the outside of the White House.

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