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Survey about 1875, doctor, family, movies, theaters and drugs.

Begin Survey

1. Do you play any musical instruments? Yes No

2. Do you follow a vegetarian diet? Yes No

3. Should government employees be randomly tested for illicit drug use? Yes No

4. Have you eaten fast food this week? Yes No

5. Will you go to the grocery store this week? Yes No

6. Are your immunizations up-to-date? Yes No

7. Can you roller-skate, roller-blade, and/or ice-skate? Yes No

8. Do you ever dye your hair? Yes No

9. Will you go see a new-release movie at a theater this week? Yes No

10. Do you wear glasses/contacts? Yes No

11. Do your children attend public schools? Yes No

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

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

14. Should the ban on new lines of stem cells for research in the U.S. be lifted? Yes No

15. Are you involved in volunteerism? Yes No

16. Do you own your own business or work for yourself? 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: - Virgina Woolf wrote all her books while standing. - People in the United Kingdom consume more cans of baked beans than the rest of the world combined. - In the year 1900,aspirin was the first drug was offered as a water-soluble tablet. - The first roller-skating rink, Belgravia Skating Rink, was opened to the public in Great Britain on August 2, 1875.

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