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Survey about airplanes, christmas, religion, passports, wills and night clubs.

Begin Survey

1. Do you ever dye your hair? Yes No

2. Have you made your will? Yes No

3. Will you go to a bar or night club this week? Yes No

4. Do you believe in Santa Claus? Yes No

5. Do you know CPR? Yes No

6. Do you attend regular religious services? Yes No

7. Do you take a daily multi-vitamin? Yes No

8. Do you know how to fly an airplane? Yes No

9. Do you brush your teeth each morning? Yes No

10. Will you engage in rigorous physical activity at least three times this week? Yes No

11. Do you brush your teeth before bed each night? Yes No

12. Do you have a valid passport? Yes No

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

14. Do you contribute money to any charitable organizations? Yes No

15. Will you attend a college sporting event this month? Yes No

16. Do you enjoy card games? Yes No

17. Have you ever purchased or sold anything on eBay? Yes No

18. 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: - Albert Einstein was offered the presidency of Israel in 1952 (he declined). - The average child will eat 1,500 peanut butter and jelly sandwiches by the he/she graduates from high school. - English sailors were referred to as "limeys" because sailors added lime juice to their diet to combat scurvy. - The State of Nevada's name comes from the Spanish meaning 'snow-capped'.

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