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Survey about alcoholic beverages, love, breathe, independent films, roller-skating and theaters.

Begin Survey

1. Do you give your children a daily multi-vitamin? Yes No

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

3. Do you believe there is life on other planets? Yes No

4. Have you ever been in love? Yes No

5. Do you have health insurance? Yes No

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

7. Do you sing in the shower? Yes No

8. Have you ever been in a car accident? Yes No

9. Have you ever been rock or mountain climbing? Yes No

10. Are you satisfied in your current employment? Yes No

11. Will you consume any alcoholic beverages this weekend? Yes No

12. Have you ever placed a personals ad? Yes No

13. Do you enjoy independent films? Yes No

14. Have you ever spent a day at a spa? Yes No

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

16. Do you enjoy Girl Scout cookies? Yes No

17. Have you ever gotten a traffic ticket? Yes No

18. Do you ever dye your hair? Yes No

19. 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: - Houdini was the first man to fly a plane solo in Australia. - Americans eat more than 22 pounds of tomatoes every year. - In the average lifetime a person will breathe in about 44 pounds of dust. - The first lighthouse recorded in history and the tallest ever built, at 450 feet, is the Pharos of Alexandria in Egypt.

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