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Survey about bible, apples, malls, newspapers, documentary films and identity theft.

Begin Survey

1. Do you own a matching set of luggage? Yes No

2. Do you enjoy documentary films? Yes No

3. Do you subscribe to your local newspaper? Yes No

4. Do you own a motorcycle? Yes No

5. Do you eat lunch every day? Yes No

6. Have you ever been tested for HIV? Yes No

7. Are your parents still married? Yes No

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

9. Have you ever taken dance lessons? Yes No

10. Do you plan on visiting a mall this week? Yes No

11. Do you splash in mud puddles? Yes No

12. Do you have or use a PDA (Personal Digital Assistant)? Yes No

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

14. Do you wear glasses/contacts? Yes No

15. Have you ever been the target of identity theft? Yes No

16. Have you ever traced your family tree? Yes No

17. Do you practice yoga? Yes No

18. Will you be taking any road trips this week (over 50 miles)? Yes No

19. Do you use mouthwash? Yes No

20. Do you own a Bible, Koran, or other religious book? Yes No

21. 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: - Of the six men who made up the Three Stooges, three of them were real brothers (Moe, Curly and Shemp.) - Americans eat an average of 18 pounds of fresh apples each year. - Identical twins do not have identical fingerprints. - The first lighthouse in England was built in 1619 at the Lizard, Cornwall.

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