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Survey about cable, rose family, earthquakes, overall health, children and disasters.

Begin Survey

1. Have you ever cut your own hair? Yes No

2. Do you drink diet soda? Yes No

3. Do you think you are physically attractive? Yes No

4. Do you smoke cigarettes? Yes No

5. Do you enjoy classical music? Yes No

6. Are you a registered voter? Yes No

7. Have you ever been in a tornado, earthquake, or other natural disaster? Yes No

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

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

10. Do you have cable or satellite television? Yes No

11. Do your children attend public schools? Yes No

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

13. Do you attend regular religious services? Yes No

14. 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: - Deborah Winger did the voice of E.T. - Strawberries are a member of the rose family. - You are more likely to get attacked by a cow than a shark. - New York's Central Park is nearly twice the size of the entire country of Monaco.

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