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Survey about car, health, cappuccino, water, latte and veterans.

Begin Survey

1. Will you visit a therapist or psychiatrist this week? Yes No

2. Do you believe in destiny or fate? Yes No

3. Do you take a bagged lunch to work every day? Yes No

4. Do you drink enough water (6 8-ounce glasses) every day? Yes No

5. Do you get a flu shot every winter? Yes No

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

7. Do you enjoy independent films? Yes No

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

9. Will you attend religious services this week? Yes No

10. Do you listen to the radio in the car? Yes No

11. Do you use a dishwasher to do your dishes? Yes No

12. Will you buy an espresso drink (cappuccino, latte etc.) from a coffee house this week? Yes No

13. Are you a veteran? Yes No

14. Do you speak any foreign languages? Yes No

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

16. Do you own your own business or work for yourself? Yes No

17. Have you made your will? Yes No

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

19. Do you enjoy documentary films? Yes No

20. Do you have or use an MP3 player? 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: - Pierce Brosnan once worked in the circus as a fire eater. - The average strawberry has about 200 seeds on it. - The tongue is the strongest muscle in the human body. - Lake Michigan is the largest lake in the United States.

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