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Survey about children, adults, laugh, checking account, wills and contact lenses.

Begin Survey

1. Have you made your will? Yes No

2. Do you wear glasses/contacts? Yes No

3. Will you use a coupon for any of your purchases this week? Yes No

4. Do you think professional athletes should be regularly screened for illicit drug use? Yes No

5. Do you have a swimming pool? Yes No

6. Do you play any musical instruments? Yes No

7. Do you own a console video game system (Xbox, Playstation 2, GameCube, etc.)? Yes No

8. Do you shower at least once daily? Yes No

9. Do you wear mittens? Yes No

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

11. Do you have a checking account? Yes No

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

13. Do you always wear your safety belt when in a car? Yes No

14. Do you enjoy hot bubble baths? Yes No

15. 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: - Walt Disney named Mickey Mouse after Mickey Rooney, whose mother he dated for some time. - Americans spend more on fast food every year than they do on higher education, personal computers and software, or new cars. - Children laugh about 400 times a day, while adults laugh on average only 15 times a day. - There are 365 steps on the front of the U.S. Capitol Building - one for every day of the year.

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