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Survey about children, multi-vitamin, homes, cookies, movies and passports.

Begin Survey

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

2. Do you enjoy Girl Scout cookies? Yes No

3. Do you have a valid passport? Yes No

4. Do you own your home? Yes No

5. Are you left-handed? Yes No

6. Do you think you are intelligent? Yes No

7. Do you drink diet soda? Yes No

8. Do you ever download movies from the Internet? Yes No

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

10. Do you attend regular religious services? Yes No

11. Do you have health insurance? Yes No

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

13. Do you have a land-line phone in your home? Yes No

14. Do you plan on visiting the public library this week? 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: - Houdini was the first man to fly a plane solo in Australia. - Headache pain can be reduced by eating 20 tart cherries. - Both carrots and ketchup were once considered to have medicinal value. - The Great Wall stretches for about 4,500 miles across North China.

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