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Survey about children, reality television, milk, drugs, road trips and doctor.

Begin Survey

1. Do you enjoy cat-naps? Yes No

2. Are you involved in volunteerism? Yes No

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

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

5. Do you drink milk? Yes No

6. Do you have children? Yes No

7. Do you sing in the shower? Yes No

8. Will you ride on a bus this week? Yes No

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

10. Do you believe there is life on other planets? Yes No

11. Do you enjoy hunting or fishing? Yes No

12. Do you enjoy reality television? Yes No

13. Do you have an annual check-up or exam with your family doctor? Yes No

14. Will you send anyone a printed holiday, birthday, or anniversary card this week? Yes No

15. Do you wear sunscreen every day? Yes No

16. Can you whistle? Yes No

17. Will you take any train or subway rides this week? Yes No

18. Have you ever traveled by airplane? Yes No

19. 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: - Sonny and Cher originally called themselves Cleo and Caesar. - A cup of coffee has 12 times the amount of caffeine as a cup of cocoa. - The liquid inside young coconuts can be used as a substitute for blood plasma. - The first lighthouse to use electricity was the Statue of Liberty in 1886.

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