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Survey about christmas, soft drinks, videos, health, theaters and music.

Begin Survey

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

2. Do you believe in love at first sight? Yes No

3. Will you rent a DVD or video this weekend? Yes No

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

5. Have you ever been arrested? Yes No

6. Can you whistle? Yes No

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

8. Have you ever taken dance lessons? Yes No

9. Do you drink diet soda? Yes No

10. Will you visit a beauty salon this week? Yes No

11. Do you believe in Santa Claus? Yes No

12. Do you have a valid passport? Yes No

13. Will you engage in rigorous physical activity at least three times this week? Yes No

14. Have you ever responded to a personals ad? Yes No

15. Do you have any siblings? Yes No

16. Will you go see a new-release movie at a theater this week? Yes No

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

18. 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: - Charlie Chaplin once won third prize in a Charlie Chaplin look alike contest. - The coconut is the largest seed in the world. - Men are 6 times more likely to be struck by lightning than women. - The State of Louisiana was named after the French King Louis XIV.

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