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Survey about cockroaches, washington, credit unions, radio, sunscreen and mickey mouse.

Begin Survey

1. Do you have a valid passport? Yes No

2. Have you ever taken dance lessons? Yes No

3. Do you belong to a credit union? Yes No

4. Have you made your will? Yes No

5. Do you run the vacuum (or sweep) your floors every day? Yes No

6. Do you own or drive an SUV or large truck? Yes No

7. Do you have a sit-down family dinner every night? Yes No

8. Are you a registered voter? Yes No

9. Do you have any phobias? Yes No

10. Do you keep an umbrella in your car? Yes No

11. Can you whistle? Yes No

12. Do you subscribe to your local newspaper? Yes No

13. Do you wear sandals/flip-flops in the summer? Yes No

14. Do you wear sunscreen every day? Yes No

15. Are you currently attending college or taking adult enrichment classes? Yes No

16. Do you listen to talk radio? Yes No

17. Are you satisfied in your current employment? 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: - Walt Disney, the creator of Mickey Mouse, was afraid of mice. - In 2003, the U.S. Government spent about $2,000,000 on potato research. - More children are allergic to cockroaches than cats - The Library of Congress, located in Washington D.C., is the largest library in the world.

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