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Survey about comics, movies, coffee, team sports, restaurants and artery.

Begin Survey

1. Have you ever been in a car accident? Yes No

2. Do you ever use a tanning bed? Yes No

3. Do you use mouthwash? Yes No

4. Do you have health insurance? Yes No

5. Do you enjoy spicy foods? Yes No

6. Do you have a swimming pool? Yes No

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

8. Do you play any organized team sports? Yes No

9. Do you use a dishwasher to do your dishes? Yes No

10. Are you involved in volunteerism? Yes No

11. Have you ever participated in a focus group? Yes No

12. Do you enjoy science fiction/fantasy movies? Yes No

13. Did you drink coffee this morning? Yes No

14. Do you eat breakfast every morning? Yes No

15. Do you enjoy playing video games? Yes No

16. Will you order take-out or delivery food from a restaurant this week? Yes No

17. Are your parents still married? Yes No

18. Do you listen to the radio in the car? Yes No

19. Do you read the comics? Yes No

20. Do you belong to a labor union? Yes No

21. 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: - Of the six men who made up the Three Stooges, three of them were real brothers (Moe, Curly and Shemp.) - 50% of pizzas sold in the U.S. have pepperoni on them. - The aorta, the largest artery in the body, is almost the diameter of a garden hose. - The State of Louisiana was named after the French King Louis XIV.

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