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Survey about comics, passports, hotels, dance lessons, newspapers and health.

Begin Survey

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

2. Do you enjoy reality television? Yes No

3. Do you work outside of the home? Yes No

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

5. Do you read the comics? Yes No

6. Will you be staying at a hotel this week? Yes No

7. Do you have a valid passport? Yes No

8. Do you wear mittens? Yes No

9. Do you have cable or satellite television? Yes No

10. Are your immunizations up-to-date? Yes No

11. Have you ever taken dance lessons? Yes No

12. Do you own your home? Yes No

13. Do you own a Bible, Koran, or other religious book? Yes No

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

15. Have you ever broken any bones? Yes No

16. Will you balance your checkbook this week? Yes No

17. Do you use chewing tobacco? Yes No

18. Do you have or use a PDA (Personal Digital Assistant)? Yes No

19. Will you visit a doctor this week? Yes No

20. 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. - Strawberries are a member of the rose family. - English sailors were referred to as "limeys" because sailors added lime juice to their diet to combat scurvy. - Niagara Falls is constantly moving backwards. The rim is worn down about two and a half feet each year because of the millions of gallons of water that rush over it every minute.

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