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Survey about community services, health insurance, coonskin caps, massachusetts, chewing tobacco and independent films.

Begin Survey

1. Will you attend a college sporting event this month? Yes No

2. Do you plan on visiting a mall this week? Yes No

3. Do you take a daily multi-vitamin? Yes No

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

5. Do you enjoy independent films? Yes No

6. Do you have health insurance? Yes No

7. Do you think you are intelligent? Yes No

8. Do you use charge cards? Yes No

9. Do you enjoy cooking or baking? Yes No

10. Have you ever gotten a traffic ticket? Yes No

11. Are you a registered voter? Yes No

12. Do you plan on performing any community service this week? Yes No

13. Have you ever traveled by airplane? Yes No

14. Do you believe in karma? Yes No

15. Do you use chewing tobacco? Yes No

16. Do you believe in miracles? Yes No

17. 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: - Daniel Boone hated coonskin caps. - The Massachusetts state beverage is Cranberry Juice. - The little lump of flesh just forward of the ear canal, right next to the temple, is called a tragus. - The Pentagon has twice as many bathrooms as is necessary. When it was built in the 1940s, the state of Virginia still had segregation laws requiring separate toilet facilities for blacks and whites.

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