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Survey about contact lenses, drug use, guns, flu, babies and documentary films.

Begin Survey

1. Do you wear glasses/contacts? Yes No

2. Will you plant a vegetable and/or flower garden this year? Yes No

3. Do you enjoy television police/crime dramas? Yes No

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

5. Do you have a retirement investment account (401k, IRA, etc.)? Yes No

6. Do you own your own business or work for yourself? Yes No

7. Do you think professional athletes should be regularly screened for illicit drug use? Yes No

8. Do you wear cologne or perfume every day? Yes No

9. Do you wear a watch every day? Yes No

10. Do you like chocolate? Yes No

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

12. Do you enjoy documentary films? Yes No

13. Do you get a flu shot every winter? Yes No

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

15. Have you ever gone sky-diving or bungee-jumping? Yes No

16. Do you watch the evening news? Yes No

17. Do you own a gun? Yes No

18. Do you know how to fly an airplane? Yes No

19. Will you be taking any road trips this week (over 50 miles)? 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: - Jimmy Carter is the first U.S. President to have been born in a hospital. - Lima beans contain cyanide. - Babies are born without knee caps. - The first lighthouse to use electricity was the Statue of Liberty in 1886.

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