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Survey about contact lenses, family tree, umbrella, doctor, relatives and sky-diving.

Begin Survey

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

2. Have you ever traced your family tree? Yes No

3. Do enjoy reading or writing poetry? Yes No

4. Will you be visiting any theme parks this year? Yes No

5. Do you always wear your safety belt when in a car? Yes No

6. Will you go to a concert this week? Yes No

7. Do you read your horoscope every day? Yes No

8. Have you ever borrowed money from a relative? Yes No

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

10. Do you wear glasses/contacts? Yes No

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

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

13. Do you enjoy cat-naps? Yes No

14. Do you have an annual check-up or exam with your family doctor? Yes No

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

16. Do you know your cholesterol level? 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: - Houdini was the first man to fly a plane solo in Australia. - Coca-Cola was the first soft drink to be consumed in outer space. - The tongue is the strongest muscle in the human body. - The very peak of the Washington Monument is not stone, but a 100-ounce solid aluminum pyramid, constructed as part of the monument's lightning protection system.

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