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Survey about contact lenses, mountain climbing, charlie chaplin, drug use, glasses and doctors.

Begin Survey

1. Will you buy a lottery ticket this week? Yes No

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

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

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

5. Do you believe in love at first sight? Yes No

6. Have you ever been rock or mountain climbing? Yes No

7. Do you have any pets? Yes No

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

9. Do you enjoy cooking or baking? Yes No

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

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

12. Are you involved in volunteerism? Yes No

13. Do you wear glasses/contacts? Yes No

14. Do you listen to talk radio? Yes No

15. 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: - Charlie Chaplin once won third prize in a Charlie Chaplin look alike contest. - Back in 1953, it took 27 hours to make one Marshmallow Peep. Now it takes only six minutes. - 15% of Americans secretly bite their toes. - Ho-Ho-Kus, a small town in New Jersey, is the only town in the United States of America that has two dashes in its name.

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