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Survey about crime, american flag, health insurance, police, musical instruments and psychiatrists.

Begin Survey

1. Do you fly an American flag at home? Yes No

2. Did you vote in the last Presidential election? Yes No

3. Do you play any musical instruments? Yes No

4. Do you have a checking account? Yes No

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

6. Do you enjoy reality television? Yes No

7. Will you visit a therapist or psychiatrist this week? Yes No

8. Do you enjoy hot bubble baths? Yes No

9. Do you own a motorcycle? Yes No

10. Did you drink coffee this morning? Yes No

11. Do you drink enough water (6 8-ounce glasses) every day? Yes No

12. Do you sing in the shower? Yes No

13. Do you have health insurance? Yes No

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

15. Have you ever spent a day at a spa? Yes No

16. Do you listen to talk radio? Yes No

17. Do you have a swimming pool? Yes No

18. Do you plan on visiting a comedy club this month? Yes No

19. 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: - 20252 is Smokey the Bear's own zip code. - The average American drinks 25 gallons of milk per year. - Only 1 person in 2 billion will live to be 116. - The Statue of Liberty is one hundred fifty one feet and one inch tall. Her index finger is eight feet long, her fingernails are thirteen inches long, and her nose is four and a half feet long.

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