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Survey about democracy, health, crime, charlie chaplin, blood plasma and team sports.

Begin Survey

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

2. Do you plan on visiting the public library this week? Yes No

3. Do you splash in mud puddles? Yes No

4. Do you have health insurance? Yes No

5. Do you enjoy spicy foods? Yes No

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

7. Do you play any organized team sports? Yes No

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

9. Are you a registered voter? Yes No

10. Have you ever pilfered office supplies from work? Yes No

11. Are your immunizations up-to-date? Yes No

12. Do you give your children a daily multi-vitamin? Yes No

13. Do you enjoy reading non-fiction books for pleasure? Yes No

14. Do you enjoy gambling? Yes No

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

16. 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. - Chocolate does not cause acne. - The liquid inside young coconuts can be used as a substitute for blood plasma. - Built around 2800 B.C., England’s Stonehenge was designed to align exactly with the sun’s rays on June 21.

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