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Survey about doctor, chewing tobacco, cities, lawsuits, family and malls.

Begin Survey

1. Do you use chewing tobacco? Yes No

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

3. Do you believe there is life on other planets? Yes No

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

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

6. Do you have a sit-down family dinner every night? Yes No

7. Do you subscribe to your local newspaper? Yes No

8. Do you enjoy card games? Yes No

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

10. Do you use a dishwasher to do your dishes? Yes No

11. Do you have health insurance? Yes No

12. Do you feel Americans file too many frivolous lawsuits? Yes No

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

14. Do you plan on visiting a mall this week? Yes No

15. Do you wear sandals/flip-flops in the summer? Yes No

16. Do you own a Bible, Koran, or other religious book? Yes No

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

18. Do you enjoy playing video games? 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: - Basketball great Wilt Chamberlain never fouled out of a game. - Honey is the only food that will not spoil. - After the age of 35, about 1 in 27 women will give birth to twins. After 50, the chances of having twins is 1 in 9. - There are 10 towns/cities named Hollywood in the United States.

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