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Survey about doctor, morning, newspapers, cities, personal ads and american flag.

Begin Survey

1. Do you brush your teeth each morning? Yes No

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

3. Have you ever responded to a personals ad? Yes No

4. Do you believe in destiny or fate? Yes No

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

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

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

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

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

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

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

12. Do you enjoy roller coasters? Yes No

13. Do you have a checking account? Yes No

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

15. Should government employees be randomly tested for illicit drug use? Yes No

16. Do you have any piercings? 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: - Daniel Boone hated coonskin caps. - Onions have no flavor, only a smell. - 80% of people over 100 years old are women. - There are 10 towns/cities named Hollywood in the United States.

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