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Survey about doctor, selling, sears tower, documentary films, blue jeans and sharks.

Begin Survey

1. Have you eaten fast food this week? Yes No

2. Do you have a VCR? Yes No

3. Do you sleep with a pillow at night? Yes No

4. Did you drink coffee this morning? Yes No

5. Do you own at least one pair of blue jeans? Yes No

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

7. Have you ever had a professional massage? Yes No

8. Have you ever purchased or sold anything on eBay? Yes No

9. Do you belong to a labor union? Yes No

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

11. Do you brush your teeth after lunch? Yes No

12. Do you drink milk? Yes No

13. Do you get between 7 to 10 hours of sleep each night? Yes No

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

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

16. Do you plan to visit any U.S. National Parks this year? Yes No

17. Do you enjoy documentary films? Yes No

18. Do you watch the evening news? Yes No

19. Do you ever dye your hair? Yes No

20. 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: - Mickey Mouse was the first non-human to win an Academy Award (Oscar). - Lima beans contain cyanide. - Coconuts kill more people in the world than sharks do. Approximately 150 people are killed each year by coconuts. - The Sears Tower in Chicago has its own zip code.

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