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Survey about doctors, college, guns, employment, dinner and adults.

Begin Survey

1. Do you have any houseplants? Yes No

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

3. Do you own your home? Yes No

4. Will you visit a doctor this week? Yes No

5. Do you have Internet access at home? Yes No

6. Do you take any prescribed daily medications? Yes No

7. Do you listen to talk radio? Yes No

8. Would you consider yourself an avid sports fan? Yes No

9. Do you take a bagged lunch to work every day? Yes No

10. Do you enjoy card games? Yes No

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

12. Do you watch Saturday morning cartoons? Yes No

13. Are you satisfied in your current employment? Yes No

14. Are you currently attending college or taking adult enrichment classes? Yes No

15. Will you attend religious services this week? Yes No

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

17. Do you have a checking account? Yes No

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

19. Will you go to a bar or night club this week? Yes No

20. Do you own a gun? Yes No

21. 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: - Theodore Roosevelt was blind in his left eye. - People in the United Kingdom consume more cans of baked beans than the rest of the world combined. - Children laugh about 400 times a day, while adults laugh on average only 15 times a day. - The Sears Tower in Chicago has its own zip code.

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