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Survey about doctors, fast food, dvds, drugs, night clubs and authors.

Begin Survey

1. Do you take a daily multi-vitamin? Yes No

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

3. Do you enjoy independent films? Yes No

4. Will you rent a DVD or video this weekend? Yes No

5. Do you use charge cards? Yes No

6. Do you have any piercings? Yes No

7. Do you shower at least once daily? Yes No

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

9. Have you ever been less than honest on your resume? Yes No

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

11. Have you ever cut your own hair? Yes No

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

13. Do you have or use a cellular phone? Yes No

14. Do you contribute money to any charitable organizations? Yes No

15. Do you think you are intelligent? Yes No

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

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

18. 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: - Isaac Asimov is the only author to have a book in every Dewey-decimal category. - Americans eat more than 22 pounds of tomatoes every year. - Babies are born without knee caps. - The Library of Congress, located in Washington D.C., is the largest library in the world.

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