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Survey about documentary films, foreigners, sports, theater, health and coffee substitute.

Begin Survey

1. Are your immunizations up-to-date? Yes No

2. Are you left-handed? Yes No

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

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

5. Have you ever traveled by airplane? Yes No

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

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

8. Will you visit a casino this week? Yes No

9. Have you ever been arrested? Yes No

10. Will you see a play this month? Yes No

11. Have you ever been tested for HIV? Yes No

12. Do you speak any foreign languages? Yes No

13. Do you practice yoga? Yes No

14. Are you a veteran? Yes No

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

16. Do you wear glasses/contacts? Yes No

17. Do you have or use an MP3 player? Yes No

18. Do you have a checking account? Yes No

19. Do you enjoy documentary films? Yes No

20. Do you own a boat, camper, or other recreational vehicle? 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: - Charlie Chaplin once won third prize in a Charlie Chaplin look alike contest. - Dandelion root can be roasted and ground as a coffee substitute. - Only 25% of Americans eat three meals a day. - Central Park (in New York City) has 125 drinking fountains.

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