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Survey about documentary films, morning, veterans, children, coffee and identity theft.

Begin Survey

1. Do you enjoy documentary films? Yes No

2. Have you ever been the target of identity theft? Yes No

3. Are you a veteran? Yes No

4. Do you own a boat, camper, or other recreational vehicle? Yes No

5. Have you ever been in love? Yes No

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

7. Did you drink coffee this morning? Yes No

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

9. Do you have health insurance? Yes No

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

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

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

13. Will you be taking any road trips this week (over 50 miles)? Yes No

14. Have you ever been in a car accident? Yes No

15. Do you play any organized team sports? Yes No

16. Do you give your children a daily multi-vitamin? 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: - 20252 is Smokey the Bear's own zip code. - The fortune cookie was invented in 1916 by George Jung, a Los Angeles noodlemaker. - 15% of Americans secretly bite their toes. - The only place in the US where four states intersect at a single point is called Four Corners. The four states are Utah, New Mexico, Colorado, and Arizona.

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