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Survey about documentary films, vegetarian diet, credit unions, family, religious services and soft drinks.

Begin Survey

1. Do you have a retirement investment account (401k, IRA, etc.)? Yes No

2. Do you enjoy hot bubble baths? Yes No

3. Do you enjoy gambling? Yes No

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

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

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

7. Do you follow a vegetarian diet? Yes No

8. Do you enjoy documentary films? Yes No

9. Do you plan on visiting a mall this week? Yes No

10. Do you drink enough water (6 8-ounce glasses) every day? Yes No

11. Will you attend a college sporting event this month? Yes No

12. Do you belong to a credit union? Yes No

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

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

15. Have you ever been arrested? Yes No

16. Do you know your cholesterol level? 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: - Ralph Lauren's original name is Ralph Lifshitz. - Coca-Cola was the first soft drink to be consumed in outer space. - Blue eyes are the most sensitive to light (hence they can see better in the dark); brown the least sensitive. - Ho-Ho-Kus, a small town in New Jersey, is the only town in the United States of America that has two dashes in its name.

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