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Survey about dvds, athletes, flu, love, winter and michale keaton.

Begin Survey

1. Do you have children? Yes No

2. Have you ever responded to a personals ad? Yes No

3. Do you watch the evening news? Yes No

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

5. Do you enjoy Girl Scout cookies? Yes No

6. Have you ever been rock or mountain climbing? Yes No

7. Do you think professional athletes should be regularly screened for illicit drug use? Yes No

8. Do you get a flu shot every winter? Yes No

9. Have you ever traveled by airplane? Yes No

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

11. Have you ever been in love? Yes No

12. Will you be staying at a hotel this week? Yes No

13. Do you wear glasses/contacts? Yes No

14. Do you get between 7 to 10 hours of sleep each night? Yes No

15. Do you own your home? Yes No

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

17. Do you enjoy independent films? 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: - Michale Keaton's original name is Michael Douglas. - The average French citizen eats 500 snails per year. - Only 1 person in 2 billion will live to be 116. - The Golden Gate Bridge was first opened in 1937.

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