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Survey about dvds, blinks, religion, vacuum, money and wills.

Begin Survey

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

2. Do you always drive within the posted speed limit? Yes No

3. Have you made your will? Yes No

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

5. Do you listen to talk radio? Yes No

6. Are you a veteran? Yes No

7. Do you own a matching set of luggage? Yes No

8. Do you attend regular religious services? Yes No

9. Do you know your cholesterol level? Yes No

10. Have you ever spent more than $100 on a pair of shoes? Yes No

11. Have you ever eaten fried green tomatoes? Yes No

12. Do you have any houseplants? Yes No

13. Do you run the vacuum (or sweep) your floors every day? Yes No

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

15. Are you currently attending college or taking adult enrichment classes? Yes No

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

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

18. Do you have road rage? Yes No

19. Do you enjoy roller coasters? Yes No

20. Do you believe there is life on other planets? 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: - Barbie's full name is Barbara Millicent Roberts. - 40% of McDonald's profits come from the sale of Happy Meals - Women blink nearly twice as much as men. - It takes 570 gallons of white paint to cover the outside of the White House.

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