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Survey about employees, poisonous, fast food, religion, drugs and bed.

Begin Survey

1. Have you eaten fast food this week? Yes No

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

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

4. Have you ever been less than honest on your income tax return? Yes No

5. Will you visit a therapist or psychiatrist this week? Yes No

6. Have you ever broken any bones? Yes No

7. Do you use chewing tobacco? Yes No

8. Did you graduate from high school? Yes No

9. Do you ever use a tanning bed? Yes No

10. Do you eat lunch every day? Yes No

11. Do you attend regular religious services? Yes No

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

13. Will you go to a concert this week? Yes No

14. Can you drive a stick shift? Yes No

15. Will you consume any alcoholic beverages this weekend? Yes No

16. 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. - Tomatoes were thought to be poisonous at one time. - The storage capacity of human brain exceeds 4 terrabytes. - New York's Central Park is nearly twice the size of the entire country of Monaco.

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