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Survey about employment, phones, health, malls, life and medications.

Begin Survey

1. Do you sing in the shower? Yes No

2. Do you take any prescribed daily medications? Yes No

3. Do you have any tattoos? Yes No

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

5. Are you satisfied in your current employment? Yes No

6. Have you ever traveled by airplane? Yes No

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

8. Do you enjoy television police/crime dramas? Yes No

9. Do you believe there is life on other planets? Yes No

10. Do you fly an American flag at home? Yes No

11. Do you believe in Santa Claus? Yes No

12. Do you have road rage? Yes No

13. Do you enjoy independent films? Yes No

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

15. Do you have a land-line phone in your home? Yes No

16. Do you think you are physically attractive? Yes No

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

18. Do you own or use a digital camera? Yes No

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

20. 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: - Lyndon B. Johnson was the first president of the United States to wear contact lenses. - It takes approximately 850 peanuts to make an 18 oz jar of peanut butter. - More people have a phobia of frogs than rats. - The Pentagon has twice as many bathrooms as is necessary. When it was built in the 1940s, the state of Virginia still had segregation laws requiring separate toilet facilities for blacks and whites.

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