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Survey about family, fishing, airplanes, health insurance, trips and movies.

Begin Survey

1. Do you plan to visit the zoo this year? Yes No

2. Do you have a savings account? Yes No

3. Do you brush your teeth after lunch? Yes No

4. Do you enjoy hunting or fishing? Yes No

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

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

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

8. Do you have a valid passport? Yes No

9. Do you plan on taking a trip by airplane this week? Yes No

10. Do you know your cholesterol level? Yes No

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

12. Do you enjoy science fiction/fantasy movies? Yes No

13. Have you ever been in a car accident? Yes No

14. Do you have health insurance? Yes No

15. 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. - At one time, pumpkins were recommended for removing freckles. - Children laugh about 400 times a day, while adults laugh on average only 15 times a day. - The Sears Tower in Chicago has its own zip code.

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