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Survey about first aid, marriage, poetry, night, research and bars.

Begin Survey

1. Do you wear glasses/contacts? Yes No

2. Have you ever purchased or sold anything on eBay? Yes No

3. Do enjoy reading or writing poetry? Yes No

4. Will you attend religious services this week? Yes No

5. Do you believe in karma? Yes No

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

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

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

9. Will you go to a bar or night club this week? Yes No

10. Will you order take-out or delivery food from a restaurant this week? Yes No

11. Do you brush your teeth before bed each night? Yes No

12. Do you enjoy ethnic foods? Yes No

13. Will you visit a beauty salon this week? Yes No

14. Do you own a first aid kit? Yes No

15. Do you have any pets? Yes No

16. Do you play any organized team sports? Yes No

17. Do you have a swimming pool? Yes No

18. Should the ban on new lines of stem cells for research in the U.S. be lifted? Yes No

19. Do you enjoy playing video games? Yes No

20. Are you married? 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: - Walt Disney named Mickey Mouse after Mickey Rooney, whose mother he dated for some time. - Chocolate does not cause acne. - It takes 17 muscles to smile, 43 to frown. - The are six fictional characters that have stars on Hollywood's 'Walk of Fame'.

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