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Survey about floors, eiffel tower, documentary films, water, retirement and earthquakes.

Begin Survey

1. Do you have a valid passport? Yes No

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

3. Do you enjoy documentary films? Yes No

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

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

6. Are you married? Yes No

7. Do you plan on visiting the public library this week? Yes No

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

9. Do you have a retirement investment account (401k, IRA, etc.)? Yes No

10. Do you read the comics? Yes No

11. Will you visit a doctor this week? Yes No

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

13. Can you whistle? Yes No

14. Do you drink enough water (6 8-ounce glasses) every day? Yes No

15. Do you have or use a PDA (Personal Digital Assistant)? Yes No

16. Do your children attend public schools? Yes No

17. Have you ever been in a tornado, earthquake, or other natural disaster? Yes No

18. 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: - John F. Kennedy is the only U.S president to win a Pulitzer Prize. - Chocolate does not cause acne. - Women blink nearly twice as much as men. - Because heat expands the metal, the Eiffel Tower always leans away from the sun.

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