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Survey about florists, psychiatrists, drugs, doctor, download and jelly.

Begin Survey

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

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

3. Do you wear sandals/flip-flops in the summer? Yes No

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

5. Do you belong to a credit union? Yes No

6. Do you listen to talk radio? Yes No

7. Will you balance your checkbook this week? Yes No

8. Do you have health insurance? Yes No

9. Do you own a console video game system (Xbox, Playstation 2, GameCube, etc.)? Yes No

10. Do you ever download music from the Internet? Yes No

11. Will you buy plants or flowers from a florist this week? Yes No

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

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

14. Do you have any houseplants? Yes No

15. Do you enjoy documentary films? Yes No

16. Do you like peanut butter and jelly sandwiches? Yes No

17. Have you ever traced your family tree? 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: - Albert Einstein was offered the presidency of Israel in 1952 (he declined). - The average child will eat 1,500 peanut butter and jelly sandwiches by the he/she graduates from high school. - Every year about 98% of atoms in the human body are replaced. - The Great Wall stretches for about 4,500 miles across North China.

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