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Survey about flu, family, dishwashers, atoms, drugs and checking account.

Begin Survey

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

2. Are you currently attending college or taking adult enrichment classes? Yes No

3. Do you read your horoscope every day? Yes No

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

5. Do you enjoy documentary films? Yes No

6. Do you use chewing tobacco? Yes No

7. Do you have a valid passport? Yes No

8. Do you use a dishwasher to do your dishes? Yes No

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

10. Do you enjoy playing video games? Yes No

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

12. Do you have a checking account? Yes No

13. Do you have a sit-down family dinner every night? Yes No

14. Have you ever eaten fried green tomatoes? Yes No

15. Will you rent a DVD or video this weekend? Yes No

16. 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: - Pierce Brosnan once worked in the circus as a fire eater. - Back in 1953, it took 27 hours to make one Marshmallow Peep. Now it takes only six minutes. - Every year about 98% of atoms in the human body are replaced. - Hawaii has the only royal palace in the United States – Iolani.

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