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Survey about flu, rats, personal ads, dinner, labor unions and vacuum.

Begin Survey

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

2. Do you belong to a labor union? Yes No

3. Are any of your grandparents still alive? Yes No

4. Have you ever broken any bones? Yes No

5. Do you enjoy cat-naps? Yes No

6. Do you wear a watch every day? Yes No

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

8. Do you have cable or satellite television? Yes No

9. Do enjoy reading or writing poetry? Yes No

10. Do you use chewing tobacco? Yes No

11. Do you own your own business or work for yourself? Yes No

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

13. Do you own at least one pair of blue jeans? Yes No

14. Do you enjoy roller coasters? Yes No

15. Will you consume any alcoholic beverages this weekend? Yes No

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

17. Have you ever responded to a personals ad? 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: - Jackie Kennedy Onassis was secretly a chain smoker. - Seaweed is used to thicken ice cream. - More people have a phobia of frogs than rats. - Built around 2800 B.C., England’s Stonehenge was designed to align exactly with the sun’s rays on June 21.

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