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Survey about flu, roller-skating, wills, dust, hotels and videos.

Begin Survey

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

2. Have you made your will? Yes No

3. Are your parents still married? Yes No

4. Can you roller-skate, roller-blade, and/or ice-skate? Yes No

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

6. Have you ever cut your own hair? Yes No

7. Do you wear sunscreen every day? Yes No

8. Do you follow a low-carb diet? Yes No

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

10. Do you like chocolate? Yes No

11. Do you enjoy cooking or baking? Yes No

12. Do you have a swimming pool? Yes No

13. Do you enjoy documentary films? Yes No

14. Will you be staying at a hotel this week? Yes No

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

16. Do you have a valid passport? Yes No

17. Do you have any pets? Yes No

18. Have you ever traced your family tree? Yes No

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

20. 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: - Napoleon constructed his battle plans in a sandbox. - It takes approximately 850 peanuts to make an 18 oz jar of peanut butter. - In the average lifetime a person will breathe in about 44 pounds of dust. - The Boston University Bridge (on Commonwealth Avenue, Boston, Massachusetts) is the only place in the world where a boat can sail under a train driving under a car driving under an airplane.

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