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Survey about flu, santa claus, central park, television, internet access and monaco.

Begin Survey

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

2. Do you believe in karma? Yes No

3. Will you visit a casino this week? Yes No

4. Do you use charge cards? Yes No

5. Do you enjoy watching cooking shows? Yes No

6. Do you have or use an MP3 player? Yes No

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

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

9. Do you have Internet access at home? Yes No

10. Do you attend regular religious services? Yes No

11. Are your immunizations up-to-date? Yes No

12. Will you send anyone a printed holiday, birthday, or anniversary card this week? Yes No

13. Do you believe in Santa Claus? Yes No

14. Do you own a pair of fuzzy bunny slippers? Yes No

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

16. Do you brush your teeth each morning? Yes No

17. Are you left-handed? 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: - Blueberry Jelly Bellies were created especially for Ronald Reagan. - The average American eats approximately 20 pounds of pasta each year. - The little lump of flesh just forward of the ear canal, right next to the temple, is called a tragus. - New York's Central Park is nearly twice the size of the entire country of Monaco.

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