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Survey about food, doctors, allergy, languages, central park and diet soda.

Begin Survey

1. Are you a registered voter? Yes No

2. Do you use chewing tobacco? Yes No

3. Do you play any musical instruments? Yes No

4. Do you wear glasses/contacts? Yes No

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

6. Do you eat breakfast every morning? Yes No

7. Do you wear sunscreen every day? Yes No

8. Do you have any food allergies? Yes No

9. Do you speak any foreign languages? Yes No

10. Would you consider yourself to be in good overall health? Yes No

11. Do you have any phobias? Yes No

12. Do you drink diet soda? Yes No

13. Do you know how to fly an airplane? Yes No

14. Have you ever spent more than $100 on a pair of shoes? Yes No

15. Do you use online banking? Yes No

16. Will you take any train or subway rides this week? Yes No

17. Will you visit a doctor this week? Yes No

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

19. Do you always drive within the posted speed limit? 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: - Frank Sinatra never wore or owned a pair of blue jeans. - A hardboiled egg will spin. An uncooked or softboiled egg will not. - Children laugh about 400 times a day, while adults laugh on average only 15 times a day. - Central Park (in New York City) has 125 drinking fountains.

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