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Survey about frown, earthquakes, video games, spoil, parents and chewing tobacco.

Begin Survey

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

2. Will you see a play this month? Yes No

3. Are your parents still married? Yes No

4. Have you ever been rock or mountain climbing? Yes No

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

6. Do you use chewing tobacco? Yes No

7. Do you enjoy gambling? Yes No

8. Are you satisfied in your current employment? Yes No

9. Are you married? Yes No

10. Do you own a boat, camper, or other recreational vehicle? Yes No

11. Do you plan on performing any community service this week? Yes No

12. Have you ever spent a day at a spa? Yes No

13. Should the ban on new lines of stem cells for research in the U.S. be lifted? Yes No

14. Have you ever been in a tornado, earthquake, or other natural disaster? Yes No

15. Do you enjoy playing video games? Yes No

16. Do you wear sandals/flip-flops in the summer? Yes No

17. 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: - Leonardo da Vinci invented scissors. - Honey is the only food that will not spoil. - It takes 17 muscles to smile, 43 to frown. - Ho-Ho-Kus, a small town in New Jersey, is the only town in the United States of America that has two dashes in its name.

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