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Survey about glasses, jimmy carter, breakfast, health insurance, eiffel tower and trips.

Begin Survey

1. Do you believe in Santa Claus? Yes No

2. Have you ever traveled by airplane? Yes No

3. Will you go to a concert this week? Yes No

4. Do you wear glasses/contacts? Yes No

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

6. Do you own a matching set of luggage? Yes No

7. Will you buy a lottery ticket this week? Yes No

8. Are you left-handed? Yes No

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

10. Do you enjoy hunting or fishing? Yes No

11. Do you have a swimming pool? Yes No

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

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

14. Do you plan on taking a trip by airplane this week? Yes No

15. Do you take any prescribed daily medications? Yes No

16. Have you ever responded to a personals ad? Yes No

17. Do you have health insurance? Yes No

18. Have you ever been tested for HIV? Yes No

19. Do you eat breakfast every morning? 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: - Jimmy Carter is the first U.S. President to have been born in a hospital. - Lemons contain more sugar than strawberries. - 25% of your bones are located in your feet. - The height of the 984-foot-tall Eiffel Tower varies, depending on the temperature, by as much as 6 inches.

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