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Survey about golden gate bridge, broken bones, teeth, religion, fate and soft drinks.

Begin Survey

1. Do you attend regular religious services? Yes No

2. Do you drink diet soda? Yes No

3. Do you belong to a labor union? Yes No

4. Do you brush your teeth before bed each night? Yes No

5. Will you engage in rigorous physical activity at least three times this week? Yes No

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

7. Have you ever broken any bones? Yes No

8. Have you ever been less than honest on your resume? Yes No

9. Do you believe in destiny or fate? Yes No

10. Do you enjoy independent films? Yes No

11. Will you buy plants or flowers from a florist this week? Yes No

12. Are your parents still married? Yes No

13. Will you use a coupon for any of your purchases this week? Yes No

14. 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: - Walt Disney named Mickey Mouse after Mickey Rooney, whose mother he dated for some time. - A cup of coffee has 12 times the amount of caffeine as a cup of cocoa. - During a typical human life span, the human heart will beat approximately 2.5 billion times. - On February 22, 1985, the one billionth vehicle passed over the Golden Gate Bridge.

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