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Survey about headache pain, glasses, karma, children, zoo and xbox.

Begin Survey

1. Are you involved in volunteerism? Yes No

2. Do your children attend public schools? Yes No

3. Do you plan to visit the zoo this year? Yes No

4. Do you watch Saturday morning cartoons? Yes No

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

6. Will you ride on a bus this week? Yes No

7. Do you wear glasses/contacts? Yes No

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

9. Have you ever been in a car accident? Yes No

10. Do you believe in karma? Yes No

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

12. Will you travel outside of the U.S. this year? Yes No

13. Will you be visiting any theme parks this year? Yes No

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

15. Do you use chewing tobacco? Yes No

16. Do you enjoy independent films? Yes No

17. Have you ever had a professional massage? Yes No

18. Do you smoke cigarettes? Yes No

19. Do you plan on taking a trip by airplane this week? 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: - Leonardo da Vinci could write with one hand and draw with the other at the same time. - Headache pain can be reduced by eating 20 tart cherries. - More children are allergic to cockroaches than cats - On a clear day, you can see five states from atop the Empire State Building in New York City: New York, New Jersey, Connecticut, Massachusetts, and Pennsylvania.

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