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Survey about health insurance, satellite, light, law, democracy and mouthwash.

Begin Survey

1. Do you follow a vegetarian diet? Yes No

2. Do you have cable or satellite television? Yes No

3. Have you ever been arrested? Yes No

4. Do you have children? Yes No

5. Do you plan to visit any U.S. National Parks this year? Yes No

6. Do you always drive within the posted speed limit? Yes No

7. Do you have health insurance? Yes No

8. Do you use mouthwash? Yes No

9. Did you drink coffee this morning? Yes No

10. Are you a registered voter? Yes No

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

12. Do you have a VCR? Yes No

13. Do you own a first aid kit? Yes No

14. Do you ever download movies from the Internet? Yes No

15. 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: - Virgina Woolf wrote all her books while standing. - Peanuts are one of the ingredients in dynamite. - Between 25% to 33% of people sneeze when they are exposed to light. - The first lighthouse to use electricity was the Statue of Liberty in 1886.

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