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Survey about health, meditation, cars, dishes, cockroaches and rats.

Begin Survey

1. Do you use a dishwasher to do your dishes? Yes No

2. Will you be taking any road trips this week (over 50 miles)? Yes No

3. Would you consider yourself an avid sports fan? Yes No

4. Have you ever gone sky-diving or bungee-jumping? Yes No

5. Will you attend a professional sporting event this month? Yes No

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

7. Do you enjoy documentary films? Yes No

8. Do you sleep with a pillow at night? Yes No

9. Will you visit a doctor this week? Yes No

10. Have you ever gotten a traffic ticket? Yes No

11. Do you practice yoga? Yes No

12. Do you have a swimming pool? Yes No

13. Do you plan on performing any community service 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: - Michale Keaton's original name is Michael Douglas. - It takes approximately 850 peanuts to make an 18 oz jar of peanut butter. - More children are allergic to cockroaches than cats - The Library of Congress, located in Washington D.C., is the largest library in the world.

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