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Survey about health, shopping, new mexico, jimmy carter, identity theft and honesty.

Begin Survey

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

2. Do you drink enough water (6 8-ounce glasses) every day? Yes No

3. Do your children attend public schools? Yes No

4. Do you believe in miracles? Yes No

5. Do you drink diet soda? Yes No

6. Will you be staying at a hotel this week? Yes No

7. Have you ever been rock or mountain climbing? Yes No

8. Have you ever broken any bones? Yes No

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

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

11. Will you visit a beauty salon this week? Yes No

12. Have you ever participated in a focus group? Yes No

13. Are you involved in volunteerism? Yes No

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

15. Will you go to the grocery store this week? Yes No

16. Do you enjoy television police/crime dramas? Yes No

17. Do you enjoy board games? Yes No

18. Have you ever been the target of identity theft? Yes No

19. 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. - Strawberries are a member of the rose family. - Women blink nearly twice as much as men. - The only place in the US where four states intersect at a single point is called Four Corners. The four states are Utah, New Mexico, Colorado, and Arizona.

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