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Survey about holidays, family, passports, bars, cockroaches and birthdays.

Begin Survey

1. Do you enjoy cat-naps? Yes No

2. Do you have an annual check-up or exam with your family doctor? Yes No

3. Have you ever eaten rattlesnake meat? Yes No

4. Will you go to a bar or night club this week? Yes No

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

6. Do you enjoy roller coasters? Yes No

7. Do you brush your teeth after lunch? Yes No

8. Do you wear sandals/flip-flops in the summer? Yes No

9. Have you ever taken dance lessons? Yes No

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

11. Do you read the comics? Yes No

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

13. Do you have health insurance? Yes No

14. Do you sing in the shower? Yes No

15. Will you send anyone a printed holiday, birthday, or anniversary card this week? Yes No

16. Do you have a valid passport? Yes No

17. Do you belong to any professional organizations? Yes No

18. 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: - Oil tycoon John D. Rockefeller was the world's first billionaire. - Almonds are a member of the peach family. - More children are allergic to cockroaches than cats - The are six fictional characters that have stars on Hollywood's 'Walk of Fame'.

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