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Survey about hotels, volunteers, cars, low-carb diet, zoo and coca-cola.

Begin Survey

1. Do you believe in love at first sight? Yes No

2. Do you follow a vegetarian diet? Yes No

3. Are you involved in volunteerism? Yes No

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

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

6. Do you play any organized team sports? Yes No

7. Are you currently attending college or taking adult enrichment classes? Yes No

8. Do you belong to a labor union? Yes No

9. Will you visit a therapist or psychiatrist this week? Yes No

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

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

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

13. Can you whistle? Yes No

14. Can you drive a stick shift? Yes No

15. Do you follow a low-carb diet? Yes No

16. Do you use chewing tobacco? Yes No

17. Do you always wear your safety belt when in a car? Yes No

18. Do you enjoy spicy foods? Yes No

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

20. Do you plan on performing any community service this week? Yes No

21. 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: - Walt Disney, the creator of Mickey Mouse, was afraid of mice. - Coca-Cola was the first soft drink to be consumed in outer space. - Both carrots and ketchup were once considered to have medicinal value. - Ho-Ho-Kus, a small town in New Jersey, is the only town in the United States of America that has two dashes in its name.

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