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Survey about hunting, homes, crime, central park, fishing and christmas.

Begin Survey

1. Do you have any food allergies? Yes No

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

3. Do you have any piercings? Yes No

4. Do you have Internet access at home? Yes No

5. Will you buy an espresso drink (cappuccino, latte etc.) from a coffee house this week? Yes No

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

7. Do you practice yoga? Yes No

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

9. Do you enjoy hunting or fishing? Yes No

10. Do you believe in Santa Claus? Yes No

11. Would you consider yourself to be in good overall health? Yes No

12. Do you shower at least once daily? Yes No

13. Do you use charge cards? Yes No

14. Have you made your will? Yes No

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

16. Do you use online banking? Yes No

17. Do you fly an American flag at home? Yes No

18. Will you buy a lottery ticket this week? Yes No

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

20. Have you ever been rock or mountain climbing? 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. - In 2003, the U.S. Government spent about $2,000,000 on potato research. - One in 500 humans has one blue eye and one brown eye. - New York's Central Park is nearly twice the size of the entire country of Monaco.

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