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Survey about income tax, broken bones, left-handed, television, veterans and stores.

Begin Survey

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

2. Do you own a Bible, Koran, or other religious book? Yes No

3. Are you a veteran? Yes No

4. Have you ever traced your family tree? Yes No

5. Do you enjoy reality television? Yes No

6. Do you use chewing tobacco? Yes No

7. Do you wear glasses/contacts? Yes No

8. Have you graduated from (or finished) college? Yes No

9. Will you engage in rigorous physical activity at least three times this week? Yes No

10. Do you own your home? Yes No

11. Will you travel outside of the U.S. this year? Yes No

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

13. Will you visit a hardware or home improvement store this week? Yes No

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

15. Do you enjoy watching cooking shows? Yes No

16. Have you ever broken any bones? Yes No

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

18. Have you ever been less than honest on your income tax return? Yes No

19. Do you sing in the shower? Yes No

20. 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: - Basketball great Wilt Chamberlain never fouled out of a game. - 40% of McDonald's profits come from the sale of Happy Meals - Each year, more than 2,500 left-handed people are killed by using products made for right-handed people. - Built in 1763, Touro Synagogue in Newport, Rhode Island, is the oldest surviving synagogue in North America.

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