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Survey about independent films, american flag, subways, health, board games and trains.

Begin Survey

1. Will you attend religious services this week? Yes No

2. Do you plan on taking a trip by airplane this week? Yes No

3. Can you roller-skate, roller-blade, and/or ice-skate? Yes No

4. Do you wear glasses/contacts? Yes No

5. Do you take any prescribed daily medications? Yes No

6. Do you enjoy board games? Yes No

7. Have you ever been in love? Yes No

8. Do you read the comics? Yes No

9. Can you whistle? Yes No

10. Have you ever cut your own hair? Yes No

11. Do you eat lunch every day? Yes No

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

13. Do you drink diet soda? Yes No

14. Do you take a daily multi-vitamin? Yes No

15. Do you eat breakfast every morning? Yes No

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

17. Will you take any train or subway rides this week? Yes No

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

19. Do you enjoy independent films? 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: - Alfred Hitchcock didn't have a belly button. - Americans eat more than 22 pounds of tomatoes every year. - The tongue is the strongest muscle in the human body. - The are six fictional characters that have stars on Hollywood's 'Walk of Fame'.

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