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Survey about medications, yoga, fate, destiny, insurance and work.

Begin Survey

1. Do you have a valid passport? Yes No

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

3. Do you practice yoga? Yes No

4. Do you have a swimming pool? Yes No

5. Do you believe in destiny or fate? Yes No

6. Do you have a retirement investment account (401k, IRA, etc.)? Yes No

7. Are you involved in volunteerism? Yes No

8. Have you ever won the lottery? Yes No

9. Do you drink diet soda? Yes No

10. Do you subscribe to your local newspaper? Yes No

11. Do you brush your teeth before bed each night? Yes No

12. Do you speak any foreign languages? Yes No

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

14. Do you enjoy reading non-fiction books for pleasure? Yes No

15. Do you own your own business or work for yourself? Yes No

16. Do you have or use a PDA (Personal Digital Assistant)? Yes No

17. Do you enjoy reality television? Yes No

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

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

20. Will you rent a DVD or video this weekend? 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: - Flamenco dancer Jose Greco took out an insurance policy through Lloyd's of London against his pants splitting during a performance. - Coca-Cola was the first soft drink to be consumed in outer space. - Women blink nearly twice as much as men. - Central Park (in New York City) has 125 drinking fountains.

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