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Survey about meditation, holidays, jail, shoes, yoga and coca-cola.

Begin Survey

1. Should government employees be randomly tested for illicit drug use? Yes No

2. Are any of your grandparents still alive? Yes No

3. Do you have a VCR? Yes No

4. Have you ever responded to a personals ad? Yes No

5. Do you drink diet soda? Yes No

6. Are you a registered voter? Yes No

7. Have you ever spent more than $100 on a pair of shoes? Yes No

8. Have you ever been rock or mountain climbing? Yes No

9. Have you ever traveled by airplane? Yes No

10. Have you ever been arrested? Yes No

11. Do you contribute money to any charitable organizations? Yes No

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

13. Do you practice yoga? Yes No

14. Do you have a land-line phone in your home? Yes No

15. Will you visit a beauty salon this week? Yes No

16. Do you smoke cigarettes? Yes No

17. Will you send anyone a printed holiday, birthday, or anniversary card this week? Yes No

18. Will you consume any alcoholic beverages this weekend? Yes No

19. Do you follow a vegetarian diet? Yes No

20. Do you know CPR? 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: - Ralph Lauren's original name is Ralph Lifshitz. - Coca-Cola was the first soft drink to be consumed in outer space. - Only 25% of Americans eat three meals a day. - There are 365 steps on the front of the U.S. Capitol Building - one for every day of the year.

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