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Survey about morning, police, sleep, health, fast food and doctors.

Begin Survey

1. Do you own a motorcycle? Yes No

2. Do you enjoy classical music? Yes No

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

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

5. Have you eaten fast food this week? Yes No

6. Do you have an annual check-up or exam with your family doctor? Yes No

7. Have you ever been arrested? Yes No

8. Will you visit a doctor this week? Yes No

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

10. Are you a veteran? Yes No

11. Have you ever broken any bones? Yes No

12. Have you ever been in a car accident? Yes No

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

14. Will you ride on a bus this week? Yes No

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

16. Are you a registered voter? Yes No

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

18. Can you drive a stick shift? Yes No

19. Do you eat breakfast every morning? Yes No

20. Have you ever been tested for HIV? 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: - Charlie Chaplin once won third prize in a Charlie Chaplin look alike contest. - The Massachusetts state beverage is Cranberry Juice. - Half of all Americans over the age of 55 have no teeth. - New York's Central Park is nearly twice the size of the entire country of Monaco.

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