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Survey about movies, health, restaurants, washington, work and malls.

Begin Survey

1. Do you believe in Santa Claus? Yes No

2. Do you plan on visiting a mall this week? Yes No

3. Have you ever been the target of identity theft? Yes No

4. Do you work outside of the home? Yes No

5. Will you order take-out or delivery food from a restaurant this week? Yes No

6. Will you go see a new-release movie at a theater this week? Yes No

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

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

9. Do you ever use a tanning bed? Yes No

10. Are you satisfied in your current employment? Yes No

11. Do you enjoy cooking or baking? Yes No

12. Do you enjoy science fiction/fantasy movies? Yes No

13. 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: - Cleopatra wasn't Egyptian; she was Greek. - At one time, pumpkins were recommended for removing freckles. - Your thumb is the same length as your nose. - The Library of Congress, located in Washington D.C., is the largest library in the world.

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