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Survey about movies, tootsie rolls, download, contact lenses, drug use and christmas.

Begin Survey

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

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

3. Are you a veteran? 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. Do you drink enough water (6 8-ounce glasses) every day? Yes No

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

8. Do you believe in Santa Claus? Yes No

9. Do you think you are physically attractive? Yes No

10. Do you wear glasses/contacts? Yes No

11. Do you ever download music from the Internet? Yes No

12. Do you have or use an MP3 player? Yes No

13. Do you enjoy cat-naps? Yes No

14. Do you know your cholesterol level? Yes No

15. Do you own a console video game system (Xbox, Playstation 2, GameCube, etc.)? Yes No

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

17. Do you think professional athletes should be regularly screened for illicit drug use? Yes No

18. Do you have any siblings? Yes No

19. 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: - Robert E. Lee, of the Confederate Army, remains the only person to have graduated from the West Point military academy without a single demerit. - Tootsie Rolls were the first wrapped penny candy in America. - Your heart rate can rise as much as 30% during a yawn. - Ho-Ho-Kus, a small town in New Jersey, is the only town in the United States of America that has two dashes in its name.

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