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Survey about movies, walt disney, malls, bones, election and pumpkins.

Begin Survey

1. Do you practice yoga? Yes No

2. Do you have health insurance? Yes No

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

4. Do you follow a low-carb diet? Yes No

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

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

7. Do you believe in miracles? Yes No

8. Will you rent a DVD or video this weekend? Yes No

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

10. Will you go to a bar or night club this week? Yes No

11. Do you drink diet soda? Yes No

12. Did you vote in the last Presidential election? Yes No

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

14. Do you enjoy ethnic foods? Yes No

15. 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: - Walt Disney, the creator of Mickey Mouse, was afraid of mice. - At one time, pumpkins were recommended for removing freckles. - 25% of your bones are located in your feet. - Sculptor Gutzon Borglum began drilling into the 6,200-foot Mount Rushmore in 1927. The sculpting of Mount Rushmore took 14 years and cost a $1 million.

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