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Survey about nose, alcoholic beverages, evening news, religion, mud puddles and roller-skating.

Begin Survey

1. Do you watch the evening news? Yes No

2. Do you own a first aid kit? Yes No

3. Do you enjoy watching cooking shows? Yes No

4. Do you read the comics? Yes No

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

6. Do you attend regular religious services? Yes No

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

8. Do you know CPR? Yes No

9. Do you enjoy ethnic foods? Yes No

10. Do you play any musical instruments? Yes No

11. Do you brush your teeth each morning? Yes No

12. Do you splash in mud puddles? Yes No

13. Do you eat breakfast every morning? Yes No

14. Can you roller-skate, roller-blade, and/or ice-skate? Yes No

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

16. 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: - Frank Sinatra never wore or owned a pair of blue jeans. - Honey is the only food that will not spoil. - Your thumb is the same length as your nose. - 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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