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Survey about passports, ebay, clothes, white house, health and foreigners.

Begin Survey

1. Do you have a land-line phone in your home? Yes No

2. Do you follow a vegetarian diet? Yes No

3. Have you ever pilfered office supplies from work? Yes No

4. Have you ever purchased or sold anything on eBay? Yes No

5. Do you shower at least once daily? Yes No

6. Do you own a boat, camper, or other recreational vehicle? Yes No

7. Are you married? Yes No

8. Do you plan on visiting the public library this week? Yes No

9. Do you enjoy cat-naps? Yes No

10. Do you have a valid passport? Yes No

11. Do you speak any foreign languages? Yes No

12. Have you ever taken dance lessons? Yes No

13. Have you ever been tested for HIV? Yes No

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

15. Will you see a play this month? Yes No

16. Do you know CPR? Yes No

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

18. Do you own at least one pair of blue jeans? 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: - Walt Disney, the creator of Mickey Mouse, was afraid of mice. - A cup of coffee has 12 times the amount of caffeine as a cup of cocoa. - In the year 1900,aspirin was the first drug was offered as a water-soluble tablet. - It takes 570 gallons of white paint to cover the outside of the White House.

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