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Survey about passports, health, community services, low-carb diet, the great wall and 1931.

Begin Survey

1. Do you plan on performing any community service this week? Yes No

2. Do you speak any foreign languages? Yes No

3. Have you ever been arrested? Yes No

4. Do you enjoy hunting or fishing? Yes No

5. Do you have health insurance? Yes No

6. Do you own at least one pair of blue jeans? Yes No

7. Do you belong to a credit union? Yes No

8. Do you believe in miracles? Yes No

9. Do you have any camping trips planned for this summer? Yes No

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

11. Do you have a valid passport? Yes No

12. Do you own or use a digital camera? Yes No

13. Did you drink coffee this morning? Yes No

14. Do you enjoy roller coasters? Yes No

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

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

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

18. Will you buy plants or flowers from a florist this week? Yes No

19. Do you play any organized team sports? Yes No

20. 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: - Leonardo da Vinci invented scissors. - After the 'Popeye' comic strip was launched in 1931, spinach consumption went up by thirty-three percent in the United States. - The aorta, the largest artery in the body, is almost the diameter of a garden hose. - The Great Wall stretches for about 4,500 miles across North China.

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