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Survey about reading, children, health, multi-vitamin, documentary films and vehicle.

Begin Survey

1. Do you keep an umbrella in your car? Yes No

2. Do you know CPR? Yes No

3. Do you sing in the shower? Yes No

4. Will you buy an espresso drink (cappuccino, latte etc.) from a coffee house this week? Yes No

5. Do you listen to the radio in the car? Yes No

6. Do you believe there is life on other planets? Yes No

7. Do you get a flu shot every winter? Yes No

8. Do you get between 7 to 10 hours of sleep each night? Yes No

9. Do you know how to fly an airplane? Yes No

10. Have you ever broken any bones? Yes No

11. Do you give your children a daily multi-vitamin? Yes No

12. Do you have a swimming pool? Yes No

13. Do you enjoy reading non-fiction books for pleasure? Yes No

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

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

16. Have you eaten fast food this week? Yes No

17. Can you drive a stick shift? Yes No

18. Do you enjoy documentary films? Yes No

19. Have you ever placed a personals ad? 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: - Walt Disney named Mickey Mouse after Mickey Rooney, whose mother he dated for some time. - Approximately 3 billion pizzas are sold in the U.S. each year. - The average person falls asleep in seven minutes. - Built in 1763, Touro Synagogue in Newport, Rhode Island, is the oldest surviving synagogue in North America.

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