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Survey about reality television, health, earthquakes, disasters, tomatoes and massage.

Begin Survey

1. Would you consider yourself to be in good overall health? Yes No

2. Have you ever been arrested? Yes No

3. Did you drink coffee this morning? Yes No

4. Will you be visiting any theme parks this year? Yes No

5. Have you ever had a professional massage? Yes No

6. Do you wear glasses/contacts? Yes No

7. Do you suffer from seasonal allergies? Yes No

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

9. Do you enjoy reality television? Yes No

10. Do you use a dishwasher to do your dishes? Yes No

11. Have you ever been in a tornado, earthquake, or other natural disaster? Yes No

12. Do you read the comics? Yes No

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

14. Will you send anyone a printed holiday, birthday, or anniversary card this week? Yes No

15. Do you belong to a labor union? 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: - Henry Ford, father of the assembly line, also invented the charcoal briquette. - Americans eat more than 22 pounds of tomatoes every year. - Identical twins do not have identical fingerprints. - There are 10 towns/cities named Hollywood in the United States.

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