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Survey about religion, virginia, bars, doctors, mountain climbing and movies.

Begin Survey

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

2. Have you ever been rock or mountain climbing? Yes No

3. Do you read the comics? Yes No

4. Will you plant a vegetable and/or flower garden this year? Yes No

5. Do you wear a watch every day? Yes No

6. Do you have a checking account? Yes No

7. Did you drink coffee this morning? Yes No

8. Do you attend regular religious services? Yes No

9. Are your immunizations up-to-date? Yes No

10. Do you follow a vegetarian diet? Yes No

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

12. Will you visit a doctor this week? Yes No

13. Will you go to a bar or night club this week? Yes No

14. Do you enjoy hunting or fishing? Yes No

15. Do you enjoy classical music? Yes No

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

17. 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: - More people have seen David Copperfield perform live than any other performer in the world. - The average American eats approximately 60 hot dogs per year. - More children are allergic to cockroaches than cats - The Pentagon has twice as many bathrooms as is necessary. When it was built in the 1940s, the state of Virginia still had segregation laws requiring separate toilet facilities for blacks and whites.

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