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Survey about religious services, movies, cartoons, bars, road trips and night clubs.

Begin Survey

1. Will you attend religious services this week? Yes No

2. Are you currently attending college or taking adult enrichment classes? Yes No

3. Do you subscribe to your local newspaper? Yes No

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

5. Will you engage in rigorous physical activity at least three times this week? Yes No

6. Will you be taking any road trips this week (over 50 miles)? Yes No

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

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

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

10. Do you own a dictionary and/or thesaurus? Yes No

11. Do you have any food allergies? Yes No

12. Do you watch Saturday morning cartoons? Yes No

13. Do you like chocolate? Yes No

14. Have you ever been in love? Yes No

15. Do you enjoy documentary films? Yes No

16. Do you follow a vegetarian 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: - Mel Blanc, the voice of Bugs Bunny, was allergic to carrots. - Dandelion root can be roasted and ground as a coffee substitute. - The little lump of flesh just forward of the ear canal, right next to the temple, is called a tragus. - The Statue of Liberty is one hundred fifty one feet and one inch tall. Her index finger is eight feet long, her fingernails are thirteen inches long, and her nose is four and a half feet long.

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