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Survey about road rage, jimmy carter, musical instruments, soft drinks, theaters and team sports.

Begin Survey

1. Will you see a play this month? Yes No

2. Do you have any phobias? Yes No

3. Will you visit a therapist or psychiatrist this week? Yes No

4. Do you sing in the shower? Yes No

5. Do your children attend public schools? Yes No

6. Do you own a first aid kit? Yes No

7. Can you roller-skate, roller-blade, and/or ice-skate? Yes No

8. Should the ban on new lines of stem cells for research in the U.S. be lifted? Yes No

9. Do you have road rage? Yes No

10. Do you take any prescribed daily medications? Yes No

11. Are you a registered voter? Yes No

12. Do you drink diet soda? Yes No

13. Do you plan on visiting the public library this week? Yes No

14. Do you feel Americans file too many frivolous lawsuits? Yes No

15. Do you play any musical instruments? Yes No

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

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

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

19. 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: - Jimmy Carter is the first U.S. President to have been born in a hospital. - A cup of coffee has 12 times the amount of caffeine as a cup of cocoa. - Club Direct, a travel insurance company in Britain, provides insurance plans for protection from falling coconuts. - The Hollywood sign was first erected in 1923. It was first erected as 'Hollywoodland.'

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