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Survey about safety belt, public library, parents, overall health, foreigners and swimming pools.

Begin Survey

1. Have you made your will? Yes No

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

3. Do you own a matching set of luggage? Yes No

4. Do you always wear your safety belt when in a car? Yes No

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

6. Do you enjoy cooking or baking? Yes No

7. Are your parents still married? Yes No

8. Do you practice yoga? Yes No

9. Do you suffer from seasonal allergies? Yes No

10. Do you own a pair of fuzzy bunny slippers? Yes No

11. Do you plan to visit the zoo this year? Yes No

12. Do you speak any foreign languages? Yes No

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

14. Can you drive a stick shift? Yes No

15. Do you have a swimming pool? Yes No

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

17. Will you rent a DVD or video this weekend? Yes No

18. Do you enjoy documentary films? 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: - Henry Ford, father of the assembly line, also invented the charcoal briquette. - Tomatoes were thought to be poisonous at one time. - Men are 6 times more likely to be struck by lightning than women. - In Washington D.C., no building may be built taller than the Washington Monument.

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