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Survey about satellite, car, radio, health, schools and television.

Begin Survey

1. Do you know CPR? Yes No

2. Have you ever broken any bones? Yes No

3. Do you enjoy hunting or fishing? Yes No

4. Do you have any houseplants? Yes No

5. Have you ever pilfered office supplies from work? Yes No

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

7. Do you attend regular religious services? Yes No

8. Do you have cable or satellite television? Yes No

9. Do you have a savings account? Yes No

10. Have you ever gone sky-diving or bungee-jumping? Yes No

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

12. Do you listen to the radio in the car? Yes No

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

14. Do you think you are physically attractive? Yes No

15. Do your children attend public schools? Yes No

16. Do you enjoy playing video games? 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: - Al Capone's business card said he was a used furniture dealer. - The coconut is the largest seed in the world. - It takes 17 muscles to smile, 43 to frown. - The Library of Congress, located in Washington D.C., is the largest library in the world.

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