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Survey about shower, office supplies, night clubs, personal ads, car accidents and reality television.

Begin Survey

1. Do you shower at least once daily? Yes No

2. Are you a registered voter? Yes No

3. Do you attend regular religious services? Yes No

4. Do you suffer from seasonal allergies? Yes No

5. Have you ever been in a car accident? Yes No

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

7. Do you enjoy independent films? Yes No

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

9. Have you ever responded to a personals ad? Yes No

10. Do you plan to visit any U.S. National Parks this year? Yes No

11. Do you enjoy reality television? Yes No

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

13. Do you use chewing tobacco? Yes No

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

15. Have you ever spent a day at a spa? Yes No

16. Do you read the comics? 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: - Napoleon constructed his battle plans in a sandbox. - The average French citizen eats 500 snails per year. - 25% of your bones are located in your feet. - The State of Louisiana was named after the French King Louis XIV.

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