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Survey about singing, high school, hardware, safety belt, doctor and diet soda.

Begin Survey

1. Do you drink diet soda? Yes No

2. Should government employees be randomly tested for illicit drug use? Yes No

3. Do you have an annual check-up or exam with your family doctor? Yes No

4. Do you like peanut butter and jelly sandwiches? Yes No

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

6. Do you suffer from seasonal allergies? Yes No

7. Will you visit a hardware or home improvement store this week? Yes No

8. Do you have or use a PDA (Personal Digital Assistant)? Yes No

9. Have you ever been in love? Yes No

10. Do you sing in the shower? Yes No

11. Do you have any camping trips planned for this summer? Yes No

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

13. Did you graduate from high school? Yes No

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

15. Do you have a sit-down family dinner every night? Yes No

16. Do you have a valid passport? 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: - James Garfield was the first U.S. president to use a telephone. - 40% of McDonald's profits come from the sale of Happy Meals - Men are 6 times more likely to be struck by lightning than women. - The world's largest art gallery is the Winter Palace and Hermitage in St. Petersburg, Russia.

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