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Survey about soft drinks, cleaning, canada, health, sky-diving and cellular phones.

Begin Survey

1. Do you own your home? Yes No

2. Are your immunizations up-to-date? Yes No

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

4. Do you have or use a cellular phone? Yes No

5. Do you have Internet access at home? Yes No

6. Will you order take-out or delivery food from a restaurant this week? Yes No

7. Do you read your horoscope every day? Yes No

8. Will you travel outside of the U.S. this year? Yes No

9. Do you drink diet soda? Yes No

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

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

12. Do you brush your teeth after lunch? Yes No

13. Will you attend religious services this week? Yes No

14. Do you use a dishwasher to do your dishes? Yes No

15. Do you eat breakfast every morning? Yes No

16. Do you run the vacuum (or sweep) your floors every day? Yes No

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

18. Have you ever cut your own hair? 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: - Mel Blanc, the voice of Bugs Bunny, was allergic to carrots. - The average American eats approximately 20 pounds of pasta each year. - Babies are born without knee caps. - Built in 1967, the world’s only flying saucer launching pad is in St. Paul, Alberta, Canada.

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