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Survey about stores, mickey mouse, theaters, dishes, santa claus and college.

Begin Survey

1. Have you ever been rock or mountain climbing? Yes No

2. Will you go see a new-release movie at a theater this week? Yes No

3. Do you believe in Santa Claus? Yes No

4. Will you attend a college sporting event this month? Yes No

5. Do you eat lunch every day? Yes No

6. Do you splash in mud puddles? Yes No

7. Do you take a daily multi-vitamin? Yes No

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

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

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

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

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

13. Will you go to the grocery store this week? Yes No

14. Will you be staying at a hotel this week? Yes No

15. Have you ever traveled by airplane? Yes No

16. Do you know CPR? 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: - Walt Disney named Mickey Mouse after Mickey Rooney, whose mother he dated for some time. - Almonds are a member of the peach family. - Coconuts kill more people in the world than sharks do. Approximately 150 people are killed each year by coconuts. - The Sears Tower in Chicago has its own zip code.

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