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Survey about summer, coffee, travel, lunch, chocolate and walt disney.

Begin Survey

1. Do you sing in the shower? Yes No

2. Have you graduated from (or finished) college? Yes No

3. Will you send anyone a printed holiday, birthday, or anniversary card this week? Yes No

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

5. Do you take a bagged lunch to work every day? Yes No

6. Did you drink coffee this morning? Yes No

7. Do you like chocolate? Yes No

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

9. Will you ride on a bus this week? Yes No

10. Do you drink enough water (6 8-ounce glasses) every day? Yes No

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

12. Do you have any tattoos? Yes No

13. Do you fly an American flag at home? Yes No

14. Do you wear sandals/flip-flops in the summer? Yes No

15. Have you eaten fast food this week? Yes No

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

17. Do you enjoy card games? Yes No

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

19. Do you eat lunch every day? Yes No

20. 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, the creator of Mickey Mouse, was afraid of mice. - The Massachusetts state beverage is Cranberry Juice. - More people have a phobia of frogs than rats. - Space Needle in Seattle, built for the 1962 Worlds Fair, is home to the Nations first Monorail, which is still in operation.

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