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Survey about telephone, comics, family, democracy, health and mountain climbing.

Begin Survey

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

2. Will you plant a vegetable and/or flower garden this year? Yes No

3. Are you a registered voter? Yes No

4. Do you sleep with a pillow at night? Yes No

5. Do you think you are physically attractive? Yes No

6. Do you wear glasses/contacts? Yes No

7. Do you plan on visiting the public library this week? Yes No

8. Do you enjoy documentary films? Yes No

9. Will you use a coupon for any of your purchases this week? Yes No

10. Do you own at least one pair of blue jeans? Yes No

11. Do you attend regular religious services? Yes No

12. Do you have a VCR? Yes No

13. Have you ever purchased or sold anything on eBay? Yes No

14. Do you follow a vegetarian diet? Yes No

15. Do you have children? Yes No

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

17. Do you read the comics? Yes No

18. Do you give your children a daily multi-vitamin? Yes No

19. Do you have a land-line phone in your home? Yes No

20. Do you get a flu shot every winter? Yes No

21. 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. - 50% of pizzas sold in the U.S. have pepperoni on them. - After the age of 35, about 1 in 27 women will give birth to twins. After 50, the chances of having twins is 1 in 9. - The height of the 984-foot-tall Eiffel Tower varies, depending on the temperature, by as much as 6 inches.

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