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Survey about theme parks, poetry, health, cars, doctor and television.

Begin Survey

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

2. Do you belong to a labor union? Yes No

3. Do you keep an umbrella in your car? Yes No

4. Have you ever placed a personals ad? Yes No

5. Will you be visiting any theme parks this year? Yes No

6. Do you drink milk? Yes No

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

8. Have you ever broken any bones? Yes No

9. Do you follow a low-carb diet? Yes No

10. Do you enjoy classical music? Yes No

11. Do you have any food allergies? Yes No

12. Do you wear mittens? Yes No

13. Do enjoy reading or writing poetry? Yes No

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

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

16. Will you balance your checkbook this week? Yes No

17. Do you have cable or satellite television? Yes No

18. Do you believe in Santa Claus? Yes No

19. Will you attend a professional sporting event this month? Yes No

20. Have you ever been tested for HIV? 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: - Daniel Boone hated coonskin caps. - Honey is the only food that will not spoil. - Hailed as a wonder drug in the late nineteenth century, cocaine was outlawed in the United States in 1914. - The only place in the US where four states intersect at a single point is called Four Corners. The four states are Utah, New Mexico, Colorado, and Arizona.

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