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Survey about theodore roosevelt, chewing tobacco, headache pain, romance, humans and employees.

Begin Survey

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

2. Did you vote in the last Presidential election? Yes No

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

4. Do you enjoy playing video games? Yes No

5. Do you use chewing tobacco? Yes No

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

7. Can you drive a stick shift? Yes No

8. Do you feel Americans file too many frivolous lawsuits? Yes No

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

10. Will you engage in rigorous physical activity at least three times this week? Yes No

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

12. Will you take any train or subway rides this week? Yes No

13. Do you enjoy cat-naps? Yes No

14. Do you plan on visiting a mall this week? Yes No

15. Do you play any musical instruments? Yes No

16. Do you have a swimming pool? 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: - Theodore Roosevelt was blind in his left eye. - Headache pain can be reduced by eating 20 tart cherries. - During their lifetime, the average human will grow 590 miles of hair. - Because heat expands the metal, the Eiffel Tower always leans away from the sun.

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