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Survey about toes, checkbooks, broken bones, basketball, charity and beverages.

Begin Survey

1. Do you enjoy card games? Yes No

2. Do you enjoy independent films? Yes No

3. Can you whistle? Yes No

4. Will you visit a therapist or psychiatrist this week? Yes No

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

6. Will you see a play this month? Yes No

7. Do you have a savings account? Yes No

8. Do you contribute money to any charitable organizations? Yes No

9. Do you know your cholesterol level? Yes No

10. Do you have a valid passport? Yes No

11. Do you wear glasses/contacts? Yes No

12. Have you ever broken any bones? Yes No

13. 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: - Basketball great Wilt Chamberlain never fouled out of a game. - The Massachusetts state beverage is Cranberry Juice. - 15% of Americans secretly bite their toes. - The names of the two stone lions in front of the New York Public Library are Patience and Fortitude, named by then-mayor Fiorello LaGuardia.

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