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Survey about writing, election, poetry, savings account, human heart and dvd players.

Begin Survey

1. Will you go see a new-release movie at a theater this week? Yes No

2. Have you made your will? Yes No

3. Do you have a swimming pool? Yes No

4. Do enjoy reading or writing poetry? Yes No

5. Do you enjoy watching cooking shows? Yes No

6. Do you have a DVD player? Yes No

7. Are your immunizations up-to-date? Yes No

8. Do you use charge cards? Yes No

9. Are you a registered voter? Yes No

10. Have you ever been in love? Yes No

11. Do you believe in Santa Claus? Yes No

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

13. Do you plan on performing any community service this week? Yes No

14. Have you ever broken any bones? Yes No

15. Do you have or use a cellular phone? Yes No

16. Do you ever download music from the Internet? Yes No

17. Will you visit a doctor this week? Yes No

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

19. Do you have a savings account? Yes No

20. Do you have any siblings? 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: - Wilma Flintstone's maiden name was Wilma Slaghoopal. - The Massachusetts state beverage is Cranberry Juice. - During a typical human life span, the human heart will beat approximately 2.5 billion times. - Because heat expands the metal, the Eiffel Tower always leans away from the sun.

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