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Survey about bars, car accidents, athletes, musical instruments, morning and 1962.

Begin Survey

1. Will you go to a concert this week? Yes No

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

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

4. Do you take any prescribed daily medications? Yes No

5. Do you play any musical instruments? Yes No

6. Do you have any phobias? Yes No

7. Did you drink coffee this morning? Yes No

8. Will you ride on a bus this week? Yes No

9. Do you have any tattoos? Yes No

10. Have you ever been in a car accident? Yes No

11. Do you enjoy hot bubble baths? Yes No

12. Have you ever broken any bones? Yes No

13. Will you go to a bar or night club this week? Yes No

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

15. Do you watch Saturday morning cartoons? Yes No

16. Do you use chewing tobacco? Yes No

17. Do you think professional athletes should be regularly screened for illicit drug use? Yes No

18. Have you ever pilfered office supplies from work? Yes No

19. Are you married? Yes No

20. Will you go see a new-release movie at a theater this week? 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: - Jimmy Hoffa's middle name is Riddle. - It takes approximately 850 peanuts to make an 18 oz jar of peanut butter. - 80% of people over 100 years old are women. - Space Needle in Seattle, built for the 1962 Worlds Fair, is home to the Nations first Monorail, which is still in operation.

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