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Survey about betty bubble, safety belt, religion, pierce brosnan, coupons and multi-vitamin.

Begin Survey

1. Are your parents still married? Yes No

2. Have you ever had a professional massage? Yes No

3. Do you have a DVD player? Yes No

4. Will you use a coupon for any of your purchases this week? Yes No

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

6. Do you always wear your safety belt when in a car? Yes No

7. Do you have a checking account? Yes No

8. Do you own or use a digital camera? Yes No

9. Are you involved in volunteerism? Yes No

10. Have you ever been tested for HIV? Yes No

11. Do you use chewing tobacco? Yes No

12. Do you have a land-line phone in your home? Yes No

13. Are you a veteran? Yes No

14. Do you own a Bible, Koran, or other religious book? Yes No

15. Do you give your children a daily multi-vitamin? Yes No

16. 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: - Pierce Brosnan once worked in the circus as a fire eater. - Peanuts are one of the ingredients in dynamite. - Betty Rubble made her debut as a Flintstones Vitamin in 1996. - The State of Louisiana was named after the French King Louis XIV.

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