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Survey about blue jeans, cars, women, men, fast food and glasses.

Begin Survey

1. Do you plan to visit the zoo this year? Yes No

2. Do you have Internet access at home? Yes No

3. Have you eaten fast food this week? Yes No

4. Do you always drive within the posted speed limit? Yes No

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

6. Do you know your cholesterol level? Yes No

7. Do you plan on visiting the public library this week? Yes No

8. Do you use mouthwash? Yes No

9. Do you own a console video game system (Xbox, Playstation 2, GameCube, etc.)? Yes No

10. Do you have or use a PDA (Personal Digital Assistant)? Yes No

11. Do you wear glasses/contacts? Yes No

12. Do you plan on taking a trip by airplane this week? Yes No

13. Do your children attend public schools? Yes No

14. Do you own at least one pair of blue jeans? Yes No

15. Do you believe in destiny or fate? Yes No

16. Do you enjoy documentary films? Yes No

17. Do you keep an umbrella in your car? Yes No

18. Do you enjoy science fiction/fantasy movies? Yes No

19. 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: - Albert Einstein was offered the presidency of Israel in 1952 (he declined). - In 2003, the U.S. Government spent about $2,000,000 on potato research. - Men are 6 times more likely to be struck by lightning than women. - The tallest freestanding sculpture in the world is Chief Crazy Horse in South Dakota, USA.

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