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Survey about cable, cockroaches, gamecube, family, religious services and airplanes.

Begin Survey

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

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

3. Will you go to the grocery store this week? Yes No

4. Do you know how to fly an airplane? Yes No

5. Do you have a sit-down family dinner every night? Yes No

6. Do you enjoy gambling? Yes No

7. Will you attend religious services this week? Yes No

8. Do you enjoy cooking or baking? Yes No

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

10. Do you ever use a tanning bed? Yes No

11. Do you suffer from seasonal allergies? Yes No

12. Have you ever taken dance lessons? Yes No

13. Will you travel outside of the U.S. this year? Yes No

14. Do you attend regular religious services? Yes No

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

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

17. 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: - James Garfield was the first U.S. president to use a telephone. - The U.S. Government spent $277,000 on pickle research in 1993. - More children are allergic to cockroaches than cats - Manhattan Island of New York City was purchased for $24 from the Algonquian Indians in 1624.

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