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Survey about carrots, doctors, ketchup, massage, democracy and xbox.

Begin Survey

1. Do you attend regular religious services? Yes No

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

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

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

5. Will you consume any alcoholic beverages this weekend? Yes No

6. Do you enjoy roller coasters? Yes No

7. Do you belong to a credit union? Yes No

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

9. Are you a registered voter? Yes No

10. Do you enjoy reality television? Yes No

11. Have you ever been in love? Yes No

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

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

14. Do you wear glasses/contacts? Yes No

15. 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: - Daniel Boone hated coonskin caps. - The onion is named after a Latin word meaning large pearl. - Both carrots and ketchup were once considered to have medicinal value. - In Washington D.C., no building may be built taller than the Washington Monument.

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