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Survey about cars, identity theft, safety belt, therapists, cigarettes and apples.

Begin Survey

1. Have you ever participated in a focus group? Yes No

2. Do enjoy reading or writing poetry? Yes No

3. Do you smoke cigarettes? Yes No

4. Have you ever been the target of identity theft? Yes No

5. Do you plan on visiting a comedy club this month? Yes No

6. Do you own a matching set of luggage? Yes No

7. Do you have any tattoos? Yes No

8. Have you ever spent a day at a spa? Yes No

9. Are your parents still married? Yes No

10. Do you enjoy playing video games? Yes No

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

12. Do you have any camping trips planned for this summer? Yes No

13. Will you visit a therapist or psychiatrist this week? Yes No

14. Do you believe there is life on other planets? Yes No

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

16. Do you believe in love at first sight? Yes No

17. Do you wear sandals/flip-flops in the summer? Yes No

18. Will you visit a casino this week? Yes No

19. Do you use online banking? Yes No

20. 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: - Deborah Winger did the voice of E.T. - Apples are a member of the rose family. - The aorta, the largest artery in the body, is almost the diameter of a garden hose. - New York's Central Park is nearly twice the size of the entire country of Monaco.

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