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Survey about cars, marriage, chain smoker, election, umbrella and medications.

Begin Survey

1. Will you order take-out or delivery food from a restaurant this week? Yes No

2. Are you involved in volunteerism? Yes No

3. Can you roller-skate, roller-blade, and/or ice-skate? Yes No

4. Do you have any food allergies? Yes No

5. Do you own your own business or work for yourself? Yes No

6. Do you use charge cards? Yes No

7. Are you married? Yes No

8. Do you use chewing tobacco? Yes No

9. Do you drink enough water (6 8-ounce glasses) every day? Yes No

10. Do you plan to visit any U.S. National Parks this year? Yes No

11. Did you vote in the last Presidential election? Yes No

12. Do you watch Saturday morning cartoons? Yes No

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

14. Do you have a swimming pool? Yes No

15. Did you graduate from high school? Yes No

16. Do you have a retirement investment account (401k, IRA, etc.)? Yes No

17. Do you enjoy gambling? Yes No

18. Do you use mouthwash? Yes No

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

20. Do you take any prescribed daily medications? Yes No

21. 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: - Jackie Kennedy Onassis was secretly a chain smoker. - The Massachusetts state beverage is Cranberry Juice. - During their lifetime, the average human will grow 590 miles of hair. - It takes 570 gallons of white paint to cover the outside of the White House.

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