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Survey about cars, motorcycles, traffic tickets, sky-diving, gatorade and delivery food.

Begin Survey

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

2. Have you ever gotten a traffic ticket? Yes No

3. Do you have any pets? Yes No

4. Will you use a coupon for any of your purchases this week? Yes No

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

6. Have you ever placed a personals ad? Yes No

7. Do you enjoy roller coasters? Yes No

8. Do you ever dye your hair? Yes No

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

10. Will you visit a beauty salon this week? Yes No

11. Have you ever been less than honest on your income tax return? Yes No

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

13. Have you ever gone sky-diving or bungee-jumping? Yes No

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

15. Do you own a motorcycle? Yes No

16. 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: - Charlie Chaplin once won third prize in a Charlie Chaplin look alike contest. - Gatorade was named for the University of Florida (Gators where it was first developed. - Hailed as a wonder drug in the late nineteenth century, cocaine was outlawed in the United States in 1914. - It takes 570 gallons of white paint to cover the outside of the White House.

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