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Survey about chain smoker, seasonal allergies, zoo, water, graduation and dishes.

Begin Survey

1. Do you have any piercings? Yes No

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

3. Do you have Internet access at home? Yes No

4. Do you suffer from seasonal allergies? Yes No

5. Do you have or use a cellular phone? Yes No

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

7. Do you enjoy card games? Yes No

8. Did you graduate from high school? Yes No

9. Do you own a motorcycle? Yes No

10. Are your parents still married? Yes No

11. Have you ever spent more than $100 on a pair of shoes? Yes No

12. Do you use a dishwasher to do your dishes? Yes No

13. Do you take a daily multi-vitamin? Yes No

14. Do you have any siblings? Yes No

15. Do you enjoy roller coasters? Yes No

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

17. Do you enjoy documentary films? Yes No

18. Do you think professional athletes should be regularly screened for illicit drug use? Yes No

19. Do you follow a low-carb diet? Yes No

20. Would you consider yourself an avid sports fan? 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. - Americans eat an average of 18 pounds of fresh apples each year. - Right-handed people live, on average, nine years longer than left-handed people. - The State of Nevada's name comes from the Spanish meaning 'snow-capped'.

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