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Survey about checkbooks, physical activity, travel, law, siblings and suv.

Begin Survey

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

2. Do you wear sunscreen every day? Yes No

3. Do you have any pets? Yes No

4. Do you have a valid passport? Yes No

5. Will you travel outside of the U.S. this year? Yes No

6. Do you have or use a PDA (Personal Digital Assistant)? Yes No

7. Have you ever cut your own hair? Yes No

8. Will you be visiting any theme parks this year? Yes No

9. Do you think you are intelligent? Yes No

10. Will you engage in rigorous physical activity at least three times this week? Yes No

11. Do you always drive within the posted speed limit? Yes No

12. Will you balance your checkbook this week? Yes No

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

14. Do you have a DVD player? Yes No

15. Will you go to a bar or night club this week? Yes No

16. Do you have any siblings? Yes No

17. Do you own or drive an SUV or large truck? Yes No

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

19. 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: - Walt Disney, the creator of Mickey Mouse, was afraid of mice. - In 2003, the U.S. Government spent about $2,000,000 on potato research. - Babies are born without knee caps. - There are 365 steps on the front of the U.S. Capitol Building - one for every day of the year.

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