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Survey about chewing tobacco, drugs, sandals, graduation, seed and high school.

Begin Survey

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

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

3. Do you have children? Yes No

4. Should government employees be randomly tested for illicit drug use? Yes No

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

6. Have you ever been in a car accident? Yes No

7. Do you own a console video game system (Xbox, Playstation 2, GameCube, etc.)? Yes No

8. Did you graduate from high school? Yes No

9. Do you know how to fly an airplane? Yes No

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

11. Do you use chewing tobacco? Yes No

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

13. Do you suffer from seasonal allergies? Yes No

14. Do you ever dye your hair? Yes No

15. Do you attend regular religious services? Yes No

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

17. Do you have a swimming pool? Yes No

18. Can you drive a stick shift? Yes No

19. Do you have a VCR? Yes No

20. Will you visit a casino this week? 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: - Blueberry Jelly Bellies were created especially for Ronald Reagan. - The coconut is the largest seed in the world. - A sneeze travels at 100 miles per hour. - It takes 570 gallons of white paint to cover the outside of the White House.

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