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Survey about children, music, passports, health insurance, flowers and multi-vitamin.

Begin Survey

1. Are your parents still married? Yes No

2. Do you ever download music from the Internet? Yes No

3. Do you give your children a daily multi-vitamin? Yes No

4. Do you think you are intelligent? Yes No

5. Do you enjoy Girl Scout cookies? Yes No

6. Have you eaten fast food this week? Yes No

7. Do you contribute money to any charitable organizations? Yes No

8. Do you have health insurance? Yes No

9. Do you have a savings account? Yes No

10. Do you have a VCR? Yes No

11. Have you graduated from (or finished) college? Yes No

12. Do you ever use a tanning bed? Yes No

13. Will you buy plants or flowers from a florist this week? Yes No

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

15. Do you have a valid passport? 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: - Michale Keaton's original name is Michael Douglas. - Peanuts are one of the ingredients in dynamite. - Babies are born without knee caps. - The first roller-skating rink, Belgravia Skating Rink, was opened to the public in Great Britain on August 2, 1875.

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