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Survey about children, television, money, health, umbrella and pepperoni.

Begin Survey

1. Do you own your own business or work for yourself? Yes No

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

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

4. Do you know your cholesterol level? Yes No

5. Are you a registered voter? Yes No

6. Have you ever broken any bones? Yes No

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

8. Have you ever been tested for HIV? Yes No

9. Do you have road rage? Yes No

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

11. Will you go to the grocery store this week? Yes No

12. Do you keep an umbrella in your car? Yes No

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

14. Do you enjoy ethnic foods? Yes No

15. Do you own a boat, camper, or other recreational vehicle? 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: - Napoleon constructed his battle plans in a sandbox. - 50% of pizzas sold in the U.S. have pepperoni on them. - A blink lasts approximately 0.3 seconds. - Manhattan Island of New York City was purchased for $24 from the Algonquian Indians in 1624.

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