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Survey about children, veterans, crime, stores, heinz and health.

Begin Survey

1. Have you ever gone sky-diving or bungee-jumping? Yes No

2. Will you visit a hardware or home improvement store this week? Yes No

3. Will you send anyone a printed holiday, birthday, or anniversary card this week? Yes No

4. Do you enjoy television police/crime dramas? Yes No

5. Do you have a savings account? Yes No

6. Do you smoke cigarettes? Yes No

7. Do you have any piercings? Yes No

8. Do you plan on visiting a mall this week? Yes No

9. Will you order take-out or delivery food from a restaurant this week? Yes No

10. Do you play any organized team sports? Yes No

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

12. Would you consider yourself to be in good overall health? Yes No

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

14. Are you a veteran? Yes No

15. Do you know CPR? Yes No

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

17. 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: - Of the six men who made up the Three Stooges, three of them were real brothers (Moe, Curly and Shemp.) - The '57' on the bottle of Heinz ketchup stands for the number of pickle varieties they once offered. - More children are allergic to cockroaches than cats - Sculptor Gutzon Borglum began drilling into the 6,200-foot Mount Rushmore in 1927. The sculpting of Mount Rushmore took 14 years and cost a $1 million.

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