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Survey about cigarettes, smoking, allergy, massage, casinos and college.

Begin Survey

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

2. Will you visit a casino this week? Yes No

3. Are your immunizations up-to-date? Yes No

4. Do you believe in destiny or fate? Yes No

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

6. Have you ever purchased or sold anything on eBay? Yes No

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

8. Have you ever had a professional massage? Yes No

9. Have you ever been in a tornado, earthquake, or other natural disaster? Yes No

10. Do you attend regular religious services? Yes No

11. Do you eat breakfast every morning? Yes No

12. Do you smoke cigarettes? Yes No

13. Do you enjoy science fiction/fantasy movies? Yes No

14. 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: - John F. Kennedy is the only U.S president to win a Pulitzer Prize. - Peanuts are one of the ingredients in dynamite. - More children are allergic to cockroaches than cats - In Washington D.C., no building may be built taller than the Washington Monument.

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