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Survey about cigarettes, teeth, roller-skating, identity theft, socks and health.

Begin Survey

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

2. Will you rent a DVD or video this weekend? Yes No

3. Have you ever been the target of identity theft? Yes No

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

5. Do you brush your teeth each morning? Yes No

6. Do you smoke cigarettes? Yes No

7. Are you a veteran? Yes No

8. Do you believe in love at first sight? Yes No

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

10. Will you be visiting any theme parks this year? Yes No

11. Have you ever eaten fried green tomatoes? Yes No

12. Do you plan on visiting a comedy club this month? Yes No

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

14. Do you own or drive an SUV or large truck? Yes No

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

16. Do you enjoy playing video games? 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: - Albert Einstein never wore any socks. - Avocados have more protein than any other fruit. - One in 500 humans has one blue eye and one brown eye. - The very peak of the Washington Monument is not stone, but a 100-ounce solid aluminum pyramid, constructed as part of the monument's lightning protection system.

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