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Survey about cigarettes, zoo, office supplies, democracy, satellite and drug use.

Begin Survey

1. Do you splash in mud puddles? Yes No

2. Will you ride on a bus this week? Yes No

3. Do you have or use an MP3 player? Yes No

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

5. Do you belong to any professional organizations? Yes No

6. Do you own at least one pair of blue jeans? Yes No

7. Do you own a Bible, Koran, or other religious book? Yes No

8. Do you wear glasses/contacts? Yes No

9. Do you plan to visit any U.S. National Parks this year? Yes No

10. Do you think professional athletes should be regularly screened for illicit drug use? Yes No

11. Do you plan to visit the zoo this year? Yes No

12. Are you a registered voter? Yes No

13. Have you ever pilfered office supplies from work? Yes No

14. Can you drive a stick shift? Yes No

15. Have you ever traced your family tree? Yes No

16. Will you go to a concert this week? Yes No

17. Will you buy an espresso drink (cappuccino, latte etc.) from a coffee house this week? Yes No

18. Do you smoke cigarettes? Yes No

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

20. Do you enjoy Girl Scout cookies? Yes No

21. 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: - Whoopi Golberg’s real name is Caryn Elaine Johnson. - Tootsie Rolls were the first wrapped penny candy in America. - Half of all Americans over the age of 55 have no teeth. - In Washington D.C., no building may be built taller than the Washington Monument.

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