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Survey about classical music, trips, doctor, dvd players, schools and drugs.

Begin Survey

1. Do you plan on taking a trip by airplane this week? Yes No

2. Do you have children? Yes No

3. Do your children attend public schools? Yes No

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

5. Are your parents still married? Yes No

6. Do you drink diet soda? Yes No

7. Do you own your home? Yes No

8. Have you ever traveled by airplane? Yes No

9. Will you attend a college sporting event this month? Yes No

10. Do you have a checking account? Yes No

11. Do you enjoy classical music? Yes No

12. Do you have an annual check-up or exam with your family doctor? Yes No

13. Do you take any prescribed daily medications? Yes No

14. Do you have a DVD player? Yes No

15. Have you ever been less than honest on your resume? 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: - 20252 is Smokey the Bear's own zip code. - Lima beans contain cyanide. - Hailed as a wonder drug in the late nineteenth century, cocaine was outlawed in the United States in 1914. - Buckingham Palace has over six hundred rooms.

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