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Survey about coca-cola, dvds, ketchup, lotteries, gamecube and videos.

Begin Survey

1. Will you go to the grocery store this week? Yes No

2. Do you follow a vegetarian diet? Yes No

3. Have you ever won the lottery? Yes No

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

5. Do you enjoy playing video games? Yes No

6. Do you wear mittens? Yes No

7. Do you drink milk? Yes No

8. Do you enjoy hot bubble baths? Yes No

9. Would you consider yourself an avid sports fan? Yes No

10. Do you believe in Santa Claus? Yes No

11. Do you have any siblings? Yes No

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

13. Have you ever been arrested? Yes No

14. Will you engage in rigorous physical activity at least three times this week? Yes No

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

16. Have you ever spent a day at a spa? Yes No

17. Are you currently attending college or taking adult enrichment classes? Yes No

18. Do you enjoy spicy foods? Yes No

19. 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: - Michale Keaton's original name is Michael Douglas. - Coca-Cola was the first soft drink to be consumed in outer space. - Both carrots and ketchup were once considered to have medicinal value. - In Washington D.C., no building may be built taller than the Washington Monument.

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