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Survey about cologne, luggage, health, traffic tickets, xbox and meat.

Begin Survey

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

2. Have you ever been tested for HIV? Yes No

3. Are any of your grandparents still alive? Yes No

4. Have you ever gotten a traffic ticket? Yes No

5. Have you ever eaten rattlesnake meat? Yes No

6. Do you drink milk? Yes No

7. Do you drink diet soda? Yes No

8. Will you go see a new-release movie at a theater this week? Yes No

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

10. Have you ever participated in a focus group? Yes No

11. Do you run the vacuum (or sweep) your floors every day? Yes No

12. Are your parents still married? Yes No

13. Do you own a matching set of luggage? Yes No

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

15. Do you think you are intelligent? Yes No

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

17. Do you have a sit-down family dinner every night? Yes No

18. Do you subscribe to your local newspaper? Yes No

19. Do you wear cologne or perfume every day? Yes No

20. Do you own a motorcycle? 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: - Daniel Boone hated coonskin caps. - Non-dairy creamer is flammable. - Coconuts kill more people in the world than sharks do. Approximately 150 people are killed each year by coconuts. - The White House kitchen, with its five full-time chefs, is able to serve as many as 140 dinner guests, and hors d’oeuvres to more than 1,000 people.

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