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Survey about concerts, reading, athletes, health, lottery tickets and chewing tobacco.

Begin Survey

1. Do you get a flu shot every winter? Yes No

2. Do you think you are intelligent? Yes No

3. Will you buy a lottery ticket this week? Yes No

4. Do you brush your teeth before bed each night? Yes No

5. Do you believe there is life on other planets? Yes No

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

7. Do you own a motorcycle? Yes No

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

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

10. Do you use chewing tobacco? Yes No

11. Have you ever won the lottery? Yes No

12. Do you have children? Yes No

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

14. Do you sleep with a pillow at night? Yes No

15. Will you be taking any road trips this week (over 50 miles)? Yes No

16. Do you have a checking account? Yes No

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

18. Do you enjoy reading non-fiction books for pleasure? 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: - Wilma Flintstone's maiden name was Wilma Slaghoopal. - Almonds are a member of the peach family. - Hailed as a wonder drug in the late nineteenth century, cocaine was outlawed in the United States in 1914. - There are 365 steps on the front of the U.S. Capitol Building - one for every day of the year.

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