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Survey about concerts, shower, busses, community services, board games and perfume.

Begin Survey

1. Have you eaten fast food this week? Yes No

2. Do you enjoy television police/crime dramas? Yes No

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

4. Do you drink enough water (6 8-ounce glasses) every day? Yes No

5. Do you brush your teeth after lunch? Yes No

6. Do you plan on visiting the public library this week? Yes No

7. Do you believe in miracles? Yes No

8. Do you have health insurance? Yes No

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

10. Do you use chewing tobacco? Yes No

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

12. Do you drink diet soda? Yes No

13. Do you plan on performing any community service this week? Yes No

14. Do you sing in the shower? Yes No

15. Do you enjoy board games? Yes No

16. Do you have or use a PDA (Personal Digital Assistant)? Yes No

17. Do you enjoy card games? Yes No

18. Are you married? Yes No

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

20. Do you enjoy cooking or baking? 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: - Alfred Hitchcock didn't have a belly button. - The average child will eat 1,500 peanut butter and jelly sandwiches by the he/she graduates from high school. - The United States produces more tobacco than it does wheat. - Ho-Ho-Kus, a small town in New Jersey, is the only town in the United States of America that has two dashes in its name.

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