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Survey about coupons, teeth, zoo, life, night and focus groups.

Begin Survey

1. Do you plan to visit the zoo this year? Yes No

2. Do you enjoy gambling? Yes No

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

4. Do you enjoy classical music? Yes No

5. Do you follow a vegetarian diet? Yes No

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

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

8. Will you go to a bar or night club this week? Yes No

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

10. Do you always wear your safety belt when in a car? Yes No

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

12. Do you enjoy playing video games? Yes No

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

14. 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: - Lyndon B. Johnson was the first president of the United States to wear contact lenses. - The average strawberry has about 200 seeds on it. - One quarter of the human brain is used to control the eyes. - Because heat expands the metal, the Eiffel Tower always leans away from the sun.

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