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Survey about drug use, food, miracles, casinos, spicy food and cars.

Begin Survey

1. Do you have any food allergies? Yes No

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

3. Will you consume any alcoholic beverages this weekend? Yes No

4. Do you have a retirement investment account (401k, IRA, etc.)? Yes No

5. Do you follow a vegetarian diet? Yes No

6. Will you send anyone a printed holiday, birthday, or anniversary card this week? Yes No

7. Do you like chocolate? Yes No

8. Do you believe in miracles? Yes No

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

10. Did you drink coffee this morning? Yes No

11. Will you attend religious services this week? Yes No

12. Will you visit a casino this week? Yes No

13. Do you give your children a daily multi-vitamin? Yes No

14. Do you watch Saturday morning cartoons? Yes No

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

16. Do you own a first aid kit? Yes No

17. Do you use charge cards? 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: - Daniel Boone hated coonskin caps. - The average French citizen eats 500 snails per year. - Children laugh about 400 times a day, while adults laugh on average only 15 times a day. - The tallest freestanding sculpture in the world is Chief Crazy Horse in South Dakota, USA.

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