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Survey about drug use, gambling, fruit, lottery tickets, cockroaches and antioxidants.

Begin Survey

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

2. Do you enjoy gambling? Yes No

3. Are you currently attending college or taking adult enrichment classes? Yes No

4. Do you play any musical instruments? Yes No

5. Do you enjoy ethnic foods? Yes No

6. Do you have health insurance? Yes No

7. Do you own or use a digital camera? Yes No

8. Are you married? Yes No

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

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

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

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

13. Do you contribute money to any charitable organizations? 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: - Napoleon constructed his battle plans in a sandbox. - Blueberries have more antioxidants than any other fruit or vegetables. - More children are allergic to cockroaches than cats - The Eisenhower interstate system requires that one mile in every five must be straight. These straight sections are usable as airstrips in times of war or other emergencies.

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