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Survey about drugs, cocaine, stem cells, sporting events, beans and luggage.

Begin Survey

1. Will you take any train or subway rides this week? Yes No

2. Have you graduated from (or finished) college? Yes No

3. Have you ever taken dance lessons? Yes No

4. Will you be staying at a hotel this week? Yes No

5. Will you visit a doctor this week? Yes No

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

7. Will you engage in rigorous physical activity at least three times this week? Yes No

8. Will you visit a hardware or home improvement store this week? Yes No

9. Do you ever use a tanning bed? Yes No

10. Will you attend a professional sporting event this month? Yes No

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

12. Do you like chocolate? Yes No

13. Will you visit a therapist or psychiatrist this week? Yes No

14. Should the ban on new lines of stem cells for research in the U.S. be lifted? Yes No

15. Do you own a matching set of luggage? Yes No

16. Do you have a land-line phone in your home? Yes No

17. Do you believe in Santa Claus? Yes No

18. Do you have any phobias? 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: - Walt Disney, the creator of Mickey Mouse, was afraid of mice. - Lima beans contain cyanide. - Hailed as a wonder drug in the late nineteenth century, cocaine was outlawed in the United States in 1914. - On February 22, 1985, the one billionth vehicle passed over the Golden Gate Bridge.

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