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Survey about dvd players, ebay, vegetarian diet, 1886, lottery tickets and chain smoker.

Begin Survey

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

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

3. Have you ever been tested for HIV? Yes No

4. Have you ever purchased or sold anything on eBay? 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 visit a beauty salon this week? Yes No

8. Do you have a DVD player? Yes No

9. Have you ever been in a car accident? Yes No

10. Do you have or use an MP3 player? Yes No

11. Will you go see a new-release movie at a theater this week? Yes No

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

13. Do you have a valid passport? Yes No

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

15. Do you get between 7 to 10 hours of sleep each night? Yes No

16. Should government employees be randomly tested for illicit drug use? Yes No

17. 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: - Jackie Kennedy Onassis was secretly a chain smoker. - The average American drinks 25 gallons of milk per year. - 15% of Americans secretly bite their toes. - The first lighthouse to use electricity was the Statue of Liberty in 1886.

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