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Survey about employment, restaurants, safety belt, motorcycles, statue of liberty and dvd players.

Begin Survey

1. Will you order take-out or delivery food from a restaurant this week? Yes No

2. Do you have a DVD player? Yes No

3. Do you belong to a labor union? Yes No

4. Are you satisfied in your current employment? Yes No

5. Do you own a motorcycle? Yes No

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

7. Do you own your own business or work for yourself? Yes No

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

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

10. Do you own a boat, camper, or other recreational vehicle? Yes No

11. Are any of your grandparents still alive? Yes No

12. Are you involved in volunteerism? Yes No

13. Do you drink diet soda? Yes No

14. Do you believe in karma? Yes No

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

16. Do you own or drive an SUV or large truck? Yes No

17. Have you ever been in a tornado, earthquake, or other natural disaster? Yes No

18. 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: - Charlie Chaplin once won third prize in a Charlie Chaplin look alike contest. - Lemons contain more sugar than strawberries. - Betty Rubble made her debut as a Flintstones Vitamin in 1996. - The first lighthouse to use electricity was the Statue of Liberty in 1886.

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