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Survey about espresso, health insurance, michael douglas, boats, religion and cigarettes.

Begin Survey

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

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

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

4. Do you smoke cigarettes? Yes No

5. Do you feel Americans file too many frivolous lawsuits? Yes No

6. Do you drink diet soda? Yes No

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

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

9. Will you buy an espresso drink (cappuccino, latte etc.) from a coffee house this week? Yes No

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

11. Will you buy plants or flowers from a florist this week? Yes No

12. Do you have children? Yes No

13. Do you wear cologne or perfume every day? Yes No

14. Have you ever gone sky-diving or bungee-jumping? Yes No

15. Do you have health insurance? Yes No

16. Do you play any organized team sports? Yes No

17. Would you consider yourself an avid sports fan? 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: - Michale Keaton's original name is Michael Douglas. - The average American drinks 25 gallons of milk per year. - The average American consumes 9 pounds of food additives every year. - The very peak of the Washington Monument is not stone, but a 100-ounce solid aluminum pyramid, constructed as part of the monument's lightning protection system.

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