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Survey about eyes, community services, lottery tickets, download, religion and classical music.

Begin Survey

1. Do you take a daily multi-vitamin? Yes No

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

3. Do you ever download music from the Internet? Yes No

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

5. Do you have a savings account? Yes No

6. Are your parents still married? Yes No

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

8. Do you use chewing tobacco? Yes No

9. Do you plan on visiting a mall this week? Yes No

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

11. Have you ever traced your family tree? Yes No

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

13. Do you have any tattoos? Yes No

14. Do you work outside of the home? Yes No

15. Do you belong to any professional organizations? Yes No

16. Do you plan on performing any community service this week? Yes No

17. Do you own a Bible, Koran, or other religious book? Yes No

18. Would you consider yourself an avid sports fan? Yes No

19. Do you enjoy classical music? Yes No

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

21. 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 child will eat 1,500 peanut butter and jelly sandwiches by the he/she graduates from high school. - One in 500 humans has one blue eye and one brown eye. - On February 22, 1985, the one billionth vehicle passed over the Golden Gate Bridge.

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