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Survey about focus groups, checkbooks, playstation 2, fantasy, gamecube and chocolate.

Begin Survey

1. Are your immunizations up-to-date? Yes No

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

3. Do you enjoy science fiction/fantasy movies? Yes No

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

5. Do you have a DVD player? Yes No

6. Will you balance your checkbook this week? Yes No

7. Do you eat breakfast every morning? Yes No

8. Do you own a console video game system (Xbox, Playstation 2, GameCube, etc.)? Yes No

9. Do you attend regular religious services? Yes No

10. Do you have a swimming pool? Yes No

11. Are you married? Yes No

12. Do you use chewing tobacco? Yes No

13. Have you ever participated in a focus group? Yes No

14. Do you enjoy gambling? Yes No

15. Do you suffer from seasonal allergies? Yes No

16. Are you a veteran? Yes No

17. Do you own a motorcycle? Yes No

18. Have you ever been rock or mountain climbing? Yes No

19. Can you whistle? Yes No

20. 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: - Albert Einstein never wore any socks. - Chocolate does not cause acne. - 15% of Americans secretly bite their toes. - Air conditioners completely recycle the air throughout the Empire State Building about every 10 minutes.

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