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Survey about furnitures, retirement, woman, checking account, passports and safety belt.

Begin Survey

1. Do you have any tattoos? Yes No

2. Do you enjoy reality television? Yes No

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

4. Have you ever borrowed money from a relative? Yes No

5. Do you enjoy documentary films? Yes No

6. Do you have a valid passport? Yes No

7. Should the ban on new lines of stem cells for research in the U.S. be lifted? Yes No

8. Do you read the comics? Yes No

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

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

11. Do you have a checking account? Yes No

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

13. Do you enjoy roller coasters? Yes No

14. 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: - Al Capone's business card said he was a used furniture dealer. - Tootsie Rolls were the first wrapped penny candy in America. - 80% of people over 100 years old are women. - The State of Nevada's name comes from the Spanish meaning 'snow-capped'.

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