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Survey about hardware, luck, console, internet access, passports and stores.

Begin Survey

1. Have you ever been in a car accident? Yes No

2. Do you have any pets? Yes No

3. Are you a registered voter? Yes No

4. Do you always drive within the posted speed limit? Yes No

5. Are you a veteran? Yes No

6. Do you have Internet access at home? Yes No

7. Will you visit a hardware or home improvement store this week? Yes No

8. Have you ever won the lottery? Yes No

9. Do you like chocolate? Yes No

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

11. Are you currently attending college or taking adult enrichment classes? Yes No

12. Do you enjoy reality television? Yes No

13. Will you send anyone a printed holiday, birthday, or anniversary card this week? Yes No

14. Do you have a valid passport? Yes No

15. Do you splash in mud puddles? Yes No

16. 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: - Theodore Roosevelt was blind in his left eye. - Lemons contain more sugar than strawberries. - The little lump of flesh just forward of the ear canal, right next to the temple, is called a tragus. - The first lighthouse to use electricity was the Statue of Liberty in 1886.

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