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Survey about health insurance, luggage, mp3 players, documentary films, traffic tickets and dvds.

Begin Survey

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

2. Do you own a matching set of luggage? Yes No

3. Do you run the vacuum (or sweep) your floors every day? Yes No

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

5. Did you drink coffee this morning? Yes No

6. Do you enjoy spicy foods? Yes No

7. Do you have health insurance? Yes No

8. Have you ever gotten a traffic ticket? Yes No

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

10. Will you rent a DVD or video this weekend? Yes No

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

12. Do you enjoy documentary films? Yes No

13. Do you splash in mud puddles? Yes No

14. Do you have a land-line phone in your home? Yes No

15. Do you have or use an MP3 player? 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: - Albert Einstein was offered the presidency of Israel in 1952 (he declined). - In 2003, the U.S. Government spent about $2,000,000 on potato research. - Men are 6 times more likely to be struck by lightning than women. - Central Park (in New York City) has 125 drinking fountains.

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