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Survey about identity theft, sesame street, shoes, frogs, coffeine and alcoholic beverages.

Begin Survey

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

2. Are you a veteran? Yes No

3. Will you attend a college sporting event this month? Yes No

4. Do you subscribe to your local newspaper? Yes No

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

6. Have you ever spent a day at a spa? Yes No

7. Do you like peanut butter and jelly sandwiches? Yes No

8. Will you consume any alcoholic beverages this weekend? Yes No

9. Do you listen to the radio in the car? Yes No

10. Do you wear sunscreen every day? Yes No

11. Will you go to the grocery store this week? Yes No

12. Do you have any siblings? Yes No

13. Can you roller-skate, roller-blade, and/or ice-skate? Yes No

14. Do you ever download movies from the Internet? Yes No

15. Will you engage in rigorous physical activity at least three times this week? Yes No

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

17. Have you ever spent more than $100 on a pair of shoes? Yes No

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

19. 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: - The characters Bert and Ernie on Sesame Street were named after Bert the cop and Ernie the taxi driver in Frank Capra's 'It's A Wonderful Life' - A cup of coffee has 12 times the amount of caffeine as a cup of cocoa. - More people have a phobia of frogs than rats. - The Boston University Bridge (on Commonwealth Avenue, Boston, Massachusetts) is the only place in the world where a boat can sail under a train driving under a car driving under an airplane.

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