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Survey about insurance, radio, soft drinks, income tax, morning and coffee.

Begin Survey

1. Do you have a VCR? Yes No

2. Do you have a checking account? Yes No

3. Do you enjoy watching cooking shows? Yes No

4. Do you take any prescribed daily medications? Yes No

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

6. Do you enjoy ethnic foods? Yes No

7. Do you drink diet soda? Yes No

8. Did you drink coffee this morning? Yes No

9. Have you ever been less than honest on your income tax return? Yes No

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

11. Do you enjoy playing video games? Yes No

12. Do you listen to talk radio? Yes No

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

14. Have you ever been in a tornado, earthquake, or other natural disaster? Yes No

15. Do you plan on visiting the public library this week? Yes No

16. Do you wear sunscreen every day? Yes No

17. Will you attend a professional sporting event this month? Yes No

18. Will you be staying at a hotel this week? Yes No

19. Do you ever download movies from the Internet? 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: - Flamenco dancer Jose Greco took out an insurance policy through Lloyd's of London against his pants splitting during a performance. - The candy bar 'Baby Ruth' was named after the daughter of U.S. President Grover Cleveland in 1921. - 25% of your bones are located in your feet. - The Library of Congress, located in Washington D.C., is the largest library in the world.

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