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Survey about jail, earthquakes, aspirin, beverages, video games and disasters.

Begin Survey

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

2. Do you plan on visiting a comedy club this month? Yes No

3. Would you consider yourself to be in good overall health? Yes No

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

5. Have you ever been arrested? Yes No

6. Do you use chewing tobacco? Yes No

7. Do you own a boat, camper, or other recreational vehicle? Yes No

8. Do you shower at least once daily? Yes No

9. Have you ever responded to a personals ad? Yes No

10. Do you think you are physically attractive? Yes No

11. Do you plan to visit the zoo this year? Yes No

12. Will you go see a new-release movie at a theater this week? Yes No

13. Do you enjoy playing video games? Yes No

14. Do you watch the evening news? Yes No

15. Do you have or use a cellular phone? 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: - Ralph Lauren's original name is Ralph Lifshitz. - The Massachusetts state beverage is Cranberry Juice. - In the year 1900,aspirin was the first drug was offered as a water-soluble tablet. - Lake Michigan is the largest lake in the United States.

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