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Survey about lottery tickets, chewing tobacco, religion, console, classical music and glasses.

Begin Survey

1. Do you believe there is life on other planets? Yes No

2. Will you attend religious services this week? Yes No

3. Do your children attend public schools? Yes No

4. Do you own or drive an SUV or large truck? Yes No

5. Will you buy a lottery ticket this week? Yes No

6. Do you know CPR? Yes No

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

8. Do you use chewing tobacco? Yes No

9. Have you made your will? Yes No

10. Do you fly an American flag at home? Yes No

11. Do you get a flu shot every winter? Yes No

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

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

14. Are your immunizations up-to-date? Yes No

15. Do you wear glasses/contacts? Yes No

16. Have you ever borrowed money from a relative? Yes No

17. Do you enjoy classical music? Yes No

18. Are you married? Yes No

19. Do you enjoy reading non-fiction books for pleasure? 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: - Frank Sinatra never wore or owned a pair of blue jeans. - The U.S. Government spent $277,000 on pickle research in 1993. - Every year about 98% of atoms in the human body are replaced. - Lake Michigan is the largest lake in the United States.

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