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Survey about malls, xbox, travel, employees, freckles and smoking.

Begin Survey

1. Did you graduate from high school? Yes No

2. Do you smoke cigarettes? Yes No

3. Do you have any houseplants? Yes No

4. Do you read the comics? Yes No

5. Do you keep an umbrella in your car? Yes No

6. Have you ever placed a personals ad? Yes No

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

8. Should government employees be randomly tested for illicit drug use? Yes No

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

10. Do you plan on visiting a mall this week? Yes No

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

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

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

14. Do you enjoy roller coasters? Yes No

15. Do you enjoy watching cooking shows? Yes No

16. Do you own at least one pair of blue jeans? Yes No

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

18. Do you own a first aid kit? Yes No

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

20. Do you believe in Santa Claus? Yes No

21. 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: - Theodore Roosevelt was blind in his left eye. - At one time, pumpkins were recommended for removing freckles. - The United States has the highest minimum drinking age in the world. - The world’s first gas station was opened by the Gulf Refining Company on December 1, 1913, in Pittsburgh, Pennsylvania.

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