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Survey about medications, speed, summer, cars, love and vcr.

Begin Survey

1. Do you always wear your safety belt when in a car? Yes No

2. Do you have cable or satellite television? Yes No

3. Do you have any camping trips planned for this summer? Yes No

4. Are you currently attending college or taking adult enrichment classes? Yes No

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

6. Do you own a Bible, Koran, or other religious book? Yes No

7. Do you think professional athletes should be regularly screened for illicit drug use? Yes No

8. Do you enjoy roller coasters? Yes No

9. Do you have a VCR? Yes No

10. Do you have or use a PDA (Personal Digital Assistant)? Yes No

11. Do you smoke cigarettes? Yes No

12. Will you go to a concert this week? Yes No

13. Do you have any pets? Yes No

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

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

16. Do you wear sunscreen every day? Yes No

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

18. Have you ever been in love? Yes No

19. Do you plan on taking a trip by airplane this week? 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: - Ralph Lauren's original name is Ralph Lifshitz. - A ripe cranberry will bounce. - A sneeze travels at 100 miles per hour. - Niagara Falls is constantly moving backwards. The rim is worn down about two and a half feet each year because of the millions of gallons of water that rush over it every minute.

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