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Survey about morning, family, traffic tickets, smoking, cigarettes and health.

Begin Survey

1. Do you have any food allergies? Yes No

2. Have you graduated from (or finished) college? Yes No

3. Do you have any pets? Yes No

4. Do you have a sit-down family dinner every night? Yes No

5. Do you have or use a cellular phone? Yes No

6. Do you enjoy ethnic foods? Yes No

7. Do you eat breakfast every morning? Yes No

8. Do you use charge cards? Yes No

9. Will you order take-out or delivery food from a restaurant this week? Yes No

10. Have you ever been tested for HIV? Yes No

11. Do you smoke cigarettes? Yes No

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

13. Do you watch the evening news? Yes No

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

15. Have you ever eaten fried green tomatoes? 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: - Jackie Kennedy Onassis was secretly a chain smoker. - The fortune cookie was invented in 1916 by George Jung, a Los Angeles noodlemaker. - Right-handed people live, on average, nine years longer than left-handed people. - Buckingham Palace has over six hundred rooms.

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