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Survey about multi-vitamin, cars, mud puddles, intelligent, high school and road rage.

Begin Survey

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

2. Are you satisfied in your current employment? Yes No

3. Did you graduate from high school? Yes No

4. Do you have road rage? Yes No

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

6. Do you think you are intelligent? Yes No

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

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

9. Have you ever been the target of identity theft? Yes No

10. Do you splash in mud puddles? Yes No

11. Do you work outside of the home? Yes No

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

13. Have you ever won the lottery? Yes No

14. Will you visit a casino this week? Yes No

15. Do you use chewing tobacco? Yes No

16. Do you take a daily multi-vitamin? Yes No

17. Did you vote in the last Presidential election? Yes No

18. 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: - Charlie Chaplin once won third prize in a Charlie Chaplin look alike contest. - The '57' on the bottle of Heinz ketchup stands for the number of pickle varieties they once offered. - By the age of 60, most people have lost 50% of their taste buds. - There are 365 steps on the front of the U.S. Capitol Building - one for every day of the year.

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