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Survey about overall health, parents, spicy food, american flag, playstation 2 and gamecube.

Begin Survey

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

2. Are your parents still married? Yes No

3. Would you consider yourself to be in good overall health? Yes No

4. Do you get between 7 to 10 hours of sleep each night? Yes No

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

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

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

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

9. Do you enjoy spicy foods? Yes No

10. Do you enjoy hunting or fishing? Yes No

11. Do you use charge cards? Yes No

12. Can you drive a stick shift? Yes No

13. Do you eat breakfast every morning? Yes No

14. Do you own your home? Yes No

15. Do you have children? Yes No

16. Have you ever participated in a focus group? Yes No

17. Have you ever purchased or sold anything on eBay? Yes No

18. Do you plan on visiting the public library this week? Yes No

19. 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: - Oil tycoon John D. Rockefeller was the world's first billionaire. - Headache pain can be reduced by eating 20 tart cherries. - One quarter of the human brain is used to control the eyes. - The world's largest art gallery is the Winter Palace and Hermitage in St. Petersburg, Russia.

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