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Survey about parents, cigarettes, night, doctor, car and retirement.

Begin Survey

1. Do you follow a vegetarian diet? Yes No

2. Do you own your home? Yes No

3. Have you ever gone sky-diving or bungee-jumping? Yes No

4. Do you listen to the radio in the car? Yes No

5. Do you have an annual check-up or exam with your family doctor? Yes No

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

7. Do you have road rage? Yes No

8. Do you smoke cigarettes? Yes No

9. Will you be taking any road trips this week (over 50 miles)? Yes No

10. Are your parents still married? Yes No

11. Will you rent a DVD or video this weekend? Yes No

12. Will you go to a bar or night club this week? Yes No

13. Will you travel outside of the U.S. this year? Yes No

14. Have you ever had a professional massage? Yes No

15. Do you brush your teeth before bed each night? Yes No

16. Do you have a retirement investment account (401k, IRA, etc.)? Yes No

17. 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: - Houdini was the first man to fly a plane solo in Australia. - Approximately 3 billion pizzas are sold in the U.S. each year. - Half of all Americans over the age of 55 have no teeth. - The very peak of the Washington Monument is not stone, but a 100-ounce solid aluminum pyramid, constructed as part of the monument's lightning protection system.

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