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Survey about passports, pets, soft drinks, chewing tobacco, alcoholic beverages and presidents.

Begin Survey

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

2. Do you use chewing tobacco? Yes No

3. Do you have a valid passport? Yes No

4. Do you run the vacuum (or sweep) your floors every day? Yes No

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

6. Do your children attend public schools? Yes No

7. Do you drink diet soda? Yes No

8. Do you wear sandals/flip-flops in the summer? Yes No

9. Have you ever broken any bones? Yes No

10. Did you drink coffee this morning? Yes No

11. Do you own your own business or work for yourself? Yes No

12. Will you buy an espresso drink (cappuccino, latte etc.) from a coffee house this week? Yes No

13. Will you send anyone a printed holiday, birthday, or anniversary card this week? Yes No

14. Do you have any pets? Yes No

15. Do you enjoy cat-naps? 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: - Lyndon B. Johnson was the first president of the United States to wear contact lenses. - Chocolate does not cause acne. - It takes 17 muscles to smile, 43 to frown. - The Step Pyramid is the first known monumental structure made of stone anywhere in the world. The Step Pyramid Complex of Djoser was built during the Third Dynasty (2800 B.C.) in Saqqara, Egypt.

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