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Survey about personal ads, phobias, shopping, crime, drugs and cocaine.

Begin Survey

1. Will you visit a beauty salon this week? Yes No

2. Will you visit a therapist or psychiatrist this week? Yes No

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

4. Have you ever responded to a personals ad? Yes No

5. Do you own or drive an SUV or large truck? Yes No

6. Have you ever borrowed money from a relative? Yes No

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

8. Do you listen to talk radio? Yes No

9. Do you wear glasses/contacts? Yes No

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

11. Do you eat breakfast every morning? Yes No

12. Do you believe in love at first sight? Yes No

13. Do you enjoy playing video games? Yes No

14. Do you own or use a digital camera? Yes No

15. Do you enjoy television police/crime dramas? Yes No

16. Will you go to the grocery store this week? Yes No

17. Do you have any phobias? Yes No

18. Will you visit a casino 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: - Betsy Ross was born with a fully formed set of teeth. - Seaweed is used to thicken ice cream. - Hailed as a wonder drug in the late nineteenth century, cocaine was outlawed in the United States in 1914. - On February 22, 1985, the one billionth vehicle passed over the Golden Gate Bridge.

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