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Survey about playstation 2, download, xbox, multi-vitamin, radio and night clubs.

Begin Survey

1. Do you suffer from seasonal allergies? Yes No

2. Do you get a flu shot every winter? Yes No

3. Do you ever download music from the Internet? Yes No

4. Are your immunizations up-to-date? Yes No

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

6. Do you use online banking? Yes No

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

8. Do you give your children a daily multi-vitamin? Yes No

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

10. Do you subscribe to your local newspaper? Yes No

11. Have you ever broken any bones? Yes No

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

13. 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: - Robert E. Lee, of the Confederate Army, remains the only person to have graduated from the West Point military academy without a single demerit. - Americans eat more than 22 pounds of tomatoes every year. - The liquid inside young coconuts can be used as a substitute for blood plasma. - The world's largest art gallery is the Winter Palace and Hermitage in St. Petersburg, Russia.

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