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Survey about radio, water, sky-diving, playstation 2, espresso and dreams.

Begin Survey

1. Do you drink enough water (6 8-ounce glasses) every day? Yes No

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

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

4. Do you have road rage? Yes No

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

6. Have you ever been tested for HIV? Yes No

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

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

9. Did you graduate from high school? Yes No

10. Do you plan on visiting a comedy club this month? Yes No

11. Do you shower at least once daily? Yes No

12. Do you have a savings account? Yes No

13. Do you ever dye your hair? Yes No

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

15. Do you have a DVD player? Yes No

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

17. Do you listen to talk radio? Yes No

18. Have you ever gotten a traffic ticket? 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. - Chocolate does not cause acne. - Most dreams last only 5 to 20 minutes. - The world’s first gas station was opened by the Gulf Refining Company on December 1, 1913, in Pittsburgh, Pennsylvania.

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