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Survey about safety belt, cars, traffic tickets, earthquakes, bubble baths and milk.

Begin Survey

1. Do you drink milk? Yes No

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

3. Will you attend a professional sporting event this month? Yes No

4. Do you ever use a tanning bed? Yes No

5. Do you always wear your safety belt when in a car? Yes No

6. Will you ride on a bus this week? Yes No

7. Have you ever been in a tornado, earthquake, or other natural disaster? Yes No

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

9. Do you have Internet access at home? Yes No

10. Do you enjoy hot bubble baths? Yes No

11. Have you ever spent more than $100 on a pair of shoes? Yes No

12. Do you wear cologne or perfume every day? Yes No

13. Do you have a savings account? Yes No

14. Have you ever pilfered office supplies from work? Yes No

15. Have you ever been rock or mountain climbing? Yes No

16. Do you sing in the shower? Yes No

17. Are you a veteran? Yes No

18. Do you take a bagged lunch to work every day? 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: - Michale Keaton's original name is Michael Douglas. - Onions have no flavor, only a smell. - Between 25% to 33% of people sneeze when they are exposed to light. - The world's largest art gallery is the Winter Palace and Hermitage in St. Petersburg, Russia.

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