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Survey about safety belt, lotteries, seasonal allergies, trains, radio and parents.

Begin Survey

1. Will you take any train or subway rides this week? Yes No

2. Do you sleep with a pillow at night? Yes No

3. Will you visit a doctor this week? Yes No

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

5. Are your parents still married? Yes No

6. Do you smoke cigarettes? Yes No

7. Do you have any piercings? Yes No

8. Do you play any organized team sports? Yes No

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

10. Do you listen to talk radio? Yes No

11. Do you suffer from seasonal allergies? Yes No

12. Do you use online banking? Yes No

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

14. Have you ever won the lottery? Yes No

15. Do you play any musical instruments? Yes No

16. Do you have a VCR? Yes No

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

18. Do you speak any foreign languages? Yes No

19. Do you enjoy playing video games? Yes No

20. 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: - Theodore Roosevelt was blind in his left eye. - Blueberries have more antioxidants than any other fruit or vegetables. - You are more likely to get attacked by a cow than a shark. - Because heat expands the metal, the Eiffel Tower always leans away from the sun.

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