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Survey about safety belt, travel, wills, latte, schools and cappuccino.

Begin Survey

1. Do your children attend public schools? Yes No

2. Have you ever been in love? Yes No

3. Do you use chewing tobacco? Yes No

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

5. Do you fly an American flag at home? Yes No

6. Will you travel outside of the U.S. this year? Yes No

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

8. Do you have any tattoos? Yes No

9. Are you involved in volunteerism? Yes No

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

11. Do you belong to a labor union? Yes No

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

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

14. Do you plan on visiting the public library this week? Yes No

15. Have you ever spent a day at a spa? Yes No

16. Are you satisfied in your current employment? Yes No

17. Do you contribute money to any charitable organizations? Yes No

18. Do you have a swimming pool? Yes No

19. Have you ever cut your own hair? Yes No

20. Have you made your will? Yes No

21. 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: - Flamenco dancer Jose Greco took out an insurance policy through Lloyd's of London against his pants splitting during a performance. - Lemons contain more sugar than strawberries. - Women blink nearly twice as much as men. - The very peak of the Washington Monument is not stone, but a 100-ounce solid aluminum pyramid, constructed as part of the monument's lightning protection system.

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