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Survey about schools, chewing tobacco, safety belt, dvds, humans and clothes.

Begin Survey

1. Do you follow a vegetarian diet? Yes No

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

3. Will you visit a beauty salon this week? Yes No

4. Will you rent a DVD or video this weekend? Yes No

5. Do you own at least one pair of blue jeans? Yes No

6. Do you smoke cigarettes? Yes No

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

8. Do you enjoy spicy foods? Yes No

9. Do you use chewing tobacco? Yes No

10. Have you ever borrowed money from a relative? Yes No

11. Have you ever been less than honest on your resume? Yes No

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

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

14. Do your children attend public schools? Yes No

15. Do you own a gun? Yes No

16. Have you ever traced your family tree? Yes No

17. Will you consume any alcoholic beverages this weekend? Yes No

18. Do you have a sit-down family dinner every night? Yes No

19. Do you enjoy cat-naps? 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: - Jimmy Carter is the first U.S. President to have been born in a hospital. - Chocolate does not cause acne. - One in 500 humans has one blue eye and one brown eye. - Hawaii has the only royal palace in the United States – Iolani.

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