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Survey about smoking, leonardo da vinci, chewing tobacco, cigarettes, mp3 players and fortune cookies.

Begin Survey

1. Do you use chewing tobacco? Yes No

2. Are you involved in volunteerism? Yes No

3. Have you graduated from (or finished) college? Yes No

4. Do you own a dictionary and/or thesaurus? Yes No

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

6. Do you have a VCR? Yes No

7. Do you enjoy ethnic foods? Yes No

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

9. Do you have any tattoos? Yes No

10. Do you smoke cigarettes? Yes No

11. Will you be taking any road trips this week (over 50 miles)? Yes No

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

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

14. Do you have children? Yes No

15. Do you know your cholesterol level? Yes No

16. Do you have or use an MP3 player? Yes No

17. Do you watch the evening news? Yes No

18. Do you attend regular religious services? 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: - Leonardo da Vinci could write with one hand and draw with the other at the same time. - The fortune cookie was invented in 1916 by George Jung, a Los Angeles noodlemaker. - Club Direct, a travel insurance company in Britain, provides insurance plans for protection from falling coconuts. - Built around 2800 B.C., England’s Stonehenge was designed to align exactly with the sun’s rays on June 21.

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