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Survey about soft drinks, insurance, children, safety belt, baked beans and law.

Begin Survey

1. Can you roller-skate, roller-blade, and/or ice-skate? Yes No

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

3. Do you have children? Yes No

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

5. Have you ever been the target of identity theft? Yes No

6. Do your children attend public schools? Yes No

7. Will you see a play this month? Yes No

8. Did you vote in the last Presidential election? Yes No

9. Do you have any tattoos? Yes No

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

11. Do you eat breakfast every morning? Yes No

12. Do you drink diet soda? Yes No

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

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

15. Are you left-handed? Yes No

16. Do you take any prescribed daily medications? Yes No

17. Do you always drive within the posted speed limit? Yes No

18. Do you have a retirement investment account (401k, IRA, etc.)? Yes No

19. Do you read your horoscope every day? Yes No

20. Do you enjoy independent films? 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. - People in the United Kingdom consume more cans of baked beans than the rest of the world combined. - Blue eyes are the most sensitive to light (hence they can see better in the dark); brown the least sensitive. - Buckingham Palace has over six hundred rooms.

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