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Survey about swimming pools, retirement, children, safety belt, science fiction and george jung.

Begin Survey

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

2. Do you have or use a cellular phone? Yes No

3. Will you attend religious services this week? Yes No

4. Do you take a daily multi-vitamin? Yes No

5. Do your children attend public schools? Yes No

6. Do you listen to talk radio? Yes No

7. Do you wear cologne or perfume every day? Yes No

8. Do you ever download music from the Internet? Yes No

9. Do you have a swimming pool? Yes No

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

11. Do you enjoy science fiction/fantasy movies? Yes No

12. Do you drink diet soda? Yes No

13. Have you ever eaten fried green tomatoes? Yes No

14. Have you ever responded to a personals ad? Yes No

15. Do you have health insurance? Yes No

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

17. Do you use mouthwash? Yes No

18. Do you have or use a PDA (Personal Digital Assistant)? 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: - 20252 is Smokey the Bear's own zip code. - The fortune cookie was invented in 1916 by George Jung, a Los Angeles noodlemaker. - Women blink nearly twice as much as men. - The world's largest art gallery is the Winter Palace and Hermitage in St. Petersburg, Russia.

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