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Survey about take-out, family, restaurants, cat-naps, driving and hotels.

Begin Survey

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

2. Will you be staying at a hotel this week? Yes No

3. Do you believe there is life on other planets? Yes No

4. Are you a registered voter? Yes No

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

6. Do you have a VCR? Yes No

7. Do you belong to any professional organizations? Yes No

8. Can you drive a stick shift? Yes No

9. Do you enjoy cat-naps? Yes No

10. Do you enjoy cooking or baking? Yes No

11. Do you believe in Santa Claus? Yes No

12. Do you wear sunscreen every day? Yes No

13. Are you currently attending college or taking adult enrichment classes? Yes No

14. Do you own a motorcycle? Yes No

15. Will you order take-out or delivery food from a restaurant this week? Yes No

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

17. Have you ever been tested for HIV? Yes No

18. 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: - Albert Einstein never wore any socks. - After the 'Popeye' comic strip was launched in 1931, spinach consumption went up by thirty-three percent in the United States. - The United States produces more tobacco than it does wheat. - It takes 570 gallons of white paint to cover the outside of the White House.

Related Content: take a family survey

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