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Survey about take-out, gambling, relatives, roller-skating, holidays and night clubs.

Begin Survey

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

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

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

4. Do you play any organized team sports? Yes No

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

6. Do you have any siblings? Yes No

7. Have you ever placed a personals ad? Yes No

8. Will you send anyone a printed holiday, birthday, or anniversary card this week? Yes No

9. Do you enjoy gambling? Yes No

10. Do you wear a watch every day? Yes No

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

12. Do you read the comics? Yes No

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

14. Will you go to a bar or night club this week? Yes No

15. Have you ever spent a day at a spa? Yes No

16. Have you ever traveled by airplane? Yes No

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

18. Do you plan on taking a trip by airplane this week? Yes No

19. Have you ever been rock or mountain climbing? 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: - Barbie's full name is Barbara Millicent Roberts. - A ripe cranberry will bounce. - Half of all Americans over the age of 55 have no teeth. - On a clear day, you can see five states from atop the Empire State Building in New York City: New York, New Jersey, Connecticut, Massachusetts, and Pennsylvania.

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