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Survey about take-out, glasses, casinos, driving, restaurants and democracy.

Begin Survey

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

2. Do you have a DVD player? Yes No

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

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

5. Will you visit a casino this week? Yes No

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

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

8. Do you belong to a credit union? Yes No

9. Do you wear glasses/contacts? Yes No

10. Do you plan on visiting the public library this week? Yes No

11. Can you drive a stick shift? Yes No

12. Are you involved in volunteerism? Yes No

13. Do you enjoy roller coasters? Yes No

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

15. Are you a registered voter? Yes No

16. Are your immunizations up-to-date? Yes No

17. Do you speak any foreign languages? Yes No

18. Have you graduated from (or finished) college? 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: - Basketball great Wilt Chamberlain never fouled out of a game. - The candy bar 'Baby Ruth' was named after the daughter of U.S. President Grover Cleveland in 1921. - 25% of your bones are located in your feet. - The swimming pool at the Biltmore Hotel in Coral Gables, Florida is the largest in the continental United States. It covers a half acre and holds 600,000 gallons of water.

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